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IGEOTECH TRAVEUPREP TIME JOB NUMBER
N 0 V 1 4 1996)
CONSULTANTS, INC. I Nit
TIME ON SITE DATE
PERMIT COUNTER A A'�'
13256 NE 20th Street, Suite 16 P.O. Box 2054
TIME OFF SITE
DAY 01�4EK
Bellevue, WA 98005 Tacoma, WA 98401
IT
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—1045--
�WA DAILY
FIELD REPORT
OEO-rECH
TRAVEUPREP TIME
JOB NUMBER
CONSULTANTS, INC.
CIVIEl-
TIME ON SITE
DATE
13256 NE 20th Street, Suite 16 P.O. Box 2054
TIME OFF SITE
DAY Olf
Bellevue, WA 98005 Tacoma, WA 98401
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206-747-5618 FAX 747-8561 206-627-5990 FAX 627-2114
HOURS CHARGED
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OEOrrECH
CONSULTANTS, INC.
13256 NE 20th Street, Suite 16 P.O. Box 2054
Bellevue, WA 98005 Tacoma, WA 98401
206-747-5618 FAX 747-8561 206-627-5990 FAX 627-2114
JOB LOCATION
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CONSULTANTS, INC.
13256 NE 20th Street, Suite 16 P.O. Box 2054
Bellevue, WA 98005 Tacoma, WA 98401
206-747-5618 FAX 747-8561 206-627-5990 FAX 627-2114
JOB LOCATION
GENERAL CONTRACTOR
GRADING CONTRACTOR
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DAILY FIELD REPORT
TRAVEUPREP TIME
JOB NUMBER
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SIGNATURE: %.I NZ:V U U
GEOTECH
CONSULTANTS, INC.
13256 NE 20th Street, Suite 16 P.O. Box 2054
Bellevue, WA 98005 Tacoma, WA 98401
206-747-5618 FAX 747-8561 206-627-5990 FAX 627-2114_
JOB LOCATION
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GRADING CONTRACTOR GRADING FOREPERSON
DAILY FIELD REPORT
TRAVEUPREP TIME
JOB NUMBER
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TIME ON SITE
DATE
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NEXT SITE VISIT:
COPY TO: SIGW
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CITY OF EDMONDS
BUILDING DEPARTMENT
.Tit
WORK 02*n )A
ADDRESS
OWNER
APPROVED DATF.'..,---�1-07
BLDG. OFFICIAL
PERMIT NUMBER
ZONE
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CA FILE NO.
C.ritical Areas Checklist
81te Information (soils/topography/hydrolo 0
gy/vegetati* n)
L Site Address/Location: t�_��IAIW &J4,
2. Property Tax Account Number: 6,Y,3C?- - W,�, 060/
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed?
yes; no.
If yes; how is site developed?-
,5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generafl ' y 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 dian 33-feet).
Other (please describe):___-
6. Site contains areas of year-round standing water: /9�) Approx. Depth:
7. Site contains areas of seasonal standing water: 14/ Approx. Depth:
What season(s) of the year?, /V It
8. Site is in the floodway floodplain of a water course. 64z4,,�i >s�
9. Site contains a creek or an area where water flows across the grounds sufface?-6-Rows are y
round? Flows are seasonal? _ (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is presenton site:
—For City Staff Use Only
1. Site is Zoned? - 1- -77
2. 9CS mapped soil type(s)?
3. Wedand inventory or C.A. map indicates wetland present on site?
4;.,. :-..,Critical Areas inventory or C.A. map indicates Critical Area on site? N,-
5. - 'Site within' designated earth subsidence landslide hazard area?
6. Site designated on the Environmentally Sensitive Areas Map? YeA- 56pet
.DETiRNMATION Att m1f
-`9tUDY REQUIRED CONDITIONAL WAIVER
WAIVER
Revi6wed by: 1 X2-6 Z,
U 1%nner Date
RgVOI/04194
0 - 19
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled Out by any person
preparing a Development Pennit
Application for the City of Edmonds prior
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,
and submit itto the City. The City will
review the checklist, make a precursory site
visit, and make a determination of the
subsequent steps necessary tocomplete a
development Permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for Ind—ividual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s)_ In
addition, theapplicant shall incJude
otherPeWinent information (e.g. site
Plan, tOPOgraphY map, etc.) or studies in
conjunction with thisChecklist to assist
staff in complefing 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 I Applicant:
— L C��
A�'Ad 1�'-h ,
Name
#0� -210
Street Address
F-) 0 4 J
EciM On a�, 77r213,fl
Elty, State, ZIP Phone
4-gnatur: Date
Applicant Representative:
Nam
Street Address
City, State, ZIP Phone
Signature Date
City of Edmonds
Critical Areas Determination
Applicant: Richard arbuck Determination #: CA-96-226
Project Name: I Permit Number:
Site Location: 19412 - 89th Place W. Property Tax Acct #: 1 5131000 105 05
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears to contain
and/or is adjacent to a Steep Slope Hazard Area pursuant to Chapter 20.15B of the Edmonds
Community Development Code (ECDC). To determine if a Steep Slope Hazard Area does
exist, a topographic survey prepared by a Licensed Land Surveyor delineating Steep Slope
Hazard Areas must be completed. Any slope over 40 % with more than 20 feet of rise will be
classified as a Steep Slope Hazard Area. A 50 foot buffer is required from both the top and
toe of the slope. A 15 foot building setback is required from the 50 foot buffer.
For development of any kind which is proposed within the critical area, 50 foot buffer or 15
foot buffer setback, it must be shown that the development will not adversely impact the
Critical Area or its buffer, by doing one or possibly both of the following depending on the
outcome of the study:
For development proposals whichw'ill occur within the 50 foot buffer, but no closer
than 10 feet from the top or toe of the slope, the 50 foot buffer requirement may be
reduced to 10 feet if a study is completed by a licensed geologist or geotechnical
engineer which clearly demonstrates that the proposed buffer alteration will have no
adverse impact upon the site, the public or any private party. All Critical Area Studies
must be completed by a licensed Geotechnical Engineer (as defined in ECDC
20.15B.020.Y) or under a three party contract where the City hires the professional
required, and the applicant pays for the study (pursuant to ECDC Section 20.15B. 150).
2. If development must occur within the critical area, buffer, and/or buffer setback, and is
not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20.15B. 180A and 20.15B. 040C.
All proposed development of the subject lot must meet the requirements of Chapter 19.05
(Building Permits - Earth Subsidence and Landslide) of the Edmonds Community
Development Code.
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on the site, they may submit their proposal to
the Planning Department for review. If the Planning Department finds that the proposed
development permit will not adversely impact a Critical Areas or its buffers, a conditional
waiver may be issued on a project by project basis.
2
CITY OF EDMONDS
USE
111E PERMIT
NUMBER 970001g
..CONSTRUCTION
PERMIT APPLICATION
JOB
ADDRESS 'q12 T
./-/� - V 0 /)/
OWNER NAMEIWME SF BUSINS"
#,AA'b TA k 7-()(K
L GAL SCRIPTION CHLCKI
SUBDIVISION NO.
UD NO
MAILING ADDRESS
qu � S --,A ve. A-2jo
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING — REOUIRE. E.ICATION —
PROPOSED
TESCIP ApprMed D
RW Permit Required a
Street U. Permit RDQ'd 0
Inswtion Required 0
Sidwalk Required 0
CITY zip
16 b1l t)Aj INA - �A)zu I
TELEPHONE NU . BER
72S - 20-V
NAME
'VA / j 6—, 1)
METER SIZE
I LINE SIZE
NO. OF FIXTURES
PRV REOUIRED
YES 0 NO 0
-��
ADDRESS
CITY ZIP ITELEPRONE NUMBER
REMARKS
A//4-
ADDRESS
LI-701 5-1 141,f. W
0
ENGINEERING MEMO DATED REVIEWEDBY
oec. 1-?, 94 JA
ZIP TELEPHONE N
FIRE MEMO DATED REVIEWEDBY
UP
tr
cc
-ArLr7-r,-/Att
& 7
ST&CENSE NUMBER — EXP E
,6 ZE1;1,r -It- 'WR'AT
SIGN AREA
ALLOWED PROPOSED
SEPAREVIEW
COMPLETE EXEMPT
W��
ADS NO.
Legal Description of Property - include all easements
I
EXP I-A151*j
SHORELINE I
V
VO4'-51
VARIANCE OR CU
LANNIAG I Ew
BY DATE
do m 1-�4
SETBACKS — FEET HEIGHT
FRONT SIDE I REAR 7 5- 7
I ?..
LOT COVERAGE
Propel Ut
Tax A
Parcel IN U 30 01/-
0.
Mt:MAMK5
L 4 1 j -7 7
NEW E] PLUMBINGIMECH
COMPLIANCE OR
ADDITION CHANGE OF USE
ElREMODEL, SIGN
CHECKED BY TYPE OF CONSTRUCTION ICODE
[OCCUPANT
OR 7!-3
(3 GRADING FENCE
REPAIR CYDS. E] I x —FT)
0
D WOODSTOVE SWIM POOL
DEMOLISH INSERT F� HOT TUSISPA
GARAGE RETAINING WALL/
CARPORT. L—J ROCKERY RENEWAL
a EPECIAL INSPECTOR JAREA
R OUIRED
)(YES
'ITEMARKS
OCCUPANT
LOAD
PROGRESS INSPECTIONS PER UBC 108
OZ
BE. BUSINESS OR ACTIVITY) EXPLAIN.
LZ, -r- I 1�
johlod
NUMBER I
OF
STORIES
F
DWELLING
UNITS
CRITICAL
AREAS
NUMBER ql�
uVIVIn5,
C221/6 iFiiY 62501-rld ��6ykq& t5,d-ZW2-7
OESqRJBE WORK T�SE DONE (ATT�" P�OT PL"I
FINAL INSPECTION REQUIRED
ta P2& C�;q,
Audt ��A*j 44,L
VALUATION
FEE
V
PLAN CHECK FEE
40
BUILDING
Z,"
HEATSOURCE:
77�
PLUMBING
P Ian Check No.
MECHANICAL
This Permit covers work to be done on privite broperty ONLY.
GRADING)FILL
Any Construction on the public domain (curbs, Id wPIks,
8 at
STATE SURCHARGE
driveways, marquess, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicarit, on behalf of his or her spouse, heirs, assigns and
ENO. INSPECTION FEE
successors in Interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington. Its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the Issuance
of *this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
0
xjnor
m odify, waive or reduce any requirement of any city ordinance
limit In any way the City's ability to enforce any Ordinance ITOTAL
provision."
AMOUNT DUE
2U2Z
I hereby acknowledg 0 that I have read this application; that the
Information given Is correct; and that I am the owner, or fine duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
tate laws regulating construction; and In doing the Work authoriz. AUTHORIZE This application is not a permit until
d thereby, no person will be employed In violation of the Labor ONLY THES signed by the Building Official or his/her
,Code of the State of Washington relating to Workman's Compensa. WORK NOTED Deputy; and fees are paid. and receipt Is
tion Insurfance and RCW 18.27. INSPECTION acknowledged In space provided.
SIGNYU7 tOWNEA OR AGENT) JDATE SIG ED DEPARTMENT
A� 0:,FI �1
CITY OF ,LS S TUFtE DATE
EDMONDS h
CALL FOR RELEASED BY:
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A F:NAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIF CATE OF OCCUPANCY HAS BEEN GRANTED. USC 771-0220
SECTION 109 PINK — Owner GOLD — Assessor
10247 r5z- / i ////
77
61" Fl� lk,�s
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fie,.
PLANNING DATA
NAME: TArto
SITE ADDRESS: 12 4-17- K9 ' A, W.-DATE: 1117,71%,
ZONING: P-5-i 2-ZW - -77 —PLAN CHK#: c) & - 2-4-
PROJECT DESCRIPTION: of 4*,c V\. af,.ke- Y.
CORNERLOT 19\6 —(Yes/No)
SETBACKS: f. \, A 6 1 "' I A
Required Setbacks: 4YA PP-D- )- 7� ,t-vr o-lAl pef� �, orowe(.,W� svwo-f
Front: 0 Left Side: 0 Right Side: 0 Rear: 4110_�
Actual Setbacks: W oA,,�
Front: 15, Left §ide: Right Sid , e: *6' Rear:-7-5'
Street map checked for additional setback required? iyt� (Yes/No)
CA, 64,0-de il- fdMw4X-t4.
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED N -(Y/N)
LOT COVERAGE: L44 �4
Maximum Allowed: 3667a ;,2 Actual: No
BUILDING HEIGHT:
Maximum Allowed: 2-5, Actual Height: (06 m,
Datum Point: 144 Datum Elevation:
A.D.U. CREATED?: M
SUBDIVISION: 40-1- 77
CRITICAL AREAS #: CA -
I (Az,71&
J�-41�S
SEPA DETERMINATION: �U,,,04 - *k Kr, TAr6w4,- V&v4 jq ", 1t1z,71,9,6
^� 10,
LOT AREA:
OTHER: 6f-k-z,,, 4- bh*cox
Arm,
U
Plan Review By:
I
A."PPLICANT G-OPY'v'.
�JOV 1 4 1996 DAILY FIELD REPORT
01E0"r1ECH TRAVEL/PREP TIME JOB NUM R
CONSULTANTS, INC. PERNT GOUNTF IN if nx
TIME ON SITE DATE
- - 1) A A'�'
13256 NE 20th Street, Suite 16 P.O. Box 2054 0 IT DAY Oe4EK
Bellevue, WA 98005 Tacoma, WA 9
---rWEATHE
206-747-5618 FAX 747-8561 206-627-5990 HOURSCHARGED R
JOB LOCATION CLIENT Or
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':2�'
IC j.L'C-k
GENERAL CONTRACTOR GENERAL CONTRACTOR'S SUPT. MILES PERMIT NUMBER
GRADING CONTRACTOR GRADING FOREPERSON VISITORS IPAGE OF
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6628 - 212TH SW LYNNWOOD, WA 98036
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11-21-1996 02:30PM FROM GeotecK Caniul,tants Inc
TO 12067710221 P.01
GEOTECH
CONSULTANTS, INC.
13256 NE 2Wh Street Suite 1.6
Bellevue, WA 98005
(206) 747-5618 FAX 747-8561
Me0 JN-.
92 . 454
Tw Ftichad Tafbuck FW*w
M= R. MoGinnis
co"Ww" Dabs
November2l, 19%
Ad&ee= 403 - 3rd Avenue South, A-21 0 FAm
(206)
Edmonds, WA 9=0 Phome:
(206) 778-2038
Re Undsonning of Extft Resdwm Foundations
19412 - 891h PW= West
Edmonds
Permit No. 95-244
The underpinning of the e)dsdng residence foundatons that we recommended in our November 1,
19M report is intended to Improve the support of the existng residence and to proted ft from
damage in the event of future soil movement on the slope below. The natural wamhering of the
near -surface soils res - ults In shallow slope movement that eventually happens on most steep slopes
In the Puget Sound region. I
Sedon 20. 1613.040 of the Edmonds Code provides e)empWn aiteda for work occurring in critical
areas. It Is our opinion that the underpinning should be exempted from Edmonds Crikal Area
review as this work is not intardad to enlarge or replaca a portion of the structure, but is intended to
improve the wdstlng foundation's safety. It is also our opinion tliat tw proposed wcrk vAll not
increase the potential for soil movement or risk of harm or damage to the irxisting uses or
develapmw7L The oroposed work will increa3e, riot decrease, the public sef*,
Please contact us if you have any quedons regarding this memo.
ca Cfty of EdrnorKLq%1oM Bissell =)T71-0221
I evng— - . - - . - - ...
TOTAL P.01
NOTIC�:
W.'a'r.r a n' - y ... 0.
-N'O'**w
The information on the attached
map(s) was compiled for use by the City of
Edrnonds� its Employees and Consultants.
Th,..e City of "Edrn.onds does. not. warrant the
f anything set forth on these
accuracy 0
map(*�). An . y person or entity -requesting a
copy should conduct an independent
inquiry regarding the infdrm'ation shown- or
tfi-�� -rnap(s), Including, but not limited to,
th*e location of any sewer stub shown. Suc
sewer stubs may or may not e.xist and may
or may not exist at the location shown.
Neither the city of Edmonds nor its
empl-o-yee-s o-r officers -sh-a-1-1 be 11a-b-'Fe for the
I n on this map(5) nor for
information give'
ntation provided based
any one represe
upon said map(s).
City of Edmonds
Critical Areas Determination
Determinati
Applicant: Richard Tarbuck on#: � CA-96-22
Project Name: Permit Number:
Site Location: 1 19412 - 89th Place W. -A Property Tax Acct #: 51310001
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears to contain
and/or is adjacent to a Steep Slope Hazard Area pursuant to Chapter 20.1513 of the Edmonds
Community Development Code (ECDC). To determine if a Steep Slope Hazard Area does
exist, a topographic survey prepared by a Licensed Land Surveyor delineating Steep Slope
Hazard Areas must be completed. Any slope over 40% with more than 20 feet of rise will be
classified as a Steep Slope Hazard Area. A 50 foot buffer is required from both the top and
toe of the slope. A 15 foot building setback is required from the 50 foot buffer.
For development of any kind which is proposed within the critical area, 50 foot buffer or 15
foot buffer setback, it must be shown that the development will not adversely impact the
Critical Area or its buffer, by doing one or possibly both of the following depending on the
outcome of the study:
For development proposals which will occur within the 50 foot buffer, but no closer
than 10 feet from the top or toe of the slope, the 50 foot buffer requirement may be
reduced to 10 feet if a study is completed by a licensed geologist or geotechnical
engineer which clearly demonstrates that the proposed buffer alteration will have no
adverse impact upon the site, the public or any private party. All Critical Area Studies
must be completed by a licensed Geotechnical Engineer (as defined in ECDC
20.15B.020.Y) or under a three party contract where the City hires the professional
required, and the applicant pays for the study (pursuant to ECDC Section 20.15B. 150).
2. If development must occur within the -critical area, buffer, and/or buffer setback, and is
not identified as an exception per ECDC Chapter 20.1513, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20.15B. 180A and 20.15B.040C.
All proposed development of the subject lot must meet the requirements of Chapter 19.05
(Building Permits - Earth Subsidence and Landslide) of the Edmonds Community
Development Code.
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on the site, they may submit their proposal to
the Planning Department for review. If the Planning Department finds that the proposed
development permit will not adversely impact a Critical Areas or its buffers, a conditional
waiver may be issued on a project by project basis.
2
City of Edmonds
Critical Areas Determination
Applicant: Richard Tarbuck Determination #: CA-96-226 I
Project Name: Underpinning Existing Permit Number: Plan Check 96-244
Foundation
Site Location: 19412 - 89th Place W. Property Tax Acct #: 6830 000 004 000
Project Description:
Underpin a Portion of the Foundation to Transmit Building Load
to Dense Soil
Waiver Criteria (all criteria must be found to apply):
X There will be no alteration of the Critical Area or its required buffers;
X The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and 'requirements of the Critical Areas ordinance;
X The development proposal meets the minimum standards of the Critical Areas
ordinance;
X The above findings are based on the following conditions of approval:
1. The foundation repair work shall be done in accordance with the
recommendations of the November 1, 1996 Geotech Report by Geotech
Consultants, Inc., including the recommendation to underpin the
foundation and not construct a retaining wall, and the November 12, 1996
Structural Calculations and design by Baker Engineers, Inc.
2. The house shall be constructed in compliance with the City of Edmonds
approved plans and code requirements.
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B.040 (A)(2) of the Edmonds Community Development Code.
Meg Gruwell '/n,<.f e7�� 11/27/96
Name Signa.66 Date
7 9EET FILE-5
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C &TCH STREET FILE
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1997
( \'R I / lo,�- 30A Lv:
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STANDARD DRAINAGC PLAN i
INFILTRATION SYSTEM
PACE i OF 2
for
IDES t
plan by
phone
date -
OF -SIGN DATA
Trench Perc Lr per I mpt rim Trench
Number Rate 1000 sq-ft. Area R*q—
NOTES
I . Call Engineering Division (771-3202)
for prebackfill and final Inspection$.
2. Responsibility for operation and
maintenance of drainage systems on
private property Is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
I oil and other outerials from entering
trench during construction as well as
after construction. Catch basins should
.be cleaned of floating material and
sediment at re ular intervals (at least
twice per yearl.
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APR 16 1987
EMIT COUKER Wp-QXkt7v"%
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SI D E
C I TY of EDMONDS
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For Inspection Call 771-3202 o0i REET FILE
Address of Constructi on: / 61' /-( (2 =?? -'(- PL
Property Legal Description (Include all easements):
4-f
_) Pt I'A
Owner and/or Builder: Ge, ir(,""04
SEWER PERMIT
PERMIT NO.
Contractor & License No: 7- �k Q'�' �c K I
Single Family Residence
EDMONDS
Multi -Family (No. of Units TREATMENT PLANT
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No y Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
3
I certify that I have read and shall comply J U N '2J 3 1987 Date
with the items listed on the back I . RUBLIC WORKS
Permit Fee: 4rz,9. �4
Trunk Charge: fc;?,5— I/D
Assessment Fee:
Issued By: a""34Z
bate Issued: 4� -7
Receipt No.: _�A�o
Partial Inspection:
Comments Date Initial
Final Inspection Approved: -7- 7 - F`7
Date Initial
Rejected:
D a -te _Tn i -ti a I
son
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASMT. NO . ..................
OWNER ....
--------------------------- 40.VIA—c.. CONTRACTOR
---------------------------------------------- ---------------------------- PERMIT NO.
---------------------------------------------- LEGAL DESCRIPTION: LOT NO - ------- 4 ------------------------ BLOCK NO - ------------------------------------
JOB ADDRESS t' — \J'�- — ----------
W- 16. %cl VQ L� :b,
----------- ----------- ..................................................... ----------------------------------------------------------------------------------
4tt 4,0
I PWW-0001-11/75
11/78) R ck�- -R�� W
NAMEOF ADDITION ------------------------------------------------------------- ---------------------------------------------------------
E D,10, 0 N D S
TREATMENT PLANT
-L t, 3�ZL 0 136W 3 3 1 oze-
Approved:
- .7 '7 ?5ze-�-
DATE........ — ----- ? ------------------ By -------------------------------- 4�
k.
NOTICE:
-r-r a n ty ... OT
No
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds/ its Empl.oyees and Consultants.
Th,..e CitY of 'Edrn.onds 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 infcbrm-ation shown or
th� -rnap(s)., including, but not limited to, I
er stub shown. Suc
the lotation of any sew
-not exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the City of Edmonds nor its
empto-yee*s o*r office-rs -sh-al-I be lIa-b-l'-e for the
information giveh on this map(5), nor for
any one representation provided based
upon said map(s).
'A
USE PERMIT
PF'D
CITY OF EDMONDS
ZONE NUMB
IISTA;FT F;u 1;
CONSTRUCTION PERMIT APPLICATION
JOB '5111111110
ADDRESS lqqlZ -
?q / ffe'�Y
NAME (OR NAME OF BUSINESS)
THUESEN CUSTOM HOMES INC.
LEGAL DESCRIPTION CHECKI
a
.
SUBDIVISIO19 NO.
L WDNO�.e
LU
MAILING ADDRESS
322 MAIN STREET
.2
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
CITY TTELEPHONE NUMBER
EDMNDS, WA. 98020 775-1953
EXISTING- Z2 REQUI RED DEDICATION
-
NAME
PROPOSED —
CUSTOM DESIGN/PAUL BERCHIA.RD
RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED#f'o-
STREET USE PERMIT REQUIRED 0
LU
Uj
z
0
8
ADDRESS
F-
5113 — 46TH N.E.
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
z
W
CITY 179L—EP—HONE
NUMBER
SEATTLE, WA. 98105
525-1559
REMARKS,
00'1"�el SO
0E aye
NAME
THUESEN CUSTOM HONES
t //-?
�14�z-(liM61wee'lellY6 zhfle;�7�� A?o
ADDRESS
METER SI E
�7
7LDING SUPPLY SIZE
7URE UNITS
W
0
322 MAIN STREET
Cr
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TY
Cl MMO NDS, WA. 98020
TELEPHONE NUMBER
775-1953
8
STATE LICENSE NUMBER
CITY LICENSE'NUMBER
REMARKS
THOSCH161QG
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
—..Laaal-DescriDtion.of-Prooertv.,.includ a.all.aaaarnents
SHORELINE#
012 V- W
VARIANCE OR CU
PLANNING REVIEW BY
L-F�
DATE,
01
YARD
--<R
7 �J-j
LOT COVERAGE
I
z
z
710
E A R
P PLUMBING
LUMBING
A8
64,,t SIGN
CHECKED B'
FENCE x _FT)
X TWO
swim SPECIAL Iff
P OOL 0
OOL REQUIR
I j YES
IqUMSF-A
2 UNITS
NATURE OF WORK TO BE DON CH PLOT PLAN)
SlWGLE,FAIAILY RESIDENCE
it covers work to be one on Tr-1vateproperty ONLY.
This PJW7����iln (curbs, sidewalks,
Any construction on the public domc
driveways, marquees, etc.) will require separate permission._
Perrnit Application: 180 Days
Permit Limit: I Year - Provided Work is Started Within 180 Days
- r—
iihn of his or her spouse, heirs, assigns and
. ---is- A.fanrl and hold
I gg/, 1�91* ��
Aj, -fb Nov,
-L — TARIA ----T—OCCUPAIIGY
;TOR GROUP
�70 N 0
0
jJ00,
D61
aeza'04M(y - �FEE
VALUATION
PLAN CHECK FEE
13UILDING
PLUMBING
MECHANICAL
I GRADINGIFILL
LOAU
-S-0
CATCH DA151m:
A115 0 6 rbo (a 1k TJkCr4Cb4 L.WNC.YH
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4A L,
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SYSTEM CROSS-SECTION
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OK MUIVC
TO 61?- LAIYED C
Wa'.-�L,*tx) FO--K
'TO.ENCIA COVER
3/4*- 1$V WASIAED
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4 oi*.m FURF P
V-0
TRENCH CROSS-SECTION
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APR 16 1987
?EaMIT COUNTER
( 1'8 / IoL�- 31� Lv:-
I �1-1:
FLO - 9 REM
STANDARD DRAINAGC PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
plan by
phone
date
DESIGN DATA
Irench Perc LF per Impem Irench
Number Rate IWO sq-ft. Area
I 3w-
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final Inspection$.
2. Responsibility for operation and
maintenance o( drainage systems on
private property Is the responsibility
of the property owner(s). preventive
Maintenance consists of preventing
S oil and other materials from entering
trench during construction As well a$
after construction. Catch basins should
be cleaned of floating material and
sediment at re ular Intervals (at least
twice per yearl.
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CITY OF EDMONDS
D/NEW
ADDITION
RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DE
PURCHASE ORDER NO. *PROJECT NUMBER
16
PURCHASE ORDER DATE PROJECT COMPLETION DATE
COST COST
B.A. R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
ef" 'DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
tnp INITIAL
DATE
ze��,
VERIFIED BY
PROCESSED
BATCH NO.-
DEPARTMENT FILE