19515 80TH AVE W.PDF111111111111
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19515 80TH AVE W
ADDRESS: 49!90
TAX ACCOUNT/PARCEL NUMBER: zov//w saa-110
655�415_1�
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver Ej Study Required 0 Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:—, ZW2294�
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LID #:
LOT: BLOCK:
LATEIVINDSTsTomis\Strect File Checklist.doc
0
0
PLANNING DATA
New Commercial / Multi-Famiiy Projects
=FILE I
Name: Date: t)
Site Address: Plan Check BLD -
Project Description:
Use(s) Proposed-
Allowed Use -(OE / NO)
CUP File Number:
To Allow What Uses:
Legal Nonconforming Land Use Determination Issued: (YES i NO)
Reduced Site Plan Provided: (Ty NO)
Zoning: E I, — -)- ,
Map Page:
Comp Plan Designation:
Corner Lot: (YES I
Flag Lot: (YES "0
ADI3 File Number (date waived):
Lot Area:
Plans Mat6h ADI3 Approved: (YES I NO)
Shoreline Required: (YES I NO)
Critical Areas Determination #: C-Rhe)-ovi
El Study Required
WWaiver
SEPA Determination:
IKVExempt
Needed (for sites with 500 cubic yards of grading or within 200 feet of Puget Sound or Lake
Ballinger. Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
Required Setbacks
Street:
Side:
Sid
Rear:
ActualSetbacks
Street:
V e.
S e:
Rear:
Lot Coverage/FAR Required:
L�id
Lot Coverage/FAR Provided:
Lot Coverage/FAR Calculations:
Building Height
Datum Point:
Datum Elevation:
Maximum Height:
Actual Height:
Subdivision:
Lot Aggregation Required:
Landscaping
Landscaping Matches ADI3 Approved:
Landscaping Bid Provided: (YES / NO)
Bond Amount (100% Bid). -
Plan Review By:
0 0
PLANNING DATA
New Commercial I Multi -Family Projects
-Comfnercial Parking Analysis
Business Name Type/Use Parking Tenant Required
Ratio Area Parking
Total Parking Required. -
Total Parking Provided.-
Nulti-Fainflj.Par" Anal is
Bedrooms per Dwelling Unit
Parking Ratio
# Units
Required
Parking
Studio
1-2/D.U.
I Bedroom
1.5/D.U.
2 Bedrooms
1.8/D.U.
3 + Bedrooms
2.0/D.U.
rotal Parking ReqLdred.-
Total Parking Provided
Plan Review By:
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 for ' th on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
th-e rnap(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 officers-) shall be Iiable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s),
The City of Edmonds
tj
APPLICATION
for
SWE SIEWPA PFAMr
CONSTRUCTION REPAIRS 0
PLAW EASEMENT --------------------
-i 149 -
7;:7
QVITN'l P T No.
ERWa
......... ............................................. CONTRACTOR ....
ADDRE WeAS
i 715� .4 ......
... ...................................... ---------- we5 --------------------------- LEGAL DESCRIPTION: LOT No . ..... .......................... BLOCK No . ................................
VAUAi�' OF PI-06
NAME OF ADDITION ;;;t ... ; ...
elb
114
f "Isvivepq
Pe k 5 4;,-
jkf)P -
wl
Approved:
.. ... ...
DATE ............... .......
* 'y"* ......... * ----
'CITY OF EDMONDS
�.CIVIC CENTER — WATER-SEMMR DEPARTMENT
SIDE SEWER PERMIT
Call PRospect 6-1107.. when work
Is ready for Inspe6do n. (No inspec-
tions Saturday, Sunday or holidays.) N 2: 2837
ADDRESS ..................... 1.9.5.1.5...-....80.th ... Ave.n.ue .... W.es.t ..... ...............................................................................................................
.. .... ..... ....... .. .... .. .... ..
OWNE R ........ Dag ... S.tnailn)!� ........................................................ CONTRACTOR .... jkrthwest Sewer Const Corp,
....................................................... ......
Permission Is granted ...... R00_21 .................. 19 ... U, f or ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING.
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before It has been Inspected.
NO17, No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
No. 3—Top of side sewer must have at least 30 Inches coverage -at property line and 12 inches inside property line; minimum grade of 2%.
No bends In grade sharper than 'A will be permitted.
'No. 4—Trenches In street must be water settled and surface of kreet restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop wlthin one year of completion.
NOTE No. 5—It is unlawful to alter or do any other work than Is provided for In the permit, or to do any work on the main sewer or Its appur-
tenances except to insert the pipe Into the wye.
CITY OF EDMONDS %J
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or v.lcini�ty of Const , ruction
0 Owner:
Name
Mailing Address
City, State, Zip Code
Contractor:
Name
tDECE11JEU, Permit No. /K,
Issue Date
0 C'T 2 8 1981
0 Permit Issued To:
Type of Work to be Done:
Work in Connection With:
0 Sub or Plat 0 Single Family
El Comml. /Ind. J2' Apt. Condo.
Pavement Cut: 0 Yes El No
Mailing Address State License Number
z
-e City, State, Zip Code Telephone Number
U
0.
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal,,.
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
0
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
co following the final inspection and acceptance of the restoration by the Engineering Division.
0
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit'will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit ihust be available at the Job site for inspection purposes at all times.
Signature:1 -Date
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued 13�:_
Time A uthorized: Vold after
—days
z Special Conditions:
Ammendments:
aLi-
Permit Fee:,
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X —
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
FIELD INSPECTION NOTES (Fund 111 - Route cony to Street Dent.
r^MMr-1n+- 0 -
Diagram:
Contractor called for inspection- "ry—te �10
Work DisaPproved By: Bv: Date:
Work Ar)T)roved Bv - Date.
Inspector:
Ena. Div. December 1978
501*4vi,
10
APPPOVED BY ANNING
Map not to scalp and shows two parcels as
+ single parcel. However; enough information is Com"rj—jFia&_/J'
-14 provided to show deck replacement meets
/�o Mq-: _r. d
zoning requirements. Actual
Front 0 10 J�L t-
Sides 01 :1 tf 0=
Rear —L�� ID
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RESUB
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ILDING DEPAR-WENT
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