19523 84TH AVE W (2).PDF111111111111
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19523 84TH AVE W
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:— DETERMINATION: El Conditional Waiver 0 Study RequiredXWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:— d-�lc —� 7— 7/ � 7 3
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LID ff:
LOT: BLOCK:
L\,rEMP\Dsrs\Forn1s\Street File Checklist-doc
PLANNING DATA
SIGNS
SITE ADDRESS: 5 2.3 ZONING: FM Z --f AS -
DATE: q / 2- .2 /as- PLAN CHK#: 05 - 4 4,j 10
NAME OF BUILDING PERMIT APPLICANT: M4rtf -,--A PIVS 64 kl-,'A, 6t--4,K 4 M-jPU-^-,f Prtfe,4--i
PROJECT DESCRIPTION: .Lg, pJ(.,, 9
V
5'VLW—t IN4 si�= Y 4W.4�. A C"M =*Z �m 1�: t,,I// Lit
ADB FILE #: OR DATE WAIVED:
PLANS MATCH APPROVED PLAN:
TOTAL AREA PER TYPE OF SIGN:
TOTAL
Sign area
Allowed
Matrix
Area
allowed
Type of
in
Conditions
Allowed Per
for this
Zone?
Met?
Unit
Unit
sign
Example
Wall, wl
Yes, wl
Yes
1 sq. ft./ lin.
411bot
41 square
Internal
cond.
ft. of
attached
feet
/flum.
attached
wall
wall
SIGN 1
+�— BN2— F", 1-,(, '515,6-4-
Y44
24
49" Ir—e
SIGN 2
SIGN 3
TOTAL SIGN AREA FOR SITE /TENANT:
Maximum Allowed: I "/,, wvi Previous Total: f. �x --.A � o
Proposed Total: 490
pl�� � EP
1A1ibrary\p1anning\fbnns & handouts\staff reports\Aplandat—SIGN.doc
01
SIGN HEIGHT:
Sign Type: ivL-�,�
Maximum Allowed: 141 Actual Height: 74 7' 1
Sign Type:
Maximum Allowed: Actual Height:
Sign Type:
Maximum Allowed: Actual Height:
SIGN LIGHTING:
Sign Type: Lighting Proposed: e k w,,.4 I �tttj (,-m a., f�� v- pm�4
Allowed in this Zone: Yes
Sign Type: -Lighting Proposed:
Allowed in this Zone:
Sign Type: Lighting Proposed:
Allowed in this Zone:
SIGN COLORS:
Proposed: wl 6(,-,v-, Leyvr, ff-A ru�A 61Vz (.62
Acceptable? Y1_j I Requires ADB Aliproval? v4
SIGN LOCATION:
Proposed:
If Freestanding and 3 feet or over (unless on a f6ncej meets' setbacks?_
Required Setbacks: /:�r
jq&- Front: 6 Left Side: is, Right Side: 16' Rear: )o -
Actual Setbacks:
Front: 15' LeftSide: 12-4,5' RightSide: Rear: 30'
LANDSCAPING FOR FREESTANDING SIGNS:
size: +o'-310, 17-oo-O
Location: w, a,4. �4= "
CRITICAL AREAS# (Freestanding Signs Only): (A-7-o,55-0)43
Waiver / Meets CA requirements
REDUCED SITE PLAN (8.5X11) PROVIDED FOR STREET FILE? Yej
OTHER: !Vlat"T Am CJ'-�W,A
Plan Review By:
1Ahbrary\p1anning\forms & handouts\staff reports\^p1andat_S1GN.doc
0
0
#P20
Critical Areas Checklist CA File No: . 05- 143
Site Information (soils/ topography/ hydrology/vegetation)
1. Site Address/ Location: 5_,(4* Au'-6t)
2. Property Tax Account Number: I 9Z -7 OZ-3 Moo
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; no.
If yes; how is site developed?. all 4fr&4A
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site. /S' _'5yi
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 d
escribe).
6. Site contains areas of year-round standing water: Approx. Depth:..
7. Site contains areas of seasonal standing water: �r(O Approx. Depth:
What season(s) of the year?
8. Site is in the floodway. .0 floodplain of a -water course..
9. Site contains.a creek or an area where water flows across the grounds surface? Flows are year-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 prei`sent�on site:
For City Staff Use Ordy
1. Plan Check Number, if applicable?
2. Site is Zoned? RM -7,4 IZS 80
3. SCS mapped- soil type(s)? A tir b "A
4. Critical Areas inventory or C.A. map indicates Critical Area, on site?.
5. Site within designated earth subsidence landslide hazard area?
DEtERMINATION
STUDY REQUIRED
Reviewed bv.
WAIVER
#P20
'4C. 1%9"
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 Developnient
Permit Appli cationfor the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable Cit . y staff to
determine whether any potential Critical Areas are, or
may be, present on the su�ject 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).
Date Received: -111 192
City Receipt#: 2 5
Critical Areas File #: 1,0D15 - 0 1
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
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
perinit application.
Please submit a vicinity map, along, with the signed copy
of this form to assist City staff in fitiding 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 ftimished by the applicant, his/her/its agents or employees.
By, my signature, I certify that the information and e�hibits herewith submi tted ar . e I true and correct to the best of my
knowledge and that I am authorized TtOV . s alication on the behalf of the owner as listed below..
SIGNATURE OF APPLicANT/AGENT DATE
Property Owner's Authorization
By m y signature, I cer* 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 po ttendant, to this application.
SIGNATURE OF OWNER DATE
Owner/AppHcant:
IM xlle-4�,10441
Name
/,�Z-3 - " rA
Street Address
Applicant Representative:
Name
2
Street Address
7 &
city State Zip City State zip
Telephone: 412_�5-,
Email address (optional):
Telephone: 7/-7,/, -h-7K
Email Address (optional):
0
NOTICE:
-r a n - y. -of ac� c u r�a cy..-
No.-war
The.information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.onds does not warrant the
accuracy of anything set for.th on these
Map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the informa tion shown on
t-Fe *m a P (S) I including, but not limited to,
the loc'ation of any sew-er stub shown. Such
sewer stubs may or may* not exist and may
or may not exist at the location shown.
Neither the City of Edm'ondS nor its
em pto-yee-s o r off i Cle-rs -shalrl be 11a.b.-I.-e for the
information given on this rnap(s), nor for
ion pr based
any one representat' ovi
upon said map(s).
The City of Edmonds
-aa 4=,:3,ei=K:>
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS
OVITNER ...............................................................................
ADDRESS .. ...... W . ................
r F,-,
I
F
EASEMENT No . ..........................................
j i r�%
CONTRACTOR ..F�PSSb ....... .................... PERMIT No. 14 i4�
LEGAL DESCRIPTION: LOT No. ............ BLOCK No . ............................................
- NRr
NAME OF ADDITION ...........
b-4 WE�47
tsM ff— N U E—=
NMMON
F—)( I ST I w CS
set so EL -
IL
Co 43,l'i=NK, -%.00OF
"Faw .41, sr-14.40 stc�s sewSp..
ING-TBF2�:TMD I"T40 CLaM OUT
C3= M%M-171MCE., 42" C40NC. LIM M
I
10 h r;Z C1,0 (M: CEM—P)
Approved: 5
DATE.................... B ........ ...............
%7
SEWER, 'PERMAIT
EDMtON1DS,,,. IDEt
�;,dTY !O'F S E-
:WAT-EWStWkFV DEP�IRTAENT� -
4305
*TER
in�p6ctiousi -BEFIORE'. cov.�, ln'��a� �Poi iot-Jhe-' c6nstructio
:(Call 7,76-1-10,7.,- for : side sewer - * g, rfion I !')l
Inspection will be provided:. within _24- hours�!aft6r request. Suni.,.,o�'holiday Ins�elctlons.
oni K"� _%�WCS L
5 al. 2134 ',;1 11 v..
ADDRESS'LOCAII-ON OY CONSTRUOVION .......................................
............................................................................................................................
tZ. - 4,
:
......................... .. .... . .......... ............ .................... ....... .....................
PROPERTY 1LrEGAL1PDE$CRMT10N ......................... ... ........
....................................................... ......... ................... .......... ...... ....................... .......... ....... ......... ............ .................. .....................
....................
Clio rq,
......................... : ..................................... OWNER ANDVOR ]�U'M ... 2.- ................................. ............ : ........... . ..................... ..........................
Russ 1600-14. �w.dd dale. Rbad, ldi�wrids ",700�o
CONTRACTOR'SNAME ADDRESS ..... ................. ..................................................... : -------------- .................... ....................................................................
ted, 73:
Perinission, Is, gyan .............................................................. 19'. for -repair and of;a-s! ewer. -to the -clty saffifify,seNVer'
Ypi; c6nnection._..
system; in, e, with,Clty of Edmonds. -ordinances.
accoiftni
T-10 -LED TO THE FOLLOWING,:
NTIOMI& C.& L
t sewer Inside,prop I 'd
E, No; I —The, owners, Of the property may, obtain a permit to construe er�yj ne. :&,Ilcensed%1Side at�rm�st bo� o'in�l.ye 1:�fo),constr6cf
slde� sewer'M street area. Do. not cover any, portion -of sewer,,before.;It , has been Inspected.
NOTE, No. 2—AIII; work.performed in, I city, rlifit-of-wak requires an� Inv*a'siori!rof Mgfit-of7Way Per - mlt�obtainable, from,Ahe City,'�Engine I or. s 1�5 'ffic . c.;
NOTE No. '3—Obtairviulit-information regaxding 9rdi nance 1.1-.'16'.630,,an*dt-',R6gtildtions� �governlng�sldeis6wers, *hen:,X,6u get.. perrnit;.:`.`��:;
NOTE No. 4�Top;�of'side� sewer must have at least W Incheol-,boveralge. at,property,. line and, 11. inches inside property llno;',mi�ij�djn7 jrad�':'.of'12*��.-. -14c4l�q�di; grade-.
.sharper, than % will be permitted.
NOTE No. 5--Tiench in street must be water settled and e�rfac-e`cf streef-restore& to orlglnali,.condition.� Contractors hall. be' -responsible for. failura- due, to, proper
es'
work which may develop within one year of comi5fetion.--,
NOTE) No. 6--It,is unlawfuI to alter or do any other work Ah&n.is p�rovided' for, in.' the perKnit,,,o�to*Ao any 'work on the,main, sow.er�6ri its ippurtenane'es,,except -to-!,
sertAhe pipe into, the wye.
P
DISA.PPROVEIY, Date .................... :..7 ............... fD .. ....... ...... ......... ... .................
. ... ......
..... ......... ....... ...........................
Byl
APPROIVED- Date.=27�%� ....... ...................
Remarks................................................ ....................... .......... ....... .. .............................. ........ ...... ................................... .. ......
. . .................... .............. ...... .............................. ---------- ......... ................................................... !.M ............... ..... .........
....................
BOJ.1U111 "Iyerinit piq,s At-, ST Be, Sigfie'd;.B�y -bw.nJ-"o_f 4Firm*.Pe�fbrm�pg�-!C.oii:§trudtf6r�,,PR16RT-,i���Re"qu"e-st For lnspectlon�'*—'
certify:thal-ithle side�7sewer in�tall'eL.tibiilic(inst-ructedl,underi�fhi's]",,'perm'i't,
........................... ....... ...... �hereby
_? cc�n - I
(,Owne I C tractmg-P+mT-1'Urr._rmi.. struction-)
"S. ins ed,.irr. cor nee with allgoverning ordinEinces',of.theCity of'Edrnond&,:"
............. day, of ...................... ...............
Di
Check BEPORE'you,dig, for� Water Ej, Gas, Eli,:. Te1qph6ne,.,,E],1. . Power,-,[3,''-,S6wer �E],, - Other 'E],.
0 The City of Edmonds
H.
V.11
0
tl\
APPLICATION
for
SWE SEW= PMMT
NEW CONSTRUCTION [] REPAIRS
EASEMENT No. -
CONTRACTOR z M PERMIT iq..4�
---------------- --- 40- --------- ....... 6;5�
LEGAL DESCRIPTION: LOT ................ BLOCK
I -TAME OF ADDITION -----
...................................
RECEIVFr)
FEB 2 6 1973
Approved:
DATE---------- — ----------------------------------- By .................................... ...................... - .........
0
A.', 313. - . ) C'. W - . I N. I.., I . . X.
"'Sol
STREET
4A
ilk
"tr I
,61%
')4
'Itz-
The City of Edmonds
APPLICATION
.cw llrfz for
FILE SME SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS
A
OWNER/'i.i4/0 &VOOd .. & !?1;.Y7 4-1Z....
ADDRESS / �0-a? 3 ... . .. fff ...... H --- / .............. :t- ......
0 -,�- kv,
tos)
EASEMENT No . ..........................................
/—.,41 /J�7
CONTRACTOR.7-5� ... 1) - ..r ....... C0.77. 3 ...... 62c� .......... PERMIT No.
40 rs Q A
rO Af i2 7. 7-nl / A/
LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ............................................
S
NAME OF ADDITION ....... ...... 6'
k o 7--K / I�L�
/vd r 7-
APPROVED
MAY 1'911967
----Approved=
DATE .... ......... BY .... . ... 2,z
--tITY OF EDMONDS
-CIVIC CENTER DE PARTAIENT.
SIDE S,EWER PERMIT
CaJI PROsPeCt 6-1107 when work
Is ready for Inspection. (No -inspec-
tions Saturday, Sunday or holidaTs.) N 2: 2 2 68
�'_.-ADDRESS.. 1952� 84th Avenue West
.................................................................................................................................................... I .............
. MaplewoodaPresbyterian Church
''OWNER ........................... Tucker Constr. Co.
CONTRACTOR ........................
.......................................................
Peri-nissi6n is granted .......... Play 19,
...................................
...... for ........................ 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 FOLLOWI . NG:
NOTE No. 1—The owners of the pro I perty 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.
NOTE � No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing' side sewers when you get permit.
'E 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 % will be permitted.
��TE No. 4—Trenches In street must be ter settled and surface of street restored to original condition. Contractors shall be responsible for
*failure due to Improper work"which may devel,op within one Year of completion.
NOTE No. 5 4t is unlawful to a1ter 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.
A,
Lo
CC, E r-A
z5hatilcl 6F_ cAsE-.1 c�ir-i
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