19703 80TH AVE W.PDF7100
19703 80TH AVE W
9
71
ADDRESS: I gj 0,�) !E��O'tn 0,jx , cO - -
TAX ACCOUNTIPARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR -
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): 1!1 hQ—
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
DETERMINATION: E] Conditional Waiver 0 Study Required E] Waiver
re-J,
LID #: 2139
SHORT PLAT FILE:, ��dLf )-0a,-nQ72, LOT: -#'- ? BLOCK:
�< - As - /
SIDE SEWER AS BU-ILT DATED. V,8
SIDE SEWER PERMIT(S).#: gol
GEOTECH REPORT DATED:
STREET USE I ENCROACHMENT PER -MIT ff:
WATER METER TAP CARD DA
OTHER:
IN
6"
LATEMMDSTs\Fbmis\Street File Checklist.doc
'91
� It
Q
%
v ;t
C'n 104 0
C'n
0
IfF7 0 Z��' '7�VO 117 J5-
rW "K, 60
W000ile
APPRUIAED AS NOTED
BY ENGINEERING
0 -7 �/O&
Date:
FMCEIVS D
OCT 16 2006
DEVELOPMENT SERVICES CTR,
CITY OF EDMONDS
hil PoN,
0
06riD oFence must be located on private property.
:oProperty owner responsible for det ermining
property lines.
*Fence shall not enclose or prevent access to
7- any City maintained utilities.
CL
rol. I R %
0N,
of -lob
01
_Po N or i rks T- A, LL
F
A . 1-4-4 1 1S I S
Uhl @0
W
W
z
1 ocr W
L.L
L.L
0 -
rr Q
rL
OCT 2 4 2056
G DEW
BUILIDIN i)m LAJUEN
CV 0;� C: . C'�r)s
PNP@?9 I � � @@
op thing in this pe�mit approval process shall br.
q 0 11�1_
�, C4 RAV 6, rprelted as allowingor permittmg the
zz Z./ /Z /Z 0, ntenance of any currently ex" illegal,
conforming or unpermitted building, structur
443te condition which is outside the scope of the
4 1 Ur.,
I teftit applicatioli, iegardlew of whether such
W uikling, structure or condition is shown on the
& site p�n or drawing. Such building, structure or
condition may be the subject of a separate
-fill p r.) A & rM Warcement action."
,3TREET.-FILE
PLANNING DATA STREET=FILE
SINGLE FAMILY RESIDENTIAL
Name:
Date:
Site Address: 080Vk Ave- W
Plan Check #: C?
Project Description: %ecAio, n 4-m-e, 4�
�X VeW.CAe-.
Reduced Site Plan Provided: NO)
Zoning: RIF, - 9
Map Page: Z5,;
Corner Lot: (YES /0
Flag Lot: (YES /9)
Critical Areas Determination #: A4ZA
Study Required N4 "Ic -S;nce, cefl-a.Z.Q) Se4io, clP -qJtnc-e 4�A-
Waiver "-�Ma
SEPA Determination: �J
,X Exempt
El Needed (for 500 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacks
Street:
Side:
64) 7.61
Side:
:7.5
Rear:
Actual Setbacks
Street:
Fe- e i i r, e- r=. -�C�
Side:
lle_le:�
Rear:
0 Detached Structures:
El Rockeries:
0 Fences/Trellises:
F-1 Bay Windows/ Projecting Modulation:
El Stairs/Deck:
Buildin Height
Datum Point: N/ A
Datum Elevation: N
A
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided: No C6,04 e-
Lot Area: N. r
Maximum Lot Coverage: 35% P-r�posed:g,
Lot Coverage CalculationsP
A& C�C�ck e
ADU Created: (YES 0
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Comments
Plan Review By: Planning Data Form 04-11-06.doc
RIGHT-OF-WAY CONSTRUCTION PERMIT
Permit No: C� Z _
Issue Date:
A. Address or Vicinity of Construction: \CNkJ G
B. Type of Work (be specific): V-.GMO\Jlg 926141 of- LAJ-^y
C. Contractor: ,N� 1(\6LAJT(3V\ yy. Contact:
Mailing Address: 1?� 'gcn-1 LYkyt"=�""44hone:
StateLicense#: ."w* Liability Insurance:\ At_�!s Bond:$S:r:��C>
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F1 Commercial 0 Subdivision City Project []. EUC (PUD, VERIZON, PSE, AT& T, OVWD)
Multi -Family El Single Family Other
INSPECTOR:
F. PAVEMENT CUT: D YES UNO G. SIZE, OF CUT X
CONCRETE CUT: [I YES WNO
INDEMNITY.- Applicant understandi"by his/her signature to this application helshe holds the City of Edmonds harmless ftom
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 its departments or employees, including but not limited to the defense- of any legal. proceedings including defense
costs and attorneyfees by reason ofgranting this permit..
THE CONTRACTOR IS RESPONSIBLE'FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLL047NG THE FINAL
INSPECTION AND ACCEPTANCE OFTHE WORK ESTIMATED RESTORATION FEES 97LL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
* Traffic control and public safety shall be in accordance with City regulations as, required by the City Engineer. Every
'flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of.the
required training in their possession.
* Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with,asphalt or City -
approved material prior to the end of the workday — NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
I HA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA T I MUST MAKE THE PINK COPY OF THE PERMITA VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
FOR CITY USE ONLY
Approved by:.
Time Authorized: Void After
Special Conditions: A5STDAW40W TZ) &tjV
Date: :7 4 54:3
1 9
Right-of-way Fee: /("f -'4 /<-
Disruption Fee/Fund 111:
Restoration Fee:
Total Fee:. 171
,R eceipt No: 6P,2"�,*7 4Z'
Issued by
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CO E (Phone 425-771-02209 Ext. 1326
FINAL APPROVAL OF PERMITTED WORK.- DATE: -1
Inspector's Signature
For inspection requirements see Engineering Inspection Information handout.
NO NVO11K SHALL IIECIN iiuoiz i'o i,i,'imiT ISSUANCE
DAMy Documents\Forms\Engnmg\ROWpermit doc
41;-
.4
9
7a -3 (Z
n OVA
= C-
I , C-)
oy
\A 0 W
kato'ft'yw'�' �A"+Oko 04
Z
U
0
U
0
Z
0
U
CIT
.,Y OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
RIGHT- OF- WAYCONSTRUCTION PERMITSTREET FILE
A. e Owner: ' Washington N&tural Gas Company B. 0 Contractor:
NffBe mercer Street
NkibuA,ddress W& 08111
Permit No. F 7 —c) 3
Issue Date a
Name
Mailing Address
City State Zip City State Zip
StateLicense Number Telephone Number
1,9 7 9*�/a6 L 88 03209 005
o Address or Vicinity of Construction:, /,AV W
Type of Work to be Doiie(-�'cic)ate,"and'--'Kir�air Leak
S�U004�1
Work in Connection With: 0- at 0 Single Family 11 City Projects
0 Commercial 0 Multifamily ER Utility
Pavement Cut: 0 Y EX N
APPLICANT TO READ AND SIGN
INDEMNITY: 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, forseen or unforseen, that m ay
be made against the City of Edmonds, or any of its 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.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Funds held from the Security Deposit - (estimated restoration fee) will be held until the final street patch is completed
by City forces, at which time a debit or credit W*ill be processed for issuance to the applicant.
• A 24 hour notice is required for inspeSti8n" 'Please call PubLic,-WofiCs: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accoh ' danlie with City, Code.
• Street to be kept clean at all times.
• Traffi'c Control to be in accordance with City regulations.
.0 All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand the above and that this permit must be available at the job site.for inspection purposes at all times.
April 29',. 1989
5
Owner or Contractor
. I
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY: _�>' -
V
Time Authorized: Void after 3,0 days.
Special Conditions:
PERMIT FEE:
Security Deposit:
Receipt No.: —
Fund I 11. Fee:
Amendments: Street Cut Dimensions:
X
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. July 1985
Eng. Div. July 1985
Art"
-1WAPI
v
IMklllip PIN V ILI C, A.
�F, ��? . , fu
. in
ji:
live
ir
rt#14
P,
1 7ie
AAdj
\10
'elm
alp
%oil Age% is
MOM
#."mom
age%
..4.0LO1 ft
asal,
.4.6 L-0 t Ift 1p�
.
, -16
M Aw
.01
6 * .1
Ak M
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(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
emp-l-o-yee-s o-r officerS shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
The City of Edmonds &ft-r for
61 9101LE SIDE 811:w= P".Ka
NEW CONSTRUC!TION 0 REPAIRS 0 LM PLAIVT BASEMENT No.
X
OWWER -------- *09-
- a
ADDRESS 7e.2 ... ..... 1 4,
V/) 5; "co
477 7*&
A'44i-4
100� 7e
AN,,
APR I j i-,,a
r-- /a
CONTRACTOR ..... &- ........... ........ PFI:MT No.
LEGAL DESCRIPTION: LOT No . ........ f.'
.. 2 ...................... BLOCK No . ...................
NAME OF ADDITION .......
V-
,e /
Approved:
RATE ...VMA ---- :'C.0
.. ............ Sao*
'7
CITY OF EDMONDS
C11 IC CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Call PR.Speet 6-11�7 w'ben :work
Is ready foi Inspection. No Inspec,
tions Saturday, Sunday or bolidays.)
N? 2907
.,ADDRESS .......................... .... 80.th ... jAV.e_...XP .............................................
.................. ............................................... ......
-OWNER .......... 1i ...... ................................................... CONTRACTOR ... I Western Sewer
......................... .....................................................
Permission is granted ... 1.5 .................. 19.6..8..., 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 bef'ore it has been inspected.
NO-- No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
N 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.
N,,, No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within 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.
IfTO
APPROVED AS NOTED
� BY ENGINKRING
Y El
0 -7
-ME-CEWE D
<I
OCT 16 2006
F
01 t� to
hall
*Fence must be located on private property.
eProperty owner responsible for determining
(D property lines.
7- *Fence shall not enclose or prevent access to
any City maintained utilities.
CL
po N 0-r I A, L L
0 -r- t4
cc F
e A I !S IS
t-, Cc S t-1 -\ LL I r,
i- I \( A T-C Pi,;,- 0 P- T-1
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
W I
W
\-/ 1 2
—J
It
r W
LLLL
rc
r.L
CU
OCT 2 4 2005
Bull-IDING DEPpRWENT
.-S CV OF CDMCNDS
pq@H I � 09 N
' I thing in this pe76t approval process shall bc.
C) RA9 k, rpreted as allowmgor permittmg the
zz zz Z/,// ntenance of any currently a' i
."illegal,
re,\c,e- r-'Ily �v zz Az conforming or unpermitted building, structur
v te condition which is outside the scope, of the
Wit it applicatioii, tegardle*w of whether such
tuilding, structure or condition is shown on the
0 site pl�n or drawing. Such building, structure or
condition may be the subject of a separate
10 4 -hy rM enforcement action.*
.N& doom&,
si-KET FILE