20019 81ST AVE W (2).PDF111111111111
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20019 81 ST AVE W
NOTICE:
The information'shown on the attached
map(s) was compiled for use by the City of'
Edmonds, its Employees and Consultants.
The City of �Edmoncls does not warrant the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
____fi-e t -map(s), including, but not limited 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
ernpl-o-yee-s o-r officerS shall be hlab-l.e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
4he City of Edmonds
OWNER--- ----------
JOB ADDRESS -------- r .............
-A-11? . ........
I
APPLICATION
for
SIDE SEWER PERMIT EASEMENT NO - -------------------------- .................
NEW CONSTRUCTION REPAIRS
LID NO. .—/37- ... ASMT. NO. .1-fu(t2--
R
CONTRACTO
------ ---------- --------- PERMIT NO.
LEGAL DESCRIPTION: LOT NO. ------------------- BLOCK NO - ------------- ----------------------
......... ..... ------------ /
�/ --------------------------------- ---------------------------
NAME OF ADDITION -----------------------
Approved:
DATE-------------------------------------------- By ............................................................
'T e 'City of E
h �dmond
APPLICATION
for
SIDE SEWER PERMIT EASEMENT NO. ___ ....... ............ ................
NEW CONSTRUCTION
REPAIRS E] LID -NO . .................. ASMT.
........... . .
OWNER. . .... ........ ----------------------------------------------- ............. r . .............. CONTRACTOR-
--__----------------------- ------ PERM T NO . ...................
JOB ADDRESS -------------------------------- * --------------------------------------------------- -LEGAL'DESCRIPTION.-' LOT NO . ........................................ BLOCK NO . ..................... w
NT A X 117 f-%r7 A Aij�
------------- ----_--------------- ------- --------------- ............. -----------------------------
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e NO��Sat!;
Gnspectlp�
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LOCATIONI DF 'CON TRUOTION ....
i-ADDRESK
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is, ........... -i-fdr,�i�epair,,aTid/or,"2conne�ctibn 'of ir.slde r::.t ,sewer.
P ....... seWe 0 0- Cit Y',
Edmonds di
-.or W.anqes.
NTI0N-'M,'CA1LLED1T0'TH !FOLLOWING':-'
e prope rty,. may,o btain,a ide,Sewe r �0
perrr�it'.--Co oh'gi,�ct ic "Iralde,�pr perty,,IInex,AAIce6sed'S* 36tr t�,�cile�iployed�,t6��6o'ngtrtict�'.'
N\ .�. *'*-"* . i. '� 0
NO; I,-T , c
�;sld�qsc�vir, ln,.,street a ea:, 'Do:,not, c6ver'.any �portlon of' gewe -befoie At: hai,. een,Anspi�ted.
NOilk N6: - 2�'��,Iv�work performed in city Iright-of;wqy,,�re!41,zi�es.:ari -�Invh.ion�, 6f; r4hi -of-wak,,Permlit, City.'Engineer al,office
N(?TE No.- 3 -&6tiinftfuII1;In'iorj�atIon: rej�rdlfik-,Ordinan�e 11-."M00. anaL*-R69i�lbti�As;,i�ovdr�fn'�l!si�e seW'ers1when,.you.get'pe it. t:
NOTMN6.' 4- "�op>;df-,.ide" sewer' anal�12, inches iiiside�,,property7AI�ie mlnini�rn-' jra:det,
sh
arper,,than,'A',wlllllbeipermit,,ed'.
1�0�E�,,Nb�. 5�.Tre'n-ches'�i���gti�ei",must', bef wa'tei.,scttIcd'.and. surface--bf'-street restored Ao,i�,i�lnai: con&tI6ri?! (36�tractbr�. shall. be 'r I �14
I,. proper.�
..,',%vork',,whIch- may�develop��vithin*-one- year,,of completion.�
��o�ld'e�,-,fo�'ih.r.,�t�e'perrilt,,br,toldo�aTly,.work',on�tthe,.mEaLn,',s�e cl,e ol In—
:NOTHIII�o�
th
�aertthq, plpp� inW_. e Wye.
DVSA,PPROMEW1,,iM;, -,Date, B .......... ....... V..Z.- .....
y
........... . .................. ..... . .............
D�
'.7 . ........ ................
APPROVE . ...
Rei
......................................... ............................. ....... * ................................................ ..................... ................... ................... .....
narks:i
............. ......................... I ........................................ ........ .........
............. . ..... 7 . t I - -, , ,
........... ............... .......................... ................ ....................
es� . MUST QWrier.,y . �.6f�,Fir'ml',!-erforniing��C T '.ist F�'�'-',In�p�ctio�
bnstruction�jPRIOR -0 -Requ(
T
....... . ertify,ithd t h6l,sid' -Ins
ft 7ati�,,,6,',tructed�,under this4er it
.. ..... ............ i.:. ........ ereby, C etsewer,
Firm Ps
er., of �Co t tting,,* r rming-Consiruction!)..
with all overning.or i iices: f't,e,!City,of-Ed*ffibnd*
V'�Tlstal, I i;o �9'
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Dated! 1his.. . ........
�frhIlk-BE ater e ne�!E]1, 10.th
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'77.
L
RECEIPT FOR CERTIFIED
al ji:6140il' "61(7" H3 Hi; 3H9AI13O 31VO
(iPO5 ,qpniouypu�v !P
418-048 00
Aga
CHRISTIANI, G-Ak
Y L
-.ovamnsmi
20019 81ST AVE. W.
ANV -.41 "INIMS IMSMyou -JO.1111`11 NOW-'
R. gaof
Ua
EDMONDS WASHINGTONj,
L
OPTIONAL SERVICES FOR ADDITIOMr: ls�
�f A01m M Ll
RETURN 1. Shows to whom and date
Mill del.very to addre", v 7, Aoia*
RECEIPT p ,
2. Shows to whoni. date atid I
es
2
�b�n
es'po a dtie t
��er cesl_�ex
r1ins
-PGJGA1jj0P �W@LIA%
DELIVER 10 ADDRESSEE ONLY
V 91 P�
ssaippla, M0_qS.
SPECIAL DELIVERY (extra f
SERVICES With delivery to addr
so required) tLo AIN
PP I,)
T3S Form
3800 NO INSURANCE COVERP!-,:�c X11
Nun '3SV371d.
Apr. 1971 NOT FOR INTERN6,`�, (SN' ? bld�'G ' MID 3HO JIM' '(31MICINI': (S.)33IAU1:1+ H �I'N H'nJ
ff!:HCIN3S
TP"? a IT 'a
STRW
REGARI 20019 - 81st Avenue West
(address)
R E C
0 R D 0 F C 0 N T A C T S
DATE
WE, PHONE NO.,.&
ADDRESS of CALLER
COMMENTS ACTION TAKEN
INITIALS
5/1/74
Gary Christiani Certified
Letter No. 406309 sent Letter -received.
TE
requiring
hook-up within 60 days.
6/10/74
Russ Johnson obtained perrhit'#4853.
TE
6/10/74
Colmectim
C=1 atad�
TE
10
CITY OF EDMONDS
PUBLIC WCRES - EXIMEERING
Tjo REPORT
STREET FILC
N? 1504-
SUSPENSE DATE:
Date: 9/l/82 Time: 2: 20 PM File #
Attachments: =Yes
SUBJECT: Someone from the City was flushing the 5MNO
-- I
lines and water gushed into her ba—throom leaving
a big mess. Is very upset and wouid iike someone
to come and talk to her.
Cheryl Christiani
REQUESTOR: NAM:
`2
ADDRESS: L .0019-81st Ave.-M.-��
PHONE: 771-8085
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
OTHER: -
RECEIVED BY: M. LeVan
ROUTE TO:
EM
ALIIUN:- JQK -- - - - j
E, 7, 2 7, els, 77 7 T- , 9 S-; dp
A e s- ; dic o t /"Y -�p T, ti r) 11 adjo y -1�- - jW/11 Cc dr C'
j-k I V U�
/'CyqO;'A All Concerned Notified 1-zl�
Action Completed/File
I
FAII
V EIDAf
0
�91�1 4
City of EdrnondS, A,
-1 r , 16
Site Classification Worksheet
Page 1 of 2
The project's Site Classification will dictate the specific stormwater management -3-
requirements applicable to your site. Completing this worksheet will -help determine the amount of
regulated impervious surface and,.,whed�e�,,yqpT-,pKojqctfat�s into the classification of a Small Site
(Category I or Category 2y, . oi-a MhoK..:Site.,,�Please . teferericd the Glossga Opp. 10- 11). Figures Q and
E, (pp. 8-9), and Examples:(R�-. i'l 4_h i�as s�ikt 1, ith , c . o nivietion of this worksheet.
1) Is Permeable Pavement' Pr6liosidlpori` Uge�'ohihis Site?
El Yes JR No
Refer to S�o�mwat�i Supplem�n! tCha"pte'r 5. T"
.i
If YES, the subject area isto,b.e.,PQnsidered imi4;ious for initial site. classification purposes. Include total
a in the''c cu
1:. . 1, . -
permeable pavement ar . 6 9 iation of No -Resulated,Aeplp�ed., and/or New impervious surface
areas in the table below;-.:....
2) Determine the Amount and Type of Existing & Proposed Impervious Surface for the Site
Refer to Stormwater Supplement Chapter 2 and Fig. C I
Line 1: Identify the Non -Regulated Impervious Surface Area. -
Line 2: Identify the Replaced Impervious Surface Area, dividing the total between Exempt and Regulated; either or both
may be zero. Note: For project classification purposes, Replaced Impervious may only be considered exempt
under certain conditions. Refer to the Glossary and Figure D.
Line 3: Identify the New Impervious Surface Area for your project. All impervious areas created post -July 7, 1977 or
after the date of annexation into the City are regulated & should be included in this total unless they can be
categorized separately as a Replaced -Regulated area.
Line 4: Enter the sum of the total Replaced -Regulated plus the total New impervious areas.
Line 5: Identify the total area currently mitigated by an existing city -approved stormwater management system.
Line 6: Enter the sum of the value in Line 4 less the value in Line 5 to identify the total Regulated area in which
stormwater controls have not yet been applied.
Line 7: Identify the total area proposed to be mitigated through the use of Low Impact Development I Techniques.
Line 8: Identify the total area proposed to be mitigated through conventional Stormwater Management Techniques.
** Provide a copy of the following table on the drainage plan sheet for the proposed project
Line
L
Type
Non -Regulated
Area (square feet)
0
Exempt
Regulated
010
2.
Replaced
3.
4.
New (Post 1977)
Total Regulated Impervious Area
Mitigation required if in excess of 2000sf
+
.4
5.
6.
Total Area Mitigated by Existing Stormwater Management System(s)
AWAKIF
Regulated Area Not Yet Mitigated
7.
Area. Proposed to be Mitigated by Low Impact Development Techniques
8.
Area Proposed to be Mitigated through Conventional SWM Techniques
I (e.g. porous asphalt, porous concrete, paver blocks, concrete open celled paving grids, or plastic lattices filled with turf or stone)
Revised on 310512012 E72-SWAI�_Erosion_Control-03.05.12.doc Page 5 of 12
City of Edmonds
Site Classification Worksheet
Page 2 of 2
3) Determine the Total Area of Land Disturbing Activity sf
Refer to Stormwater Supplement Chapter 8
F4—)Deterndne the Quantity of Grading, Fill and/or Excavation jg�k� cy
5) Will the project convert 3/4.Acre or More of Native Vegetation to Lawn or Yes X No
Landscaped Area?
6) Identify the Watershed the Existing Site Runoff Discharges to
Refer to Stormwater Supplement Chapter 2.3
Based on Site Loc ation and Watershed Map — Figure-C. Check all that apply.
A. Direct Discharge B. D Cree'k or Lake Basin
• Edmonds Way Basin
• Puget Sound Basin
[i Puget Sound Piped Basin
DETERMINE PROJECT CLASSIFICATION USING THE INFORMATION ABOVE.
AND THE PROJECT CLASSIFICATION CHART (Figure B, pg 4).
0 Small Site;- Category I El Small Site - Category 2 0 Minor Site
Stormwater Supplement Stormwater Supplement Stormwater Supplement
Chapter 5 Chapter 5 Chapter 6
U
Revised on 310512012 E72-SWI�t_Erosion—Control-03.05.12.doc Page 6 of 12
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREET FILE
Name: S---P- V (T(Ak 570:0C,1J-3J201)00..ZZ-
Date:
Site Address:
Plan Check (5 t.5 a -Z C9 s—
Project Description: CAI
'Alt
Reduced Site . Plan Provided: NO) Zoning-.- le
Map Pagi�:---
Corner Lot: (YES /0)
Flag Lot: (YES
Critical Areas Determination ff-:
El Study Required
V-4waiver
SEPA Determination:
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Regaited tbacks
Str0t: .2
Sid : -
Side. S—
R
Actual Setbacks
Street, 75-
Side:
Sidef
Rear: oto
El Detached Structures:
Rockeries:
Fences/Trellises:
Bay Windows/Projecting Modulation: (Jrc-k
El Stairs/Deck:
Height
Datum Point: �o 1� roc
Datum Elevation: too"
Maximum Height Allowed: 7 C
Actual Height:
Other
Parking Required:
Parking Provided: cA c- o v-tr-e-y
Lot Area: S-S-6
M6ximum*Lot Coverage: 35% Proposed: 7 7d
Lot Coverage Calculations: Aovie- 1 (-4, 510 1�
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Cofnrnents
.1,1 L, t 71 V— 6��Vl
/0
t
(0( q6 L( to (ad)
C to y- At I 714
b to
Plan Review By: 4. 0��6y. t13 '
Planning Data Form 04-11-06.doc
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Certificate of Occupancy
Building Division
_'%_7 Ms 19 11)
This cert ificate is issued in accordance with the requirements of Section I 11 of die 09 International Building Code cerffying
that at the time of issuance this single family residence was in compliance with the applicable provisions of the codes and
ordinances of the city regulating construction and use of buildings.
Description: 64 - Single Family Residence New
Site Address: 20019 81ST AVE W, EDMONDS Permit No: BLD201302051
Construction Type: VB Parcel No: 00431200002201
owner: JOHN—HOSEY Occupancy Group:
20019 81 ST AVE W
EDMONDS, WA 98026-6708
N
08/15/2013
_V Building Official Date Issued
P09T IN A. CONSPICUOUS PLACE
"OPREET FILE
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OWNER/CONTRACTOR IS RESPONSIBLE S�
FOR ERO�Iinjllii CONTROL AND DRAINAGE �11
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FW, 161 � 7 p I BUILDING DEPARTMENT
CITY OF EDMONDS
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