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20021 80TH AVE W.PDF11111111 lill 7107 20021 80TH AVE W 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 anythi . ng set forth on these map(s�). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on th-e -map(s), including, but not limited to, the loc*ation 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-yees or officers -shdall be liable for the information given on this map(s), norJor any one representation provided based upon said map(s). J, APPLICATION The City of Edmonds for EASEMENT NO - --------------------------------- ---------- SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS Ej LID NO . .................. . ASMT. NO . .................. OWNER ...... '-,a CONTRACTOP - ------- � C> ...... -------------------- PERMIT NO . .................... JOB ADDRESS .... 1.100-.ZA ... . ... a,�- - - ----- . ............ N ........ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ r T t .�g ..................................................................................... ............................................................................ it NAMEOF ADDITION ............................................................ .......................................................... =�J4" F-V-cf. �9 Approved: ME DATE.(..7;7 ................... B ----------- imx `GF� 1E, D "IN 1� MY 10, RDS' Ty _4 .%W 'ATEWSEWERJoDEPARTME' y "4 :0, 7. n spect ions, F FOREI:4coveri ng:, 4ny,�Port Ion, -to e, con�truFt �.NO'.�S_ a._U"�' j8un�,**,'or- ihoIiday.','1nspecfJons4 Inspection�wffljbe, re,qust.N;Z ............ W" i7' ESSPEOCATIOMOR(CONSTF ',,.0 "T", .9 t) I ..................... ...................................................................... . ............. ..... ............... e P_ERTY;E`EG7VEy.DE,4 ................................................ ............ ....... .................................... ............................................... .................................................................... .................................. ................................ .............................................. .......... �4 ................................ ............. ... 0 IVN)Elf 6�/, WBU,fi�Dgjk ........ ...... ..................................... 7 J 77.�-,'. MIK,&ADDRESSt ....................................................... ................ .................................. ........................................... :A-:... ,�e.w ','0sewez"',,,. tssionAsn'tiah Ji in P, ............................ ...... han"" Y.0 . ..... 'A_.!�NTIONI IS'CA%LLED4,TO;',THElkir8�l�6.1�l�6'i h-�',5,prooert*�,:ffia.�'�ol�tain�;a�,'.I;�'rr�it',-,i",��' sit u�t.sewer�Anside'j i6on6aci, tist.be;,employeld 46)(cons ruct wn6rs�of�o,t 6' )ropert�',IIAe.1:_WA leenied' -Sid e;Sewi� isidbtfs��vir.',Inti�t'r�et,;irea,:�- Do..6of-,, -hasl�be6ni Ihspe6ted­`, Fover:any, '-require, f -In, 's flce� -2 `Allli��b�rk j W,. ' " - T' ' ',. ' , - drAn cltyj,�right-of-way,, si.an vasion.,of Rlght '4 ffiancc�'l 1�: 16Y036 ?NOTEPNo!j!3'-6bt' lbn"�r�gaA'I�g,�64' c es coverage ,at.property-,Iine;!&nd--.12,.'.tnc e�,. mfnimunn�,gr 5j��Wlde.:,�ibpbrty. -line* o; "Z '�td �e �Aloj .1 ni ��ope�, o _b��_,wat'� ';4 -be 'resp?nsIbIe'. for,'fallbri st�icttr6�t,� r. . e'ttlb�i;and .,-o,joriginiU�.c,o�ditictp,.,.�:c6ri!�act*ors:.shal.l.�* j6ne.�jear.,;c;fycompl' etion'.. an-is'li oi: IV'ii�.u_ 'It�rj,6r4d64ny�,oth� Ah rovided�.for,,iw the,..periyiit�;,.o�� i!exce nlaw . to' � to�do anyo work �on. U e�,rnalt',, h rpisdwer:oFt to appurtenance ",�se��the�.�Jpeeinf Ahe!.w Pt ye*, 'ED ............. . . Datwf�. "PROVEMi � ..... ...... ...... ........... . ..................... ....... . _4DIS' ....... Y�... z ME. ....... . ........................................................................... ............................ ................................................ ...................... ................................................. ....... ...... ................................ . ....................... .................. ........................ .................. .................. .......... . ............... ..... ......... ...................... �.T CN opiesi, on-:,p R,: o..Request�-.For, nspect one—,--�7",­� i"." 'Pub "T, r a�llatibii,,constimeted.,under.!,,thisi'perriiit-;�I t tip . ................................................... ..... ......... ............. ... y: that NO NO "e f m c6f&ficie Withmll�goN���g: h6_,-.'Ci'eY."�Of4Edmond's, __.AhstO, 1ed! ffifia� r V* 1.9, d . .. . .......... . ')Date !;AhiS%. ...... ........ ..... ..... 7, 11­ . Power-hr, ;ia"rd' "i�leiphdne� ewer q X L 41 1 APPLICATION The City of Edmonds for EASEMENT NO . .............. ----------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION Ej REPAIRS Ej LID NO . .................. . ASMT. NO - ------------------ OWNER .� ------ ---------------------------------------------------- CONTRACTOR . ...................................................................... PERMIT NO. ....... Solow, JOB ADDRESS ...... ------------------------------------------------------------------------------ LEGAL DESCRIPTION: LOT NO - ---------------- --------------------- BLOCK NO - -------------------------- -- ------ 11 ;19 ............................................................................................................................................................ NAME OF ADDITION ----- Approved: DATE............................................ By ............................................................ 11/75 U LF C_14�" i i I k I L 64 .4pplicaht � IN nside Heavy Lines APPLICATION JOB ./"OERMIT NAME (OR NAME OF BUSINESS ADDRESS 5K I C_ VARIANCE OR COND. USE NO. A'Dt NO. \J\ V\ \ C, IHEIGHT ir W MAILING ADDRESS z YARDS COVERAGE 0 TOT SIDE REAR J " CITY TELEPHONE NUMBER \zzl FRONT SIGN AREA I RONMENTAL REVIEW Z ALLOWED PROPOSED 70 El NAME COMPLETE EXEmPT Z Z REMARKS < u J W ADDRESS CL PLANNING DEPT. APPROVAL DATE u 1 CITY NE NUMBER LEGAL LOT LOT AREA SUBDIVISION NO. ____2 jjYES ONO -I 0— NAME STREET R /W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY 0 ADDRESS COMP. PLAN ST. R/W FT. FT. 0 1- U < m CITY TELEPHONE NUMBER REMARKS Driveway slope not to exceed those Z indicated on Standard Drawing #103. 0 U STATE LICENSE NUMBER CITY LICENSE NUMBER CqECKED Legal Description of Property (Show Below Or Attach Four Copies) W STREET AND/OR UTILITY WORK R/W PERM I T REQUIRED W R E Q'D. El YES 17N0 FdYES ONO c) CA- W - UNDERGROUND Z W z WIRING REQ'D. &YES 0 NO 0 TYPE CONNECTION YES BY IVERIFIED SANITARY SEWE R NO SEPTIC SYSTEM PERMIT NUMBER 1-1 W APPVD BY CITY ENG. Y E J\j NO REMARKS W C_ METER SIZE SERVICE SIZE CLEARANCE CHECKED BY (r W REMARKS GAS NEW RESIDENTIAL LINE FIRE ZONE TYPE OF CONSTRUCTION CODE NON-RESIDENTIAL SIGN ADD RETAINING El DEMOLISH INSPECTOR CY OCCUPANT REQUIFTED LOAD WA LL EXCAVATE FENCE ALTER OR FILL X FT) F F JAREA YES N 0 11 - LAN CHECKED BY THIS SITE IS LOCATED IN THE CITY W F� REPAIR PRE -MOVE swim OF EDMONDS. LOCAL SALES TAX INSP. POOL SHOULD BE CODED 31,04, REMARKS NUMBER OF STORIES NUMBER OF DWELLING UNITS 3 NATURE OF WORK TO BE DONE PROPOSED USE VALUATION FEE Z PLAN CHECK 0 NO. P PLOT PLAN (INDICATE BUILDING SETBACKS, ABUTTING STREETS) BUILDING U VI W PLUMBING 0 HEAT GAS LINE FENCE L SIGN RETAINING WALL SWIMMING POOL <)'O' I hereby acknowledge' that I have read this applicati=, that the in- TOTAL AMOUNT DUE C,E City of Edmonds -"kW CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit 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 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 permit application. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent infor mation (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Edxz-+ a 6f �;5tg Name aouD So T13 Street Address G� ry�oncto k-?F) City State Zip 6 (35D -7 -7 q Telephone Signature Applicant Representative: Name Street Address City State Telephone Signature Zip Date creception\janakad.doc Date (over) 7,> — - ­� CA FILE NO. Critical Areas Checklist 99-2-5-4 -------------------------------------------------------------- Site Information (soil s/topography/hydrology/vegetation) 1. Site Address/Location: WDD� A Ve LQ ��Mgfc� U�� qYQa(� 2. Property Tax Account Number: 7JJ bq I I V 3. Approximate Site Size (acres or square feet): W X H 4. Is this site currently developed? _X_ 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 generally less than 15 % (a vertical rise of I 0-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 I 0-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet), Other (please describe): Site contains areas of year-round standing water: no _; Approx. Depth: 7. Site contains areas of seasonal standing water: n Q Approx. Depth: What season(s) of the year? P4 8. Site is in the floodway—kNIA--floodplain f)C) of a water course. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? _nQ —Flows are seasonal? — (What time of year? 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) I I.— Obvious wetland is present on site: n. 0 �=_chk.doc; Rev 10/03/97 �t "? C. 1 S 9 "" September 27, 1999 Robert & Kristy Kitchner 20021 80th Ave. West Edmonds, WA 98026 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering* Subject: Determination regarding Critical Areas Checklist # 99-254 BARBARA FAHEY MAYOR Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. ............. .................... . - ....... ...... ....................... ...... ...................................... .... ......... .... IMPORTANT INFORMATION TO BE NOTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENWRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION MTH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board C:Reception\Jana\CRLTR.doc Thank you. Sharla Graham Planning Secretary Incorporated August 11, 1890 Sister City - Hekinan, Japan ! I I Ci' `f Edmonds 0 RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. 00..Z— Issue Date: A. Address or Vicinity of Construction: go AU U 950716=5 890 Jqc�. B. Type of Work (be specific): Install new Servfte C. Contractor: Washington Natural Gas Co Contact: Frank Swan Mailing Address: 1122 75 ST SW Everett Phone: 447-3284 State License #: 98203 Liability Insurance: _ Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): X E. F1 Commercial E] Subdivision F1 City Project Utility (PUD, GTE, WNG, CABLE, WATER) E] Multi -Family E] Single Family Other INSPECTOR: I14SPECTOR: VL,1J0A F. Pavement or Concrete Cut: 0 Yes NNo G. Size of Cut: x H. Chargq�,$ APPLICANT TO READ AND SIGN INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the C 'Ity ofEdmonds harmless from injuries, damages, or N 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 or not limited to the defense of any legalproceedings including defense costs, and attorney fees by reason" of��anting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR -A #ENOD OF ONE YEAR F?,L40WING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEESWILL BE HELD UNTIL THE PINAL W'MEET PATCH is COMPLETED BY CITYPCES, J AT WHICH TIMEA DE�IT OR;1�9�DIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed�,work required with permit application. A 24 hour notice is required for inspection; Please call the'Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NOEXCEPTIONS. Iha ve read the above statements and understand the permit requirements and thepink copy of thepermit will be available on site at alLAixws for inspection purposes. Signature. if Date: 12-30-94 TNAtractor`o`r-'A�-ent'�- CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY:, &-z A-tu RIGHT OF WAY DEPOS IT TIME AUTHORIZED: VOID AFTER NA It-W `10 -DAYS, DISRUPTION FEE/FUND'Ill-, -)<PD Se 5;�r L I L-J,1 I RESTORATION FEE:, SPECIAL CONDITIONS: PERMIT FEE: TOTAL FEE: COMMENTS:, I � RECEIPT FEE: DATE: JSSUED BY:. NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund 111 Route copy to Street Dept.) Comments: Diagram.: CONTRACTOR CALLED FOR INSPECTION YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: MaturW Cww Avvbgwxjbn EnergyCanparty WNG to window Watermain depth r-LO t4v0�6-11C*A Unknown 2- - gas main Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Marijimne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 zoo o' C-OVS;' Z-00 Z' t E50 Key: -W- Water -G- Gas -SS- Sewer -e- Water hydrant 0 Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 PI ML TC DEPT. Q MCK UST BIII LPING P,.-*R"IT PT-VIT-1-1 Street Ripht-oF-lVay Fxisting. Pj -:0 D F 4Q Access Easemcnts Fxistinp --7Utilitv- EasciTiont I-xistin RFOD �Ij Lot Pcr Subdivisions-3 Plat Assessor Ila,T) -ed for Accuracy -7 -7 I Site Plan Mccl. U) j Underground `1iring 11,co-d. oieck Aaljrll� ofteqid aquipl4brt I ':f:!��S=2 I Review by *=,-4, 1 "late -Lev I rXis,ting 1:intcr �.hin Size Z/ 9 7- Vi*atoT �Iain P.Cquired kne- Rcypre'Ct Hydrant Sizc Evistin­- N drant 1'equired perfire Code —Sizc� Detector (11CCI: 1'1:ctcr PCnuired A.-.' W. Crc,3.; connectibn Eh">r ce(ji br, Firo Df-martinent Cnivcnts J�cjrj QU ire- Rite If Septic Tan], Design Approved— Date Septic Tanl. Permit Requircd—" ---Pemit "o.-"- sanitan, Sower Availability )�e- Troj H I --- Drawing I.,To._ RIC "0.- Side Sewer Alrailabiliv, LO Smitar�, Sewer Connection Fce Pcquirccl K) ON IE Reviev., by Pat C ZZ q)Cjj j)itCjj 1: 4.�;tjp,_ M Ave e 0 Culvcrt Remiired ZY A/ zE Catch Basin RcqUiTOd Me /(/ v-,- Indicate on 17ito Plan JP4Tj6n �n SLLctle- AZ—/-r -0 PP-n ra n lo Plm�iolc roquircd Tridicato on Site 111m Soil Conditions Fj Ground Water Field (locked 44 Reviow by-- --Datc- It E- Street Ilaving Requircd /V V, r:z Curb and Ditter Reouired Sidev,,alk Reo.nired Cur'D (lit for Driveway 11cquired lap TZj- a -lit- of -l'.,iv Construction Pciinit Rmuired 21Y& f e 14- Bond Required for niblic Improvements Street Name Sip Required ------ Other Sioning IZ(-,o.ui.r(,(! C, - Pre Pervait Site Inspection made on LI C BY: Scv:er Water V4. V_: Street Enginecrinp, Special Requirmcnts listed in memo to ]juildin(T 1�-pirtmcnt C', I --T)atc,. All items filled in on Building 11cmit Application I Datc By SAM. -7- r '.T Drawings Stimped j.0-tations Made By Dato Approved 1)), Public 1',lorhs Department Cityof Edmonds RIGHT-OF-WAY CONSTRUCTION PEPMIT PermitNumbe* Wue Date: A. Address or Vicinity of Construction: 20021 80th Avenue V% be Z AtX R!ace, oEerate & maintain a buried service -wire, 17 C 18C)QJ from existiR§ Pre 9f76V6,McafWTMO_._ _­......' H.— to a iesidance at 20021 80 Av.W.' GTE to plow 105 feet, push no driveways, and 1 road, 22 feet. R.O.W. footaqe is 105 feet. C. Contractor: GTE NORTHWEST INCORPORATED st Casino Rd. Mailing Address: Ryel'rCtt, WA 98204-1440 State License #: D. Building Permit # (if applicable): _ Contact: Linda P rice, permit coordinator- 425/710-4153 Phone: ENGR: Terry Anderson 425/771-8683 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. El Commercial E] Subdivision E), City Project W Utility (PUDOTM Multi -Family Single Family Other GTEW.0 21OO-9PO01DB ".1.0 INSPECTOR: -- F. Pavement or Concrete Cut : INSPECTOR: Yes []No G. Size of Cut:,4'1�'V` x 41 Please see attached sketch/drawin'g. APPLICANT TO READ AND SIGN MING, CABLE, WATER) 2 14�2 �_.jl Im INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany kind or description whatsoever, foreseen. or unforeseen, that may 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 and attorneyfees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required with permit application. A 24 hour notice is required for inspection. Please call the Engineering Division,.771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTiONS. I have read the -above statements and understand available on site at all timesfor iMpectionpV p,as Signature: permit requirements and,ihe pink copy of the permit will be - Date.- 12-14-98 Dave Hawkin . 68W61?q496J0,1e&e9&cess Design . C�LL DIAL -A -DIG PRIOR TOBEGINNING WORK FOR CITY USE ONLY ..APPROVED BY: 96V TIME AUTHORIZED: VOID AFTER Fet f4 '�i DAYS SPECIAL CONDITIONS: RIGHT OF WAY FEE:—i go—_ 00 DISRUP11ON FEEIFUND I 11: RESTORATION FEE: 4-00 T OTAL FEE:. A __-K) - RECEIPTNO.- ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. NY 1997 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments: Diagram CONTRACTOR CALLED FOR INSPECTION El YES 0 NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: LEGEND PEDS POLES 0 rn ROAD BORES C5 d% OVERHEAD LINES PERMIT SUBMITTED BY J.D. UTUTY POTWO'LE M GTE UC TRENCkING ----JJCT— C, R, 0. ------------ vi-- EOP - ------------ ------------- N40 Setm er co RI —4 , curs, V, DATE:. - I'll E,", 0 TO Harry 1,!hitcutt Bui ldi no Of flici a I FRON: Richard H. Allen Assistant City Engineer -7 SUBJECT: 10-7 A4C � Iter revie,,.,, of the subject building permit application, we have the follo,,,Iing c o e n t s : Cl) Coordination -of the I f AnV qtriir-f streets, property lines and driveway grades is the responsibility of the C2) Thp C required to keep the -abutting streets cleaned of dirt and debris caused by the construction. '3) A "Rd2ht-of-Way Construction" permit is required,_from the Engineerifip, Div of Public Works , for any work within the Public right -of -way or public -QasQmcllt. (en G-) N �) c3c, -11r) N " I-r-) e:�Mo i —I 1-\.n V I-D r"\ .-T-D I'M e�p 0 I\) '-73 k . T IJ?P