20112 80TH AVE W.PDF111111111111
7114
20112 80TH AVE W
PLANNING DATA
NAME: PONRIS,
SITE ADDRESS: 2-0 11?- WN AVF_ DATE: 00.
ZONING: RS-8 PLAN CHK#: 00 - SS41
PROJECT DESCRIPTION: COWGIIZUC,�Tr rEtJGa.
CORNER LOT___:!:� (Yes/No) FLAG LOT —(Yes/No)
SETBACKS:
Required Setbacks: WAt,
Front: Left Side: —Right Side: Rear:
Actual Setbacks:
Front: Left Side: —Right Side: Rear:
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
Maximum Allowed: -Actual:
BUILDING HEIGHT:
Maximum A
M/pc, j
Datum Point: Daturn Elevation: —
A.D.U. CREATED?: VIo.
SUBDIVISION: -_
CRITICAL AREAS #:- 00- VIS, -WAWF-9,,
SEPA DETERMINATION: N/A
LOT AREA: tAlAcIr
OTHER:
Plan Review By:
CAr11CS*MiAAP1WW&Ldoc
DATE REQEIVFD
�3
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- P ERMIT EXPIRES 21216
7-1) -S 11
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER M
JOB SUITEIAPT#
PERMIT APPLICATION
CONSTRUCTION
ADDRESS,-)
FMAILING
OWNER NAME/NAME OF BUSINESS
R T, rn Ir'n n y"I -S
PLAT NAME/SUBDI VISION NO.
I
LOT NO.
L�D NO.
L D FEE $
mj
ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP App—ed
RW Permit Required 0
W
z
C) % 0-1-� f� Vf: i�':)T
0
EXISTING — PROPOSED
Street Use Permit Req'd 0
Inspection Required 0
Sidewalk Required 0
CITY ZIP
TELEPHONE
-)
I+ L
REQUIRED DEDICATION— FT
Undergmund 0
Wiring required
NAME
METER SIZE
LINE SIZE
OF FIXTURES
PRV REQUIRED
YES 11 NO 0
9
ui
ADDRESS
',E:�C,3NT;�ACTOR RESP0.%SiE�.E �0;z -P.OSIO*, CONTRO-,DRAINAG�
'i-' VQ, L CC-f17'C--Z 2 R -1 Z—
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CITY ZIP
TELEPHONE
'F'i2 0 C J�I, \� L -1� V-)(M L?1P
NAME
Jji-(,2�26,
cxA)
ENGINEERING REVIEWED/DATE
0
—)fyyl
ADDRESS
FIRE REVIEWED BY DATE
CITY ZIP
NE
I'-
z
LL
0
7
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
RE
BOND
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
OYESINO I
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
J1
PROPERTY TAX ACCOUNT PARCEL NO.
W
I
I
G I
EXP
NEW RESIDENTIAL PLUMBING MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
C] ADDITION COMMERCIAL o COMPLIANCE OR
OF USE
N)A
N/A
z
z
CHANGE
PARKING
REO'D PROVIDED
LOTAREA
P�LA)NN NG RE EV BY DATE
n REMODEL F1 APARTMENT SIGN
-j
I
GRADING FENCE
REPAIR CYDS I F T)
REMARKS
FENCF-
DEMOLISH TANK OTHER
imfsb A vArzi �\ijce, 15 oamikia,
o GARAGE E] ROETAINRING WALL RENEWAL
CARPORT_ R CK
z
P:
/TYPE OF USE, BUSIN�PB OR ACTIVITY) �XPLAIN:
Z
�j
CHECKEDBY JTXPE
OF CONSTRUCTION
CODE I OCCUPANZ
GROUP�
NUMBER NUMBER OF
OF DWELLING
CRITICA
AREAS
w
0
SPECIAL INSPECTOR
OCCUPANT
0'
STORIES UNITS
- -
NUMBER vz"z;
JAREA
REQUIRED [:] YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
5
o rJ
-j tj
5
I IV, alig in
do
0 IZ 0 i,�
Pi
(42 C2
VALUATION
FEE
PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT SLOPE %
I
BUILDING -e-.(,\ c �e
PLAN CHECK NO: VESTED DATE
PLUMBING
2)
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
D SEPARATE PERMISSION.
t
2
STATE SURCHARGE
cr PERMIT APPLICATION: 180 DAYS
W
CIL PERMIT LIMIT'. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
In "APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
In
T40N-F
1 11 ` * ,- -
- - " It'
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
I
LANDSCAPING
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE'
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY 08 INDIRECTLY
1xv
RECEIPT
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
DEEMEDTO MODIFY, WAIVEOR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANYWAYTHE CITY'SABILITYTO ENFORCE ANYORDINANCE PROVISION."
RECEIPT
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL This application is not a permit until signed by the
TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided.
COMPENSATION INSURANCE AND RCW 18.27.
OFFIC I IALS,f DATE
N E
fr-1,1T1,S'-= :Va.NORA7NT) 1', DATEISIGN D
-(0
/�G
(425) <
g
771-0220
RE.E�SED BY DAlt
ATTENTION
EXT 333
VA
IT! J� TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A"
771-0221
A F %A- '.S::ECT[ON HAS BEEN MADE AND APPROVAL OR A CERTIFI-
If
ORIGINAL - FILE - YELLOW - INSPEC�CR
CA-E :;,::-P.-*.CY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER - GOLD - ASSESSOR
5 S E
CA FILE NO.
Critical Areas Checklist
---------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I Site Address/Location: �,o
2. Property Tax Account Number: C) oo — 00 0c) —0
3. Approximate Site Size (acres or square feet): -9,)
4. Is this site currently developed? yes; _ no.
If yes; how is site developed? C-E
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 3 3 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):
6. Site contains areas of year-round standing water: N) Approx. Depth:
7. Site contains areas of seasonal standing water: Y,,) 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway fd-O floodplain rJO of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? . N)O — Flows are seasonal? r\)O (What time of year? — . ).
10. Site is primarily: forested : meadow shrubs mixed
urban landscaped (lawn,shrubs etc). —7/ e6 fr � Y2, 7 YzEr— 15
11. Obvious wetland is present on site: f-1) 0
------------------------------------ ------------ For City Staff Use Only---; ------------- n --------------------------------------
I Site is Zoned? R15
2. SCS mapped soil type(s)? NU>aFW_60D t) FB C
A- LA 0. PL�F_K L4OPf=
3. Wetland inventory. of CA;.: r.haP:ihdkatds. w6flifid pre.wnton site?
4. Critical Areas.inventdry or C.A..m.ap. indicatestritical Area on site?
:5. Site Within designatedtarth. subside nice landslide- hazar& area? -
6. Site designated.on the Environmental . ly Sensitiv . e Areas Map?
DETERMINATION:
STUDY REQUIRED. CONDITIONAL WAIVER
WAIVER
Reviewed by: I WOO 1. 41*114 1) 1'. 00
Planner
Date
^ca_chk.doc: Rev 10/03/97
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Critical Areas File #: 00 - I ';), 'S
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept: ;F- /- 00
City Receipt No: / �� t�5
Date Mailed to Applicant:
CRITICAL AIR"JEJAS 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
detennine 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 information (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).
PLEASE PRINT CLEARLY
Owner/Applicant:
Name
q-c � va, 9 C) Hvf - ��J C-S-�
Street Address
City State Zip
�-) —d-S — " 5 5 �
Telepho
Signature
<o' cXJ
Date
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
d:reception/jana/CACLHandotA.doc Revised 4/10/2000
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4
EDMONDS CITY COUNCIL MINUTES
May 31, 1983
THESE9N`UTES SUBJECT
TO JUNE 7 APPROVAL
RrCEIVED
'JUN q 1983
The regular meeting of the Edmonds City Council was called to order aP.41ppy*
Mayor Harve Harrison in the Plaza Meeting Room of the Edmonds Library. All present
joined in the flag salute.
PRESENT
Harve Harrison, Mayor
Jo -Anne Jaech
Ray Gould
Katherine Allen
Larry Naughten
Laura Hall
John Nordquist
Bill Kasper
Tony Foss, Student Rep.
AUDIENCE
STAFF PRESENT
Jim Adams, City Engineer
Irene Varney Moran, City Clerk
Art Housler, Finance Director
Mary Lou Block, Planning Director
Marlo Foster, Police Chief
Jack Weinz, Fire Chief
Jim Jessel, Property Manager
Wayne Tanaka, City Attorney
Jackie Parrett, Deputy City Clerk
Dave Ehrling, President of the Edmonds Chamber of Commerce, said the Chamber wants to
join in the Washington State tourism program and to participate properly they need a
new brochure on Edmonds which can be distributed throughout the State. It will cost
$5,000 for 50,000 copies and they are trying to raise $6,000-$7,000 to produce more
copies. $2,200 has been raised from the business sector and Mr. Ehrling asked the
City to participate in the amount of $2,000. If that much is raised Rainier Bank will
then give them a signature loan for the balance at the prime interest rate. He
also intends to solicit funds from the local service organizations. COUNCILMEMBER
MOTION: GOULD MOVED, SECONDED BY COUNCILMEMBER NAUGHTEN, TO REFER THIS REQUEST TO THE FINANCE
COMMITTEE. MOTION CARRIED.
Ken Fenwick, 20112 80th W., again discussed his drainage problems. He had appeared
before the Council in February and he said he has been talking with the City for
He had been advised that the City had
seven months and it still is not resolved.
approved the funds to deal with the problem and he said an engineer looked at the
situation and said the plans would be completed in two weeks and then would be turned
over to the Building Department. On May 26 he had received a letter from City Engineer
Jim Adams saying preliminary plans were in process, and he had reviewd those plans on
this date, but work still was not begun. Mr. Adams responded that this was approved
for this summer's construction and the preliminary design is completed. He had
already written a memo for next week's Council meeting, asking for a bid opening of
June 22. He noted that originally the Public Works Department was going to do it in-
house but that was changed because of the necessary depth of the ditches. He hoped
to open bids June 22 and that construction would start within the following two
weeks. He said he never anticipated doing this project until this summer because
they do not put in storm sewers when it is raining.
Karen Bradshaw, 18821 89th Ave. W., asked for support to save Edmonds High School.
She agreed that one of the high schools should be closed, but not Edmonds High School.
She noted that a nearby grade school also will be closed, and that will leave only
one grade school in the City. She felt small businesses would be affected by these
closures and that young families will not be attracted to Edmonds. She noted that
Edmonds High is centrally located, and the School District wants to put the administra-
tive and alternative education classes there, but she said the offices can be anywhere,
and Edmonds High has the most walkers, using only three buses. Also 550 of the 700
students going to College Place Middle School are walkers, and that is a feeder
school to Edmonds High. She distributed flyers giving information about the next
three School Board meetings, and she asked for support and representation at those
meetings. Councilmember Hall said she recently had discussed this with Superintendent
Hal Reasby and she said the report on which they are basing their decision does not
take into consideration the impact on the residential communities. She said she
would personally try to see what can be done. Mayor Harrison said it was his under-
standing that either Edmonds or Woodway High School would be closed, and he assumed
-7-7 7
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CITY OF EMMONDS
200 DAYTON ST - EDMONDS. WASHINGTON 98020 - (206) 771-3202
OFFICE OF THE CITY ENGINEER
May 26, 1983
Occupant
'_`�20117 - 81st Ave. W.
Edmonds, WA 98020
Dear Occupant:
HARVE H. HARRISON
MAYOR
we are in the process of finalizing a design and speci-
fications for the storin sewer line between 80th Ave. W. and 81st
Ave. W. that will run under the northerly ten feet of your
property.
If you desire to review the plans and specifications before
we advertise for bids, please contact Gordon Hyde of our office
before June 7, 1983.
We expect to award the bid prior to June 30, 1983. If you
have further questions, please contact Gordon or me at 771-3202.
GH/ml
HYDE
DT
Sincerely,
S E. ADAMS, P.E.
City Engineer
THIS LETTER WAS ALSO SENT TO THE RESIDENTS ON THE ATTACHED
LIST.
THESE MINUTES SUBJECT
TO FEBRUARY 8 APPROVAL
RECEIVED
EDMONDS CITY COUNCIL MINUTES 1983
February 1, 1983
PUBLIC WORKS
The regular meeting of the Edmonds City Council was called to order at 7:40 p.m.,
following a Finance ConTnittee meeting, by Mayor Harve Harrison in the Plaza Meeting
Room of the Edmonds Library. All present joined in the flag salute.
PRESENT STAFF PRESENT
Harve Harrison, Mayor Jim Adams, City Engineer
Jo -Anne Jaech Irene Varney Moran, City Clerk
Katherine Allen Art Housler, Finance Director
Bill Kasper Jeff Ristau, Accounting Supervisor
John Nordqust Mary Lou Block, Planning Director
Ray Gould Steve Simpson, Parks & Recreation Director
Larry Naughten Pat LeMay, Personnel Director
Laura Hall Dan Prinz, Asst. Police Chief
Jack Weinz, Fire Chief
Ron Schi man, Asst. Fire Chief
Felix deMello, Buildings & Grounds Supt.
Wayne Tanaka, City Attorney
Jackie Parrett, Deputy City Clerk
AUDIENCE
Ken Fenwick,.20112*80th W., discussed a drainage problem at his home which he had
been unable to-re§olvd with the City. His home is in a low area and the runoff from
the streets floods it. City Engineer Jim Adams said his drainage system was designed
to take care of his own site but the entire area drains into his yard and the system
does not accommodate that. Mr. Fenwick viewed this as an error on the part of the
City of Edmonds, saying the City forced the builder to jump through several hoops
before approving the drainage system, and it was not an oversight but an error.
Councilmember Gould had looked at this area and said this is at the bottom of 80th
St. and the City has three different projects on its list to take care of that
inadequacy. Mr. Adams agreed that it is on the high priority list, but he said they
have not been putting in any systems in the last three years so the systems have not
caught up to the building. Mr. Fenwick said he had hired an engineer to inspect his
property, and the City had sent out a hydraulics engineer to inspect, as well as two
building inspectors. Also two City workers went out to test the fire hydrant --and
the test flooded his property --and he said every person who inspected his property
and drainfield has said it should never have been built the way it was built.
Randy Gosser, 20118 80th W., said his problem is worse than Mr. Fenwick's, and when
it rains his front door is cut off by 15"- 18" of water, and the silt rises and flows
through his drainage field and he is afraid it will clog up if the problem is not
handled quickly. These gentlemen were advised that this project would be considered
this evening amongst others which have been given priority listing.
MAYOR
Mayor Harrison advised that, for the second consecutive year, the Finance Department
had earned a national award, and he introduced Jim Bannerman, a member of the Board
of Directors of the Municipal Finance Officers Association of the United States and
Canada, to make the award. Mr. Bannerman stated that it is unusual for a City to
earn this award twice, and especially in consecutive years, and last year Edmonds was
the only city in the State to earn it. He said it demonstrates the professionalism
and quality of the people on the staff. He presented the award to the Mayor, who in
turn commended the Finance Director and his staff. Mr. Bannerman also presented a
plaque to Finance Director Art Housler, and Councilmember Gould expressed thanks to
Mr. Housler, Mr. Ristau, and the Finance Department, and he also thanked Mr. Banner-
man for coming from Bellingham to make the award.
Mayor Harrison presented a resolution of commendation to Assistant Fire Chief Ron
Schirman for his service to the City as a Loaned Executive for the United Way for the
A I CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date
__9 - - I
PEP -MIT MUST BE POSTED ON JOB SITE * I
LL
I-n.
Lk I
LL
M
low"dw, '77177
Address �f ConANwstruction
Property Legal Description (include all easements)
Single Family Residence Multi -Family No. of Units
Commercial
Owner and/or Builder
Contractor & License No.
Invasion into City Right -of -Way: No - Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
E-4 7. Cross other private property: Yes No Easement required -
attach legal description and county easement number.
READ THE FOLLOWI.NG AND SIGN:
P4
04
0< a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
M -
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
�4 C. Commercial establishment requires a minimum of a six inch (6")
a4
z side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
0
e. Side sewer lines must be laid at a minimum grade of 2% (1.15
0 and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8 bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001 along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE:
I certify that I have read
and shall comply With the above
PERMIT FEE:
ow
'0 CONNECTION FEE:
* PERMIT
DISAPPROVED BY: Date:
By: Date:
APPROVED By:5;�7,= Date:2,e�'7
T BE POSTED ON JOB SITE
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 forth on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -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 offi-ce-rs sh-all be 1--ia-b-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
A
The City of Edmonds
Side Sewer Drawing
EASEMENT NO.
NEW CONSTRUCTION REPAIRS LID NO.../ ? ..... ASMT. NO . ..................
OWNER ...... A G-0-0— V. C ................. CONTRACTOR . .................... PERMIT NO.
JOB ADDRESS ---- Z.12, - - -7 - — 16 00 ----- 4ve-, �� .... ko.OV ............... LEGAL DESCRIPTION: LOT NO . ..... 14 ...... .............. BLOCK NO . ...............................
..................................................................................................................................................................
4! *e — 7 91,
NAMEOF ADDITION ........... ....................................................................................
6 --n
sw
80-Ae- W Approved:
PWW-0001 - 11175 (R EV. 11/78) DATE
--------------- By
CiTY OF EDMONDS
PUBLIC WORKS DEPARTMENT
�WREET FILE
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
Owner:
Name
Mailing Address
City, State, Zip Code
e Contractor:
Name
lWit No
Issue Date
e Permit Issued To:
0 Type of Work to be Done:
Work in Connection With:
E Sub or Plat El Single Family
El Comml. / Ind. 11 Apt. Condo.
0 Pavement Cut: 0 Yes 1-1 No
Mailing Address State License Number
Z
< 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
44
4 against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
0.
�E proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
0
U
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
0
:D
re
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 must be available at the job site for inspection purposes at all times.
Signature: 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 By:
Time Authorized:
Special Conditions:
Ammendments:
Vold after
ys
Permit Fee
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. De(ember 1978
-P s
FIELD INSPECTTOANY'', (Fund 111 - Ote conv to Street Dent
I Ar 1)
rnmmanh Q -
Diagram:
Contractor called for inspection Yes No
Work Disapproved By: Date: Bv: Date -
Work Approved By: Date:
Inspector:
Ena. Div. December 197P
1018
REV 12179
Ka UTILITY DISTRICT No
I of Snohom*isCounty S--Z2.
Areo
LOCATION—Z011Z RQ-t!t.
W,
DATE - F, —
W. 0. NO q
POLE NO
NY 4 S "I Cl I R
REVISION
U.G. FILE NO.
REASON FOR WORK
ENGINEER
AS' BUILT
!,4. -o twi tE�
DRAFTER
SCALE
APPROVAIS
TYPE I C I -r '-� n M: OREQUIRED ONOT REQUIRED OTREE TRIMMING OWATER
E= i> hA :!3 t-4 T:;:, 2t 0 DIAL DIG OSEWER.
DATE GRANTED [I PUD LOCATOR 0GAS
DATE RELEASED OBACK HOE
FEES REQUIRED yjS 10- NOO FOREIGN CONTACTS POLE $TENCILIRG
TYPE IMID - -f- 1'jSdr- GTNW NO. C-lr7t4,77*;=-j-- FROM _ TO
DATE AM 0 U N T CATV NO. TAKE OFF POLE
SUBSTATION 4-1= I I'- W t-7) L-�> n;' CIRCUIT NO. IZ-34-4-
DATE WORIC CO;APLETED BY FOREMAN
TZ
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izo
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ENVIRONMENAL ANALYSIS
SEXEMPT ONOT EXEMPT
.PARA. I T E M
O.H� U.G. COND� KV
ADD CKT. F1 _ pR
REMY. CAT FT._pH,
NET - CK T FT.
I
DATE PRINTED
71D TZ I v P=
oto- PUL-L 3�50 W-k-M
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DISPATCHER POSTED
I- MAP PAGE
WO, NO
CITY OF EDMONDS
ASSET INFORMATION SHEET
F21 NEW
E] ADDITION
1:1 RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
oc 153(.
DESCRIPTION
166w /L' 6. S'I'A L; (c-'?
SERIAL NO.
LOCATION DEPT. NO.
�2 r, 6? '�� I
"PURCHASE ORDER NO. —
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
PROJECT N U M BE R
PROJECT COMPLETION DATE
COST
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
6T Property of--,, S'l
Y 0,P4:0motild
NO.
VERIFIED BY
k—KJ DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT —
0 G.L. ENTRY
REFERENCE
DATE
PROCESSED
BATCH NO. AC
INITIAL
(tnp
DEPARTMENT FILE
PUBLIC WORKS DEPARTMENT
Single Family
BUILDING PERMIT REVIEW Multiple
BUILDING ADDRESS_ Commercial
BL G. DEPT. SUSPENSE DATE - Z "ITIAL DATV
UTE: PUBLIC WC(RKS/ LOC, IN
MI
C CIT I
ITY ENGINEER (check)
Ul Access Slope and Vehicle Access
ODrainage Plan
11 Stre'et File
0Legal Description
OQuit Claim
DEasement
EJCalculate Sewer Connection
[3'�VATER/SEWER DIVISION
DDetermine Meter Size
ED Complete Building Permit Review
O'STREET DIVISION
13Complete Building Permit Review
Q/0FFICE ADMLIN. — LOG OUT TO BLDG. DEPT.
[],4UILDING PERMIT APPLICATION (COMPLETE)
0-1 COPIES OF SITE PLAN
0 2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY REVIEWED BY FIRE DEPT.)
0-<COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SO. FT.
IMPERMEABLE SURFAC� E3
LESS THAN 2,000 SO. FT. n
I -
CHECK ZONING RE-nuIREMENTS (SETBACKS)
Ell COPY OF ENGINEERING CHECK LIST
1 COPY OF PUBLIC WORKS MEMO
MULTIPLE OR COMMERCIAL
YES [] (ATrAcH-copy OF ADB APPRovAL INCL. ALL DRNTINGS)
NO
FSUBDIVI,�'IPON YESE] NAME
DATED RECORDED
NUMBER
NO (ATTACH COPY'OF R-EOUIPZ=S)
CHECK SEWER DRAWING AND ATTACH COPY
IS DEDICATION REQUIRED — YES[] (OBTAIN QUIT CLARI)
. CITY CODE
NO"�
DOES CITY HAVE EASEME14T ON PROPERTY
YES (ATTACH COPIES OF DRAWINGS)
NO I
CHECK LEGAL ACCESS INGRE�5EC UTILITIESE
YES,Z YE§Z-
NO [3 NO 13
HAS SEWER ASSESSMENT BEEN PAID
YF-S/P� L.I.D. NO.
PLAT NO.
SUBDIVISION NO.
0
IF MULTIPLE: INCLUDE NUMBER OF UNITS
IF COMMERCIAL: INCLUDE NUMBER OF FIXTURE, UNITS
I
2- 0 0
USE PER
C1W OF ED MONW ZONE N Lf
BUILDING PERMIT APPLICATION JOB
NAME JOR NAME OF BUSINESS) [ADDRESS
It HOFTO HOMES INC. LEGAL DESCRIPTION SU..IVISI
MAILING ADDRESS 0- qa-
W
Z
3: 1116X 12422 Possession Lane
0 CITY TELEPHONE NUMBER
Edmonds, Wa. 980201 743-7507
U
W ADDRESS
t
M CITY TELEPHONE NUMBER
-C I I
SHORT SUB NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING 40
PROPOSED A9
W
DEFICIENCY OF RIGHT OF WAY
W
z
BY
1AIeQ&1
I
MEW,,
SEE ENGINEERING MEMO DATED
If
z
I III
REMARKS
NAME
HOFTO HOMES INC.
0 ADDRESS
METER SIZE BUILDING SUPPLY
SIZE FIXTUREUNITS
12422 Possessi La e
CITY TELEPHONE NUMBER
_R_EMAF1IKS
Z
0 monds, Wa. 98020 743-7507
* STATE LICENSE NUMBER CITY LICENSE NUMBER
SIGN AREA
ENV. REVIEW AOB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
223-01-189?4
SHORELINE
Legal Description of Property (Show Below or Attach Four Copies)
Edmonds Acres, Div. #2111
Lot 20 E/
VARIANCE Of? (�U
PLA G RE IEW BY DATE
* according to Plat thereof recorded
0
in Vol, 12 of Plats, Page 66,
YARDS
LOT COVERAGE
records of Auditor of Co. of Sno,
2- FRONT
121-1-
SIDE 14- RE
-5
U
the West Feet
REMARKS
W, Stil. of AE.K.E.) :152
0 thereof. �_o-r 2- 38 - 7"
0
W
_j
ZNEW RESIDE14TIAL El PLUMBING
I0
CHECKED BY OF CONSTRUCTION CODE HEIGHT
NON-RESIDENTIAL MECHANICAL
ITYPE
I
r_1 ADD
F� DEMOLISH r_1 SIGN
SPECIAL INSPECTOR OCCUPANCY OCCUPANT
REQUIRED
F1 ALTER EXCAVATE FENCE
E) YES 0 NO
GROUP LOAD
F] OR FILL E] I_ x FT)
F-1 REPAIR PRE -MOVE INSP./ swim
EIPOOL
REMARKS
COMPLIAN C E INSP.
_
Z NUMBER OF STORIES UMBER OF
DWELLING
IN I
UNITS
-NATURE
OF WORK TO BE DONE (ATTACH PLOT PLAN)
ir
U
In Single family dwellings
PLAN CHECK FEE
VALUA �EE PEN
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 120 Days
Ln on behalf of his or her spouse, heirs, assigns and
0
W
-1 successors in interest, agrees to indemnify, defend and hold harmless
Y the City of Edmonds, Washington, its officials, employees, and
agents from any and all clainis for damages of whatever nature,
I arising directly or indirectly front the issuance of this permit. ISSLi-
0 ance of' (his permit shall not be (1cemed to modify, waive or reduce
0 any requirement of any city ordinance nor liniit in any way the
1: City's ability to enforce any ordinance provision."
I hereby acknowledge that I have read this application; that the in-
forniation given is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
relatiIN to Workmen's Compensation Insurance.
BUILDING
IPLUMOING
MECHANICAL
FENCE
SIGN
RETAINING WALL
SWIMMING POOL
TOTAL AMOUNT DUE
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
M SIG URE I N 0 AGENT) DATESIGNED DEPARTMENT
01 4;,l �j=j
r- — z F-9 CITY OF
EDMONDS
�%2 '-HIS SITE IS LOCATED IN THE CITY
..,A..M.. i��A§ CA CC — 775-2525
APPLICATION APPROVAL
This application is not a permit
until signed by the Building Official or
his Deputy; and fees are paid, and
receipt is acknowledged in space pro-
vided.
RECTOR'S SIGNATURE
W
z
Z
CL
.J
SHOULD BE C ODED 31.04.
ATTENTION ORIGINAL — File YELLOW — Inspector
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE PINK — Owner GOLD — Assessor
UNTIL A FINAL INSPECTIOMI HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304,306.
102-78 N REeb
0 0
PUBLIC UORKS DEPAMM CHECKLIST
BUILDING PERIIT REVIEW (2 fo Aj �12xp,
(address) (date)'
0
Street Right -of -Way Existing______,4L
PEQD J
Z
Access Easements -Existing____A/
�2
REQD�����
�-4
p�
Utility Easement Exist*
IA9 S41da
REQD
W
Lot Per Subdivision - 3 e- �,9 Plat
Assessor llap_j�
W
Site Plan Checked for Accura
Z
Undergxound Wiring Reqd. 1
�-4
U
Check Accuracy of Legal Descriptio4 at
lzm
Z
Review by
rDate
Existing Water Main Size T,
Water Main Required
Service Line Required
Hydrant Size Existing,
"?,e
1:4
Hydrant Reqd Per Fire Code
Size
w-
Detector Check Meter Reqd.
Cross Connection Inspection
E-
Fire Departnv-nt Conments
&I
Water Me!-er Charge Reqd. 0/
Review by.
Date
Septic Tank besign Approved kll�q
Date
Septic Tank Permit Reqd.-
Permit No.
Sanitary Sewer Availability
Proj
Drawing No. /- / b
File No.
Side Sewer Availability &Z
Sanitary Sewe ctio4 Fee Reqd.
NO
:3,
Review by_
Da te
Open Ditch Existi
d .
Culvert Reqd. 7�x
10� Size
C4
Catch Basin Reqd.
,Indicate an Site Plan
0
Shoulder drainage maintain collection on swale open runoff.
P
4-a4�4- ""/' - - '/- - -
- 7-
-2�0- -- - -
�lanhole reqd. 4411,01- 'lop,
Indicate an Site Plan
Soil Conditions and Ground Water Field
Checked
Review by
Date
Revised: lvlO-1977
0
Page 2
'Sidewalk
cz
Street Paving Reqd.
Curb and Cutter Reqd.
Reqd.
Curb Cut for Driveway Reqd.
Right -of -Way Construction Permit Reqd-
Bond Reqd. for Public Inpravenents ef-
Street Nam Sign Reqd. - M�
Other Signing Reqd. Iva
Pre Permit Site Inspection made on
z
0
BY: SEL4ER
WATER
CL4
S=- T
ENG=RING
Special Requiremnts listed in mem to Comamity Developnent Deparment,
Building Division
BY Date
o
All iten-s filled in an Building Pern&t Application
P4
BY Date
Drawings Stanped and Notatims Made
PL4
BY Date
Approved by Public Works Department
Revised: lv 10-1977
4
0 0
DATE,:
MEMO TO: Building Division
Community Develor)mc,.nL Department
FROM: Engineering Division
Public Works'DeparVmei-iL
SUBJECT: —.1011.2- A)
After revi*ew of the subject Building Permit application, we have
the following comments:
1. Connection to City water system required.
2. -Connection to City sanitary sewer system required.
3,
Rip—ht-of-wav Permit
required
for aiiy work on.C.ity property.
4,
Driveway slope not
to exceed
1.4%
5.
Backwater valve required
if
do%,7iisLiirs plumbing is below
elevation of upstream manhole.
6. Water and sewer lines to be �separated by 3.0 foot minimum.
I
I
4&
Signature
1-52-.2-0
ZONE
S FIF 1� S:
F"0t,tlT
s
RE
0 Tf 4
I "' . —
HDGHT
12-
22'
I<-- 2-5, =;J,--
a44 /,?— 9.
-ZC)l 1 -57 �;.Y-
. dtvull"'L it
3 0
4/2/
So
cl:-Llu � 1�
JUN 1 RECD
AS BU
I z 80
uu
/.340" Lo
ZO N E -�ea -
SETBACKS:
F f R"O N T
b
R Eiril,, R ---------
HEIGHT
25
/Av
L1�14 isd," vacti
2-15,1- 6ve..,
61MOtdi 1ji
,7 / r
f
-70
4z2- /
J U N 1 REM
152-:
i
IC
h-r � i: LD w
Lu D tv,
ptpe
4i
V4 Pic
COVE0
T,
S
-tLTEA,� CLOT�4
�EE SECTi()N
S If 15 3 0 0 Rl EQ
D. 24 " DEEP TH
f�7E%10, ',',ABLE COVEIZ'
G C
'D:7 E
ROOF- SUM_P PERCOLATION TRPENCH
D E "FA I if.-
AVEL (3 V,
<)
PEk7:19- PIPE
2.0 LOT
TRENCk-'4 SECTION
CA FILE NO. _Z)
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location: �,o � \-�- <&0-1�) �i Uj V-S-T
2. Property Tax Account Number: --1126 - 0 () 0 — 0C) - C)-r-)_
3. Approximate Site Size (acres or square feet): qC_yZj�_,,S-
4. Is this site currently developed? 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
10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: Y�-) 0 _; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway f^�cfO floodplain �)o of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? N)O Flows are seasonal? )"J0 (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn.shrubs etc) —7/ ed fc i yx, 7 vzer—S
11. Obvious wetland is present on site: f-1) 0
------------------------------------------ n ------------- For City StaffU�e Only ------------------- m --------------------------------------
I Site is Zoned? K"�,S
2. SCS mapped soil type(s)?: UFSyA;zM LARD C
3. Wetland inventory or C.A�:map:ihdicat6s wetl.andprewnt�on site?
ID, 2,57�
4. Critical Areas.mventory or:C.A. map. indicates Critical Area on site?.
5. Site within designated -earth subsiden**ce landslid6hazard area?
6. Site designated on the Environmentally Sensitive Areas Map? No
DETERMINATION
STUDY REQUIRED CONDITIONAL WAIVER
WAIVER
by:
Planner Date
^ca_chk.doc; Rev 10/03/97
City of Edmonds
xw �171
Development Services Department
Planning Division
Phone: 25.771.0220
Fax: 425.771.0221
AD C)
Critical Areas File 4: 00— /,;z S
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept:— 00
City Receipt No: D
Date Mailed to Applicant:
CRITICAL ARVEAS 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 information (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).
i
PLEASE PRINT CLEARLY I
Owner/Applicant:
Name
'4-c C) - ov E S -T
Street Address
am�)N'os
City State Zip
k-A -xs LJ -
Telepho
Signature
� � � � ou
Date
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
d:reception/jana/CACLHandout.doc Revised 4/10/2000
* ------------------------------ : MetroScan / Snohomish -------------------------
Owner
:Paris Richard
L/Timmie L
RTSQ
:04E -27N -19 -NE
CoOwner
APN
:7135 000
001 00 02
Site Addr
:20112 8OTh Ave
W Edmonds 98026
Struct
:$74,300
Mail Addr
:20112 BOTh Ave
W Edmonds Wa 98026
Land
:$80,000
Rec Date
:03/25/1991
Deed :Warranty
Total
:$154,300
Price
:$135,000 Full
Loan :Fha
LevyCd
:00217
Aud Fee #
:458
Ln Amt :$114,180
2000 Tax
:$1,977.54
ActualUse
Lender :American Reside Phone
Vest Type
IntTyp
%owned
:100
Bldg Name
Vol :43
Page
:97
Land Use
:11101 Res,Sgl
Family Res,Detached,l Unit
Easmnt
NbrhdCode
:501
Census
Zoning
:Rs-8000
ZoningRest:
Tract
:504.01
Sub/Plat
:Hofto Addition
Block
:1
Legal
:BLK 000 D-00 -
LOT 1
.............
Bedrooms
.......... ..........
:3 Bldg SF :1,252 LotAcre
:.21
....
Year Blt
:1981
Bath F3H
:2 1st
SF :1,252 Lot SF
:9,148
EffYrBlt
:1981
Stories
:1 2nd
SF Heating
:Forced
BldgGrad
:Avg
Fireplace
:1 3rd
SF Roof
BldgCond
:Avg
Spa
4th
SF View
WaterSrc
:Public
Units
:1 BsmntSF WtFront
Sewer
:Sewer
The Information Provided Is Deemed Reliable, But Is Not Guaranteed.