20129 81ST AVE W.PDF111111111111
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20129 81 ST AVE W
ADDRESS: a_01 Z -:57 0 Y7'-- ftd_ �<j
TAX ACCOUNT/PARCEL #: oDq-61 20000 /,?0 q
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: [I Conditional Waiver Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
'WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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 the 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 employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
The City of Edmonds
OWNER
"DRESS 2.
11 1
N
APPLICATION
for rrl"N PLANr
SEDE SEWER PERMT to J_ EASEMENT No . ..........................................
E
NEW CONSTRUCTION C] R PAIRS 0
. .. .... ... . .... .......
CONTRACTOR ..................... PERMIT No.
Aua We i LEGAL DEScRrpTioN: LOT No . ..............................................
.............. ...................... .. ...... .. ..... .... ........ 5 BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Approved:
DATE .... ...... By ....... .......
R
CITY OF EDMONDS
can rRospect 6-1107 when wOrk
GIVIC, CENTER — WATER —SEWER DEPARTMENT it; ready for Inspection- (NO InsPee'
tions Saturday, Sunday or holidays.) N2 3197
"9116"El SEWER PERMIT
ADDRESS ---- --------
I'g .............................. I .............
OV07NER ....... George --- &-lucich ............................................ CONTRACTOR ...... -O� -x9p1py
Permission is granted 9M .. ---------------- 19.-§A, 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 FOLLOWING: rty line. A licensed Side Sewer Contractor must
NOTE No. 1—The owners of the property May obtain a. permit to construct sewer inside prope
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.
NOTE 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%.
IV No bends in grade sharper than % will be permitted. ors shall be responsible for
P No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contract
mpletion.
failure due to improper work which may develop within one year of co
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.
N
JAN-11-1995 11:05 * NTURY 21 4 P.02
City of Edmon&
Critical Areas Checklist
-Me Critical Areas Checklist contAned 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 dcydopmcnt
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 e2sily avaitable from
observations of the site or data available at
City Hall (Critical Areas invewories, rnaps,
or soil surveys).
An applicant, or his/her rpprewntative,
must fill out the checklist, sign and date it,
and submit it to the City. The City will
review the checklist, make a precumry site
visit, and make a determination of the
subsNuent steps necessary to compim a
dcvclopment permit application.
With a signed copy of this form, the
applicant should also submit a vicinity rnap
or plot plan for individual lot3 of the parcel
with enough detail that City staff can find
and identify the subject parcel(r,). in
addition. the applicant shall indude
other pertinent infarviation (eg. site
Plans topography !nap, etc.) or Audles in
COUJUM[On With thiS ClIeWist to assM
staff in COMpleting their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answen provided are
factual, to the be3t of my knowledge (fill out the appropriate column bdow).
Owner I Applicant*
M
N&ffv*
-2
. - 0 1 -:w-
Stred Addnm
&Ly-wto
ty, Stac, ZIP Phone
�IAI:00
sigrmure Date
Applicant Representative:
MMY-141--Yll e— C. D>—LOS f—/
StrerA Addr=
�—J n Y'k k-0 C) C5 78-0.--4
city. State, ZIP Pham
)9,?Ct4 & r- C-
Signature �'L' t
'V64JC%/ OIL ac-01- 0,-S' e%
JAN-11-1995 11:0G CINTURY 21 CA 4- P. 03
Critical Areas Checklist
SIM Information (sodsitopgraphy/hydrblogy/vegetation) I eYZV_^,,& . W19
1. Site AddrazILocation: -170/12 4-7- - 4fa-
2. Property Tax Acomant Number. -0 co 0
3. Approximate Sito Size (WeS 9f squam fOa): - /_30
4. is this site currently developed? -::!'-Yes; no.
If yes; how Is site developed?__%� PVL 2 C/C� :/-x C_
5. Describe the genend site topogWhy. Check all that apply.
Flat: less ftn 54eet elevation dwge over entire'she.
Rolling: elopcs on site 9eWWiY less th3n 15% verdC31 rise of 10-feet over a
horizonta dLstancc of 66-fect).
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-fed).
Steep: grades of greater thin 30% present On site (a venla ri-w Of 10-fea Qvcr a
horoontgj distance of less than 33-fea).
Other (J)Ieaw describe) -
Site, ogntlidS areas of ye2ir-CCUM StUding Water: 21v _; Approx. Depth:
7. Site contaim areas of seasonal Standing water: Approx. Depth:
What scas*3) of the y=*. - _>70 - of a water course.
g. site is in the floodw3y__12Z_c floodplain
9. Site coat I a Creek or an area where water flows acron the 950unds stwfacd? Mows am Year-
round? .0 Flows am seasomP. >74, (Wimt time of ycwl —' -).
10. Site is prUnaAly: forcstcd :,Awadow _; shrubs dixed
urban J=dscaped (lawn.Awb3 etc)
11. Obvious wetivA Is present on site: S2 6
For CRY SuIrUSU OUIY6--
A",
M"Od sell -type(sy?
V.
7.. . , " 1 12.,' .
daa 'site?
C-A. -ap imAftteg Im Prevwl On
Critical Arft tied
�Arci�jnvvdojry.or C_A.'=dp-i0X=te8 .0
subaiden" kad4i& b=,M
0 S�ms" Arewb(%P7
OR',
10
CC)
NP 0 4 X, MA 5 F
PR
Q
WAIVER.
ldwawb"3
TOTAL P.03
PLANNING DATA
SINGLE FAMILY PESIDENTIAL -
Name: N,
Date:
11,116
Site Address:
aom9l Rks�rAve_.N'A/
Tax Parcel:
Project Description: Enc-loswL_ c-c venLo(
Plan Check #:
Reduced Site Plan Provided: NO)
Zoning:
Map Page:
Corner Lot: (YES
Flag Lot: (YES
Critical Areas Determination o_�a A q 9_157d Ll
'Study Required
waiver
SEPA Determination: F_x&njz*
Exempt'
0 Needed (for over 500 cubic yards of grading)
'D Fee Checklist 11 APO List with- notarized form
Rec7ulred Setbacks
Street:
'Side: (M)
Side:,
Rear:
ActualSetback, ew- .ncAmed :rA. Vle
Street:
I.Side:
Side:
CS) �5
�Aear:
Detached Structures: No,e_
Rockeries:
F'ences/Trellises:
t5
El Bay Windows/Projecting 'Modulation:
Stairs/Deck:
e[
H t
gh
Datum Point:
Datum Elevation NIA
Maximum HeighfAllowed:
enc.Aos;n'a, exi
Actual Height: 610
other (_CCC
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% '*oposed:,
CA
Lot Coverage Calculatilons:
ADU Created: (YES
An Aou 1,V priive-d Mn%S pcop"_
Subdivision:
Le�al Nonconforming Land Use Determination Issued: (YES AD
Comments
Plan Review By:
Plannihg Data Form 07-14-09
OV EDAI STREET FILE
CITY OF EDMONDS
PHONE: (425) 771-0220 - FAX: (425) 771-0221
121 5TH AVENUE NORTH - EDMONDS, WA 98020
STATUS: APPROVED ENG20130149
Encroachment Permit
Permit Number: ENG2013 0149
Address of Public Use/Encroachment: 20129 81 ST AVE W, EDMONDS
PROPERTY OWNER BUSINESS OWNER
20129 8 1 ST AVE W
EDMONDS, WA 98026
Front concrete steps encroach 5 ft into 8 1 st Ave W row. (original pennit issued 1996)
STREET USE. Placement of any temporary or movable objects in any portion ofpublic space or City right-of-way shall
meet all code requirements as selforth in thefollowing chapters of the Edmonds Community Development Code.
ENCROACHMENT.- Permanent structures encroaching upon any portion ofpublic space, City right-of-way or
easement area shall meet all Code Requirements as setforth in thefollowing chapter of the Edmonds Community
Development Code.
CODE APPLICA TION. Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code. All terms
of the adopted ordinance are incorporated herein as if selforth infull and this permit therefore is subject to the terms of
those chapters.
FOR THE TERMIN WHICH THIS PUBLIC USEIENCROACHMENTIS IN EFFECT, THE OWNER SHALL COMPLY WITH
THE PERMIT CONDITIONS SET FORTH B Y THIS PERMIT.
NOTE: The issuance of this permit is understood by the owner to be of a temporary nature, shall vest no permanent right
and shall be issued and may in any case be revoked at the sole discretion of the City per ECDC 18.70.040. Applicant is
responsible to provide a copy of the insurance certificate to the City at the beginning of each calendar year, no later
than the 21st day of January.
I
INDEMNITY.- The Applicant understands and agrees to hold the City of Edmonds harmlessftom any injuries, damages
or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the
City ofEdmonds, or any of its departments or employees, including but not limited to the defense of any legal
proceedings including defense costs, court cost, and attorneyftes by reason ofgranting this permit. In addition, the
applicant understands that helshe shall provide and continually maintain during the term of the permit a ceritificate of
insurance naming the city as an additional insured, with respect to liability, andproviding that it shall be primary as to
any other policy of insurance.
TI-IIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR MS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
Printed: Friday, April 12, 2013
DATE
F-1 FILE COPY F-] INSPECTOR COPY F-1 APPLICANT COPY
TATUS: APPROVED
ENG20130149
The proposal will not adversely impact public space open to vehicular or pedestrian travel.
Architectural Design Board Approval has been granted or the process has been administratively
approved.
The proposal will not unreasonably interfere with the rights of the public.
The proposal either benefits the public interest, safety or convenience (e.g., supports or protects the city
street) or is an accessory structure such as fence normally associated with residential use of the property
as fully complies with the requirements of criteria above.
• Applicant shall repair/replace all damage to utilities,or frontage improvements in City right-of-way per
City standards that is caused by or occurs'during the permitted project.
• Sound/Noise originating from temporary construction sites as a result of construction activity are exempt
from the noise limits of ECC Chapter-5.30 only during the hours of 7:00am to 6:00prn on weekdays and
10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the
noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30,
unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify
defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from
any and all claims for damages of whatever nature, arising directly or indirectly from the issuance fo this
permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any
City ordinance not limit in any way the City's ability to enforce any ordinance provision.
I - INSPECTIONS
0 None ,
RECW�o
�%AVED
November 5, 2012 NOV 06 2012
DEVELOPMENT SERVICES
Mike Theis
Code Enforcement Inspector CITY Co
City of Edmonds PY
121 Sth Ave. N
Edmonds WA 98020
Case: # COD2012=0305
Subject property 20129 81s' Ave. W,Edmonds, WA 98026
rn
Dear.Mr.Thies
Thank you for speaking with me today regarding the subject property. As we
discussed, there was a previous ADU on the -property. I am not using it as an ADU,
There is complete, common access to all areas of the house. If I plan to establish
an ADU in the future, I will bring in the application you have provided and any fees
required. Once again, thank you.
Sincerely,
Rajan Parashar
.20129 81st Ave W.
Edmonds WA 98026
Rajanparashar7@gmail.com
CITY OF.EDMONDS
w&EPARTMENT., ENG INEER'104 SION
PUBLIC
APPLICATION FOR EIGHT OF -WAY CONSTFUCTI T FILE
THIS PERMIT MUST BE AVAILABLE AT THEJOB SITE FOR INSPECTION'PURPOSES
Applicant to Complete Parts A and B
A. Permit to be issued to: WASHINGTON NATURAL GAS COMPANY
For Work at:(address or vicinity) 20129 81 Avenue West
Type of Work to be done: Install -2" -PE Main and 5/8" PE Service
(attach drawing when applicable)
Time Required -- Start:
Owner: WASHINGTON NATURAL GAS COMPANY
Name
P.O. BOX 1869
Mailing Address
SEATTLE WASH. 98111
City State Zip
Contractor:
Name
Mailing Address
Finish: Approx. 90 Days from date
below
MA 2-6767 Ext. 256
Telephone Number
State License Number
City State Zip Telephone Number I
B. 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 of description whatsoever, ioreseen or unforeseen, that may be made against
the applicant or 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.
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.
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 subject to inspection and restoration in accordance with City' Code. A
C'24-hour notice is required'for inspection by Engineering. Call--775-2525, ext. 220.
I understand that this Perm ust be avai, 4ble--,,ht the job site for.inspection
.purposes at all times. A �` Q-��
. - . - 9 1---0
Signature:c QPERATtOMC Q
EDMOND PERMIT Date: April 9, 1979
Owner ot Agent
TO BE COMPLETED BY ISSUING AGENCY:
Date Issued: - --1—X,-,1--79 Permit No. ;7 Fee: 14114.
Security Bond: ,&/ 4 - I
Time Authorized: �;10
AP'PROVED BY
Date:
10-771v (Revised)