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BotheR, WA 9SO12
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STANDARD DRAINAGE DETENTION SYSTEM
L- WORKSHEET
OWNER
16922 Nonh Road
ADDRESS - 89, WA 98019
CALC BY:��MFt SCIOW&QT;�'
PHONE: --I k4 I-nq
DATE: S'2A q (40
*****DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
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Aim Et.EV
IlhV
4-9
1*11KIN COVER
2'MAX COVER
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2 .
L*Fcft CA rcH
BASIN
koft sftc
—RIM ELEV
CO,vrRM CAMH
BASIN
4* 0 PIPE 11011N.
ELEV—
WASHEO GRAYEL
OUTF W TRIENCH MIN 30 - LONG
tgzkllz�l TOP D 4"PEAk PIPE TO BE LEVEL
FROM
CONTROL
-OUTLET
4*PERFRPF- W/CAPS
RUNOFF SPREADER
OUTLET
",2., 6- DEEP, 4-- 6- WARRY SPA LLS
SYSTEM CROSS SECTION .21% 3- OEEP, 3/4- CRUSHCO ROCK
FROM CON7ROL
!F
OUTLET
RIPRAP OUTLET'
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETE NTION SYSTE M
Zo hu bJ
..... ................. . . . . .
ZAVALES DESIGN ASSOCIATES
. .. . .................
D A
1243 ne 152nd st
seattle, wa. 98155
(206)362-2992
393
To
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ion
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silver City Constr. Inc. --� 3-5,
Jarrjo schwartz
16922 Nonh Road
Botheil, WA �oBo 12
E-UG C. 3���
5T
517- F— PLA �,l AVE, W
RECEIVED
J�jf�i A 1996 PROJECT REVIEW CHECKLIST
1p
PROjAAZVS-�Z!-()&-Z C/T�j COX),S7- PLAN CHECK #:
PROJECT ADDRESS: r-�7u,)Ijj - El RECEIPT DATE:
p r1WTER,
COMMENTS
Setbacks/Variance/Setback Adjustment
X'N.
OK
. ...... ..
..........
Conditional Use Permit
--- ---
.. ....
ADB Requirements
....... .
. . . . . . . . . . I
.. . .
.
'3
......
Other Zoning Requirements
Underground Wiring Required
..........................
Lot Slope 15%
A,
SEPA Environmental Checklist/Hydraulics Permit
...... .... -
Tree Cutting Plan
....... ...
. . . . . - -
----
Plat/Subdivision Requirements
Legal Description Verification
---------- -
Quit Claim/Street Dedications
.............
Easements - Public/Private
Engineering Storm Drain Review Fee
. . . . . . . . . . . .
............ 1-1.1-1....I.I..".
. . . . . . . . . .
13.:
Engineering 2.2 Inspection Fee
. . . . . . . . . . . ............
. . . . . . . . . . . .
Drainage Plan (On -Site)
Setback - Top of Bank, Stream, Water Courses
. . . . . . . . . . . - - - - - - -
. . . . . . . . . . . . . . . . .
Setback - Storm Drain Line
.-17
Open Ditch - Existing
. . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .
Culvert Required
. . . . . . .....
Culvert Size
........................... K K*.-'K-'1*-.*..'*'.:
Shoulder Drainage/Shale Open Runoff
..............
Catch Basin Required
:0
illl;�.1.1%*,***-
Driveway Slope & Vehicle Access
..........
-------- --
. . . . . . . . . . . . . . ............... . . . . . .
Sidewalk Required
Curb & Gutter Required
Ap,
I
Curb Cut For Driveway Required
......................
Street Paving Required
............. . . . . . . . . . . . . . . . . . . . . . . . . . .
Right -Of -Way Construction Permit Required
.......................... . . . . . . . . . .
Street Name Sign Required
......
Other Signing Required
Bond Required For Public Improvements
FEMA Map Check/Water Table
32
Side Sewer Availability
X. ... .......
. . . . .........
.. ...........
Calculate Sewer Connection Fee If No
Ilk)
............
Create Street File
6h X
.......
Existing Water Main Size
Water Meter Size
.............
Vill
.....
......
37...
Service Line Size
Water Meter Charge Required
. . . . . . . . . . . . .
Hydrant Required
. . . . . . . . . . . . . . . . . . .
Hydrant Size Existing
5Y
A I I
Fire Line Charge Required Sprinkler
A AT/
Street Cut
Miscellaneous
Reviewed By:
FIRE PLANNING
EPrGINEERING PUYLIC WORKS
R. E C 0 R D OF C 0 N T A C T S
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT &-357 DATE ISSUED/////% RECEIPT #2,W/
9
�q
10
30
11
31
12
32
13
PAID $ RECEIPT # DATE
33
SS PERMIT DATE ISSUED// RECEIPT Z2046
14-
PAID $ RECEIPT # DATE
34
35
16
36
37
METER SIZE3�Z/ PAID, DATE// RECEIPT #22016
18
38
19
39
20
40
-1,0 CA FILE NO.
Critical Areas Checklist
----------------------------- --------------------------------
Site Information (soils/topography/hydrology/vegetation)
'201 _') _A�- � W,
I Site Address/Location: _-3 — 9 (�4- .
2. Property Tax Account Nurn ber: — oco- OM -osc I
3. Approximate Site Size (acres or square feet): S-0 074- - ? S�V,
4. Is this site currently developed? / yes;_no.
If yes; how is site developed?
5. Describe the general site topography. Check all that app
Flat: less than 5-feet elevation change over entire site'.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-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 '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 (Id _; Approx. Depth:
7. Site contains areas of seasonal standing water: _ No _; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway �So floodplain No of a water course.
9, Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Pic Flows are seasonal? (What time of year?
_11�
10. Site is primarily: forested meadow shrubs mixed V
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: &/a
DETERMINATION
^ca_chk.doc; Rev 10103/97
0 C T 2 7
City of Edmonds PLAi
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 deterinination 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).
Owner/Applicant: Applicant Representative:
Kv,"/ I �A
Name Name
-13
Street Address
(r,q,o,-LaC5 WA- q so I-(Z7
city State Zip
( ��) �)" � - - Ci
Telephone
Signature
101-zc4cis-
Date
Street Address
City State Zip
Telephone
Signature
Date
czeception\janakad.doc
(over)
14 C. 1 S) 13
October 28, 1998
CITY OF EDMONDS BARBARA FA . HEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works - Plan ning/Building - Parks and Recreation e Engineering e Wastewater Treatment Plant
Andrew & Judith Miller
20133 81st Ave. West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-261
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 EffilaONMENTAL CHECKLLST OR CRITICAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
mo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL .4111111111
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
Thank you.
Sharla Graham
Planning Secretary
C:Reception\Jana\CRLTR.doc
* Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
PLANNING DATA
NAME:. 6v(,e,.T—
SITE ADDRESS: �01 ILI DATE:
ZONING: %6 _.�r V 96 -/ZS-
-PLAN CHK#:
PROJECT DESCRIPTION:--/'161,,) M_PW
CORNERLOT HD (Yes/No)
SETBACKS:
Required SeLback§:
Front- Left Side: �5 Right Side: - Rear:
Actual Setbacks:
Front:-10.5' LeftSide:14-6 Right Side: -7.5 Rear:
Street map checked for additional setback required? ;T -(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED
___N (Y/N)
LOT COVERAGE:
Maximum Allowed: -Actuak
BUILDING HEIGHT:
Maximum Allowed: 4 Actual Height:
Datum Point--_6M 401 h P Datum ElevatIon:.3qF1).6
SUBDIVISION: �-? -96 -1
CRITICAL AREAS #: 95�
SEPA DETERMINATION:
LOT AREA:
o 67A
OTHER:
Plan Review By: /,-) . Ovd-IL0
JAN-11-i995 11:06 CENTURY 21 P.03
CA FILE NO. 4
Critical Areas Checklist -
Site Information (soUsitopogmphy/hydrbloo/vegefttion)
I. Site AddressfLocation: -?OJeP9
2. PropertyTax Account Nwnber.
3. Approximtr, Site Size (=eser squgm fOO):
4- Is this site currently developed? no.
if yes; how Iss s1te developeO -A
S. Describe the general eite topognphy. Check all that apply.
Flat: less dm 5-feet elevation dw.ge over entitre she.
C011i"
Rolling: 31kopcs on site gewrally less than 15% (2 Vertical rise of 10-feA over a
HouUmm
Hilly,
slopes present on site of more dm 15 % and less than 30% ( a vertIcal rise
of to-fea over a horizontal distance of 33 to 66-feet).
Steep.- gmdes of greater than 30% present 00 site (I venical rise of 10-fea QVCr a
Woontal distance of less than 33-fed).
Odier (please describo):
6. Sit* ContainS af= Of YeW-MUM standing water: .>7v _; Arprox. DVth:
7. Site contliflS areas Of SeWOTW $L%Wing water: _�?q _; Approx. Depth;
Wilat scason(O of the. you*.
9. Site is in the floodway floodpWta k?v of a water course.
9. Site containt-a creek or an area wtWe WOW flOWS aoross the gmunds sufface? Flows am year-
round? >2.0 Flows are SMORW >7c, (What timu of ycao.
jo. site is primarily: formtod shnibs dixed
urban landscaw (IaW14� etc)
11. Obvious wedand is present an sitte: S�2 n
FerCfty&WUSC)Inly�
Site is ZopcP,
A
.-'SCS =PpOd $611 ln��Sr- kr��
2.
_A. ump jed;"tw vwAlaad preami an -site?: . .....
#ury or C
or C—A.'map-bWkites Critical Ara oo- site?
"UtM
Jan
10
0:
�;V I X. jrs org I
e�
77-, 7V qi��W
ROW OWL")
TOTAL P.03
JAN-11-1995 11:05 CENTURY 21 P.02
City of Edmon&
Critical Areas Checklist
The Critical Areas Checklist conMined on
this form is to be filled out by any per5ou
preparing a Development Pennit
Application for the City of Edmonds prior
to his/heir submittal of a deyelopmcat
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whether any
potential Critical Areas are or rnay 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 inventoties, maps,
or soil surveys).
An applicant, or hisfher representative,
must fil.1 out the checklist, sign and date,it,
and submit it to ft City. The City will
review the checklist, make'a precursory site
visit, and make a determin2fion of the
subsequent steps necessary to oompletc a
development permit application.
With a signed copy of this form, the
applicant should also submit a vicinity rn;ap
or plot plan for individual lot3 of the parccl
with enough deWl ftt City staff can find
and identify the subject parcei(s). b
addition, the applimt shall include
other pertinmt.infibrimtion (eg. site
Pl9knis WpOgraphy!nap, etc.) or studies in
conjunction with this CheMist to assM
staff in completing their prdb3iinary
assesment of the site.
I have completed the attached Critical Area Checklist and attest that the
answem provided iire
factual, to the best of rny knwMedge (fill out the appropriate column below).
Owner / Applicant:,
t T
NanVA
'p- 0 1 -;2- C
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S&ftt Addrm
CAI -In 0
aly, Swe, ZIP Phone
Applicant Representative:
e— C - DD'-UJ'S!V
t4fimoc.zxv�v o
coars--
Stred Addr=
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City, Statc, ZIP
)70- X.
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ZAVALES DESIGN ASSOCIATES
I Z D A
1243 ne 152nd st
seattle, wa. 98155
(206)362-2992
13
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8-ber City Consl�,lnc.
Jarrie Schwa I �Cls
16922 North Road
Botheil, WA 91,3012
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WrE-FUBUC UrUrIES ARE
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-DRIVEWAY
UNPAVeD
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49EA OF LOrA-78074.8 SO.
A REA oF Lo r ox 11935.2 so.F r
PP INDICAMS POWER PME
ZONING - RS 8
WATER SERVICE INSPECTIONS
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AND VeHICULAR TRAFFICAVR rHe arNEFir
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APP"'VED
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REQUIRED. CALL 771-02sHoRr PLA r
SILVER ClrY C01VSrRUCr10VV hvc.
IAI NE-114 oF sEmov /9, rWP 2 7N. RGt 4 E., W M.
IX CI 7Y CF EDMONDS WA SHMIG TON
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RIGHT-OF-WAY, CONSTRUCTION
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PERMIT. Permit Number. q4� —5
Wue Date: 190
A. Address or Vicinity of Construction: 81 Av V (9619343)
9 0 1 B. �Type of Work (be specific): Ittstail 2"MPE IP Main from 582 - � to 687
9 141V C/L 81 A4 W ai 6841S run 5/8" service east to edge of
R.O.W.
'kiltural" 6as Mariamne Kingsbury
C. Contractor: Va0hington Contact
Mailing Address: 1122 75 St SW Everett Phone: --356-7500 X7596
State License #: 98203 Liability Insurance: _ Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. E] Commercial E] Subdivision 0 City Project []I Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family E] Single Family E] Other
INSPECTOR: 114SPECTOR: 9W.
F. Pavement or Concrete Cut ETYes C]No G. Size of Cut: �x 2 H. Charg(�,$
over -exi ing patch over water
APPLICANT TO READ AND IGN
0
h '*he Ci
INDEMNITY. Applicant understands and by his signature to this application, agrees to, ' t ty ofEdmonds harmleis from or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Fdmondg, or any of its departments or
employees, including or not limited to the defense ofany legal proceedings including defense costs, and attorney fees by reason ofgranting 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. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
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 sh�ltbe 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 6r City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above s tateme'nts and understand the permit requirements and thepink copy of thepermit will be
available on site at all times for inspection purposes.
Sig n a t u re: 1'&rr, 1))w 12-11-96
& y
(eoni�a_ "W o e t)
CALL IAL-A-DIG'PRIOR TO BEGINNING WORK
,
9W
APPROVED BY:
TIME'AUTHORIZED: VOID AFTER MAP-0i 5 DAYS
SPECIAL CONDITIONS:
UT e>NL-�f
�4
It'. t-4 1FW In 07
11,15,
COMMENTS:
0 *0
do%4 F
DATE:. +
RIGHT OF WAY DEPOSIT
DISRUPTION. FEE/FUND 111:
RESTORATION FEE:
PERM IT'FEE.
TOTAL -FEE: -3o
RECEIPTFEE:,
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO- PERMIT ISSUANCE
Eng. Div. 1994
w
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
I
CONTRACTOR CALLED FOR INSPECTION El YES NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
01 -k- HW I ION
RIEVISIONS
Notew Vw City of Edmonds
1 Field locate all utikies.
Call 1-800-424-5555
24 hours before digging.
2) Survey is not required
3) Maintain a minimum of 5'
horizontal and 3' vertical
clearance from all city
utilities and appurtenances.
4) Cuts in paving are shown as-0
5) 1 cuts in paving anticipated.
C:>Vr--R f-^TC-H
I o� 2�, M R
BILL OF MATERIAL
Z-f -.4
C.'Z C. 5
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A,*.A 9�,It
1,A P E-Z I P NA A I e-X-rw-- T4-2AO f-A
ro Q7e-xZYr--: JA,"Ir-
Z(:Y% -6-5 81 AV V-1
12- E) 3G
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DATE By I APP D t:""
Spr
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APP
.A -.ALE 1'- 40'
Notm- nw City of Edmonds
1) Field locate all utiNties.
Call 1-800-424-5555
24 hours before digging.
2) Survey is not required
3) Maintain a minimum of 5'
horizontal and 3' vertical
clearance from aU city
utilities and appurtenances.
4) Cuts in paving are shown as Q
5) 1 cuts in paving anticipated.
c1VE-;=F, - 14 <-�j f-^TCH
... ... .....
BILL OF MATERIAL
F-AAA--" =I.4r
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100 AML
C1 'I't
kAPE—� IR KA.46o" f=—:*-X-rT---t-4,;a4C�>r-4
-oeP-vr.- : %A4Air-
2-atS-5 at Av %,-.I
12-
01 -k- N.V! 1��N DATE BY AWO
REVMIONS SCAL C 1 40' APP
USE
ZONE PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION jos SUITE/APT #
OVER NAME/NAME OF BUSINESS ADDRESS
%�QKV 4 LEGAL DESCRI`PT10N CHECK SUBDIVISION NO. LID. NO.
MAILING ADDRESS 13,9
fzl� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0
\ZIP TELEPHONE NUMBER RW Permit Required 0
'I _7 EXISTING REQUIRED DEDICATION to== Street Use Permit Req'd 0
649 Inspection Required
PROPOSED
NAME VT SIZE Sidewalk Required 0
e2p;t,�,ift,Zs LINE SIZE I NO. OF FIXTURES PRV REQUIRED
ADDRESS YE NO 13
0 SX 0
\-2�__� f-JC_XS"Z_ REMARKS Z
(Q. Q�& IZIP —rT—ELEPHONE NUMBER 5
Cilk 5:41C I K "-Yt WA t!m Pec._61)1101 Z
NAME
ADDRESS
gt�j ErR I NJ 7i
EMODATED REVIEWED BY
ZIP TTELEPHPNE NUMBER; 96
cc CITY
Z FIRE mEmo DATFn,, REVIEWEDBY
W
cc
STATE LICENSE NUMBER r7EXPIRATION DATE
�SEPA R ADS NO.
�2 REA,,�, E IEW
�L�60"W, 96, _, ;;7, 1
COMPI TE EXEMPT
Legal Qescription of Proper t
IV�- include all e n s,..
e
SHORELINE
W
Z A_1�1
2 &ICA
EXP: .
VARIANCE OR CU 1)
UNN!NG,,REVIEW BY,.p DATE
W
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T.: :�EIGHT LOT C04RAGE Z
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7 'FRONT AFAR 'APO
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SIDE-`,,7'
wi Property,-,,,.,
Jax Account
ParceINo.*jfVS
7
N EVV, RESIDENTIAL.,�-%'-. "PLUMBIN
ADDITION Lj ic6mmi ACIALZ MECHANICAL
PT. BLDG.
D REMODEL El
;HECKED TYPE, OFXONSTRUCTION',, lo OCCUPANT
'S
FENCE
X.,
El REPAIR
�S
—l'.WObDSI?V SPECIALINSPECTOR...,
El DEMOLISH r
OCCUPANT
REQUIRED
9
LOAD
GARAGE RETAINING WAL
IRO R E A
C E M
Z
ESS ORACD��JTY)�EXK
0
(TYPE OF USE, BUSIN
W NUMBER NUMSEWOF- CRITICAL'
0 OF DWELUkti-�_�,�-,-' AREAS
WC STORIES UNITS'�*'�3i`,�!.'-�.`J NUMBERy's
AV;= jqq4 a6ef
DESCR18E WORK TO BE DONE (ATTACH PLO'T,'PLAN)
FINAL INSPECTION REQUIRED
ALUATION FEE
FEEj
'o,
41�D�N Iva 7
HEAT SOURCE: _GLAZING
�j
4i3A`,
Plan CheCk No. '0/- MECHAN11CAL
This Permit covers work to be done on private property ONLY, GR�?INGWILL 'A
Any construction on the public domain (curbs,'-sldewplks, I N��V�
driveways, marquees, etc.) will require separate permission, STATE SURCHARGE
Permit Application: 180 Days
Pernift Llmlt: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE
".�pplicant, on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE
successors in interest, agrees to Indemnify, defend and hold -119
U23 harmless the City of Edmonds, Washington, Its officials,
m employees, and agents from any and all claims for damages of
< whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
modi
0 fy, waive or reduce any requirement of any -city ordinance
x * nor'llmit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
pro4ision." 10�_5z /i I
I hereby acknowledge that I have read this application; that the
Information given Is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner.'I agree to comply with city and TH16 PERMIT
state laws regulating construction; and In doing the work authoriz- AUTHORIZES This application Is not a permit until
ed theretij,":nQ per . son will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK POTED Deputy; and fees are paid, and receipt Is
tion insurancearid RCW 18.27. INSPECTION acknowledged in space provided,
SIGNATURE (OWNU OR AGENT) ----jDATE SIGN
DE ARTMENT
ED P
_C CITY OF OIFFICIA IGN 011) DATE
EDMONDS
[R
CALL FOR D r: E
2 Z
ATTENTI ON INSPECTION
,UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
L.A FINAL INSPECTION HAS BEEN MADE AND APPROVAL R inspect
ATE OF OCCUPANCY HAS BEEN GRANTED, U0 771 `s' 92�O ORIGINAL — File YELLOW
SC
PINK — Owner GOLD — Assessor.,
-*ftj0l1M0W-
go . 1 9
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAx (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works a Planning 9 Parks and Recreation * Engineering
October 6, 1995
jufl i
Jamie Schwartz
Silver City Construction Inc. PEAMIT couj-,,�
16922 North Road JC17my
Bothell, WA 98012
Mr. Schwartz:
The Planning Division. of the City of Edmonds has the following responses for the
questions you submitted concerning -a developme ; nt proposal I on the property located in'
an RS-8 zone.
First, when doing a subdivision of a property,zoned RS-8, the lot width requirement will
be taken parallel to the street the proposed lot(s) gain access from. A street includes
any public right-of-way except an alley, or an� access easement that serves more than
three units. In the situation thatlyou have shown on your site plan, if the easement
serves only the two lots shown, the lot width will be measured parallel to 81st Ave W,
that is the North/South axis.
Secondly, since there is no "street property line" per say, designation of either the south
or west property line as your street property line for location of the street setback will be
at your discretion.
Please feel free to call if you have any questions or need more information.
Sin r ly,
ST PHEN F. B LOCK
LAURA M. HALL
MAYOR
Incorporated August 11, 1890
Sister Cities International — Hekinan, Japan
The City of Edmonds Water Service Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS Ej LID NO . .................. . ASMT. NO . ..................
OWNER...............................................................................
......... ....... CONTRACTOR ........... ..................................................................... — PERMIT NO . ..................
JOB ADDRESS ......... . ........ LEGAL DESCRIPTION: LOT NO . ............. ........................ BLOCK NO . ..............................
.. ... .. .......... ........
NAMEOF ADDITION ................ ......................................................................................................
Z
iz
I i
pq,R)r.
Approved:
PWW-0001 -11/75 (REV. 11/78) DATE../Z . ................................... By .'� ...... �;;, . ........ &e.r...
I
I-,
Pm / -r kxj / 90 2W6
CITY OF EDMONDS*
9 0
Address of Construction:
Pp,perty Legal Description (Include all easements):
CJZD P\- - k Izz; � -2
S I DIE
PERMIT
LAAE-5 7-
Owner and/or Contractor: S1 L-�J� e01,3 Fnz_�S, I, N T) (2—,
State License N o'�), Co B u i Id i ng Perm it N o. 9
>%ngle Family
0 Multi -Family (No. of Units—)
0 Commercial
El Public
1 *
PERMIT,
3, 8 V 9,�
I ENT N.-T
M PLA I I
Invasion into City Right -of -Way: El No A Yes
RW Construction Permit No. 496—
Cross other Private PropertypEZ No El Yes
Attach legal description and copy of recorded easement
I certify that \1,have reaWcdNXccom ly with all city requirements Date
as indicated on the back of"thekFeMpit Card.
CALL DIAL -A -;DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
* FOR INSPECTION CALL 7"-32,02, PUBLIC WORKS DEPT.
Permit Fee: '77/-Ok�
Issued By
Trunk Charge Date Issued:
Assessment Fee: Receipt No.: 2 Zolb
Lid No.:— 139
Partial Inspection:
Comments
Date —Initial
Reason Rejected: Date —Initial
Final Inspection Approved: Date lnitial4z��
** PERMIT'MUST BE POSTED ON JOB SITE **
White Copy: Fite Greeiri Copy: Inspector Buff Copy: Applicant Revised 3!90
NOTICE:
---------N-o---wa-rra-nt-y--o--f-a-cc-u�-r-a-cy-.--- -------
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.onds does not warrant the
accuracy of anything set for.th on t hese
map(s-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the informa tion sho.wn on
t -map(s), including, but not limited to,
th . e 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
ernp[oyee-s o-r officerS sh-all be Via-b-'Fe for tthe
information given on this map(s), nor for
any one representation provided based
upon said map(s).
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . ............................................
NEW CONSTRUCTION.,� REPAIRS R LID NO . ............ ..... . ASMT. NO . ..................
OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO.
D � 's r- S71 f ;- .
JOB ADDRESS ..... - --- --- - - - -9 . . ........... luc ...... �4 LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
PWW-0001 -� 1/75 (REV. 11/78)
....................... ........................................ .................................................................................................
NAMEOF ADDITION .......................................................................................................................
EDMONDS
TREATMENT, PLANT]
-0—
-e-P
4-11
_n C4-%3
16
Approved:
DATE YL67..�?� ............... By .......
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT 4 Permit Number.%-357
Issue Date:
A. Address or Vicinity of Construction: 2413 S Y-1 L_J
B. Type of Work (be specific): SNDD Y.\
890 f
C. Contractor:`)Dx��-�Cx�'� QDT%J�A: t�4C— Contact:
Mailing Address)&C) Phone: -) N 2- -1
State License #: Liability Insurance: Bond: $ _(0 C� t z
D. Building Permit # (if applicable): qbv5sq Side Sewer Permit # (if applicable):
E. F1 Commercial E] Subdivision El City Project F] Utility (PUD, GTE, WNG, CABLE, WATER).
E] Multi -Family Single Family 0 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes AWo 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 City ofEdmondsharmlessfrom 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 or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgrantingthispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL 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.
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 Cityregulatibns as required by the City Engineer.
All street cut ditches shall be patchedwith asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
f t
available onit�itt all �time�s �spec ion purposes.
Signature: Date:
\_'1�4ntr o or nt)
CALL DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY- RIGHT OF- WAY DEP OSIT
TIME AUTHORIZED: VOID AFTER 60 —DAYS DISRUPTION FEE/FUND 111:
SPECIAL CONDITIONS: RESTORATION FEE-
PERMIT FEE:
0.00.
3
TOTAL FEE:
COMMENTS: 'RECEIPT%4W.
DATE: ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diaaram.:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
D YES
Date:
Date:
El NO
I CITY OF EDMONDS
RECORD OF SHORT SUBDIMON
This is to certify that the properties as shown on the attached map (Exhibit "A") and described as
follows, I
See Exhibit "B"
have been divided under the provisions of the Edmonds Subdivision Ordinance (Sec 20.75) File
No. S-96-1 subject to the following conditions and requirements:
I. The s , hort-plat must comply with all the requirement of the Engineering Division as stated
*in "Attachment 4" of "Exhibit A" of the Planning Division's Final Review of the Proposed
Subdivision dated March 12, 1996.
2. Exhibit C, Hold Harmless.
3. Exhibit D, Maintenance Agreement.
I / we verify that I / we are the legal owner(s) of the property described above. I / we warrant that
all representations are trueand correct and understand that in the event of any misrepresentation
or failure to comply with the conditions and regulations set forth herein, the City of Edmonds
shall have the right to declare that subdivisions void and record a statement to that effect in the
Grantor -Grantee's Index in the office of the Snohomish County Auditor.
Signed: ^ 1. /. .
- / , t 4
STATE OF WASHINGTON)
ss:
COUNTY OF SNOHOMISH)
On this day personally appeared before me ,� 0-� <--
,to me
known to be the individuals described in and who executed the within and foregoing instrument,
and acknowledged that cklo— signed
the same as .40-0-- free and
voluntary act and deed, for the uses and purposes therein mentioned.
Given under my hand and official sea] this .4--7 day of 19 7
-------------------
NOTARY PUBLIC
STATE OF WASHINGTON.
DIA BOCK
My Appointment Expires MAY 3M 1997
-------------
AUTHORIZED
FOR RECORDING
OF EDI'0C;4r,-�.
PLJ-. ENO'
I—,
PAGE���OF��
Notary Public in and for the State of
Washington residing at
C)
.. n1D..CA&rD MOW . M890( J"W 353.74 zoo ffi 5-6 s.W
FUD. C4 SED AAW. A T80 M A VE k
0
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PP. INDICA MS POWERP01. E
ZONING — RS 8
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NOTE-RIBLIC UrVRES ARE
AVAILAY-----
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SILVER ClrY CONSMUMON IAIC.
IN NE-1140FSEMOA119, 7WP27Al.RGe4E-,WM---
CITY CF EDMOIVDS WA SHIM TOM
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A -9JR LE Y MA L E B y ME OR UNDER M Y L VREC 7 74
//V CMFOAWNCE WITH ME REOUIREMENTS
OFAPMMME SWEAND C0l1N7YSrA7Zfj
AAD ORDIIWNCE.
'11111996
A U
UTHORIZED NO. 16-008
FOR RECORDING
CITY OF EDMONDS
AS qz
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OL-1458 PO.400
7niE-No. r9olisol
RINEZ: LAW SURVEM
PLAN! ENG 2
oknvD A`05
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-E 66 "' sT w
PAGE (206)881-2774
aevl- I *'Exhibit "A" '42`3N
,k _0 16
LEGAL DESCRIPTIOh-jF PARCEL TO BE SUBDIVIDED -
LOT 19, LESS THE EAST 150.00 FEET THEREOF, OF PLAT OF EDMONDS ACRES
DIVISION NO. 2 ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 12
OF PLATS, PAGE 66, RECORDS OF SNOHOMISH COUNTY, WASHINGTON.
LEGAL DESCRIPTION OF PARCEL A
THAT PORTION OF LOT 19 OF EDMONDS ACRES, DIVISION NO. 2f RECORDED IN
VOLUME 12 OF PLATS, PAGE 66, RECORDS OF SNOHOMISH COUNTY, WASHINGTON
DESCRIBED AS FOLLOWS:
BEGINNING AT THE POINT OF INTERSECTION OF THE SOUTH LINE OF SAID LOT 19
WITH THE WEST L;NE OF THE EAST 150.00 FEET OF SAID LOT 19;
THENCE NORTH 89 16'13" WEST, ALONG -SAID SOUTH LIgE, 153.90 FEET TO THE
SOUTHWEST CORNER OP SAID LOT 19; THENCE NORTH 00 25'21" EAST,, ALONG THE
WEST LINE THEREOF 6.00 FEET; THENCE SOUTH 89016'13" EAST, PARALLEL WITH
SAID S * OUTH LINE 6 92.49 FEET; THENCE NORTH 00043'47" EAST, 38.43 FEET;
THENCE NORTH 86 53'41" EAST 8.00 FEET; THENCE NORTH 03 0 32'15" WEST,
44.00 FEET; THENCE NORTH 02 6 81'.24" WEST, 41.26 FEET TO THE NORTH LINE OF
SAID LOT 19; THENCE SOUTH 89 14'45" EAST, ALONG SAID NORTH LINE, 58.59
FEET TO THE WEST LINE OF THE EAST 150.00 FEET OF SAID LOT 19;
THENCE SOUTH 00 0 24'30" WEST, ALONG SAID WEST LINE, 130.00 FEET TO THE
POINT OF BEGINNING; ,
ALL IN SNOHOMISH COUNTYr WASHINGTON.
LEGAL DESCRIPTION OF PARCEL B
LOT 19, LESS THE EAST 150.00 FEET THEREOF OF PLAT OF EAST EDMONDS ACRES
DIVISION NO. 2 ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 12 OF
PLATS, PAGE 66, RECORDS OF SNOHOMISH COUNTY, WASHINGTON;
EXCEPTING FROM THE ABOVE PARCEL OF LAND THAT PORTION THEREOF DESCRIBED AS
FOLLOWS:
BEGINNING AT THE POINT OF INTERSECTION OF THE SOUTH LINE OF SAID LOT 19
WITH THE WEST LINE OF THE EAST 150.00 FEET OF'SAID LOT 19;
THENCE NORTH 89016'13" WEST,. ALONG SAID SOUTH LINE, 153.90 FEET TO THE
SOUTHWEST CORNER OF SAID LOT 19; THENCE NORTH 00 25'21" EAST, ALONG THE
WEST LINE THEREOF-6.00 FEET;THENCE SOUTH 89 0 6'13" EAST, PARALLEL WITH
SAID SOUTH LINE 6 92.49 FEET; THENCE NORTH 00 43'47" EAST, 38.43 FEET;
THENCE NORTH 86 53'41" EAST 8.00 FEET; THENCE NORTH 03 0 32-15" WEST,
44.00 FEET; THENCE NORTH 02 6 Al'24" WEST,-41.26 FEET TO THE NORTH LINE OF
SAID LOT 19; THENCE SOUTH 89 14'45" EAST, ALONG SAID NORTH LINE, 58.59
FEET TO THE WES� LINE OF THE EAST 150.00 FEET OF SAID LOT 19;
THENCE SOUTH 00 24'30" WEST, ALONG SAID WEST LINE, 130.00 FEET TO THE
POINT OF BEGINNING;
ALL IN SNOHOMISH COUNTY, WASHINGTON.
AUTHORIZ50
FOR RECORDING
CITY OF EDMONDS
o su;?l
14,
10
1-31
Exhibit "B"
File Number S-96-1
EXHEBIT C
HOLD HARMLESS AGREEMENT'
Owner, and all persons having any present or subsequent ownership interest in these
lands, and the successors and assigns of owners or other parties having any said interest,
hereby agree that the City of Edmonds shall be held harmless in all respects from any and
all claims for damages for injunctive relief which -may be 'Occasioned now or in the future
to adjacent land or improvements by reason of the construction, operation and
maintenance of the draingge system and hereby waive and release the City of Edmonds
from any and all claims for damages, excluding damage caused solely by an act or
on-�ssion of said City and injunctive relief which the owners, or their successors or
assigns, may themselves have now or in the future by reason of the construction,
maintenance and operation of said drainage system.
AUTHORIZED
PC" RECORDINIS
0WV0F EDMONDSO
2F
File Number S-96-1
EXHIBIT D
MAMENANCF- AGRFmmENT
FOR'
INGRESS-EGREss EASENffiNT
Maintenance, operation, repair, and/or reconstruction, as intended in this
declaration, apply to all necessary materials and labor required to maintain a stable
and usable road surface for ingress and egress of said easement as described in
exhibit B. The 'cost of said maintenance, operation and repair and/or
reconstruction shall also be borne equally and jointly by the. owners, their heirs,
successors, and assignees, of said lots A and B.
QTV OF EDIWoNds
IT
A v
P LJA I"I-Q
Sli'ver MY Constr Me.
Jamie Schwaniz a3 19 -7
16922
Bothell. WA 98012
LuT i��
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STANDARD DRAINAGE DETENTION SYSTEM
L— WORKSHEET
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CALC BY-
PHONE- �41—M-�
DATE: S 12A -q (o
*****DESIGN DATA **** *
PIPE DIA PIPE LG
ORIFICE
k�Q \oq:S Sxjf6i�ksf P-,,- -7b &E, 'DOTA,) NP&-'::)
.1
COVER MIN SPACE
Z'MAX COVER FWE V
t
INV IELIEV—
COMMOC CArCH
BASIN
SYSTEM CROSS SECTION
W&SHED GRAVEL
OUTFLOW TRENCH, M IN IV LONG
TOP AND 4-PERF PIPE TO BE LEVEL
FROM
CONTROL
,OUTLET
4-PERF PIPE W/CAPS
RUNOFF SPREADER
OUTLET
,,2'1 �'x G'OEEP, 4'. 6' QUARRY SPA LLS
X2 %3" DEEP, 3/4'CRUSHED ROCK
FROM CONTROL
OUTLET
RIPRAP OUTLET
I
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETE NTION SYSTE M