20204 92ND AVE W.PDFiiiiiiiiiiii
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20204 92ND AVE W
cit
y of Edmonds. PERMIT NO:
PERMIT EXPIRE
SIDE SEWER PERMIT
Address of Construction: AWe LID #
Property Tax Account Parcel No. 001p"6 00000,700
Attach copies of all access and utility easements Verified and Approved b
0e
Owner and/or Contractor:
Contractor License /.Ot/ Building Permit
e4single Family Invasion into City *Ri.ght-of Way: Rryes No
D multi -Family' (No. of Units *RW Construction Permit
F� Commercial (No:.of Units Cross other Private Property: El Yes 5�rNo
Public "Attach legal description and copy of recorded easement.e
ffon t r!a7c �toj
Owner
Z, � �=,
Owner or Zontractor signatux and acknowledgement statemefit: Date
By signing for this.permit I certify that I have read the City's.public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined ther.ein,
2 CALL DIAL -A -DIG (1-800-4114'�.5555). BEFORE ANY EXCAVATION 2
.12 FOR INSPECTION CALL 425-771-0220 extensionJ�90=
.24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO —Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
,FINAL INSPECTION APPROVED: Date: 0 Z-- Initial: As -built to Street File: ad�
13� PERMIT MUST BE POSTED ON JOB.SITE t�
,White Copy: File - Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg;forms;sspertnitjlg4/00
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,CITY
OF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
20204 92ND AVE W
PERMIT
NUMBER 9593
HOMEOWNER EDWARDS
CONTRACTOR K &
S
DATE
04/02/01
DRAWN
BY
ISMAEL ABILA
40
NV
Avu)
ZD
77-�:7—
lb
DONNA L. BRESKE, P.E.
-�'pe:5r� v D
REC—
OCT -4-200,
p2RMIT COUNTER
Z2ZOq --qe�tpl qve�j
14712 Meadow Rd. Lynnwood, WA 98037
Phone: 425-742-6386 Fax: 425-787-9330
STORM DRAINAGE DETENTION DESIGN
FOR
EUGENE & MARY BOE
DATE: SEPTMEBER 19, 2001
SITE: 92NDAVE. W. near Cascade Dr.
Lot B
EDMONDS, WA
==mn 1,111117001-0
40161101�
RECEIVED
OCT - 3 2001 -
BUILDING DEPT.
STREET FILE
Eugene & Mary Boe
LOT 66B'9
Attached are design and supporting calculations for the installation of a single
family lot detention system. impervious area used to size the detention system includes
3,865 square feet for a proposed house and driveway.
A 36" diameter detention pipe and release orifice are designed in accordance with
the SCS method for storm water control. The system is designed to detain the 10-year
and I 00-year 24-hour storms and release at the pre -developed rates for both the 10 and
100-year storms.
outfall from the detention system is released to an existing catch basin within the
right-of-way of 92'd Ave. W. The controlled release for the 100-year storm event is .07
c fS.
DONNA L. BRESKE-1 P.E.
14712 MEADOW ROAD
LYNNWOOD, WA 98037
PHONE: 425-742-6386
FAX. 425-787-9330
375.-5'
N
/ 10.01
ITRY
EW 10 FOO�
0
i�2
7
S8�34'28-
i LT
--
�23.00'
SEWER EASEMENT
SE T
IR 0 ENC
7/ Zil
TO BOE.
To
SALINAS TO HAV
( (S
kENC
SI E CONNE�Tj-
5XWOOD
I I "F C)
cn T
F c
DIRT
6�9 3 2EFC
WEST EN� WOOD FENCP
NOT TtC- FOOT/N4
4-o
QPPIKI'- T-0 DE-7-ENT(ON
�00
Tc/ q'�'td
cn
F-u_gene !;� MOKU r-0(f
5ept, 1�7 2001
-sra le I "= 20,
TOPO 9 51TE-PL-AN PROVIDEP
1B Y 0 TH 0Z5
r
co
S.S. 89*34'28*E
�S89'
367 .
BOE HOUSE
(UNDER CONSTRUCTION)
3,865 SQ. FT.
IMPERMEABLE SURFACE)
367.5'
NOTE, wcomjNcq FL
-OWs YIA
CON L/ F- YA N CE Ft PE c-A N
BE CONNECTED 7-0 CE 44�
OR C6 442
MIN IE= 3(,7.9
198.05,
TENTI�,
ENT E
C-B Jt I - CON1VOL 5TIWCTO IR E
TYPE I VY16RATEW LID
Top=3toy.5 mtN
'11N
_00
LOT A 3G-1-8-QoT
371\'
20204 92nd Ave.W.
AD-5-N12
REMWJ R-2 TyP
LOT B LL
371.5'
driveway
C13 Rnz-3�'
8"COKC 5W 3KO
12" ONC AIW 361-0
4"put lEwl(,74.51 12"CONC 56 *11- 1
So'
x
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, 8 C
C1
CONC NE 36J.G
X
=,75
ir-842 - TYPE fL
VV 4RATED I- I D
to Tofz 364'7 MIN
I E(N) -- 34 5,03 RQO
MAINTPIN 1.7'
mlpqlmvm covep
OVER ENTiRe LEN47�1
OF J�)ETENTION PIPE-
isoe
--1
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,---).s I/
,--V
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NOTCH wF-IR
ELr 3 6,7. 10
6 /f Pvc PIPE NNITI-(
NOTCH \NE-IR
6" PVC TEE
(11 if pvc PIPE
MIN
PVC CAP
5E-CORE wITH ��)HEstUE
DR)LL 3/+" DIAMETEk ORIF16E
/Al e-^F- N TER OF :fA P
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0
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. (B 7 Ac CAI = 6(a
z4-- hr Sf-o(-m [=-ve-rT+
us e- Te -=- 10 vr;m
bo�h exi'5f�r-!3 &
9/19/01 Western Surveyors Inc page
BOE
SPETEMBER 19, 2001
BASIN SUMMARY
BASIN ID: A10OX
SBUH METHODOLOGY
TOTAL AREA ....... :
RAINFALL TYPE .... :
PRECIPITATION .... :
TIME INTERVAL .... :
TIME OF CONC ..... :
ABSTRACTION COEFF:
NAME: 100 YR 24 HR EXISTING
0.28 Acres
BASEFLOWS:
0.00 cfs
TYPElA
PERVIOUS AREA
3.00 inches
AREA..:
0.28 Acres
10.00 min
CN.... :
81.00
10.00 min
IMPERVIOUS
AREA
0.20
AREA..:
0.00 Acres
PEAK RATE: 0.07 cfs VOL:
BASIN ID: AlOX
SBUH METHODOLOGY
TOTAL AREA ....... :
RAINFALL TYPE .... :
PRECIPITATION .... :
TIME INTERVAL .... :
TIME OF CONC ..... :
ABSTRACTION COEFF:
CN.... : 98.00
0.03 Ac-ft TIME: 480 min
NAME: 10 YR 24 HR EXISTING
,0.28 Acres
BASEFLOWS:
0.00 cfs
TYPElA
PERVIOUS AREA
2.00 inches
AREA..:
0.28 Acres
lo.00 min
CN.... :
81.00
10.00 min
IMPERVIOUS
AREA
0.20
AREA..:
0.00 Acres
PEAK RATE: 0.02 cfs VOL:
BASIN ID: B100D
SBUH METHODOLOGY
TOTAL AREA ....... :
RAINFALL TYPE .... :
PRECIPITATION .... :
TIME INTERVAL .... :
TIME OF CONC ..... :
ABSTRACTION COEFF:
CN.... : 98.00
0.01 Ac-ft TIME: 480 min
NAME: 100 YR 24 HR DEVELOPED
0.28 Acres
BASEFLOWS:
0.00 cfs
TYPElA
PERVIOUS AREA
3.00 inches
AREA..:
0.19 Acres
10.00 min
CN.... :
86.00
10.00 min
IMPERVIOUS
AREA
0.20
AREA..:
0.09 Acres
PEAK RATE: 0.12 cfs VOL:
CN.... : 98.00
0.05 Ac-ft TIME: . 480 min
9/19/01
Western Surveyors Inc page 2
BOE
SPETEMBER 19, 2001
BASIN
SUMMARY
BASIN ID: B10D
NAME: 10 YR
24 HR DEVELOPED
SBUH METHODOLOGY
TOTAL AREA ....... :
0.28 Acres
BASEFLOWS: 0.00 cfs
RAINFALL TYPE .... :
TYPElA
PERVIOUS AREA
PRECIPITATION .... :
2.00 inches
AREA..: 0.19 Acres
TIME INTERVAL .... :
10.00 min
CN.... : 86.00
TIME OF CONC ..... :
10.00 min
IMPERVIOUS AREA
ABSTRACTION COEFF:
0.20
AREA..: 0.09 Acres
CN.... : 98.00
PEAK RATE: 0.06
cfs VOL:. 0.03
Ac-ft TIME: 480 min
9/19/01 Western Surveyors Inc page 3
BOE
SPETEMBER 19, 2001
HYDROGRAPH SUMMARY
PEAK
TIME
VOLUME
HYD
RUNOFF
OF
OF
Contrib
NUM
RATE
PEAK
HYDRO
Area
cfs
min.
cf\AcFt
Acres
1
0.025
480
606
cf
0.28
2
0.069
480
1316
cf
0.28
3
0.065
480
1150
cf
0.28
4
0.118
480
2023
cf
0.28
11
0.020
630
1150
cf
0.28
12
0.066
540
2024
cf
0.28
9/19/01 Western Surveyors Inc page 4
BOE
SPETEMBER 19, 2001 ----------
----------
STORAGE STRUCTURE LIST
UNDERGROUND PIPE ID No. PI
Description: DETENTION PIPE ft.
Diameter: 3.00 ft. Length: 49.00
Slope... : 0.0050,ft/ft
or volume ('n
C PA
Decrease. n (Pe
T e 1 C65
3P
PEAK F��-
)C)OYR STOW
367-56 —T-
2,7�
--7 /—, ( )c 1-7 " Af)f,- N12 geclocer
AL,,5 - N/Z
28 "
x Z.7q - 25,7& Ct-3
2
ell+- le,'gih o� 3(a" cliomel-er
Equiva(
t/ (1"5)2 -7 7.07 f63 per �,F Of 3 PIPle
2 SO' 7 6-
7,07
There(Or-e r-cclu4fed lerjfh
o'
diomei-er-F,pe is,
14-S-, -5 :LF:-j
9/19/01 Western Surveyors Inc page 5
BOE
SPETEMBER 19, 2001
DISCHARGE STRUCTURE LIST
COMBINATION DISCHARGE ID No.. C1
Description: COMBINATION DISCHARGE
Structure: 01 Structure:
Structure: N1 Structure:
Structure:
NOTCH WEIR ID No. N1
Description: NOTCH WEIR
Weir Length: 0.1250 ft. Weir height (p): 0.4000 ft.
Elevation : 367.10 ft. Weir Increm: 0.10
MULTIPLE ORIFICE ID No. 01
Description: ORIFICE
outlet Elev: 364.80
Elev: 363.80 ft Orifice Diameter: 0.7500 in.
6
9/19/01 Western Surveyors Inc page 6
BOE
SPETEMBER 19, 2001
LEVEL POOL TABLE SUMMARY
MATCH INFLOW -STO- -DIS- <-PEAK- STORAGE t1l 4r0l
< -------- DESCRIPTION --------- > (Cfs) (cfs) --id- --id- <-STAGE> id VOL (cf) pep K
10 YR 24 HR STORM ............ 1 0.02 0.06 Pi Cl 366.55 11 191.22 02-
100 YR 24 HR ................. 0.07 0.12 Pi Cl 367.56 12 321.69 .07
T, A&H %
-5 (7 -c-
MAR 2.
2C71
'67
DEVELOPMENT 3 3,
CITY OF E W,'
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L r—
z AP��OW.. By PLAN IN 05
t , commc�
U3 E!,r A", r
S'T
"PRO -11ANNING
LT. sysT
IOCA'.T%O
EXISTIN GRADE
40.6.
c LINES 0
Lb
U) E.
T
OT
�T.G LINE DO NSPOLIT
FINJSHED/GRiADE ;COLLECTOR DWR...
PONTO LINES lot W/ 4- A.D-'-,.;TO
SLI13DIVISION DRAINAGE
ON
DETENTI SYSTEM.
PROPEF TY LINE
LINE OF ROOF
CYr Vy E R H A mry w
SETBA& L*IE 4 dIE-
®r
PR?PE"Y LIN1E
G (a �ria- g e
ELECT.'
Pro d SERVICE�
ENTRANCE
Aeside;ce q
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200205090760
05/09/2002 04:13 PM Snohomish
P.0008 RECORDED County
V06 it)
vozo
Mr. and Mrs. G. Boe
3782 Driftwood
Clinton, WA 98236
May 8, 2002
MAY 0 9 20oZ
BOB DANTINII, Sorivu,�W.:nisli CountyNasurer
'y___'0_'DAY'W
Re: Proposed Sewer Easement Adjustment - Johnson Short Plat
Dear Mr. and Mrs.. Boe: T WF 217 k
Mr. Salinas has requested that I provide you with the enclosed legend and
supporting documents relating to the proposed sewer line adjustment for your review.
As you will note from the enclosed, Mr. Salinas intends on moving the existing sewer
line that services your real property (lot "B") at his expense, from.the middle of his lot
(lot "A") westerly towards the property line �eparating lot "C" and lot "A". As you will
further note, the sewer line shall continue to run through lot A and will not impact
yourland.
As required by city and/or county agencies, Mr. Salinas shall cause the existing
sewer line easement to be extinguished as set forth in exhibit "B" and, at the same
time, authorize a new easement for the same sewer line in the new location as set
forth in Exhibit C. Please be assured that the sewer line and easement shall
continue to exist on lot A and that your property shall not be impacted by this
adjustment.
Further, the parties agree that in the event that the sewer line requires maintenance
in the future, any soil excavated for the purpose of maintaining the sewer line may be
stockpiled on Mr. Salinas' property for a reasonable time until the service
maintenance is completed. All parties agree that time is of the essence with respect
to completing any such maintenance and removing any such soil that may be
May 8, 2002
Page 2
excavated and/or stockpiled. The parties further agree that if any such soil is
stockpiled on the Salinas property for maintenance purposes, the. Salinas property
shall. be returned to the condition it was in prior to any such stockpiling of soil. -
Please take the time to review the enclosed and, if you have no objections to the
foregoing, please sign and return a copy of this letter to my attention for filing with the
proper governmental agencies.
If you have any questions regarding this matter, please feel free to contact me at
your convenience.
Very truly yours,
Walter'N. Potebnya, Esq.
As evidenced by our signatures below, we hereby declare that we are the legal
owners of referenced Lots "B" and "A" as set forth in the attached exhibits, we have
reviewed this letter with all attachments and have no objections to the sewer -line
adjustment as set forth in the attached exhibits..
20020509076.0
In
May 8, 2002
Page 3
'�— day of May, 2002 at Edmonds, WA.
Dated this
Eugene Boe
3782 Driftwood
Clinton, WA 98236
STATE OF WASHINGTON
- 1� I )ss.
COUNTY OF—�)M4RWL"Z' )
e1471- . )AJ.
On this ay of, 9-1 _, 2002, before me, the undersigned, a Notary Public in and for the
State of Washington, duly comm(ssioned and sworn, personally appeared Eugene Boe and Mary L. Boe, to me
known to be the persons that executed the within and foregoing instrument, and acknowledged said instrument to
be the free and voluntary act for the uses and purposes therein menti d, and on oath stated that they e
authorized to execute said instrument.
IN WITNESS WHEREOF I have hereunto set my hand aid offic' sea eda and e s
A. 01
SIX
(Sig'hature of Notary)
Y11 4\ON
--:VXA0*TARV
.0
;4
tO
1. Pusir-,
11)�% 11-V0
OFW
/p/'f J/ 'K ,,7r. v&-e—.-
ary�L. Bq�4.
3782 Driftwood
Clinton, WA 98236
200205090760
(Print or stamp name of Notary)
NOTARY PUBLIC in and for the State
of Washington, residing at
My Appointment Expires:
May 8, 2002
Page 4
6-
, day of May, 2002
John Salinas
t;1�0 Viewland Way
Edmonds, WA 98020
STATE OF WASHINGTON
-)ss.
COUNTY OF Sc)nbc�
j—u4t Salinas
1140 Viewland Way
Edmonds, WA 98020
On this Q day of 2�� . 1 2002, before me, the undersigned, a Notary Public in and for the
State of Washington, duly com6ssioned and sworn, personally appeared John Salinas and Judv F,. Salinas, to
me known to be the persons that executed the within and foregoing instrument, and acknowledged said
instrument to be the free and voluntary act for the uses and purposes therein mentioned, and on oath stated that
they were authorized to execute said instrument.
IN WITNESS WHEREOF I have hereunto set my hand and official seal the day and year first above writ I
M- roo.L.'%$ t1wi V 'q IVA
(Signature of Notary) V90 % %0
Ile't
E I I �5 0, Wn
(Print or stamp name of Not�ry)'d-') "40 V *'
> too$*.*
NOTARY PUBLIC in and for the St?t
..of Washington, residing at jFK_)-e A'
My Appointment Expires:
200205090760
EXTINGUISENIENT OF SANITARY SEWER EASEMENT
That certain easement as shown on Lot A in the City of Edmonds Short Plat recorded
under Auditor's file No. 200011225007, records of Snohomish County, Washington,
being a strip of land, ten (10) feet in width, lying east of a line that is parallel with the
0
west line of said Lot A, lying east of and 49.50 feet distant therefrom.
29,06 Colby Avenue
Everett, WA 98201
Ph: (425) 259-5500
Fax: (425) 259-6200
W —4541-1A1Rf-<
qj'
200*20509-0760
SANITARY SEWER EASEMENT
A portion of Lot A in the City of Edmonds Short Plat recorded under Auditor's file No.
200011225007,' records� of Snohomish County, Washington, being the west and
northwesterly ten (10) feet of said Lot A.
Mi rr! r!
2906 Colbykvenue
Everett, WA 98201
Ph:' (425) 259-5500
Fix: (425) 259-6200
17
EXPRES 9 25
7VAI 57/f -2- IAIA-5:
A-4-
0,/,
200205090760
1�
EXTINGUISHMENT OF COMMON DETENTION SYSTEM EASEMENT AREA
That certain easement a * s shown on Lot A and Lot 5 in the City of Edmonds Short Plat
recorded under Auditor's file No. 200011225007, records. of Snohomish County,
Washington, being as strip of land, twen ' ty-five (25) feet in width, lying west of the,
property lines bounded by 92nd Avenue West. I / . I
Eugene Boe
Mary L. Bck
T N
U ��
J n Salinas
-d*"Salinas
Jr
LEGEND
z
-1 0
ENCASED MONUMENT
a.
X 0
z CASCADE DRIVE
S89*34'28"E 121.77'
N89*53'1 5"E 126.50' uj
SOOP10*53"E 9.45'
- Lo
N89*53'1 5"E
N5433'36"E 49.93'
49-93T
co
22.01 84.47' ob
2 2, 01 O'�
,o bq
0
PROPOSED NEW SANITARY-
,N[TARY_
U)
90?00,00"
SEWER EASEMENT
�uj
z m R = 20.00'
0 N54'33'36"E 28.17'-
uj En L = 31.42'
9
in
Lu
1 cn
0. LOT A
PART OF LOT C
4
fn
ul
!o C-4
x A 2846'08"
uj A
39*,30'00"
C3 .
Lri
r
z R l 36.4 1'
ui
co 7Z R
L 68.49'
111.41'
!6 LOT C 0
b
0
— L
49.50' x 0
76.81
t6
z
uj i--
-0 u')
10
1. cl!
'-,_1 0. N89'34'28"W 161
z 0
10'43'52"
0
z
R = 136.41'
LOT B
0
c�
L = 25.55'
S819. 34'28"E A 11 18'04"
23.00'
R 111.08* A = 118T*44'13"
L N89*34'28"W 80.00'
L 21.91 R = 15.00'
N89'34'28"W 198.06' L 31.09'
A 39*04'07'
R 136.08'
L 92.79'
G -
SCALE IN FEET
50
0 50 100
-728 136 gmd SN - Sub 20D JOHNSON SHORT
PLAT
17672
Evat TwWan 9W
SANITARY SEWER
EASEMENT
0
L
Mr 425 741-NO
EXHIBIT A
EXPIRE /03ti
9/25
REV
REV
04-24-02
11-08-01
DATE:
11-06—Orl SCALE: 1 50' JOEl,- 22-01-069 S.:\DRAWINGS\22\01\069\2201069.DWG
RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING APORESS
CITY lip TELEPHONE
NAME
ADDRESS
CITY ZIP TELEPHON E
NAME
1C ADDRESS
Jim 151n17-1f
CITY ZIP TELEPHONE
z. /,d 7A -2 (a
LICENSE NUI
TAX ACCOUNT PARCEL NO.
NEW
ftlESIDENTIAL
[3
PLJjMBING / MECH,
S;APDITION
0 COMMERCIAL
0
COMPLIANCE OR
CHANGE OF USE
PERMIT EXP
IRES
USE PERMIT
ZONE A14 NUMBER
JOS SUITEI
ADDRESS
k/
PLAT NAMEISUBDIVISION NO.. LOT NO. LID NO.
LID, FEE S
PUBLIC RIGHT OF WAY. PE . R OFFIC IAL STREET MAP TESOP Approved
RW Pwffdt Required
Strom use Perim RI
EXISTING PROPOSED Inspecdon RaqW-d
Sidewalk RaWked
REQUIRED DEDICATION FT
Ired 0
METER, SIZE SIZE NO. OF FIXTURE. PRY REQUIRED
YE SI3 _Wor-Q,
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
1AAM774J 414-t— 6r-
145 4'11
ENGINEERING REVIEWEDI;/DA/T
FIRE REVIEWED BY DATE
Ir
VARIANCE OR CU
SHORELINE OR ADS#
INSPECTION
REOR
[3 YES No
I BOND
POSTED
$EPA REVIEW
SIGN AREA
HEIbHT
COM XEMPT
ALLOWED PROPOSED
ALLOWEY PROPOSED,
I
EXP
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/RSIDE REAR
0
Af / " 0
p -.0
Z
2
PARKING LOT AREA PLANNING REVIEWED BY BATE
REMODEL r] APARTMENT E] SIGN REO`D PROVIDED 1,;,, 01 IL
0 REPAIR 0 GRADING C FENCE
YbS 0( - X FT) REMARKS
0 DEMOLISH
0 GARAGE.
CARPORT
0 TANK
—1 RETAINING WALL
0 ROCKERY
0 OTHER
0 RENEWAL
(TYPE OF USE. BUSINESS
OR ACTINTM EXPLAIN:
CHECK ED Y.
C HEC KED.,!Y
LR,EMARKS
TYPE OF
OCCUPANT,
GROUP
NUMBER
OF
STORIE
NUMBER OF
0 WELLING
UNITS
CRITICALO
AREAS . �M
NUMBER
I
SPECIAL.INS]PE CTOR
REQUIRED YES
JAREA
14:7
177
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
EMAR 8
P OGR SSI
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTIC
AlVj
j nC MID I
VALUATION
006criptiba: FEE
Plan CLhoo
HEAT 8
QURCE GLA23NO % LOT 8 OPE %
&AL. / 1h 1
0112,0
0 1 ulluing IV
WOO
PLAN CHEC
VESTED DATE
i
PlumblnI
Mechanical
T"I ITT DNLY THE WORK NdI THIS PERMIT COVERS WORK To
1=
BE.DONEON PRIVATE PROPIERIV ONLX ANYPONSTRUCTIONONTHI! PUBLIC
Grad! P9
DOMAIN (CURBS, SIDEWALKS. DRINLVANS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMSSION..
Engr. Revile
PERMIllAPPLICATION: ISODAYS
IL
PERMIT UMM I YEAR - PROVIDED WORK ISSTA I RTEDWTTHIN ISO DAYS'
Ehgr. In 'Cti
spa ion
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, I HEIRS, ASSIGNS A No SUCCESORS
Troffic Mitigation
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS I THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES;,AND AGENTS OROM:ANY AND
I
Fire Review
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR4 NDIREclTnLY
FROM THE ISSUANCE OF THIS. PERMTE ISSUANCE OF THIS PERMIT sHALV NOT BE
DEEMED TO MODIFY, WAIVE
..,Fire 6
In pection
OR REDUCE ANY REQUIREMENT OF ANY, CITY. ORDINANCE
NOR LIMIT IN ANY WAY, THE Crr1rS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
!Landscapoinsp.
I- HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATIO . N
GIVEN is CORRECT:; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE To COMPLY WITH CITYAND STATE LAWS. REGULATING CONSTRUC- .
_WILL
CALL
TION; AND IN DOING THE WORK AUTHORIZED THERESY'NO PERSON aE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OVWASHINGTON PELATING TO
FOR . INSPECTION
WORKMENS COMPEI118ATI��AJNCE AND RCW 118.2t.
SIGNATURE (OWNER
DATE GNE
(425)
won*
771-0920
ATTENTION.;
IT IS UNLAWFUL TO USE OR OCCUPY�A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTiFl-
771-0221
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
10/01
RECtD
Description FEE
Recording Fee
77—
+430 City Surcharge
State Surcharge
Plan Chk Deposit
Race! pt #
Total ArnountDue..
Receipt f
This application Is not a permit until signed by the
Ong Official or hliiherbepu.ty: and, Fees are paid, and
recelpt Is acknowledged in space provided.
�LS SlGq�TlLiRE DATE
BY
ORIGINAL -C�ILE j YELLOW - INI
PINK - OWNEFF GOLD - ASSESSOR
x
RECEIVED...
USE
CITY OF EDMONDS ZONE fll� - (
PEFOR-EXPIRES'_
PERMIT QA
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/A
ADDRESS C)(4
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVI SION NO.
LOT N06
LID NO.
LID FEE
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 0
RW Pentrift Required
EXISTING PROP SED
Street Use Penrift Req*d
'red
quired
Inspection R u
Sidewalk Re Ired
Underground
CITY ZIP
TEL EPHONE
2
7 �I`P,<7
REQUIRED DEDICATION— FT —
Wiring required
e5t)1*10141k<
METER IZE
LINE SIZE
NO. OF FIXTURES
EQUI RED
PR�
NAME
13i10_111W ple!5<1 10 A/
YES NO C3
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
ADDRESS
59*T DroLm&L P ift, IA44W 4 7*,S
CITY ZIP
e:� e9 A
TELEPH7
I 77
I *A4
176h Al
NAME
eox I!g 7-
REVIEWED/DATE
4 VC 6171, 0 1
ADDRESS.
3,7 q 2-- -5 af 72K Oi�0
--illtir
FIRE REVIEWED BY DATE
CITY ZIP
TELEPHONE
*7a
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REQI;�O
BOND
POSTED
STATE LICENSE NUMBER EXPIRATIQU DATE
7 7--
7-46-T 1 -
0 YES
SEPA REVIEW
COMPLETE EXEMPT,�,,
SIGN AREA
,,ALLOWED PROPOSED
HEIGHT
ALLOWED , PROPOSED
PROPERTY TAX � C9UNT PARCEL NO.
'0061� b06000-70119
EXP
&_�NEW ESIDENTIAL PLUMBING MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
FiROP6SED SETBACKS (FT.)
FRONT 1* L/RSZIE REAR
COMPLIANCE OR
COMMERCIAL �o<i(F
-?P —5 21,1,01
/ I a '01 -7 _r, /
.1� 5 1
;?5 1 1
10
C] ADDITION CHANGE OF USE
PARKING
LOT AREA
— EVIEW�E Y DATE
REMODEL APARTMENT 0 SIGN
0
REQ'D I PROVIDED
FENCE
REPAIR CYDS 13 1 X FT)
N5QM
REMARKS
E] DEMOLISH /0 TANK� C3 OTHER
ARAGE C] RETAINING WALL RENEWAL
ARPORT ROCKERY
.1 ftYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
V./,
CHECKEDBY ITYPEO
NSTRUCTION
C90-1), OCCLIPANTp
GROUP
NUMBER
OF
NUMBEROF
DWELLING -
1
CRITICAL
AREAS
SPECIAL INSPECTOR
AREA OCCUPANT
LOAD
,7-
STORIES
UNITS /,
.1
NUMBER e-yj
IRED
_] YES
Rq <to
DESCRIBE WORK TO BE DONE
. . -
REMARKS I
PROGRESS INSPECTIONS PER UBC,1bWf1ki INS' CTION RE01
P
I k--sU i IcIrn
FIE
-7 A401D
Qk1D
Z-q evi5v
VALUATION
FEE
-PLAN CHECK FEE
HEAT SOURCE I GLAZING % LOT6L BUILDING
7_/
6KV7-pxr�w a
PLAN CHECK NO: VESTED DATt- PLUMBING
(Y
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE'WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. C" I r
STATE SURCHARGE
PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT- 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES 50
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
------- ENG. INSPECTION FEE Q50
ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
;APPLICANT
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
RECEIPT
M FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OFTHIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT
0 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
j
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION." 3'11
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- This application is not a permit until signed by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy; and Fees are paid. ant
IN VIOLATION OF THE LABOR CODE OF THE STATE OF'WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSA3QNJNSU RANCE AND PICW 18.27.
OF41ALS SIGNATURE D T
WN,W C� AGE�y DATE SIGNED -.. \ V 4, 1
I NATURE�O (425)
,
I
� 1,/V
771-0220 �RELEJS
BY
Arz.
ATTENTION EXTA331
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 _;EI
I OW -
A FINAL INSPECTION HAS BEEN MADE ANDAPPROVAL OR A CERTIFI- I ORIGINAL - FILE - I
CATE OF OCCUPANCY HAS 13EEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR
5198
City of Edmonds Permit No:
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date:
-Zrie(
A. Address or Vicinity -of Construction:
B. Type of Work (be specific): UT# Ld 10 a4. up, k��f
C. Contractor: _11", r1l 'C k Ck V2 I n IVJ674a (!AQ�L_ Contact:
s: 'm Sn4;1A`QA. Phone:
W, E57�,
- .. - ':. �k.-Liability 1�suranc! 'Bond: S.
V"_T�(_Ms
D. Building Permit# (if -applicable): M11Ra-1 Side Sewer Permit # (if applicable):
E. Fj Commercial Subdivision 0 City Project E] EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
Multi -Family Single Family Other
INSPECTORAILPCOWT
F. PAVEMENT: YES NO G. SIZE OF CUT x H. Charge: $
CONCRETE CUT:, DYES' 1�- NO
P P I I I C-4 V T T V E4L D 4_1M-S11nTV--
IDEMNITY. Applicant understands by his/her signature to this applicati6n helshe holds the City of Edmonds harmlessftom injuries,
damages or claims of any kind or description whatsoever, foreseen or uhforeseen, that may be made against the City of Edmonds or
any of its departments or employees, including but not limited to the defense of any legal proceedings including Afense costs and
attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOP OF ONE YEAR FOLLOWJ�VG THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD'UNTIL ' THil FINAL STREET PA TCII, IS,
COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Traffic control and public safety shall b e in accordance with City regulations as reqfuired by the City Engineer. Ev
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of . the
required training in their possession.
Restoration is to be in accordance with City codes. All street -cut trench.. work shall be patched with asphalt or City -
approved material prior to the end of the workday - NO EXCEPTIONS.
Three sets of construction drawings of proposed work are required 'with the permit appl ication.
I HA VE READ THE ABO VE STA TEMENTS-AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNO WLEDGE
THA T I M IrS � MA KYTHE PINK COP Y OP THE PERMIT . A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
Signature:
-6r, /Z - 0 4
Agent)
_)C_
CALL DIAL- DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
I FOR CITi
pproved by: Ae�_
,i,me Author"ized-,,V oid After 0MjKAAqMrr
USE ONLY
Right-of-way FeA 13
Disruption Fee/Fund'11 I:
Total Fee
Receipt No:
Issued by: qyaZX�6A i d-
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION.IS REQUIRED PIER CHAPTER 18.00 OWTHE EDMONDS
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OF PERMITTED WORK.
INSPECTOlVi SiGNA TURE DATE': 5-1-7
For inspection requirements see Engineering Information Handout.
mom
NO WORK SUIAI-l-, BEGIN PRIORTO PERMIT ISSUANCE
E-M
I I
CA 5 CA9,6
MAR 2 3 2001
UVELOPMENT SERVICES CTR.
CITY OF EUMONDS
T�' jt�
ALL EXPOSED SURFACES TO
BE COVERED WITHIN 2 DAYS
TEMPORARY CONSTRUCTION
ENTRANCE REQUIRED
OWNERICONTRACTOR R SPO 9 BLE FORL
Co
EROSION 11'J'SLI D D NAGE
T.
EXISTIN GRADE
CON LINES
FINISHED/GR'ADE
CONTO LINES
TY
PROPE1 UNE
ET E
Y LIM AD
Poo
t
uj
I
T
101,00
COIA%i
S S'f Tf
a 10N
DF-'T
Sys -TJ N
LOCATI
10
COvAbA
_TOStA
Dr t4
Err
't4 to
SYS.TEJ
� OTIE.
TIG'TLINE DOWNSPOUT
f) Co ECTOR DRAINS
WlIt4� A.D.S.:To
SUBDIVISION DRAINAGE
I DETENTION SYSTEM.
OVERHANG
�,.,aarage
ELECT�
Propos�d i SERVICE:
Reside ce' ENTRANC
AifH) PAVED
f I I t 0 DRA N
1 C�13 I nrITIM
fAY
I
I
APPROVED AS NOTED
BY ENGINEERING
Date: S-171,11
BENCHMARK:
TOP OF EXIST. MH
COVER, EL 364.98'
AS PER SURVEY DRAWING
NOR- rl'yr rmwarton -ek4 S
1
Sr ow
PmtroL
WATER & SE ER
INSPECTIONS EOD
425-771-0220 1320
ACCEPTABL TIGHTLINE
A"
c
MAT IAL
SDR 35
SCH 40
N -12
F810 HANCOR
I \\ - -
G
r;
\0
Or'
Iri
0
0
DRIVEWAY APRON
QWAI I rnuFrmm i
`21TREETFILE
-11�,14 pz, 4
A PROVED AS NOTED
BY EN_QINEERING
`7
CITY copy t� 5 CA9,6 PRICIII Date: t;��71w
BENCHMARK:
C 7 �,7
TOP OF EXIST.� MH
COVER,EL * 364.98'
AS PER SURVEY DRAWING
MAR
DEVELOPPIENT Sr-rillICES CTIl.
01-fY OF EW41)NUS
of
OWNEPiCONTRACTOR IS RESPONSIBLE FOR
AGE HTLINE
EROSION CONTROL AND DRAIN ACCEPTABLE T
MATERIt
SDR 35
TEMPORARY CONSTRUCTION SCH 40
N -12
ENTRANCE REQUIRED F8io HANCO
\S)
WAIT it ISEWER
AT INSPE IONS RECM
STOA
ALL EXPOSED SURFACES TO Comm
E
AL 42& -022
Lu CALL 425-
BE COVERED WITHIN 2 S sxSfE4 0 EXT. 1328
�o T. A) LOCATII
w
31:
-L-ye--r6,,TT(rDlJ
EXISTIN GRADE wl -a+ T"Is risl2m rr-
CO LINES
lb L W
N
ISTIN
N
C TE.
0
)TIGHTLINE DO"SPOUT
icOLLECTOR DRAINS
FINISHED GRADE -Du" Go &W.
CONTO 'LINES 11 W/ 4' A.D.S.:TO
SLN3OMStON DRAINAGE
DETENTION SYSTEWL
PROPEF TV LINE
AQw ROOF
DVE HANG ADME
6E CK
PR?P Y LIM
G rr ale
T:..
E ii 4/1\7;k cl\s�
SERVICEf
Pr ,s d,
Dr.0
CE cdP- 0
ENTRANCE
Aeside ce�
c
or H j PAVED#bRIVEWAY #07
BACK
ID
...... . .... .... . .. ....
DRI WAY
DRIVEWAY APRON
DR ?7Z
00 LO ION SHALL CONIFGRM
%5 TO CITY STANDARD
tO DESIGN REOUIREMENTS;
%c\ /2.e �11
CONTRACTOR BUILDING HEIGHT CHECK
TRANSIT SHALL BE SET UP -FOR
INSPECTOR AT FRAMING INSPECTION
TO CHECK HEIGHT OF STRUCTURE.
CONTACT PHONE
PROJECT ADDRESS
CA 5 CAOe -PR16146
ALL NEW, EXTENDED, RE -BUILT OR
RELOCATED ELECTRICAL UTILITY AND/OR
SERVICE SMLL BE nCE UNDERGROUND BENCHMARK: E 111 20
ZONING TOP OF EXIST. MH
COVER, EL. 364.98 (A
AS PER SURVEY DRAWING
SITE AREA 0
MAXIMUM HEIGHT - 25 FEET. MEASURED
ALLOWABLE SITE COVERAGE 3 5 1��
FROM AVERAGE ELEVATION OF UNDISTURBED
SOIL AT CORNERS OF EXTENDED BUILDING
-PROPOSED SITE COVERAGE Z/ RECTANGLE, SUBJECT TO FIELD CHECK BY
DEPARTMENT. _j
BUILDING cc i
REQUIRED SETBACKS F 125"S /0-s' fm' B r-T, 0 <
U
CQ M
PROPOSED SETBACKS z Z
F S S 90
I- LU CO
BUILDING HEIGHT, GRADE TO RIDGE r4c Aleo* CA/L. i" C.) U.
a: U.
0
FIRST.FLOOR AREA 7 7 5- 8 101= 0 -J:)
z U_ U 0
SECOND FLOOR AREA OIRM A -q
T. A. SYS-Tu4
LDCAfION
cc
A EXISTIN GRADE
GARAGE ARE T3 Y $/'Or 10
CON'TOU LINES z
< j OTE: z
TOTAL GROSS AREA -3 gr!-;- En �TC,
GHTLINE DOWNSPOUT
FINISHEDIGRADE :COLLECTOR. DRAINS
!
TOTAL GLAZING AREA 2.2-5r CONTO LINES W/ 4' A.D.S. TO
10,C) SUBDIVISION DRAINAGE 0
DETENTION SYSTEM. Lu
P -1-T
TOTAL HEATED AREA ROPE7TI LINE
LINE OF ROOF
10)1,7 -01 LU
GLAZING TO FLOOR AREA RAFIO % ;�ERHMG A
>_ CK. LiIE
tETBA az L LU
tc z
I (le LU >
ELECTRIC SERVICE BY ni . �k
L
PR?PERTY Lit
ar4
1, *4 1
WATER SERVICE BY ,,(.:,a age
E CT"
LE * W z
Prop.,100s d 'SERVICE- C\1
SANITARY SEWER DISTRICT
7
CP
Reside ce LLI
TELEPHONE SERVICE BY 0 'A 0
D05RIVEWAY #7
H) j PAVE 0
cWrhm
M
W
OT
0
Any request for modification, variance or other M �,ETBACK LINE
1%
0
administrative deviation (hereinafter "variance")
must be specifically called out and identified. .0, 1
,oOOAOPERTY Lft-.V I q �.a,5
Approval of any plat or plan containing
D R I E V�AY
provisions which do not comply with city code DRA N ?7Z DRIVEWAY APRON
and for which a variance has not been LOC, kTION SHALL CONFORM
*Z'Z To CITY STANDARD
specifically identified, requested and considered �011 -W z
DESIGN REQUIREMENTS
Ul N.
by the appropriate city official in accordance V
with the appropriate provision of city code or
state law does not approve any items not to code CONTRACTOR SHALL VERIFY MIDICATED, SITE
ELEVATIONS WHEN LOCATING NEW STRUCTURE ON PROPERTY.
specification. DESIGNER WILL ADFJUST HEIGHT CALCULATIONS AT THAT TIME, PRIOR TO SITE PLAN
EXCAVATIONO IF'NECESSARY.
1 20'
BUIL-DIN0 R"T'I'VILENT
ZOM
'BUILDING HEIGHT CALCULATION CITY OF EC-4C _3
ADDRESS NUMBERS WORK A
th A IEL. SETBACKS: ADDRESS 20 2_D4 Z
ADDRESS NUMBERS SHALL BE POSTED ACORN 167.5
.0,
FRONT ---
PLAINLY VISIBLE AND LEGIBLE FROM 'td-AWR B !EL -3 1/' W
SIDE
STREET OR ROAD FRONTING PROPERTY.
EAR— z
"WRNPER C EL. �; 7 /P D I
APPROVED DATE:
OTHER TICIA Z
CORNER D EL. *3 (, 7, !rl BLDG. Orr- L "A;Lt- 0
D1 Us
2 VWI Li 1- M, 0L E-11 �7__ F11 0
�trOTAL 4 EL. (;ITY OF EOMWDS P,
ILDING I)EPARTMENT 1"1101!ED &aw pq,,j 11�41 G
+ B
!ALLOWABLE BUILDING HEIGHT 2 L
KI, .............. . .. . ... ............ SHEET KK%
RE ISE PLAN A
IL PPROVED
MAXIMUM ALLOWABLE BUILDING HEIGHT:. EL.T As
1E Clr"17 OF EDr40NW Bunalm Iowa=
�x
PROPOSED MAXIMUM BUILDING ELEVATION: EL. EE) DATE: PIANS
FACIAL N
ANNI
APPROVED VBP,,L
NUMBER
PERM%ir DATE OF