20223 83RD AVE W.PDF11111111 lill
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20223 83RD AVE W
NOTICE:
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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(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
-t-Fe -m a p (s) , including, but not limited to,
th-e loc'ation of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the -ity of Edmonds nor its
k_1
emp]-o-yee-s o-r offi-ce,rs -shalrl be 11a.b.-I.-e for iffie
information given on this map(s), nor for
any one representation provided based
upon said map(s).
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PLANNING DATA
NAME: I -A C-1- 0,A 0 LFZ_�;l DATEVW_.__.k.
SITE ADDRESS: �-�Xo a-1:L-3, a L,-D - I PLAN CHK#:
PROJECT DESCRIPT ON:
REDUCED SITE PLAN PKOVIDED?(MLs �/No
MAP PAGE: Q '�> G CORNER LOT: (Ss / N o FLAG LOT: (Yes
ZONING: V- -a `9 CRITICAL AREAS DETERMINATIONM 0-';--
LJ Studv Reauired:
Waiver
Conditional- Waiver
SEPA DETERMINATION:
Ll Fee
UChecklist
U APO list wl notarized form
Q (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
1� Exempt
SETBACKS:
Required Setbacks: I
Street: -A 5' Left Side: Right Side: '7. P(S' Rear: -7 - b-
Actual Setbacks:
Street: 3,5' Left Side: -2 CP Right Side: (0 Rear: -)- t
Street map checked for additional setback required? (Yes No / DNA)
U DETACHED STRUCTURES:
U ROCKERIES:
U FENCES/TRELLISES:
El BAY WINDOWS / PROJECTING MODULATION:
U STAIRS/ DECKS:
PARKING: Required: 2_ Actual: 2: �2_
LOT AREA: S t q (0 0 h_7
- cr�Icz'�ro-G -+
BUILDING HEIGHT:
Datum Point: Datum Elevation:
Maximum Allowed: Actual Height:
A.D.U. CREATEDIC&b / Yes)
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes
OTHER:
Plan Review By: '-;)V— C) " , , .- .
(1 (0 L4
sct(vo
9- 0 %
NewBPP1anningDataFon-n.D0C
CA File No: Oa -5�
Critical Areas Checklist
Site Information (S*oils/topograp hy/ hydrology/ vegetation) e!�o
1. Site Address/ Location: 7,0 3 133 o-A_) e_ LA-)
2. Property Tax Account Number: 00&314,525KP0q60
3. Approximate Siie'Size (acres or square feet):. �8q�o
4.- Is this site currently developed? Y yes; — no.
If yes; how is site developed? S
5. D6cribe 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 10-feet over a horizontal
distance of 66-feet).
Hilly:, slopes -present, on site of -More- QMM JEa—ft
over a horizontal distance of, 33
IBM=,
Steep: gradei of greiter thari 30% present on s' edwertical
Q:
distarice of les� than feet). -
Other (please describe):
6. Site contains areas of year-round standing water: Approx. De pth':
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the yea' r?
8. Site is in the floodway floodplairt of a water course.
Site contains�,a creek or an area where water,flo"ws acros's the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
Site is primarily: forested ; meadow shrubs mixed
urban landscaped (lawnshrubs etc)
Obvious wetland is Present on site-',
Critical Areas Checklist.doc/3.19.2001
IV. 1b7_
City of,Ed.monds
Development Services Department
Planning Division
Phone: 425.771.022 . 0
Fax: 425.771.0221.,
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Developmint-
Permit Application for the City of 'Edmonds 'prior to
his/her submittal of tho application to the City.
The purpose of the Checklist is to enable City,staff to
determine whether any potential Critical Areas a . re,' or
Date Received: &/60 5_11e914
City, Receipt#:
Critical Areas File #:
Critical r
Areas,Chedklist:Fe'e: -$45.00
,Date Mailed to Applicant:
A,%Iproperty owner, or: 4i§1bpr, authorized representative,
must fill out the checklist, sign and date it, and submit it'
.to -the City. The City will fevie*:the checklist; make a
precursory site visit, and make a.determination of the
subsequent. steps necessary to c . omplete a development
permit application.
may be, present on thesubject property.. The inforniation. %i Please.'Iubmit a vicinity map, along with,the,signed copy
needed to complete the � Checklist should be easily of this form to assist City-stafflin finding and locating the
available from observations of the site or data available at, specific piece of property described. on this form. In
dditi—on--,-' thie' applibiafiit . shall'. include pertinent
at W wqwwr� W W WWW F Jfif6iinati6n (e.g. S'iid ',plan, 'topography map, etc.) or
Istudiesinco unction- with,this Checklist to assistant staff
APMA
in- completing their preliminary assessment of the site.
k- /&
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of E"onds-haimkis' from'any and all damages, . including reasonable
attorney's fees, arising from any action or infraction-' I based I-, in - whole- or - part- "u"p"o'n false I . r . iisleading, . inaccurate or
incomplete information fiirnished by the applicant, his/hei/its agents qi,employFes.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this applicatiori-on the behalf of the owner as listed below.
SIGNATURE oF APPLICANTIAGENT DATE
Property Owner's Authoriiation
By my signature, I cer* that I have authorized the above Applicant/Agent to apply for. the subject land use application,
and grant my permission for the public officials and the staff of tii� City of Edmonds to enter the su bject property for the
purposes of inspection and posting attendant to thi4 application.
A
TE
Owner/Applicant: 'Applicant Representative:
Name I
20 ��3 93 r: - �Jl
Street Address
64
Name
I t. Sq 3 (0 C o-) O-LX-,_ .5
Street A, d1dress
14 d- 175188,
City State -zip city State - Zip
Telephone: Y-7-5— 77t — / 7 36
Email address (optional):
Critical Areas Checklist.doc/3.19.2001
Telephone: .2,0 6 — %0 2 4? 0
Email Address (optional):
Critical Areas Checklist CA File No: Da - (5L
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: �Z 0 2- 2- 3 'R 3 cuo e--. uJ
2. Property Tax Account Number: 00(o 3
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? k yes;
If yes; how is site developed? :5 i
no.
0q6 0
) sa. 7W
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 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more,thou _d Pk�:
over a horizontal distancE
Steep: grades of greater than 30% present on s' e ertical e r a ontal
"A U a. V 19-
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: AITA Approx. Depth:
What season(s) of the year?
8. Site is in the floodway _:_ floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow -shrubs n-dxed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site:
Critical Areas Checklist.doe/3.19.2001
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
'C. Jb7
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 the application 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
,Mk
F g I--
M-- Nrl W�
Date Received: &1,-eA
City Receipt 6 /w,0
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Mailed to Applicant:
A property owner, or hi&%er authorized 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. . 0
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 assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information ftunished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE oF APPLicANT/AGENT DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to thil application.
Owner/Appficant:
e-
Name
2D ��3 R3
Street Address
" ~ 14
city State Zip
Telephone: LJ.Z 6 — -7 7 1 — 17 3
Email address (optional):
TE 'DL—
Applicant Representative:
<��! 0 1 ;V -e-
Name
t 8413 6 50
Street Address
-S e.,a-4+1-4---
city State zip
Telephone: -ZO&-1,422 0
Email Address (optional):
Critical Areas Checklist.doc/3.19.2001
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CLOG. DEPT.
CONDITIONAL PERMIT
WORK-
ADDRESS--26�-i'
OWNER -
APPROVED DATE -
BY
BLDG. OFFIJ'AL
KEEP THESE STAMPED
PLANS ON JOSSITE FOR
ALL INSPECTIONS
PERMIT Nn. -1—S �U-
I N'(377 1-1
MY copy
ZONE IC5-p
---- z--1 I
SETBACKS:
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6 90 - 194
EET FILE cityrofEdmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: 9"3-
, \ 4 Issue Date: q -_2 -7 -
A. Address or Vicinity of Construction: 20223 83 Ay, W. (9314265)
B. Type of Work (be specific): Install New Service
C. Contractor: lashington Nat'l.Gas Co.
Mailing Address: m815 Mercer St.Seattle,wn.
State License #: 211141 1 1
D. Building Permit # (if applicable):
Contact: Preak.
Phone: 224-2278
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. Commercial E] Subdivision El City Project xG& Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family El Single Family F-1 Other
INSPECTOR: INSPECTOR: UUWWf+_
F. Pavement or Concrete Cut Q&s ONo G. Size of Cut: (,-IJ2- x 4 H. Charge$
'C Walk @ Gas
APPLICANT TO READ A 'G�P
,he
INDEMNITY. Applicant understands and by his signature to this applicatiqp, agrees to, e, City of Edmonds harmlessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that maybe made agai t the City of Edmonds, or any of its departments or employ-
ees, including ornot limited to the defense ofany legal proceedings including defier��5,coqq, and attorneyfeeS by reason,ofgranong thi.�permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP AAD MA TERIALS FOR.A_�ERIOD OF`OA1E -YEAR FOLLOW GTHE I FINAL INSPEC77ON
THE FINAL S7REET J
AND ACCEPTANCE OF WORK ES77MA TED RESTORA 77ON FEES WILL BE HELD 1YhWL THE '_ RIA "%PLETED BY
CITYFORCES, AT WHICH T!MEA DEBITOR CREDITWILLBE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with permit appliCaiion.
A 24 hour notice is required for inspection; Please call the Engineering Departm
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall'be in accordance with City'ftulations as required bylthe.Q�ity tir
I iineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit re4uirements and the pink copy of the permit will be available
on site at all limesfor inspection purposes.---`_
Signature: Date: April- 20, 1991
(Contractor or Agent)
J
CALL DIAIA-DIG PRIOR TO BEGINNING WORK
. ... ... ... . ... .... ......
. .. ... .. ..
. ..... ..... . . . ......... ... ....
..........
14
... ..... .... - 7,
APPROVED:�BY-., ............. .. .
............. I..
...................
.......... .......
....... ........
........... . .. .
........ ...
... ...... . .. Mir_
............... . ............
0
NO WORK SHALL BEGIN PRIORTO PERMIT ISSUANCE
Engrg. Div. 1991
Eng. Div. July 1983
Nawrct
A=�
Addendum to City Of Edmonds
Right of Way '
Permit Application
b Guyla Connors
y
Engineering Aide
Washington Natural Gas
521-5248
�ZDZZ:?_> 8�3 &,i,\�,j,
Fm,,,,0NDS
XN
- OE
V_N
)Q /A WNG to window
Water main depth
unknown
2--l' gas main
�J VJALI--
14
V
Key:
-w-
water
-9-
gas -
-SS-
sewer
-19-
water hydrant
0
water valve
915 Mercer St. (P 0. Box 1869). Scattk, WA 9SI 1, (206) 622-6767
4:14
RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEMAME OF BUSINESS
In , C-6- a ( ,-q
MAILING ADDRESS I
;z_0-xz.:S 91-A d-U e_ LA)
CITY ZIP I TELEPHONE
NAME
ADDRESS
CITY ZIP' I TELEPHONE
NAME
ADDRESS
0-01 -e-- dx.0 e_
CITY ZIP LEPHONE
ITE
919 ;2_06 q 01 10 6
PERMIT EXPIRES
USE
PERMIT
ZONE
M2
NUM13ER
-0�
JOB
SurWAPT#
ADDRES:84
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP AppmVed
RW Pa.. Requtred
Street Use Pemdt RW
EXISTING — PROPOSED
truipecdon Required
Sidwalk Required
REQUIRED DEDICATION—
Fr
u
_7
wumg requna
METER SIZE
LINE �IZE
IZE
NO. OF FIXTURES
PRV REQUIRED
YES 13 No
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
W .4 4-
ENGINEERING
I f
FIRE REVIEWED BY DATE
STATE LICENSE NUMBER EXPIRATION DATE VARIANCE 69 CU SHORELINE OR ADB# INSPECTION BOND
BY [3yREO'D POSTED
t4y*" pu� C-T ES 13 NO
4— SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT AL WED PR I OPOSE . D ALLOWED ORDPOSED
a
x
I
Ir
C04�;,? q_6 00(X0 q 00
EXP
9
WNV e" RESIDENTIAL LU SING MECH
13 P m`
ADDITION [3 COMMERCIAL ci COMPLIANCE OR
CHANGE OF USE
[:]'REMODEL 0 APARTMENT SIGN
b REPAIR [3 GQMNG FENCE
CYDS 13 X Fr)
[3 DEMOLISH [3 TANK [j OTHER
GARAGE RETAINING WALL
CARPORT ROCKERY [3 RENEWAL
LOT COVERAGE
ALLOWED PROPOSED
04,
REQUIRED SET13ACKS (Fr.)
FRONT SIDE REAR
:L5' 9�,5/j .5! -7 .!
PROPOSED SETBACKS (Fr.)
FRONT REAR
1 g)b &Ko' to'
s
PARKING
REOD I PROVIDED
LOT AREAjLAjNNING
Iq
REVIEWED BY DATE4,j
REMARKS
(TYPE OF USE. BUSINFA ORACTIVTM EXPLAIN: f
SfT2-
CHECKED BY
ITYPE MRUCTION
I C4E
-7
OCCUPANT
GROUP
.
3
NUMBER
OF
STORIE
NUMBER OF
DWELLING
UNITS
CRrncALW ?F�
Sg
PECIAL INSPECTOR
REQUIRED
[3YES
A REA
wmo�
I 0#
i Ad Or 2f:w
OCCUPANT
LOAD
09P WORK TO BE DON
T.IBE E
t -
REMARKS 5UQMR
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION RECI`0
AA e_,,4cJ -s tA A r co ^'k
#
Q�L41 Mer&_ I "MA- (A b,56 Pe, 912
OFZ/ _74f-
-9f -xj.21nt4v�-
C_ L-lh 116
VALLIATION $
A4,E 5r"(—
Description
FEE
DescrLpt!on
FEE
Plan Check
HEAT
GLAZING- %
LOT SLOPE %
Building
PLAN CHEC$�(�.
VESTEDDATE
Plumbing'
Tolle Pownr AurHoRcms ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO.
Mechanical
BE DOKE ON PRIVATE PROPERTY ONLI ANY CONSTRUCTION ON THE PUBLIC
3 MAIN (CURBS, SIDEWA'LKS, DRMVAYS, . MARQUEES, ETC.) WILL REQUIRE
3 Do
Grading
Re Cording F96
1: SEPARATE PERMISSION.
Engr. Review
City Surcharge
PERMITAPPLICATION: 180DAYS
LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS.
SEE BACK OF PINK
Engr. Inspection
'�tdte.Surcharge
PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, A8116NS AND SUCCESORS
Traffic Mitigation .
Plan Chk Deposit
4?4`7
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISINGOIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
NOR umrr IN ANY WAY THE crrys ABILITY To ENFORCE ANY ORDINANCE PROVISION.'
Landscapeinsp.
Receipt #
441 4
, I
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN. IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION
APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
This application Is not a permit until signed by the
Building Official or hisfiter Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON. RELATING TO
FOR INSPECTION
receipt Is acknomiledged In space provided.
WORKMEN�,'S COMPENSAnON INSURANCE AND RCW 18.27.
11121
0 DATE
21E
6 1 G N ATU RUDW �ER - VAG MEPM)
DATE 117N
0
.7,
771-0220
E�D BY DATE
6
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY
EXT 1333,
A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
0 R INAL FILE - YELLOW - IqSj?fCTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
.
PINK - OWNER - GOLD- WE84OR