20310 83RD AVE W.PDF111111111111
7743
20310 83RD AVE W
WSS/naa-s-TREEf
1/16/87
EASEMENT AND JOINT USE MAINTENANCE AGREEMENT
IN CONSIDERATION of the mutual benefits derived and the
covenants herein contained, the undersigned owners of the
hereafter described property do hereby reserve, dedicate and
grant an easement in favor of themselves, the successors, heirs,
assigns and devisees in accordance with the covenants herein
containeud.
1. SUBJECT TRACT.
This easement shall run with, touch and concern a tract
of land previously known as Tract 10 of East Edmonds Acres,
Division II, as recorded in Vol. 12, Page 66, of the records of
Snohomish County, and subdivided into lots 1 and 2 according to a
short plat thereof, City of Edmonds Record No. S-5-86 and .
recorded at Vol. 2-2-, Page C4.1, of the records of Snohomish
County [hereinafter "subject tract"].
2. EASEMENT.
purposes:
The easement created shall be for the following
a. Ingress and egress, as well as the maintenance of
a private road as hereinafter described, surface and
subsurface public and private utilities duly franchised
or operated by the City of Edmonds, as well as
additional public utility structures including but not
limited to a storm water drainage and/or
retention/detention system with connecting catch basins
and other attendant facilities.
3. DESCRIPTION OF EASEMENT AREA.
The above described easement shall exist over, under
and along the north 25 feet of the east 236.1 feet of tract 10,
of East Edmonds Acres, Division II, as recorded at Vol. 12, Page
66, of the records of Snohomish County, and further subdivided by
short plat S-5-86 and the lots 1 and 2 thereof (the subject
tract) .
4. JOINT MAINTENANCE AGREEMENT.
It is the understanding and intent of the parties that
a public road and drive be constructed in accordance with the
standards of the City of Edmonds and maintained in accordance
with such standards.
as Said drive shall be maintained by the present and
future owners, heirs, devisees or assigns of lots 1 and
2 of short plat S-5-86 in accordance with the rules
herein set forth.
b. The storm water run-off.system shall be
constructed and maintained in accordance with the
standards established by the City of Edmonds and at a
minimum, shall be kept clean and clear of debris and in
a condition such as to permit its uses for the purposes
for which it was designed.
C.. All maintenance, repair, improvements and/or the
rebuilding of facilities constructed in said easement
shall be the obligation of and at the cost of the
EASEMENT/JOINT USE MAINTENANCE AGREEMENT - 2
owners of said lots 1 and 2 of S-5-86 and all Costs Of
maintenance, repair, improvement or rebuilding shall be
born by said owners unless or until accepted for
dedication to public use by the City of Edmonds. The
costs thereof shall be apportioned equally between the
owners of lots 1 and 2.
d. Either party, or the City of Edmonds for whose
benefit this Agreement has been executed, may trigger
the conditions hereof by forwarding written notice to
the other owner or owners of the lot, charging them
with maintenance, repair, improvement and/or rebuilding
in accordance with the terms -of this Agreement. In the
event that the other party fails to respond by
providing its share of costs in advance and/or by
contracting to bring about said maintenance, repair,
improv ement and/or rebuilding, the other party and/or
the City at its sole option, may proceed to effectuate
said repairs. Upon completion of such an improvement,
.the reasonable costs thereof may be filed in the form
of an affidavit with the Auditor of Snohomish County,
and upon filing, shall constitute a lien against the
tract or tracts who have not participated in thecosts
of said maintenance, repair, improvement and/or
rebuilding.
e. It is the stated intention of the parties that
this Agreement shall touch and concern the land and
EASEMENT/JOINT USE MAINTENANCE AGREEMENT - 3
shall run with it to the benefit and detriment of
future owners of the subject tract.
5. EXTINGUISHMENT OF EASEMENT.
It is the intent of the parties that the Easement and
Joint Use Maintenance Agreement herein created shall run
perpetually with the land and may not be extinguished by the
action of the owners hereof without the express written consent
of the City of Edmonds. In order for the easement to be
the said express written consent shall be shown on
an recorded.
1'VS.'E D t h i s 2-3 d
o4-4�-- ^fwAchinnton )
STATE OF WASHINGTON,
SS.
COUNTY OF Snohomish
I hereby certify that I know or have satisfactory evidence that Kerry Heath and Kelly Heath
signed this instrument and acknowledged it to be their free and voluntary act for the uses
and purposes mentioned in this instrument.
Dated: 1-23-87
Nbt� 19-1c In and or the'
i at
of wasY4inqton, residi at Edmonds
A-6(86) XNDIVIDUAL My appointment expires 9-30-88
I certify that I know or have satisractory eviule11%;tz
signed this instrument and
acknowledg—ed 1-t to be (his/her) free and voluntary act for the
uses and purposes mentioned in the instrument.
Dated:— Signature of
Notary Public:
Title:
Appointment expires:
EASEMENT/JOINT USE MAINTENANCE AGREEMENT - 4
)IF
-.:I-
co
CD
CITY of EDMONDS
Address of Construction:
SIDE
ZO ?762 X�
SEWER PERMIT
PERMIT NO. WON
EDMONDS
TREATMENT PLANT
Property Legal Description (Include all easements): 0/l/ 11clu—C
Owner and/or Builder:7—/' o2�, 6 , f Z P 7—
r1_"1> I
Contractor & License No: D6 e— K /;7
Single Family Residence
It
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right�of-Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Priva te Property: No ----Y=es— (If Yes, easement required,
attach legal description and funty easement number.
PLEASE READ THE ITEMS LISTED ON THE BACK
I certify that I have read and shall comply Date
with the items listed on the back.
Permit Fee: :30-0/9 Issued By: I
Trunk Charge: zs— Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
/194
Final Inspection Approved: 2 -1 rz - SG
Date Initial
Rejected:
Reason 7-a—te 7—nitial
PERMIT MUST BE POSTED ON JOB SITE
White Copy File Green Copy - Inspector Buff,Copy - Applicant
Th.m ray oa rav"o%nA.
Side Sewer Drawing
N
EASEMENT NO . ..... ........... -- ........ ----------
i!r I
NEW CONSTRUCTION tK REPAIRS El LID NO. i CO-1 --- ... ASMT. NO . ....... ........
I MEN
OWNER ..... lj�Wcsr J- ------------- CONTRACTOR k"n-G&-RQR f7k -------------------------------------------- PERMIT No. 7(b.A.5 -----
JOB ADDRESS2--0;3..I-.O ........... ....... LEGAL DESCRIPTION: LOT NO - --------- 1 .......... ............... BLOCK NO. - ------
------------------------------------------------------------------------------- ..................................................................................
NAME OF ADDITION
4- ljr-� -
4�'t-w!m-
,Pp.�mp. I-l"C--
PWW-0001-11/75 (REV.11/78)
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Approved:
4
DATEf9M,N.'b 17.128G�. By - ------------------------------
71x-
CITY OF EDMONDS
STREET FILE ASSET INFORMATION SHEET
[�(NEW
1:1 ADDITION
D RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
ZIA,
SERIAL NO.
LOCATION
DJ?PT. NG.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER &,) mz� 6
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. 0 -0 53
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
)9/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
is G.L. ENTRY
REFERENCE DATE
VERIFIED By
PROCESSED
BATCH NO. -
itnp INITIAL
DEPARTMENT FILE
NOTICE:
Nbwa r-ra n - y oT
The information'shown on the attached
I
map(s) was compiled for use by the City of
loyees and Consultants.
Edmonds, its Emp
The City of �Edm.onds does not . wa rra nt the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the 'nform'at*on shown on
ff�e -map(s), including, but not limited to,
wn. Such
the lociation of any sewer stub sho
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-1-o-yee-s o-r office-rs -sh-a-1.1 be 1.1a.b.-I.-e for the
information given' on this map(s), nor for
ation provided based
any one represent
upon . said map(s).
X0
. W'11
ENVIROMIENTAL CHECKLIST
Purpose of Chcckh'51:
The State Environmental Policy Act (SEPA), chapter 43.21C RC\A'. requires all govern men i a farcricics to consider
the crivirorimcnia) impacts of a proposal b:forc making decisions. An crivirorimcnial impact statement (EIS) must be
prepared for all proposals with probable sin' niFicant adverse impacts on the quality of the cn%,ironmcnt. The purpose or
this checklist is to provide information to hclp'you and the agency idcritify impacts from your proposal (and to reduce
or avoid impacts from thc'proposal. if it can be done) and to-hclp the ancricy decide \A.,hcthcr an EIS is required.
Instructions for Applicants:
This crivironnicrital checklist ask . s you to describe some basic information about your proposal. Governmental anen-
cies use this checklist io determine whethcr the cnvironmcnLal impacts of your proposal are significant, requiring
preparation of an EIS. Answer the questions briefly. with tht most precise information known, or give Lhe best dc-
scription you can.
You must answer' each question accurately and carefull . to the best of your knowledge. In most cases, you should
y
be able to answer the questions from your own observations or project plans -without the need to hire experts. If you
real]v do not know the ans'Wer, or if a question dots not apply to your 'proposal, write "do not know' or 'does not ap-
ply". Complete answers to the queSLions now may avoid unnecessary delays later.
Some questions ask about ovcrnmental regulations. such as zonina, shoreline, and landmark desianations. Answer
these questions if you can. If you have problems, the governmental agencies can assist you.
The checklist questions apply to all parts of your proposal, even. if you plan to do t9em over a period of time or on
dirrr-rent parcels of land. Atta�h any a-ddizionaf information that will hclp describe your proposal or its environmental
effects. The aacricy to which you submit Lhis checkiist mav ask you to explain your answers or provide additional in-
formation reasonably related to determining if Lhe.rt Mlay �e sign�lricant, adverse impact.
Use o)' checklist for nonproject pro.posals:
Complete this checklist for nonoroject or000sa!s. even thoush ouestions may be answered
-'PROIECT ACTIONS (part D).
-DITION, complete the SUPPLEMEN LAL SHEET FOR ;NOi\
For nonproject actions, the r--f::-,--nc:s in the check-iist to Lhe words 'project," "applicant,
. . . should be read as "proposal," "proposter." and "al"reved geographic area," respectively.
A.BACKGROUND
1. Name of proposed project. if applicable:
20 3t
2. Name of applicant: C_0rV1p6Lr)L�
3. Address and phone number or applicant and contact person:
Hic� -745-SOq-
4. Date checklist prepared: I
"does not apply. I N' A D-
and *property or site*
5. Agency requesting checklist: C4-4LJ OF EA(nonds
6. Proposed timing or schedule (including phasing. if applicable):
-tv os sn� 4
7. Do you have any plans for future additions. expansion, or rurthcr activity related to or connected wiLh this proposal?
If ycs. explain.
S. List any environmental information you kno\k about that has been prcparcd, or will bc prepared, directly related to
this proposal.
9. Do you know \,-hcthcr applications arc pending for governmental approvals of other proposals directly affecting the
pi-operty covered by your proposal? If yes. explain.
nn
I F�-/r\&
10. List any government , approvals or permits that will bc needed for your proposal, if known.
Declaration of Non -Significance
Building 'Pe rmi t
11. Give brief, complete description of your proposal, including the proposed uses and the size of th-. project and site.
There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do n6t
need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific infor-
mation on project description.)
. �Mu-
12. Location of the proposal. Give sufficient information for a person to understand the precise location of your pro-
posed project, including a street address, if any, and section, township. and range, if known. If a proposal would occur
Z' -
over a ranac of area, provide the ranac or boundaries of the sit.c(s). Provide a legal description. site plan, vicinity map.
0 0 -
and topographic map, if reasonably available. While you should submit any plans required by the agency, you arc not
required to duplicate maps or detailed plans submitted with any permit applications related to this checklist.
25�11 D Ali-e- W
TO BE COMPLETED BY APPLICANT
EVALUATION FOP
ACENCY USE ONLY
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description or the site (circle one) - rolling, hilly. steep slopes, mountainous,
other
-'-b. What is the steepest slope on the site (approximate percent slope)?
-2-
TO BE COMPLETED BY APPLICAN'T EVALUATION FOR
AGCNCN' USE ONLY
c. What general types of soils arc found on the site (ror example, clay, sand, gravel, pelt,
muck)? If you know the classification of agricultur3l soils. specify them and note any prime
farmland.
d. Are.thcre surf3cc indications or history of unstable soils in the immccliatc vicinity? If so.
describe.
c. Describe the purpose, type, and approximate quantities of any filling or grading pro-
posed. Indicate source of ri.fl.
No, -.soil wi'll be brought onto or
taken off the site. Approximately
50 cub.ic yards of earth will,*be
excavated for the building and
r. Could erosion occur as. a result of clearin2, construction. or use'? I r so, 2enerally describe. relocated elsewhere on the
site.
VAL Duri,ng periods -of grading -and
excavation, the potential for
erosj*on wi'l 1 1*ncrease
E what percent of the site will be covered with impervious surfaces after project
AboL
construction (for example. asphalt. or buildings)?
h. Proposed measures to reduce or control erosion. or other impacts to the earth, if any:
If necessary, the appl.icant will
:be required to control erosion
with filter cloth fences, hay
2. Air bales.or by channeling runoff.
a. What types o( emissions EO the air would result from the proposal (i.e.. dust. automobile,
odors. industrial wood smoke) during, construction and when the project is completed'? If
anv. 2encraliv describe and aive approximate quantities if known.
b. Are therc any off —site sources of emissions or odor that May affect your proposal? If so,
generally describe.
Vko
c-. Proposed measures to reduce or control emissions or other impacts to air, ir any:
Air emissio'ns associated with
construction will cease with
project completion.
-3-
TO HL COKPLETED HY APPLICANT EVALUATION FOR
3. -Waier AGENC�' USE ONLY
a. Surface:
I) Is there an), surface water body on or in the immediate vicinii), of the site (including
\,car —round and seasonal streams, sahwaicr, lak-CS, ponds, wetlands)? If yes, describe type
and providc names. If appropriate, state what stream or river it flows into.
r'W
2) \Vill the project require any work over, in, or adjacent to (within 200 feet) the described
waters? If yes, please des.cribc and attach available plans.
3) E�timate the amount of fill and dredge material that would be placed in orremoved
from surface water or wetlands and indicate the area of the site that would be affected. In-
dicate the source of Fill material.
4) Will the proposal require surface water withdrawals or diversions? Give general cle-
scription, purpose, and approximate quantities if known.
U�_
5) Does the proposal lie within a 100—year floodplain? If so, note location on the site
Dian.
ovx
6) Does the proposal involve any discharges of waste materials to surface -valers? If so,
describe the type of waste and anLicipated volume of discharge.
b. Ground:
1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general description. purpose, and approximate quantities if known.
Cs
2) Describe waste material that will be discharged into the ground from septic tanks or
other sources, if any (for example: Domestic sewage; industrial, containing the following
chemicals . . .-, agricultural; ctc.). Describe the general size or the syst,cm, the numbcr of
such systems, the number or houses to be served (if applicab1c). or the number or animals or
humans the system(s) are expected to serve.
6 C-al �'
UMC'�A�_' (-) , 4:�CWC(,�)L7 - ---
J
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TO BE CQMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
c. Watcr Runoff (including storm watcr):
1) Describe the source of runoff (including storm water) and method of collcction and
disposal, if an), (include quantities, if known). Where will this watcr now? Will this watcr
now into other waters? If so, describe.
Runoff generated -from the completed
project will be directed into a
percolation system, to be absorbed
on-si'te. This system has been
approved by the City of Edmonds
2) Could waste materials enter ground. or surface. waters? If so, generally describe
-Engineering Division.
V10
d. Proposed measures -to reduce oricontrol' surfa.ce, ground, and ru'noff water impacts, if
any:
4. Plants
a. Check -or circle types at vegettacion found on the site:
deciduous tree: alder, maple, aspen, other
t,-evergreen tree: Fir, cedar, pine, other
shrubs
arass
pasture
crop or grain
wet soil plants: cactail. buttercup, bullrush, skunk cabbage, other
water plants: wa-'e,- I'lly, ee!grass, milfoil, other
other types of vegeation
b. What kind and amount of vezetacion will, be removed or altered? As part of the original subdivision,
a tree -cutting plan..was submitted.
C, u p(o This tree -cutting plan has been
n 0" approved by the City of Edmonds
c. List threatened or --ridangered species k wn to. be n or near the site.
Engineering Division..
d. Proposed landscaping. use of native plants, or other measures to preserve or enhance
vegetation on the site, if any: Landscaping around . the completed
residenc.e,will replace.that removed
fo r construction.
5. Animals;
a. Circle any birds and animals which have been'observed on or near the site or are known
to be on or near the site:
birds: hawk. heran. eagle, songbirds, other: ..................................
mammals: det.-. bear. elk. beaver, other:
fish: bass. salmon, trout ' herring,* shellfish, ot'her: .............................
b. List any threatened or endangered species known to be on or near the site.
-5-
TO BE CONli'LETED BY APPLICANT
c. Is Oic site part of a migration route? If so, explain.
d. Proposed measures to prcscr%,c or enhance wildlife, if any:
EVALUATION FOR
AGENCY USJ�. ()N1.y
Landscaping to replace that removed
for construction will be a new
source of habitat.
6. Energy and Natural Resources
a. What kinds of energy (electric, natural -as, oil, wood stove, solar) XV
C ill be used to meet
the completed project's energy needs? Describe whether it will be used for beating. manu-
facturing, etc.
lei-p- eq-r� - U
Ro_--�urak, e3as
b. Would your project affect the potential use of solar energy by adjacent properties? If so,
generally describe.
no
c. What kinds of energy conservation features are included in the plans of this proposal,
List other proposed measures to reduce or control energy impacts, :if any:
7. Environmental Health
The residence will be required to
comply with the Uniform Building
Code's 1985 energy standards.
a. Are there an), environmental health hazards, includim� exriosure to. toxic chemicals, risk -
of fire and explosion, spill, or hazardous waste, that could�_occ`ur as a result of this proposal?
If so, describe.
00
1) Describe special emergency services that might be required.
M
2) Proposed measures to reduce or control environmental health hazards, if any:
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
trarric, equipment. operation, other)?
rA 6Y\L
. 2) What types and levels or noise would be created by or associated with the project on a
short—term or a long—term basis (for example: traffic, construction, operation. other)? [ndi-
cate what hours noise would come from the site.
d 0
Gy-\
TO BE COMPLETED BY APPLICANT
3) Proposed measures to reduce or control noise impacts, if any:
�6
8. Land and Shoreline Use
a. Whai is the current use of vhc site and adjacent properties?
b. Has Lhe site been used *for astriculturc? If so, describe.
c. Describe any structures on the site.
d. Will any st.ruciur.-s be demolished? If so. whaE?
Rol
e. What is the current zcriln2 classif-icaEion OF the s;,Eell
f. What is the cur7tnc cornprtheris-I've plan desigria-ion ot' the site?
EVALUATION FOR
AGENCv USE ON1.)'
Low Density Residential
Cr
�. If applicable, what is the current shortliric master program designation of the site?
h. Has any part Of the sice be-..i classified as an 'environmentally sensitive' area? If so,
specify.
CcAt,� 61 Ed Mmds The Environmedtally Sensitive Areas
.4— map indicates* that this site is a
mpleted project? "Slope Environment".
i Approximacely how many people would reside or work in the co
j. ApproximaLely how md'rH pcopletou'ld the O'comp ted project displace?
k. Proposed measures to 4void or reduce displacement impacts, if any:
I. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any:
61 5f)-t-PtL� �OL--)tk ZUMr(-PZ
-7-
TO BL COMPLETED 11Y APPLICANT
9. Housing
a. Approximate)), how many units would be provided, if any? Indic3tc whether high, mid -
I
d1c, or low-income housing. Koo"
5' ' U., (4?, Ln(_gfYYQ�
b. Approximately how �man units, if any, would be eliminated? Indicate whether high,
middle, or low-income housing.
c. Proposed 'Measures to reduce or control housing impacts. if any:
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including antennas-, what is
the principal exterior building material(s) proposed?
bawccn 2o-2-5 �j� ceAA 5-cAurt
b. What views in the immediate vicinitN. would all"ed or obstructed?
c. Proposed measures to reduce or control aesthetic impacts, if any:
1. Liaht and Clare
0
a. What type of fight or Qlare will the proposal produce? What time of day would it mainly
occur?
b. Could light or glare from the finished pr�� I be a safety hazard or interfere with views?
c. What existing ofr-site sources of light or glare may affect your proposal?
h-MIL
d. Proposed measures to reduce or control light and glare impacts, if any:
12. Recreation
a. What designated and informal recreational opportunitics are in the immediate vicinity?
b. Would the proposed project displace any existing recreational uses? If so, describe.
V)O -
EVALUATION* FOR
AGENCY USE ONLY
TO ISE COMPLETED BY APPLICANT IZVALUATION rOR
AGENCN* USC ONLY
c. Proposed measures to reduce or control impacts on rccrcation, including recrcation op-
portuniiies to be provided by the projcct or applicant, if any:
gem,
13. Historic and Cultural Preseryation
a. Are there any places or objects 'listed on, or proposed for, national, state, or local prescr-
vanon registers known to be on or next to the site? If so, generally dcscribe.
b. Genc�allv desk�ibe any landmar . ks or evidence a( historic, archae . ological. scientific, or
cultural imoor�anc_- kno-n cc be on or n,-xt -to the site.
C. P7,00CSe-Ci Or Can.-:-C)l anv:
a. -Ind hil-q'—ways se, ins :he Site. and describe proposed access to the
S
'b. Is ii ct c,_, r7e:7 L lc7 -zv L
iv -led Pubiic Cnsit'! IF noc. what is the approximate distance to the
r1e:1r,zS: 7-
SZOO:
c. '4u%v m, any qarkimz ioac=s would cht: carriple-,ed project have? How manv would the
ca�)
iii rhc' Proposal arl'; it:-,v rauds or or improvc:mcnEs to existing roads or
Scrtz-_3. nut nc!ud;nur �r`vc-. :il
YS. It SO. IZI=CrUltv dCSC7ibC (indiCULC whether public or
zf Ave- Lo
c. Wtil cha �rolc= Usc (cir 1-n I-hc Immc-diacc vic-nity OF) water. rail. or air transporta-
" If so. encraliv
ion.
ho
F. How mun",
'Ps -cr da'.; %vou.:d 'at: vcicruwd by the compleLcd project? If
<.-,u%vn. vr= )ium=; uuld
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
g. Proposcd measures to reduce or control transportation impacts, if any:
)5. Public Ser6ces
a. Would the project result in an increased need for public services (for example: firc pro-
tection, police protection, health care, schools, other)? If so. generally describe.
b. Proposed measures to red—uce or cV:ntr�ol direct impacts on public serviccs,jL2nL
16. Utilities
a. Circle utilities currently available at the sitc:.4�� . TF--'a 97te efuse scrv-.
ic system, other.
ice, telephone, sanitary sewer, sept
b. Describe the utilities that are proposed for the project, the utility providing the service,
and the general construction activities on the site or in the immediate vicinity which might
be needed. 'C�La)_L — 1po
wA K)o+ 6—as Cc) -
C. SIGNATURE
.The above answers are true and complete to the best of my knowledge. I understand that
the lead agency is relying on triCrri to make iEs' decision.
Signature: .......... ...........................
Date Submitted: ......... .......................... . .
...........
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4!01,%kA Fs;tF r-
TRENCH CROSS-SECTION
INFILTRATI ION SYSTEM—
P A G E 1 0 F �?- _L4g�
for Kelly Heath COM12 am y
location-720310 -- 83rd Avonue West
—7Tm—on-Tc--, WA 980 20
plan by
phone /43-5634
date 10/2-7/86
DESIGN . DATA
Trench Perc LF per Imperm Trench I
Number Rate- 1000 sq.ft. Area _,Ieq._--1
Z4
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
Soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals*(at least
twice per year
V.
CITY OF EOMONOS
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160
SITE PLAN. SCALE: W
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0 1 S,300 OIL TPLGP4CW
77
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. . ..... . ........ .
........................ "-.
CAP
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R S-c-SECTION
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3/4 WAS U S D
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TRENCH CROSf_,-S--r`rION
S 7 _� N'� N
IN--11_7-=� '.710N q— Y.S77—M
P A G -L I OF 2�
for Kelly H ath Cr)mT)anv
locatio�
ond 3 WA 2-1111-1
plan by
phone
date
DESIGN
DATA
Trench Perc
LF per
lmoerm Trench
Number Rate
1000 sq-'�
Area Req.
4-
!24 144�r
W�7
NOTES
1. Call Engineering . Division (771-3202)
for preoackfill and final inspections-
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil &nd-other materials from entering.
trench during Construction as well As
after construction. Catch basins should
be Cleaned Of floating material and
sediment at regular intervals (at least
twice per year).
/Z)
CITY OF EDMONOS
I
1w
I'll" MVFWAI
I CAVA
I lot
SITE PLAN. SCALE: = �o
r
;4��,!PRDMCT REVIEW CHECKLIST
RONM NAM PROJECT ADDRESS:
P F,-�,- IIC 2,03101'165Kd A0 (AJ
APPLICATION RE)CEI" DATE.
-%or
-Reviewed -:�f.(�nitial/date)
I by.,
PLANNING.
I STREETI�.
ENGNRNG
BUILDING
FIRE
11f1111711
SINGIZ FAMILY/MULTIFIX/CU44ERCIAL - (circle one)
SETBACKS C1MXXED-- Planning
VARIANCE/SETRACKADJ..-�
CONDITIONAL USE PERMIT'',
"2
:AWREQUIREMEMS"CHECKED
OTHER ZONING REQUIREMENTS
777777777
1111111114e
EWIRONMENTAL FTATURES
4&7
ACCESS'SLOPF, VEHICIE ACCESS
11111TF7
77777777,
6
1IT177Fff
DRAINAGE PLAN (On Site)
777777
111177111
11171111
7
STREET FILE
8
LEGAL DESCRIPTION VFRIFICATION
9
_17-
1171TUT77111ff
QUIT CIAIM/DEDICATIONS
/////////
/////////
////////
/ -
10
/////////
7777TI77T77771111
EASUIM - PUBTIC/PRIVA112j&1A4"C4'cV"s
11
EWER CONNECT ON IF
CALCULATE S Ila NO UD
11111T
777777777
12
PIAT/SUBDIVISION REQUIRR-0M_
1-3
RIGOT-OF-WAY CONSTRUCTION PERMIT REQ)D
777777
14
BOND REDD rOR PUBLIC IMPROVE7�4ENTS
15
SOILS CONDITIMIS & GROUND
17777777T71111111
WATER FIEM CHECKED
/////////
//////o
16
77777
77Tf/T/77
STREET PAVING REQUIRED
T77777
7
CURB AM GUTTER REQUIRED
///////
18
7T/7T/T/7
777777777'
SIDEWTALK REQUIRED
/////////
/////////
19
7TIT11
777777777
1111111117
CURB CUT FOR DRIVEWAY REQD
//////
/////////
y
20
171111111
M?ZET NAME SIGN REXP
21
771111
01111ER SIGNING REQD
//////
/////////
22
SIDE SEWER AVAIIABILITY
711117
//////
177111111
/////////
T1777TF17"11111111
/////////
////////
23
EXISTING WATER MAIN SIZE
111771
/11/7777
////////
24
777777777
WATER I- �, SIZE
/////////
25
TR111111
IT1717T
SERVICE LINE SIZE
/////////
////////
26
HYDRANT REQUIRED
11111111T
777777777777777777
-
27
77
-fTRTIT177
-
HYDRANT SIZE EXISTING
28
77777777
CROSS CaMECTION INSPECTION REOD
29
MTER MMTR C11ARGE REQD
30
FIRE LINE CHARGE REQD - SPRMUM
�i/i/M/M
31
//////
STREET cur
//////
/////////
32
OPEN DI7XM EXISTING
7TT17T7TITITM
//////
/////////
33
777TI-T
711111111
77777777T-
//////
/////////
/////////
34
__TM11
CULVERT REM
35
SIZE
36
CATCH BASIN REQD
37
7=77T17TTIT
INDICATED ON SITE PLAN
//////
/////////
/////////
38
SHOULDER DRAINAGE MAINTAIN
TTFIT
77FI-17 77
T77TFITff
SHALE OPEN RUNOFF
39
MISC:
T7//-/Tl7T
40
REVIEWED BY ---
PLANNING MGR. ENGINEERING MGR. PUBLIe WORKS MGR.
USE 'qWPERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATIO)INjos
NAME (OR NAME OF BUSINESS) ADURE55 AV
KELLY HEATH'COMPANY ILEGAL DESCRIPTION CHECK SUBDIVISION NO
AILING ADDRESS 1 /_ 1:9& 1 I_ L;1�9�da 7
.16723 6th AVENUE �,7
CITY ',"�,-HONE NUM
BOTHELL, WA 98012 j..!);,3 4
'ME
IMPRESSION DEST
_;DDRESS
2229 JACKSON/
CITY 7;4
EVERETT, WA 9
NAME
SAME AS OWNER
ADDRESS
STATE LICENSE NUMBER
C600562410
Tegal Description of Property - Include all easements
(show below or attach four copies)
East 80' of the West 150' of tract 10,
.East Edmonds Acres Division 2 as recorde(
on page 66, volume 12 of plats.
Records of Snohomish County, Washington,-
--Lot one of 2 lot short plat #S-5-86 @
204th SW — West of 83rd West.
NEW RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
R DEMOLISH D OR FILL El (__ x _FT)
PRE. OVE NS SWIM
REMODEL CONIMPLIANCE IPNJSP. POOL
WOOD STOVE/
INSERT El APT. 13LDG RENEWAL
1 NUMBER OF STORIES VINIUMBER OF
DWELLING
TWO UNITS ONE
-ZTURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
.SINGLE FAMILY CONSTRUCTTON
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING DEDICATION
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED
1BVILDING SUPPLY SIZE FIXTURE UNITS
/ 1) 1 12—
REMARVA_
/-[,< V &!:�
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED I PROPOSED I COMPLETE I EXEMPT I
LU
LU
Z
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W
VARIANCE OR CU
PLANNING REVIEW BY
D OAT E/
YARDS J
FRONT
HEIGHT
C
LOT COVERAGE
SIDE7'i(Z REAR
REMARKS
4 �re.S& t2�Echon jcr a6c
3o�7
-The-rrood,Tri<nk� p?,e- -;Vc eiieroq
code,
F111(d OC&ap�17CY Insfjo-thoe)
,HECKED BY
T`YPE OF CONSTRUCTION
�j
CODE
I 19 &�
HEIGHT
1
SPECIAL INSPECTOR
REOUIREC
AREA
I
OCCUPAK
GROUP
I
JOCCUPANT
LOAD
0 YES
,
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Perm ' It covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application, 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
ENERGY CODE
"Applicant, on behalf of his or her spouse, he rs, assigns and
suctessors in Interest, agrees to Indemnify, defend and hold
U harmless the City of Edmonds, Washington, its officials,
E employees, and agents from any and all claims for damages of
C
whatever nature, arising directly or Indirectly from the issuance
of this permit. Issuance of. this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify,.walve or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
nor limit In any way the City's ability to enforce any ordinance
provision."
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
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tiQ_q Insurance..
I NSPECTION
DEPARTMENT
'IGNATURE (OWNER OR AGENT)
DATE SIGNED
CuAku A_4�707
10/16/86
CITY OF
r-r)KAnK1f'%C
N -
ATTENTION 771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-78
VALUATION
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are.pald, and receipt is
acknowledged In space provided.
OFFICIAL'S SIGNATURE DATE
RELEASED BY:
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: A
3—/0—Y'&a
I �-
After review of the subject building permit application, we have the
following comments:
1) Connection to City water system required.
2) Connection to City sanitary sewer system required.
3) Right-of-way permit required for any work on City property..
4) Driveway slope not to exceed 14%.
5) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containina all temporary runoff And
erosion on site and may not impact neig�boring properties in any
way.
-03
Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and
r; . r-
FA W P-21
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ra