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20411 MAPLEWOOD DR.PDF1111111111 lill 12239 20411 MAPLEWOOD DR 37 m m 'cr) C) 7& r. I Z, 7�; 400 -,'c C-) 7*rA(- eo- 10 32-7 Ole - Di X 0— Cn fipL7-Pt, Ohm, m m m C I L Z. ell /vb> 'Ite., I I bT Arrmu- vcu OT fL A A 4("&Qt6 ;:: IcV� 7>' Zone �— I '�_ Corner X_ Flag C /v?,P 12-1 MA)e 104 AeW '7-'--,. Kequired Letbacks R Actual Frontvv/,4 00 Zo7- Sidesp Rear Offef Height 90 7, EY. INU 14z_ RESUB AUG 2.3 2012 BUILDING DEPARTMENT c,TY OF EDMONDS S"TREET FILE process sball be I*Ymng in tkil pefuu, q*r8V6)itdng the iuwpwied as allowiag Of Peru .6M..,.of "y currenit, C:K" iUW" tied building, SATUGUM wwonforming or !TVI�fm or site con"� whit 0 is outside the soap "of the CrWit application. regardICA Of wh3lber SUUCture or wnditic,& is shown on �.im iM drawing' F��=h building, site=- - uonriay be the Subjz-�I Or a mPrj-Ae C.dormMew kchon." 1) �7--5 .4 . APPROVED BY PIANNNG RESUB AUG 2 3 2012 BUILDING DEPARTMENT CITY OF EDMONDS A Y, Ubt CITY OF EDMONDS ZONE CONSTRUCTION PERMIT APPLICATION ,,I, OWNER NAME NAME OF BUSINESS— I ADDRESS DV HONENL ?I* I is A 00 ADO U 43k, LICENSE NUMBER FXIIRATIU)4 DATE PERMIT NUMBER 960436 S.UITE/APT a PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0 RW Pri—il Required 0 EXISTING — REOUIRED DEDICATION ,treat Use Permit Req'd 0 Inspection Required 0 PROPOSED Sidewalk Required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YES 0 NO 0 BY SIGN AREA SEPAREVIEW ADS NO. ALLOWED I PROPOSED COMPLETE JEXEMPT SHORELINES Exp VARIANCE OR CU PLANNING REVIEW BY DATE TETBACKS — FEET HEIGHT I LOT COVERAGE FRONT SIDE REAR LjNEW RESIDENTIAL Li PLUMBINGIMECH FADDITION COMPLIANCEOR COMMERCIAL CHANGE OF USE REMODEL APT. BLDG. SIGN CHECKED BY TYPE OF CONST TION — Z CODE 1 5�1 E] GRADING FENCE REPAIR I x _FT) WOODSTOVE SWIM POOL DEMOLISH INSERT HOT TUBISPA GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL I SPEC�IAL INSPECTI REOL RED fFIEA R MARKS V (TYPE OF USE. BUSINESS GiA.LCTIVITY) =EX IN: Ii-L .4�1 &A,-) 6— PROGRESS INSPECTIONS PERUBC 108 NUMBER IF 0 OF [NUMBER OF / DWELLING ICRITICAL AREA W STORIES UNITS NUMBER Q DEIGRIBE WORK TO BE DONE (ATIACH PJI1DT PLAN), A - LOAD FINAL INSPECTION REQUIRED VALUATION FEE LAN CHECK FEE P LA 7 r HEAT SOUPFEE GLAZING /. % BUILDING PLUMBING M Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any cons6uction on the public domain (curbs, sidewplks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE 5V Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant. on behalf of his or her spouse, heirs, assigns and successors in interest, pgrpes to lndemnjfy-Ae�B�d and hold harmless the City of-.. 4dirrionds, WaShIng(Oh: - Its officials, x employees. and agents' fr6m- any and all claims'lor damages of whatever nature, arising directly or Indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any reqmitement of any city ordinanc: not limit inlany way the City's ability to enforce any ordinanc provision... ENG. INSPECTION FEE P LAN CHECK DEPOSIT TOTAL AMOUNT DUE j q (OD I hereby acknowledge that I have read this application, that the Inf r a Ivan is c( ATTENTION _gI . Drrect:and that I am the own ;r r WyUn APPLIC ATION APPROVAL -autb2rized a, I I agree to comply .1112.] 751e Iawn=;=ng.iGM.tr6MIon; and In doing the work authoriz- ed thereby, no person will be employed in violation of the Labor Code of the State of Washington relating to Workmen's Compensa- tioWurap4nd RCW 18.27. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt Is acknowledged in space provided. Sloff PfR OR AGENT) DATE IG L DEPARTMENT CITY OF EDMONDS OFF�ICIA;L DATE 01 gN AIrtNTION CALL FOR INSPECTION RELEASED BY: IT IS UNLAWFUL TO USE CUCCUPY A BUILDING OR STRUCTURE UNTIL A F!NAL INSPECTION HAS BEEN MADE AND APPROVAL OR 7 '71 -O�20 ORIGINAL — File,. YELLOW — inspector U A CERTIF CATE OF OCCUPANCY WAS BEEN GRANTED, USC SECTION 109 114.1 PINK — Owner GOLD — Assessor ILL 117N ZL 0% LS ID. .2 __j FE 400f- .- 6 1 -r C--- - fA 11� f t v 5 5-,, 'IT !!�5 's q 0- to PROJECT DATA BASIC DATA Owner. James M. PalmeF Address: 20411 Maplewood Drive Edmonds Phone: 778-6562 PROJECT AREA S4 Ft. New Carport 860.00 New Stordge Enclosure 56.00 TOTAL 916.00 HEIGHT LIMIT 04P Ref Daturn Location Ref. Datum Elevation Maximum Height Limit in Feet Maximurn Height Elevation I ^- — — . -- APPLICATION for The City of Edmonds SIDE SEWER PERY[IT EASEMENT No . .......... ............................... NEW CONSTRUCTION REPAIRS L) OWNER ..... �; ....... t . ... ...... 44A.H ..................................................... CONTRACTOR ..... ......... SOIPMSMS .......... PERMIT No. (3 ---3 ADDRESS ..... 24411 .......... HAP. ....... Mi ......... LEGAL DESCRIPTION: LOT No . ......... iA� -------------------------- BLOCK No . ............................................ NAME OF ADDITION ............ IC .............. &.040W ........ w4er ................................... t) (XIO Approved: DATE ... 46..76Z.7.41 ... APPROVED 5�az AUG 111969 CITY CIVEDMONDS CIVIC CENTER — WATER-SEIVER DEFARTM_ Call PROsPect 6-1107 when work ENT is ready for Inspection. (No inspee- SIDEI SEWER PERMIT tions Saturday, Sunday or holidays.) N2 3381 ADDRESS .......... �Q!�;�;J�4.lewoqd Drive ...................................................................................... . ............................................................................. OVVNER ............... C M..,,-.Cash .. . .. . ............................................ * ------------------ CONTRACIMR .............. Cascade Sewers .................................................................. Permission is granted ----------------- &V93491-11 ... 19 ---- !�9 for ---------------- ------- days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on , file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. I —The owners of the property may obtain a Permit to construct sewer inside Property line. A licensed Side Sewer ontractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. C NOTE No. 2—Obtain full Information regarding Ordinance 11.16.03o and Regulations governing side sewers when you get permit. NOTE No. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 inches Inside property line; minimum grade of 2%. No bends In grade.sharper than % will be permitted. NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. NOTE No. 5--It is unlawful to alter or do any other work than Is provided for In the Permit, or to do any work on the main sewer or its appar- tenanees except to Insert the pipe Into the wye. 4C!'S a 9 N-3 November 18, 1996 James Palmer 20411 Maplewood Dr. Edmonds, WA 98020 CITY OF EDMONDS BARBARA FAHEY MAYOR 250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works e Planning * Parks and Recreation * Engineering Subject: Your letter of November 12, 1996 Dear Mr. Palmer; Under normal circumstances, developers of land in Edmonds are required to dedicate right-of-way if indicated on the Official Street Map. In some zones, it is also typical that the developer be required to widen roadway, construct curbs, gutters, and sidewalks, and extend utility service to new lots. These construction requirements offset the impacts of new traffic generated and provide utilities to new homes. Sidewalks, curbs and gutters across both frontages of your property probably would cost in excess of $7,000. The Official Street Map indicates that a strip of land approximately 155 feet long and 20 feet wide is required to complete the right-of-way of 204th St. S.W. to the ultimate width of 50 feet from Maplewood Dr. to 88th Ave. W. The attached drawing shows this necessary dedication. An alternative course of action exists that you may wish to discuss with our Planning Division. You and the owner of the "Cash" property to the east of you could pursue a "Lot Line Adjustment", which does not create any additional lots, thus does not trigger the mitigation requirement. The neighboring owner could then subdivide the revised property into lots which would all access from 88th Ave. W. and would tie into utility services provided by the LID. If you choose to dedicate the 204th St. right-of-way at this time, or any other time, the City would accept it, as it is shown as being needed. This scenario is also shown on the attached drawing. I hope I have answered your questions, but if concerns linger or if you have other questions, do not hesitate to contact Gordy Hyde, Engineering Coordinator, at 771-0220, extension 325. Thank you. Sincerely, il e'�Ivjk"' James C. Walker, P.E. City Engineer GCH/JCW/sf Attachment PALMIER.DOC Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan SIERRA ST 30 .0 AIGHLAXOS ZZ scole =60 30-01 90.00 sqt�ioosl' IL #I, 11 1%6-- LAUR-I'ANN- PARK SECTION 119, T*27 N., R.4 E.,-W.M. EDMONDS, WASHIN.GTON GRANADA E:STAns 3aa N 89021'30"W 651.45 170.26 22.7, A40*57�?e I 4j 2 ;t ..0 65.18 R-91 9 054'06" -w 8/ 22.59 170.9 N8902 eJ4 WT- r-- LN XY 400' 15-55-1 -4-ov-- 1 -i95. /7 7 N89021'30"W 204 th. SrREEr s w 88.20 88.20 1 64.24 jo 10 'm LQ % 4 % C.1 5 '00 6 Q, ;2t a 00 00 39-0-1 88.20 8a -po 89.00 30: 5"W 651.8.0 V1 L NOV 14 1996 City Engineer ENGINEERING City of Edmonds 250 5th Ave. 11/12/96 Edmonds, Wa. 98020 To whom it may concern: I reside at 20411 Maplewood Drive in Edmonds. I ain contemplating selling two lots behind my house to a local builder. These lots need to be legally re platted before I could sell. I have just learned that the city win require me to pay the estimated cost of building sidewalks along the front and side of my lot if property changes hands. I was already aware that I would need to give the city about 10 feet of property along the northwest side of my lot for street widening and sidewalks. - SonehoW, giving up property and also paying for the improvements to the street seems unfair, but I suspect that arguing that point would be futile. As my potential buyer has given me a sales agreement which indicates closing 10 days following preliminary plat approval, and since you don't provide estimates of the cost of these improvements before the official process begins, I wonder if you could look into what you have planned so I can evaluate what I would net out of these lots if I sell? I am not familiar with how all this works, but I can't make a decision until I have some idea of what the potential costs are. Thank you for your time and consideration. ames Palmer 0( 6r?- 6- U -7 &I -Tm 4L loop f,, w I!, fe-�,6 it 'y j -\g 53S4" Or kz �, At -Y 1W 1 Apt, /wj. ik 46 x 7 .,V- � b 41� rltn,-099fO*'F 14951771-0��j Mo. ........ v t Or IF 16 047 'Is T. .4 sm'", rN ,A\ "n V WA"r 4 STREET FILE 16 A/ ex vr4\/ewAy &4. ts L PROJECT DATA BASIC DATA Owner James M. Palmer Address: 20411 Maplewood Drive Edmonds Phone: 778-6562 Site: same PROJECT AREA S4 Ft. Yew Carport 860.00 New Storage Enclosure 56.00 TOTAL 916.00 LOT COVERAGE HEIGHT LIMIT —PACIC Ref. Daturn I Ref. Datum Elevation Maximum Height Limit in Feet Maximum Height Elevation Average Grade Building Permit I U Application Information Application #.. 920810BLDG - Date... 9/15/92 Site Address ... 20411 Maplewood Dr Job Name ....... Palmer Owner Information Name ............ James M Palmer - Address ....... Po Box 58490 City/St/Zip ... Seattle,..iWA Home Phone .... Work Phone... Contractor Information Name.......... Address ....... City/StIzip ... Contact ........ Phone ... Architect Information Name .......... Albert H.-Cohen Address ........ 330 Daytori'Str*eet CityjSt/,Zip.... Edmonds,,WA..98053 Permit... # P-920810BLDG Unit # ..... ATA# 50671 000 027 00 98138 Cont # ... OWNER Arch # ... 776-7373 Contact'..,...-... Al.Cohen, ....Phone ... 776-7373 Engineer information Name .......... Engr V Address ....... City/St/zip... Contact ....... Phone... New ...... X Additioni..'.'. Alteration ..... Repair ...... Nature of Work.. Carport ith storage Building Type code..-. SFR-VN_ Cost/SqFt...''$ ,Buildipg�Area. Basement ......... First Story .... Second Story ..... Third Story .... Over 3 Stories ... _,Garage ......... Decks ............. 1'Shell Only ..... 65.12 916 N Total Square Footage..�...-.. 0 Building Valuation ......... $ 10,726.00 Building Permit Fee.... $ -1.13.40 Plan Review Fee ........ $ 73.71 Total. Fees ............ $ 187.11 Heat ... Building Permit r- rum Application Information Applic ' ation #.. 920891BLDG Date ... 10/1-2/9-2, Site Address.... 2041-1 Maplewood Dr Job Name.�..... James Palmer Owner Information Name.. James M Palater, Address ....... Po 13ox.58490 City/St/Zip ... Seatt'Le, WA Home Phone .... Work Phone ... Contractor Information Name .......... Address ........ Citylst/zip... Contact ........ Name .......... Address ....... City/St/Zip... Contact ........ Name .......... Address ....... City/St/Zip... Contact ....... Phone ... Architect Information Perrqit.-. . # P --- 920891,BLDG TIr ATA# 5067 000 01-7 00 98138 Cont #. . . OWNER Arch # ... Phone... 776-3444 Engineer information Phone ... Engr # ... New ...... Addition ..... Alteration.: ... X Repair ..... Nature of Work.. Re -Roof Building Type code"... SFR-VN Cost/SqFt ... $ 65.12 Building, Aiea Basement ......... First Story.... Second Story ..... ..Third Story .... Over 3 Stories ... �aarage .......... Decks�. . .......... Sbell Only ..... N Total Square Footage ....... Build-ina Valuation. $ 1,0C.0.00 Butil-ding Perm."'.t Fe'e .... 25. GC.- Plaj-k- Yeview Fee, � ...... 0 Total Fees ............ $ 25.00 Peat . . . & 9 0 . 19 9 - City of Edmonds 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 determination of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: J M 6-5 P'4L M ef, Narne ow MeF� Title 2-0�-J/ M k106L) DIZ, Street Address b-:�7,DMO AA1> -S 14 WA I kaf-Co City, State, ZIP Phone Applicant Representative: - ALS6-)er14- 60h'L--,A/ Narne AA,Ub Title -A& PA->-'7VAJ 5T Street Address City, State, ZIP Phone Signature Date Signature Date Y y—, `TM Critical Areas Checklist, Site Information ProjectName: - PA-1_Me)e— Permit Number: SiteLocation: 2-0411 FOIA"00D X Property Tax Account Number: -S-062-000--OZ-7-00 Approximate Site Size (acres or square feet): Have you filled out a Critical Areas Checklist for a project on this site before? AJ <-D General Site Conditions 1. Has the site been cleared or logged? yl�s Date of most recent action: co Soils Topography 6,J -2, 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 3. Describe the general site topography. Check all that �pply. 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 of horizontal distance.) -Steep: grades of greater than 3 0% present on site. Comments Hydrology/Vegetation 4. Site contains areas of year-round standing water: AJ D 5. Site contains areas of seasonal standing water: AJ 0 —Approx. Depth: 6. Site is in the floodway tJD floodplain 0 D f a water course. 7. Site contains a creek or an area where water flows across the grounds surface? flows are year-round? _tL,;j_Flows are seasonal? P 8. Site is primarily: forested meadow ;shrubs mixed fEz.:,J&-At774-& 9. Obvious wetland is present on site: M 1) �LWWn Afq S 10. Wetland inventory or map indicates wetland present on site: 'AJ 0 11. Critical Areas inventory or map indicates any Critical Area on site: Foe City Use Only ---- Rev 3127/92 PLANNING DATA SINGLE FAMILY RESIDENTIAL I=STREET Name: 0 (9 �0 00 0 (D 1 Date: 7 Site Address: Z"o L� ao oci Plan Check Project Description: Add/7 Reduced Site Plan Prov ided.- (Y ES NO) Zoning(?5-- Map Page- Corner Lot: (0 NO) Flag Lot: (YES Critical Areas Determination 9: (4&0 El Study Required tl�-Waiver SEPA Determination: SI-Exempt El Needed (for over 500 cubic yards of grading) 0 Fee 0 Checklist El APO List with notarized form Reqaired tbacks Street: 5- Side- Side. I L:::,- r �/ W�ty 2- 3— Acttial Setbacks Street: 10(9 Side: '*-)9 L Sid e Detached Structures: Rockeries: Fences[Trellises: Bay Windows/Projecting Modulation: El Stairs/Deck: fielght Datum Point: Datum Elevation: loc) Maximum Height Allowed: 17,6, Actual Height: 75), Other Parking Required: Parking Provided: LotArea-. q0, oo c) Maximum Lot Coverage: 35% Proposed: t? Lot Coverage Calculations: L-00 ttl AQ U.Se- a- ot kvrc ADU Created: (YES Subdivision: Legal Nonconforming Land Use Determination [ssued: (YES Comtnents .-V QLt k- to/. 5� q0-7 10 1- T� (02- 10,2- Plan Review By: PlannUiq Data FDrm G4 -11 -06.doc PUB�,�C 'WORKS DEPART14AW CHECKLIST BUILDING PERMIT JREW� 7Q_q1_' In 7, Street Right -of -Way E�dst:*Lng REQD Z Access Easements Existing REQD Utility Easement Existing_L) b _-REQP NLA Lot Per Subdivision Plat Assessor p Site.Plan Checked for Accuracy. Z Underground Wiring Reqd. 1 9 Check Accuracy of Legal.Description Review by Na) I Date Existing Water Main Size Wa Malin Required d Service Required c quirel�__ Hydrant Size t P4 j Hydrant Reqd Zer Fire �Co Size Detector Check Meter Reqd. Cross Connection ection Fire Dep� t Comnents Water 1-bter Charge Reqd. Review by. Date t T De tic Tank Design Approved ep s p rov Ic Date k rml Sep 'c Tank Permit Reqd. a Re S T P qd * _ ep c n e Permit No. -t e Availabjle�_ Sanit Sewer Availability S anl S r ity N Draving 0 File No ide Sewer Ava* ility S S_ 1 w v 3_ lllty_ S S j y S w r Com .0 anitary Sewer Conne Fee Reqd. :�t. Review by Date Open Ditch Existi� -Peqd. Culvert Reqd. S.ize P4 Catch -Basin In 3 te omn Site Plan 0 r Shouldi>eratinage maintain collection on r swale open run I ole reqd. 2*,6 3 Indicate on ite Plan� Soil Conditions and Ground Water Field Checked Review by Date -0 Revised: lvlO-1977 Page 2 a I n Reqd St P v1 g 2 b : d Gut Paving Reqd.. Curb,and. t d. Sidewalk Reqd. Cut for iv w Curb Cut for Dri:veway Reqd. ro44j- Right -of Way. tion PermitReqd. for Public Diprovements Bond TM Street Nanie Sig�ri tReqd. Cn Other Signing Reqd. Pre Permit Site Inspection made on z 0 BY: SEWER WATER STREET A ENGINEERING Special Requiren-ents listed in m emo to Commmity Developrrent Department, Building Division BY -----Date o All items filled.in on Building Permit Application P� BY Date Drawings Starrp'ed;"a'nd Notations Made P4- BY Date .' Approved by Public Works Department ievi-sed: 1v 10-1977 INSPECTION RECORD CITY OF EDMONDS, PUBLIC WORKS DEPARTHENT DATE: PROJECT: mr 2-447+�� -xr-c-T-, Me-, --s L NMI �:)'Y: 1/781V Mr. William L. Crichton 20411 Naplew6od Drive Edmonds$ Washington 98020 SUBJECT: ruture Videnin of Platted Street Dear Mr. Crichton# In reference to your request for information on the proposed widening of the street across your propbrty, attadhed is a marked up map indicating the d*mensions of the fu"wo right-of-way. Measwements,should be made from the survey mohu- us�t" located as shown oziihe sketch whio,are covered with 4, steel ciftular plate' Ifi the pavement., Town Very truly, CITY OF EDMONDS MCHARD,Hio ALLEN 'City 1�igineer Askistant RHA:mjr Attachment "I.0 A, June 17, 1975 Mr. Willi 20411 " 1 lewo():d!Dr!i!ven L s �.J Edmont�s, Washington 98020 Dear Mr. Crichton - In reply to your letter dated May 23, 1975, indicating your dissatisfaction with the location of the fire hydrant installed with the recent waterline improvement project, we take this opportunit3r to explain the reasons for placing the hydrant in its present location. The hydrant location is such as to be immediately south of '�the proposed,204th,Street right-of-way as shown on our,Official. Street Map adopted by Ordinance No. 1322. As'204th Street S.W. was developed as a half street adjoining your property, an�'fur- ther improvements on this street would be to the south to conform to existing improvements of 204th Street-S.W. to the east. If the hydrant were placed near the old hydrant, this would require future improvements to the intersection or widening of the street. We have made field inspections of the hydrant location since your original telephone contact with this office and we feel that this location is not a detriment to your property or a hazard for ingress and egress from your driveway. If you have any further questions regarding this matter, please feel free to contact this office. Yours very truly, CITY or EDMONDS LEIF R. LARSON, P.E. City Engineer GLJ:LRL:mjr !.En6l:Area pri.nt,of Official Street Map cc: City Attorney K-N/ C-0 CITY OF EDMONDS 0('_ DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: ....... ......... /', ........ For installation at: (street address) ..... 9.0.q. /1 ................... 0�7-of -,elC .... W..,O 0 �P ......... ...... (!:�2 ................................................... Addition or Subdivision ......... /-7,1A kev..V..k� .............. /54 -.7 ..///s ---------_--_- ............ Lot....9./... Block ................ Type of Building: New...--X.. Existing... ......... Single family residence. ..... . X .... Number of* bedrooms ..... 4'� ......... ...... Other: (specify type or use) ............ ____ --- .............. ......................... .................. __ ................................................................... Builder .... ------- .............. Address ------- ....... 6 ....... ;4F'P0^ ............ .!I�v .................. Designer- -------- 11.-_FA11z-_.z> .......... A _,R�eX�A d !eik'a .................................................................. Soil Log Hole No. I --- .......... .......... SoilLog Hole No. 2 ------ _3.-Wr7_4 .... ................................. ................................................ : ............................................ Elevation of Water Table, if encountered. (Distance from ground surface) ......... * .......................... Corrections to control surface water if needed ............................... I ......................................................................................... Specify if any removing or grading of topsoil in field area ............................................ ........................................................ .............................................................................................................................................................................................. ........... Percolation - Test Hole No. I —Average Rate ........ '2 ........ e7. /. �.V ........ .... .. . (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate ....... J ...... 1.,'M ......................... (Fall in iiiinutes/inch-bottom 6" test hole) Test Hole No. 3 —Average Rate ------ -/V -bottom 6" test hole) ............... --------- -- ------- (Fall in minutes/inch Average percolation rate on which to base drain field design .............. 5 .. ..... /94�� ........ Date Taken/�4ffr-A(.4..) Septi c tank requirements based on present rules and regulations: 3 7,5� '0 Septic Tank Size ... . ....... gallons. /00 A Amount of Square Feet oj Disposal Field _�Z ..... 0 t-�"O;-eA - .. .......................... Signature — Designer ....... * - ------ ................. .................. D a t e.. (10 DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) .................................. ............................. Permit Number ............................................. Remarks:-_.. .... ............ ............................................................. ............................ I ................. _ ------- 1 .................................... ........................... ....................................................................................... . ..................................................................................... ROY ALLEN 43'7 pa"cod �. "�' EDMONDS, WASHINGTON PRosPECT 6-4467 . ........ ------ dn"Z-'L'� - ---------- ----------------------------------------------------------------------------------------------------- -------------------------- DITCHING 9 BACK FILLING 0 SIDE SEWERS DATE ........ 1,71w.i� ............. �� N Ak ;eZ Y'X.4 CL 47 /7 ebruary- 24 1-c- A --C i - y-Ilugi _S_everaj_yg_43Z_q- agg when _Xg_pRrqhased our present_home,, urIng, T n. -nopw qe-m+.-;e- +..q.nk wf+.h field' to adaquatelY handle the operatiou af said septic tank., r C-4dryated. thi.s I-ar -e tank ate.. to be__gcl �,aquate for a larger r which we had, thff p1lans for at that time but Coul& nat i afford to, b,uild: it- then. We are now planning to, start the larger hamp an&-Ili-e-b-u:Ul-ftm--tal-d me I should. infarm you of my intentions ta have. the tank pjg�pedl and cleanz& and hooke to) the; new home. ere,jLyLi--- rs L qu— ill Ma-Dir-wood Drive —Ln)-t,--P7 Mgpjaxoad-JLj',-J.Ls Z— e 'I :1�7 8 9 9 9 - to_ 4 115T City of Echnonds RIGHT-OF-WAY CONSTRUCTION PERMIT Penfift Num . ber: Issue Date: A. Address or Vicinity of . Construction: .204-11 MAD.-CIA2000 -AIZ B. Type of Work (be specific): %1,J5-rA%A_ tA1JT%kQ.LxMUQD F—AQL%'T16:S OPJ OOL& NtJID 91LOP COV�NkA_ 1.0 SeP..'J'(6 Aoust UIJD VN3 C. Contractor: P \.) 1) . MailingAddress: '210146 44W\1 qq State License #: 6D"lVa5, W4 94KOZ40 D. Building Permit # (if applicable): Contact: Y_y?-T MN9--T10-J Phone� to-70- 37_077 -3-69-6-710 Liability Insurance: _ Bond: $ Side Sewer Permit # (if applicable): E. n Commercial Subdivision El City Project E] Utility (PUD, GTE, WNG, CABLE, WATER) I'. E] Multi -Family 0;�05ingI6 Family F1 Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : D Yes ORWo G. Size of Cut: — x — H. Charge $_ APPLICANT TO READ jA AND SIGN J X, INDEMNITY. Applicant understands and by his signature to this applicati6 grees to hold the City of E;lmonds arn,141,�,'!,,,,wies, damages, or claims of any jUnd or description whatsoever, foreseen or unforeen, that may be piwe against the City of Edinonds, or any of its departments or employ- ees, including or not limited to the definse of any legal proceedings includingdefense.costs, and atiorneyfees by reason of granting this pennit. THE COATRACTOR IS RESPONSIBLE FOR WORKMANSHIP AArD MATERIALSFOR A PERI6D OF ONE YEAR FOLLOWING. THE FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK ES77MA TED RESTORA 77ON FEES WILL BE�AIIELID UN77L THE FINAL STRkEiAATCk IS COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISS.UANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Department Work is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. "'w771-0220 Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with Cit regulations as requirCo byJhe City Engineer. All street cut ditches shall be patched with asphalt or City approve& material prior to the en&of the w'dfking day; NO EXCEPT -IONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all timesJor inspection purposes Signature: rje�� Q . Date: -9 -z- (Contractor or Agent) .COMMENTS: CALL DIAIA-DIG PRIOR TO BEGINNING WORK DATE: ......ISSUED BY ra Me- I !I MIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.) Diagram: __ 1 . 7 CONTRACTOR CALLED FOR -INSPECTION 0 YES 0 NO Partial Work.Inspection by P. W..: Work Disapproved By: Date: FINAL APPROVAL BY: Date; Enst. Div. July 1985 1476 PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV. 7/87 LOCAfION 2o4-11 MA9L_&wooD oV_ Gc> CC> ARE POLE NO. SVj 1/4 S N 01 T 'Z_l R 4- DATE ft-23-92 W.O. NO. 3 _Z REASON FOR WORK _S C- C_ LA e6v ENGINEER MPfVZ'rlv4 DWG. NO. F� t,- ry\ ez DRAFTER U. G. N 0. SCALE I DATE WORK COMPLETED APPROVED DATE PRINTED t-OKLMAN t:.NVIRONMt_NIAL ANALTbIb 0 EXEMPT 0 NOT EXEMPT FEES REQ'D wyEs 0 NO PARA. 18 rrEm C PRIMARY OVERHEA) O.H. U.G. COND. KV • RESIDENTIAL ADD CKT. FT. PH • COMMERCIAL REM CKT. FT. PH LEO# NET CKT. FT. O.H. U.G. COND. KV SECONDARY OVERF EAD BASIC F ADD CKT. FT. PH os REM NET CKT. FT. PH CKT. FT. METER/CONV. POL-_ PERMITS (DATE GRANTED) PRIMARY UNDERGROUND [I TREE TRIM • RESIDENTIAL 0 STATE • COMMERCIAL 0 COUNTY BASIC FEE $ LEU# liff CITY CoMoftZ5 / o $-I= s 0 EASEMENTS SECONDARY UNDERGROUND BASIC FEE S 4S<D 0 REOUIRED 0 NOT REOUIRED UNDERGROUND' PL, J DATE RELEASED BASIC FEE FOREIGN CONTACTS FT. 0 0 GTNW JPNq 0 CATV JPN STREET LIGHTING Y tFT.@$_.=$ 0 JOINT TRENCH 0 JOINT BORE G GTNW & CATV rNW & CATV WORK IN RIGHT OF WAY • PRIMARY 0 POLE STENCRING • SECONADARY t FT. 0 $ FROM TAKE OFF POLEF I TO MISCELLANEOUS FEES VAULT S PRE-CONSTR. REQUIREMEN7 EDmotizs PERMIT S 0 TREE TRIM 0 PUD LOCATOR s 0 BACKHOE 0 $ 9 ONE CALL DATE DEX POLES F I PLAT TOTAL DUE $ LOGS U-MAP I DATE PAID XFMR C-MAPI I R ECEI P T# _S G4--i G LOCATION MAP PAGE 4-5+ �4 -.S NEW SVCE APPLICATION# Z03 o 1 :6 SUBSTATION &AA?Vkwcx>D CIRCUIT NO. 1-4-2.4-6 PHASE r-3 3 Z_ w - () - _#_ '3 2_ ws-r 3)" :56c ow F-V tj to S' ISO V_cm oowt4 9-%sc-fz )(FmfL S_4zsli )( 16 (c:T 3 'eAg- S(--(-0toQAA-j 9(=0k_SS-rAL -zo4-i I L - -5000 5 SAERM ST I "X' 211STW /ON 0000, /eq/7- k IZ Nu 11 a /p M"91N 21 e,06E OF Z3.T. ± 14 W 204- S-r �5w ogz� NO. DESCRIPTION REVISIONS 1-4ii 6LtA' d S BEFt*E YOU DIG 1-800-424-5555 RU 20 4-0-r07 IYO V6--c0,A?0 e-OC47-1041 3, W,9T6-,? ,c . A/0 6 -0,of A -r10 N 43-3 81 / 1 2 - R6- if.4,CD 52-650 71 2 1 2 " X 90c' R6 4�FL L GO-1405 (- I / 1 .00 X W/L/,o 50-307 S 5'1 /0 85-9-30 1 1. 2 " �ZRWNS 79-800 3 / 1 2 " C5, 7,,4g 2 135'1 --#-L 14 WIRE 85 --q4O R1135' 2" )c;E -10-2&0 ITE OUANT.1 DESCRIPTION ISTOCK NO. BILL Of MATERIAL, P;W"IT �501vlOIVD�5 TAX CODE 95 J, PERMIT D.G.R. 7-2�>-85 RMIT 1/4 SEC. NW lq-27-4 PERMIT PLAT 162-O&S OP MAP 0. (o Up I'd AREA 4eo/v 0 A/ 10 AWblvigton Energy= SEQ.N0. 0)1,, 012 2"RE llc'M.,qlN EX -TV TO 2D411 M�qlol-C WOOD �91? DWN. T11,5 71261,65 1 R 4,043-31 RR JOB 853-263 DATE B Y APP D. CHK'D. DRAWING SCALE :50' APP. 3 C\ tw 2: P-rH Fix i sT i � (-, 14---)Lt(E To �EHA[q OR i W �y Vj4-,1P-1Mr,V VF-ILL-P_V NI P,0,2 � Fr��f U To 5E w,l,j e,4 ALL WORK SUBJECT TO FIELD INSPECTION FOR CODE COMPLIANCE WORK BUILDING DEPARTMENT 0 1 -t 6,0ve-4- OWNER APPROVED DATE: BLDG. OFFICIAL: PERMIT NUMBER.-7 8COdc) /5-- 15-15 -7 czwt sizey- 13`IV=V1 To 5 ?nor A0 a(a ( h t (1-ni ew 1, City of Edmonds Building Division CURTI S MCGUIRE architect 1�9 H ApN H- OWNERICONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE STREET ALE PLAN RECEIVED IJEC 2 12015 DEVELOPMENT SERVICES COUNTER 44 t2. F-11 ON 9 W '614 4 L 2 oil HAFL�. Wd e; 19 �2�.l v c;' 05 a 6-7 200p 27 0 L L 6-1 L Li T Z-� [,,,I VL 1� L� .1p p (--I E I 13 Z- 1 —,7 1 — I CA: Sim co� LE FOR � 7 4— V1 cl) Cf) rn I Rear ,J ZA- Other rL � Lk Fleight APPROVED BY P NING MAR 3 12016 BUILDING DEPARTMENT CrTY OF EDMONDS t4t)UD a4f4 C) t t