20427 86TH PL W.PDF111111111111
8223
20427 86TH PL W
ADDRESS: M/w - 341, /1q— zo
TAX ACCOUNT/PARCEL NUMBER: 00,5-q q 0o 00 1 (p o
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:_a DETERMINATION: E] Conditional Waiver F] Study Required k aiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DA
SEWER LID FEE $:
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #&26 1
GEOTECH REPORT DA'
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:,P-) I/ OW
OT14ER:
LID #:
BLOCK:
LATEMP\DSTs\Fomis\Street File Checklist.doc
STREE7 %� OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
SEPTIC TANK INSTALLATION PLAN
(Subnat in Triplicate)
ADDRESS OF PROPERTY ......... N 701 of
................... Lot No..15.....Fine Permit No.2A5 ..............
Ridge
Owner.. Larry.Fickeisen t
............. I ........ ... .......... Address 23207_._-_ 46 ... h --- Av.e.. _. V ................ Phone ........................
Builder ........ ......... Owner
...... Address . . .. ...... -_-------------------- .................. Phone ........................
Designer........ .... . Owner ..... ............... ............. ...- Address ----------------- _ ................................ ................ Phone ........................
Instal ler..Richmond..Conrete. . Products ----- Address. 17119 --Highway .. 99-,-..Iynnwood... Phone ... 7.4.3 -.-! 3.2 23.
I hereby certify the accompanying drawing is an accurate representation of the system installed at the listed
address. I also certify all recommendations and restrictions (concerning plumbing stub elevations, maintenance of
gi-ades, fills, surface drains, etc.) listed by me on my scwa--c disposal system permit application dated .... ...........
. ....... .... ... ........... . _ .............. have been complied with.
.......... 11 ...... ..............................................................................................................
Signature of Designer Date
TO BE FILLED IN BY CITY ENGINEER ONLY
Accepted ...... ........... XXX I*-
........................................... _ Date.. Ngve. er.. 1.6., _19-67
NotAccepted ............... . ................... ............... Pate .......... .......... ...............
Signature of Sanitarian ... ........ 1 ...... ... ...................................
Remarks: .......................................................... -- ----_----_--------- ---_------_-------- ................................ ............................................
INSTRUCTIONS: Use the reverse side of this form for the drawing. Use a scale which will permit the greatest
detail and still contain the entire site on one page.
ATTENTION HOME OWNER:
Your septic tank has limitations! It was designed and installed to care for an average -size family. Over-
loading the septic tank or disturbance of the drain -field may seriously impair satisfactory operation. Points to
remember:
1. Have your tank checked periodically to see if pumping is necessary (2V2-3 years).
2. Do not channel ground water, surface water, footing drains or downspouts into the tank or drainfield.
3. Do not excavate, fill, place a structure, driveway or, patio in, on, or ove'r the drainfield.
4. Limit toilet fixture disposal to sanitary wastes and toilet tissue.
5. Detergents and bleaches used in normal household quantities will not harin the action of the septic tank and
disposal field.
-7141W7
CITY OF..EDMONDS
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:. .... _4AI-2 —'— / / S 1-5 A.1
P
�.Y.......................................... . ......... ............ .......... ......
For installation at: (street address)... --- Z-0.1w ....... L-411
..... .. .................. I ................................ .. .................
Addition or Subdivision ---- _D_ _J ........... R//V --------- R'vac—o . ................... .. Lot --- /.6 ..... Week ...............
Type of Building: New ... X_ Existing ............ Single family residence.... X Number of* bedrooms. Y_
Other: (specify type or use).. ------- .......... ------- ........................... ---------------_---------- ............ _ ..................... .................................
Builder.,LARR..Y .......... CICA-_ f--115 ................ Address --- Z_3.Z-.!:77_ ......... Y_4 .......... AY . ......
04VA11--le
.Desiglier. "-. /Z9 y ....... /CrA �s A� --------------- Address .... ----------
......................................................... ---------
Soil Log Hole No. 1 ....... ............ 7_ b_'P ....... S -0.'e 4� 3
............. .. ....
4 SO cH 7— ��.y
.......................... ------- ---------------------------------------- --------_- - -------- ........... y .............
Soil Log Hole No. 2 ...... -Y ........
........... .e__Z_.1q._V ...................................................................... ............. .................................................................. ...... I .......
............
Elevation of Water Table, if encountered. (Distance from ground surface) .. . .... .. ....... ..........................................
Corrections to control surface water if needed ..... ...................................................................................................................
................................................................................................................................................................ ............... ; ......................
Specify if any removing or grading of topsoil in field area ....... A4.40 Z 0
D ...... ........................... ....................
REA-1.1 0.5t.1�4 .........
..........
Percolation:
Test Hole No. I —Average Rate ... 3. .............. ....... (Fall in iiiintites/inch-bottom 6". test hole)
Test Hole No. 2 —Average Rate..!�.'.( ....................... .................... (Fall in iiiinutes/inch-bottom 6" test hole)
Test Hole No. 3—Average Rate .... �7'� .................... .... ......... ------ (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design ...... �.4� .... ................... . Date Taken ....... 7/3
/!� 7
Septic tank requirements based on present rules and regulations:
Septic Tank Size.. _ /471�9.0 .......... gallons.
Amount of Square Feet of Disposal Field ...... ... . .. I .. ..... ......
Date ................
Signature — Designer... ........ V. .. ......
DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency)
Permit issued (date) .......... 1.,q. �. 7 ... Permit Number ......... ;P .. ...............
Remarks: ................. ... .... . . ............................ ............................ ......................... .........
......................................................................................................... --------- ....................................................................................
Septic Tank ......... SEWAGE DISPOSAL PERMIT
CITY OF EDMONDS No. . ........
Disp. Field ......... ......
..4. ft. Department of Public Works
Other.
Name ......
------------------------------------------------- * ---------------------------- is hereby authorized to install/
repair sewage disposal system at
........... 7� --------
- - ----------- ........... ...............................................................................
1"2- /," -
Date issued on .... ......... �ze ', -,;; / �V, 7
, ' -' -7 ----------- — ....... / ------------
Permit expires one yc'a'r from dat - e of issue
DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN
I hereby certify this system was installed under my supserryision-and control and c mpl*
of Edmonds Resolutions. :�� ;�W %�ith all provisions of the City
Signatureof Installer ............................................................................ Date
Approved Disapproved Date ---------------------------------------------------------------- By
Remarks:...
... .... .. . . .. ..............................................................
------------------ ................
SANITARIAN OR DESIGNER ---- --- -- Z
------------------ -------- --------- --------------------------------------- Date .... /
.. . . ..............
This pern . iit shall be posted in a reas-on-a-bly conspicuous place on the job until inspection has been completed.
- --PS 7
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SNOHOMISH HEALTH DISTRICT
19
41
DIVISION OF SANITATION
3011 Rockefeller Avenue, Everett, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permitto be issued to: ---- .............. 4 ......... a ... 4.e ....................... ------------------------ ...................................... .......
4 t7 ")�/
............ 5j��_ 0 _ Z 61�_/ ---- ---- ----------------------------------------------------- -_---------------------------
For installation at: (street address),
Addition or Subdivision_.� --- -_-------------------_ Lot. ............... Block ................
Type of Building: New-.X-,.- Existing ------------ Single family residenceX ...... --- Number of bedrooms .... ...............
Other: (specify type or use) .....................................................................................................................................................
Builder_.A&/e2_-,,/-/ ... --------------------------------- Address-.-,5- —, . .......
Designer-'-./O. /,Ow ..... -------------- Address. 14?,X49. � - - � - - - _ ---- 3-=:.?
Soil Log Hole No. . ...... ------------_--------
..... .................................. ............................. ------------------------------------------------------- ......
SoilLog Hole No. 2 .......... ........ Y ------------------------------------------------------------------------------------------------------
..........................................................................................................................................................................................................
Elevation of Water Table, if encountered. (Distance from ground surface) Aey..A0_4V.11 -------------------- : -----------
Corrections to control surface water if needed ---- �4� -------------------------------------------------------------------------------------------------
..........................................................................................................................................................................................................
Specify if any removing or grading of topsoil in field area--a-e 0- .....
....... 5ez it: 94 11: t4 0 0 ............... ---------------
Percolation: JV
Test Hole No. I —Average Rate ----------- 7 ................ -..-j - --------- (Fall in minutes/inch-bottom 6" test hole)
t,
Test Hole No. 2 —Average Rate --------- X ........................ /?_ -------- (Fall in minutes/inch-bottom 6" test hole)
...... -bottom 6" test hole)
Test Hole No. 3 —Average Rate -------- 9 ----------------------- J1 (Fall in minutes/inch
Average percolation rate on which to base drain field design__ ------ X -;;.w- Aq, � ... _ --- --- -------------- .......
Septic tank requirements based on present rules and regulations:
Septi c Tank Size ... I? ------------- gallons.
Amount of Square /Feet ff Disposal Field-----10 -------------------
r
Signature — Designe
------------------------------ Date ---_---------------
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) -------------------- ------------------- Permit Number.._.__..._/_'�0__J__1 ----------------
Remarks: ------------------------------------------------------------------------------
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#P20
Critical Areas Checkli
st
Site Information (soils/ topography/ hydrology/vegetation)
1.. Site Address/ Location: PL, w r��T
2. Property Tax.Account� Number: . U 0. �5 q q(a 0 0 () D
CA File No:cA1A_,oA,-jx
3. Approximate Site Size (acres or square feet): .70 H:,Oco 5.f�-
4. Is. this site currentlydeveloped? yes; — no.
If yes; how is site. developed?. C-)��_ O&T a"
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 ris e* of 10-feet over a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
. over. a horizontal distance of 33.t6.664eet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
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 standingwater: 1A 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway _tA0 floodp*lain of a watercourse.
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 mixed
urban landscaped (lawn, shrubs etc) Lj Rf X;W
11. Obvious wetland is present on site: fA L2
For City Staff Use Only 0, 0 15
1. Plan Check Number, if applicable?
2. Site is Zoned? F- 6 —1 -7,
3. SCS mapped soil type(s)? (9 ( a I dWWO 0A LWb avi I A n d GvYn P I I- A
4. Critical Areas inventory or C.A. map indicates Critical Area on site? N 0
5. Site within designated earth subsidence landslide hazard area? N 0 -
DETERMINATION
STUDY REQUIRED WAIVER
Reviewedbv- C1iV16L,(,0(,CiCL, Date: 09-05-1,00(o
VUA 01A #.P20
- V. 1 IS-7
City, of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be, filled out by any person preparing a Development
Permift Applicationfor 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
City Hall (Critical areas inventories, maps, 'or soil
surveys).
RECEIVED
AUG 2 2 2006
Date Received: 6lu"pu
City Receipt#:
Critical Areas File M 0 PA - 2-p o (9 - Q 12- 0
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
A property owner, or his/her 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.
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.
BUILUINO UEFARIMNI
The undersigned applicant, and his/her/itYRA, MMIgns, 'in consideration on the processing of the application agrees
to release, indernnify, 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 furnished by the applicant� histher/its agents or employees.
By my signature, I certify that the information and exhibits -herewith submiWd are true and correct to the best of my
knowledge and that I am authorized to fil applica n !�e behalf 0 wner as listed below.
SIGNATURE OF APPLICANVAGEW DATE' 0-7
Property Owner's Authorization
By m; y signature, I certify that I have authorizeithe above Applicanjt/Agent to apply for the subject land'use application,
and grant my permission for the public offic.ials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and p tmig attendant to: this application.
'm
SIGNATLRE OF OWNER DAM 317 16
PLEASE PRINT CLEARLY
Owner/Applicant.
Appli,cant !tepresentative:
&196 C�LAE, /"Jo �21 Wr2 CO&W11-- 69MW
Name.
PL W.- qotp g .5., T" ?
Street Address Stre& Address,
City. State .,Zi� city State Zip
Telephone:_ 40 r—i &4Q 7A
C5 0
Telephone: 2 4? Le - 5 -12, 0- '5
6D Email Address (optional):
Email address (optional): 191. in a n e
Co M CC( srf - �a�
*IST
PUBLIC WDFO(S rEPAR21OU
A-3
BUILDIX PERMIT REVIEW
(ad ess) (/dafe)
Street Right -of -Way Existing REQD
Z
1
lAccess Easements Existing. A111 IREQD
01-4
ge
Utility Easenmt Exist' D
W
Lot Per Subdivision Plat Assessor 14ap /*
U3
Site Plan Checked for Accuracy el,::f
Z
Underground Wiring Reqd.
Check Accuracy/of Legal Des6liption e��
wwoeil
Review by Date 4-x�iz 77
Existing Water Main Size -T
Water Main Required
Service Line Required
HYdrant Size Existing_
w
Hydrant Reqd Per Fire Code- —Size
W
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comnents
:3:
oJater Meter Charge Reqd.
Review by -4 Date ��,Zi�l
Septic Tank Design Approved Date
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability, ai:�4_ Proj.
Drm,7ing No. ZIO /(�/ File No.
Side Sewer Availability
Sanitary SeWej� C on.iee Reqd.
:3t
_�qpecti
Review by Date
-
Open Ditch Existirg. Reqd.
Culvert ReqdXEQ APP2MEb DkLt)Er- Size
Catch Basin Reqd./%, 6 t / I Indicate on Site Plan
Shoulder drainage maintain collection on swale open runoff
W Manhole reqd.P4: AWeQO&_3 QO-W Cr Indicate on' Site Plan
Soil Condit�ions �d G�roMund W��alt�Pe-r�Ftieldo�LCjhec�kKed�
LLI
Review by�
kevi.sed: lvlO-1977
0
DATE:
�
MEMO TO: Building Division
Planning Department
r
FROM: Engineering Division
Ptlbl ic Works ocparLIII(�Ilt
SUBJECT:
After review o f the subject BLIi Iding Permi t appl ication , we have the fol lowing
Comments:
I . Connection to City water - Sys tein -requ i red.
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. Backwater valve !I�quired if downstairs plumbing is below elevation of
u p sT�_e —am -111 a -0--olT.
6. Water and sewer lines to be separated by 10 foot minimum.
.7. Builder/Owner responsible for --containing all temporary runoff and Prosion
on site -and may not impact neiqhborina nrnnori-ine 1�
BD 6182
0
PLANNING DATA
11 STREETFILE I '
Name: c;t-rav
Date: C) 7. () 15. 1, 0 o (V
SiteAddress:
Plan Check #: BLD-2006- 0 9 (v�
Project Description:
Reduced Site Plan Provided: OES NO)
Zoning:
Map Page: ;,o 5-
1 Corner Lot: (YES / &
I Flag Lot: (YES /a
Critical Areas Determination #: CP-A- - 7,00 a 17, 0
0 Study Required
0 Waiver
SEPA Determination: f-,*e�QV'
M Exempt 4q() &y6k; 0r6kCUV19
0 Needed (Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
Required Setbacks
---]
Street:
Vq 2- ;3
Side:
Side:
1 5 10,
Rear:
1 e
Actual Setbacks
Street: +- t-
� Side: 14
Side: to�
Rear:
Detached Structures: 5avu le.
Rockeries:
FencesiTrellises: W004 feo-Ace (t,4.)
Bay Windows/Projecting Modulation:
NU Stairs/Deck: NPwW-vv%t-P-+e?
Parking Required:
Parking Provided: 2—
LotArea: J+,000 1,00"% tV'
Lot Coverage: ("0011' Max
2.6 3 9 0 C., s 0 0 0 V-&41 -t- 7 7 1P 10 a (-k- P 0 r
Lot Coverage Calculations:
9 ra qp— = 5 & U
qy66�g Height
DatumPoint: We.7PO-T MI)VILAVVIt/Air
Datum Elevation:
Maximum Height: +
Actual Height:
ADU Created: (YES /00 Accz�iWrj 1�16LJ otoe�p N01 Kom- "Q or o(AtO',
Subdivision: vl�p, p,,*d Sv ID - 19 f� �P VL 0 F knTM-4 I .
Legal Nonconforming Land Use Determination Issued: (YES VT- I t� I. FCA y I
Other
Ar- 4-0 9.1
0: I0009-2- 1(93-+ —1. 1+1=
G: 44-0-�
P' .4!0. 40 C1 - rd
4=' "or mqe; 6' pt s g r- 4 4-�-M
x-ecl oil-01-t9(07'?
(.To) PlanReviewBy: g.,e;w Spf-p- lo"at 19 (p > - vlor m file. wJectvwoNuA,12
-'.CITY OF EDMONDS FOR INSPECTION CAT,^ Permit N? - 626i
PUBLIC WORKS DEPASWT 775-2525 Ext. 220 Issue Date
SI,PE SEWER PERMIT
PERMIT MUST BE POSTED ON JOBQQ01FETC%-V FILA.
1. Address of Construction Q_0q_7,_--7- &:w" V/-- W. t=Cymom
2. Prop ty Legal escription (include all, easements)
e�,44) I_0tL or& Porrce-( C
3. Sing�e Family Residence Multi -Family No. of Units
Commercial
4. 0wn&r--and-/,or--Bui 1 der co
5. Contractor & License No. kQ L* —* 2Z Q DS
6. Invasion into City Right -of -Way: No—IfL"Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
E-4 7. Cross other private property: Yes Not/ Easement required -
attach legal description and county easement number.
READ THE POLLOWT-NG AND SIGN:
04
a. Property owners must obtain a permit to install side sewers on
>-I their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a minimum of a six inch (6")
side sewer line.
0 d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
0
e. Side sewer lines must be laid at a minimum grade of 2% (1.15
0 and maximum grade of 100% (45').
f. No turn in side s8wer greater than 450 (1/81bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1-8
bend) and Wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is require d for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2� working
days notice required.
DATE:
I certify tKR*lr have read
and shall comply With the above
0
PERMIT FEE: 35 2�007""'j APPROVED BY: Date:
0 By: -Date:
CONNECTION FEE: A PROVED By: Date:
PEP141T MUST BE POSTED ON JOB SITE
CITY OF M.M."IDS
RECORD OF SHORT SUBI)IVISION
This is to certify that
the properties as shown on the attached MaD.(Exhibit A) and
described as follows:
PARCEL
'to
A: The east
115.39 feet of the west 14.5.39,feet of Lot 3, Pine 111idge, according
the
plat thereof
recorded :in Volume 13 of Plats, on page 33, records of Snohomish
PARCEL
B: Lot-3, Pine
Ridge, according to the plat thereof recorded in Volume 13 of
p a s,
on page 33,
records. of Snohomish County, Washington; EXCEPT tile west 145.39
eet anc
T feet and EXCEPT the
north 89-00 feet of the east 134.84 feet thereof.
[PARCEL
C: The north
89.00 feet of the east 134.84 feet of Lot 3, Pine Ridge,
to the
plat thereof
recorded in Volume 13..of plats, on page 33, records of Snohomish
County,
Washington.
I
Have been divided under the provisions of the Edmonds, Subdivision Ordinance (Sec.12.10)
File No. S-30-71 subject to the following conditions and requirements:
1. Exhibit B: Hold Harmless Agreement
2. Sewer easement
3. Dedication of west 30 feet of Lot 3, Pine Ridge for 5�rf
. ��t
4. Tree cutting restric.tion�, to be imposed per St�ctlon 1Z. k oJ6 J/
.1 M
16 es shall have underground electrical and telephone se-1-viceZ.
11we hereby certify that 11we are the legal owner(s) of the property described above.
I/we warrant that all representations are true and correct and understand that in the
event*o.f any misrepresentation or failure to comply with the conditions and regulations'
4.
se' for' ' h herein, the Ci Ly of.. Edmonds shall have the right to declare the subdivi0on
void and record a statement W,;that effect in the Grantor -Grantee's Index in the office
I
of the Snohomish County AuditcM.
C_
Si gned:..V5�
4
7
LL_
Dated this-��74� day -,of
19 :7
STATE OF WASHINGTON) ss
COUNTY OF SNOM-11SH)
On this day personally
apppred before ale
el and
to
me known to
be the individuals described in
and who execueed the within
and foregoing
4
instrument,
and acknowledged that
—2,-igned t'he same
as
free
"4 . A 01t, !NA.
and.volunt'ary act and
deed, for the uses
and purposes
it I I I S P",
therein men,�iop�4,-� ......
Given
under m hand
y
and official
seal this. day:of
19
%
Notary Pbblic in andTf r the State of Washington
residing
at—..
7 0.4 0 V0[1083 F,r,r
1030 1
L-0-1
SNOHOMISH HEALTH DISTRICT'
VISION OF SANITATION
STREEToRo-clefeller Avenue, Everett, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permitto be issued ...... . ................................ .................................... ............ ........
Z��
For installation at: (street address) ----------------------- ---------------- __ . ...........
q
.... ...... . ..................................................
Addition or Subdivision..Sr-e ...... d�r ----- --------- ---------------- Lot ................ Block ----------------
Type of Building: New--X..-. Existing ............ Single family residence ... i�� ....... Number of bedrooms ..... ........
Other: (specify type or use) ---------------------------------------------------------------------------------------------------------------------------------------------------------
Builder__A/e7_/ --------- I1_j1.r1W,01e ----------------_-------- A d d r e s s. '-s-'Fev � - � WW- /e ------- 45i4s --------------
Designer..,."/ ....... Z,_ ------------- Address./V;�r---
Soil Log Hole No. .....
�� e4l - ---------------------------
..................... !� ........ I—- --------------------------------------------------------------------------------------------------------------------------------------------- -------- ------------
q
Soil Log Hole No. 2 ... 106�xell --------- se- /A .... � 4?
-- -------- -------
!!� a ,V. ,;;.v ----------------------------
-------- A ...... Ole ..... / . .......
T ----------------------------------------
Elevation of Water Table, if encountered. (Distance from ground surface) ... e4AV-C -----_---------_---------- .................
Corrections to control surface water if needed.__,?4AV_e --------------------------------------------------------------------------------------------------
................... I ........................................................................................................... I -------------------------------- -----------------------------------------
Specify if any removing or grading of topsoil in field area_ ------- f _740/z/;V� x W ....... ......
pz_ei 0 _0Z...77 ...
� � �, 4; �.�tvA 7e. /4/
Percolation:
Test Hole No. I —Average Rate .............. 4� ------------------------------------ (Fall in minutes/inch-bottorn 6" test hole)
Test Hole No. 2 —Average Rate. ------------ 45 --------------- ------------ --------- (Fall in minutes/inch-bottorn 6" test hole)
Test Hole No. 3 —Average Rate ............. e ------------------- ___ ------------ (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design ..... ------ ------_---_-----_----
Septic tank requirements based on present rules and regulations:
Septic Tank Size .... 1W .......... gallons.
Amount of Square Feet of Disposal Field ------
Date...
�4
r
1.�Z $
— De . . . .............. Z ;r X
Signature signe ...........
-- ---- — ----------------------------- Z/50 - " - -4 ---------------------
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
----1_-------_----
Permit issued (date) .................. .................... Permit Number --------- / d, a ---
Remarks: ................................................. _ ------------------------- ------------------------------------------------------------------------------------------------
........................ .......................................... ----------------------------------------------------------------------------------------------------------------------- ..............
13ROWK
Side Sewer Drawing
The City of Edmonds-,.,
EASEMENT NO . ...................... .............
NEW CONSTRUCTION N REPAIRS E] LID NO . .................. . ASMT. NO. ................
OWNER---- ----------------------------- ------------------------ CONTRACTOR .... ...................... PERMIT NO.
JOB ADDRESS-_--'<S_*-*�___ ------- ------------------- LEGAL DESCRIPTION: LOT NO . ...........
------------------------- BLOCK NO - ------------ _ .....................
----------------------------------------------- ------------------- ----------------------------------- ----------------------
PWW-GOO 1 - 11/75 (REV. 11/78)
NAMEOF ADDITION -------------------------------------------------------------------------------------------------------------------- _
..FF.Ov,
DATE---------------------- By
NOTICE:
t'Y OT.a.V
U.1 1 �d Uy
...w-a rra n
N'o ached
The information shown on the att
map(s) was compiled for use by the City of
Edmondsl its Employees and Consultants.
Th.e City of 'Edmonds does not warrant the
accuracy of anything set for.th on t * hese
Map(�-). Any person or entity -requesting a
copy should conduct an independent
orm . ation shown on
inquiry regarding the inf
-map(s), including, but not limited to,
t
th'e location of any sewer stub shown. Such
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neitheir the city of Erd4mo-nds nor its
empl-o-yee-s o-r office-rs -sh-a-1-1 be Viab..'Fe for t-he
n on this ma p(s), nor for
information give
e representation provided based
any on
upon said map(s).
.CITY OF EDMONDS
.11 FOR INSPECTION CALL Permit N9 6261
PUBLIC WORKS DEPART % r 775- 2525 Ext. 220 Issue Date 7
SIDE SEWER PERMIT
PERMIT MUST BE POSTED ON JOB SITE
`7 AMVIMW lmr� lmm�w�=�w llmmwwr
- (;�b-T4 PL_ t=,y pi, cat ds
1. Address of Construction 2- -7
2. Prop rty Legal escription (include all easements)
I LIC-LeAl Lot OrL PCXrCe_( C
3. SincgrtFamiiy Residence' Multi-Fa'mily No. of Units
Commercial
4. Ownaxaftd-74�uilder
G-a! .6 �-a I tt
5. Contractor & License No. L 2-2- Q D S
6.* Invasion into City Right -of -Way: No --es (If Yes Right-of-
Y
way Construction Permit Required Call Dial Dig (342-5344) before
excavation).
7. Cross other priva I te property: Yes Not/ Easement required
attach legal description and county easement number.
READ THE. FOLLOWING AND SIGN:
. a. Property owners must obtain a permit to install side sewe.rs on
their property. A licensed side sewer contractor must,be employed to
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of -.a six inch (6")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any -structure. .2% (1-15 0
e. Side sewer lines must be laid at a minimum grade of
and maximum grade of 100% (45 0 ). 0
f. No turn in side s8wer greater than 45 (1/8-bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45
bend) and wye with removable cap.
g.. No down spouts, footing drains or floor drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit -line
and at minimum intervals of 1001 along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right -of. -way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City. . Two (2
1. Inspection during normal working hours only r"ng
days notice required.
DATE:
I certify tliat--r have read
and shall comply With the above
PERMIT FEE: 3 -5, � _G 2_�-O o U APPROVED BY: Date:*
By: -Date:
CONNECTION FEE:* av� dPROVED By: Date:
04
PERMIT MUST BE_PQSTED ON JOB SITE
N -
CITY oi- ID:!")",!)S
RLCORD OF' SHORT SUB!)1VISIN
-operties as Sho�qn on the z�ttached I cD (Ex ibit A) and
This is to certify that the pt
described as follows:
ML&M-
[all PARCEL A: The east 115.39 feet of tile west 145.39 feet of Lot 3, Pille' '�idae, according
;�,,Co tile plat thereof recorded in Voluwe 13 of Plats, on page, 33, records o� Snohomish
lashington.
ounty, t
PARCEL B: Lot 3, Pine Ridge, according to the plat thereof recorded in VOIL11112 13 of
-ds -_PT tile west 145..39
plats, on page 33, recot - of �Snohoniish County, Washin(jton; EXCI.
feet and EXCEPT the north 89.00 feet of the east'134.811 feet thereof.
PARCEL C: The north 89.00 feet of tile east 134.84 feet of Lot 3, Pine Pidg.e, accor(i-i-n-g—
to tne plat thereof recorded in Volume 13. of plats, on page. 33, records of Snohoinish
County, Washington.
Have been divided un.der tile provisions of the' Edmonds Subdivision Ordinance (Sec.12.10)
File No. S-3.0-71 — subject to the following conditions and requirements:
1. Exhibit B: Hold Harmless Agreement
2. Sewer easement
3. Dedication of west 30 feet of Lot 3, Pine Rid e for 5�lryqtji�14-�fTway
L;,. Tree nuttinr, re:-tri(Aion!-' tc) 1�c impoSe'l Per "t1J."H 1—
,) . liomes sliall have un(,c-n,,i:oun(1 cloctrical. �ind tclef)hone
I/vie hereby certify that I/we are the legal owner(s) of the property described above.
I/we warrant that all representations are true and correct and understand that in the
event of any misrepresentation or failure to comply with the conditions and regulations'
set forth herein, the City of . Edi-nonds shall have the right to declare the subdivi,,inn
%mid and record a statement �q,; that effect in the Gran tor -Grantee ' s Index in tile office
AWAMrAIWAWAMrWAmgWAMAWAMrAWgWASrAdWAWAMV
, ,,.E Side Sewer Drawing AW
e, ity of Edmonds,,,,,,
v , , It A I EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS E] LID NO . ..................
-ASMT. NO . ..................
OWNER .... ...................................................... CONTRACTOR .....
X -7-U-t4 ...................... PERMIT NO. A:f�
JOB ADDRESS ................. LEGAL DESCRIPTION: LOT NO - --------------- BLOCK NO . .........................
-----------
........... ...................................................................................
NAME OF ADDITION ...............................
STREET FILE ----------------------------------- ........................................................................................
I ,.,
PWW-0001-11/75 (REV.11/78)
.,mpprovcu:
DATE Jffknl -0> .................... By
F
7 1
Ci
ty of Ed ds- Water Department
at
NO......... .......... .............. No ...................................
Meter siz� r1rap
Size ....
Mfgrs No ............................................. Styie...8.A./54-
m-Awl . . . .............. . .
For
.....................
cc,, ..........
.......... . ....
LotNo ........................................ �.. Blk. No .......
Add. .......... ........................ . ................ ....... . ....... . ....... . ..... . ....... . .. . .......
Service Location ..................................
........ . ..... .... . ................... . ....... . ... . .......... . . ......... . ..
Meter Location ... .... OF ..... HOO-5
MakeTap ......................................
. .............. . ..... . . . ..... . .................. . ................ . . . . .. . .......
Presspre� ----- - ------ - ---- - -------- lbs.' Test ........ . ............... . ......... %
Send Bffls to ............
-------------- - -----------------
..... ........... . . . . . .. . . ... . ...... .
Date o Work ..... �3.. ..
Poieman
... .... .. .. .. .... . . .. . ............ 7 --- - --
Guar. Voucher No ......... ................. ............... $..* . ....... . .... . ......... . ..... . .....
Remarks: ......... . ................. ........................... ........................ ................. T
...... . ..
.............. . . ..... . . .. . ........ .
.. . .......... . ......... . . ... . ........... .... . ..... . ...... . . . .. . .....
......... . .......... . . .... . ...... . . ...... . ... . ..........
......... . .... . . .. . . ................ . ....... . ................ . . . . ....... . .
IMM
BE
4j '4 /'M 1A)- 14 7'
ROBERT L. HOVDE
Building Contrador C-1 7-Y
20427 86th Place W. — Edmonds, Wash. 98020 ARP" VA' L
STfIFET FILE Ph
7 9 0 3310
Zo
PIA) -
a0i
41 17' ,b �p I t ,a a I
17
4
14
NO
MDR-
w
CITY OF EDMONI)b
PUBLIC WORKS DEPA T
SIDE SEWER PERMI.T
FOR INSPECTION CALI,,_.,�/, Permit N?' 62-61
11_�
775-2,&25 E�ct. 220 Issue Date
* PERMIT
l.. ..Address of Construction
.2. Propw�ty Legal Aescrliption
4.
.5.
6.
Sing�e Family Residence
Commercial
- ON JOB
(include all-eAsements)
L potirce-
o�
..Multi -Family No..
Co
Contractor & License No.
Invasion -into City,.Aigh,��6f7Way.-, No �es
z
way Construction Pe'fmkt�Required 'Zall Dial Dig
of tinits
(If Yes Right-of-
.(342n-5344). before
excavation)
7. Cross other privat�e-'pio-pierty:' 'Yes NoP1 Easement requLred -
`1;at.tAch legal description and county easement number.
READ THE POLLOWT-,NG �I&D S I G-N:
.?.. I !: J,-t. * I : .
a. Property ownersmust obtain a permit to install side sewvers on
their property. . A, licensed side sewer contractor must be employed to
e' p� jo�fi Fight -of -way..
construct side s''we'r's,in the
The s.id�'s`e*'er contractor assumes full r'eponsibility fo3r each
installation for one year.
c. Commercial establishment requires a minimum of a six inch (6'1)
side sewer line.
d. Side sewers may not be installed closer than thirty inc-hes ('30")
to any structure. 0
e.. Side sewer lines must be laid at a minimum grade of 2% a-1.15
and makimum--g�ade-`&f 100% (45P)-.'
x 6
f. No turn-ih�-'side sg�er� greater, than, 45 1,1/0.,�,,bend) is a llowe'd
be6ieen cleizin6iiti�"'-Ail 90 turns. must. !be.: constructed, pf 'a�45o'-.12jS
b'er�d j A` n d' - wy' bi w'-i i h �ie mo v� a b 1 e -c a
g No d`ownspduts, f6otihq�_,�rainsi Q"r� loor drains can. be. cofin6cted
to- sidel� !iewer� system6":-
h., Pea gravel is.,required for bedding when installing seweir lines
through other�th.an"granular soil.
4 ' tr6m eddh"'plumbing exAt line
i., Cleanouts are requirerd-at 30�"-60t�-,,'
060. 'Joh" 'sei
and at minimu'm intervals of i, a' g qer ine run.
j. Trenches within City righ,t-of-way must ]:�e.'restorpd to oxiginal
conditions. Contractors shall b�6 iies�'olhsibld for- right�-of-way failure
due to poor compaction of fill.
k. Side.sewer.must.be le'ff undbVekbd -until- inspected -and approved
by the.City.-
11.� .Inspection during normal Working hours --only. - Two, (2 working
da'y's n6tice,.,,required.
DATE:
I certify tTm -r-have iread
and shall comply With t-he above
-U
01, �00 ev 0 t
PE-RMIT FEE: APPROVED..BY-..,_ Da 6
By.
:n P
'NSA PROVED B� i ate:
CONNECTION FEE1.�
,PERMIT MUST BE, POSTED ON JOB 'SITE
W
SNOHOMISH'HEALTH DISTRICT
olvas 9W
UM_ VISION OF SANITATION
Rockefeller Avenue, Everett, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permitto be issued to: ... . .......... ----------------- -------------------------------------
For installation at: (street address) ........................................ .... ..... . .. ............... ... ................
Addition or Subdivision--srre .... . Ar ................ Lot ................ Block ----------------
Type of Building: New-.X.... Existing ------------ Single family residence --- i�� ....... Number of bedrooms ..... 3
................
Other: (specify type or use) ....................................................................................................................... ............................
1611 _/
4
.5
Builder..A.W ............ jo!omzle -------------------------- Address--.. -- -------
Designer-../ zor ---- e, ;,-V, &-_" 14 ............. Address-/
Soil Log Hole No. e1511 . ............. .............
..................................................................................... ................................................................................................. .............
Soil Log Hole No. ......... ------- !,.r 417
----------------------------
4
.0-/ .... . .......................................
Elevation of Water Table, if encountered. (Distance from ground surface) --- e� -----------------------------------------------
Corrections to control surface water if needed___,x!!�Av_e -------------------- ------------------------------------------------------------------------------
- - - -------- I ---------------- 7 ................................................................................................ ..................................................................
Specify if any removing or grading of topsoil in field area,eoe/v ----- f. 74 P/;,,;; .. 4?.A?1r ........... W ---------------
Percolation:
Test Hole No. I —Average Rate ..............
Test Hole No. 2—Average Rate ............. 45 ....
--------------------- (Fall in minutes/inch-bottorn 6" test hole)
--------------------- (Fall in minutes/inch-bottorn 6" test hole)
Test Hole No. 3—Average Rate ............ P ....................................... (Fall in minutes/inch-bottom 6" test hole)
Average percolation rate on which to base drain field design..-..,7
............... -------------------_-
Septic tank requirements based on present rules and regulations:
Septic Tank Size ...... ? .......... gallons.
Amount of Square Feet of Disposal Field
54t
r15��Z $
.. . . .............. /
........... 4
Signature — Designe ............... ..... Date --- Z/10%,49 --------------------
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) ................... ......... Permit Number ..........
.. .............. ------------------------
Remarks: .............................................................................. ----------------------- -----------
INOWN
j
2S.N 2�7
2009 1 2070300 1 PG
1 2 /0712009 1 1:48am �62,00
SNOHOM ISH COUNTY, W SHINGTON
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address:—�Z012-7 9(011-lpf W
Edmonds, Washington
Legal Description: &o-6- / L
�-j �-t, + 0 P ',4 c(& 1 7 /
Assessor's Parcel Number: 6 6 () C) c-) () � () 0 Z—
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21.05.015 is prohibited until an Accessory
Dwelling Unit Permit is approved.
I also understand that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and all the necessary items are submitted,
including an affidavit of occupancy and a covenant to be filed with the Snohomish
County regarding the regulations imposed on Accessory Dwelling Units.
Property Owner Signature:
Property Owner Name (printed): :�teKOLI &�.. ClctrEi Ivs)
1, - & 10
Date: /
V r
G--kya-nkc-e- - (kb� \�(:I"
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that jd-&uvi i4t� lt�nlul 4#—Lo4w
signed this instrument and acknowledge it to be h1r'#1y`& free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary's,presstqe, seals must be smudged, Dated:
Signature of
Notary Public:
Residing at:
My Appointment
Expires:
THIS DOCUMENT MUST
BE RECORDED WITH
THE SNOHOMISH COUNTY AUDITOR.
orc-
1A)-
AfAag'
co r67 5s-t-F- ROBERT L. HOVDE Aeo L- Pxv 07'-y
Building Contrador C7- �rO
20427 86th Place W. — Edmonds, Wash. 98020
213
5REET FILE Ph;�TZ
790330
z
14
Ib
7'
14
I
,/,/ d e-
4
A/
M��M
im
CITY OF EDMONDS
NEW
ADDITION
F� RETIREMENT
OTREET FILE ASj&-T INFORMATION SHEET
ASSET NO. e2o
ADDITION TO ASSET NO.
DESCRIPTION
4- Property."q! SERIAL N5
CITY OF EUMONDS
LOCATION DEPT. NO.
2- q 2-7 ?L N2 04077 /, Y 0
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER 3::i-,S- IF -7
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. !Y11 00 9- 3 ( 6 -3
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
121 DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
(tnp
DEPARTMENT FILE
$I
c!)
NYWE
ALL EXPOSED SURFACES TO I,-E':--T FILE
Zone Comer F1ajL_ BE COVERED WITHIN 2 DAYS_
METAL
MAILF'r AT T
geqwred Actaal
6- Setbacks
-2
TOP Wt) talml-I ..
1117 0
. 7
Front
I A Co F4-LJ-IC eakno
w 4+ ALL( A � IF 4
�ACL Vt AVtA 0 w 1 V/12! e*TP4eE$4 I
14 /IQ NOT AT 2,e D.C.
7
Sides w 3 ------- 0
C
jig tA Awc.,
C.
>
LIJ
Rear F, 11A /�A� r-5QCr- DEThIL. 01 F_LE-w,-nc)H br=crloo
Other
Aff" �P_) tNr Pool-
-1 fril 2.,�* aTAW. Pom
Heigh! /W' � 1, 0, _.w" To pom
HorE -. WHsr,-L Feu—_
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Fir= czK�4 F NIOW- PW; tIHIC,11 DRJYt:l4AY "14WER C., tt I& h I,,400t) r-eu AIT G 3 oo-,Qs
. t AT PROPEEPTY LIwS REPLACtO LL) jS)
59-1&,50, W. 700.c), -tjf2,j
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-
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Poo I- F,,u p m . N T PH-
�CDM%j rObT 11 _1 I .
RESUB
DEC 12 2006
6ULM14G C*PARTMIff4T 1
CITY OF EDMONCC-
0 13J
0 (3
C) (Fp
3 v I�
C4
:7- —0 7.
I
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P.
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Im,
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s
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M.P1. S.
ulpf. W.T
40q. 1
409. W
HEIGifff (;�,LCUL)1,710IJ 0,&,Tk P0IQT5
wax = 11, - wl
5POT ELFV^TIOWb A%KCUPD I WOE E�INRI_OPE
"A"
r:Lw.
A0q - I ,
'15"
ELF-V.
4ob.a!
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E� I. E V -
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"e 9^6 r: 4o9.2151
M^XIMUH MtF1&hT OF 15LJILDIWG
AV e R K-k- CA A W_
0 -1 - 2b ,
MAXIMUM I'MIC717IT
a-�:>. O(AJ-Lowt-eit)
rV0,111url M-e\.0,
-ww
416 + 15'
#.LLOkJ^ et-rz
Ar-TUAL UJILDIP& IS
ACrUAL F-LEV. Ar HIWI!�
-4 15 5,
PONT OF- Rcor-
5HOWW AT WORTH MILPIP6
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C.dmpi
A —,I W�
.!T sp—,
24
W,
H.w.� s'
U-1
L.
D.
491�1 WaY
214Lh it
2fsh st-sw
SW
PlIt.
216% 2w
A i.
13
Irl
im
21wh P1 svv
21,
PKOJECT AKE?\ CN_CUL,`,TI0-F45
bUILDING i`NKF_^
11^1 W LEN r: L To M L-EFT 1 �4 PLACe
I
1,156 b. F.
MAKIW LW4EL f?,RM0MLc_:D /6,KE#k
I OGQ-
.TUT'NI_ MNW L�V��L
2,220
&E,G,0PD LEV-Fil_ "PITIOI�
I
TOTAL t15ATED ^XE^
FIZONT FWTKY PORCH
106
f=00T M 11-4 T
2152b
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11,500
ALbO HOU55�5 rOOL. E(Sa�icmm�.Ir
"Nothing in this panift approval proem " be
inWpreted as allerwinger pernutting the
ce of any currently am "i. illegaL
immmeforming or unnsIrmitted budding strwture
or site condition ;rW_N_W_ de the mope ofthe
.ud %*lication, reVzd1m of whether such
sbuctum or conditiozi is dmm on the
site or &awing. Such building structure or
co= may be the subject of a w9arate
actiolLn .
IMPEIFNIOIJ.5 ��V\ CALCUL^TIOH
Ex-itTNIG PKIORTO 19 -1 - 1
I_ 71.1 U"
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i5l M ^F?E#\ ( -10 -sod) 141000 13.F. �ODITIOIj PF0rVtr--D '200(P
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........ APPROVED BY PLANNING
"Nothing in this permit approval proem be 414A'cl'
-c i-
k, LE FOR
interpreted. as allowing or permitting the 0-N310
Mr.)CM AND P21AINAGE
maintenanc� of any currently exiatin; illegal, r &v1*tAAY- - C)N n
nomnfo=ng or to npe!mitW building, structm
or cite condition which to out0de the toope of the -51 T L
application. ro4&rdtM of whether such Zone- lot6 I' Comer Flan
. structure ot condition is shown on the (D[ZT [I &lk(*l ANWred
site or drawing. Such building, structure or —4"1—
con i n may be the subject of a separate Front W
enforcement action."
N' fED
X Sides.
Rear
Other
Height
VIGNIT"""'r �-1,Afo 0 ID: F_. R., /6�KE-,4\ c�\LCULi'\TIO��b
tcNt.-el �/411 _0 .1000 r-T,
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I Qod fi 21RIll PI
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DEC V
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2006
9 MENT
Nr..
tj
IMPERVIOUS SURFACE CALCULATIONS
EXISTING HOUSE 2215 SF
MAIN LEVEL ADD. 324 SF
TOTAL MAIN LEVEL 2539 SF
2nd LEVEL ADD. 1341 SF
TOTAL HEATED AREA 3880 SF
A Portion of the NE 1/4 of the SW 1/4 of Section 19,
Township 27 North, Range 4 East, W.M.
LOT 25
PLAT OF PINE RMGE
RECORDED UNDER AUDITORS FILE #990893
GRAPHIC SCALE
0 10 20 40
1 1
V111111111011A
(IN FEET)
1 INCH = 20 FEET
FRONTPORCH 180 SF NORTH 70'OF LOT 16
BASIS OF BEARING
BACK PORCH 99 SF
GARAGE EXISTING 847 SF
TOTAL FOOTPRINT
INCLUDING GARAGE
TOTAL LOT AREA
3,953/14,000 = 28.2%
3566 SF
14,000 SF
I
30'-
M
Bench Mark
to CREI=4035'
F
I I
F-
U
30'
W
a,, 1;:.,
00
Cq
t-
z
CONC. MON. IN CASE
@ INT-X 207th STREET SW
4"X 4" W/LD&TK DOWN P
3-D Surveying & Mapping
Mapping the world and your back yard
1226 203rd Place SW
Lynnwood, Wa., 98036
4257747873
jonp3d@comcast.net
Set Rebar
With Cap
L.S. 36824
EL= 404.9'
b
C�
CD m
z I
16'50"W 200.00'
f
, -- ""- WOODEN FENCE 03SOUTH OF LINE
10'
Setback
-410-
SOUTH 3 YOF LOT 16
"C"EL=410.1'
B" EL 408.2
WOODEN FRAME
PROPOSED
GUEST HOUSE
"A" EL 4102
20-4-15,
F
cq
PROPOSED
1.4' 5.8'
8.8,
15.3'
12. IV'
WOODEN FRAME
NORTH 3 5'OF LOT 17
RESIDENCE '1�
EXISTING CD
4 20427 41
L
FINISH FLOOR EL 4104 -4.10\
"D" EL 410. V 21
1.4'
20.3'
133
15.11
49.6'-�-
293
1-
223
2
"A"EL=409.1'
"D" EL
IO'Setback
410.9'
110,
Set Rebar
With Cap
L.S. 36824
EL=406. F
EXISTING
REBAR W/CAP
L.S. 9991
OATWEST
N89016'50"W WOODEN FENCE ON LINE
SOUTH 70'OF LOT 17
LOT 25
207th STREET SW
CONC. MON. IN CASE
N89016'50"W PLAT310.00' (Meas.309.79') 4"X 4" W/LD&TK DOWN I'
CITY OF EDMONDS RIDGE HT. EXHIBIT
For
John Straub
Set Rebar
.With Cap
L.S. 36824
EL=412.1,
EL = 4103
7-
LOT 25
PLAT OF PINE RIDGE RECORDED
UNDER AUDITORS FILE No. 990893
DATUM
NAVD 88
WSDOT MONUMENT
"JEFF RESET"
SPOT ELEV. AROUND
BUILDING ENVELOPE
"A" EL = 409. F
"B" EL = 408.2'
"C" EL = 410.1'
" D" EL = 4 10.0"
AVERAGE = 4094
434.4'liiaximum height
LEGAL DESCRIPTION
SPOT ELEV. AROUND
GARAGE ENVELOPE
"A" EL = 410.2'
" B" EL = 410.5'
"C" EL = 410.5'
"D" EL = 410. 1"
AVERAGE = 4103
425.31 maximum height
THE NORTH 35 FEET OF LOT 17 AND THE SOUTH 35 FEET OF
C" EL = 410.5' LOT 16, PER THE PLAT OF PINE RIDGE, RECORDED IN VOL. 13
6' OF PLATS AT PAGE 66, RECORDS OF SNOHOMISH COUNTY,
STATE OF WASHINGTON, AUDITORS FILE No. 990893.
A Portion of the NE 1/4 of the SW 1/4 of Section 19, Township 27 North, Range 4 East, W.M.
NOTES
Set Rebar
With Cap 1. THE INFORMATION SHOWN HEREON REPRESENTS THE
L.S. 36824 RESULTS OF A SURVEY DONE BY ME ON THE DATE
EL=411.9' INDICATED AND CAN ONLY BE CONSIDERED AS DEPICTING
LOT 26 THE GENERAL SITE CONDITIONS AT THAT TIME.
2. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT
OF A TITLE REPORT AND DOES NOT PURPORT TO SHOW
EASEMENTS OF RECORD. NO GUARANTEE OF OWNERSHIP
IS EXPRESSED OR IMPLIED.
3. INSTRUMENTATION FOR THIS SURVEY WAS A LEICA TCA
1100 TOTAL STATION. PROCEDURES USED IN THIS SURVEY
WERE FIELD TRAVERSE MEETING OR EXCEEDING
STANDARDS SET BY WAC 332-130-090.
0
DATE:
RECEIVED 7/17/06
AUG 2 2 2006
BUILDING DEPARTMENT
CITY OF EDMONDS
SHEET:
C, 4 IT", y C 0 P y I OF I
'! � w - -
/ZO(/ IN& q
h 7
suellal
RECEIVED
AUG 2 2 2006
BUILDING DEPARTMENT
CITy OF EDMONDS
rnA.r xT_T,*I=
1116 11 EFLZY.
.40
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ywi- payt 04:� JIA�
"Nothing in this permit approval Process shall be
interpreted as allbwingor permi:�Tg the
rtA.7-f eA.T.
maintenance of any curreptly e
nonconforming or uppermitted buildim structure
which is outaide the scope of the
or cite condition
=ji * epMl , otwhetherouch
app cation. r ew
udding, structure or condition is shown on the
site plan or dmwing. Such building, structure or
condition may be the subject of a sWarate
enforcement iction."
VIGNITY H,Afo
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APPROVED By FLMNING
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521hgkka Emuired.
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ppp, ()v Front W
Sides-N[�� i r)
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55
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F- X 15T I �-X.7 ?644P.: POO 1.,, �,H rA91rK$4 I-
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A Portion of the NE 1/4 of the SW 1/4 of Section 19,
Township 27 North, Range 4 East, W.M.
LOT 25
IMPERVIOUS SURFACE CALCULATIONS
EXISTING HOUSE 2215 SF
MAIN LEVEL ADD. 324 SF
TOTAL MAIN LEVEL 2539 SF PLAT OF PINE RWGE GRAPHIC SCALE
2nd LEVEL ADD. 1341 SF RECORDED UNDER AUDITORS FILE #990893 0 10 20 40
TOTAL HEATED AREA 3880 SF
(IN FEET)
1 INCH = 20 FEET
FRONTPORCH 180 SF NORTH 70'OF LOT 16
BACK PORCH 99 SF
GARAGE EXISTING 847 SF
TOTAL FOOTPRINT
INCLUDING GARAGE
TOTAL LOT AREA
3,953/14,000 = 28.2%
3566 SF
14,000 SF
U
4-
10
00
7-30'-
Set Rebar
With Cap
L.S. 36824
EL= 404.9'
N89016'50"W
200.00'
Set Rebar
With Cap
S.36824
M
10 --
10' Setback
WOODEN FENCE 0.3'SOUTH OF LINE
WAO�EL=412. F
Bench Mark
4?
top CB El 4033
/
-
-1- f��
-410-
1 F-
SOUTH 3 YOF LOT 16
C�
1113" EL 408. 1 z
21.1' "C" EL 410. 1'
WOODENFRAME
PROPOSED
GUEST HOUSE
"A" EL 4102
1113" EL 4105
17:
20.4'
PROPOSED
0.7
W
a, ;�
0
z
CONC. MON. IN CASE
@ INT-X 207di STREET SW
4"X 4" W/LD&TK DOWN F
30'
3-D Surveying & Mapping
Mapping the world and your back yard
1226 203rd Place SW
Lynnwood, Wa., 98036
4257747873
jonp3d@comcast.net
-5.-8' \_��
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15.3'
r8.8'
ffi
WOODEN FRAME
NORTH 35'OF LOT 17
RESIDENCE
EXISTING
#20427
CD
z
FINISH FLOOR EL=410.4'
"D" EL 410.1"
z
1.4--'�)
49.6'
J,
2-0-3-
e� -133
15.11
�293
223
�6 50
2
"A"EL=409.11
0�
D" EL 410.01, 10' Setback
V-
N89016'50"W
-i
T
WOODEN FENCE ON LINE
200.00'
Set Rebar
With Cap
L.S. 36824
EL=406.1'
EXISTI`NG
REBAR W/CAP
L.S. 9891
0.17WEST
SOUTH 70'OF LOT 17
LOT 25
207th STREET SW
N89016'50"W CONC. MON. IN CASE
PLAT 310.00' (Meas.309.79') 4"X 4" W/LD&TK DOWN F
CITY OF EDMONDS RIDGE HT. EXHIBIT
For
John Straub
BASIS OF BEARING
PLAT OF PINE RIDGE RECORDED
UNDER AUDITORS FILE No. 990893
DATUM
LOT 25 NAVD88
WSDOT MONUMENT
"JEFF RESET"
SPOT ELEV. AROUND
BUILDING ENVELOPE
"A" EL = 409. F
B" EL = 408.2'
C" EL = 410. F
D" EL = 410.0"
AVERAGE = 409.4'
434.4'maxinium heiglit
LEGAL DESCRIPTION
SPOT ELEV. AROUND
GARAGE ENVELOPE
"A" EL = 410.2'
"B" EL = 410.5'
"C" EL = 410.5'
"D" EL = 410.1"
AVERAGE = 4103
425.3'inaxiinum h ight
THE NORTH 35 FEET OF LOT 17 AND THE SOUTH 35 FEET OF
C" EL = 4103 LOT 16, PER THE PLAT OF PINE RIDGE, RECORDED IN VOL. 13
6' OF PLATS AT PAGE 66, RECORDS OF SNOHOMISH COUNTY,
STATE OF WASHINGTON, AUDITORS FILE No. 990893.
A Portion of the NE 1/4 of the SW 1/4 of Section 19, Township 27 North, Range 4 East, W.M.
NOTES
Set Rebar
With Cap 1. THE INFORMATION SHOWN HEREON REPRESENTS THE
L.S. 36824 RESULTS OF A SURVEY DONE BY ME ON THE DATE
EL�411.9' INDICATED AND CAN ONLY BE CONSIDERED AS DEPICTING
LOT 26 THE GENERAL SITE CONDITIONS AT THAT TIME.
2. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT
OF A TITLE REPORT AND DOES NOT PURPORT TO SHOW
EASEMENTS OF RECORD. NO GUARANTEE OF OWNERSHIP
IS EXPRESSED OR IMPLIED.
3. INSTRUMENTATION FOR THIS SURVEY WAS A LEICA TCA
1100 TOTAL STATION. PROCEDURES USED IN THIS SURVEY
WERE FIELD TRAVERSE MEETING OR EXCEEDING
STANDARDS SET BY WAC 332-130-090.
6 6
24,
24,
ROOM=
AUG 2 2 2006
BUILDING DEPARTMENT
C4TY OF EDMONDS
DATE:
7/17/06
1eC-V:;,ee2R
,Q 17- 7- A
SHEET:
I OF I
IAZ �V
:5-ffew /
_J -I-
RECEIVED
AUG 2 2 2006
BUILDING DEPARTMENT
CITY OF EDMONDS