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20602 82ND AVE W
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CITY OF DMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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Lu MAILING ADDRESS
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CITY ZIP TELEPHONE NUMBER
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NAME
ADDRESS
ZIP ITELEPHONE NUMBER
NAME
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ADDRESS
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CITY ZIP TELEPHONE NUMBER
STATE LICENSE NUMBER EXPIRATION DATE
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Leqal Description of Property - include all easements
Property
Tax Account
Parcel No. �(,3 -4040 0 0 4/
0 NEW,
El RESIDENTIAL
El PLU MBING
F-1 ADDITION
D COMMERCIAL
El MECHANICAL
FIREMODEL
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E] r SIGN
GRADING
EIREPAIR D
FENCE
- CYDS.
DEMOLISH WOODSTOVE
0 INSERT
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SWIM POOL
HOT TUB/SPA
1:1 GARAGE RETAINING WALL/
C ROCKERY
F1 RENEWAL
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS 7NUMBER
CRITICAL
CR'T"
AREA�
,.B,
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
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HEAT SOURCE: GLAZING
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ILF
USE
ZONE PERMIT
NUMBER
JOB __1�7ITE
ADDRESS 00.�? �_o 1APT
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ILEGAL DESCRIPTION CHIECKI SUBDIVISION NO. ]LID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP,
TESCIP Approved 11
RW Permit Required 0
EXISTING REOUIRED DEDICATION
Street Use Permit Req'd 0
Inspection Required C3
PROPOSED
Sidewalk Required Cl
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METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
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YES 0 NO 0
REMARKS
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EERING MEMO DATED
REVIEWED BY -
SIGN AREA
SEPA REVIEW
ADB NO.
ALLOWED
PROPOSED
COMPLETE
EXEMPT
SHORELINi
EXP
_�ARIANCE OR CU
PLANNING REVIEW BY
DATE
SETBACKS — FEET
I HEIGHTT14
OT COVERAGE
FRONT SIDE
REAR
REMARKS
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CHECKED BY I TXPE OF CONS
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OCCUPANT
GROUP�
SPECIAL INSPECTOR AREA OCCUPANT
RECUIRED El I I LOAD I
PROGRESS INSPECTIONS PER UBC 305
0 6t_2_2 7A101-1 &S
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
BUILDING
PLUMBING
Plan Check No.
This Permit covers work to be done on private property ONLY.
MECHANICAL
GRADING/FILL
Any constr uction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
STORM DRAINAGE FEE
ENG. INSPECTION FEE
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successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
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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, waive or reduce any requirement of any city ordinance
nor I.imit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
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
THIS PERMIT
state laws regulating construction; and In doing the work authoriz-
AUTH6RIZES
ed th by, o person will be employed in violation of the Labor
ONLY THE
Code f the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion surance and R(;�W 18.27.
I'NSPECTION
�'SIG RE (OWNER OR�7GNT) DATE SIGNED
DEPARTMENT
9V
CITY OF
EDMONDS
ATTEN71ON
CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
A CERTIFICATE OF OCCUPANCY, HAS BEEN GRANTED. UBC
CHAPTER 3.
APPLICATION APPROVAL
This application ii not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
0 F F I C I A L S %fG"XjyA DATE
RELEASED BY� DATE f
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
E.5 fILE CA FILE NO.
Critical Areas Checklist
Site Information (sdifs/topography/hydroloa/vegetation)
L Site Addr=fi.,ocation:
2. Property Tax Account Number. 000 - 00
-V 4:9
3. Approximate Site Size (acres or square feet): 2 9- Ac j5R-.r
4. Is this site currently developed? —±fyes; DO.
If yes; how is site developed?,������.
5. Describe the general site topography. Check all that apply.
Flat* less dm 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). - -- - -
Hillr. slopes present on site of more thaii-15% and less than 30% (a vertical
rise
of 10-feet over a horizontal distance of 33 to 66-fea).
Steep-. grades Of grWw than 30% Present 00 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. A/,O Approx- Depth:
7. Site contains areas of seasonal standing water ty ;Approx. Depth:
What season(s) of the year?- AJ.M
8. Site is in the floodway P/ a floodplain We of a water course,
R"Q*ZM
'W go -199-
City of Edmon&
Critical Areas Checklist
'Me 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. Ile
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 soiJ surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
9
and submit it to the City. Ile City win
review the checklist, make a precursory she
visit, �&nd 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 -
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addidion, the applicant shall include
other pertinent infomation (eg. site
Plan, topography !nap, etc.) or studies in
conjunction with this Checklist to assist
staff in completing their.prelimmary
A of the site.
I have completed the attached Criiical Arm Checklist and alleg that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner I Applicant:
Nam
Stmd Addr=
city. state, ZIP Phone
Signatum
Date
Applicant Representative:
r algemelee ow. lwc
Nam Am
ZI-1-50 X11eA-'-ZA-Qh 9-4y, !!;/.e ne ' Se
Stred Add=
ee,4W-44W2ro
city ta�e. Phone
A;Zk
isignature Date
STREET, FILE
CA FILE NO. 94-1-71
Critical Areas Checklist
Site ]Enfor=tion (sdifs/topography/hydroloU/vegetation)
1.
Site AddressALocation: 4j&nj&,p jj,,
2.
Property Tax Ac c o unt Nu mb er. 00 0 — 00
3.
Approximate Site Size (acres or square feet): 2 5' Ac j5Rr
4.
Is this site currently developed.? --!!:fyes; DO.
If yes; how is site developed?,TZda"ja
5.
Describe the general site topography. Check all that apply.
Flat less than 5-teet elevation change over entire site.
Railing. 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 over a horizontal distance of 33 to 66-fed).
Steep: gradesof grcater 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. fV40 __ ;Approx. Depth:
7. Site contains areas of seasonal standing- water: jy,0 ; Approx. Depth:
Mat season(s) of the year?- Aj M
S. Site is in the floodway We floodplam -we of a water course,
9. Site contains a creek or an area'where water flows across the grounds surface? Flows are year-
round? dya Flows are seasonal? (What time of year?
Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc) )( .
11. Obvious wedand is present on site-.* me
R"WWM
890 1 9q
City of Edmon&
Critical Areas' he'ck-list
'Me Critical Areas Checkli.4 <'*a. Wine d. -on
this form is to -be filled out by any'perion
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development
permit to the City.
Ile 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. Ite
information needed to complete the.
Checklist should be easily available fi-om
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,
AUG 19
PERAWIT CCL!pq-7m�
L_
and submit it to the City- Ile City will
review the checklis4 malm a precursory site
visit, �and nuke 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 -
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and idea* the subject parcel(s). in
addition, the applicant shaU include
other pertinent inforrnation (eg. gite
Plan, topography pl�ap,. etc.) or studies in
conjunction With this Checklist to assist
staff in completing their.prelinfmary
assessment of the site. .
I have completed the attached Criiical Area -Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate colu'mn below).
Owner I Applicant:
Nam
Strcet Addr=
City, state. zip Phone
SignaWre
Date
Applicant Representative:
Ah rXA1x1z:.,-:ej(1ee co. /,vc
Nam
,11Z-50 A// A/
Street Addr=
009 -,34,)
Citjyta�e, -Phone
zignature Date
STREET FILE
CITY OF EDMONDS
250 - STH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works e Planning e Parks and Recreation * Engineering
8 9 0 . 199 -
CERTIFIED MAIL
April 4, 1991
Timothy Holly Hymes
20602 - 82nd Ave. W.
Edmonds, WA 98026
RE: Problems with venting of your plumbing fixtures
Dear Resident:
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The City's sewer cleaning records show that the home at this address is
experiencing problems with the venting of some of your plumbing fixtures
when the City crew is conducting cleaning operations of the City sewer line
in front of this address.
The City's cleaning operation is essential for both you and your
neighbors. It cleans debris in lines to prevent plugs, prevents corrosion
and potential future collapse, and achieves a better flow characteristic in
the public sewer lines. We need to do this often -- perhaps even 3 times a
year -- in some critical areas. The City's cleaning operation typically
involves the utilization of a high pressure water jet.
The problem which occurs at the home is the result of a high pressure surge
through your internal plumbing system. A properly constructed plumbing
system is designed to easily vent this additional pressure without any
visible impact at your residence. An undersized venting pipe (or not
having enough vents) cannot handle the pressure surge, and the only release
that's available is then through your toilet (or another fixture). The
Uniform Plumbing Code typically requires a 211 vent, and further requires a
separate vent for each plumbing fixture which is connected to the sewer (a
toilet, a sink, a shower). Your home clearly does not have an adequate
venting system (you either have a 1-1/411 vent, or not enough of them), and
you therefore may continue to experience the pressure surges.
The City does not have a choice as far as discharging its responsibility in
cleaning the public sewer line. It is therefore up to you to take
corrective measures as to how to properly vent your own plumbing system.
The City has come up with two options that will remedy your problem:
Option 1: Upgrade stack vents for toilets and other fixtures which
are experiencing problems to required sizes.
a- Iricorpwared- Ari i
Page 2
Option 2: Install a clean -out outside of house per attached
specifications. Enclose box so it can vent properly when
excess pressure is put on house lines. This option would be
the cheapest and simplest way of correcting this problem.
At the same time, it would allow access to sanitary sewer
lines if stoppage should occur. This vent clean -out would
allow a place for backup in lines to go before entering your
house and causing costly damage.
The City would appreciate your expeditious cooperation in this matter. The
City must continue proper maintenance of its sewer lines, but we obviously
do not wish to see continued problems occurring on your property because of
poorly designed vents. It is your responsibility to correct these
deficiencies.
We cannot keep notifying you each time we come out to clean the line. It's
up to you to have a plumbing system that conforms to code. Option 2 is a
relatively simple one to construct.
Should you have any questions on these options, please call Everett Akau,
Scott Highland or myself at 771-3202, extension 317 or 318.
Sincerely,
(2-1, 401'.0,
Ron Holland
Water/Sewer Supervisor
Enclosure
SEWERVEN/TXTSEWER
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NOTICE:
N-o--warranty of accuracy.
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The c'ty of �Edm.onds does not ' wa rra nt the
accuracy of anything set forth on these
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -map(s), Including, but not limited to,
the location of any sewer stub shown, Such
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
r -the
emp-to-yee-s o-r offiCerS Shal-I be 11-ab.-Ife fo
i n
information g*ve* on this map(s), nor for
ion provided based
any one representat*
upon . said map(s).
APPLICATION
The City of Edmonds 'JR SEDE SEWER PE MIT
,EeAT
f ILE NEW CONSTRUCTION g7 REPAIRS EASEMENT No . ..........................................
L- /D
OWNER .................. .......... CONTRACTOR ..............................
.. .......................................................... .......................... ............. PERMIT No.,� ...........
6 0 g BLOCK No. ................................ .
ADDRESS .......... ........ LEGAL DESCRIPTION: LOT No . .......
........................................................................................ ..................................
NAME OF ADDITION ....................................................... 0.,,s ... .............. .........
.... .. . .. .... ... .... ... .. ..... --- 4!�.,-Ps,
A*
APPROVED
SEP 10 1969
— - ;-,�? We s L Approved:
DATE1.1 7 ........ t --t . ..........
CITY OF EDMONDS
CIV16 CENTER — WATER -SEWER DEPARTMENT Can PRospect 6-1107 when work
Is ready for inspection. (No P"'.
tions Saturday, Sunday or hol days.)
In" N2 3441
SIDE SEWER PERMIT
ADDRESS ............ ��yie
.................................................................................................................................................................................
OWNER ............. 2Q6.Q2 ... . ... a2y.i.d..Amme .. Ve.5:t ................ CONTRACTOR ............. San.i ... S.a.fe ............................................
Perinission is granted .............. �P��!� ... �9 .......... 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 Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 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 1/g 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. S—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 appur-
tenances except to Insert the pipe Into the wye.