20632 76TH AVE W.PDF111111111111
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20632 76TH AVE W
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DETERMINATION: E] Conditional Waiver E] Study Required V10a-iver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
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SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:—,&&& Z
SIDE SEWER PERMIT(S) #:
SOILS REPORT DA
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LATEMP\DSrs\Fomis\Street File Checklist.doc
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PLANNING DATA .
New Commercial / Mulffamily Proiects
SITE ADDRESS: /0� ZONING
USE(S) PROPOSED: /do ALLOWED?: x1fl
LEGAL NONCQ�FORMING LAND USE DETERMINATI ED
CUP File: To Allow What Uses?: Q"!U
ADB FILE #:
PARKING:
Use:
No. Spaces Required:
X 714
'r (floor area, # employees, etc.) =
Use:.
No. Spaces Required:
X
(floor area, # employees, etc.) =
Use:
Spaces Required:
. X
(floor area, # employees, etc.) =
Use:
No..Spaces Required:
X
(floor area, # employees, etc.)
Total Required:
Actual Provided:
SETBACKS:
Required Setbacks:
Front: Left Side: Right Side: Rear:
Actual Setbacks:
Front: �-g 3 Left Side: Right Side: 'Rear:
Street map checked for additional setback required? (Ye!�/No)
MAXIMUM FLOOR AREA:
Maximum Allowed: Actual:
BUILDING HE16HT: Alo
Maximum Allowed: Actual Height: 7-0 --ar(A
Modulation Allowed?: Modulation Height: r�e
Datum Point: Datum Elevation:
Elevator Penthouse > 3 feet over height limit? If so,VAR#
;CAPING:
Matt, �sADB rov
Bi Pro * �d?�.�B=nd
bid):
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CRITICAL AREAS #:
SEPA DETERMINATION:
SHORELINE REQUIRED?:
Continued ...
hlibrarykIPlandatNewComm.doc
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DATE: q/7/0 PLAN CHK#-.
NAME OF BUILDING PERMIT APPLICANT: lveT4&-�-o,
PROJECT DESCRIPTION: %Af
6-1,L c dec 1<
ADB FILE #: OR DATE WAIVED:
PLANS MATCH APPROVED PLAN:
SUBDIVISION:\-,-��—.
LOT AGGREGATION RE QUIRED?:
REDUCED SITE PLAN (8-5XI I) PROVIDED FOR STREET FILE? yi�
OTHER:*
Plan Review By:
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1A1ibrary\AP1andatNewComm.doc
Cr,itical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: c2043 2, 767W e) W-10
2. Property Tax -Account Number:
3. Apprb'ximte Site Size (acres or square feet):
4. Is this site currently developed? _ZYes; — no.
If yes; how is site developed? 40 Is
5. Describe the general site topography. Check all * that apply.
Flat: less than 5-feet elevation change over entire site.
CA File No: CA- - 2-tA -62>
Rolling: slopes on sitegenerally less than 15%,(a vertical rise of 10-feet over a horizontal
distance of 6646�0.
Hilly: slopes present on site of more than. 15% and less than 30%'( a vertical rise of 10-feet
over'a horiz6htaIdistahc6 of 33 td"66-feet).
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: A)0' Approx. Depth:
7. Site contains areas of seasonal standing water:
Alb Approx. Depth:
What season(s) of the, year?.
8. Site is in the f1bodway. X.)b 'floodplami' ��iP of a water Course.
V
9. Site.co'ntains a, creek or an area where water flo*s-across the grounds surface? Flows are year-round?
A-b Flows are seasonal? (What time of year?
10. Site is primarily: forested. meadow :;shrubs n-dxed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site: No
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Critical Areas Checklist.doc/3.19.2001
City Owl,,,
Development Services Department
Planning Division 1�c I I',- �
Phone: 425.771.0220
Fax: 425.771.0221
-V. 10'
Priti.cal Areas File
a $46.60
Critic " I'Ar eiihs'Cheickli sit F66.
Date Mailed to Applicant:::
The Critical -Areas. Checklist contained. on this form, is to.--, Xlpropeffy`ownef ' *or' his/her - authorized repreisientative,
be filled out by any person preparing a, Development mustfill out . the checklist,, sip and. date it. and tsubrmit it
Th ity
Permit Application for the -City -of Edrhohds*pnor'to 6-C"' will review the checklist, make a
his/her submittal of the application to the City. pre - cursory I site � visit-, and* ma I ke a determination of the
subsequent� steps necessary t I o complete a development
The purpose of the Checklist is to enable City staff to J.'' . , " li'aii
determine whether any -potential Critical Areas are, or permit app c on.
may be, present on the subject property. The infdrmatio'n Please submit a Acinity map, along with the signed copy
needed to complete the Checklist should be easily of this form6' Aisisisi "'City stiff in finding and locating the
available from.observatioiis ofthe site or data available ati, specific- piece -of property,, Opscribedi, on this form. In
City Hall (Critical areas inventories, maps, ,or so :.-addition.,_ the, applicant, shall, include other pertinent
surveys). information (e.g. site plan, topography map, etc.) or
studie's in icorjuncti6n� with thisChecklist to assistant staff
in completing their -preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold thq.City of,,E4monds harmless from:any.,pd all, damagesi 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, his/hc�/its agents' or'emplo�ees.
By my signature, I certify that the information and exhibits -herewith submitted are true and correct to the, best of my
knowledge and that I am authorized to file this application on;the behalf of the�owneras listed below.
SIGNATURE OF APPLIcANT/AGENT CeZA DATE, -0 Z-
Property Owner's Authorization'.
By my signature, I certify that T have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of. Edmonds to enter the subject property for the
purposes of inspection and p��ing attendant to this application.
SIGNATURE OF OWNER DATE
Owner/Applicant: Applicant Representative:
(=,� //V0 �L t-quItIlve-
Name
o,70 ( , -3 ?_ 74M e-) Al 0
Street Address
e-41101vo-5 W1 91?.DZ 6
City State Zip
Telephone: IV15— 673— 7/L/y
Email address (optional):
Critical Areas Checklist.doc/3.19.2001
Name
Street Address
City
State
Telephone:
Email Address (optional):
Zip
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS
ff ... Y .............. ...... - ------ -1
OWNER -.Z?efi. .671-f - ---- ..........
ADDRESS ........... . ........
-- ... ...... ... ... .....
06 az - f76
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A ppu;�,,!,J—.�, q
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NOV 6.
WN. PLANT
EASEMENT No . ..........................................
CONTRACTOR -.,.a 6,j -
....................... R -------------- PERMIT No . .............. I
P/- P, 7- 0 /�- etj/ / /. 0 e�� ,
LEGAL DESCRIPTION: LOT No. ......... ........... ........... BLOCK No . .................. ..................
NAME OF ADDITION .............................................
S;
Approved:
.................
DATE ... .. .............
November 6. 1967
Memo'to: John E. Moran
Director of Public Works
From: Leif R. Larson
City Engineer
Subject: Assessme nt on Lots 7 and 89 Willowdale
Gardens, Division No. 1
The developers of subject lots extended the main line sewer a
distance in excess of two hundred feet (2001), in lieu of an assessment.
CITY OF EDMONDS Call PRospect 6-1107 wben work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. (No Inspee-
tions Saturday, Sunday or holidays.) 2518
SIDE SEWER PERMIT
191 - 25th Avenue North
ADDRESS------------------------------------------------------------------------------------- J ..................................................................................................................
OWNER ......... 09=7 --- jQiS2A*-QJn ............................................. ... CONTRACTOR ....... NOrlhKeSt.-Se-W-er --------------------------------
Permission is granted ... K93?�emb_er ... 6 ............... 19.6.7..., 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:
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.
Ni�_.2 No. 2—Obtaln 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 shaxper than % will be permitted.
NOTE No. 4—Trenehes 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 appur-
tenances except to insert the pipe into the wye.
T City of Edmonds
Plan Review Corrections
Plan Check#: 02-143 Date: April 25, 2002
Project Name/Address: Laurine - Addition / 20632 76 Ih Ave. W.
Contact Person/Address: Dennis Lambert / 1520 P St., karysville, WA 98270
Reviewer: Star Campbell Department: Planning
Architectural Design Review is required for any multi -family or commercial development in the City of
Edmonds. However since it appears that the proposed addition uses materials, forms, and repetition of
elements consistent with the existing building design, I am able to grant staff approval for Desien Review
aspect of the proeect. Through the review of the elevations that you provided, in addition to a site visit, I
was able to determine that the proposed addition will be consistent in form and design with the rest of the
complex. The addition will essentially mirror the design of the opposite unit's addition. You have also
expressed in the letter that accompanies the application that the colors and materials to be used will be
consistent with those that already exist on the building. Please be aware that these qualities are
important details of your project and may be verified for consistency with the existing building by a site
visit upon project completion.
Although I was able to approve of the design of your project, I still need to be able to review
documentation that shows that the addition meets the development standards of the zone. Before I can
gIMff on your permit you will need to submit the following:
1. Two plat plans were submitted with the application. one shows the entire complex. This one is too
small and blurry to be legible and is not to scale. The other is more specific and enlarges the area of the
proposed addition. This one does not provide an accurate footprint of the building. Please provide a site
plan that is readable, to scale, and accurately portrays the area of the proposed addition and the existing
footprint of the building.
2. Height calculations will be needed to ensure that the proposed addition complies with the allowable
height for the zone. I have included an information sheet on preparing height calculations in order to
assist you.
If you have any questions, please call me at (425) 771-0220.
Please make all submittals to the Development S ervices Coordinators, and provide three copies of an
revised plans or two copies of elevations. Your existing plans and elevations may also be red -lined.
DATE FAXED (Attach fax transmittal) PAGE I OF —I—
City of Edmond*
RIGHT-OF-WAY CONSTRUCTION
Permit Number. -C;2
-�z 1!2
STREET FILE PERm'T ?
Issue Date: 7----7
A. Address or Vicinity of Construction: 206.32 76 Ave W
89 B. Type of Work (be specific): Expose valve
C.' Contractor: Wgishington Natural @as Company
MailingAddress: 815 Mercer, street,Seattle
State License #: WA 98111
D. Building Permit # (if applicable):
Contact: Frank Swan -
Phone: 224-2278
Liability Insurance:
Side Sewer Permit # (if
Bond: $
E. E] Commercial 0 Subdivision El City Project [N Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family EJ Single Family F] Other
INSPECTOR: INSPECTOR: \.%M%-rGvT-r.
F. Pavement or Concrete Cut: 0 Yes ff1No G. Size of Cut: x H. Chargq�_$
APPLICANT TO READ AND N
G
INDEMNITY. Applicant understands and by his signature to this application, agrees to ho ofEdmondsharmle or
I th -ty
claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made a3g%-Zt1the City ofEdmonds, or any ofits departments or
employees, including or not limitedto the defense of any legalproceedings including defense costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR PERIOD OF ONE YEAR FOLLOWNG'TlidVINAL
I
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMA TED RESTORA TION FEFI;,WILL!�iE-HELD UNTH THE FINAL STREET PA TCH
IS COMPLETED BY CITYFORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BEPROCESSkD-'FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with p�rffiit �pplication.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copyof thepermit will be
available on site at alljmes-ror inspection purposes.
Signature: Date: June 27 , 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: W k%T CAJ-Cr RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER NtK-a 30 DAYS DISRUPTION FEE/FUND IN:
SPECIAL CONDITIONS: —:5109WAC-0C P-tFJOLAC-f_
BY AV&)
COMMENTS:
RESTORATION FEE:
JD
PERMIT FEE: -�o
TOTAL FEE:
RECEIPT FEE:
14
41
DATE:
ISSUED BY:
NO WORK SHALL IiEGIN PRIOR TO PERMIT I'SSUANCE
En�,rg. I)iv. 1991