20902 80TH PL W.PDF111111111111
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20902 80TH PL W
NOTICE:
No 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 City of �Edmonds does not warrant the
accuracy of anything set for.th 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,
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.
Neither the City of Edmonds nor its
emp[o-yee-s o-r officer-s) sh-a-111 be Hilable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s)..
CIfY OF IDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
ADDRESS .............. 2.1.1 ..... ... 20t.h .... Ax.e.nu.e --- S.quth .....
Tom Dawson
OWNER
Call PROSPect 6-1107 when work
is ready for Inspection. (No inspec-
tions Saturday, Sunday or holidays.) N? 22 6
................................................................................ ...........................
CONTRACTOR .... A-1-l.i-e-d --- S.e.p.t.i_c ................ ......................
Permission is granted -------_---- May ... 18 ............. 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:
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 % 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
t— j failure due to improper work which may develop within one year of completion.
N( 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-
I',- I tenances except to insert the pipe Into the wye.
.,.% A,
The City of EdmorWl-r---�, E
n ET FILE
OWNER.......... ---------------- ------- ------
F -v,4
,�c ... 4:;F� , j
ADDR....... ........ .............................. ...... j ..........
lie
APPLICATION
for
SIDE SEWER PERMIT
YRUCTION [-] REPAIRS
ClItyliN PLADIR(r /,.7740
ASEMENT No. . ................................
I - j
CONTRACTORa .. at.-Ael.1 ------- A- 4-, ------- -2-le .................. PERMIT No.
LEGAL DESCRIPTION: LOT No . ..... ep ................................. BLOCK No.
.........................................
, A,4
a
Approved:
DATE6....... I.T-6 --- 2 ..................... By ...... ...............................
8 9 0 . 199 -
'City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
"RMIT Permit Number: ?,�2 -0
STREET FILE, Issue Date:
A. Address or Vicinity of Construction: 20902 80 Place West
B. Type of Work (be specific): Install New Service
C. Contractor: -Washington Natural Gas Company Contact: Frank Swan
MailingAddress: 815 Mercer Street, Phone: 224-2278
State License #: Seattle, WA 981rl Liability Insurance: Bond:$
D. Building Permit # (if apllicable): Side Sewer Permit # (if applicabl�:
E. 'n Commercial E] Subdivision El City Project El Utility (PUD, GTE, WNG, CABLE, WATER)
F-1 Multi -Family E] Single Family Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes KINo G. Size of`G� H. Charge$
APPLICANT TO READ AND41GN
INDEMNITY: Applicant understands and by his signature to this application, agrees to 4010the City of Edmonds harmlessft m injuries, damages, or
claims of any Aind or description whatsoever, foreseen or unforeen, that may be made against the , City of E�tnonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defens
le�o�
and atromeyfees by,reason of granting this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP A ArD MA 7ERIALS FOR A"PERIOD)OF ONE YEAR FOLLO WINQ TIfE FINAL -INSPEC77ON
AND ACCEPTANCE OF THE WORK ESTIMATED RESTORA77ON FEES WILL BE HELD TJ�Ll THE FINAL STREET PATCH IS t6MPI�ETED BY
CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE 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- 771-3202.
Work 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.
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 timesfor in t
MAXRA%4�
Signature:
,.. I (Contractor or Agent)
Date: March 14, 1992
CALL DIAL -A -DIG PRIOR TO BEGINNINGWORK
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div.'�1991
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
COmments:
Diagram:
CON�RACTOR' CALLED FOR . INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July
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Water -main depth.
unknown
1 11 gas main
Addendum to City of -
Right -of Way
Permit Application
Submitted by: Kerry Walsh
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager j(.0&(0
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Key:
_w-, water,
-g— gas
-ss- sewer
water hydrant
815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767
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STREET FILE
RECEIVED
Critical Areas Checklist'
APR 2 6 1993
Site Information
Project Name: .— A14 Permit Number. PERMIT COUNTER
Site Location- ZCffO?- 6� �_' AV Tax Account Number: -S5-88--006 -o58 — CCX
-Mrty
Approximate Site Size (acres or square feet): . to) P-6
Have you filled out a Critical Areas Checklist for a project on this site before? . M
1, General Site Conditions
1. Has the site been cleared or logged? Date of mos t recent action:
Soils / Topography
2- In the Snohomish County Soil Survey, what.is the mapped soil type(s)?
3. Describe the general site topography. Check all that apply.
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.)
)NI13r. slopes present on site of more than 15% and less than jOYp vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greater than 300/a present on site.
C!6mmcnts
Hydrology/Vegetation.
4. Site contains areas of year-round standing water: A-)6
5. Site contains areas of seasonal standing water. 6 Approx. Depth:
6. Site is in the floodway A_)Q floodplain ofawatercourse.
7. Site contains a creek or an area where water flows across the grounds surface? ows.
are year-round? AX� Flows are seasonal?
8. Site is primarily: forested meadow ;shrubs
in[
9. Obvious wetland is present on site:
I Tlbt4AL.--�*W, A
::,Z,�Ywv�� V:ER-..Criticad -are'a*s.�sidd :-s:
yJ
Deteemination -Number
Acy 3127f92
U
ired..
Reviewer
Planner
-oatx,
City of Edmonds
Crit
ical Areas Chec'klist
TIM Critical'ov= chockiist co,
dJ,s f ntained on
orm is to be filled out by any pers oin
preparing a Development PCIIIat
Application for the City OfEdmonds prior
to his&cr submittal ofa development pern2it
to the City.
ne Purpose of the Checklist is to enable
City staff to determine -whether any potential
Critical Areas arcor may be present on the
subject MPC[tY- The information nceded to
COMPIdc the ChOcIdist should be casily
available fi*0M observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
An applicant. or his/her represent . ative, must
fill out the cheadis;4 sign and date it, and
submit it to the City- The City will review
the checidistmake a precursory site visit,
and make a determination of the subsequent
steps necessary to complete a development
permit application.
With a signed copyof this form, the
applicant Should also submit a vicinity map
of the parcclmth enough deta-I dw City
staff can find and identify the subject
Parcel(s). In addition� the applicant is
encouraged to include any o*thcr pertinent
information or sttidics in conjunction with
this Checklist. to assist staff in completing
their preliminary assessment ofthe site -
I have completed the attached Critical Area Cheddist and attest that the an r
factual, to the best of my knowledge (fill out the approp I swers provided -a c
nate column below).
Owner / Applicant:
Name
Title
z (0 q 6 2— R6; 4, � �'J
Street Address 2�2-
City. State, Zip
7 ;76--p—ho'11r,
Date
St ture
Applicant Representative:
S, n9 Alt-,`
Name
Title
Street Address
City, State, ZIP
Signature
Phone
Date
,dYREET FILE
USE PERMIT
CITY OF EDMONDS ZONE
,45-9 NUMBER
CONSTRUCTION PERMIT APPLICATION jos I S E/APT 7
OWNER NAME/NAME OF BUSINESS ADDRESS
n1—
LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO.
ct Is 1-16-
W MAILING ADDRESS
Z
0': 2-OqOZ 80*AP4 W PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved
CITY ZIP TELEPHONE NUMBER RW Permit Required 13
EXISTING — REQUIRED DEDICATION Street Use Permit 9eq'd 13
440HOAlAZ -776-776-7 PROPOSED Inspection Required 0
NAME Sidewalk Required; 0 0
Z
REMARKS CC
IfRinNIR 4X/SeElz zma w
A 4DD R E ISS U)
Z
SAH Ar" Lu
0
CITY zip TELEPHONE NUMBER
NAME
ENGINEERING MEMO DATED REVIEW BY
cc ADDRESS
0
METER SIZE BUILDING SUPPLY SIZE NO. OF FIXTURES
cc
cc CITY ZIP TELEPHONE NUMBER Lu
7
Z REMARKS
8
STATE LICENSE NUMBER
SIGN AREA SEPA REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT 001'
Legal Description of Property. - include all easemenf!14,
/-67. 8 A0,86Rr 4� �,, H�� -.20" Is AN) SHORELINE 0
EXP
VARIANCE OR CU PlANNING REVIEW BY
uj
SETBACKS — FEEV HEIGHT LOT COVERAGE
Z
uj
FRONT ;��SIDE 4zo REAR Z
-j
Tax Account Parcel No REMARKS
ElNEW RESIDENTIAL 'PLUMBING
A-
Z ADDIALTER E] COMMERCIAL MECHANICAL
-0 REPAIR APT.BLDG. SIGN 779
GRADING FENCE 'I CHECKED BY STRUCTI CODE HEIGHT
DEMOLISH CYDS. I— x —FT)
A"
CARPORT swim
REMODEL GARAGE POOL SPECIAL INSPECTOR AREA OCCUPANCV OCCUPANT
REQUIRED GROUP LOAD
WOOD STOVEI RETAINING WALL/
INSERT ROCKERY RENEWAL R.MARKS
Z
C? (TYPE OF USE; Busl SS OR ACTIVITY) EXPLAIN- PROGRESS INSPECTIONS PER UBC 305 Z
AUN 5F Fesill4sy
NUMBER OF STORIES—'.. NUMBER OF
uj DWELLING - � - R InKfi 14
0
UNITS
2
00
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
'OINAL INSPECTION REQUIRED
VALUATION FEE,
PLAN CHECK FEE
BUILDING
9 7
11mr, 16*21WI7 All 2-
Plan Check No. MECHANICAL
9'v7 - 44-
This GRADINGWILL
Permit covers work to be done on private property ONLY.
Any constructlon.on the pUblic domain (curbs, sidewpft,-6,
FEE,
..driveways, marcfuees-,� etc.) Will require separate permission STAT URCHARGE
'Per kil Apollealilin': 186 O"ays
4
' ! STORM"DiRAINAGE FEE
Permit Limit: I.Year - Pr6vide.d Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse,heirs, a ENG. INSPECTION FEE
ssigns and
w successors,in interest, agrees to indemnify, defend and hold
'LAU �harmless the City of Edmonds, Washington, its officials,
I employees, and agents from any and all claims for damages of
< whatever nature, arising directly or indirectly from the Issuance
X ce of this permit shall not be de PLAN CHECK DE I POSIT
of this permit. Issuan' emed to
modify, Waive or reduce any requirement of any city ordinance
0
x nor limit In any way the City's ability to enforce any ordinance TOTAL A
provision." MOUNT DUE
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 APP N APPAOVAL
authorized "agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and In doing the work authoriz- This application is not a permit until
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion Insurance INSPECTION acknowledged in space provided.
SIGNATURE I ER OR AGEN I ;DA I N D DEPARTMENT
�Z G TURE DATE
CITY OF
4-2 6 -'?,S EDMONDS
16 CALL FOR 6114ELE-
AT-PtNTION INSPECTION 7
hLILd 7--
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL. INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202 ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
—V