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20919 HILLCREST PL.PDF11111111111111 11679 20919 HILLCREST PL . . ft ADDRESS: (LUT- 2'7 e;Z / . TAX ACCOUNT/PARCEL BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: R Conditional Waiver E] Study Required AWaiver DISCRETIONARY PERMIT #'S: cz - MZ4 DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DA OTHER: LA7EMP\DSrs\Fomis\Street File Checklist.doc City of 6,monds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECWED: i 7�JZO JC) CITY RECEIPIM:- ' %Iq Cdltic�al Areas File' # 0 -1619 Cri . tical Areas Chediii—ist Fee: .... $45.00 DATE MAILED TO APPLICANT:' CRITICAL AREAS CHIECKLIST The Critical Areas Checklist contained on this form is The City will revie* the checklist, make a, precursory ut by any person preparing a Development site visit. and make 'a 6rmi to be filled 0 d6i. � ii�ti�n otthe subsequent Permit *Application for the City of Edmonds prior. to steps: necessary to �c I o . mplete, 'a developnent permit his/her submittal of a development permit to the City. application. The ' purpose of the Checklist is to enable City staff to Please submit" a vicinit , y . map, along with the signed. deternu*ne whether ,iny potential Critical Areas are, or, copy, of this form to. assist Cit� staff in -finding and may be, present �6n the: "subject property.. - ..The.. locating the specific piece of pro scrib perty de ed on this information needed to complete the. Checklist should form.., I In addition, the. applicant shall include other be easily available from observation's 'of the site or data p6ttinenit inf6rmation (e.g. site plan,-t6po&aphy map, available at City Hall (Critical areas inventories, maps, etc.) or stud' ies in conjunction with this Checklist to or soil 'surveys).. istant staff ': i ass n pip eting t eir preliminary h e site. assessment of th' An applicant�, or his/or representative, Must fill out the h checklist�* sign and date jt�:'and submit it to t e City. I have completed the attache'& C AITICAL AREAS CHECKLIST and attest that. the' an ers pr . ovided are sw facival to the best of my kn6Wled e (fill out the' p appropria e0olumn belbW) Owner/Applicant: Estate of Ntybelle Chapmn Name 31116 363rd Ave N E Street Address Arlington VA 98223 City State Zip Telephone: ' �6o-4�6_m3 Signature Date: C--Y&-M-WqWU=WT0=U1CACL Fom&c 8W-r&MPrJ=df0n=CACL Famdoc Applicant Representative: Casc6d&'Surveying Engineering (Randy Devoir) Name P 0 Bo� 326 StreetAddress Arlinaton 1AA 98223 city State:. zip Telepho 51 : 2zavt:�� Sig,nature Date: .12-19-01 '=-dtk.dm Rev MOM 0 NAME: c��Oc� I SITEADDRESS: PROJECT DESCRIPTION: PLANNING DATA REDUCED SITE PLAN PROVIDED?(�/ No �401� MAP PAGE: CORNER LOT: ()Le� FLAG LOT: (Yes A&P ZONING: �2�- �PD' CRITICAL AREAS DETERMINATION #: (2_z� - 0 1 Ll Study Required: -UWaiver L3 Conditional Waiver CHK#: C:�)5=Ll q SEPA DETERMINATION: Ll Fee 0 Checklist LJ APO list w/ notarized form LJ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) -IuExempt ---- 'E�c> (Z;, C' '_j SETBACKS: Reciuired Setbacks: Street: -7, qLeft Side: -7- �5 RI ht Side: -7 � TE> R ir- -7 A S, 4- ctual Setback ,I-j Stmwt- Le il:P, I F :L��Ide: 7, 1:5 Rwar— 6�3 Street map checked for additional setback required? (Yes No M-561 DETACHED STRUCTURES: Ll ROCKERIES: FENCES/TRELLISES: Ll BAY WINDOWS / PROJECTING MODULATION: - Ll STAIRS/DECKS:.- c.- VO e�� C*- 1 0 PARKING: Required: Actual:2��-�:-_'- 4- k-,, I Z '==-- 1(00,20 BUILUINU HEJUHT: e 61), & i +Z.Z Datum Point:±4 L4 N-V�) (:;�c:x . A-" 1�; A �k P ClIr 4Yatum Elevation: 41.0 Maximum Allowed: L4&1 .!�)o Actual Height: �4 It A.D.U. CREATED?��Yes) C_ - SUBDIVISION: L4Z) L+1,2 .%5 LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / No) A I � T %.�j u� r - - Y� —T- NewBPPlann ingDataForm.DOC L,.c- A- 4-z, '_k, 0 k-X--Q' I ��p 1-1 'a — n LR 0 =6 2 3 20231 20208 2-0. 20209 21*12 PZ —107 20302 2031 2- 20310 20301 8831 co 20304 2.. 10 20-310 20307 2.2 (2" 20210 20213 2.213 f 8307 SIERRA ST 0311 9001 2;12 2 _07 20307 2-jjRD 8308 Fit 8 9120 204TH ST SW 20316 2031S 1 20315 20208 20311 E 20321 k 7 o o 203=22 2 17 20320 qW8 20330 .7 8627 862 20314 e PW 20319 20412 20411 20417 20406 204M 204TH ST SW 20405 cr 20321 20414 0 R. 20421 20414 6 t 0 0 39 20425 T v P --F— 20421 20420 20605 ul -1 20425 -26 20427 2— (L 20SOO 20429 ?Ml 20504 20501 20soo 20510 20505 20508 205TH Sw 20503 20512 309 :2:.5�j 20520 IL -lPir 9123 20SO7 M584 �C 20521 03 206TH 9122 ST SW 20511 20602 co 20603 20630 go Rid 20610 20605 231 20607 20610 Pa !19 9134 20621 20615 20617 2W12 T 20619 9132 2�062 117 20823 F- 8 20828 31 PL w N - 9130 20708 20625 20702 27 20709 8814 8812 8B08 SSW 8804 - 20M ST SW f 9120 20710 9122 20 20725 8826 $616 8604 8512 9118 9114 9110 2CF72M3 ang 8528 MAIN ST 8516 8527 01211 0126 20M vie — g 8529 �b 20830 8304 - 8308 9124 ..1244 9118 20820 T— uj Ir 20821 20814 J] wN 8718 — — 20900 I 1'8310 Ao. 20828 R R 8722 8706 8312 20M 8724 8515 8513 20902 02 20901 1 20903 8721 8511 2-- 20904 20903 20904 20909 m (mm 8729 9719 8628 8431 2 Pl. 8429 8427 209M 20905 20926 _j r— 'L 6804 0738 M4 8716 8526 8425 20908 2 %22 : .7 20907: 21006 T 2MO9 8423 21011 20930 20931 8736 8728 8722 ---- S520 8421 21004 2,_ 21_, 21003, 2101 2 1 o'. c 21003 7!2 21 8419 1 0 'o 21010 0 21005 21010 0 2 84 7 I LLI 21022 210.23 E V a 21011 21001 8516 21012 0 21018 21028 21027 w 21100 2 8512 0 0 2101 . 21 wo 9 21100 7 21010 21 21 21032 21031 1; 9 211 14-1 21035 21 21035 21117 1 1 Is 21109 21020 6401 21100 - 21030 9 21120 21117 5 211 21100 21102 21119 2 21220 21106 8504 8 E 9W3 21120 ! 21218 2121 21 24 21 21225 5 1 21214 21112 8607 vftto, 8505 44 8330 12115 9205 1 2 a 21218 Tam — 21220 21200 1217 p K ROADO 2 226 21233 ? Zj'� 31 — 21224 rL 0414 �Edthbnd§��': Ci*bf ddM9 0, 'N" "Viemb&2002 q- 1, 77N �,",M!4 E.' cQ 0 RECEIVED co -;03 Fm (n Z < co U) 3.. Ln �— (90 ST'H'EtT FILE APR 2 ',j 210003 r- Lu co cm a: PERMIT COUNTER a-5 0 C3 00 CY) Ln 0j c� V) co cm Lot -..I &j4$Fjn,4N Z. P- 0;?-43 a, L�j LLI -5e It 6 73 0-0 e7 &) < o LU LL cc u- u- z o -JI cm 0 Q�NNER �2 c" ()17 FMA DEVELOFEMENT SERVIr-E5, L.L.r,. co 11400 55rd AVE. N. SUITE 200 LYNNOOD, NA -`15056 )D (425) -7-75-15r-il FAX (425) &-72--7qci8 L q ZA Ln A 7""3"t'OT G0\1EFAC:;,E U LLJ LOT 15,2-74 S.F. STRUGTURE 2,12ci S.F. 16-6 NALKS $ DRIVE Ci(bb S.F. -7510 Lu TOTAL IMFERVIOUS 5,Oci-7 S.F. 25% APPROVED BY ENGINEERING 1000NNVOL P,6- AVW-,,r)T4D4 41—T 7 Date: -0 EX. 15' ACCESS EASEMENT 411 - — — — — — — — — — — — — — — — — — — — — — ACCEPTABLE TIGHTLINE MATERIAL SDR 35 SCH 40 41J. - N - 12 F810 HANCOR f 11,10 F Iro 19, t FOOTING DA TO'�,;E-- Tll� MENTION At. 411 't S P S 12 9 -1 WATER & SEWER INSPECTIONS REQ'D. CALL 425-771-0220 EXT. 1326 r E)V.P 2+00 cb 1 -to APPROVED AS NOTED BY ENGINEERING ,-rm�cogt&w - Date: NIZ1=3 IS NOT INTO MA y PER41/;r 3 s u N I s E Cot"VtER -15' PRIVATE DRAINAGE ESM' -11 0�1 EX R. E, WAU E. 25" RIVAT I DRAI AGE SM,T. ! P U " 2 3 k\ALDERWO 710 -Z 7 d /yj OWNER/CONTRACTOR IS RESPONSIBLE egY,(00 CONT"L M9XtAlZfS FOR EROSION CONTROL AND DAMAGE AACIL UNIIL-St Vael AVE- -A ts) Lu -A pk� Alm 20 f STREET FILE 6" PVr- ROOFDRAIN CONNECTION PIPE 1% MIN SLOPE, T(F. Ne)q*52'57" Yi 3/4" YiA'TR METER Ivro .P APR 2 -,24" FIR FIR -77 -r coulvrL CONC. DRIVE� PERAv 4�R -RIFTION ONC. V4ALK.'.'..-. LEr--7AL DESC, Lot #1 6414FAIAN :5. R 5- 0;?--43 COVID '1 07 �p u: FORCH pt- - tu mi z 3: ONNER FMA DEVELOFEMENT SERVICES, L.L.C. Iq4OO 55rd AVE. N. SUITE 200 LYNNOOD, NA 18,056 (425) -7-75-15,ql FAX (425) 62-72-7qc15 R E 51 D E N r, E &ARA&E PLAN M2qe)004FT-4 (3 bl LOT GOVER66E LOT 15,2-74 S.F. STRUCTURE 2,12cl S.F. 16% NALKS $ DRIVE ci&e) S.F. -7% TOTAL IMPERVIOUS E3,0q-7 S.F. 23% I-e)Nr- 7 EX15TINC5 HOUSE 221, FIR TO 5E REM r - '5�YE TO BE 1. :226FIR REMOVED, TYP. 0 'ropq SITE FLAN N5q*5;2'31" IN 1 0 20 40 ------------ 4tj 7 AOOO�VED By pLjAN!jjNG I . 00 CD Lf) Z Go U) Ln F- (9 Q r-- ui 5; a L) Z cm 0 0 3.. LL 000 I- Ln Cm ::) OD rl co 'r c� a 00 Lu C\j 00 z ' a? Lu 'i L . U > u Lu < 2 Er LL. LL LL z 0 0 Lr) U Lu Lu u rvlo ce C < z JL xl�i 4, __O". —C . I s9z -City of Edmonds SIDE SEWER PERMIT Address of Construction:.. Property Tax Account Pa Attach copies of all access aqd ,uti PERMIT NO: 9174: PERMIT EXPIRES lity easen) . * , -A pnts Verified and Approved.by Owner and/or Contractor: tLtZ& <.k Contractor License #:Iflel- W47)4�q '747�6 2 -Building Permit P4042 9 on 79 2.10-ingle Family F� Multi -Family (No. of Units F] Commercial �(No. of Units Invasion into City *Right -of Way: 0 Yes -�o *RW Construction Permit Cross other."Private Property: F-1 Yes 2IN6 "Attach legal description and copy of recorded easement. Owner/Contractor 4�0/,q� Owner or contractor signatu'rrand,acknowledgement statement-,,, Dat6 I .,Bsigning for this permit I certify that I have read the City's -�Ublic han�loyt entitled y 1. ide Sewer Specifications, and shall comply with all: City requirements:o"utli-ned therein. 9 CALL DIAL -A -DIG (1-800-4:WR-"�555)'BEV O.ORE ANY EXCAVATION 2 V FOR INSPECTION CALL,4251�771-0220 extensio—n-1 24 HOUR NOTICE REOUTREWPOR.ALL INSPECTION REOUESTS NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN' INSPECTORARRIVES A $45 RE-INSPECTIO,N FEE WILL BE CHARGED. Job Site Ready YES NO- Date: Initiak. Partial Inspection: -Date: Initial: Partial Inspection: Date: Initial: FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File: E], 1,� PERMIT MUST BE POSTED ON JOB SITE tr White Copy: File Green Copy: Inspector Buff Copy: Applicant L;temp,bld&,forms-,sspemi1j Ig4/00 MAI N ST 6 X 4 REDUCER 5/ C/o 22* IF C.O. n U) u Of ED 0 CITY OF EDMONDS SIDE SEWER AS— BUILT 4- z::� ADDRESS: SCALE Q'I 20919 HILLCREST PL NTS HOMEOWNER; CONTRACTOR; PMA CONST, DATE: DRAWN PERMIT -&t. 1890 7/15/03 By: L ABILA NO. 9742 20915 Hillcrest Place Edmonds, WA 98020 September 1, 1982 RLE Jack Mitchell Edmonds Water Department 200 Dayton Street Edmonds, Washington Dear Mr. Mitchell: Recently I talked on the phone with Jeff Ristair..,regarding the way we are being billed for sewer service. He informed me that the multi -dwelling rate is the one being used. I have a single dwelling plus a small cottage which I rent, both being on one meter. This hardly seems like the kind of situation to qualify as multi -dwelling. May I ask.that you review our case to see whether we can be billed at a more appropriate rate. Thank you very,!much for your attention in this matter. , cerel�/ours' 3" Mrs. Stu -art W. Chapman 7 7,F -J 4C el RECEIVED S E 0 u� Dir. Ic Works a M ATE RECEIVED ERMIT P�,P IRES F CITY OF IMMONDS USE PER ZONE 1_o — 1� _--NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS 07MIl 11SIN7, IWO, T E/SUBDIV LOT NO LD NO. Lu MAILING ADDRESS, L�D FEE $ TESUP Approved r re PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required IQ Street Use Permit Req'd A.& C TY ZIP JTEVPHI�LNE 6 '*7 z " EXISTING PROPOSED REQUIRED DEDICATION. Inspection Required Sidmalk Required Underwound 1010) d 6 )f , L41 lice FT wiring required NA METE SIZ LINE SWE NO. OF FIXTU;7Ej REQUIRED ,.PRV Sbf No E3 3 AdbRESS REMARKS z OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 14 doO-) �V ft 0A L "T 90VA L dF'-T+t 15 SfIL 16 SU11WIeCT -TO- CPY I / I (/"- -1 Zip TELEPqONE (0AeL_e1IVW 4 f1ffftL ACCQPrTft*Yf_ OF SdWr P&&j. W0,011TWJUE )7714 #d� '41 12eilXlta 0�emmkznWmk M 4 —p 9'r CBL# - M=?=& WrE46_)*1 L4 L_ IC 94 NGINEERING REVIEWED BY D Tf ADdAESS I� FIRE, REVIEWED BY DVE us 0 cl-Ty ZIP TELEPHONE /-X/"Mb 49(,v?6-4?7+ VARIANCE OR CU SHORELINE OR ADS# 1,31NSPtCTION REOD I BOND POSTED STATE LICENSE NUMBER EXPIAATION DAT CHECKED BY .4001 YES WVO $ PROPERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED , EXP Q-1N`EW SIDENTIAL 9 PLUMBING/ MECH f T 0 LO C VERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) .�KRE ALLOWED PROPOSED SIDE R ID -W-.R ADDITION COMMERCIAL COMPLIANCE OR 1:1 z CHANGE OF USE L Z REMODEL MULTIFAMILY 0 SIGN PARKING REOD IVIDED LOT AREA I PLANNING REVIEWED BY IfPIAT E �L .1 "--, REPAIR GRAOIN.0 FENCE 14:3 CYDS X FT) !� OTHE R,f, , DEMOLISH TANK fqm- TT2,Qq5=' j?: �7-W t�4 Eik� GARAGE RETAINING WALL F RE SPRINKLER 13 C_TZ�10 Uju t4 ca J�z I, (x-j z ye3k CARPORT ROCKERY F:RE ALARM (TYPE OF CT IVITY) EXPLAIN: J :��BUPS z CHECKED BY OFL=TFbCTl OCCOPA ITYPE 77T GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION JAR�4 OCCUPANPT STORIES UNITS NUMBER REQUIRED [] YES LI_ DESCRIBE WORK TO 13E DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 5 e6PII VALUATION $ �Mj ri, �Z4 2.- 3 PDescriptloin Description FEE FEE Plan Check _1W fs TV State Surcharge ud7l) Jor HEATjSOURCE4rW,;- (I GLAZING 7,th L61fSLbPE �6 Building Permit City Surcha rge PLAf4'CfiEbK NO: VESTED DATE Plumbing Mechanical T U THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 2 BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE I= 2 SEPARATE PERMISSION. — Engr. Review 5 PERMITAPPUCATION: ISO DAYS AL PERMIT ILIMIT I YEAR - PROVIDED WORK IS STARTED WITHIIN-180 DAYS - Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OWHER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE LandscapeInsp. Total Amt. Due I 0 NOR LI MIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- . Recqr ing Fee "I Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORRECT*� AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL",',', This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: a9d Fees are paid, and IN VIOjTION~E LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION recelpt Is acknowledged In spasAlvvided. A WS)COMPNSATIONI INSURANCE AND RCW 18.27. a I /I — 81 0 R R QAE . DATE SIjZ M9 RE DATE I�An 10 11_2� 1125 771-0220 mo;, - ATTTENTION M 1333 RELEASTED DATd - IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE,UNTIL -% OoX vz_5�1/ %4_,_� A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 IGINAL41LE YELLOW- INSPECTOR 04/02 PRESS HARD -YOU AR8.MAKING PINK -OWNER GOLD -ASSESSOR 5 COPIES GREEN - ACCOUNTING