20930 81ST PL W.PDFiiiiiiiiiiii
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20930 81 ST PL W
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ADDRESS: .269 �t<-D '�31
TAX ACCOUNTIPARCEL NUMBER: ELI �;�- C�)C)n 01300
BUILDNG PER -MIT (NEW STRUCTURE): I q Lao - cn a CS
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: 1� 00-7 9 DETERMINATION: 0 Conditional Waiver E] Study Required Xwaiver
DISCRETIONARY PERMIT #'S: Tu� I g 7)1,0 ocms- 3,1 Q Le Csld e 5,e�;f 10acAF,-�---"\)
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): I C1 q 'j — Ob Z (0 ( (---eV)&) 0,203 IqU-0Q�(fneCb)
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEV%rER LID FEE
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DA
OTHER:
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BUl"IDINCHEIGHT
DEDICATION
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WETBAR STATEMENT
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Fred &. Lea Towne
20930-81si Place WeSt
.6,dmonds, Wishington 98020
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 'Edm * onds does not warrant the
accuracy of anything set forth on these
map(s-). Any person or entity -requesting a
I endent
copy should conduct an 'ndep
inquiry regarding the information shown on
�__t__R�'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
. all be 11-ab.-Ife for the
e m pt o-y e e-s o -r o ff i c e *r s ss h. d, r
information given on this map(s), nor for
ation provided based
any one represent
upon . said map(s).
�, . .1
. Sao APPLICATION
cil to for
The City of Edmon SIDE SEVVM
NEW CONSTRUCTION7MTREPAIRS 0
-4 ir
...........
,I-- 'r 4., ...GONI�4,a
Owl-= ....... "MR ..... .. ...... P
---------------------------------- COrMAC ... ........... PL am
ADDR..s .. . ... .... Az ............................. LEGAL DESCRIPTION: LOT No . ....... /3 ------------------------------ B!"K No . .............
NAbM OF ADDITION.. .... 24DD 1 :1
. .1.
ya
114- -E I /,-
AV
oqz"
1-3
t
REM
APR 15 1-571
Approved:
I/
DATE ---
....... _ By ------ �4:
-4-00
Checklist' 20F9@d4jstLe1a Teowne
�c Vest
SIREEVRU Edmonds, Washington 98020
Site Information
ProjectName: PermitNumber
Site Location: _7s2� 3o Property Tax Account Number.
Approximate Site Size (acres or square feet): J# -_
Have you filled out a Critical Areas Checklist for a project on this site before? Ye--5;
General Site Conditions
1. Has the site beeri cleared or logged? Date of most recent action:
Soils / Topography
2. in the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Descnibe 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 rise of 10 feet over a
horizontal distance of 66 fcet.)
Hilly: slopes present on site of more than 15% and less than 300/,p a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greaer than 30% present on site.
Comments -5 / 0 dZg� a-t-� 4- 4 j2C_0 nt -Ir�Ke- e �. -
Hydrology/Vegetation.
4. Site contains areas of year-rourid standing water
5. Site contains areas of seasonal standing water. Approx. Depth:
6. Site is in the floodway floodplaik___Z-�pf a water course.
7. Site contains a creek or an area where water flows across the grounds surface? flows
are year-round? — Flows are seasonal?
8. Site is primarily: forested " ;meadow shrubs inixed
9. Obvious wetland is present.on site:
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
r0tyUse-On'ly.
qui
0�#;ireas As. e
le-HIf
-is not req j
�'red.
u
WAIVE CrkkAiei�!s
Det&�ninabon -Nuinbe*r. Reviewe
4.
Plani%er
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Is
CRY of Edmonds
Critical Areas Checklist
The Critical .4zeas Checklist contained on
dds form is to be filled out b any person
y
preparing a Development Permit
Application for the City ofEdmonds prior
to histhcr submittal of a development permit
to the City.
The purpose of the Checklist is to enable
City staff to daermine w hethcr 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). I *
An applican4 or his/her representative
, must
fill out the checklist, sign and date it, and
submit it to the City� The City will review
the checklist, make a pr=xrsorY I sift visit,
and malm 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
of the parcel with cnotigh detail that City
staff can find and identify the subject
pairzl(s)- In addition. the applicant is
encouraged to include any other pertinent
information or sttidies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers providedare
factual, to the best of my knowledge (fillout the appropriate column below) -
Owner / Applicant:
I—, T6 ci P7
Narne
Title
-zo q/ 9/,". AJ.
Street Address
C3
City, State, Zip
Phone
Signature Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP
Signature
Phone
Date
e)
'APPUGATION BUILDING. PERMIT Appl. No . ................... . ........ . ...
Builcring Department Permit limit, one year
r_CffY OF EDMONDS
6H is hereby made for a permit to construct the follov.ing work, in accordance with the. acco.m--
,and specifications- Two sets are submitted herewith for approval.
?-'r. alter N ...............
........... . .. ....................................................
Off -St.
. ..... Parking - - ------ - -- - -------
Fire
. Const. type ............................... Use zone ... .....................
zone ...... - -------- - - -------
. . . ........ 5
7
Addrke
........ . ....... Lot. ...... .......... Blk - ------- ...............
-
7-
A4
. . ...... a-M .. . ...... . ...... . ... . ................. Septic tank ............. - -----------
........ r. si& .................. ;.5 --------- 1. side .............................
rear .............................. -
Address ........ ......... Tel. No..A.73 70
.... . ........
.. . ................. . .......... ..
. . ....... Addres& --------------------------------------------------- Tel. No ....... . ...................
Address................................................... Tel. No ........ . ...................
. . .. . .. . .. . .. . ... . . . ...........................
ow
............... . .......... ............. .......... ----- - -----------
......... . . . ..... .. ..
Lm�* .. . . .. . .. . .. . .... . .. . ...............
this
The above is a co §tatement, and I agree to comply with all applicable Codes and State laws regulating
work.
Signed Owner/
............ Date.,=2.-_/6_e0 .
PERMIT for the above work is hereby approved, subject to the above conditions. a*nd to compliance w4ith the ap-
proved plans and specifications, and Building Department notations thereon.
Valuation Al?'..06ptv ...................... Permit fee ..... sl�_3.Z ............. Recd. by ................. .....................................
BuildingDepartment. By ...................................................... ................... Date ..................................................................
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final, OK .......................................
This permit does not cover Plumbing, Sciver or Electrical :r1swilations.
I
VW
CITY OF EDMON04-Y- 0 PERMIT
NUMBER
CONSTRUCTION PERMIT APOel ION JOB 0 / M—ITE
J
OWNER NAME/NAME OF BUSINESS A
DDRESS 1APT
0
0
D
13
DRE
S
ro,
ION
L L
__ __ 47
11 L L10 4`1 LEGAL DESCRIPTION 9,Mt(;K ass L
W SUBDIVISION NO.
Z MAILING AUUME55 LID NO.
3: 1
0 �Z0,� ja i2y a C -9-- �Q I --
CITY ZIP TELEPHUNt NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved
'ST,
;�7 RW Permit Required C3
2 177F, EXISTING REQUIRED DEDICATION
) _ r
P1 C �5 �( p / Street Use Permit Reg'd 0
"4
P OPOSI
NAME PROPOSED Inspection Required 0
Sidewalk Required 0 m
I J " .' /I 4= f\ ENGINEERING MEMO DATED
ADDRESS REvjjEw By
0
METER SIZE lnsom�
BUILDING SUPPLY SIZE NO. OF FIXTURES
CITY ZIP TELEP
NUMBER
Ix
Z I W
8 REMARKS
STATE LICENSE NUMBER
EXPIRATION DATE
SIGN AaEA
PROPOSED
SEPAREVIEW
COMPLETE
pe NO.
Legal D scrip ion o Property - InCl—ude all easements
Z
2
1EXEMPT
A/
5HORELINUO
EXP
000
VARIANCE OR CU
fiLAj4NIN IEW BY
I ly B
I E,
W
0
513AT 15 - e� 4.,
rff-,�
/0// jD
'I
.j
w. Property
-Atsq
SETBACKS - FEET �6
-2 �2'
T
T
T
LC
LOT COVERAGE
Tax Account
FRONT s IDE6 REAR
REMARKS
1�5
Parcel No.
NEW
RESIDENTIAL PLUMBING
ADDITION
COMMERCIAL
MECHANICAL
TZ71
REMODEL
APT. BLDG.
E]
SIGN
GRADING FENCE
REPAIR CYOS.
YPE OF CONSTRUCTION
ODE
HEIGHT
( x -FT)
WOODSTOVE
4j
C/ /
DEMOLISH SWIM POOL
1:1 INSERT HOT TUB/SPA
SPECIAL INSPECTOR
REQUIRED
E-
JOCCUPANCY -
OCCUPANT
XGARAGE RETAINING WALL/
C, 1:1. R OCKERY RENEWAL
13 YES
12
LOAD
Z
- .
MARKS
0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
E
PROGRESS INSPECTIONt PER U6C 305'
0
6 LA
3
rr- a -e--
P_
—9
NUMBER OF STORIES
NUMBER OF
-
DWELLING
OM
UNITS
7 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
deil C-L-Te 4�cs r ku e v, 7L
FINAL INSPECTION
REQUIRED
C ra -e- 1�17'1 '40LI,
VALUATION FEE
i
Dn
PLAN CHECK FEE
- — / 2
HEAT SOURCE:
GLAZING
BUILDING
8e,
101
-
PLUMBING
Plan CheCk No.
MECHANICAL
This Permit covers work to be done O-n- private property ONLY.
GRADINGIFILL
Any construction on the public dom in (Curbs, sidewpiks,
driveways, marquees, etc.) will requir: separate permission.
STATE SURCHARGE
I 1
Permit Ap * plicavon: IN Days
- - - ---
Work-Is'Stirt6d-within ISO -vaij
STORM DRAINAGE FEE -
"APplicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
Successor$ in In terest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington,
Its officials,
2 employees, and agents from any and all claims for damages of
0<'
Whitevir-'nature,irliih§ diredtly or IndIrei6tly"firdin the Issuj'hc9
X
�14 Tr-eiAl
of this permit. Issuance of this permit shall not be deemed to
PLAN dHECK DEPOSIT
0 modify, waive or reduce any requirement of any city ordinance
x nor limit In any way the City's ability to enforce any o rdinancO
provision."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application;
Information given Is correct; and that I am the owner, or tho duly
ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz.
ed thereby, no person will be employed In violation the
THIS PERMIT
AUTHORIZES This application Is not a permit until
of Labor
Code of the State of Washington relating to Workmen's Compensa-
I Insurance.
ONLY THE signed by the Building Official or his/her
WORK NOTED Deputy; and fees are paid, and receipt Is
n
INSPECTION acknowledged In space provided.
SIGNATURE (OWNER OR -AGENT) D-AT`E--b§IUNtU
DEPARTMENT -
A�
CITY OF OFFICIAL'S SIGNATURE, DATE
EDMONDS
ATTENTION
CALL FOR RELEASED BY: DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220-."-.
1
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
ORIGINAL File YELLOW Inspector
1
CHAPTER 3.
102-87
PINK — Owner GOLD — Assessor
E -R
CITY� F JEUMMONIDS,.1 SIIDE:_*S WVEZ.-._PERIM.TIT*
10
W�AT-EP.�SEWEIV,'DEPA�R.TM-ENT.'-'
v
3932-
RMIT,
irk
alt 7 671 lor�si& sewer,. insnectlons�,,BEFORE; covering, any, r).�Alonl -"bf.'theron!'tructl`
Withinu2l,hourst�afte
InWeetion,,,will��be�,pr6vid*edr r�,,rcquest.,, 1� 4r,, �fioliday,. Anspqctions.,/�,
IAMIDRES& L"OU AMN 16F(CONSTS CT ON'. .............................. .......................... ..........................................
. ......... 7 ............................ t .........
-1 Q. 101
)PROPERT..Y,-LFGAffil,-DkSCRIP.-T-ION-! ......... .................. .................................. ...... ................ ................ ...............
.. . . . ......................... . . . . . ........................... ............
....................... ;% ............ I ........ I ...................... ................................................. ............................. ...............................................
...............................................
R,
.......... .................... ............ W,,NIERI.AND/09,'BIJIIILIDE 7 ...... ............ ....... ....................
Ll
'T.0T I
—NTRWCTOA'SI,,N,�0i-EI,&, A'MDRES�S*.....7' S 0, t� 0 1
.. ............. ............................................................ ......... .......... ............ ........................................... ......
fudsgibn4slirliiited.... ..............
......... !A!A_L.A,.S ........... '19 . ..... for%-Kepair andVor iconnectlom,of,'a.sidb sew.er*46 �the�,qity sahitat,y' (sewer,
,,:Systbm�-ink�a'.C'Cordknee�',With,,City,-.of,,Edhi6nd§�'�or,dinance
OiE,No. T�Thel,own&si 'of? iheipropeity. may, obtain�:W p�rmit` construct sewer inside, proppity,,Iine:�-'.;k,,Iicenseds'Sia e Sewer'dont , iactor must,16e,em�loydakf 'it struer
sldv,sewerIinstre6f.areiv. it'�hasibeen,i 'o c . on
nspected.�
No:]?R-No�., 2*—Alill,,*ork,berior*m�d�i-n-,ciCy,'rfg�t-of-�iv I ay.,requirest,an,,,Inya�i6n,,�o*f R�Jght7of-Way . 'Permlt: obtainable- fro�i -theicity Englneer�s: offlbe�
-NOTR,No�, 3—'0btalh,.,full[ infdrmatibnf��ega�rding,�Ordinan6e 1-1,.1!6".1030�,and'i,,Regijlgtions,,go�verning�;"side-,sewers;.�vheni youi'ige�'.permit.�
VOTE,'No� -4*��Top�of'iiideisewer�,must;;havL--iat,'Ieast,,30AInches?,cov.era:ge*,at- pz�pperty, �line,,andt,-121�inches,insidbi�.proper�y,,-Ilne;, Inimum�;grade�iof-,�-o/��.,,14oiiber�ds ;injjgrade�
shiriier- than'., :A.will) be,,permitted.
,NOTE� Noi ;&-��T*eniihmdw,street must �be-water settled, andl surface,of. �street- restored' toorlginail,cofiditi'bnl'.�� -Con ractors%sbalh':be� re'sponiible' for, failure, (due, to,,j mproper
10
Work which. maydbvelop� within!ond, year f,compieti6n.,
NOTTEI� No.. 6�-:It is, kunlawfWl ito 'zilter do�any othe"rwork* than'i&',provlded for, in Ahe, permlt,;,ov (6 46*,, any�-moik on- �t!he main se*we'r.",oi',Its',appurtenonees,.,except tb, in'-'
�sert ithe)pi pe!jnt&,'tfi&e wye:.
-j3
OTH,,'�P.'errriit�f(jbples�--,MUST,.,,13e �S g, `Rwmer 6f-Firm Performing,- onst -dq�b�t:'For"4n'spe -ion,
i pedt':By, C �ructiom-PRIOR.'Tol_,Fj
�j
1,; .......... - 'e ....... her6by.,.,cer.tify,,theL:fj;t-he,fside,�isbwer,�-.ihs-'talreL.fi'6ii�"6oniitrudteillunder,,,this;ip,ermi i,
-6 4d, ruction),
, w __�f _,C-C �r®r_gg iConst
i&cont ictinvgiiirm� W iffi
3�,Insti ledAnZc'ordarf C&-wath%zll; --overhihg,-,6r-,Oi'ne�iic6s-,--of 'tfie'�,,CifY df'Edffoiidi§�
'1191
Bated, . ..................
......... ...
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T. bp�onei �Ey, .,Pb ei�f IE],,., S",er 'E]I,'. �Gther'JE]j.
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