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21001 80TH AVE W.PDF11111111 lill 7160 21001 80TH AVE 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 forth on these map(�-). Any person or entity -req uesting a copy should conduct an independent inquiry regarding the information shown on t-Fe -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 emp-l-oyee-s or officer,--) shall be lia[D-I-e for the information given on this map(s), nor for any one representation provided based upon said map(s). APPLICATIO RAN PLA STREEr FRE for The City of Edmonds SIDE SEVWM PERMff EASEMENT No. NEW CONSTRUCTION REPAIRS 0 24Zc)-eDS-2-,,-30 OWNEP, ...... R ------ &r-ksaey ...................... CONTRACTOR ...... ............................ ......................... --------------------- _ ............. PERMIT No . ...... ................ ADDRE4 ...... -ok ---- ilns-o) ............ ................ LEGAL DESCRZP'0TIf0fi:a LOT No . .............................................. BLOCK No - ------------------ --------- W, //Olt --A 041-e 64jeVeAtS 14,- -7.� AOTMAUE. tJ- NAME OF ADDITION .......... .................................................. ................ -- ......... ..................................... -'* -the /0 -7 , PL A7 e C 0 A 4016- AO iy VIA IV Ot 1- 14 0 It CITY OF EDMONDS CIVIC CENTER — WATER -SEWER DEPARTMENT Cali PRospect 64107 when work is ready for Inspection. (No inspec- tions Saturday, So nday or holidays.) NO 2014 SIDE SEWER PERMIT ADDRESS ........................................ 3.2.1 ... . .... 21s.t ... A.ve.n.u.e .... So.u.th OWNER .............. RQb.eTt..R' ... ..................................... CONTRACTOR .... ReAf PPd ... ... S.Qn ......................................... Permission is granted ... April ... 13 .................... 19.6.7_ for .............. .......... days to REPAIR or CONNECT a side sewer with City Sewers In accordance witli 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. 'E 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. 5—It is unlawful to ELIter or do any other work than Is provided for In the permit, or to do any work on the main sewer or its appur- tena.nces except to Insert the pipe into the wye. Z� RATE RECEIVED (>FPERMIT EXPIRES USE PERMIT C' CITY OF EDMONDS ZONE NUMBER,-�.;�`�� ECONSTRUCTION JOB SUITE/APT# PERMIT APPLICATION ADDRESS OWNER NAME/NAME OF BUSINESS PLAT NAM E/SU BDIVI SION NO. L�D NO. A T777 L D FEE $ ix LU z MAILING ADDRESS TESCP Approved 3: / \ (_'(h PUBLIC RIGHT OF WAY PER OFFICIAL STREir.MAP RW Permit Required 0 0 t I ,.— EXISTING — PROPOSED Street Use Permit Req'd 0 Inspection Required 0 Sidewalk Req ired 0 -Underground . CITY ZIP TELEPHONE REQUIRED DEDICATION— FT _[__���ES Wiring required NAME METER SIZE LINE SIZE PRV REQUIRED YES 0 NO 0 ADUKESS REMARKS z x OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 0 U cc — z uj CITY ZIP TELEPHONE NAME J.- ENGINEERING REVIEWED/DATE im ADDRESS _7� FIRE REVIEWED BY DATE Lu S U. t- z 0 CITY ZIP TELEPHONE L VARIANCE OR CU SHORELINE OR ADB# INSPECTION REO'D BOND POSTED STA TE LICENSE NUMBER EXPIRATION,DAT� CHECKED BY I '.1 1 � ", / 4)1 0 Y ES 0 NO SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED 1 PROP5RTY TAX ACCOUNT PARCEL NO. r . . . . . W . I I , . . EXP C3 NEW RESIDENTIAL PLUMBING MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS FRONT SIDE RE ED SETBACKS (FT.) L/R SIDE REAR ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE z z PARKING REQ'D I PROVIDED LOTAREA [��REVIEWEDBY DATE REMODEL APARTMENT SIGN 1 0. .D?—REPAIR Ej GRADING Ej FENCE X CYDS FT) REMARKS F-1 DEMOLISH _)��_-tANK 0 OTHER o GARAGE RETAINING WALL RENEWAL CARPORT R CKERY z (:�YPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: IL Ex V "I' V. ". � , ( ). , 1, CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT I - GROUP NUMBEIR OF NUMBER OF DWELLING CRITICAI� ARFA e L2 SPECIAL INSPECTOR OCCUPANT M UNITS REQUIRED LOAD 0 STORIES Y [:) ES DESCRIBE WORK TO BE DONE REMARKS z FMUUKESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D FIRE MARSHAL ­j MUST BE FRBENT FOR "ANK FILL-.REMOVAt, OR CA-F. VALUATION FEE PLAN CHECK FEE HEAT SO�RCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING is 'MECkAMCAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GR�91NG/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. ARGE w PERMIT APPLICATION: 180 DAYS PERMIT LIMIT., 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. R I I EW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE Cn uj IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF i LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE cc ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- = I R CYIPT A_ TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT., AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. �ANCE AND FIPW 18.27. WORKMEN'S COMPENSATION IN�� `OFFICIALS SIGNATURE DATE —SIGNATURE (OWNER 0 AGENT)' DATE SIGNED (425) (1-It' 4, 771-0220 'DATE RELEASED BY ATTENTION EXT1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5/98 'P 0 STREET FILE 0 HARVE H. HARRISON CITY OF E * OM"INDS MAYOR CIVIC C�NTER - �DMONDS, WASHINGTON 9802C, - (206) 775-2525 DEPARTMENT OF: PUBLIC WORKS February 10, 1978 Mr. Robert Nelson 21001 80th Avenue West Edmonds, WA 98020 Dear Mr. Nelson: SUBJECT: VACATION OF RIGHT-OF-WAY ON 80TH AVENUE WEST ABUTTING YOUR RESIDENCE On February 7, 1978, the City Council decided to proceed with the right-of-way vacation without requiring the payment by the abutting property owners of the costs encountered by the City. The City is proceeding to record this action in the county. You will, therefore, be able to adjust your property boundaries accordingly in approximately 30-days. Your Check No. 1619, in the amount of $25, is enclosed and is no longer required. Yours very truly, J, LEIF R. LARSON, P.E. Director of Public Works 0 .71 R1 = Enclosure A�-Slt.C.E. Vate -A-21in.Sec. ate CITY OF EOMV )NDS CIVIC CGNTEP - GDMONDS, WASHINGTON 98020 - (206) 775-2525 D�PARTMENT OF PUBOIC WORKS November 30, 1977 Mr. Robert R. Nelson 21001 80th Avenue W. Edmonds, WA 98020 1 Dear Mr. Nelson: HARVE H. HARRISON MAYOR SUBJECT: VACATION OF SURPLUS RIGHT-OF-WAY.ON 80TH AVENUE WEST ABUTTING YOUR RESIDENCE - The City Council has agreEtd to vacate surplus street right-of-way adjoining your residence. This right-of-way would be vacated subject to the abutting owners'paying the appraisal and reco * rding fees. It has been determined that the fee for each owner is $25. Upon submittal of the fee to the City of Edmonds, Public Works Department, the City will.file an Ordinance with the Auditor in Snohomish County. The title companies will then pick-up this information from the records. You may then wish to contact the title company for further.arrangements to clarify any fee title interest you may have in the vacated right-of-way. In order to complete this action at the earliest possible time, it is requested that you remit the fee to the City of Edmonds by December 16, 1977. If you have any questions on this matter, please contact Mr. Richard Allen, Assistant City -Engineer, at 775-2525, ext. 220, between the hours of 8 a.m. and 5 p.m., Monday through Friday. Yours very truly, LEIF-_R. LARSON, P.E. Dire4or of Public Works RHA: lv 01 Ty Ovi Emmons ME q.-mr-r-T FILE LOT APPROVAL STREET lu NAME ADDRESS ADDRESS OF PROPOSED BUILDING ;5 A C) � LEGAL DESCRIPTION: LOT BLOCK ADDITION SEYTYPE OF U OF BEDROORS SIZE OF -LOT SOURCE OF DRINKING WATER: Public Supply___�� Private Well a. SURFACE DRAINAGE 1. Is� disposal field site well drained9 �Po 2. Any water course (stream, drainage ditcK, etc—.T—through site? .2(-o b. TOPOGRAPHY Any heavy slopes in field area? 2. Will present topsoil in field area be removed or'graded before field tiles! are installed? 3. Will any fill material be used in the disposal field site? If yes, how much? c. SOIL CONDITIONS 1. Has�a hole at least 4 feet deep been dug in the disposal field area to detelb- mine the type of soil 'Present? 2. After hole is dug record the soil /conditions at the following depths. (Re- cord as sand,'gravel, clay., packed sand., loam'. etc.) 12 inches 30 inches,44)/e, 1-8 inches ,�inches 24 inches,' IJ� inches 3. Any ground water encountered before reaching a depth of 4 feet? r) If so at what depth? d. WATER TEST A simple water test will show how well this soil will drain or percolate wiat To perform this test: 1. Dig hole at least 36 inches deep. Use a shovel or post hole digger — size of hole makes no difTerendt—Unly depth. 2. Fill hole with water. Now let all water run out of hole. This soaks the ground and will give a more accurate reading. 3. Again pour water in hole to a height of 12 inches from the bottom. Let water run out until there is just 6 inches from bottom left in hole. 4. Note how many minutes it takes for this last 6 inches to seep away. Record this time below. Number of minutes for last 6 inches to seep away 5. Divide this time by 6 to obtain the rate per inch 6. Date water test was performed 5>1 2-/6 I hereby certify the above infonnation to be correct and the above tests were perfonned by me as prescribed. Signed Address NOTE: A septic tank permit is issued on the basis of the above information. If there are any changes or alterations in the above stated soil conditions it may result in the installation being rejected at the time of inspection. Percolation Rate and Required Absorption -Area. For,single Family Dwellings. Percolation Rate (Time in Lineal feet of 4 inch tile minutes for water to fall using trench with width of one inch) two feet 3 150 minimum 4 175 5 190 7 225 10 250 12 2 5 15 285 30 -375 Over -30 Soil Unsuitable CA FILE NO. Critical Areas Checklist LA-00- (q4- ---------------- --------------------------------------------- Site Information (soil s/topography/hydrology/vegetation) q100( </D+A_ A),( , , I Site Address/Location: L.-) 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet7 4. Is this site currently developed? X y e s; no. If yes; how is site developed? _01' c_C 5. Describe 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 1 0-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 1 0-feet over a horizontal distance of 3 3 to 66-feet). . Steep: grades of greater than 30% present on site (a vertical rise of 1.0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: y-\-- Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? V�_Z Flows are seasonal? (What time of ? 10. Site is primarily: -forested meadow shrubs -mi-.ed___- urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: L/-\-A "O.ChUm; Rw 10103/97 a-/ City of Edmonds CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Pen -nit 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. 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). An applicant, 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 precursory site' visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owne icant: — Name -,�J 0 Street Address - FDmDoq fy, wA � o 2-6— City State 447,in -- D 7-- ate A ?,c a res7t, �:ep ive: Name Street Address r+ 67R) t I C 7ity State Zip Signature Date crecepdon�anakacl.doc (over) City of Edmonds NA�V CRITICAL AREAS CHECKLIST The 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 1-�s/her submittal of a development permit to the City. 0, An applicant, 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 precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. The purpose of the Checklist is to enable City staff to Please submit a vicinity map along with the signed determine whether any potential Critical Areas are, or copy of this form to assist City staff in finding and may be, present on the subject property. The locating the specific piece of property described on information needed to complete the Checklist sbould this form. In addition, the applicant shall include be easily available from observations of the site or oth r err-tinent information (e.g., site plan, topography data available at City Hall (Critical Areas inventories, n Vtt r studies in conjunction with this Checklist 'LOP maps, or soil surveys). to %�a\ staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers. provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/A 'icant: —V Name A 0 61 Street Address - , F�Qm 0,� City State 7in /i �, Date / A Uc ,pr,�,ant RepresItive.... Name -/Q�iul. Street Address r+ qSz t i City State Zip Signature ta / Date execeptionVanakad.doc (over) CAFILENO. Critical Areas Checklist - - - - - - - - - - - - - - - - - - - - - I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Site Information (soil s/topo graphy/hydrology/ve getation) 1. Site Address/Location: q 100 )f L j' AA1) f\- I I 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? yes; no. If yes; how is site developed? 0 6f � 5. Describe 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 I 0-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 1 0-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: kL,� Approx. Depth:' What season(s) of the year? 8. Site is in the floodway VL---,,-, floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? - V\-,-O Flows are seasonal? (What time of yCar? 10. Site is primarily: forested meadow shrubs mixed ..�rban landscaped (lawn,shrubs etc) rZ 1 1. Obvious wetland is present on site: AM.ChUK Rvy 10/03/97