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21105 80TH AVE W.PDFIiiiiiiiiiiii 7171 21105 80TH AVE W webFIRS. Fire Incident Report Edmonds Fire Department Incident Number: EF06000678 Exposure: 0 Incident Date!L"_. Jurisdictional St 16 1 oration Type: street address Address. City: Edmonds State: WA Zip: 98026 Incident Type: Rescue, emergency medical call (EMS) call, other Shift: C Alarms: 1 Grid: EF206 Aid Type: None Alarm Time: 21:5§:20 2/25/2006 Arrival Time: 22:05:51 2/25/2006 Last Unit Cleared Time: 22:28:43 2/25/2006 Actions Taken: Incident command Information, investigation & enforcement, other HazMat Released: None Property Value: 0 contents Value: 0 Property Loss: 0 Contents Loss: 0 Fire Service Deaths: 0 Civilian Deaths: 0 Fire Service Injuries: 0 Civillan.Injuries: 0 Detector: officer In Cha . rge: MICHAEL HERYLA Assignment: Command Mixed Property Use: Not mixed use Property Use: Residential street, road or residential driveway -i,ve C-7 F I R S Fire Incident Report Edmonds Fire Department Person('s) Involved Role: Owner Name: LORI ONEAL Phone Number: 4247751682 Address: 21105 80 AVE W *101 Edmonds, WA 98026 Apparatus and Personnel Apparatus ID Personnel 11)('s) A16 EF0447 EF1425 EF1538 E17 EF0326 EF1785 EF2205 we:b"FIRS Fire Incident Report Edmonds Fire Department Incident Number: EF06000678 Exposure: 0 Incident Date: 2/25/2006 Narrative A16 responded with E17 to reported vehicle into a building. Upon arrival A16 was advised that there were no injuries and established 80th Command. E17 conducted a safety check of three damage vehicles, A16 checked on the wellfare of the occupant who,s apartment was struck. The occupant stated that she was not injure. A damage accessment of the interior revealed damage to two wooden studs and a couple sheets of d Z wall. A wall heating unit appeared not to be damage but the resident was advised to not use e unit untill repairs are made. She erns during the eveningi. The exterior oint also was advised to contact 911 she had any conc i he near -by uJi of impact showed damage to a couple boards on the structure's s deing. T ty support for the electric meters appeared undamaged. Lt MICHAEL HERYLA webFIRS Fire Incident Report Edmonds Fire Department Incident Number: EF06000678 Exposure: 0 Incident Date: 2/25/2006 Narrative E17 responded with A16 and EPD to a report of a vehicle into a building. A16 arrived first and established command. The vehicle which had struck the building was not occupied; there were two parked vehicles which had also been struck. E17 crew set out cones to close road at 80th and 212th and checked for hazards. None were found and command released E17. E17 followed a northerly route back to quarters also looking for the driver who reportedly fled the scene to the north. No persons were seen en route to quarters. Capt MARC PETRELLA 02/25/06 22:48:21 PRINT REQUESTED BY TERMINAL EFPC23 ,Incident History for: #EF06000678 Xref: #EP06005232 Case Numbers: $EF06000791 $S206003736 Received 02/25/06 21:58:45 BY SCPC07 SC749 Entered 02/25/06 21:59:12 BY SCPC07 SC749 Dispatched 02/25/06 21:59:20 BY SCPC11 SC748 Enroute 02/25/06 22:01:36 Onscene 02/25/06 22:05:51 Closed 02/25/06 22:28:43 Initial Type: ACCUNK Initial Alarm Level: 1 Final Alarm Level: 1 Final Type: ACCUNK (ACCIDENT/UNK DETAILS) Pri: 2 Dispo: 25R1 Police BLK: E033 Fire-BLK: EF206 Map Page: 455A-6 Group: EF1 Beat: EF16 Sr Loc: 21105 80 AV W #101 EDM btwn 211 PL SW & 212 ST SW (V) Loc Info: Name: ONEAL LORI Addr: 21105 80 AV W #101 EDM Phone: 4257751682 /2159 (SC749 ) ENTRY /2159 (SC748 ) DISP A16 /2159 /2159 $ASNCAS A16 ASST E17 /2159 ASST TAC21 /2159 $ASNCAS TAC21 /2159 AIQ TAC21 /2159 (SC749 SUPP /2200 (SC740 ) CHANGE /2200 (SC749 ) SUPP /2200 (SC740 ) CHANGE /2201 (SC749 ) SUPP /2201 (SC748 ) ENROUT A16 /2201 (SC740 ) SUPP /2201 (SC748 ) ENROUT E17 /2202 (SC749 ) SUPP /2204 SUPP /220-5 (SC748 ) ONSCNE A16 /2205 NEWLOC A16 /2209 (SC749 ) GDISPO A16 /2209 (SC748 ) MISC A16 /221.Q AOR E17 /2216 AOS A16 /2228 AOR A16 /2228 CLOSE A16 ,VEH IN BLDG #EF0447 HERYLA,MICHAEL #EF1425 ANDERSON, TODD #EF1538 STEINBACH, J HAZMAT TECH $EF06000791 #EF0326 PETRELLA,MARC #EF1785 HUNTER, DAVID #EF2205 SMITH, CLAYTON $S206003736 TXT: UNK IF VEH IS STILL AT LOC - RP NOT WILLING TO LOOK' ,VEH IS BRONCO KIDS TOOK OFF RUNNING SB ON.80 2 FEMALES TXT: TRUCK INTO BLDG - VEH IS STILL OCC - A28231 K ,2 GIRLS AND A GUY WENT SB DRIVER NB TXT: SAYS WALLS OF BLDG ARE CRACKED TXT: ANOTHER CALLER SAYS POEPLE RAN FROM THE CAR 2 GIRLS AND A GUY WENT SB DRI VER WENT NB TXT: BELIEVES THE DRIVER HAS LEFT - MORE CARS HI T ON LOT TXT: 3-4 SUBJS RAN FROM TRUCK - DIFFERENT DIRECT IONS - NO FURTHER 2 VEHS ONE IN BLDG, ONE ON STREET 80 COMMA ND (80TH COMMAND] D/25R1 ,NON INJURY , COMMAND BREAI�ING DOWN APPLICATION The City of Edmoncl�', f:: for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS Ej LID NO . ..... �!� --- ASMT. NO - ------------------ -4 Itit-h-0s, OWNER --- ------------------------------------------------------------------- CONTRACTOR ...... -- ---- 4 ---- M ............................................................ PERMIT NO. JOB ADDRESS -1241P� ----- - LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO - ------------------------------------ wFmis.� %cien c=�F= L-,O-r -,-r2- ..................................................................................................... A&% .................................................................................................. 9 11 14? -7(- .... By ------- .......... 11/75 APPLICATION I The City of Edmonds for EASEMENT NO . ............................................ SIDE SEWER PERMIT 1 NEW CONSTRUCTION REPAIRS LID NO. 1/7 ----- ------------------ OWNER J� ---/ ------------------------------------------------ CONTRACTOR ---------- --------------------------------------------------------- --------------- PERMIT NO. ------ --- .... .. L.,t JOB ADDRESS ....... ......... V-9 ---- -------------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ----------------------------------- TH?-- av e-Sr �, C; 0 Y j- c I, —,a. L4j 9 1- &. C �4k n .I % �f 6Al f2 V) A,—rle S r) , V1 11 ) ---------------------------------------------------------------------------------------------------------------- ......................... I ............. --------- NAMEOF ADDITION --------------------------------------------------------------------------------------------- Approved: DATE By....................................... VUY6 NOTICE: No warranty of accuracy. The information on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of �Eclmonds 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 -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 officers shall be liab-le for the information given on this map(s), nor for any one representation provided based upon said map(s). CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT Call 715-2525 for side sewer Inspections BEFORE covering any portion of the construction.N (Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.] ....................... . ....................................................... ADDRESS LOCATION OF CONSTRUCTION -------------------- .......................... I I PTION 6 PROPERTY LEGAL DESCRI ........................ ....... .......... ..................... .... ............. ..... . .............. . ................................... .............................................. ........................................................ OWNER AND/OR BUILDE.04A ................... — ......... . ....................................................... CONTRACTOR'S NAME & ADDRESS ------- jK j ------------------ :�� Pj�__ Ission Is granted ............ 19.1tO, for repair and/or connection Of a side sewer to the City sanitary Sewer �n in accordance with City of Edmonds ordinance. A'� �ZNTION IS CALT D TO THE FOLLOWING: y may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct NOTE No. i—The own— of the propert portion of sewer before it . has been inspected. ineer's office. . side sewer in street area. Do not cover any f Right -of -Way Permit obtainable from the City Eng NOTE No. 2—All work performed in city right-of-way requires an Invasion o hen you get permit. NOTE No. 3—obtain full Information regaxding ordinance 11.16-030 and Regulations -governing side sewers w minimum grade of 2%. No bends in grade NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; sharper than % will be permitted. and surface of street restored to original condition. Contractors shall be responsible for failure due to impr%>Per NOTE NO. 5--Trenches in street must be water settled work which may develop within one year of completion. ed for in the permit, or to do any work on the main sewer or its appurtenances except to in - NOTE No. 6—It is unlawful to alter or do any other work than Is provid sert the pipe into the wye. DISAPPROVEDn Date --- - ----- --------------- BY ---------------- Date ------------ - ---- -- --- ------ By ................ Date ---------------- ------------------- - By ---------------- -7 1'7 .......... .. ..... . .......... ................... ................................................................... APPROVED I!ate...-.. ..................... By XRemarks: . .......... . .. . ..................................... .. ................ . ............................. ............ ; .................................................................. . .................................. .............................................. ......... ..................................................................... . .......... igned By owner of Firm Performing Construction PRIOR To Request For Inspection BOTH Permit Copies MUST Be S I, ------­--------------- ---- hereby certify that the side sewer installation constructed under this permit ------ (-6wner of Contracting Finn Performing Construction) Edmonds. installed in accordance with all governing ordinances of the City of Datedthis ............................ day of ......................... : ...................................... 119 ......... _� _V Check BEFORE you dig for: Water n, G— n, Telephone n, Power 11., Sewer Ell Other [:j -� V *GINEERING REQUIREMENTS FOR COMORCIAL'. AND,APARTMENT BUILDING PROJECTS WE Name DUDLEY.4-UNIT APARTMENTS @.21105 80TH AVENUE W. Date September 14, 1976 STREETS AND ACCESS 1. Right -of -Way Requirements: �40/60 A 10 ft dedication -require din the future. 2. Road Bed Width:' 2Q ft. existing 3. Turn Around: Required on site 4. Sidewalks: N/A 5. Parking Strip: N/A 6. Access Easements: N/A UTILITIES 1. Water Mains: 6-inch main pe r Phase 4 Schedule "D" 2. Fire Hydrants: Existing per Phase 4 Schedule 'T" 3. Sewers or Septic Tanks: Connection to sanitary sewer required. 4. Drainage: Install all necessary storm sewers and drainage facilities per drainage plan and City Standards. Where drainage is across adjacent private property, all parties having any.ownership interest in the lands beingdeveloped shall provide, as a restriction on the titlerunning with ,the land, that the City of Edmonds shall be held harmless*from.any and all claims for damag(�s which may be occasioned to adjacent land by reason of the. construction and operation of the drainage system,'unless, releases of damages and/or drainage easements are obtained from the other property owners affected by said drainage.' Any drainage problems created by change of contour during development must be corrected prior to occupancy permits or release of performance bond. Final approval (or release of bond) will be withheld until actual drainage as installed has been inspected by the City..Engineer. 2123a Engineering Requiremen6for Comm'l & -"-'Apartment Building I ts - Pag . e 2 5. Utility Easements: 6. Underground Utilities: To be provided in accordance with ordinance No. 1387. Street Lighting shall also be provided with the necessary street. light standards and underground wiring. TnPnC,RAPRV 1. Excavation and Grading: Excavation and grading shall conform to the requirements outlined in Chapter 70 of the Uniform Building Code, latest adopted*edition ' Vol. 1. Where extensive grading and fill are involved in the development, a grading plan and specifications shall be prepared. QUOTATION FROM THE CITY CODE REGARDING IMPROVEMENTS 11.02.025(f) Utilities and Street Improvements. No building permit shall be 'issued for the construction of any building or structure of any kind or description'unless the plans and specifications include the construction for curbs, gutters,.sidewalks, paved streets, necessary water lines, sewer lines, 'and storm drainage necessitated by the new construction or improvement, to be built to applicable City standards, provided, however, if.found by the City -Engineer to be impractical to construct at the time of application for said building pe rmit, constru ' ction may be waived by the City Engineer and in lieu thereof a performance bond filed with said engineer to cover the estimated cost of construction to City standards'for said improvements, provided further, in areas zoned single family residential at the time of said application for building permit in which the applicant has received final approval for a plat or sub -division and has compiled with requirements therein compliance with this subsection shall be deemed.by compliance with the sub -division -.or plat requirements. COMMENTS RHA:LRL:mjr Rev. April 2, 1971 2123 b &2124 a DATF: September.14, 1976 HErn TO: Harry Ithitcutt- Bui I di no Of ficial FROO: Richard 1!. Men Assistant Citv rn(ii n.ner RJECT: MILDING PERMIT APPLICATION FOP, HAROLD DUOLE-Y.@ 21105 Soth AVENUE !,I.'- 4--UNIT APARTMENTS After review of thn subject huildinn nermit*anplication, we have the fol- I ov., i n q co mme. n ts 1. Structure and utilities locations are theresponsibility of.the builder. 2.- Lot drainage to be contained on site or.directed to City storm -system. 3. Connection to sanitary, sewer required. Underground wirinq requi.red. 5.. Driveviay slopes not to exceed 14 pprcent. 1,1JN:R11A:mjr 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 �Eclm.onds 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 fh-e -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 e . mpl-oyee-s o-r officers -shall be liab-fle for the information given on this map(s), nor for any one representation provided based upon said map(s). OL AV% M- %A —ALP M PEPHIT AD FS' c;,.. V V A Date' f71A 1--fA-% LEGAL DESCR j,��Inr 18 W A f� I 0'%A&A r'-- W% M!Ma 9 Q- nm-aw &CIML.-IM BUILDING PERNIT UVIEW - ENGINEERING DEPARTMENT CHFCK LIST Instruction: Check Accuracy of Leqal Description Check Anainst Assessor's Ma,p for Lenal Subdivision Does -it-conform to City Approved Subdivision? Reviewbr's Initials 1. This lot included in SUhdivi Z. )ite Inspection made on: Mi4 3. 11hat are oround water and soil conditions?, DD-V LVIYW. L -ACT 4. Site Drainage Checked 1r2R1r-'V-'1111 -%-JL 5. Storm Set -ter Availabi itv:' 0 'Sht. of vq. No. Project Roadside Ditch 1kJOir.UAUFnL 6. Grading & Final Contours: T7 OU I All 7. Septic Tank System Desion Approved- 'Aw. Sht rh-19. N 0 ect U r3 Side sewer availabilitv:. '- -4 Zroj 8. Sanitary Spwer Availihilit� c 1:16 �—S t. Sanitary Sewer Connection Fees? 10. Uater Mains A Fire Hydrants (Indicate Size !lain)&//, 4- Check Fire'D�pt.'s Comments 11. Sid walks: (Site inspection shows %�j�ions P- "s c . of s-idpvmll��as follo�,-is) 12. Curbs: - N .1; grade and width): 13'. Un.dernround Mrinn: 14. Street Right-of-way ?( 11,ldg. setback"S: 15. Existing Utility Fasements? 16. Access Easements- 17. Site Plan checked for accuracy? 18. Special Requirements listed in flenio-to Bldg. nept. 19. Com mercial & Apt. Reouirements form comp' eted? � 20. Drawings stamped -Ft*notations made? OADh 21. All Iteins filled in on 13109. Permit Appl.ication?_1 22. Bonds posted for site work? M.- Aso 23. Rinlit-of-way Invasion -Pormit required? COMMENTS: s.(ChecP driveways for safety, location' Street Liqhts: h . t.,,%Of ()fficial Street'Map. #I. -CITY OF* EDMONDS ENGINEERV[(-; DEPARTMA -OF`4AY CONSTRUCTION P APPLICATION FOR RIG14T MIES E (A "�'r V t to CcmvL--te A P and 9,,&r;it -in f7upZicate) Permit to'be issue(17 to: P For work at: (addres's or �iclnity) Type -of work -to bp done.: (Attach Drawing Applicable) & L Time Required Start: Finish: Own e r i4 o J_ _r y Namr� Mailing Address City S.tate Telephone Numb e r Contractory Name State Lfcens.e., 11 umb e r 13 X 9. '1 Mailing'Address Z"t/ v P-; e il City State Telephone, Number I ND FMIN I TY Applic*ant'understands'and by his signature t o this application', agrees. to hold the City of Edmonds harmless from any injuries, damages or' claims of any .kind ar descript.ion whatsoever,, foreseen or unforeseen, that.,ma be made against y the applicant or the City of Edmonds, or any of its departments or employees, including but not limited to ' thedefense of any 'legal*proceedings including defense costs, court costs, and attorney.fees by reason of granting this permit. Upon issuance.,of this p e nnit the contractor is responsible for f4orkrr�anship: and materials for a period of one year following the final inspection and'. acceptan c6 of the restoration by the Engineering p6partmerit. 'Work subject to inspection and -restoration in accordance with City C o d e. . 'A 24-hour notice is required for inspection by the Engineerin g Department. Call 775-2525. Signature:. 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