212 CASPERS ST.PDF10561
212 CASPERS ST
-00.
90-
TAX ACCOUNT/PARCEL NUMBER: Q b3zqc)�)zLyngo
BUILDING PERMIT (NEW STRUCTURE): 0 � R I t 1?2 (DE9)
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:b�-A DETERMINATION: [:] Conditional Waiver [:] Study Required b1z" aiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED: �W,V,5� 01
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA'
LOT: 2, BLOCK:
LATEMP\DSrs\Forffts\Street File Checklistdoc
CATIO AUILDING PERMIT
EDMONDS Building Department
Y-1,
Appl. N . . .....
Permit limit, one Year_
cATioN1.isi.hereby made for a permit to construct the following work, in accordance with the accom-
g p_�I__
. I ' *fications. Two sets are submitted hexewith for approval.
Lane and 6POCI
her Off -St.
dn repair ............. .............. . ..... Paricing . . ...... . .. . .......
..........................................................................
CCU;) Consr. type ... ... ............. U-se zone Fire zone.!A . . .....
...... .. .................. Lot ...... ................ Blk .......... ............. Addii .............. .......... . .. . .. . . .
nk ..........................
ta . ....................................... Area Septic ta ....................
,backs front ......... r. side . .............. czo../ ....... 1. side .............. ........... rcar .......
a 5 Tel.
...... ...........
4
.......................... ... . ................... Address..: ........ ............ Tel. No..: ................. . ..... .
-tRirMbyz,.z .......... ....................... Address 77 -- - --------------- ----------------Tel. No .................. . .. . ...
................. ............. _ ............ .. ...... ... ......... .................... ......................... ............ ..................
The *above is a correct'statement, :tne agree to crnply with. all applicable Codes. amd. State laws regu ating- s
Adclrc&q Dats
Signed .............. .. ...... ....
PERMIT for the abwe work is hereby approved, subject to the above conditior�s; ard'6 6mpliance,with-tl�e6 ap,
p mved plans and specifications, and Building Department notations thereon.
.................... P.i . ... ....... ..... Recd by ............. .....
Valuatio . ..... Zz? 9..q:n t fee .......... I ........... ..
-z
Building Department, By .............................. Date .............. . .
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK .................................................... Final*,",OY . .............................. . .......
This Pennit does not cover PI urnbing, Sewer or Electrical installations.
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74T,71
PLANNimn DATA
NAME:—ft 6 � jX
SITE ADDRESS- DATE: q 10 V
ZONING: C,-)— 112 —PLAN CHK#:
PROJECT DESCRIPTION:
\j \j
CORNERLOT U.(Yes/No) FLAG LOT
_(Yes/No)
SETBACKS:
Required Setbacks:
Front: '20*'* Left Side: 1-3 —Right Side: Rear:
Actual Sethacks:
Front: 2
Rear:
—A LeftSide:fi/A RightSide:15
Street map checked for additio setback required? (Yes/No)
LEGAL NONCONFORMING LAND ' USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
Maximum Allowed: Actual: 2,
BUILDING HEIGHT:
Maximum Allowed. Actual Height:
Datum P
A.D.U. CREATED?: IV Q) —'
m Elevation: / ? /
\j \j
SUBDIVISION:
CRITICALAREASM VA—('f1'YY1—
SEPA DETERMINATION:
LOT
Plan Review By:,
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Project Address:
212 Caspers St
Edmonds 98020
Owner.
Suzie Reynolds
c/o 9721 l9e ST SW,
Edmonds, Wa 98026
Contact:
Darrel McGlocklin
8721 19e St SW
Edmon" WA 98026
425 - 774 - 9295
Tax Acct. No: 2427 032 020 0000
,_(et Tf r-A, ARF-A: 0
Scope of "ect:
After�T`be-Fact plans for
enclosing eiisting carport to
garage. Original carport 1959.
Carport into garage 1986.
u N 14F-A-rr. Pp
Land Use Complaint: BE 32
Rec -
E DC3
FEB [J 200 a
I)EVELop,,W
CITY ""' S
OF EDLI..,,o,,4CDS' CTR.
Sec 24 T 27 It 03
Beg @ inter of N line Govt
Lot 2 & W line of P St, prod
th W 222.71 to TPOB th S
165' the W 55' th N 1651 th
E 55' to TPOB less roads. OW)
Lot Size: 135' x 55'
7425 Sq ft.
lAt Coverage:
Res: 1,163 sq ft
Gar, W
1,743 sq ft .23.4%
NO NEW
Zone: R-6
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JAN-13-2000 12:51 CITY OF EDMONDS 425?710221 P. 03/03
00cal Areas Checklist
----------------------------------------- -*a-- ----------- e�A
Site Information (soils/topography/hydrology/vegetation)
I Site AddrcsAocation: VZ CA57 Egg,-r2
2. Property Tax Account Number: 24Z-7 0?�Z ozo cooco::>
3. �pproxirnate Site Size (acres or square feet): 74-.:Zc7 5& I=T
4. Is this site currently developed? 1`0 yes;_no.
If yes; bow is site developed? 1
5. Describe the general site topography, Check all that apply.
D ek46A
Flat: less than 5-feet elevation change over entire site. Z0'Q
Rolling: sloM on site generally less than 15% (a vertical rise of I 0-feet over a Qp'p'��X�k'
horizontal distance of 66-feet).
Hilly-._--o',5-0E-S-pf&iint onsive-of rnorcthan-1-50/6 amd-less tharf-300/6-( a vertical rise
I 0-feet over a horizontal distance of 33 to 66-feet).
-Ste_c'p`*_" -ifz�-di's—ofgrt�atiirthan-30%gre:�ent-iDiI site (a'vertical rise of 104ectovera
horizontal 4istance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: 0 Ap prox, Depth:
7. Site contains areas of seasonal standing water: ;Approx. Depth:
What season(s) of the year?
-8. Site ii in the f1bodway floodplain of a wate� course.
9. Si - tecontai6 a&eek or an,area'where water f16�vs icioss the grounds surface? Flo wis are year-.'
round? ows are seasonal? (what time of year?
10. Site is primarily: forested- - � ""-,meadow ;.shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
................ . . ......
1. Site 4.zohedl'.
2'. K.S mapod soiltyo(s)!
-!nap ir�dicates'.w.
3: Wetiand.itiv..Fntory.:pr:P.A..-.-' she7. Ive) -
4.
5, Site-*Jtlilndi*i�natede�nh..� b6'&i* )iiWs
A
6. Site designated on tl1'e::.B':n.vh6�i46iiTly
TOTAL P.03
iRN-13-2000 12:5 0 ft CITY OF EDMONDS 4257710221 P.02/03
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 Permit 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, br
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 th.e 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 fon.n to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shA. 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).
Owrer/Applicant:
MC C WCKLIt4
Name
19 ZWt' e71- e7 V-r
Street Address
F,VAC) WA Jt5o?-6
city State Zip
4zri- -7-74-121ry
Telephone
Signature
Date
c-Teception\janakaAdoc
Applicant Representath-g:
MISTW 4AW50t4
Name
OCF2. ALr--��a-
Street Address
IAO�JPr?, WA q96ZD
city State Zip
Telephone
Wav�n-n
Signature
Date
I - 1'� - 0 ooe:�o
(over)
APPLICATION
for
The City of Edmonds SEDE SEWER PERYaT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
112-09100
OWNER ......... qj.af Bernhof
.......................... t ................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS..... 2.12 --- CaspLer-St - ---------------------------------------------------------------
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LEGAL DESCRIPTION: LOT No . ..................................... ........ BLOCK No . ............................................
NAMEOF ADDITION ..........................................................................................................................................
Dye tested and it flows into sanitary sewer on
Casper St. and flows west.
Dye Tested On Sewer 1972
Approved:
DATE............................................. — By ........
W,
OF- lz�
1 9 C)
City -.,bf Edmond!!O'.
'V-'CONSTRUCTION
RIGHT-OF-WA-t
PERMIT
Issue Date:
Permit Number.
Or
A. Address or Vicinity of Construction: — 212 Caspox St (9701960)
B. Type of Work (be specific): Install Service
C. Contractor: Aashington Natural Gas Contact: Marfamne Kingsbury
MailingAddress: 1122 75 St SW Everett Phone: 356-7500 __X7596
State License #: 98203 1,iability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. F] Commercial [J Subdivision El City Project U Utility (PUD, GTE, WNG, CABLE, WATER
E] Multi -Family E] Single Family EJ Other
INSPECTOR: INSPECTOR: 1'�Vj
F. Pavement or Concrete Cut: 91 Yes 0No G. Size of Cut: x H. Chargo�.,$
APPLICANT TO READ AND(§IGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City 6fE�mondg harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
-employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND A6CEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITYFORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BEPROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of'�roposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material 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 dit ' ches shall be patched with Asphalt -or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on Psi at all t* esfbrinspectlo'p�&poses.,
Date: 10-36-96
Signature:
�06h&actor ir Agent)
CALL DIAL -A -DIG PRIOR TO 'BEGINNING WORK
APPROVED BY.
FOR CITY USE ONLY
RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER, —DAYS. DISRUPT ION FEE/FUND Ill:
,SPECIAL CONDITIONS: dA RESTORATION FEEi
PERMIT FEE:'
TOTAL FEE:
COMMENTS: _0M
DATE:
RECEIPT FEE:
ISSUED BY:
NO WORK SHALL:BEGIN. PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
%%td* tw
WAR" Gaeo=�=
A~V�FIIW
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
F
,(7, 4:�7r
I
ZY2� CAc�PeP- CDT-
q-zt v D U C)
Key: -W- Water
Watermain depth Oo -G- Gas
-SS- Sever
Water hydrant
gas main 0 water valve
Washington Natural Gas Company
1122 75th Street S.W., Evcrett. Washington 98203. (206) 355-3331
CM --
Will gi===
AV*NwXjtn[rVWCcnVMV Addendum to: �q�of�Edmonds
Right Of Way
Permit Application
Submitted by: MarLamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
Watermain depth 0o
—'2- - gas main
CA(::.7PeP- C-D-F
C)
Key:
-V- Water
-G- Gas
-SS- Sever
<)- water hydrant
0 Water valve
Washington Natural Gas Company
1122 75th Street S.W.. Everett. Washington 98203, (206) 355-3331