21304 86TH PL W (2).PDFIIIIIIIIIIII
8248
21304 86TH PL W
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: ev
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required kr� raiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: -
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LID #:
BLOCK:
LATEMP\DSrs\Forms\Street File Checklist.doc
0 0
PLANNING DATA
NAME: PeLr.m j4AjKt,., DATE: Al /- 6"
SITE ADDRESS: 'i Z1304- "- PTW: PLAN CHK#:-04 -4.3 2,
PROJECT DESCRIPTION: --" AAj04:, 4,V tD—Ae4 .
REDUCED SITE PLAN PROVIDED?: (aa/ No)
MAP PAGE: I CORNER LOT: (Yes FLAG LOT:
ZONING:. P'6 - ? - CRITICAL AREAS DETERMINATION #: 04 -313-
LlStudv Reouired:
LdWaiver
UConditional Waiver
SEPA DETERMINATION:
UFee
L1 Checklist
LlAPO list w/ notarized form
Ll(Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
O'Exempt
SETBACKS:
Required Setbacks:
Street: 2-S' Left Side: Right Side:_ Rear: 15"
Actual Setbacks:
—14 2-5'Street: -ZVfv" Left Side: A, 4 Right Side: 7' Rear: 72-' (N A,,.,)
Street map checked for additional setback required? (Yes / No /�NA P-- 121^4
Ll DETACHED STRUCTURES: -, hzA jpf-l�A Appa0A.W^)
Ll ROCKERIES: tow ezcw��'-(
U FENCEsrrRELLISES: — f k-,
LJ BAY WINDOWS / PROJECTING MODULATION:
LJ STAIRS/ DECKS: M-'— S4#-b"vf
PARKING: Required: 2- Actual: -
LOT AREA: 15 170 40 . 4
LOT COVERAGE' 20114 1 h 2 k �0
Calculations:
" �� 7- Z 9.
BUILDING HEIGHT:
Datum Point: Se4w m-4-1yAg ca,-� .�, aXj&m,.#- DatumElevation: jo217'
Maximum Allowed: I R. QActual Height: Zo. t, (OW, 1/417)
A.D.U. CREATED?: iffoY Yes)
'Vo AD it jyz�:r
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes l(Wol
OTHER:_ C44 -19t3-43 P 1,1ove 4erw^O-- E4 P4� 62�-
Plan Review
NewBPP1anningDataForrn.D0C
Zone P-9-Ig Comer Flag BY ENGI XEERING OT
REET FILE
Setbacks Required Actual _r_l
2-5
Front z5 LE
c pupil MAR 0 2 2005
Sides 7.5 Date: - -f - -
Rear 15 72 EXISTIN6 GONG, / GMEWDOWNSpouTS SHAPED AREA ONLYPERMIT COUNTER
Other RETAININ6 VqALL To caN' I Q 15 NEN ADDITION
NFC',,T TC M-ST. V 4
Hei& 551-011
501-011
2\
k-n ;3 _ /2\
CD
NORTH PROPERTY LINE 210'
40
— - — — — - — - — - -
0
Ln
-Ti
13LE ITLINg,
MATERLAL I
14" DIA. GHERRY DECK R106E 3.3-
0 16" DIA.
35
61HESTNUT I z
40 1 Lu
0
.12
LLJ
kNWR - <
AFi 9 PATI I Lu
D Lu
WIN, Lu
<
12\ CL Lu
IE 1 FLOOR: c)
MAPLE5 +c[CLO, M Czu
b"4 16" DIA. 20" PIA.
(�HERRY
0 12"D DEGr, n
0
501-0
9 0\0 olvil�n "c -* '-
i-BLE FOR
EROSICN %';
EX15T. 12" HIC71H R06KERY I.D 019AINAGE. T,
p/
Q SOUTH PROPERTY LINE 210'
wBUILDIN6 HE16HT
E
CALCULATION:
80 NORTHNEST
bcl, 5
NORTHEAST
ci -7. 5
SOUTHEAST
cib.0
5OUTHNE5T
bcf.5
TOTAL
5-14.5
AVERA6E
C0. 1b
ALLONED:
25.0
r
LIMIT:
11b.6
EXISTIN6 R106E:
114.2
W
E
EXISTIN6 6ARA6E:
105.5
§
PROP05ED 6ARA6E:
103.3
IMPERVIOUS SURFACE CALCULATION:
SHED (EXIST.)
112
EXIST. HOUSE ' 6ARA6E, PECKS, PATIO:2,q]2
EXIST. DRIVE 4 NALK
565
PAVED SHARED ROAD:
1030
TOTAL EXIST. IMPERVIOUS SURFACES:
4,61-7
LOT AREA: 12' X 210'
15,120
EX15TIN6 % IMPERVIOUS SURFACE:
50
REMOVED (NALK, DRIVE)
30-7
ADDED (6ARA6E, DRIVE, NALK, PORGH)
461
PROPOSED TOTAL IMPERVIOUS 5URFAGE:
41-7-71
PROP05EP % IMPERVIOUS 5URFAGE:
31
BUILDIN6 HE16HT CALCULATION
RECTANGLE
DARIN 4 SHELLEY HA65TROM
21504 &bTH PLACE NEST
EDMONDS, NA qb02b
(425) -112-(1121
TAX ACCOUNT #: 0051560060160?
50. FT. ZONIN6: R5-b
5% 5CALE 20'
BITE FLAN 111111 r��
0 5 10 15 20
REVISED 22 PEG 04 TGN
6% REVISED 25 FEB 05 TGN
LLI
LIJ.
CL
LL
#P20
CAFileNo:
-tritical Areas Checklist
S graphy/hydrology/vegetation)
Site Infomation (So�, /topo:, 1,
/Lociti
1.. Siie Address on:
C) 3'
2. Property Tax.Account Number: 3G 0&5 oi(,e o(, o
3. Approximate Site Size (acres or s4uare feet)-
4. Is fl-ds site currently developed? yes; no.
if ye�,,howis site developed?
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 thani15% (a vertical nis e* of 10-feet over a horizontal
distance of 6646et).-
Hilly: slopespresent bn site of 'more than 15% and less than 30% (a vertical rise of 10-feet
over a �orizoni�l distance of 33 to 66-feet).
Steep: grades of greater.than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than �Meet).
Other (please describe);
6. Site contains areas of year-round standing waten: Approx. Depth:
7. Site contains areas of seasonal standin water:
9 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?
Flows are seasonal? (What time of year?
10. Site is, primarily: forested meadow �hrubs:' emixed__,_Z
urban landscaped (Iawi� shrubs etc)
11. Obvious wetland is present on site:
1.
2.
3.
4.
5.
For City Staff Use Only
Plan Check, Number, if applicable?
Site is Zoned?
SCS mapp�d soil. tyl*,$).?. :Va OP05:4= 14,j= 4 A
CridcaYk;9i�v-Sto1Yy'?rtA. _Ap j6hilafig Critical- Are'aon''sitV �_DcD C/,
Site within designated earth subsidence landslide hazard area?
kzl� -4
J2
DETERMINATION
—STUDYREQUMM MAIVER
M.
#.P20
City. otoldmonds Date Received: 3
Development Services Department Citk, �ecpipt .31-7 / 3
Planning Division .,Critica"l Areas File #:
*itl6al Areas Checklist Fee: $135.00
Phone: 425.771.6220
Fax: 425.771.0221 Date Mailed t6 Applicant
The Critical Areas Checklist contained on this form is - th, 'A property owner* priNs�her.,authori=d representative.
be filled out. by any person preparing .'a - Developmefi t must, filll'64t(th � ch`ec'klist;'� sip , and! date it� addiubmit it
Permit Application, for the. City of Edmonds prior to tolthe City. The City will, review the checkli make a,
his/her submittal of the application to the' City. precuii6ry site visit,,�nd make a determination of the
The purpose of.the Checklist is to enable City staff to subsequent' steps necessary -to' complete:. 'a--de�elop�ment
permit application.
determine whether any potential Critical Areas are or
0 -
may be, present on the subject property. The mformat,04
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)-
Please.submit a vicinity map, along
. ..'I, with the signed copy
of this form to assist City stiff in finding and li*ating'the
specific piece of property described, ' th s.. f -
on i orm. In
addition, the applicant shall :include other !pertinent
information (6.g. site-plap, topography map,: etc.) or
studies in conjunciio . n with'this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersi
. gned applicant and his/her/its heirs, and assigas,,m* consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any.
attorney's fees, arising from any action or infraction based in whole or p�rt upon false, misleading, inaccurate.or.
incomplete information furnished by the applicant his/he.-di-ts; agents or employees.
By my signature, I cff* that the information and iihibit's herewith submitted are true and correct to the best of my
knowledge and that I am authorized to lication on the behalf of the' owner "a's listed below.'
SIGNATURE oF APPLicANT/AGENT DATE
Property Owner's Authorization
By my signature, I cff* that I have authorized the above Applicant/Agent to! apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection an attendan this application.
SIGNATURE Of 0 DA179-3
Owner/�ppflcant:
j n -Y. stf bw-,�
Name
Strv�t'Address
uan
city State zip
Telephone: 1 -1 � � z,-. � �
Email address (optional):
AppHcant Representative:
Name
Street Address
city. State zip
Telephone
Email Address (optional):
CO
APPLICATION
for
mawaww
The City of EclmongTam Fil a SIUD ER PI T
NEW C EASEMENT No . ..........................................
R9
,tT R �U=l 0 N 0 REPAI
J
............
OWNER V ...... r:: .... A� 0 . ................................................................ 0-; ........... ....................................... PERMIT No . ......................
ADDRESS �.AZP ..... .......... 4.4 .......................................... BLOCK No . ....... 'J� ............................
...... tt ........................... LEGAL DESCRIPTION: LOT No.....
NAME OF ADDITION..4�. �/ . ..... 1� .... . .............................
,2 30
1
jg �Q Y-Z� 77
0
P rple, -6 r rj 1 4, n --
Approved:
DATE.SA�.Zll�� ......... By
....................................
The City of Ed "Or EET FILE APPUCA71ON
mondso#R for EASEMENT NO. � --------- ------------------------------
SIDE SEWER PERM
NEW CONSTRUCTION E] REPAIRS E] LID NO. -- ------------- -- ASMT. NO - ------------------
OWNER
..... 6, ...... VI-1114 ----------------------------------------------------------- CONTRACTOR ------- ----------------------- -------------------------------------- -- --------- PERMIT NO - --------------------
JOB ADDRESS :4j ------ &,� --------------------- LEGAL DESCRIPTION: LOT NO - ----------------- -------------------- BLOCK NO - -------------------------
................ ---------------- -------------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION - ----------------------------------------
Approved:
DATE-------------------------------------------- BY ------------------------------------------------------------
0
0
CITY OF EDMONDS STREET FILELARRY S. NAUGHTEN
250 - 5TH AVE-: - EMMCNDS WA 75020 - (206) 771-3202 NlAvOR
COMMUN17Y SERVICES:
Public Work-4z * Planning - Parks and Recreation - Engineering
� 8 9 0 . I () '� -
May 11, 1990
Mr. Doug Reilly
21218 - 86th Pl. W.
Edmonds, WA. 98020
Re: Letter from residents of 86th Pl. W. to City dated May 8, 1990
Dear Mr. Reilly:
PETER E. HAHN
DIRECTOR
We received your May 8, 1990 letter and concur with your recommendation
that a new waterline be installed. We will consider your letter as
permission to work within the private drive. The City crews will
schedule the installation of a new pipeline this year. The exact
schedule is not known at this time.
The City's contact persons for this project will be Bobby Mills and
Archie Brena. Please feel free to contact them at your convenience.
Sincerely,
ROBERT J. ALBERTS, P.E.
City Engineer
RJA/sdt
c: Bobby Mills
REILLY/TXTST530
_74-
12,P 6J
0 Incorp-iroted August 11, 1890
Sister
Cities International — Hekinan, Japan
Dear Sir:
As residents of Edmonds, we write this letter with the hope that you
may provide us with a better quality of water. We reside on 86th
Place West, which we are aware of is a private street.
Our water problem has been an ongoing dilemma for us. The severely
rusted and corroded main water line has reached a point where your
city crews are spending more and more time flushing out the lines to
help clean it out. It hasn't been helping the water quality however.
We find our white landry coming out with rust stains. We are forced
to buy bottled water to avoid drinking the "brown" water, which is
an expensive substitute. Our bathroom fixtures are water stained
with no hope in sight. A few of us who are looking at home additions
and remodeling face the inevitable staining when our new fixtures
are installed. We are discouraged to invest money in our homes
with this in mind. Our fear is that we would not be able to recover
our investment due to poor water quality.
Our request is that you take into consideration the replacing of our
water main for our 6 homes on 86th Place West. This would eliminate
the necessity of having city crews come out to continuously maintain
the pipes. It would also enable us to feel safe using our water for
drinking purposes once again.
We look for -ward to hearing from you
778-5993 or 344-6688(work).
Sincerely,
Please contact Doug Reilly at
The Residents of.86th Plac st:
z2j
,% )At" , I
0 0 �,L,
(Z 04
t 2 k o
-4�
L4
11q C",
W J :1
IREE?FILE
CITY OF EDMON
250 - 5TH AVE EDMONDS, WA 98020 - (20�) 771-3202
COMMUNI-iv SERVICES:
Public Works * Planning - Parks and Recreation - Engineering
9 0
May 11, 1990
Mr. Doug Reilly
21218 - 86th Pl. W.
Edmonds, WA. 98020
/7?1'
LARRY S. NAUGHTEN
MAYOR
Re: Letter from residents of 86th Pl. W. to City dated May 8, 1990
Dear Mr. Reilly:
PETER E. HAHN
DIRECTOR
We received your May 8, 1990 letter and concur with your recommendation
that a new waterline be installed. We will consider your letter as
permission to work within the private drive. The City crews will
schedule the installation of a new pipeline this year. The exact
schedule is not known at this time.
The City's contact persons for this project will be Bobby Mills and
Archie Brena. Please feel free to contact them at your convenience.
Sincerely,
ROBERT J. ALBERTS, P.E.
City Engineer
RJA/sdt
c: Bobby Mills
REILLY/TXTST530
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
,--z, / e / " (-
.7
Dear Sir:
As residents of Edmonds, we write this letter with the hope that you
may provide us with a better quality of water. We reside on 86th
Place West, which we are aware of is a Drivate street.
Our water problem has been an ongoing dilemma for us. The severely
rusted and corroded main water line has reached a point where your
city crews are spending more and more time flushing out the lines to
help clean it out. It hasn't been helping the water quality however.
We find our white landry coming out with rust stains. We are forced
to buy bottled water to avoid drinking the "brown" water, which is
an expensive substitute. Our bathroom fixtures are water stained
with no hope in sight. A few of us who are looking at home additions
and remodeling face the inevitable staining when our new fixtures
are installed. We are discouraged to invest money in our homes
with this in mind. Our fear is that we would not be able to recover
our investment due to poor water quality.
Our request is that you take into consideration the replacing of our
water main for our 6 homes on 86th Place West. This would eliminate
the necessity of having city crews come out to continuously maintain
the pipes. It would also enable us to feel safe using our water for
drinking purposes once again.
We look forward to hearing from you. Please contact Doug Reilly at
778-5993 or 344-6688(work).
Sincerely,
The Residents of 86th Pla st:
a
0,1-ec4ei AYA4-f
3C t-, e Sv, 1 Y\5-�
"NJ LA — V,�
o
-to
REGARDING:. 21304 - 86th Place West
(address)
R E C 0 R D 0 F C 0 N T A C T S
NAME PHONE NO
DATE 1 .1 COMMENTS
ADDRESS of CALLER
5/l/74 M.C. Frey Certified Letter No. 406360 sent
requiring hook-up within 60 days.
5/2/74 Please schedule dye -test.
6/S/74 Received letter from Mr. Frey stating
property is already onnected. Please
dye test.
6/11/74 -D.T.O.S.
7/1/74 Certified Letter No. 406588 sent
requiring response by July.12.
7/10/74 Certified Letter No. 406613 sent
rescinding pr6vious letters.
0
ACTION TAKEN
Letter received.
Letter received. disregard.
Letter received.
INITIALS
TE
TE
TE
TE
TE
TE
AREA CODE (206) 632-26(
SN$
00
0 June 3, 1974
LU
cc
Z)
to
z
Q
UJ City of Edmonds PecEw��o
Q
200 Dayton Street
0 %lop/
ca Edmonds, Washington 98020 5 1974
Q
LU Attention: Mr. John B. Mitchell
Water/SeWer Superintendent.
_J
Dear sir:
--J
I am in receipt of your -letter dated May 1, 1974 with
cc reference to connecting up to the existing sanitary
1�
sewer service. You state that your records further
indicate that our property is still unconnected.
When we purchased the Property at 21304 - 86th., Place
West, Edmonds from Mr. and Mrs. V. T. Rice, we were
told by them that in.return for the two easements granted
the city of Edmonds for the sewer project they would and
did make the connection gratis.
Mr. Wm. R. Leraas the property owner to the North of
us stated this to be true and showed me just where the
cc connection was made. A line running from the North
lz�
West corner of the house to the South West portion of the
property where a manhole is located.
co I have called your office seve ! ral times in the past
month to try and clarify thi s situation. I was assured
on one of these calls that a test would be made to
ascertain whether a connection had been made or not,
but have not been contacted on any of my other calls.
I would appreciate this being clarified at the earliest
possible moment so that I know where I stand.
Q
QZ
Very tr u r s
(D 7� vl"�
Vc�, G,'-Frey
21 4 - 86th., P Lo e est
Edmonds, Wa. 98,t-20
Inclosure
P.O. BOX 1564 SEATTLE, WASHINGTON 98103
r'n
rn
rn
:YJ
rn
rn
rn
Z
0
.4. Basement for ingress, . egress and utilities over h6rein described
property lying within the East 30 feet of Tract 16" as disclosed by
Deeds recorded under Auditor's File No.'s"1063124 ;nd 1063280.
A Permanent easement for the installation
sanitary sewers over, across ., operations, and maintenance of
through and b,elow: -
The South 10 feet toget�er with the East 30 feet Of the
.following described Portion of Lot 16
Manor No. 9: Block S, Alderwood
The South 70 feet of the North 844.44 feet Of said Lot 16,
as measured along the West line thereof.
and the further right to temove-trees bushes, undergrowth and
other obstructions interfering with t4e locations construction and
maintenance of said utility or utilities.
The City agrees to restore to substantially the original condition such'
improvements as are disturbed'during the construction, maintenance and
repair of said utility or utilities; provided, the grantors, their heirs
or assigns shall not construct any permanent structure over, upon or
within the permanent easement.
Grantor: 'V. T. Rice and Gertrude G. Rice, his wife.
Grantee: city of Edmonds, a municipal corporation.
Recorded: December 26,1968
Auditor's File No. 2070860.
D-..A permanent easement for the installation', operations, and maintenance
,Of.sanitary and/or storm sewers overt across, through and below:
The West lo feet of the following described portion of Lot
is, Block S, Alderwood Manor No. 9,-according:to the plat
thereof recorded in Volume 10 of Plats page 6
9
Beginnin at the Northwest corner of s;id Lot 15; thence South*
along the West line of said Lot 475
of beginning; thence continuing Sou .94 feet to the true Point
142 th along said West line
.59 feet; thence East to the East line of said Lot; thence
North along said East line 142.59 feet to a Point East of the
point of beginning; thence West to the Point of beginning,
and the further right to remove trees, bushes undergrowth and other
obstructions interfering with the locations, construction and maintenance
of said -utility or utilities,
The City agrees to restore to
improvements as are disturbed -zubstantiall,- �`e origind.,L condition such
repair of said utility or util during the co"ns'truction, maintenance and
or assigns shall not construct ities; provided, the grantors, their heirs.
within the permanent easement . any permanent -structure overt upon or
Grantor: V. T. Rice and Gertrude G. Rice, his wife.
Grantee:
City of Edmonds a municipal corporation.
Recorded: December 26, 1668.
Auditor's File No. 2070861.
/Lj A, J C,
(END'OF SCHEDULE B)
a
ROUTING FORM
itial Date
2.
4.
5.
Message.
0-Y
77 40
C,* z-e—,E-2� 09.5 7—b
From.,
Date:
7-41
:rE-7-72
SENDER.- Be -sure to follow ins'
"Is on other iida
ifutfic;
LE.ASE FURNISH SERVICE(S) INDICATE�D BY CHECKED *13LOCK(S)
A dd itional charges reirtuired fl�r these services)
Sli addres's
where delive'-red, - D 1i
tJel"ver ONLY !RECEIPT FOR CERTIFIED MAIL-300 (plusi
d
ql�.tage)
dessee-,
Z
REI ��'O$TWM ;,.,,
-i 423-04000 01, E
Receivedthe numbered article descri,
�Id _1S T-If �R E N 0. iced be'low FREY, MC K
Rr AP
R NAME OF ADDRE (hlds� alwayi be fi led iij)
2.1304 86TH PLACE W.
CERTIFIED �NO
4068C
EDMONDS, WASHINGTON
?8020
SIGNATUR' 0
E ADDIR, SEE'S' IF ANY i OPTIONAL SERVICES FOR ADDITIONAL FEES
INSURED NO. 2
te delivered 154
RETURN 1. Shows and da
to whom
W t delive y to addressee only .......... � 650/
RECEIPT i h r
d where delivered.. 35�
2. Shows to whorin, date a
DATE-,IDELIVERED a vv WHERE.DELIVER SERVICES ddressee only ... .... .. 850
flu With delivery to a
%-111!j zi 7:equested, c?zd include
�Ip 17odej DELIVER TO ADDRESSEE ONLY ....................................... ....... 50d
SPECIAL DELIVERY (extra fee required) ...................... .....
PS Form NO INSURANCE COVERAGE PROVIDED— (See other side) t
Apr. 1971 3800
NOT FOR INTERNATIONAL MAIL GIPO: 1970 0-397-458
EN
_,!��J._ DE!_. to-,
�EASE,
4- Insfq'etions
CC) FURNISH
§EPI/ICE(S) '.9n other sid�
III dd
z,zcra.1
ECKt[),
00 0 Ssh e,
adc r bil
uiied fo REMPT FOR
Lr d Vetbd
Dij
CERTMED MAIL-30� (plus P
CE P-r
NU -dfh t6 ad,dre see. 0
VLCT AINO C'. stage)
MAT R '�describe'crb �OS ARK
UL) 00i ATE
'ju SSEE'
P
WaY b E A.., D ZIP i _,j
IYO
S!UPIATUR
'oil 110
'SAG Shows
Af) RE SEt RETURN --.MAL ra �Icl 1 0
y RECEIPT to Whom and ;:'I'll[ FEES
WIh de date delivered
SERVICES 2- She I r t
1) addressee 0,
1vs to wh y
_h
h 15
ELI With deli are and wh
ER To A DR ere il 65
addressee red 35
ONL Y
AL DEL VERY (e 850
PECI I ESSEE r to
.... .. SENDER - �B ra f
............
e,sure to follo arm ee require"') ... . ........... sod
W. ;qifructiohs, 3800 JV0 d ........ ............
LE dn�-.ofher side 1971
S-E FURNIS INSu
-SERVICE(S) RANC
(A - it. IND16A V'PHECKED, BLb -- ---- IT COiEll
29174 charges re u fj� D - S), FOR �l I � I'll D ED
q tjjese�, - - , Ck( r RTERNATIOWL AM (See otl_
ShCw address.� servtce3)
where de"'
Al-vere'd. ONLY
t6 addressee —30� (plus postage)
Z . �:: zi , �T;: R - eceivi d 'the' CEIP
RE T FOR CERTIFIED MAIL
T RECEOP
numbered POSTMARK
CRED No �Iirfhzle dill -b
cfi ed belo�/' SENT TO OR DATE
'SI"1IIUHtURNA L6 - ce!�=
WE OF WAD�Ri�SSfE
ERTI IED No. be filled� STREET AND NO.
INSURED
n
STATE AND ZIP CODE
uni Uk-ADDRE P.O.,
ME AGE
—'e0)12L�_i_5eM_A_L US ES FOR AUoI1IuNAL FEES
ham and date delivereu . ..........
DATE DELIVERED ..;, I
1 1. shows to V,
RETURN With deliv
SHO ery to addressee only ..... ......
WHERE DELIVERED RECEIPT 2. Shows to whom, date a d vh e delivered .. It
'requested, ar.d in yt. a n
�sr
,:r
clude ZIP Code) SERVICES With deliver e
dd only . .......... 85
5
................... .....
DELIVER TO ADDRffSEE ONLY .............
SPECIAL DELIVERY (e.". fee required) ... .......... ..... ........
er side
PS Form NO INSURANCE COVERAGE PROVIDED (See other side
3800 .397-458
Ap.. 1971 NOT FOR INTERNATIONAL MAIL GPO: 19700
00
W
8 ;t
Z�-) 11�
C) —t
0
C:)
E7:J
W
p
0
C)
Fd
NW COR LOT 16
L5'N
04
Z
BW#
= 00
rn
0
12'
SHED SSMH
710;
FND. REBAR w/ SMASHED CAP
1.85'S x 1.4'W OF PROP. COR.
N90000'00"W
89.5y
N90000'00"W
LEDGEND
RAISED
WOOD
DECK
CONC
PATIO
RAISED
WOOD DECK
A Portion of the NE 1/4 of the NW 1/4 of Section 30,
Township 27 North, Range 4 East, W.M.
210.00' NW COR. LOT 17
NORTH LINE OF LOT16
LOT 16
ALDERWOOD MANOR #9
LO'N 0.4'N -
210.00' L=:� �CK WALL
L! 120.50' -' 11
20.71
C;
20.11
M CONC
DRIVE
55'
>
EXISTING 2 STORY
04
WOODFRAME
13.2"
0
RESIDENCE
#21304
c�
35.7'
0
363
BOARD FENCE,
[—F
105.00'
180.00'
1
j
--T\--
-T
30.00'
I.8'N FNC. COR @
PROP. LINE
0 EXISTING BARE REBAR
z --t
C) C)
0 SET REBAR WITH CAP
Zp �4 0,
0
CD
z
EXISTING REBAR WIT14 CAP
SET PROP LINE STAKE
POWER POLE
SANITARY SEWER MANHOLE
CDC)DO
ROCKERY
%
FORSHORTENING SYMBOL
3-D Surveying & Mapping
Mapping the world and your back yard
1226 203rd Place SW
Lynnwood, Wa., 98036
jonp3d@verizoii.net
N90000'00"W
180.00,
r3 U
RIECOlk'" OF SURVEY
For
Darin Hngstrom
Z:)
A Portion of the NE 1/4 of the NW 1/4 of Section 30,
Township 27 North, Range 4 East, W.M.
0
1-0
U
00
EAST 30'
N90000'00"W
30.00'
0.551W
C)
C)
z
SET REBARICAP ON LINE
2.0'W OF PROP. COR.
5D I
0
C)
Z�
DATE:
2/02/05
SHEET:
I OF I
N90000'00"W
225.00'
FND 314" REBAR-NO CAP
07N x OXW OF NW COR. LOT 18
PER R.O.S. 200107315003
LOT 17
ALDERWOOD MANOR 99
C)
CD
0
C)
C)
z
GRAPHIC SCALE
0 10 20 40
(IN FEET)
I INCH = 20 FEET
BASIS OF BEARING
PLA'r OF ALDEWOOD MANOR NO. 9
LEGAL DESCRIPTION
FND 1/2" REBAR/CAP
"G-4" LS 930450
THAT PORTION OF LOT 16, BLOCK 5, ALDERWOOD MANOR NO. 9, RECORDED
IN VOL. 10 ATPAGE 6 OF PLATS UNDER AUDITORS FILE NO. 277344, RECORDS
OF SNOHOMISH COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS:
THE SOUTH 70.0 FEET OF THE NORT14 844.44 FEET OF SAID LOT 16,
ALDERWOOD MANOR NO. 9 AS MEASURED ALONG THE WEST LINE THEREOF.
ALSO THE EAST 30 FEET OF THE SOUTH 140 FEET OF THE NORTH 984.44 FEET
OF SAID LOT 16, ALDERWOOD MANOR NO. 9 AS MEASURED ALONG THE WEST
LINE THEREOF.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON.
1. THE INFORMATION SHOWN HEREON REPRESENTS THE RESULTS OF A
SURVEY DONE BY ME ON THE DATE INDICATED AND CAN ONLY BE
CONSIDERE,D AS DEPICTING THE GENERAL SITE CONDITIONS AT THAT TIME.
2. THIS SURVEY WAS PERFORMED WITHOUT THE BENEFIT OF A TITLE REPORT
AND DOES NOT PURPORT TO SHOW EASEMENTS OF RECORD. NO GUARANTEE
OF OWNERSHIP IS EXPRESSED OR IMPLIED.
3. INSTRUMENTATION FOR THIS SURVEY WAS A LEICA TCRA 1105 PLUS
TOTAL STATION AND LEICA SYSTEM 300 GPS. PROCEDURES USED IN THIS
SURVE Y WERE FIELD TRAVERSE AND STATIC OCCUPATIONS MEETING OR
EXCEEDING STANDARDS SET BY WAC 33Z-130-090.
CONFORMED COPY
200502035157 1 PG
02-03-2005 01:04pm $85.00
SNOHOMISH COUNTY, WASHINGTON
AUDITOR!S CERTIFICATE
Filed for record this day of
2005 at M in book of
— at page at the request of
NorthStar Land Surveying, Inc.
Manager Supt. of Records
Z:
EXPIRES 0.4/0�5105-
SURVEYORS CERTIFICATE
This map correctly represents a survey made by me under my
direction in conformance with the requirements of the Survey
Recording Act at the request of DARIN HAGSTROM in
FEBUARY, 2005.
Jon E. PendergmfL PLS 936824
fk
RSC,SIVSD
V, p 'I) a 2 2005
PERMIT coUNTER
,'CFILE
Zone PIS -8 --- Comer —Flag—
Setbacks Required
Actual
Front
Sides
AA A) - S-
Rear
72-
Other
APPRWED AS NOTED
BY ENGWEERING
c") T h""' Et"T F I L E
D -a ta:
UT-5HADED AREA ONLY
EX15TIN670114.53z
RETAINING NALL TC
15 NEN ADDITION
RECE
M &R2'gp
PERMIT COUNTER
6-11-111 z 1 551-011
Height 16 501-011
NORTH PROPERTY LINE 210'
- — - — - — — - - — —
WME
14" 01A.:(.HER9 DEGK RIDGE FTA6LE TIG NEI
0
16)" 01A. A4ATE&I P11
GHESTNUT SQR 35 1
Is -10 0 SCH 40 1 Lu
0
L-1
Lu
N-12 Qn
<
PATI ------ F8W--HAWCOR'l� Lu
C) uj
Lu
Of > i
L < <
CL Lu
Lu
D-E FLOOR;; /V //2\ C)
MAPLES OWCOIJL=� K
8"Vrb" DIA. 20" DIA.
0 12'0 D E G GHERRY n
C, 0
CD �JTFIJ, OINSI LE
CD
0\0 Am
p/
KXL i-0tlD D2,1
U) EXIST. 12" H16H ROGKERY NIA G F T
M 11 i
0
SOUTH
PROPERTY LINE 210'
wBIJILDIN6 HEIGHT GAI-GULATION:
E
IMPERVIOUS SURFACE GALGULATION:
u
0
NORTHNE5T
bci. 5
SHED (EXIST.)
112
0
NORTHEAST
ci -7.5
EXIST. HOUSE, 6ARA6E, PECKS, PATIO:2,qI2
SOUTHEAST
cib. 0
EXIST. DRIVE 6 NALK
563
w
r-
3.
5OUTHNE5T
bcl.5
PAVED SHARED ROAD:
1030
9�
u,
TOTAL
5 -74.5
TOTAL EXIST. IMPERVIOUS SURFACES:
4,611
AVERAGE
C0. lb
LOT AREA: 72' X 210'
15,120 50
ALLONED:
25.0
EXISTING % IMPERVIOUS SURFAGE:
50.5%
LIMIT:
11b.6
REMOVED (NALK, DRIVE)
50 -7
EXISTING R106E:
114.2
ADDED (6ARA61E, DRIVE, NALK, PORGH)
461
E
EXISTING 6ARA6E:
105.5
PROPOSED TOTAL IMPERVIOUS SURFAGE:
4,111
a
0
PROPOSED 6ARA6E:
105.5
PROPOSED % IMPERVIOUS 5URFAGE:
31.6%
BUILDIN& HEIGHT GALGULATION
REGTANGLE
DARIN 6 SHELLEY HA65TROM
21504 bb"TH PLA6E NEST
EDMONDS, NA q5026
(425) -712-cl-721
TAX AGCOUNT 4: 0051560060160?
FT. ZONING: R5-b
BITE PLAN ll�ALI: �20-
0 5 10 15 20
REVISED 22 PEG 04 TGN
REVISED 23 FEB 05 TGN /2\
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
NAME/NAME OF BUSINE
MAILING ADDRESS
ZIP
ADDRESS
/
y,YI
XUDRESS
190, 4
A
STATE LICENSE NUMI
891AIVC
PROPERTY TAX ACCC
612
NEW
ADDITION
REMODEL
REPAIR
DEMOLISH
GARAGE
CARPORT
(rYPE OF USE, BUSII�
TELEPHONE
4��' 71.2 9
Y-1111 av� ve,
ZIP TEWPHONE
PERMIT EXPIRES
Elf PERMIT
ZONE NUMBE�&
0,
JOB 4
ADDRESb�/
%..5L
0��L 0
Z;�Zff Z
SU
I ,O� - sti:�, 0 - -
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP APP
RW Permil� Rovedred:
Street Use Permit leq'd
EXISTING PROPOSED
Inspection Required 13
Sid—alk Required 13
REQUIRED DEDICATION FT
Underground
Will g required 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED 0
I
YES C3 NO E3 3
5
z
REMARKS 3
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 0
NGINEERING REVIEWED
I VY V/ �,�FiRE -REVIEWED BY
ZIP TELEP�6NE
DATE
DATE
Kit
VARIANCE OR cjj.� -.,jr.,SHORELINE OR AD13 - #J4 INSPECTION 1 BOND
EXPIRATIQN, DATE CHQCKql) By� REQ'D POSTED
4 E
13Y S M" $
'sEpA;REVIEW�_'),,
zOMPLETE , -'.-EXEMPT
:-SIG,N1AREA;*
ALLOWM �PROPOSED -,-'At
A
PARCEI�NO.
E XP
RESIDENTIAL
9 1
PLUMBINGI MECH
LOT COVERAGE'
ALLOWED PROPOSED.
REQUIRED SETBACK (IT)"
's
FRONT SIDE REAR
tPR4
FR
COMMERCIAL
COMPLIANCE OR
CHANGE OF. USE
.357% Z-2- 7,
257 7.5 . I. T
� -I
4 ��
PARKING
REO'D., I PROVIDED
PLANNiWREVIEWE 64
MULTIFAMILY SIGN
GRADING'
CYOS
FENCE,,,",:.
X FT)
Z_
C3 110
REMARKS
0 TANK
OTHER
RETAINING WALL
ROCKERY
FIRE SPRINKLER
FIRE ALARM -
OR ACTIV",EX 1!LAIN*
CHECKED By
P STRUCTION
�CQPE
NUMBER NUMBER OF,
OF DWELLING.' AREAS SPECIAL INSPECTION IAUA
STORIES UNITS NUMBER REQUIRED []' YES
DESCRIBE WORK TO BE DONE nzlm%,
REMARKS. -
PROGRESS INSPECTIONSPER USCL108/jBC 3
1091IRC109 FINAL INSPECTION REO'D
IWED I PROPOSED
5, Z�a
)SED SETBACKS (Fr.)
IT UR SIDE REAR
-7 2
DATE
U,
rL
z
I
GROU
OCCUPANT
LOAD
VALUATION
Description
�-4KEE
Description
FEE
'Plan Chqpk
4A7
State Surcharge
HEAT SOURCE
GLAZING %
'LOf*BLOPE %
4, j)
4 it
�Buildin.rl?Arm
F
City Surcharge
Z6
PLAN CHM:
C_-, 0pp_
VESTED DATE
1,�'P_ I u m b i 'fic/
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3
t: SEPARATE PERMISSION.
Engr. Review
5 PERMITAPPILICATION: ISO DAYS
ERMIT UMM. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMrT FOR MORE INFORMATION
APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
1141
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
!3 DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
9�
01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
W
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-
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: 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.
WRKMIEN'S COMPENSATIgN INSURANCE AND RCYV 18.27.
S SIGN RE DATE
(81 NATUR
DATE PIGNEo
1495)
-,Ww-
0 4
771 -0220
0
ED
ATTENTION
IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
off 11333
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC1O9/IBC110/IRC110.
ORIGINAL-FILE - YELLOW. IN,9(ECTOR
PINK -OWNER - GOLD -ASSESSOR
nwai MMP-^^ I I A Me% %00%8 9 A r%r' SM A IJ'IILI^ A