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Water tervice Drawing
The City of Edmonds
EASEMENTNO . ............................................
NEW CONStRUCTION 0 REPAIRS 0 LID NO . .................. . ASMT. NO . ..................
OWNER.................. .. ......................................................................... CONTRACTOR ..................................... .............................................. PERMIT NO . ....................
- 4, 1. ....................
JOB ADDRESS ......... z ... 1.5. ............ D.7 . ..... ................. LEGAL DESCRIPTION: LOT, . NO . ...................................... BLOCK NO . ................
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NAMEOF ADDITION ............................................. ..........................................................................
Approved:
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PWW-0001-11/75(REV.11/78) DATE .............. -.1—" ............. By ......................................... ..................
CA FILE NO. �9 _C1
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location: DE2 14MLANC2 M
2. Property Tax Account Number: -_ 1 0 il 00
3. Approximate Site Size (acres or square feet): 2,1�� A' AC915�
4. Is this site currently developed? �< yes; no.
If yes; how is 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 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 3 M ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 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: kJO 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? W2 Flows are seasonal? (What time of year?
10. Site is primarily: forested ; meadow shrubs mixed
urban landscaped (lawn,shrubs etc) 5<
11. Obvious wetland is present on site: W6
5: Si;e.w..'jthj d t d 6aith::s.ubsidenc . e'landslidh�:haz' d;a'rea?.....:1[",,',U,:
a:, esignAe...: PT,
ignated on.the.Envi . ronment Ily,$ensitiv.e Areas M40 Nb
.Site:des
ftn_chk,.doc; Rev 10/03/97
RF.CEIVED
City of Edmonds
JAN 0 6 1998
COMMUNITY SEFNICES
Critical Areas Checklist
4-c"7 79 �)
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 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
. I
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
orplotplan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
1004"
P a 'WRIEW141-M la-
�Z�314 :3�2& 2!4�- 14. a,4--
Street Address
Applicant Representative:
��-4104'4 = %ILI NJ IF.' f V
.'d -_— MM
-1:1 W - 15til AkE --5N.
Street Address
City, �iaie, ZIP Phone City, -state", ZIP-`
Phonp
Signature
-- It -I " AV PAPIVA
Date Signature Date
WELI-I
City of Edmonds
Critical Areas Determination
Applicant: Charles Williams Determination #: I CA-98-009 I
Project Name: I Non -Project Specific Permit Number:
Site Location: 1 215 Highland Dr. I Property Tax Acct #: 1 4230-000-
Project Description
Non -Project Specific
Determination: Conditional Waiver:
During review and inspection of the subject site, it was found that the site is within an Erosion
Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development Code
(ECDC).
Waiver Criteria (all criteria must be found to apply):
X There will be no alteration of the Critical Area or its required buffers pursuant to the
requirements of Chapter 20.15B;
X The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
X The development proposal meets the minimum standards of the Critical Areas
ordinance;
X The above findings are based on the following conditions of approval:
1. Alterations within identified Erosion Hazard Areas shall not be authorized
without an approved erosion control plan pursuant to ECDC Chapter 18.30,
which includes staged clearing, where appropriate. The erosion control plan
must be approved by the City of Edmonds Engineering Department.
2. Clearing or disruption of the soils within an Erosion Hazard Area shall be
kept at the minimum necessary to provide reasonable use of the site.
3. Any project shall be constructed in compliance with the City of Edmonds
approved plans and code requirements.
4. A Tree Clearing Permit shall be required for trees proposed to be cut on any
portion of the lot that has slopes exceeding 25 percent.
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit i's hereby Waived, p authorized by Chapter 20.15B. 150
(B) of the Edmonds Community Development C
,ode.,,,/
Karissa Kawamoto 1/20-98
Narne Date
PLANNING DATA
CORNER LOT--,&Q-(Yes/No) FLAG LOT (Yes/No)
SETBACKS:
Required Setbacks:
Front: c?�9 Left Side: Right Side: Rear:
Actual Setbacks:
Front: ?)�- Left Side: Right Side: Rear: elp
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE: 11� --
Maximum Allowed: Actual: 1W 6&AQ&
BUILDING HEIGHT:
Maximum Allowed: Actual Height:
Datum Point: Datum Elevation:
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #:
SEPA DETERMINATION: 0
X91 I ff-ITA :F -I,;
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Plan Review
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RECEIVED
MAY - 4 1998
PERMIT COUNTFR
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A 'E 117 LA�NNJN
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lammersdorf te"model
2 1 5 H i g h I
E d m o f7t. d s W A 9 8. 0 2 0 75 15t a sw se tle wo 8 6
one fox 7 6 z A478
date: revislons: 0
APPROVED BY KANNING
'ZIS :DP--
r
RSCEIVED
JAN 0 6' 1998
PERMIT COUNTER
"ll"
1 T I PLAN
lammersdorf remodel
2 1 5 H i g h I a n d D r .
E d ;--m o n d s W A 9 8 0 2 0 7750 15th ave sw seattle wa 10(
phone + fax 206. 764. 478%'7-
dat6:1-5-1-t revisions:
r=xl It.40
I
0-
H
AP BY P ANN)ING
, 4
F-415TI
4 7eF
SITE PLAN
"Aw
ME
ll'=209
RECEIVED
APP,3,1VED BY PLANNING
am
M
ammers dorf remodel
1 5 H 1 g h I a n d D r .
d m o n d s W A 9 8 0 �2 0
I" = 20 1
JAN 0 6 1998
PERMIT COUNTER
ET FILE
"411,
Ontoft Williams archited
7750 15th ave sw seattle wa 981 Ot
phone + fax 206, 764. 478%':-
late: revisions:
June 18, 1979 (P
'00�
MEMO FOR RECORD
SUBJECT: STOPPAGE REPORT - 215 HIGHLAND DRIVE
On Friday, May 18, 1979, at approximately 8:30 a.m., the City
of Edmonds Sewer Division was notified by Mr. Bruce Stewart of
215 Highland Drive of a plugged sewer.
Upon arrival at the -Stewart residence, City crews checked the
main sewer line effecting the property and found the main to
be flowing in a normal capacity.
Mr. Stewart was then informed to contact Roto-Rooter service to
try to help free their line. The Stewarts informed City crews
that Roto-Rooter had been used. The sewer crew advised Mrs.
Stewart to recall Roto-Rooter and have us present when he rods
the line so that City crews can confirm his findings.
At approximately 11:00 a.m., the sewer crew was notified that
Roto-Rooter had arrived and was ready to begin. After the Roto-
Rooter had their line in the lateral, the City crew traced the
line to the point where the suspected blockage existed. That
was marked on the street and the City crew then informed Mrs.
Stewart that on the following Monday the lateral would be dug up
to try and determine what the blockage was.
At 7:30 a.m... Monday, May 21, City crews began excavating down to
the City main, broke open a hole in the 6" sewer pipe, inserted
25 feet of hand rod and rodded to the customer's property line,
(see attached drawing), and found no obstruction on the City
side.
At the customer's side,' where they connected to the line, there
was noted a grease build-up. We informed the resident of the
problem and advised them that this could be a recurring problem
so to be sure and maintain their line on a regular basis.
It should be noted also that there appears to be a grade problem
falling below the required 2% grade.
City crews then closed the hole, backfilled and cleaned up the area.
LDO: j ak
C I T Y 0 F E D M 0 N D S
- SEWER DEPARTMENT -
STOPPAGE OF SANITARY SEWER MAIN REPORT
DATE: a'.2,50 4..K.
TIME CALL RECEIVED:
LOCATION OF STOPPAGE:
TIME OF ARRIVAL ON THE JOB SITE: a - " -
,::::.Lj 5 T-c*'A EZ
TIME NORMAL FLOW OF SANITARY SEWER REESTABLISHED: TZC�Tz:> aoj�)
CAUSE OF STOPPAGE:
ACTION REQUIRED TO CLEAR MAIN.AND/OR LATERAL:
!t5r--E- �Afama--&o c>%=
CITY CREW ON STOPPAGE CALL OUT (Personnel Involved):
.5
-Pbw-r ist--kt-r 14
LOCATION OF RESIDENCE AFFECTED: 04-vs at& L'&4-�'C> Do. �
NAME, ADDRESS, AND PHONE NUMBER OF PROPERTY OWNER: 6MU�Lf
L-K>G, LL) LJ - QE�2 :5;5 0
DESCRIBE DAMAGE TO PRIVATE PROPERTY: k-�
RE44RKS: jt�j., &nj.4f.'&.tDe_
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- - -------------
-17 -
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Permit No: J
City of Edmonds
R'IGHT-OF-WAY CONSTRUCTION PERMIT issue Date: 0
A. Address or Vicinity of Construction: Z/,T-
B. . Type of Work (be specific): 4� CY -7rq^. dr I A, - (,.,AA
C. Contractor:
Mailing Address: 7 0
State License #:—,F C) f;� 6A P 1 0 (0 6
D. Building Permit # (if applicable
i
E. Commercial
F1 Multi -Family
INSPECTOR:
Phone:
Liability Insurance: Bond: $
'"
Side Sewer Permit # (if applicable):
El Subdivision City Project [] EUC (PUD, VERIZON, PSE, AT& T, OVWD)
Single Family . F1 Other
F. PAVEMENTCUT: [:]YES. El NO G. SIZE OF CUT x
CONCRETE CUT: 0 YES El NO
INDEMNITY: Applicant understands by his/her signature to this application helshe holds the City of. Edmonds, harmles's 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 but not limited to the defense of any legal proceedings including defense
costs and attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOW!NG THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES 47LL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBITOR CREDIT W!LL BEPROCESSED FOR ISSUANCE TO THEAPPLICANT.
* Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer.'�, Every
flagger- must be trained as required by (WAC) 296-155-305 and must have certification verifying c ompletion.'of the
required training in their, possession.
* Restoration . is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday — NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
I HA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THATIMUSTMAKE PINK COPY OF THE PERXIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
Signature: Date:
(Contractor or Agent)
Approved by:. D. G(-L-6&-Z 7- FOR CITY USE ONLY
Time Authorized: Void After 0' 2,
Special Conditions:
/ A�A
Right-of-way Fee: TU
Disruption Fee/Fund 111:
Restoration fee: -
Total Fee: Js-c a 0
Receipt No: e_140
Issued by: J
UPON COMPLETION OF PERMITTED WORK, AN 'ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
,COMMUNITY DEVELOPMENT.CODET 425-771-0220, Ext. 1326)
FINAL'APPROVAL OF PERMITTED WORK.. QK— DATE:
I!we`ctor's Signature . )
For inspection requirements see Engineering Inspection Information handout.
DAMy Documents\Forms\Engnrng\ROWpemit_.doc
REC, RIVED
APR 2 0 1998
PLAmmu 0EPT.
980204006
CITY CLERK 02/04/98 10:26
CITY OF EDMONDS p.0001 Recorded
121 5TH AVENUE NO. Snohomish County
EDMONDS, WA 98020
cc,
STATENMNT ON ACCESSORY DWELLING UNITS
0
Property Address:
Edmonds, Washington
0 Legal Description: Lo . t 17, Emerald Hills, according to the plat
0 thereof, recorded iny volume 31 ot plat s- paves 46-4Q inrIngivAg. -rQQQ3:ds
0 nf Rnohnmich rmint-y, 1ATam114pgJ;g14.
00
Assessoris Parcel Number:'. //2-30 -000 01-7,'- 00 - 0
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code and understand that an accessory dwelling
unit, Including a second kitchenit'is prohibited for two years after occupancy by the
current owner (unless a waiver Is granted by the Conununity Services Department) and
until after a conditional use permit has been approved by the City of Edmonds Hearing
Examiner.
I also understand that approval of a condittonal use permit Is subject to a public
hearing, and neither this statement nor the issuance of a building permit shall act to
limit the discretion of the City in the review of any application for a conditional use
permit.
Property Owner Signature: r
Date:
/ .. C( H. P. Lammersdorf
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory* ovidencelat B -R . A. a mmersd or
signed this instrument and acknowledge it to be60her free and voluntary act for the uses and
purposeg mentioned in this instnimenL
Notary's pressure seals must be smudged. Dated- - January 20, 1998
S H % '11#0
Signature of *-�,�41, (/1 �^ --
Notary Public: Sally 5herbina
C479i
Seattle
�row,
jNOTAR
Residing at:
cr L�rj J
PUB00
My Appointment
;-w 0. 9
Expires: 10-9-98
WAA
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ZONE PERMIT
T 15: � _:' I I . .
-y'01t_ �CVONQ
�-�'J,)NUIVIBER
CO :4TRPIPTIO
N APPLICATI"��:
OOB" .0,61.11TE/AP-17
OWNERNAME /NAME OFIBUSIN ESS +61 k I
LEGAL CHECK :SUB—D14SION NO �10 NO
Cc DESCRIPTION
ji� W1�4
Ui MAILING rss 77
ADUR
z
5N
HONE N ,f.UPLIC. RIGHr� QPWAY:PER PFFICIAL STREET MAP. TESCRApprove"ct. 0
T tip T!�E� UMBER,: Awpormit Required
EXISTING
REQUIRED.,DEDICATION
St.reet:UswPermit Req'd 11
Inspection Recluired 0
sidewalk Required 0
METER SIZE_'
SIZE NO, OF, FRJUR PRV E UIRED
A4
W
YESY.:NO 0
REMARKS
Z
.1� 314:1 �61P 4 ONE.NUMBER, W
Lij
A5R&M
NAME
F41
AbDR"ESS
0 ENGINEERING MEMO DATED
REVIEWED BY
m E NUMBE
ZIP ITELEPHON R-
i- .. ; . . IRE MEMO;DATED
z IEWED BY
m- 11.7 REV.
0
Ir
ATE LICENSE NUMBER EXP1hAiTi(5NIJATE
A.A
117 141 VARIANCEOR CU ADB# SHORELINE 0
Idgal Destripti(5n of:PrOp6fty.:.-jncIude al[embinerits
SEPAIREVIEW, SIGN AREA il T
z COMPLETE EXEMPT ALLOWED:. . ALLOWED PROPOSED
2 j;PRqpQSEo.
T)(P
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.)
W
ALL . OWED [PROPOSED �FRONT SIDE REAR FRONT UR SIDE REAR
z
_j ��Property.
00 10. 51�
LOT.AREA EW BY D
lax,Actmunt A 1741>
Parcel No.
._.�REMARKS
'01 ESI
'NEW, DENTIAL. LUMBN ECH'_�
1. �� - - ? 7,., �
C tIAkCE
D.
4
COMMERCIAC C EOFU V
F/
_]�.APT. BLDG..
REMODEL -SIGN .4
CHECKED BY TYPE OF COYSTP
GRADII�� FENCEr, QUCTION..,,.`.�; CO _0C
C
P GR
idu J17— V
CVM.
EIRE
D I EMOL1w INOODSTOVE
WS :Ej SWIM POOL SPECIAL INSPEOVOr" JA"t7?
ERT OCCUPANT
HOTTUB/SPA 'REQUIRED
0 YES
0�.GARAGE. Ej_R&A1NING.wALL/
CARPORT- �KtRyll 0 .:RENEWAL. REMARKS
d.,� 4
0 PROGRESS,INSPECT-,IQNS PERVB 10V
PEr,OF US.E.,.BUSINES,S-.OR�;ACTIV,ITY()';FAFLAIN:�- -
M.
1C
W NUMBER NUMBER..OF RITIPAL in, 14�11
4:
0 OF Ike. DWELLIN( AREAS
J�0 STORIES NUMBER A)
0'
A_^
W (ATTACH PLOTYLAN). &N!4&
ORK
AL INSPECTION. REQUIRED
VALUATION FEE
PLAWCHECK FEE:
'GLAZ
HEATSOURCE:.
ING
0:0 �j L
10
PLUMBING
C5
heck: NO. MECHANICAL
Plan.0
p
T perty�PNLY GRA DING/FILL
-his, Permit covers work'to;b6 done i
onT.0 ivate:pro
Any -construction on Atte.public.,00rnal n, (curbs,, sldew,olks,.
j driveway��j marquees, etc.).;will,. require separate permission. STATE SURCHARGE
'Permit'A plicatloh: 180 Days
P
STORM,DRAINAGE.FEE
P rmit Limit. I Year - Provided Work Is.'Started Within 180 Days
a
"Applicant, on behalf rof his or. her I spouse, heirs, assigns and. ENG. INSPECT16N FEE
successorsIn interest,. Agrees to: indemnifyi defend and hold
he City of Edmonds,, Wash ngton,. its off icials;,
W harrhIOSS, t
X.._�emp,loyees ' and agents:.from any and all claims for.darnages�of
cc f
�,h, 64,er.;�natur6,,,arisihg.dire6tly &'Indirectly' rom theAssuance,. �o�,
of. this mit Issuance. of. this,�permit-:shalr not. be.deemed to: PLAN.CHECK DEPOSIT
per
anc
modify, walve*or.- reduce. any.jequirement �of any city'-ordin A6�!
0'
Way: the: Clty's:-abll ityAo enforceany ordinance..:
�:,nor,llrnit, Ih.'Any
'TOTAL AMOUNT DUE
0
provisi ri�"
T-h6reWacknowledgeAhat. Oa4e,readlhis application; thAtAhdl.
.VarrIA' ROVAL
infbrrriati'on�.giveh is correct: andihAt" he owner, or thp.�dul ATTENTION APPLICATION-, APP
V
:z.autho'r'fzBd.].a,pnt of. the' owner; I. agree to. comply with city and
THIS PERMIT This application: I not parmit"' I
:-.state la,Vy"S"reg Ulating coh6try.c.tioh;-,.�.6d�in.d'.c)ihg theworkauthoriz-.. AUTHORIZES -,a' Until
4d�4he-teby.,:.no person4lll,�be_�ernployecl in 1. violatlon�of the -Labor. ONLY THE, signedby..,the BUiIqi,ng,,Offidijf�qr his/her,
�`Code 6f.�the.State:6f.Washingt6n,.rel.atihg�to.Workmen.�s.Cbmpdhta�' NOTED. and.,fees are. paid,, and *redelpfis,
..'tioh-.'l nsurance; aria RCWA 8;27--� -ackn ep
INSPECTION, x oWI6dgedjnspaq,+Tqyided.�
IGNATURE�.(OVV�ER;.QR�AGENT)_ -PIG DEPARTMENT
�; ��?�PAT
E, NED
OFFip, A DATE.
CITY OP:1
EVIVIONDS.
Ri E
CALL, FOR:
kTTENTION.
:INSPECTIOW
T:J�' 'VNLAWFUL TO USE OW OCCUPY BUILDING ORtSTRUCTURIE',
-OCCUPANCY' HAS�
it4.,T[,L,A..FINAL�,lNgPtCTIPN;,'LHAS BEEN -.MADE AND APPAOVA'L 'Ok i(e Y"_
%1 CERTIFICATE. -OF, 77 �02,20.. F ELL W — Inspector
:BEEN GRANTED.�UBC
;ECTION'109..,
PINK — Owne,
0247 h GOLD — As.sesso
9910104
JAN 2 :- 199t'
STATEN[ENT ON ACCESSORY DWELLING UNITS
Property Address: 2E,
Edmonds, Washington
Legal Description.- Lot 17, Emerald Hills, according to the plat
thereof, recorded iny volume 31 of plat s, pages 46-49- inglil--jue, vAe-ar-ds
nf qnQhnMJ ch rnivntAr, Washington
f _7'
Assessor s Parcel Number:. 4Z3()_00')_0' -00.
I have read the requirements for accessory dwelling units contained in Chapter 20-21 of
the Edmonds Conununity Development Code and understand that an accessory dwelling
unit, Including a second Idtchen,,'Is prohibited for two years after occupancy by the
current owner (unless a waiver Is granted by the Community Services Department) and
until after a conditional use permit has been approved by the City of Edmonds Hearing
Examiner.
I also understand that approval of a conditional use permit is subject to a public
hearing, and neither this statement nor the issuance of a building permit shall act to
11Wt the discretion of the City in the review of any application for a conditional use
permit.
Property Owner Signature: I - I/
Date:
C�
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that ---- uz__iAm=adarl�
signed this instrument and acknowledge it to beogher free and voluntary act for the uses and
purpoSeg mentioned in this in==L
Notary's pressure seals must be smudged. Dated.- January 20, 1998
SH -
I �V I!#
Signature of
rb
Notary Public: "Sally 5he ina
AM
poll
0
Seattle
Residing at:
if. PUBUr-s
My Appointment
P-.
:e6 9 _q
Expires: 10-9-98
OF
WAS\�'