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21525 98TH AVE W.PDFiiiiiiiiiiii 9651 21525 98TH AVE W 0 NOTICE:* ..Wa r-r a n t. y... for . matlon*shown on the ktached The in map(s) was cOm ' piled for u-se by the UtY 01 mpl.oyees and Consultants. Edmonds/ its E nt the Th,..e City of does * not warra set forth on these accuracy of anything M a P (s). A n . V person or entity -requesting a copy should conduct an independent inquiry regarding the infbrmatlon shown,c t Fi-�� -m a p (s), including, but not Jimited to, n of any sewer stub shown, Su( the lociatio sewer stubs may or may- not exist and ma�, or may not exist at the location shown. Neit-heir the -ity of Edrnbnds nor its em p'-o-yee*s O*r off i-cers -sh-a-1.1 be 1--ji a-b-Ife for th inforrnation given On this Map(5)) nor for any one representation provided based upon'said map(s). APPLICATION SIM= f for The City of Edmonds SIDE SEWER PERNaT NEW CONSTRUCTION [:] REPAIRS C] EASEMENT No . .......................................... 109-07200 OWNER ........... &E. Goldman ........................................................................ .................... CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ....... 21.525 .. m-9.8th --- Ave.-W . .............................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ 0 NAME OF ADDITION Dye Tested On Sewer 1972 Approved: DATE................................................ By ...................................................................... m --L -77 2/1 2 Luhc�j -11 T -T FILE Er Er- , , RECEIVED AP"% A fl- 13 vj 4 t.- DEVELOPMENT S:RVICES CTR. CITY OF ENONDS Is '�l m RECEIVED 0 CT U 5 2000 BUILDING DEPT. FILE + z I "" ATE RECEIVED 27- CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS )r�� - 6r;�j aitid'Ale-lelle. MAILING ADDRESS 'rOA!97 CITY zip TELEPHONE r-r-WInn-k-15 mew I 111?S1--7W-09`Vej NAME ADDRESS CITY ZIP TELEPHONE NAME kiwl sa-,5- i--r e # ADDRESS CITY ZIP TELEPHONE jyo 2, STATE LICENSE NUMBER EXPIRATION DATE CI-156�ED k, 14 1,576) (619 7ROPERTY TAX ACCOUNT PARCEL NO. NEW RESIDENTIAL PLUMBING / MECH ADDITION Ej 'COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL APARTMENT SIGN 0 REPAIR GRADING CY S C] FENCE X D ( FT) DEMOLISH TANK OTHER GARAGE R E . TAINING WALL� C] RENEWAL CARPORT ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: NUMBER NUMBEROF CRITICAL K/O OF STORIES DWELLING UNITS AREAS NUMBER IWO-37 DESCRIBE WORK TO BE DONE -6 PERMIT EXPIRES USE PERMIT A b�,D ZONE NUMBER VU02,�48 JOB ADDRESS 200347 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 RW PannIt Required 0 Street Use Pennit Req'd 0 EXISTING — PROPOSED Inspection Required 0 Sidewalk Required 0 REQUIRED DEDICATION FT Underground wiring required CL METER SIZE LINE SIZE NO. OF FIXTURES PRV-REQUIRED �r YES 0 NO 0 0 3 Lu REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE a z Lu ENGINEERING REVIEWED/DATE FIRE REVIEWED BY DATE m LLOL VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REO'D POSTED I 0 YES ONO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I I I LOT COVERAGE REQUIRED SETBACKS OPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT 'SIDE REAR FRONT UR SIDE REAR Z z PARKING LOT AREA PLANNING REVIEWED'BY DATE REQ'D I PROVIDED 0. CHECKEDBY ITYPE ONSTRUDN I Cjg,_ OCCUPANT Oz—] Ulm GROUP SPECIAL, INSPECTOR JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECTIONS PER LIBC 108/FINAL INSPECTION REO'D 0 .ree 1,011'e-7 A4- VALUATION I I FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. r-1 '75 SURCHARGE cc PERMIT APPLICATION: 180 DAYS Uj PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG,,.REVIEW FEES AEE BACK OF PINK PERMIT FOR.MORE INFORMATION — ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE U.1 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 FROM 'THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE RECEIPT PLAN CHECK DEPOSIT -j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 01 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- x R CE177 TOTAL AMOUNT DUE I O-D 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. n I ot a permit until signed by the CALL: TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED B ' uilding 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. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFIC URE JbATE SIGNATURE (OWNER ORAGENT) DATE SIGNED (425) ;W 771-0220 -Alllo VEL DATE ATTENTION EXT 333 W IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1,� L- 771-02 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- e;� ORIGINAL - FILER YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC.SECTION 109 C__ FAX PINK - OWNE GOLD - ASSESSOR 5/98 V:. ,ATE RECEIVED 436() FPERMIT /o/3 6o EXP RES CITY OF. EDMONDS USE PERMIT ZONE l?-oQzqs NUMBER, CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS OWNER NAMEINAME OF BUSINESS . PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. Ai4elle tUJ7_CM-5A0,,ddt LID FEE $ Cc MAILING ADDRESS uj z 0 PUBLIC�'RIGHT OF WAX PER OFFICIAL STREET MAP TESCP Apprwed 0 RW Pemilt Required 0 EXISTING'— PROPOSED Street Use Penrift Req'd C3 Inspection Required 0 Sidewalk Required 0 Z,P2 TELEPHONE ffe 0 ] � 4( . REQUIRED DEDICATION— FT I Underground Wiring required 0 NAME. METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I Z_ YES 0 NO 13 z_ M Uj ADDRESS REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE cc z Lu CITY_.�:_ TELEPHONE NAME 1,A)(C P0 vv U I C'�P_ ENGINEERING E ADDRESS m FIRE REVIEWED DATE uj CITY ZIP TELEPHONE z LL 0 VARIANCE OR CU SHORELINE OR ADB#. INSPECTION REO'D BOND POSTED STATE LICENSE NUMBER.. EXPIRATION DATE CHECKED BY [3 �ES 0 NO SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED Lu 2_6'2-7 03 - 0 6 0 cc) EXP A NEW [R/RESIDENTIAL C9,11PLUMBiNG MECH LOT COVERAGE ALLOWED REQUIRED SETBACK9'(P-+.) FRONT SIDE REAR PROPOSED SETI4�64 (FT.) FRONT UR SIDE REAR PROPOSED 0 ADDITION 0 COMMERCIAL COMPLIAN CEOR z z z CHANGE OF USE PARKING REO'D PROVIDED L OT AREA PLANNING REVIEW ED BY DATE C] REMODEL E] APARTME,,�T SIGN REPAIR GRADING1,"! CY FENCE - DS 0 X FT) REMARKS DEMOLISH TANK OTHER GARAGE R -WALL 0 RENEWAL CARPORTi,L,. iT A E, A I EN RIN Q CK z (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF,2"&TRUCTION E OCCUPANT GROUP 0 w NUMBER NUMBER OF CRITICAL Lk J) SPECIAL INSPECTOR OCCUPANT: 13 OF DWELLING A 0 STORIES U NITS N —146i� REQUIRED (3 YES JAREA LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D F 'Pi to) Aj in 1. e, -44 3 0 0 zz)(L VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING o cxz) MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE P UBLIC GRADING/FILL,. DOMAIN L(CURBS, SIDEWALKS, DRIVEWAYS, MARQUEE$, ETC.) W ILL REQUIRE SEPARATE PERMISSION. CHARGE Ui PERMIT APPLICATION: ISO DAYS! 0. PERMIT LIMIT* I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 0 *APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE U) Uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING _j 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 x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE -i 01 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. RECEIPT 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 CONSTRLIC_ CALL This application is not a permit until signsid by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Officiajior his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipjA acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICIALLS S TE SIGNATURE (OWNER OR Gp� DATE SIGNED (425) .,q- 3 771 -Q220 REiJK-S FDRY DAA ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUP�Y' A BUILDING OR STRUCTURE UNTIL 1 771-0221 A FINAL INSPECTION HAS BEEN MRIDE AND APPROVAL OR A CERTIFI- ORIGINAL-FILE YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR FAX 5/98 AEJ�AT E RECEIVED EXPIR lba 4, S :�PERMIT 'CITY. USE -PER MI -ZONE OFEDIVIONDS Numath JOB SUITE/APT# RE' S ADD S. AT N CONSTRUCTION PERMITAPPLIC 10 OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION NO., LOT NO. - LID NO.' NIC hELL6'54WI ELL :L ID FEE $: LX U MAILINGADbRESS TESCP Ap"1=1 Fb j P66LIC RIGHT OF WAY PER'OFFICIAL STREET MAP Rw Permit - .11 Permit Req'd. E) EXISTING PROPOSED — Ikepec6n Req6lred (3 Sidew�slk Aequired C) CITY ZIP TELEPHONE REQUIRED DEDICATION FT Un 9"'*Und W "d in.,.q.,r. METER SIZE NO.�Of FIXT URES �RV REQUIRED C5 YES 13 NO 0 3 w ADDRESS REMARKS OWN EPI/CONTRACTOR� RESPONSIBLE FOR EROSION CONTROLIDRAINAGE z z L) C Yq ZI P� ITY, ELEPHONE NAME ENdINEERIN REVIEWED/DATE , ADDRE SS. q cc .1 � FIRE REVIEW Y DATE Lij U CITY , zip T;LEPHON E E t'- z M rL 0 VARIANCE I-vsHbAELINE'OR ADB# INSPECTION REQ'D SON D. !POSTED STATE LICENSE NUMBER EXPIRATION DATE BY OYES:�ONO SEPA REVIEW �SIGNAREA ,,HT HEIr PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED' PROPOSED ALLOWED., PROPO SED 0 EXP NEW RESIDENTIAL .0 PLUMBING/ MECH _LOT COVERAGE ALLOWEDr PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE, REAR PROPOSED SETBACKS (FT.) FRONT U.R'SIDE REAR 0 z COMPLIANCE OR ADDITION,,,, COMMERCIAL CHANGE OF USE 2 z PARKING LOT AREA PLANNINd-REVIEWED'SY DATE REMODEL M. APARTMENT. SIGN qk REQ'D. OVIDED - REPAIR GRADING FENCE CYDSI FT) DEMOLISH TANK OTHER PARAGE RETAINING WALL CARPORT F] ENOWAL PIOCKEhY. R1 z (TYPE OF USE. BPNESS OR ACTIVITY) EXPLAIN: ?E CHECKEPBY. TYPE OF CQNSTR:UQMN OCCUPANT ICO2 NUMBER NUMBER OF C e RITICXL(waw ui *b" tEEQ�9UI1&RLEfDkS:ft YES, AREA 'OCCUPANT LOAD 0 0 'OF STORI DWELLIN G, UNITS.' AREAS N UMBER DESCRIBIEWORK TO BEIDONE REMARKS z C, PROGRESS"INSPECTIONS, PER UB OWFINALINSPECT11ON REO'D 70 .Il,1, Sit: do 1-6 1& 61 C). aL UATIOJ '>41"' .......... FEE PLAN CHECK FEE HEAT SOURCE' GLAZING % . LOT SLOP E % BUILDING 0 CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PIERMIT'COVERS WOR K TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MA GRADING/FILL RQUEES, ETC.) WILL REQUIRE SEPARATE. PERMISSION. STATE SURCHARGE ui 11 PERMIT APPLICATION: 180 DAYS PERMIT LIMIT* I YEAR.- PROVIDED WORK IS StARTED WITHIN 180 DAYS ENG.;REWEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION U) NG. INSPECTION .FE.E,L' (A 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, iEIRS, ASSIGNS AND SUCCEs6RS I E . ul IN INTEREST, AGREES INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON; ITS OFFICIALS, EMPLOYEES, AND AGENTS�FRQM ANY AND A ALL CLAIMS FOR DAMAGES OF WHATEVER NATURiE,jARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF T IS PERMIT SHALL NOT 13E F�CE H PLANVECK.DEPPSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQU'!REME'NTOF ANY CITY ORDINANCE 4�:? 7 01 NOR LIMIT ItNANY WAY�.'THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROO-01'. RECEIPT TOTAL AMOUNT DUE I HEREBY.ACKNOWLEDGE THATI.HAVE READ THIS APPLICATION; THAT THEINFORMATION APPLICATION APPROVAL GIVEN ISCORRECf, AND THAT I AM THE OWNER, OR ITHE DULY AUTHORIZED AGENTOF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE'LAWS REGULATING CONSTRUC-. This'application is not a permit I until slined by th G­ CALL I TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Buildi ng Official or his/her Deputy: and. Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE SfATEOF WASHINGTON RELATING TO: FOR jNSP�ECTION �aceiptisacknow dgedin space provided: WORKMEN'S CO ENSATION INSURANCE AND RCW 19.27.' A t6FPl S SIGNATURE DATE SI If WINER G A PA -TIU G�� DATE SIGNED (4251 _.R IT 10, .3 771-0220 4 RELEASItID BY DATE . 7. ATTENTION EXT)333 6phio 4T IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 4", 771-0221 oa� A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF - . ­4 : , : . ORIGINAL - FILE - YELLOW - INSPECTOR �0'�CATE OF OCCUPANCY HAS'BEEN GRANTED. UBC SECTION 109 / FAX . L I PINK - OWNER - GOLD - ASSESSOR 5/98 I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS 72'7w-;, /",tw MAILING ADDRESS 11�1_, CITY ZIP TELEPHONE 1;0,�23_- 7'1'1 6`101 NA ADDRESS CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE -T—CHECKED BY PROPERTY TAX. ACCOUNT PARCEL NO. 2 1'2-703 0 S�� -0606 NEW RESIDENTIAL 0, PLUMBING I MECH ADDITION COMMERCIAL ci COMPLIANCE OR CHANGE OF USE F1 REMODEL Ej APARTMENT SIGN REPAIR Cj GRADING CYDS C3 FENCE ( X FT) DEMOLISH TANK OTHER oGARAGE CARPORT ROETAINING WALL R CKERY RENEWAL PERMIT EXPIRES - USE PERMIT low ZONE NUMBER JOB ADDRESS SUITE/APT# PLAT NAME/SUBDI VISION NO. LOT NO. LID NO. LID FEE $ TESCP A0proved 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Per.1t Required 0 Street Use Permit Req'd (3 EXISTING — PROPOSED inspection Required 0 Sidewalk Required 0 REQUIRED DEDICATION— FT Underground! wifint; requaea 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 0 NO 0 REMARKS. z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ENGINEERING REVIEWED/DATE FIRE REVIEWED BY DATE ui LL VARIANCE OR CU SHORELINE OR ADB# INSPECTION OND 5EO'D PB OSTED (:)YES [3 NO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP LOT COVERAGE REQUIRED SETBACKS (FT.). PROPOSED SETBACKS IFT) ALLOWED PROPOSED FRONT SIDE' REAR FRONT UR SIDE REAR z z PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D I PROVIDED I (T�YPE OF -USE. BUSINESS OR ACTIVITY) EXPLAIN ­ CHECKED BY I TYPt &'CO"t 06T ON C OCCUPAJ� GROUP NUMBER NUMBEROF CRITICAL (�W,4jyeX) OF & DWELLING AREA SR R000-37 SPECIAL INSPECTOR REQUIRED AREA OCCUPANT LOAD STORIES UNITS NUMBE C:] YES DESCRIBE WORK TO BE DONE REMARKS a z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECI'D 5 D n A VALUATION I * FEE PLAN CHECK FEE HYAT�OUR GLAZING % LOT E.N. BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE PERMISSION. STATE SURCHARGE Uj PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS - t­pficae*,� w IWINTEREST, AGREES oTd` INDEMNIFY, DEFEND AND HOLD HARMLESS THE Cily OF LANDSCAPIN6, 2 Ebm6NDS,WASHINGTON�,ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CL&AIMS FpF.i IJAMAGESbRWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY, RECEIPT FROM THE ISSUANCE OF-THIS'PERMIT., � ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT :OEEMEDT MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE j .. .91 01 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFOR.CE ANY ORDINANCE PROVISION.- RECEIPT TOTAL AMOUNT DUE "H"EIREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT T HE INFORMATION GIVEN -IS CORRECT, AND THAT I AM THE OWNER, OR THE DULVAUTHORIZED AGENT OF THF6WNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL 1��t' TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Buil IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S C91v &%G,1IlTION INSURANCE AND RCW 18.27.- ..OFFI( DATE �IGNED (425)SIGNATURE I oy-OA 0 771-0220 ?7 LE A17ENTION 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 5/98 APPLICATION APPROVAL This application is not a permit until signed 1:ry the Jing Official or his/her Deputy: and Fees are paid. and receipt��ciii�owlqqg!din space provided. 4�1_� S16N��URE'%' DATE DATE ORIGINAL -FILE YELLOW- INSPECTOR PINK -OWNER GOLD -ASSESSOR CA FILE NO. Cft 7,06 Critical Areas Checklist ---------------- --------------------------------------------- Site Information (soil s/topogra�hy/hydrology/vegetation) I. Site Address/ . Location: al-" 5' — 4v-e, 67d-,Prewe6 IX�2,0 2. Property Tax Account Number: 70 3 — I — — eo' 0 & 3. Approximate Site Size (acres or square feet): eZj�� , 75- et-&�W 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 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 ahorizontal 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: A/0 Approx. Depth: 7. Site contains areas of seasonal standing water: NO _; Approx. Depth: What season(s) of the year? 8. Site is in the floodway IVO floodplain IV49 of a water course. 9. Site contains a c eek or an area where water flows acro s the grounds surface? Flows are year- round? ro Flows 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: AID ""-Chk-d0q RW IWM/97 City of Edmonds Cz eas NEW M 1 45 a 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 pen -nit 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 mgp 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 infor m-ation (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklis't 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). Owner/Applicant: 'Pul,//, "IL, S4,1,11 Name Street Address — anoxw�,-� -- city State Zip e;oz�tlou; ;;Foy/ -d,1S--23Ar Telephone Signature 41V hV Date Applicant Representative: Name Street Address city State Zip Telephone Signature Date execeptionyanakaddoc (over) �11? C. 189") March 10, 2000 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering . Michelle and Tom Sawtell 21525 98" Ave. West Edmonds, WA 98020 Subject: Determination regarding Critical Areas Checklist # 2000-37 GARY HAAKENSON MAYOR Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). it is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. IMPORTANT INFORMATION TO BE NOTED: PLEASE EXAMINE THIS"DETERMINATION"FORADDIT70NAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMAT70N SUCH AS AN ENVIRONMENTAL CHEVUJar OR CRITICAL AREAS STUDY, The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific. determination. wo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION MTH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board Thank you. Shada Graham Planning Secretary C:ReceptionUana\CRLTR.doc Incorporated August 11, 1890 Sister Citv - Hekinan. JaDan ay-11) A CITY OF EDMONDS SINGLE FAMILY ADDITION/REMODEL COVER SHEET C. 1 PJLe-oLlops. Applicants are to complete the information In the WHITE BOXES ONLY (Shaded boxes are for City use only). This cover sheet must accompany each building permit application for a sinala-family rpcielantial 0f1#4M^n1r­A-1 PLAN CHECK 09- APPLICANT D E RECEIVED AT PROJECT ADDRESS 2-15 -L -5 Ot 87')A (A� PROPERTY TAX ACCOUNT PARCEL # DESCRIPTION OF WORK— Uevj �v v,,jCArTA_T- Ll 18" OWNER -LCf'Cn 0- PHONE CONTACT PERSON all— PHONE_ E-MAIL MCk FAX MAILING ADDRESS VCj 1-3 -T�!-Jmoac-Ac, Lu A - ElFAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATIej�IN OIRDER:TPMAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED. SIGNATURE. C DATE 116kiNG ik06AMAt*ibN'­ ZONE LOT, A4REA­­ OF DWEL]ONG UNITS EXISTING DEMOLISHED PROPOSED bISCRttidkAA'y'APP4OVAiL'S' .. .. ­ ­ w ­- ''.. . � 11 ­ I.... CA - 7 D e t e r rn I n a t I o n1,e441V,6FP-- SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER LOT COVERAGE INFORMATION EXISTING SF PROPOSED SF 7 TOTAL SF HEIGHT CALCULATION INFORMATION DATUM 'A B D AVE ACTUAL SETBACK INFORMATION FRONT SIDE SIDE REAR PROPOSED. .FRONT SIDE SIDE REAR S N . E 0 LA' GUM YES N*O STJ EDIC, YES-NO FT. ADU STATEMENVRE601016 YES NO RECORDING '.STAFF COMM'EN'TS:­ L.itempiouiiaingiiorms%Aoa_rvw.vsa -- 7/00 DRI V E WA Y SLOPE % G RA DI NG CY D S EASE'ME­N T'S­­­ EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT PROPOSED NEW NET IMPERVIOUS SURFACE SO.FT. SO.FT. (City Use Only) SIDEWALK REO'D []YE,S[:]NO DRAINAGE PLAN REO'D YES NO LID UNDERGROUND WIRING RE01D []YES'[:] NO STREET DEDICATION FT., STAFF COMMENTS: BUILDING CONSTRUCTION INFORMAT169'-- CO DE EDIT 10 NS 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS WIND EXPOSURE 8 WIND SPEED 80 MPH —&E1MC--Z 0 N E 3 Floor Live Load Roof Snow/Live Load Balcony Live Load Floor Dead Load Roof Dead­Llo�� Balcony Dead Load — NUMBER OF STORIES ----'BASEMENTS FLOOD ZONE LOT SLOPE % SOILS REPORT PROVIDED YES NO FLOOR AREA (Measured.to face of exterior wall) Existing Proposed Total Living Space Garage Carport Deck/Cov. Porch Other (-City Use Onw Ceiling Insulation Wind ow U-Value .36 .Wall Insulation Sky - light U-Value FIloor lnsulation:j�- tCl_ Glazing % Door U-Value Slab Insulation Eiler= 0 Pres�c­riptive 0 Syste, ms, t.0 Whole House Van ea'd Yeis No Any request for modification, variance or other administrative deviation (herinafter "variance") must be specifically called out and Identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically Identified, requested and considered by the appropriate city offical In accordance with the appropriate provision of city code or state law does not approve any Items not to code specification.