216 CASPERS ST.PDFIIIIIIIIIIIIII
10562
216 CASPERS ST
ADDRESS: ZI U RALF
TAX ACCOUNT/PARCEL NUMBER:—Zj 0 3 Z 40 �) 2-() 11 D 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
1'2
CRITICAL AREAS J �4 --111' / DETERMINATION: Ej Conditional Waiver F]StudyRequired t aiver
DISCRETIONARY PERMIT #'S: Vs - sq C m lzf-� . ze,&M-A�k)
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
imiij ii�j�g�i
0 mij, be I A 11, 11 '' I
MIMIC, ,
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE: S'259S'92, SIS'PZ LOT:
.--'I A
SIDE SEWER AS BUILT DATED: i s� IQ h
SIDE SEWER PERMIT(S) #: 5 2:m
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED
LID #:
BLOCK:
LATEMKIDS'PsTorms\Street File Checklist.doc
0
E
#P20
Critical Areas Checklist
CA File No: M-qg
Site Informatio'n (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: , ,)/ � cas P-er-5 St EjM 0AJ-5
2. Property Tax Account Number: -ff -) 7032-,Lloo Zo / I o 0 a LA �1 -7 03 2. d I boo I
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? _C yes; j — no.
If yes; how is site developed? "n V S e_
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: ',slope s— generally loss than 15% (a Vertical; rise 'of 10-feet over a horizontal
on. si e
distance of 667feet).
Hilly:' slopes present on site of more than 15%. and less than:30% (a verticaLrise of 10-feet
over a horizontal 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 M-feet).
Other (please describe):
INN
6. Site contains areas of year-round standing water: Approx. Depth:
s g wate Approx. D6 p th:-
7. Site contains areas of sea onal standiri 'r:
What season(s) of the.. year?
8. Site is in the floodwav A/0 floodplain IVO of a�'Water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
&OAIE Flows are seasonal? (What time of year?
10. Site is primarily:, forested Meadow shrubs mixed
11. Obvious wetland is-prese* n,--t on site:
For City 'Staff.Use'Onl
Y.
1 Plan Check Number, if applicable? VC41.
2. Site is Zoned? R.5 — (o %'j
3. SCS mapped soil type(s)? UA bt-eff fr r) b. 5 ayi dM 10 QAno
4. Critical Areas inventory or C.A. map indicates Critical Area on site? 0 V1 P-1 5 V1 0 W A
5. Site within designated earth subsidence landslide hazard area? Ma-7�,-bWtcL(vw offiUal
+D M a 16_& ff y% aA ct��� Ki A-hoyl.
DETERMINATION
STUDY REQUIRED __ WAIVER
Reviewed bv: (A Liq/tkJ (ATI/t/i/PLY Date: 0i, F/W -( 6,�i
Critical Areas Cheeklist.doc/3.25.2004
OV ED/j,, #P20
City of Edmonds
Development Services Department
Planning Division N R. � VIF C lk� I 72M � V E
Phone: 425.771.0220
�t 2005
sc)4) Fax: 425.771.0221 - Y31 I 1J
.,,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 the application 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).
DateReceived:
CityReceipt#: 7-(OZ151
Critical Areas File #: 05 - Q9
Critical Areas Checklist Fee: 135.00.
Date Mailed to Applicant: 71&2910_W5-
A property owner� or his/her authorized 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 map, along with the signed copy
o . f this form to assist City staff in finding and locating the
specific piece of prope described on this form. In
AY
addition, the applicant shall include other pertinent
information (e.g.. site. plan, topogr aphy map, etc.) or
studies in conjunction with this Checklist to assistant staff
in complefing their prelin"
�inary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on- the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds i harmless from any and all damages, including reasonable
attorney's fees, arising from any action. or infraction',ba'sed in � whole or. part upon false� misleading, inaccurate -or
incomplete information furnished by the a plicw, his/her/its agents or employees.
p
By my signature, I certify. that the information an!d'exhibits h . erew'ith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner. as listed:below.
DATE
SIGNATURE OF APPLICANVAGENT (111*6'111�*
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply 6r 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 and posting afteiil�t to this application.
SIGNATURE OF OWNER J DATE 7-15 �67
PLEASE PRINT CLEARLY
Owner/Applicant:
Edu-v, d C (fe-,sp-ev-5,
Name
,2&
Street Address
E-JAU Ald 5 2-
City State Zip
Telephone: q2,-5-- 7 75 3 q 0
Email address (optional):
G(All fir,5-f: dD9 W �O (Al
Applicant Representative:
Name
Street Address
I I . .. . Zip
Cfty State
Telephone:
Email Address (optional):
r
0
Critical Areas Checklist'
Site Information
Project Name: /F
tq �wge�s Permit Number.
Site Location: SAX V- C_4ftd2&1Lg 0
,X Property Tax Account Number: .2
Approximate Site Size (acres or square feet): /9
7000
Have you filled out a Critical Areas Checklist for a project on this site before? w:�
General Site Conditions
1. Has'the site been cleared or logged? Q'ego Date of most recent action:
Soils / Topography
2. In the S ' nohomish County Soil Survey, what is the mapped soil type(s)? 64t-aAr44.
3. Describe the general site topography. Check all that apply. Z
—Flat: less than 5 feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
11illy: slopes present on site of more than 15% and less than 30% a vertical rise
of 10 feet of horizontal distance.)
— Steep: grades of greater, than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water:
5. Site contains areas of seasonal standing water: f2t_,e:1 --Approx. Depth:
6. Site is in the floodway floodplain of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? o2jv flows
are year-round? 2&,,o_Flows are seasonal? e2—,p
8. Site is primarily: forested meadow shrubs mixed
9. Obvious wetland is present on site:
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
For City Use Only
STUDY REQUIRED: Critical areas study is required.
CONDITIONAL WAIVER: Critical areas study not required if -specified conditions satisfied.
4!K WAIVER: Critical -areas study is not required.
Determination Number.. CA --ga —1-74 Reviewer
Rey Y27/92 Planner *D
0 0
STREET FILE
ar 90-19, -
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 or may be present on the .
subject property. Ile 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).
i
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 pre�wsory 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
of the parcel 'With enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
i
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:
Narne
0 t.&z
Title
A/4,
Street Address
.C,0,M,0 "Ov'o X 40A '�, 9,0A .0
City, State, ZIP Phone
efa&~ !?- :- 9 2-
-,--signature Or Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP Phone
Signature
Date
.'/.202 - ssvy
STREET,, FILE. .0
SIDE SEWER, PERMIT
CITY OF EDNIONbS
PERMIT j'��_ 8 2 3' 9
9 0
Address of Construction: &
Property Legal Description (Include all easements): AUG 2- 4 192D
TUB!'
LIU VVUll��S
(2wn_eland/or Contractor: zffo tv /W 0 C
:',State License No. Building Permit No.
.xl
Single Family
El Multi -Family (No. of Units-)
Commercial
Public
4
TREATMENT . P.LANA
Invasion into City llllght-of-Way.�X No 0 Yes
RW Construction Permit No.
Cross other Private Property:3d No 11 Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall coml5ly with all city requirements
as indicated on the back of the Permit Card.
Date
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
FOR INSPECTION CALL 771-3202, PUBLIC,WroAKS D, T.
Permit Fee: Issued By
Trunk Charge. Date Issued:
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection: Date -Initial.
Comments
Reason Rejected: Date -Initial
Final Inspection Approved: Date. Initial( -
PERMIT MUST BE POSTED ON JOB SITE
White C.:P,y,:Fil� Gre,an Copy: I nspector�, . Buff Copy: Applicant
Revised 3!90
3%e City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS LID NO.. � .......... ----- - ASMT. NO - ------------------
OWNER----------------------------------------------------------- : --------- .......................... CONTRACTOR — --------------------------------------------------------------------------------- PERMIT NO. 3-a-a-9-
JOB ADDRESS. -S -----------
------------------------ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ---------------- -----------------
0
0
PWW-0001-1 1/75 (REV.1 1/78)
+ P. V. 0 040
De. -ef
D
-to I o r- a 40,-
A
------------------------------------------------------------------------------ -----------------------------------------------------------------------------------
NAMEOF ADDITION ------------------------------------------------ ----------------------------------------------------------------------
2
r--
EDMONDS
TREATMENT PLANT
I I
Approved:
DATE ......... By ...
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION E) REPAIRS
112-09050
owNER.......... Robeft --- A ... Caspers --------------------------------------------------------- CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ...... Z16 ... Casper .. Street ------------------------------------------------------
0
0
0
U�-31
1-J-
LEGAL DESCRIPTION: LOT No . .............................................. BL4DCK 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 ......................................................................
1
,'7 '. 1
June 26, 2008
CITY OF EDMONDS
, S &-
41, 1 WI-PLEL
GARY HAAKENSON
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwad.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
MEMO TO:
Edmonds School District
Verizon Northwest
SNOCOM Police and Fire Dispatch
SNOPAC
Snohomish County E911
U.S. Post Office
Snohomish County Assessor's Office
Snohomish County Information Services
Snohomish County P.U.D.
Puget Sound Energy
Edmonds Fire Department
Edmonds Police Department
Edmonds Utility Billing
Edmonds Public Works
Edmonds Building/Street File
Edmonds Address Files
Lynnwood Disposal
Comcast Cable
Waste Management Northwest
Please be advised that the previously un-ad dressed/un-d eve] oped site (attached) has been
assigned the address of 651 3r,1 Ave N.
Tax ID Number: 27032400201200
Permit/Plat/Design Review File: Design Review S-2008-0033
If you have any questions regarding this lett er, please contact Trie at 425-771-0220 or
Umbaugh@ci.edmonds.wa.us. Please contact me if you wish to be removed from this list.
Respectfully,
Theresa Umbaug
Permit Coordinato
Edmonds Building Department
L\1'emp\DST's\Mastef- Letters\New Address6/26/2008
Incorporated August 11, 1890 0
Sister City - Hekinan, Japan
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City,of Edm nds
W
RIGHT-OF-WAY CONST.RUCTION
PERMIT
Permit Number: "?.;Z- n"V
Issue Date:_46- T— 9c;�
A. Address or Vicinity of Construction: -2. 1 (ty CAS RC-9-S 1ST
B. type of Work (be specific): I wSTALL !S(-_C_0MbA" 9_16PL-a � &IJ rz I 14-rJ#j&.
C. Contractor: PU Contact: V� wr A 9tm b)
Mailing Address: J�Wj Phone: —(0'7 0 - 3L-A=Q7
State License Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F-1 Commercial [_1 Subdivision EJ city Project F] Utility (PUD, GTE, WNG, CABLE, WATER)
F-1 Multi -Family &?tingle Family Other
INSPECTOR: INSPECTOR:
F. Pavement, or Concrete Cut 0 Yes Peo G. Size of Cut: x H. Charge
APPLICANT TO READ AND &GN
Edmo nds
INDEMNITY. Applicant understands and by his signature to this application, agrees to,41� teCily Of harmlesIfto Ajui7e-sFd.Ages, or
lit"
claims of, any kind or description whatsoever, foreseen or unforeen, that may be madeZg.�inst�ihe City of Edmonds, or any of �!s departments or employ-
ees, including or not limited to the defense of any legal proceedings including dtf;�e costs,, and-attomey fees by reason of gra'ntin7g this pfrmit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AAD MATERIALS FOR A PERIOD' OFONE YEAR FOLLOWING -THE F110L INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA7ED RESTORA 77ON FEES WILL BE HELD UN77L THE FINAL S77ZEET PATCH IS COMPLE7ED BY
CITY FORCES; AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.'
A 24 hour notice is required for inspection; Please call the Engineering Department- 7,71-3262.,
Work is'to be inspected, during progress and at completion.
Restoration is to be in accordance with City Codes.,
Street shall be kept clean it all times.
Traffic Control and Public Safety shall be in accordance with City regu, lations as required by the Cit' Engineer.
y
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day�
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
fi t
on site at all times or in ion purpos
Signature: Date:
(Contractor or Agent)
CALL DIAL A -DIG PRIOR TO BEGINNING WORK
FOR:..C1TY..USE;ONLY
�01
*0 -
NO WORK SHALL BEGIN.PRIOR TO PERMITISSUANCE
Engrg. Div. 199.1.
FIELD INSPE&IMOTES '(Fund I I I - Route copy to Street Dept.)
Comments:
ilt
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Mv. July 1983
0
STREI".
FILE 00
r
,O-ry (OF-'
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
DEPARTMENT OF PUBLIC WORKS
CERTIFIED MAIL
June 15., 1982
Mr. Robert A. Caspers
216 Caspers St.
Edmonds, WA 98020
HARVE H. HARRISON
MAYOR
PROPERTY DESCRIPTION: 2-012, Acreage
Sect. 24., T.27N., R.3E. WM
Re �6 �C a �s
pg �r
- s—S�t
Edmonds, WA 98020
Dear Resident:.
On February 17, 1981, the Edmonds City Council passed
Resolution 488 for construction, reconstruction, and repair of
deteriorated sidewalks. A letter dated March 16, 1981 was sent to
residents that were required to repair the sidewalk abutting their
property. The improvement of sidewalks in need of repair at the
expense of the abutting property owner is provided by City
Ordinance, Chapter 7.20 and Revised Code of Washington, Chapter
35.68.
The areas needing repair have been marked in paint on the
sidewalk adjoining your property. Reconstruction permits must be
obtained from the Building Department at 501 Bell Street within 30
days upon receipt of this certified letter. The fee for the
sidewalk repair has been waived by the City of Edmonds. In the
event these improvements are not completed within ninety (90) days
upon receipt of this certified letter, the City will employ a
private contractor to perform the designated repairs and the City
will bill the abutting property owner.
This action is in response to many citizen requests and
pedestrian falling accidents which have been increasing in recent
years as a result of sidewalk deterioration and increased
pedestrian traffic.
If you have any questions, please call Bobby Mills at 771-3202,
ext. 289.
Sincerely,
JOHN B. MITCHELL
Superintendent of Public Works
BM/ml
STREET FILE
CITY OF
200 DAYTON ST. EDMONDS, WASHINGTON 98020 (206)
DEPARTMENT OF PUBLIC WORKS
March 16, 1981
HARVE Id. HARRISON
t A AY ON.
Dear Re si dent:
On February 17, 1981, the Ecimonds, City Council r.)assed
Resolution 488 for construction, reconstruction and repair
of deteriorated sidewalks. A public hearing will be held
in the Council Chambers at the Civl.c ('enter on April 21,1981
at 7:30'P.m. You are invited to attond-,,this.hearing
for
discussing a - i r, . -, I o f o r t I o'ns of det6rioejj' i d
ted.'.
walk
abutting your --prop&r't-y'.-----'Th6" 'i' mp"'roveni(�Iil E -�6f "s ks- in
need of repair at the expense of the abuttinq property
owner is provided by City Ordinance, Chapter 7.20 and
Revised Code of Washington, Chapter '113.68.
The areas needing repair have heen marked in paint on
the sidewalk adjoining your pronort-%,- )�econstruction and
repair of these sidewalks Must be crmlpleted on or before
September 1, 1981. In the event ilnrrnvements are not
completed within the above specified rjjjic,�, tile City will
perform and complete the improvements at-. the expense of the
abutting property owner.
This action is in response to many citizen requests
and pedestrian falling accidents which have been increasing
inrecent years as a result of sidewalk deterioration and
increased pedestrian traffic.
11 C re 1, Y,
11FRZBERG
Director of Public Works
Mate.. Chargeable to Installation Mete,'-)
NO.
SIZEI
DESCRIPTION
RATE
AMOUNT
Material Chargeable to Taps Connected
[l
-1 SIZE
DESCRIPTION
RATE
AMOUNT
.............. . ........ .. . ....................................................... ............... .....
.............
. . . .... . .. .................. ........................................ ............... .... W__�
'
m
. . ................... . .......
City of Edmonds --- Water Department
TAP CARD
Date.... .............
MeterNo ......................... ..... Tap I No .........................................
Size- ...... .................... Size ................. ..... .... .......
Mf gr;.,to .. �Ie ......... ............... ..............
S I
..... .........................................
For . ................. - --------------
..............
LotNo ........................................... Blk. No ........................ 0 ........... ..............
Add. ................................. .. . ............
Service Location ... ..............
Meter Location
Pressure.............................. lbs. Test .................................. %
SendBills to ----------------------------------------------------------------------------------
Date of W�� ... ?V-
.............................. .... ..... .. . ........ / .... A-V .... / .... .4-,f -------------------------------
...................... Foreman
Guar. Voucher No ------------------------------------------ $ --------- - -----
Remarks: ----------------------------------------------- - ------------------------- - --------------------------------------
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