21604 78TH AVE W.PDFIIIIIIIIIIII
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21604 78TH AVE W
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ADDRESS: al(eoq -No- W
TAX ACCOUNT/PARCEL NUMBER: 2=9 nep 00A
BUILDING PERMIT (NEW STRUCTURE): Ito) - 02:A '-)
COVENANTS (RECORDED)
CRITICAL AREAS: - E , /05 DETERMINATION: F] Conditional Waiver E] Study Required *aiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LATEMP\Dsrs\Fomis\Street File Checklist.doc
APPLiCATICK, ' BUILDING PERMIT Appl. No. . . ............ . .. . .....
f OF EDMONDS Building Department Permit limit, one yeir
,P13dATION is hereby made for a permit to construct the following work, in accordance with the aco=-
parrying+ plans 'and specifications. Two sets are submitted herewith for approval.
alter Off -St.
new
. . . ................... ............... Parking ......................
ork addn repair ................. ...... ...... ..........
... . .. ..... ionst. t;pc ................................ Use zonc...�� 4� ........... Fire zone ......... ..................
----- — - 1,0 ........................ Add./ ...........
Address ... . .............. t ............ .......... Blk
ke
: frontage . ....................................... Area ..... If ... ........... Septic tank...
Bldg.. set -backs front ........... r. side ............... 1. sidc ........ * 2� ............. rear ........................ 7
14-
_'7
bwner .... C,�.7 ..... ..... . ..... .. . Addrem. Tel. Nol-
Builder ................... Addrczs Tel. No. ....................
Address: ......... ... Tel. No ...................... ......
Plans by ...................... __ .......
Remarks ............................... ....... .. . . ....... ......................
............... ............... . ...... I .......... .... -
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.......................................................................................... I ..... ........................ ............ I ............................ .............................
'Me ab�ve is a correct statemcnt, 9rco t��17ly with all applicable Codes and State iLws regulating this
work.
....... o�l 4_ Address ................. .......................... Date.-/ .................
Sigred Owner/Agen47, . . ... V4.
PEWT for the above work is hereby approved, subject to the above conditions, and to compliance with the ap-
proved plans and specifications, and Building Department notations thereon.
valuation ............. 011A
...... T..(�M_49 ........... Permit fee ......... 4 ..... 9 .............. Recd. by ... o�_ 7 ......
/o,/—,,
Building Department, By ....................... ................... A�Vlcll . ............ Date ....... 11(�V ...........................
This Permit Joes not covcr Plumbing, Sewer or Electrical installations.
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CA FILE NO.
Critical Areas Checklist
- - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -- - - - - - - - -- - -- - - - - - - - - - - - - - -- -
Site Information (soils/topography /hydrology/vegetation)
1. Site Address/Location: e), /X/
2. Property Tax Account Number: 12,7 ODD 009 () D
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? —��Yes; no.
If yes; how is site developed?._ 12!'-' Z_e_
5. Describe the general site topography. Check all that apply.
F I at: 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).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
10-feet over a horizontal distance of 33 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: IIVI� _; Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains acreek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? A`//� (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) b4-e- 4
11. Obvious wetland is present on site:
DETERMINATION
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 C ity 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
deterinine 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
thb.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 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 information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant: Applicant Representative:
Name
Street Address
City State
Telephone
Signature
Date
Zip
' 7'd �/
Name
. L /,,-/ / / 7': � "? 1 � � 5 - e-
Street Address
�If e.7-';';z
city State Zip
Telephone
— 4 We X /I
ignature
Date
creceptionkjanakad.doc
(over)
112 C. 1 S C) 11
May 27, 1998
Tom Turk
Turk Construction
6331 172n, St. S.W.
Lynnwood, WA 98037
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning/Building - Parks and Recreation * Engineering - Wastewater Treatment Plant
Subject: Determination regarding Critical Areas Checklist # 98-148
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" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL C1JErJJLLS_r OR CRITICAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 4m
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.
Thank you.
Sharla Graham
Acting Planning Secretary
Enc: Critical Areas Determination
* Architectural Design Board
C:Reception\Jana\CRLTR.doc * Incorporated August 11, 1890 e
Sister Cities International — Helkinan, Japan
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APPROVED BY PLANNING
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CITY OF EDMONDS
BUILDING DEPARTMENT
WORKA� �-6165FWV,
ADDRESS,
OWNER
APPROVED DATE
BLDG. OFFMIAL
PERMIT NUMB ER
APPROVED AS NOTED
BY ENGINEERING
Date: -7 /EK-3
RECEIVED
JUL - 12003
STREET -FILE
PERMIT COUNTER
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JUL - 12003
PERMIT COUNTER
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Accurate Acct & Tax Service, Inc.
21604 78"' Ave. W.
Edmonds, WA 98026
Office # (425) 744-1171 Fax # (425) 744-1069
June 30, 2003
City of Edmonds
121 5'I'Ave. N.
Edmonds, WA 98020
RE- TWO SIGNS FOR HOME OCCUPATION
Sign number I (see picture) is oil two posts which were cemented in over five years ago.
I have lowered the sign so it Is three feet above the ground, as per city requirement;
otherwise it has not been changed since I bought my home.
The city recommended that sign number two be secured above the garage doors. I have
not ordered the sign from the Sign Company yet. It would not go up until January 1",
2004 anyway. Wood screws would secure it, and the sign would come down at the end
of tax season, April 15"'. 1 do not actively seek clients after tax season. It would measure
.3 square feet as per city requirement. The color can be any color, as long as my clients
know to park in the parking areas oil nly property, and to go to the south side of the home
for the entrance door to the office. (See picture number two for proposed location)
Please feel free to contact me at my home number (425-640-0918) if you needs any
further information.
The home occupation permit is approved, as is approval from the Architectural Design
Board.
Sincerely,
Ia. (;,)- - �
Arthur Pennock
Accurate Acct & Tax Service
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PERMIT COUKER
15TIREET FILE
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
O�NER NAMEMAME OF BUSINESS
Tgo Pevtjcpar X1,
MAILING ADDRESS
'114,04-11-rA 140`404v,
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CITY ZIP TELEPHONE
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NAME
ADDRESS
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CITY ZIP ITELEPHONE
NAME
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CITY ZIP
STATE LICENSE NUMBER
ACCOUNT PARCEL NO.
I hL q tA)AW,012S �
E] NEW
ARESIDENTIAL
ADDITION
1:1 COMMERCIAL
REMODEL
E] MULTIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
EGARAGE
l
RETAINING WALL
CARPORT
ROCKERY
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN
NUMBER NUMBER OF
OF DWELLING
STORIES UNITS
DESCRIBE WORK TO BE DONE opl,
CORivea o
-r-'s ?I if ire
'/ - a 2.-A - In it
CBL #
CHECKED BY
PLUMBING I MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
( X FT)
OTHER
E:iF RE SPRINKLER
FIRE ALARM
I CRITICAL
AREAS
&11A NUMBER
Or '.Af
7141 P-e / - Agee -
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2'0.fjAf 'P A — I IC 41 f
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PERMIT EXPIRES
USE
ZONE
PERMIT
2"o
NUMBER
JOB
SIJITEIAPT#
ADDRESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
I
CID NO.
L I D FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL.!I�W MAP
TESCP proved
RW " R.'.".d
Per:
'PROPOSEy
Street Use Permit Req'd
EXISTING
Inspection Required - &13
Sidewalk Required
REQUIRED DEDICATION FT
Underground
Wiring required
LINE��l
NO. OF FIXTURES
PRV REQUIRED
YES 13 NO 13
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
ENGINEERING REVIEWED BY DATE
6'm A
FIRE REVIEWED BY QATE
VARIANCE OR CU
SHORELINE OR ADB11
INSPfTION
BOND
1ADe,
17D
I
POSTED
1
Ery
$
WA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED, PROPOSED
40 0
68 * 1115
,
F-dib— .1 3'
,
14 ;M
V1.1
44s,
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT LIR SIDE REAR
W_
PIA *,4 !!!�L.3'
1— 5'
PARKING
LOT AREA
PLANNING REVIEWED BY DATE
REO'D PROVIDED
I
I
REMARKS
CHECKED BY
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NSTRU7,IP
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OCCUPANT
177E
/�_'j
71
GROUP
43
SPECIAL INSPECTION
OCCUPANT
REQUIRED
JAREA
LOAD.
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE0'0
VALUATION
Description FEE Description FEE
FF —
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
I L
Building Permit
City Surcharge
416 15
PLAN CHECK VESTED DATE
Plumbing
/M
Mechanical
THIS PERMIT AUTHORCIMS ONLY THE WO& NOTE b. iHIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTYONLX ANY CONSTRUCTION Cie PU C
, R
D Elli�ILKS, DRIVEWAYS, MARQUEES, ETC.) REG its E
2 OUAIN (CURBS,610
Grading,
.;�'SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT L1MrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit P)
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
9 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
1
. . . . . .
1 Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.".
Recording Fee
Receipt #
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-
14
CALIj
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Offlclall or his/her Deputy: and Fees are paid, and
I C
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING 10
FOR INSPECTION
receipt Is ackn edged In space provided.
WORKMEN'S COMPENSATION INSURMCE AND RCW 18.27.
NATURE DATE
SIGN7AT R (C) F0 R A::F DATE SIGNED
IAO
1—rA65)
A" - -3
71ra
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'�'fW 6_50.03
771-0220
I,
DATE/
ATTENTION
IT IS UNLAWFUL TO USE OR OCCU PY A BUILDING OR STRUCTURE UNTIL
M 1333
A FINAL INSPECTION HAS BEEN, MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC;;SECTION 109
ORIGINAL_��- YELLOW- INSPECTOR
PINK -OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING