21614 81ST AVE W.PDF111111111111
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21614 81 ST AVE W
RESUBOf EDAf
1 M-_H HH- JUN 12 2014
11 [BE T171111 1 =III] 1111:1 11;� L"PARCMENT
CITY OF EDMONDS
/ac. 1JkL)Q1
The projectEl Ste Classification will dictate the tpecif ic stormwater management
requirements applicableto your site. Completing thisworksheet will help determinethearnount of
regulated impervious surface and whether your project falls into the classif ication of aSmall Ste
(Category 1 or Category 2),-ora M inor Site. R ease reference the Glg§M (pp. 10-11). FiguresD and
E, (pp. 8-9), and Ex@pVes(pp_ 11-12), toassistwith comdetion of thisworksheet.
I
1) Is Permeable Pavement' Proposed For Use on this Ste? El Yes Elko
Refer to 9tornvoater SipplernerIt Chapter 5.1
IT Tt inesuDject.areais to Deconsiaerea I mperviOUSTor initial site cia Ticari on purposes, incivaetata
permeable pavement area in the calculation of Non-Rggulated, Replaced and/or New impervious surface
areas i n the, ted e bel aw.
2) Determine the Amount and Typeof Existing'& Proposed ImperviousSurfacefor theSte
Refer to Storn-water %pplement Chapter 2 and Fig. C
Linel: Identify theNon-Regulcited Impervious Surf ace Area.
L-ine2: .1-dentify the -Replaced 1-mpervious SurfaceAr-ea, di vidi rig the total between aid -Regul �either -or both
may be zero. Note For project dasdf ication purposes, Replaced I mpervious may onl y be considered exempt
under certai n.00ndi ti ons.. Ref er to the GI ossEry a-d Fi gure D.
Line3: I dEntify the Nev Impervious Surface Area for your p iect. Al I imperviouscTeas created post-,Uy 7, 1977 or
r0i
after the date of annexati on i rto the i3ity are regul ated & shoul d be i rid uded i n thi s total unI ess they can be
categori zed pepwatel y as a Replaced- Regul ated area.
L i ne 4: Enter the sum of the total RePI aced- Re -ad pl us the totd New i nWvtous areErs
Line5: I dentif y the total area curreintl y mi ti'gated by an ed sti rig ci ty-approved stormwater management system.
Line6: Eniter the sum of the val ue i n Li ne 4 1 ess the Val ue i n L i ne. 5 to i dentify the total Regul ated area i n whi ch
stormwater controls have not yet been applied.
Line7: I deinti f y the total area proposed to -be miti gated through the use of Low I mpact Devel opment Tedini ques.
Line8: I dentif y the total area proposed to be mitigated through conventional Stormwater M anagenvNI Techniques,
** Providea copy of thefollowing tableon thedrainage plan sheet for the proposed proj.ect
Line
Type
Area(square feet)
1.
Non -Regulated
7,T70
Exempt
Regulated
2.
placed
Re
New (Post 1977) +
Total Regulated I mperviousArea
Mitigati an required if in excemof 2000sf
3.
4.
5.
6.
Total Area Mitigated by Existing Stormwater Management SystEm(s)
Regulated Ar ea Not Yet i �i
7
Id
Ar-ea.Ptoposed.to.b&M.itigated.by-L-owl.mpact.Dewelopm �uesi
Area Proposed to be M itigated through Conventiona�41VI Teichniques,,
',(,eg. -porous asphalt, porous cometA paferblooks� oaa-eteo
. penodled patjnggrids� or -plastiol attioes fi I led Wth turf orstone)
Re�Ased on W0512012 E72-SiW—Erosion—Control-03.05.12.doc Page 5 of 12
PLANNINGDATA
SINGLE FAMILY RESIDENTIAL
=FIU I
Name:
0,
Date:
SiteAddress:' P(6(Lt A
TaxParcel
Project Description: 00 4 � I
Plan Check #:
L
Reduced Site Plan Provided: (YES NO)
Zoning:
Map Page:
Corner Lot: (YES "0
Flag Lot: (YES 0
Critical Areas Determination Lf ao�-?
0 Study Required
lrw-aiver'
SEPA Determination:
X9:�Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 11 Checklist 0 APO List with notarized form
Required Setbacks
Street:
Sit
Side:
Rear:
Actual Setbacks
Street:
Side:
Side:
Rear:
El Detached structures:
Rockertes:
El FencesITrellises:
El Bay Windows/Projecting Modulation:
Stairs/Deck:
Builadlin Height
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Other
Parking Required: �2—
Parking Provided:
Lot Area: 0
maximum Lot Coverage: 35% Proposed:
,4 +
Lot Coverage Calculations: 9 9- e,,-?67 �71y
SF-ia Ngo 5-M
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued:
Comments
Plan Review By:
Planning Data Fonr (Y7-14-09.doc
PLANNING DATA
SMEETMIP].
Plan Review By: Planning Data Form 07-14-09.doc
APPLICATION
for
TWe City of Edmonds SIDE SEWER PERMIT EASEMENT NO . ............................................
13 NEW CONSTRUCTION E REPAIRS E] LID NO. -A��?Z ..... ASMT. NO.
-7E= --P?
OWNER ----- . .......... \" 1�-j E= -
------------------------------------------------ CONTRACTOR .. ------ -------------------- .......................... PERMIT NO.
=t P
JOB ADDRESS --- — ----- LEGAL DESCRIPTION: LOT NO. ... — BLOCK NO - ------------------------------------
- --------------------------------------- -----------------------------------
NAME OF ADDITION ........ -------- ----------- ...............................
.... .... ..... . .............. ..... .
Approved:
DATE ...... 7--'5> ............ B
y - X-1 �—� ---------- 6" --------------------
APPUCATION
The City of Edmonds for
SIDE SEWER PERMff EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS LID NO. ---ASMT. NO. ----------------
OWNER .... IRKVj— --- ---------------------------- ------------- ----- CONTRACTOR ............ . .............................. ------------ PERMIT NO.
JOB ADDRESS ---- !R41.4i ------
- ------ --------------------------------------- LEGAL DESCRIPTION: LOT NO - -------- ------------ ----- BLOCK NO - ------------------------------------
I
----------------------------------- I ........ ..................... I --------------- ------------ ..............................................
NAME OF ADDITION ------- SPX ... Ft�q.44_7;�L
tio
I rl,
Approved:
DATE----------- ------------------------------- � BY ------------------------------------------------------------
NOTICE:
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of �Edm.onds does not warrant the
accuracy of anything set forth on these
map(�_). Any person or entity'requesting a
copy should conduct an independent
inquiry regarding the information sho.wn on
-t-Ke -map(s), including, but not limited to,
th . e location of any sewer stub shown. Such
sewer stubs may or may- not exist and may
or may not exist at the location shown..
Neither the City of Edmonds nor its
ernpl'oyee's o'r offiCer's -shall be Via-b-l`e for t-he
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ..... 21614 - 81st Avcr--o Host
.. ...................................................................................................... . .......................................................
PROPERTY LEGAL DESCRIPTION ..................... Lot 2, Joy Aim Park
..................................................................................................................................................................
.................................... I ................................................................................................................................................................................. ......................................
................................................................ OWNER AND/OR BUILDER ......... T.ER.RY ... D U G.G.E R . ..............
.. .... ..... ....... .. .... . .................... . .......................................................
HOMEOtINER
CONTRACTOR'S NAME & ADDRESS .............................................................................................
r Sept. 10,
Pk. ission Is granted ........... . .................... ... _ - - ------------ 19.75— for repair amd/or connection of aside sewer to the city sanitary sewer
syl"414n in accordance with Cit)r of Edmonds ordinances.
( z
AT"I'ENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside Property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before it has been Inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade
sharper than % will be permitted.
NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6—It is unlawful to alter or do any other work than Is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVEDE]
APPROVEDPr
Date ... . ................................... By ................
Date._—:�;� ..... /7 .. ................
Date ....... . ........ .......... By ................ Date ................ ................... 'By ----------------
By . . . ...... ............. ... .. . .......................................................................................
Renliarks: -------
- -------------------------------------- - -----------------------------------------------------------------------------------------------------------------------------------------------------------------------
..................................................................... . ........................................................................................ . .................................. . .......................................................
U—.7— BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection
I ....................................................................................... ... I hereby certify that the side sewer installation constructed under this permit
(Owner of Contracting Firm Performing Construction)
Listalled in accordance with all governing ordinances of the City of Edmonds.
IDated this ---------------------------- day of ................................................................. 19 .........
V V Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer E], Other
REGARDING: 28TREFTfueLfst 4,,;_67s,
(address)
R E C 0 R D 0 F C 0 N T A C T S
DATE MAAE, PHONE NO., & CONVUNI'S ACTION TAKEN INITIALS
ADDRESS of CALLER
7/17/75 Terry Dugger Certified Letter No. 406.679 sent Letter received. JT
requiring hook-up within 60 days.
9/10/75� Mr. Dugger came into office and JT
obtained permit #5305.
9/17/75 Gnnnection cu=lptc - JT
us gostage)
M. Oil DA-fE
RECE11P. . f Volt r
e -f-fy
OT
No
A ANT e
2-161-4 911st
V9 CODE tol 1 9 gozo
0 STAIE A140 14OLS1,11-19 FEE jbi�
., 1, s fov, AUDIT"", -. red . .... ...
AL sElty1c a'd date delky
to dclJ�Nefy to addr S e 011 eliv . . Ted
IAN \#4"t1l M date and s re on� . .... . Od
E10 2 sj,ows to vihperi to add
REUIP . with delly .. ......... ...................... ........... (so, other Sloe)
SERYIC'Es ADDRESSEE 0 1 e c%u i
Dg- V R (,),jrO i quir- E -lo�
sp IAL CE OVE MAIL
s Orm 00 1 ER A,
. 1971
Ap
IIIII-- 111o,
'11 ISM
f
+51 18
0 P. L. 118.5'
LO Exist. Down Spout-
4e &-Splash-Block
24'
I ,
EXIST. SHED
432 SF (2010)
I
CD
+51
A\/i
15'
a)
C:
Ca
a) ")
NOTE
New Down Ppout &
Splash blocIk
cil
C)l
L
New Down Spout &;
sh block
Exist. Back patio
400 SF - 1936
o be removed
1811 Exist. Down Spo(4-
f
& Splash Block
,zi
'N
sh block
Ex
40
0
is
0
t
be
0178'
4e
LO
P.L. 110.6
THE PROPERTY IS FLAT
THE HEIGHT FROM EXISTING(=FINISHED) GRADE TO
THE EXISTING OVERALL RIDGE IS THE SAME AT EVERY
CORNER POINT OF THE BUILDING;
NOTE:
cc
Uj
o-
0 f-
0 U-
co ss
'IT Rosi
a
I
3: ot
a) I >
0 �
21 ,
C:
0
Cr
u-
U)
(0
0
(n
EXIST. RESID�NC
�,E
1456 SF (1965)
W
W
CU
PROPERTY OWNER:
I -I XING MIAO
21614,81 ST Ave. W
EDMONDS, WA 98026
PARCEL# 00482300000200
LEGAL DESCRIPTION:
Exist. Wood Fence +
ss 7z SS — SS — SS S SS JOY ANN PARK BLK 000 D-00-LOT 2
TWNSP 27 RNG 04 SEC 30 QTR NE
===Ir W —6-t- t,-, W W W W
rExist. Down
Spout & Splash Block
CONCRETE
2 CAR PARKING
(436 SF - 1963)
z
zi
u-
0
0
51
X
W
a)
-Do
65 0
u-
U)
I
X
-�4
W
a)
0
Cnnrrtzfi= \Alnlk-A73SF
Exist. Wood 4n4
4
Main Entrance
25'
Exist. Down
Spout & Splash Block
SITE PLAN SCALE: 1 10'-0" (1:120)
SILT FENCE WILL BE INSTALLED AS NEEDED PER EDMONDS STANDARD DETAIL E1.1
FILTER SOCKS WILL BE ADDED AS NEEDED PER EDMONDS STANDARD DETAIL E1.3
ALL DISTURBED SOILS WILL BE COMPOSY AMENDED PER EDMONDS HANDOUT E72C
MON
c
NOTE:
Exist. Driveway
will be used as
construction entrance
—
Sewer
Cap
+ �5
6" Curb
Edge of Asphalt
Driveway
Exist.
Catch Basin
in 408
'at�'Prcte4 a; -al
t� pe �
zaintena., , fO""��Iin-g 6411 ll*�
any r1wtting the
'0 cur1rently
non!�Onrbrnllngl or unpe,7WttedeMsting illegal
or s,tF condition whici, buiIjing structum
rrunt applicatio, is Outside the SZ
i, regardl pe Of the
Plidiag, strucWm e�s Of whetker such
sitre or condiuo,
IX
&on . liaonnonliqy bwelng' Such buildi Wn on the
'dra� .
the s*at of as& strumm or
O*arate
HEIGHT CALCS-.'
A +51
B +5'
C +5'
D +51
ZONING: RS 8
OCCUPANCY GROUP: R-3
CONSTRUCTION TYPE: V — B
PROJECT WITH THIS PERMIT:
BUILDING ADDITION
LOT AREA:
8.787 SF (0.20 Acrs)
LOT COVERAGE (measured to outside walls):
EXIST. SF A D D S F TeTAt-ff 5 k J
RESIDENCE: 15440 + 520 q 3
TOTAL COVERAGE': al-7 )--7v
35% (=3,075 SF) ALLOWABLE
IMPERVIOUS SURFACE
AVE GRADE = 5'
ACTUAL GRADE 5'
MAXIMUM 30'
APPROVED AS NOTED
BY EIINEERING
0 ;,,
Date:
jZ,4
i I- -
OWNER/CON-rm-T019 1,$'RESPONSIBLE FOR
EROSION 00rNTR(1 AND DRAINAGE
Applicant sheii repair/reptace an damage to
Utilities or frontage improvements in CKY
right-of-way per city standaws dwat Is caused
or occurs durIng the permitted projftt
rA: OVED Sy -ANNINC-
zono
CornerS-jjag
�ietlacCs
—&1aal
Front
Sides
Rear
Other
E2!-� Lit
a-7
r
REV. 06/10/14
RIESUB
12 2014
5UjjjDjN(j,,0,F-,PA r:1141
, S
�"o
Atecinstruct LLC
6830 NE Bothell Way - Suite C, PMB 181, Kenmore, WA 98028
Telephone (206) 553 9076 - Fax (206) 529 4408
POW,--,
ENGINEERING
OWNER:
Li Xing Miao
SHEET
ADDRESS:
21614 81 st Ave. W, Edmonds, WA 98026
A
PARCEL NO.:
00482300000200
DESCRIPTION:
Building Addition
-FZALE:
DATE:
04/04/14
as noted
ENGINEER:
Roland Heimisch, P. E.