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21727 76TH AVE W.PDF
iiiiiiiiiiii 6338 21727 76TH AVE W 5;71 Z�?,-Z - Z�Z ZV ADDRE S: TAX ACCOUNT/PARCEL NUMBER: 00, f�e� 7 ac�,ro a2�Z BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS:— 6E ��a DETERMINATION: E] Conditional Waiver 0 Study Required INWaiver I -�Y, c/A DISCRETIONARY PERMIT #'S: 'Qu DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER) I I PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) GEOTECH REPORT DA STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: OTHER- &A) - /S/N!� ('�WA 9-�110 ( I? ) - LOT: BLOCK: 5. 1phqlo '-/ 0 V11 �Aw� - TS-. 7L� 1) L-.\TEMP\DSrs\Fomis\Strcet File Checklist.doc 9 PLANNING DATA -- Sign.5 -- STREET!M] Name: W-&rc,�,, Date: \ b*9 Site Address: -a W Plan Check #: BLD-204-001/5' Nye. Project Descriptio':Tns�rAbb�o,, etZ 41,�Ae--Sderl, Reduced Site Plan Provided:dsD/ NO) Zoning: MU Comprehensive Plan Designation: "_ F 11 1�4 IAA -,,A--( VAcly c.&,,6r Map Page: 0/ NO) � ER I Corner Lot: Flag Lot: (YES) ADB File # (or date waived): -)I' \66;,jed I wTQTAL A 11, 11 T 17ea�per- ype of� Matrix Allowed TOTAL sign Type of Sign Allowed zone? in conditions area per Unit area allowed for Proposed sign area met? unit this sign Example wall wlinternal Illumination Yes, with condloons Yes I sq. ft.11ineal ft. attached 41 /t. attached wall 41 square feet 20 square feet wall Sign #1 tp/c, Yes WA Q�o tj/A Dq4r Sign #2 Sign #3 TOTAL:Sign A�ej or Tenantlsite Max Permitted: per 'Cutbi V4.4 Previous Total: Proposed Total: 5 /9 el- ht.. f)IH, Sign Type: lf%Cg- Max Permitted: S4 64"'N ctual Height: --ArCA,-,W Sign Type: Max Permitted: Actual Height: Sign Type: Max Permitted: Actual Height: Sign L ting Sign Type: roposed: Nn, Allowed in Zone: Ye-,L-) Sign Type: Proposed: Allowed in Zone: PLANNING DATA STREET F=ILE] -- Signs -- 's 6ior Proposed: Acceptable? 7 Requires ADB Approval? Sign L6catiofi if freestanding and 3-feet or over (unless a fence) meets setbacks? 1A -,-a, n 4 o cx-c� R -qdi e red.,��tbacks. .6e. oj-it� nkr Street: Side: R6ar- A ctuat Setbacks. Street: Side: Side: Rear: Size, k*9 Land scapiM7. -foi.' Er ffsOndinq,�� Location: 4�x 1-.. Critical Areas Determination #: c,9,ArACc)5- olqc Study Required Waiver Other Plan Review 0 0 -Nothing in this permi� approval process shall be interpreted as allowing.4or permittmg the .Maintenance of any currently existing illegal, nonconforming or unperrmtted building, structure or site condition which is outside the scope of the . t application, regardless of whether such .,. CiNdinr structure or condition is shown On the t4b�. I= structure or !F., or drawing. Such building, �66 9—tion may be the subject of a Separate ent action." 4" aluminum sq. tube frame with D�Sond panel painted yellow gold to matCh buIding 13M06 r-Ation !AC WINAC Arr-endinents 821006 f,,�;dc.n [Br- WWAC Anwndmnts 02006 Edunon UPC w/WAC Amendmcrits aad Appendices A, B, (A 1 02006 Edition IMC w/VVAC.Arnendments- 0,7006 _NF&C'wiWAC Aumndrrmw r-Q.,AV-6 Edition 1FC w,,VAC Amendmeff tts 02006 E&`onQAQ WAC 51-13 E-J2006Edition WSECWAC51-11 .116�Jwl, S/f non -illuminated monument display with building name -scale 3/4" = V-0" APPROVED BY PLANMNG MIKE PROSPEK Sales & Marketing PH: 206.683.0134 E-Mail: mkprospek@verizon.net We are here to connect people to your business.' 12520 NE 134th Place Kirkland, WA 98034 — CITY OF EDMONDS BUILDING DIEPARTPi,1ENT WORK_/ ADDRE=S_S G IV, 1�1%., ___ R - z 7 - S- -0 APPROVEMIDATE E3LDG.OFF-IC:A'L*. PERVA97 MUFSBER C% RECEIVED JAN 2 12009 DEVRDPMENT SERVICES CTR. STREET FILE CITY OF EDMONDS DATE: 8/27108 SHEET 1 OF 3 THIS ORIGINAL ILLUSTRATION IS THE PROPERTY OF JOB NAME: AGM -EDMONDS "SIGN CONNEXTION" PROJECT: NON4LLL1M. MON. DIRECTORY AND IS PROTECTED UNDER FEDERAL COPYRIGHT LAWS. JOB LOCATION: EDMONDS WA. UNTIL TRANSFER OF SALE ALL RIGHTS ARE RESERVED AND IT IS FILE NAME: NOT TO BE REPRODUCED IN ANY MANNER WITHOUT WRITTEN PERMISSION FROM"SIGN CONNEXTION". WARREN BLDG 1A.CDR 94' U-31 0 0 Y I. is Side view Revised 2-19-09 angle frame 2" dia steel pipe,._ Y2* angle frame Cross members to be cross nirber welded to YS' angle frame ros, Top View secure angle bracket to 2" dia. steel pipe using.,z 1/4' x 314 self tapping Y2' angle screw. frame skinned with DimBond panel painted yellow gold to match building 2'-7 3/4" color angle frame braket r s member .ros 3'Address numbers to be routed 'A' PVC p1d. d1k. Grey (verify address) %' PVC panel painted black flush mount to backing copy to be applied white vinyl With grey applied viny! accent square 2' dia. steel pipe secure angle bracket to 7 dia steel Ope using- 1/4' x 3/4 self tapping screw IMP U d L ELI Cf) C' c1l) CP S/f non -illuminated monument display -scale 3/4" V-0"' Concrete footing l'-3" x l'-3'x l'-7" RESUB MAR 04 2009 BUILDING DEPAR"TMENT CrTY OF EDMONDS DATE: 1/12/09 SHEET 2 OF 3 MIKE PROSPEK Sales & Marketing JOB NAME: AGM -EDMONDS PH: 206.683.0134 PROJECT: NON4LLUM. MONUMENT E-Mail: mkprospek@verizon.net JOB LOCATION: EDMONDS WA. FILE NAME: We are here to connect people to your business. 12520 NE 134th Place Kirkland, WA 98034 WARREN BLDG 1A.CDR THIS ORIGINAL ILLUSTRATION IS THE PROPERTY OF "SIGN CONNEXTION" AND IS PROTECTED UNDER FEDERAL COPYRIGHT LAWS. UNTIL TRANSFER OF SALE ALL RIGHTS ARE RESERVED AND IT IS NOT TO BE REPRODUCED IN ANY MANNER WITHOUT WRITTEN PERMISSION FROM"SIGN CONNEXTION". 0 0 RECEIVED JAN 2 12009 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS DATE: 1112109 SHEET 3 OF 3 MIKE PROSPEK Sales & Marketing JOB NAME: AGM -EDMONDS THIS ORIGINAL ILLUSTRATION IS THE PROPERTY OF "SIGN CONNEXTION* PH: 206.683.0134 PROJECT. NON4LLUM. MON. DIRECTORY AND IS PROTECTED UNDER FEDERAL COPYRIGHT LAWS. UNTIL TRANSFER OF SALE ALL RIGHTS ARE RESERVED AND IT IS . . . . . . . . . . . E-Mail: mkprospek@verizon.net JOB LOCATION: EDMONDS WA. NOT TO BE REPRODUCED IN ANY MANNER WITHOUT WRITTEN FILE NAME: We are here to connect p'euple to your business. 12520 NE 134th Place Kirkland, WA 98034 WARREN BLDG 1IA.CDR PERMISSION FROM"SIGN CONNEXTION". W IKUL-ad 9 WL -2(1A MOTE. ALL W61 LAMP60AFM TO N&q* fill," 2,70J2. "OTINO TF4!0 TO REMAIN 2 11 1221 nosy. emum& Lby 41 mKTm ANO" KMAO�ML 4b MXM AVWT mftr pow cointm" Mm TO Um gra" p"I 42 "m 14 'Tuff . . ..... 1. COMPLAZA AAM BA= PAAVA OVIM MIT- C"- r dok 40 �-� 20 W- t4m PLAzh ------ ARI*. OVAN To eq Al ---- 24 W, ExtsToram 4- -*T" AVLK& PEST si A ao W, —+DLW"m 96 .4 ROM dF TRAMX 4. -2 sh"Am rfp gm WnWNT I SFFW- aFXK VALVC AREA kxvr -ro Fo4Arx LMST 6IMPSCAPOO rom; CmTm Smi 0' N b4' 0' Il' V4 21021 wRrH As Daw. ,mks= FILE JAN' 29 -t 2009 ENGINEERING DIVISION S clft_ ERMIT PPLICATI MAMIE (OR NAMC-OF BV SINESS) LINEBERRY ENTERPRISES, INC. it MAILING ADOREST_ Z -Red Road, Suite 10 14400 Bel ITY Bellevue CLEF Applicant F ill [cNr fZ.(A�_ NII-.I:.I 800446' fnside Heavy Line 643-0630 McClarty, Johnson & Milbrandt U AD RIESS 11061 N.E. 2nd Street, Suite 105 L RON.: Nu."t�rr "M-97 ITIEL Bellevue i9 NAME Vito Labellarte Construction, Inc. 0 ADDRESS U 510 Rainier Avenue South Yv M 171 y- y y LEP.ONE H...C-R Z Seattle 325-8585 0 oq CITY LICENSE-W—UMD'ER VI-TO-LC-*262CO BL122280-1-OOOSC Legal Description of escription of rocerty (St,oW delow or Attach Four Copies) See drawings. j !2 Site located at 21727' 76th Avenue West, (r Edmonds, Washington. a [xD NEW GAS LINE A-- .^Ll[:] SIGN Fx RETAINING ..-.,.S- WALL f;�jXCA---. FENCE OR FILL F] 'R.- 011. 'S..- INSPM OOL -1-NUMBER Z NUMBER OF STORIES or 0 I "WeLL -ING 2 UNITS MATURE Or WORK TO BE DONC Construct new 18r518 square foot medical office building. 0 PLOT PLAN See drawings. on behalf of his or her spouse, heirs. assign and 4! successors in interest. agrees to indemnify defend -ind hold h-mles, 2 the City of Edmonds. Washington, its offj,:iu!s. emphaveIi. and agents from any and all claims for damages of vhaieve' na;u,c, X arising directly or indirectly fz,-,m the issuince of this pe, m; t. I'su. C ance of this perm't shall riot be deemed I,) motlify, vjive or -vdiicc 0 si any tcquirement of anv city ordinance nor lied: in tiny vav I City s ability to enforce any ordinance provision." I hereby acknowledge trial ! have read this arplication: that the in. formation Oven is correct: and that I am the ou-ner, or the duh, author- ized agent of the owner. I gree to comply wiih city and state laws rcgu- lating construction: and in doing the work authorized th"clay. no person uillbe emplovcd in violation of th,, Labor Code nf the State of Wzv,hington relating o Wo,krTen', Compensation I,.su;,nee. NOTE: Pemit Limit One Year(E.,cept DrmOLITIONS and rILL 'RMITS without conditional use permit, which shall he completed in 90 MVED4N BUILDII)tS %!`Iall be c-ropkied in Ox monihI.) �R t7��t.�elr) q T �Rz (OWNE JDATE SIGNED covil'i'll .0ilk to be done on'privere property ONLY. I 0, on the public domain jeurbs, giaiwalks, driveways, ptinarquees, ate.) will require seorats permilision. ')N 'AWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE -INAL INSPECTION HAS BEEN MADE AND APPROVAL OR ATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 3D6. oil, 's FAODR-'!!5 Z 1-7 1 -1 �7 G T--�, A\�Iswu 1��_ Vs,�q ir LLGAL DES( =.T 511. MO. PUBLIC RICHT Q! —Y PEr"'Ir �IAL -T R DCI`ICNCY 0" IIGIT OV Y(c') ALIRL-C AROV1!.IYEN1S COU.9E0 DRAINAGE COU..EO DRAINAGE PLAN �COJIRCD UNDERGROUND ' -OING REOUIRE0 CONNECTION 70 �ANITARY SCWrR C1 SEPTIC TANK REO-0 Mo.____ ELEVATIO OF -OPERTY CO#INCRF. is FOOTINGS I�EQ D SEE ENGIMEt.11.1; C�o o.'ro c-ec-D .CTER SIZI, -L S17C 11111_01"I SU I'I I R1.AR.S SIGN -LA F.Hv. cvlev, A NO. ALLOWCD co—L", :'r l 2�_ )9 -0l_ �S-O.CLINE - - PIA RCMAFIKS p-OW---r-t, 0L_t!V,) VARIA,4CI,. OR CU NN 01-eIv a, IbAT9 Cu_b --<w [c). t,� YARDS LOT F . . . T /0 SIDE RrA� I FIRE z.NE CODE He'rH :1 i: VA7G 1_5G'1AAX SPECIAL INSPECTOR UPANT JA.EA REOVIRED 0 YES El NO JOCCUI`A�CY.B ORD UP -1 JZ�C P, -- -2- 1 AD 1 PLAN CHECKED BY IHIS SITIF IF LOCATED IN THE CITY 42— OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.0 REMARKS VA!_UATICN FIEC BUILDING PLUMbING ";I MCCHANICAL 14 aL KA T7_ FENCE SIG. RET.-ANING WALL 3WIMMING POOL OTAL AMOUNT DUE J�2 _07e`�tZAI ATTENTION APPLICATION APPROVAL THIS PERMIT This application is not a permit AUTHORIZES i:D,'�10 W ;R,;z NOTED until s:gned by Ole Building Official or his l,oputy; and fees are paid, and receipt is acknowledged in space pro. (SPIECruoill S DE-AnTMENT vided. DCTOR'S S11 N.Tu E CITY OF N\ayet Y11'. EDMONDS DATE 775-2525 10 I'L7.4 80 ORIGINAL - Fd, YELLOW - Inspector PINK - Ooe, GOLD - Assessor 0 Z 0 0 � W� 1 14 z 0 Z PLANNING DATA New Commercial / Mulffamily Projects -7 2 7 (o Ax_ W, ZONING: MUL SITE ADDRESS: 2-) (f,. Kjz�c, lej USE(S) PROPOSED: Av_,o,�ek o1A ALLOWED?: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED— (Y/10 CUP File: To Allow What Uses?: ADB FILE #: PARKING: Use: - %('00 No. Spaces Required: 6r-6 X 9776 , 1 6,; (floor area, # employees, etc.) -944 s 11; Use: - . Prbk No. Spaces Required: ilAqw* 6r-A X I (floor area, # employees, etc.) = 4 Use: No. Spaces Required: X (floor area, # employees, etc.) = Use: No. Spaces Required: X (floor area, # employees, etc.) = Total Required: -94 90 Actual Provided: 90.0 SETBACKS: N. rIA& '&Wp-4� Required Setbacks: Rear: Front: IS' Left Side: 5' Right.Side: 15' Actual Setbacks: Front:_22_� �wLeft Side: ji' Right Side: 11' Rear: Street map checked for additional setback required? (Yes/No) OIL 14 ;J' MAXIMUM FLOOR AREA: Maximum Allowed: —Actual:— tj2 BUILDING HEIGHT: Maximum Allowed: 35. Actual Height: No Modulation Allowed?: Modulation Height: Datum Elevation: Datum Point: Elevator Penthouse > 3 feet over height limit? If so,VAR# LANDSCAPING: �ets-uw A 4. 1 0 V- j Matches ADB approved: IvA Bid Provided? Bond Amount (100% bid): CRITICAL AREAS#: 057 - 14-p - oovc_ SEPA DETERMINATION: SHORELINE REQUIRED?: ff� Continued ... 1Ahbrary\AP1andatNewComm.doc z 0 u Z DATE: 3/ -7/ - i, PLAN CHK#- 04,- 0 4 -7 NAME OF BUILDING PERMIT APPLICANT: G,�, PROJECT DESCRIPTION: Rt-s-,u -kht "u -e ' &ZA "X PA- oe ADB FILE #: OR DATE WAIVED: PLANS MATCH APPROVED PLAN: k- SUBDIVISION: LOT AGGREGATION REQUIRED?: No REDUCED SITE PLAN (8.5XII) PROVIDED FOR STREET FILE? -ti (11.1-7) OTHER: 4�,*�90j;�,Aq, Si*m( 3 S+,Ai 3 Alit W,4' 900A4 A#M'tA 14 'PA"I r�4-`A, 94 F—kAa 84" Om Plan Review By: 1A1ibrary\Ap1andatNcwComm.doc #P20 CA File No:. 05.- t4o Critical Areas Checklist Site Information (soils/ topography/ hydrology/vegetation) 1. Site Address/ Location: 2. Property TaxAccount Number: <f;> --)L _<:7,51-rc -.0 ZI - C;� 3. Approximate Site Size (acres or square feet).- 4 .345 4_7 4. Isthis site.cuffently developed? 1-<es no. _6 If yes; how is site developed?. 5. Describe the general site topography. Check all that apply. Flat Jess than 5-feet elevation'change over entire site. __Le� �-Rolling: slopes on', *site generally -less th&h.,15% (a 'vertical' rise -of 104eet -over -a horizontal distance -of 66-feet). Hilly: slopes present on site, of moi' Ahan 151Y6i'�'gnd'less than 30% (a vertical rise of 10-feet over a horizontal distahce-6f,433 to 66-fee*'�,,,`,'�'i Steep: grades of greater than 30%, present 6n.kf6ja Vertical rise of 10-feet over a horizontal distance of less. than 334ept), Other (please deiscribe): 6. Site containsareas of year-ro u-nd standingw'at6i: Approx., De th xl/(�� 7. Site,contain� areas of seasonal standing water: Approx.- Depth: 7 What season(s) of theyeai? 8. Site is in the floodway floodplain A-16i of awater course. 9. Site contains a creek or an area where water flows across the grounds surface?, Flows are year-round? e*�i Flows are seasonal? (What time of year?' 10. Site ispAmarily: forested A ),:::I meadow A-ld" ;�shrubs :/V<:�_ mixed urban landscaped (lawn, shrubs etc) 11. Obvious wethind is present on site: Aj For City Staff Use Only ------ --------- 1. Plan Check Number, if applicable? 2. Site is Zoned?. M L4 M cg,:4A LA V 3. SCS mapped soil type(s)?. /1 1,aerwatg LA-rb.--.-% e-,% A. iex 4. Critical Areas inventory or C.A. map indicates Critical Area on site?. No 5. Site within designated earth subsidence landslide hazard area? DETERMINATION STUDY REQUIRED \x"' WAIVER Reviewed bv.- Date: Olr2_7104- '4C. 1 %913 #P20 City. olkdmohds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 The Critical Areas Checklist contained on this form is to be filled out by any. person. preparing a Development Permit Application4or the City of Edmonds prior to his/her submittal of the application to the City. The purpose of the Checklist is to enable Cit . y 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, map I s, 'or soil surveys). Date Received: City Receipt#: �,P aq Critical Areas File #: *�-00%5— 01 f 0 Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: 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. Pleasesubmit a vicinity map, along with the signed copy of this form to.assist City staff in firiding 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 assistant staff in completing their preliminary 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, indermify, defend and hold the City*.of Edmonds harmless from any and all damages, including reasonable attomey'.s fees, arisin from any action .9 or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the appliciant� his/hedits agents or employees. By signature, I certify that the information and -exhibits herewith submitted are true and correct to the best of my MY knowledge and that I am authorized to 4file a" M n on the behalf of the owner as listed belo 'o SIGNATURE oFAPPLicANT/AGENT DAT E Property. Ow n*er s Authoriiation. By my signature, I cer* that. 1 have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission f uth lic officials and the staff of the City of Edmonds to enter the subject property for the . . 'o � gub purposes of inspection and posoog attendantV this 9�alicatioil- DATE Owner/Applicant: Applicant Representative: Name Stw4t Address Mb(kl Ilrb — city State Zip Name Street. Add ss City State Zip Telephone:—Yi( 0&cr Telephone: Email address (optional): 9/W/&S9r/f;t�,CYVmail Address (optional): e—'- �F6 CITY OF EDMONDS PUBLIC WORKS DEPARTIOT FOR INSPENCTION CALL Permit N? 6075- SIDE SEWER PERMIT 775-2525 Ext. . 220 Issue Date PERMIT MUST BE POSTED ON JOB SI 1W3W3 l.: Address of Construction -77-1 76/4 4k.) 2.� Property Legal Description (include all, easements) 3. Single Family Residence Multi -Family No. of Units Commercial V ' �er 4. Owner and/or Builc 5. Contractor & License NO. X. 444 Pj A/0 "!�7- 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial +Dg (342-5344) before excavation). 7. Cross other private property: Yes No X_ Easement required - attach legal description and county easement number. READ THE FOLLOWING AND SIGN: a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public' right-of-way. b. The side sewer contractor assumes full reponsibility for each installation for one year. C. Commercial establishment requires a minimum of a six inch (6") side sewer line. d. Side sewers may not be installed closer than th(ALk 48cmMjg9o11) to any structure. e. Side sewer lines must be laid at a minimum gra4EFQRE2tYQU.DM and maximum grade of 100% (450). 0 1 f. No turn in side s8wer greater than 45 (1/8;bena�00-j§?2UP is between cleanout. All 90 turns must be constructed of a 45 0 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines ithrough other than granular soil. i. Clea nouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must berestored to original conditions. Contractors shall be responsible for ri ght-of-way failure due to poor compaction of fill. k.. Side sewer must be left.uncovered until inspected and approved by the City. .1. Inspection during normal working hours only. Two (2) working days notice required. DATE: I certify that I have read and shall comply With the above Date: PERMIT FEE: DISAPPROVEP,BY:1 By: -Date: 04 CONNECTION FEE: APPROVED By: Date:- 0 L rX4 1(9 , (&U,&L) 1\ PERMIT MU$T BE POSTED ON JOB SITE 0 c�.2 5,-Aet,�- e,,,to4jy,,1 ', %�ITY OF EDMONDS E-4 U 134 E-4 P4 0 U W 0 E-1 3. 4. Address of Construction Property Legal Description Single Family Residence Commercial V id, I Owner and/or Bu Ider 5. Contractor & License easements) Multi -Family No. of Units 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes No Easement required - attach legal description and county easement number. READ THE FOLLOWING AND SIGN: a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public' right-of-way * b. The side sewer contractor assumes full repg"AL"495 each BY .installation for one year. gf �qRE YOU1, DI e C. Commercial establishment requires a minim, a s 4,1 (6") side sewer line. -800 - 0- d. Side sewers may not be -installed closer than thirty inches (30") to any structure. 0 e. Side sewer lines must be laid at a minimum grade, of 2% (1.15 and maximum grade of 100% (450). 0 f. No turn in side sSwer greater than 45 1/8,bend) is 0 allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and Wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is require d for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 1001 along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure ..due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and Approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. N DATE: EPERMIT FEE: CONNECTION FEE M<, ro -, V K, C) 0 Tz P` T r P M I I certify that I have read and shall comply With the above DISAPPROVED BY: Date: By: Date: APPROVED By: Date: !:�"lj -77F-; I/. '/ T BE POSTED ON JOB SITE The City of EdmondsSTREU FILLtide sewer Drawing EASEMENT NO - ------------- NEW CONSTRUCTION REPAIRS E] LID NO - ------------------ - ASMT. NO - ------------------ OWNER J.' -e-b . ..... ...... . CONTRACTOR ..... I ....... PERMIT NO. joB ADDREss--,F—/.-7-Z.�-7 -- - ----- 74 .. --------------------- LEGAL DESCRIPTION: LOT NO - ------------------------------- ...... BLOCK NO - ---------------- ......................................................................................... ........................ ............................................... NAME OF ADDITION .............................. ................... VIA BALLINGER LIFT STATION 9z A/ P VC 4211 C�c- /7' PWW4)Wl-11175 (REV. 11178) ApprOved: DATE . . ..... ------- NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), including, but not limited to, the 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 employees or officers shall be liable for the information given on this map(s), nor for any one representation provided based upon said map(s). 0. y:Call r;k's �1: :eii; pcct;�' 6-11 wh w4k. -DEPARTMENT. insp6c� CIVIG':CENT R.-77 WA --ii -reo,4 cm6 I E TER -SEWER aX, oi,hoIIdxys.)-. -108'.0 tions'Satuiday', Mind E-W,*,.ER -.!PER -,S] DE-.� S "MIT -Smith- ADDRESS ....... ................... ..................................... ............. ............................ B & -M. Cbhtractor 's�l ...... ............ OjqTRACMR. ............. .................... ......... ............... R* . .. ... ......... C ... ------ 4i Jor . ....... ..... ......... ortnigsidn4s" �:-June ... 19 ................ 19 ... 6L t_o'.REPAIR or CONNECT a sillb'sewpr PU,�� t ewe . rs, In akeordancewith application on 4ilib'.and governing. o rdinances.- `:��ATTENTfOW-18,CA�LLED TO TH16'FOLLOWING' .NOTE Vo' 'At -:.-The. 6wners, of'the property, may obtain a permit to construct sdwer� Inside property line. A licensed Side Sewer: Contractor must. :Ye. employed to construct,side sewer in street area,. D6�'not..cover a y portloK (if newer before it has been inspected. n. "No. 2—Obtain full infor - mation regar . ding Ordinance 11.16:030 and Regulations governing_ side sew�rp.-when- you get permit. 'N,0-TE.:No. 3—Top of -side newer must have at least 30 inche's coverage at.property line and. 12 inches 4nslde property line; mifiimum:lgride of- 2%, N6 bends- in gra& sharper than % will be permitted. No.,I-,-m-Trenbhes 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 inay develop within one year of 6ompletion.. NOTE: N6. 6--It Is unlawiul - 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. ap- purtenances except toinsert the pipe into the wye. APPLICATION for 8133E SEWER PERMT OUTSIDE k INSIDE [] REPAIRS The City of Edmonds CARD No . .......... EASEMENT No . ...................................... -TILM -Z 9CA'Ve V, M ............. PERM OWNER ...... UT .. ..... A-� .................... . ................. ............................ CONTRACTOR ........ ................................... ............ . �T No - HOUSE No . ........ .......................... 2- TV STREET . ............... ------------------------------------------------------------- AVENU� LOT' ..................... ............................. BLOCK No . ............................................... L 4 .................. - ------ 5,sA - --------- ja.j_j?�� --------------------------- ------- ........................... 2:17 6. 0 -xj 0-�- J, t'. CL t k a 7 9 Date Approved: BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ --------------------------------------------- SEWER WORK ORDER ISSUED .......................................... DATE .................. By ..... ... . .. ............. ALL. EXIST. �,LANV50A PIN6 TO - :fRkN- AIN. UN614ANGED 1460 N 8010, 11: CODC-i C-PMOND 5,,NA581N6oTON 0 :0: 0 EXISTIN& VZEES TO'REMAIN o SUILDING7ZONE-i" PML, Altii eU4-60 0 0 0 ..0 siT15 An.A: (.44 AOI�EW fNCL-U01N(5,ROA PrOICATION I A I I TE 00Vr:RA61E: Ao-WAL NO 6,HA-N6F_'- I . It.' 1 .1. - $1 .1 a,.. 111. - , 4 , : I " . EXIST x 0 ALLOMP 45% .411,46 J5U1LDINC7HE16HT:: 16 IC17 011 2 .501-.0.1 AOTUAL -w NO_-'0H;AiN6E'- PARTIAU Y., - -LOA SV-oll ALLOAM BLX 0 BUILbINC7 cov�: '25 .41 PARK 200�. o--AMRATION� r=45T. IN& LOT ')N L - E-KAY 46.. FIRE ZONE: FLAZA OVM 2 --------- EXIST R00177- EXIST ASPHALT -TYMS: SE- 5 0Fr1CF_ -5- 6AR-AC 'CONTINLIEE? TO 2 N5TRUIrWTION lyft5i -A AIN Td*EXIS�T ALL0AA0LE..Af;iVA:' STORKDRAIN 21. 7 44 :PARAT ION. (a) 51' ---------- - i�% (45-20� 6:2.55yo., er a.,-. MULTI R11r. 'LALLO. . . . . . . . .100%.-.- .5.4,125.5F. PTA KABLE 42 �40tl)IAL "WILVIN6 ARC -k W WON 1101 9X1r;T.,5Tw NEN -low Sr. or .&A9A(5F_ LEVM. �(92). CQNC,. PLAZA 14 NE01 PATIENT Q.aOUFANCY FAVIN& O)MR 41 -N EL (5) ROP-OFF .`12 Z, EXIST..PLANTER, ----------- 5F _XST cup 70TAL. 40 'A -A NET Lr BLE AR =A5A '0 FARK1Nr_"_!2_L0UL TIONS 26, 140 ........... ------- + 1;4QUIREI? FARKINGs:. aq.41. ll .1 6b NFA A ix -(1 -1600)./200 ---------- 16061400 �D - ----------- 05P.- I , Inp . I 100, AREA, DRAIN tO A.4TUALFARKINC7: S.., 5 EXIST STOW EXIST, IN6 -,E3UIL1?I -------- 9 11 ---------- .5y5TEM 21121 16TWAVENUrE' AEST IMPERVIOU5 5UWACE 4 . . . . . . (AlPt)ITIO10L FARKIN& BEL04 0 H 44P pilpel, IMpERV ..!5u ,10US, RFACE. 70 25�21q Sr- RaM. OF TRAYM 5E 006). (12ROPO 0.05/2 10 HO PlikEOTIONAL .55 2 Uff FIR15-HYDRANT 4 54 x .-SPRINK. CHECK' -VALVE' AREA Lul EXIST. .0 0 0 R oc TIREE570 EX15TINC7, nMAIN 0. ------------ .... . .. ... .. ........ Ill 11� ..... ...... ........... 0 52 -0 N bq -W- It" K .210 .2"' SIN.- 216TH 5TREET SITE PLAN (FOR REFERENCE ONLY) 5r-AIX: Ill =:201-011 YAArchitectural Projects\12\3=12-356\5 CURRENT PHASE DWGS\SHEETS\Al2-356_Sheets.dwg Jan 16,2014 - 12:55pm tmanning tv SITE PLAN GENERAL NOTES 0 Z u� C e"A ;v LL1 la T", 4, w 10", 0 6� �� �� '.4 Ln cq, �g, Lu 0 C-1 0 C, fl,', (.21 0 1. NO EXTERIOR SITE AORK. 2. NO OHAN&E TO EX15TIN&FARKIN6. 5. NO 0HAN6,E TO BUILDIN&EXTERIOR. b to GZ11 C.1 Q_'-, C" 7. z up` > M! r 0 "n- Ar.0 V,., 'NNI C A C)VED B\ c�LANNING Ln gg @ 13 Zoo.@ Comer Flag_ Letbacks Lu�l r _ed Actual Front Sides Rear Other Heig ht mc V Lq Pt T, D "ITE STATE uri '"INGTON APPROVED AS NOTED (221("'I"IC., Applicant sn,,all rap- a�f damage to BY RING ul_"?J,�� GINEE utmties or �-oi improvements in City right-of-vvay pei- City;3tandards that is caused or occum durling the permitted project. REV DESCRIPTION DATE Date: -,dal- Iq PERMIT SUBMITTAL 01/16/14 J,* 1 16 210 14 C12 �Qli C'11�11 CITY OF EDNIONDS EXISTING SITE PLAN C] C1.21 cl_`� C��X'1,111(1"_,_.,_! A2mO STREET ME Al2-356 1116114 PROJECT NUMBER. 0 FREIIHEIT & HO ARCHITECTS, INC., P.S. PARIVE,113SPACES REUD: PANKING SPACES PROPOSED.. BARRIEfil rREE PARKING . _________.,____..._.____ ., � _...__.__.___._ -, I _. . �.. . . . ; I . . . . . . I . 1. . . . . . . I ... . . � . . . .. . � . . . . . . . I . . . : . . . I . . . . . . . . I . . . , . . . . � , . . . . . . . . . . . . . , . ., . . . . I . . . . I . . I I I . . . . . . .. .. I .. . . . . . I I .. . . .. I .. .1 .. . . . I . . . . .. . .. . . . .. . I . . . . I . . . . I . I . . . : . . I I . . . I . . . . ., . . . .,. . I . . . ... . I I . . , .. . . . .. .. . . . ... .., . . . ... . . . . I . . :. I I. . . I � . . 1. . I . . . . . : . . . . � ... . ... . I I . � . . . I . . . . . . . ... . . .. . .. 1. . . .., I . . . I . . I . . . I . I . , . . . . ., I , . . 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I . . . . � , :- . . . . . � I .. . . . . . . . . . I . . . . . . . . . . : I , . . . . I .. . . . , , . . . . . . .1 . . .1 � . I . . . .. . . . . . I . , . . . . . . . . . . . I . I . . . . I . . . I . . . . :.. . . . . , . . . � . . . . . . . . . I . . .. . I .. . . . : . . . . . . . . ... . . . . . . ., . . I . . ., . : . . 1. . . . . . . . .. I . . . , , , , .. .. . . . I . I . . I . . . I I . .. " .. . . . I . . . I . . . ....'. . I . ''. . . I " .. . . . . . . .. I . . . . . .. I .. . . . : . . . . . . . . .. . . � . . � I . . ... . . . . . .. Z . .. - - � * . . I I .. , . . . � .. .. .. , .,.,. I .. . . * *PROVIDE PREMISE ISOLATION AT HOT BOX. SEE CITY OF EDMOND'S REDUCED . 0:0 - -, - , .10 . . . . . I I . . ...,-". . 1. ... . ..... . . I . . * I . . . : : - . I &_ .1 . . .1 . ... .. . . , , . 1. I ". .. . . . .: .. gXISTINg. 15-30J=0126116 - - . . .. .. I . . . . ... .. . '.. I ... . . . I . . . . . 1.d . . . NOTEi ALI.. EXIST .. .. . . . . I ... . . I . - t :- . - . . . . : . .1 I . ... . . . . .. .. . . . .. . .. . . .., . . . . . . I ... . :... . . . I . . .. I . . I I . . . . . . . - .* A - - - . I . . I .. .. ... . I H� . :. Syz - - . ... . . . I . .. . . . . . I . . . , �- . I . .. . ... .. . . . . . . .. . . . . . . . , , , , . I . .. I : . . . . . . I . . . .. . . . . . . I . .. � - L 4056APINO TO. - , ',. . . - PRESSURE BACKFLOW ASSEMBLY (RPBA) STANDARD DETAIL FOR MORE INFORMATION. . :1 . . .. . '.. . I . . . . , . . . . I . . . . . . .. I . Am - - . I . . . . . . . . . . . . .11 . . , I ... . . . I I : ''I' . . . . . . I . I . . . . , . � � 4 . . . ' ' ' ' ' . . . . . I . ... . . L . (31 .. . . . I . . '. . . ..; . . % . . . . ., . . . I . . " ' ` . . . . . . I:, " . . . . . . . I ... I . I � .. . - - - - - - - - - -. I . I . . ... . .. I .1: .. I I . . I . . : . I., ; 00. I .. I . . . I .. . . . ." . . .;.. . . . . * : � . . � . . I . . N. UNCHANSED - - * ' . . . . I ., 1. I . . I . . . . . .., ,� : , . - -- YEARBUILT.' 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I . . . . . - SUILDINOZONE1, - - . . - . . . . . , X . . . 0 - . , I I . -XIST . . .-' - o' . I . .. - I . , I I . .. % . . I . . . : .. W4, V41tfi 6U�6�-&O. 1 . . U) . . . . . . . C -IN6 TREES TO'REMAIN . . ... . . . I . .. . . . .. . . . . . . . . .. .1 . . 0 . . . . . . . . . . . I :. I :,. . . I I I .... .... . . . .. .. . I . . .... . . I .�.� . . . . . . . '... 't 0 .. ., . - . . . 11 . .. I . . - . N � * - .. ... 1 ., . . . . I . . , . .�z . , 0 . .. 0 I . � 0 . I . .0 .. . . r, . tv . . . . . I., . " . . . . . . I . . . . . . : . . � .. : . , I i . 1. . . .. . . -_ � . _ . . .. - .. 0... . 0 . I . I .. .. . .. ... . , .. . . %_ � . . I . . . . I . . . . I '. I . I , I . - -SITE AFMAI. . ... ... ..: .. '45,122. Sr- (44 A(�M-S) ` * , . . I .. .1 '.. F - , -_ . 1: . . . . . . 11.1 . I. . 1. L 01. . . . . t � . . . . . . .. . ... . . I . . . . . . . .1 I . . . . . .. . '. I . . . 1. . � . . .. ., . � ... . .. . . . . . . . . . I.. . . I . . ... 11 . ... .. 1. . tX0L.yOINCv ROA OBVICAT . I , .. . .... . . . .. 1= .. . . . I. I . I 1: ... 1. ., . . . . . . . . . . I I .. " . . . I - I . I : . . . '.., .. . . � . . 1. 16N, , , I I I I . I . I -'MW �- ' - f . I . . . . . . . .t. . I .. 1. . . I I . . . . . in I I . , . . . I : ., . . . . . . I . , I .. . I . ' ' . . . . . . . . . . 11, I I " . I I . .. .. I .. I . . I " I . . . : , ... . . I I . . . I . " - .. . - . I . I I I * "I .1 . . - .. , . ... '.. . . . . . . .1 I I I -XIST . . . . . . . . . I � . . . . . 1: - .: , 11 -A . - - I .1 t . . . .� . I . I . . I . . . . �ITE COVERA(SE: - I - AOTUAL - �- NO - CHANk' " , : ... - I . 1 , 11 I I . $ I . - '. .. . . I . . . � I . . . . . . . I . I . . . . I . . I ..... . ; . . . . . ..., . I , . . I . . '''' , . . _ ...,20% ' . ...., I . . . . . 5z .1 - 0. 2�;'..;___'. , . .. . I" I . F=Kmy I 0 -, .. . I I . .. . . . I . . I I . I . , I ' . I I . . . . ... .: . 11 1. . . .. .. . . . I I - . . '.., I .. . . . . .. . I . . . I . � .. : '' . N . - . * . 1. I I I I I . . . . I . . . ..., . . . . . . I . . . . . ,� , . I .. . .. :.. 1u.1; I I, . I I .. I .. .. . . I . . I '.. 1. , I . I .. . I . 11 '. . ... . w';;�, . . . . . . . . . , . ' ' 45%, ALLOPep * '. '' . . .. ., " 16 I 11q . L , .. .1 , . I ' . - *1 # . . , 9 - I.' ... .1 . . . . I . .. . . . . . . . '11. I I- - I 201 , 1122,11, . . I I I .1 . . . . . . I . . . . . . , . I I . . . . , . . . u NC7 � , -TUAL -w NO. - . . . , I . - - . . I CONTRACTOR PARKING / 46 . . I , . . 0�'AO It - f I .. - . . I. . I . I . . .. .. . . .. . . . . . . , , I , ,� . �ARTIAW . - - .: .. . . . I . .. DI HE16HT.-, . .50' 17t , 21 . - - - I - , I . 15 IL CkINkc - .. . 1. . . I . .. . . .. . . . . I . I . . .1 . . I . I . .. 210 X - .,' * . I .. . . . . I . . . . I . . . . . $ I I . . -:. , I It - . , S . 1. - . I , - ,. - - � - ... I � . . : . . . . .. . . 1. . . I . . ; . I ... 1. I , I .. .. ...---. . . . . 0 I . .1 - I I . I . . I .... ... . I .. . I ." ... - . .. . . . I . I . I . . ... . .... , , . .. . . I . .; ... * , . . -:� .. .. I . . .1 .. .. .. .. .. I . . I L ------- I I .: - TAGING IN GARAGE. , . . . , & : . I . . .., .. : . � . . . I . . .:. - , : . ... . . . . .,: I'. 1. , :, , .1 . , . . . '. . . .. . . . .. . /. . . . 41 - -' . * * . I I . . . I . .. � .." . : . I I , , , . . .. . . I ... . , - E- - - - IIXAMRATION� - - I . . . . . . .. . .1 . ... � . . ... I EXIST. PARK- IN-C-7 . . . I . .. I . . / DO NOT BLOCK DRIVE . . . . . . . . . . . I * .1 . . ... . ,:.., _- - . .. , I - � . . : - IBUIL#Ncj� �600 . . . I . . . . - .. .. . I 0 ' . . . . I //. ' . . . . . . in- .. , -9 . . . . . . 200�. . �- - - .. : I I . . . I I . . . .. . . . I . . . I . . : I . . . . .., I . . 25 . . . . . . . / . . . . . . . 51" . .1 . �, I I . . . . I 'way. c4NO - . . 'tn. . . . , I . . , :�, , . . I . . . . . . . AISLE OR DRIVE LANES. ' . . " . . . . . . . . � .. . I * , . . - ZONE% ' , I 01 -m . I , . . - . I . . . . .. . 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E"Vitl " o TR � 0. txa-UDINS; ROA DEDICATION EXIST 7E 00.VERA(5E AC N6 CHAN6E'- 25% MAL ROCKE x Ry - o 459a ALLOM :46 WIL-DIN& HEI&HT: 1-.7.. 1, la lot. 201,21 --01.' AO-TUA� --w No.. 0HANC7E*- .50' PARTIAW Y. 30'-0" ALLONED WILDIN6 CODE: .4-t 2005.- fEr..,--ALTE ION5. EX15T. FARKIN6 LOT RAT 25 - ------------ -ONE-AAY ------------ rpr:15MIC., ZONE: acNo. 46 r-OE ZO'NE PLAZA OVM EXIST ROOr--- ----------- OCCUFANCe -TYMS: EX15r ASPHALT 5-2 (5A1;�-ACvE; 5 OFFICE -CONTIME5 TO 45 ON5TRUC.,TION -TYM- S' .' /r \.A -AkEAi A DRAIN TO EXIST - ----------- ALLOK&aLr 21. STORM'DRAIN SYSTEM 44 10,500 Sr SEPARATION- (5) 51DES: --------- ---------- '45 'MUVI,�$tOR"(-100/46' .54,12.5-.5F T6T-,�NLALLOK L A01VALBUILVINO AREA: ---------- 0. All -C7ARA(5E LEVEL NF ZA. 1054) sr, OF Ni PLAZA FjRST LEY -L. (5). - 11 4t-Otl -PATIENT .10,060 -5F, 15A50 OF',5* 0.00UFANOY. - PAVINO OVER' 41 - EXIST. PLANTER L (5) TOTAL: EXS CURB$ . . . . . . . . 4o .......... V ---------- Nr =T LEASABLE AREA.,, FARKINCv CAL!�ULATION5 C7 &CIA 2 e) H 0 t J(500/40 + -1600) /200 ----------- 15 eA PLAZA -------------- 0 ------------- �,%OTUA L FARKI Nrzp: 10.0 AREA, DRAIN tO -XIST STORM EXISTINCV-WILPIN6 ---------- ------------ - - 21121 '76TWAVENUE M5T -'FERVIOU5 5URFACE Moo P;XISTINC7 :22,2;cl - F;r- -------- (ALtITIONAL FARKM BEI-0100 - ------------ 441, AM IN. H 2 ROUTE. 6F TRAVEL 2ROpOSED 05/2006). 5.�21q 5F --------- 10 0 ---------- .51 HO -VI IONAL 2 tYP'� EX15TINC7 -Af!;KW- 2 IBM FIR5,WDRANT 4 54 �,SPRINK. AREA. X 01- - ----------- . lu EXIST. 0 0 0 0 Ror, E LANDSCAPINO EASTINC7'TREE570 nMAIN 0. . ------------ 0 egis 52 .0 EXISTIN66A .0 �'o AIN ( TI. N W. I V- 1111 K -.210,12 219��H STREET5A. YAArchitectural ProjectsklW\A13-264\5 CURRENT PHASE DWGS\2 SheetskA13-264—Sheets.dwg Jun 11, 2013 - 3:45prn dkdppaehne SITE PLAN GENERAL NOTES 1. NO EXTERIOR SITE NORK 2. NO C.HAN&E TO EXISTIN& PARKIW-5. PARKING SPACES REUD 4-() E PARKING SPACES PROPOSED BARRIER FREE PARKING SPACES 771Y,'--IGIIIEEIING Dab-: -112, //_3 Vt No tjeW IMP�--Xvicus 1A 'D —I 0TRE"T FIL. ,I[Ji%l 13 2013 mpnoveNtNis S"evo" ofs rms ow'"'M 0EVEMMEK SERVIcL-S dLO2,00-7640b. COUNTER SITE PLAN (FOR REFERENCE ONLY) cowic7m tA M pc-tt-Am twe I I . rms, 1puv,%.% is, ro WE* ttset� olay C;Q SCCALE: = 201-01 Pkattwr-N u,*APviAtjcr FcrL 9W%�otl& W&V. U �R IN, a. 24 0 gem Quo 61.--.",-,��'�N.'-.'-�". N N R GIS REO ACHI CT �KLIN E OF V1 1111111TON REV DESCRIPTION DATE PERMIT SUBMITTAL 06112113 am& 0 PARKIN& 516N EX15TIN6 PROJECT DATA YEAR BUILT: 1150 ZONIN6 CODE: C17Y OF EDMONDS, kNA5HINI67TON BUILDINI57 ZONE: RML NITH GU-6-80 51 TE AREA: 43,122 5F (.ctl ACRE5) EXCLUDIN6 ROIN DEDICATION 51TE COVERAlSE: 25% ACTUAL - NO CHAN67F 45% ALLOY4ED BUILDIN6 HE16HT: 50'-0" ACTUAL - NO CHANIS7E 50'-0" ALLOAED BUILDIN6 CODE: 2003 160--ALTERATION5 SEISMIC ZONE: 5 FIRE ZONE: 2 OCCUPANCY TYPES: 5-2 67AfR.A6F_; 5 OFFICE CONSTRUCTION TYPES: \/-A ALLONABLE AREA: BA510: 10,500 5F SEPARATION (3) SIDES: 2.5% (45-20) = 62.5% 1-7,062 5F MULTI-5TOR'�r 100% 34,125 5F TOTAL ALLOINABLE ACTUAL BUILDIN6 AREA: 57ARA&E LEVEL (5-2) 14,552 5F FIRST LEVEL (5) 5,-1-70 5F SECOND LEVEL (5) 10,060 5F 0,850 OF 5 OCCUPANCY TOTAL: 35,412 5F NET LEASABLE AREA: 11'C115 5F PARKIN(5 CALCULATIONS REGUIRED PARKIN6: 8,51A 16001400 + (18,530-1600) /200 ACTUAL PARKIN67: 10.0 50 PARKIN& SPACES REQUIRED APPROVED BY PLMNING "A& (),2.-1 o7/1 01- 010 SCOPE OF NORK qo qiact '7 EXTERIOR RENOVATION5 To EX15TIN& MEDICAL OFFICE BUILDIN& TO INCLUDE: NEVq METAL 51DINC7 OVER EX15TINC7 NOOD 5IDIN6; NEN INOOD 51DINS OVER F_XI5TINry NOOD SIDINO AT LOINER LEVEL AE5T STAIRS; EXTEND EX15TINI57 PLAZA PA\/IN(5 OVER EX15TINI57 ASPHALT PARKINrv; PAVE 10505F r-Xl5TNC7 PLANTER NITH CONCRETE IN EX15TINI57 PLAZA; ADD A NEI/q THIRD EXTERIOR STAIR FROM EX15TINO COURYARD TO SECOND LEVEL EXTERIOR HALL. THE NEA STAIR 15 NOT A REGUIRED EXIT STAIR. IMPERVIOUS SURFACE (EX15TIN6 1180-2005): 22,221 5F I MPERVI OU5 5URFACE lmh-t-- (PROPOSED 051200(o): 251211 5F 1? 5,0 1 "/ �-j I kn 11F AW pppj'joV,",-'; ;z3 'NOTEU V E N( `1 E E R I N G ACeC,ESSIBLE PARKINO STALL (Br_.., 1106 1$ 1CC-WANS1 All-7.1 SEr_,..,T1ON 502) NO SC.,ALE z x lu z 1 ks) x Lu. NOTE: ALL EX15T LAND5CAPIN6 To REMAIN UNCHAN(5ED Eel 0 15 11 20: 21 22 : N EXIST. PARKIN6 LOT -NAY _*O E DIRECTIONAL'--% ARROIN5 PUSH BACK g' 121-01' _��l _: EXST. , ' CURBS ------------- & ---- 4 ;------------ ------------- 5 2 ------------- EX15TINIS 15 ----------- 12 --------- -1-1 ---------- 10 tu EX15T LAND50AFIN& EXISTINSSIN NORTH PARKING SPACES REQ'D D PARKING SPACES PROPOSE BARRIER FREE PARKING SPACES M)N. :?A- Im I N 810 11' 11" Vq 2-10.12' EX15TIN(9 TREES TO REMAIN 0 0 EXTEND CONO. PLAZA OVER EX15T ASPHALT NEN PLAZA AREA, DRAI EXIST STOR SYSTEM M7 MIN. 44" NIDE ACCESSIBLE ROUTE OF TRAVEL DIRECTIONAL 516NAISEI TYP PARI BELOIN EXIST ROOt' CONTINUES To DRAIN TO EXIST STORM DRAIN SYSTEM 1050 SF Or- NEN CONO. PLAZA PAVINS OVER EXIST. PLANTER ri�v� � -p EX15TINC7 BUILDIN6 21-12-1 -T&TH AVENUE NEST FIRE HYDRANT 4 5PRINK. CHECK VALVE EX15T 0 0 ROCKE EX15TINC7 TREES TO REMAIN 0 . I 11� 0 N 510 11' 11" IN 2'70.12' 215TH STREET Sh S I TE PLAN 694AAV,�, b1-VPT-MV'1) I -oil 20 0 El C I I d. 4ci 48 Y < AREA 0 EXIST ROOKERY A N A P 1F rl-`� REVIS, EDMONDS BUILDING DIVIZ51U11 CITY OF ILANS EXAMINER aATE CIA&? Ow 0 Cq 0 C) LLi1_ wc z z < 'o 0�0 LIJW "JL:: _10 v)z V) T_ T V) Gu bj[)� Ld< LL 00 Q� <W -11- L) (If V) rq "i OEM _c 00 m9mm o 0) 'x r_ 0 cn m rn IN 4-J fn 00 r- 6 rq N 4 f'4 t/1 0. z 0 r) z 0 u vi 0 W z U o LL LL 0 r) j u n uj FEB - 2 2007 nUILDING DEPARTMENT diTy or EDMONDS PROJECT NO. 0510 DATE 11118/05 PERMIT SUBMIT 02/02106 PERMIT CORR. 03122/06 PERMIT CORR. 1/31/07 PERMIT/ CONSTRUCTION SET ca�,WE5�w iZINRE-ET FILE A E3 E rZ7 Ld OZ 0�u < Lj Lli > u)z ow < 3f 00 fl� <W J: 201-Cl 1/211 211-611 211-611 (D ----------------- -------------- ---------- r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - DUMP5TEK Ln EXIST. EXIST. EX5T. rn PLANTER PLANTER AREA - - ------ ni RpB � A55IJMBLY Lo CABINET -.Q. 0 ucm = r.- r4 mr:3 00 m 40'a 0) - - - - - - - - - - - - - - - 10 CIO Ln r_ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - cu 0 rn FIRE 5PRINKLER NOTE5: cn 04 rvi 1. FIRE 5PRINKLER5 TO BE MAINTAINED PER NFPA M r4 41 rl !0- 52 (o cl -12 C) 2 2. NO CHAN617-5 OR ALTERATION5 ARE PROP05EV FOR FIRE 5PRINKLER 5"(5TEM. REMOVAL OF ILLE(5AL 5TORA6E ROOM FROM 6ARA6E RE5TORE5 5Y5TEM TO ORIC71NAL Iclal DE516N. ro e) 3. UPDATED FIRE ALARM 5Y5TEM TO BE BIDDER -------------- DE-516NED 4 PERMITTED UNDER ANOTHER PERMIT. Cl 4. FIRE DEPARTMENT KEY BOX INILL BE PROVIDED. C, D "74 Lu ro -T ----------------- Lu c� OL------------------------------------ > -------------- 55 MEr-.H1 --------------- EV. ab ----------------- lu LOBBY Z ELErT EGUIP. IRE PRN lu lu U 4 Lu 55 - — ----------------- uj Z < U oD- D- LL LL Lu 54----------------- Cl ----------------- 0 ui UNEX6AVATED < IL 0- 55 x Lu Lu C, u r) Lu x A, U B Lu --------------- 52 -2 2007 r ----------------- ol FEB /Z 13UILDING DEPARTMENT CITY OF EDMONDS -(o (06 '75 PROJECT NO. 2 — - - ------ ---- --- �51 I 7- -- ------------- 0510 T ---------------- REMOVE EX15T. DATE 11/18/05 5TORA6E PERMIT SUBMIT 02/02/06 ROOM, x (01 Lu PERMIT CORR. 03/22/06 ----------------- PERMIT CORR. 1/31/07 ADDITIONAL ----------- 6 — 2 ALLOININ6 tn ----------- 50 PK(5. 5PACE5 > TO BE d) 5 'A '7'7 1 IR (05) PROVIDED. (NO OTHER 00 (52 A ---------------- UF, ---- ----------- ----------------- 0 VqORK TH15 LEVEL) 0 0 NEiN X BOLLAR05 EA. PERMIT/ 51DE '78 CONSTRUCTION SET 5TRIFE FOR NO PARf<INC7 REV I -IPL A N APPROVED BY PLANNING OARAOE LEVEL PLAN CITY OF EDMONDS BUILDING DIVISIG-1� -2M441le*- 0 D 1-115-4- z 0 2 4 8 1& Am2m0 W w 6=mn� PLANS EnXA1)/iI`NER narno,clNq) 9ATE )4o�,7 �4-12�7 76F71" Mw-,&I 7VA 1; STPmEEl' ALE Ce'rtifica ..of O.&II-panc Budding Division '17 C". -1`0 This certificate is issuedin, accordah- cc with, the require ments of Sectioli'l I I -of the 09, Internation"al'Building Code certifying that at the time of issuance this structure was in compliance with --the applicable provisions of die co'des and ordinances of the city regulating construction and use of buildings. Description: 71 - Tenant Improvement .Occupant: MAHONEY FAMILY DENTISTRY- Permit No: BLD20120941 Site Address: 21727 76T * H- AVE W #G, EDMONDS Parcel No: 00580700002701 Construction Type: VB/SPR OccupantLoad: 23 Owner; WARRENP BLDG. LLC - Occupancy Group: 13- 1518 1 ST AVE- S, STE 201 SEATTLEWA 98134 04/01/2013 "�Ouilding Official Date Issued Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused or occurs during the permitted pro)ect. VT5 -kLL F-X*T -Aft0W-WIW-o TO RZH,�K LW-44W4610 Fi7 I F JE OF% P P"jq rl� 5XI,5', PAR141110 I -Of 2S ........... C:4-'P'1'Rl! =T104AL r r I-- exi i- T-F-1 N pv 2 LU 7�1 rAST LANDWAFIN& I OWNER/CONTRAG-TOR IS RESPONSIBLE FOR EROSION WNTROL AND DRAINAGE Ex I'm &M. FLIVA &,M r%Z'r AM-LAIT ki MEN IT I 74W. FATMT MMOP-Crr Hn: .4fjl. FI-AIN A.4rk PRI-44 TO MIUST-3ram bye Ta-1 Vgm 7-1 Of Tftk�u Slalvae TYP MUOT PDOF <-(*79#= Tv DRAIN TO CXk3f 15TOW 0"H %�ftd=H —4dW SP OF KEA ONC. "2A, WN1140 0143k msr. mAqMK EX'L-IM, EUI-01 ,452-5-m xvm Ntor FIRE HTUFLAW I CPRJW- aWK. VALVE LVSTW Mm� To impwilt V N b4l H, ill" TIM" Sig- 0 �)ITE FLAN 2�2, . — STREET FILE 4-1 44 4� 4J 55 ..... �4 01 ixi-PT 414 U-d=%&9:11V2ED a6sp MAR 2 6 2013 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS 9800 Harbuur Place. Suite 208 MijklItRn, WA 9,1275 Telephone (4,15) 349 - 504-4 FAY (425) 349 -.504-5) inwmapolInnenrix,nni Electric Signs Electronic Message Displays Custom Neon Systems Sales, Repair 0 Maintenance C,intranti-ir's li,�Pnsn AP:)LLONI-044-01) Date I 3- 14-1 13 Client Wall I en Buildinq 21727 76th Av u West Edwrids, WA, P8028 Account Reprusentative Milt Hag--r Design by PWR Approval clipril Notes Revisions This artmak is the pnVaMj "' AP'2e Nun, Inc. & is Mtecttid unda NA :ral Copgright lmva. Anv repre'U'll t this artwork,,,jill result h� 1,410.3, munt te Apoll!) Ntmn, Inc. completed wmk & mcpan, AGM Inc - Warren Buildong ST:01 Non -Illuminated Monument Sign Permit # BLD20130300 6'-2" 6'-0' KB& j, 4 FT,;h R - E E %� Mik ffilm. OEM 5�v a Dr. Megan Flinn, DOS SWEDISH MEDICAL TEKNOLOGIC (D M :_4 FOR LEASE xz' 0 0 J (0 0 C7 cz, 1 0 . Sz� CP 0 0 0 "Z) ' -.c 2'-0" 2'-0" "No commercial sign shall be illuminated after 11:00 PM unless the commercial enterprise is Front View Scale: 3/4" = V-0" open for business and then may remain on only as long as the enterprise is open." 2'-0" IT 11-101, T1 1 1 2'-0" Side View Scale: 3/4" = V-0" H E Removable end panel for servicing [E] CITY OF EDMONDS BUILDING DEPARTMENT NL. aMIT NUMBER I ,otage of Sign: 18 sq. ft. nate Weight: —200lbs 11 Dims: 6'-2" x 3'-0-') Zone: MU Quantity: 1 SPECIFICATIONS: Internally Illuminated Double Sided Directory SIGN BODY 3'-Y'x 6-2" x V-10" double sided directory. Cap frame is constructed of 1 1/2"xl 1/2" alum. angle. Faces constructed w/ 11/2" divider bar, sides skinned in.080 aluminum. Faces painted SW 7019, sides painted SW 6671. Base and cap painted PMS 401. Sign sits on 2" x 6-2" x 2'0 rec tube base, skinned in .080 aluminum, painted PMS 401C. Cabinet internally lit with 6'-0" flourescent tubes to light tenant panels and address. SW Curry SW Gauntlet Gray #6671 #7019 0 PMS 401 SIGN CAP 5 1/4" x 6'-2" x 2'-0" rolled edge sign cap, contstructed over 11/2" x 11/2" alum. angle frame w/.080 alum. skin. Painted PMS 401. 0 PMS 401 ADDRESS AND LETTERING 2 1/2" x 1/2" water jet cut push thru lettering in white acrylic, will push through 1/4", faces painted PMS 405C. internally Illuminated with 6'-0" flourescent tubes, edges will glow white. isSW Gauntlet Gray #7019 (D TENANT PANELS 6" x 2'-9 3/4" x 1/4" white lexan tenant panels. Faces to have Gerber Duranodic vinyl applied with tenant names/logos reverse cut out to glow white at night. isGerber Duranodlc #230-69 INSTALLATION Sign direct mounted into concrete slabs at base w/ i-bolts and angle saddles. See details page 2. **NOTES** Tenant panels are never to glow all white - when spot is vacant a full flood of vinyl or temporary cover will be at blank panel unless "FOR LEASE" or similar verbla& Is cut in relief. CLIENT to PROVIDE POWER TO LOCATION. SIGN TO BE ON DEDICATED SIGN CIRCUIT AND LABELED BREAKER. V.V.&. TO PROVIDE FINAL HOOK-UP ONLY. NEON (t) VERTICAL VISU AL SOLUTIONS Ardft� %FMPIW"ftn&N Sy� I EMd&WW0 7036 220th Street SW Mountlake Terrace, WA 98043 425-361-1562 www.verticalvs.com CLIENT AGM, Inc. PROJECT Monument Sign JOBINFO Initial Date: 5-30-13 Revision Date: Revision #: Designer: Danielle Goforth Sales Rep: Milt Heger File: APPROVAL Sales Production Client Use Only Approved Approved w/ comments Resubmit Date: Signature: This drawing and all specifications are proprietary property of Vertical VS, Inc. Reproduction or dupllcadon of these drawings without expressed written permission by Vertical VS, Inc Is a violation of federal copyright laws, These drawings may not be shared with anyone other then the client and representatives of Vertical VS, Inc. The fabrication or construction of the products defined by these specifications by anyone other than Vertical VS, Inc or Its authorized representatives is prohibited by law. @ RESUo-, 0 UN 10.2 013 DING DE PARTMENT .i CITY OF EDMONDIS it, ii AGM Inc - Warren Buildong ST:01 Non -illuminated Monument Sign Permit # BLD20130300 E? Fn 6'-2" 6'-0" r g! wv/ /A\ rp r E_� P r ff NN i g u n L - Fi -D-) n w ro /—G Flourescent tubes omitted from front view for clarity. 21-0" 11* 11-101, T1 B Front View Scale: 3/4" = V-0" Top View - Mounting Scale: 3/4" = V-101" Side View Scale: 3/4" V-0" 11!9 Removable end panel for servicing Flourescent Bulbs '_Bj j Aj,0AVf4 UtA (D WIA a- W1 66 fi —04&w 611 prt)+.e66V4e' oy- Square Footage of Sign: 18 sq. ft. .Approximate Weight: -200lbs Overall Dims: 6'-2)1 x V-0-" Zone: MU Quantity: 1 SPECIFICATIONS: Internally Illuminated Double Sided Directory SIGN BODY 3'4Y'x 6-2" x l'-10" double sided directory. Cap frame is constructed of 1 1/2"xi 1/2" alum. angle. Faces constructed w/ 11/2" divider bar, sides skinned in.080 aluminum. Sign sits on 2" x 6-2" x 2'-U' rec tube base, skinned. in .080 aluminum, painted. Cabinet internally lit with 6'-0" flourescent tubes to light tenant panels and address. One side of cabinet it removable to allow for servicing of electrical and flourescent tubing. SIGN FOOTINGS 1'-6" x 2'-0" x 2'-0" concrete pours with 3"x3" aluminum tube poles that run to the top line of cabinet. Main body h;s—ac ng 2" x 2" x 1/4" aluminumum angle saddles at top and bottom for alignment. Poles bolt into saddles for stability. Concrete pours have embedded i-bolts to tap Into sign base. ELECTRICAL Sign to be on dedicated, labeled 12ov circuit and breaker One power pack to be Internally housed in sign cabinet. Client to provide power to location. V.V.S. to provide final power hook-up only. **NOTES** Per conversation + with Michael Clugston push-thru lettering and Illuminated tenant panels as designed are allowable: ECDC 20.60.020.M NEON ot VERTICAL V I S U A L S 0 L U T 1 0 N S AnW—d SW�p I W*YftWM9 Sy— I Em�ww%d G'Wh� 7036 220th Street SW Mountlake Terrace, WA 98043 425-361-1562 www.verticaivs.com CLIENT AGM, Inc. PROJECT Monument Sign JOBINFO Initial Date: 5-30-13 Revision Date: Revision #: Designer: Danielle Goforth Sales Rep: Milt Heger File: APPROVAL Sales Production Client Use Only Fl Approved Ej Approved w/ comments [:] Resubmit Date: Signature: This drawing and all specifications are proprietary property of Vertical VS, Inc. Reproduction or duplication of these drawings without expressed written permission by Vertical VS, Inc Is a violation of federal copyright laws. These drawings may not be shared with anyone other then the client and representatives of Vertical VS, Inc. The fabrication or construction of the products defined by these specifications by anyone other then Vertical VS, Inc or Its authWzed representatives Is prohibited by law, RESUB 6UN 10 2013 1DING DEPARTMENT CITY OF EDMONDS _70�*X_.Lej RECEIVED JUN 13 2013 DEVELOPMENT SERVICES COUNTER City of Edmonds Traffic Impact Analysis Worksheet rn rn 17 01 W, p�qject: j4&AbLT0E C_Hjjt0PjtAC_T1C oFFICC' Owner/Applicant Applicant Contact Person: VARAF.R suiLDOW2 -LLe- /Ross 9ECK46Y DAt4 yMj??ACHf4E 1FR61H&T J 140AVICWTECTS Name Name js71% %S7 A*4e S Jul'M 201 szo 7 L4.he WASH - SCV D NC I Sw, -M Zoo StreettMailing Address Street/Mailing Address . SEA-MLE wA q91 31 hi KKL MAD wA 9 b 0 205 city State Zip city State Zip Telephone: r'? 16 - 9700 Telephone: ql-r) 482--4 - Z100 Traffic Engineer who prepared the Traffic Impact Analysis (if applicable): Firm Name Telephone: , THRESHOLDLEVELS OF ANALYSIS Contact Name E-mail: Project Traffic Levels Sections to Complete 1. Less than 25 peak -hour trips generated I and 7 only (WorksheetIChecklist) 11. More than 25 peak -hour trips generated All sections a��� =—OW ea. Location -Street address: 21:72-7 761H x%j E W . I SutM J . EpmoNPS, A f6oz(o (Affach a vicinity'nutp and site plait.) Specify existing land use: AED1 cAL OP Specify proposed type and size of development: MEO(CAL / f3cA31NESS TetAAmT: 2,Zqo 5-F &&.V45o: 19, f3z(v S.IE of residential units andlor squarefootage of building) Revised on 6124110 E82 - T)-qfflc Impact Analysis Worksheet Page I of 5 W: Date construction will begin and be completed: '6E5T%M"kT"t) 0-*/13 01//S le?1; Define proposed access locations: W, tyr M G Ac-e�F-S-5 FROM NOE k/ AND z i e-TH rr sw 7- cw-A-n o M S 10 Define proposed sight distance at site egress locations: X 'DeQo A 7C 2. TRIP GENERATION Source shall be the Eighth Edition of the Institute of Transportation Engineers (ITE) Trip Generation manual. For independent fee calculations, the current edition of the ITE manual may be used. ADT = Average Daily Tmffic PM Peak -hour trips (AM, noon or school peak may also apply as directed by the City Engineer) a. Existing Site Trip Generation Table: Land Use PM Peak -Hour Daily (ADT) IN Trips OUT b. Proposed Project Trip Generation Table: Land Use Daily (ADT) PM Peak -Hour Trips IN OUT c. Net New Project Trip Generation Table: Land Use Daily (ADT) PM Peak-Hbur Trips IN OUT d. State assumptions and methodology for internal, link -diverted or passby trips: Revised on 6124110 E82 - Traffic Inipact Analysis Worksheet Page 2 of 5 3. TRIP DISTRIEBUTION Prepare and attach a graphic showing project trip distribution percentages and assignments. For developments that generate over 75 peak -hour trips, the City Engineer reserves the right to require trip distribution to be determined through use of the City traffic model. 1 4. SITE ACCESS ROADWAY/DRIVEWAYS AND SAFETY a.. Have sight distance requirements at egress location been met per AASHTO requirements? b. Intersection Level -of Service (LOS) Analysis: Inte)-sectiolls to be evaluated shall be deterillil7ed by the City ofEdi?7017ds Traffic Engineet- Existing Conditions LOS Delays Year of Opening LOS Delays Five Years Beyond Change of LOS Delays Land Use c. Describe channelization warrants: (Attach stripingplan.) d. Vehicle Storage/Queuing Analysis (calculate 50% and 95 % queuing lengths): 50% 95% Existing Conditions Year of Opening Five Years Beyond Change of Land Use e. If appropriate, state traffic control warrants (e.g. stop sign warrants, signal warrants): f. Summarize local accident history 2 (only required for access to principal and minor arterials): Available upon request at City of Ed.nionds Devel opment Services Department Available upon request at City of Edmonds Police Department Revised on 6124110 E82 - Traffic Impact Analysis 111orksheet Page 3 of5 I . b 0 5. TRAFFIC VOLUMES Provide t - lie following and other planned development traffic withinthe city. a. Describe existing ADT and peak- liour -counts (less than two years old), including turning movements, on street adjacent to and directly impacted by the project. b. Describe the estimated ADT and peak -hour counts, including turning movements, the year the project is fully open (with and without project traffic). - c. Describe the estimated ADT and pcak-hour counts, including turning movements, five years after the project has been fully open (with and without project traffic). d. State annual background traffic growth factor and source: 6. LEVEL OF SERVICE (LOS) ANALYSIS a. Summarize Level of Service Analysis below and attach supporting LOS analysis documentation Provide the following documentation for each arterial street or arterial intersection impacted by ten or more peak -hour trips. Other City -planned developments I must also be factored into the LOS calculations. /I LOS LOS Existing Conditions Existing Delays Year of Opening With Project Without Project Five Years Beyond Change. of Land Use With Project I Without Project I b. Note any assumptions/variations to standard analysis default values and justifications: 1 A list of planned developments are available at the City upon request for public records Revised oi 16124110 E82 - Traffic Impact Analysis TVorksheet Page 4 of 5 3 W State recommended measures and fees required to mitigate project specific traffic impacts. Traffic impact fee shall be calculated from the Edmonds Road Impact Fee Rate Study Table 4 (attached) and as identified in ECDC 18.82.120, except as otherwise provided for independent fee calculations in ECDC 18.82.130. D CHANGE IN USE Fee for prior use shall be based on fee established at the time the prior use was pennitted. if the previous use *as permitted prior to the adoption of Ordinance 3516 (effective date: 09/12104), the 2004 ECDC 18.82.120 impact fee shal I be used. ITE Land Use Category Per Unit Fee'Rate NewUse Prior Use cA-z— $ Units in square feet, Fee of dwelling, vfp, etc. X $ 1 —J I New Use Fee: $ Prior Use Fee: $ $ $ -tNo C+WrKY_IF- )1�3 LASZ-7"' rn-?Z1--FWE, N'S qC�E'S 0 NEW DEVELOPMENT v t 5 1.) \.k�v-mz A-v- -Mis -nmt:5. Units in ITE Land Use Category Per Unit square feet, Fee Fee Rate # of dwelling, vfp, etc. New Use Is I X I V"'OTHER TOTAL TRAFTIC IWACT FEE J$ -;717 City,of-Edmonds, Engineering Division Approval Date No impact fees will be due, nor will a credit be given, for an impact fee calculation resulting in a net negative. Revised on 6124110 E82 - Traffic hnpadki alysis Worksheet Page 5 of 5 7 Qitvof Edmo�d*,' RIGHT-OF-WAY CONSTRUCTION RMIT AL, Permit Number. STREET F C?5 -oz? Usue Date: A. Address or Vicinity. of Construction: 21727 76 Av V 1217 9512528 B. Type of Work Specific): Npw Spryie-p' go C. Contractor: _WPq1hJngtnn Nntiaral Can MailingAddress: 11;2 75 St SW Eyarett State License #: 98203 D. Building Permit # (if applicable): Contact: Frank Swan Phone: 447-3284 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. F] Commercial , E) Subdivision City Project Ej Utility (PUD, GTE, WNG, CABLE, WATER) Multi -Family E] Single Family Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut kkYes LJNo G. Size of Cut: — x H. Chargq-$ APPLICANT TO READ AND INDEMNITY: Applicant understands and by his signature to this application, agrees to City ofEdmonds har&i?ss.' 'n* damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be mal a �inst f the City of Edmonds, _ o ts departinents or employees, including or not limited to the defense of any legalproceedings including defense e."andattrneyfeebyreason g;�tntin]g this"permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS fO 14PERIOD OF ONE YEAR F—OLLOWIN THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORAT11 I IVIL'L-BE HELD 'rET PA TCH IS COMPLETED BY CITY FORCE9tA T WHICHTIMEA DEBITORCREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is'required for inspection; Please call the Engineering Division, 77170220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I Ihave read the above statements and understand thepermit requirements and thepink copyof thepermit willbe available on site a��es for)'nspection purposes. "00 Signature: __,X4,W_,64 Date: 3-30=915 �C�ntractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: k-h-AL, TIME AUTHORIZED: VOID AFTER PDAYS SPECIAL CONDITIONS: COMMENTS - DATE: —77' RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND 111: RESTORATION,TEE: PERMIT FEE: TOTAL FEE: :5o, <90 RECEIPT FEE: =M191DIRS. Jk_VrJ"W rzlfm NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994