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21803 87TH PL W
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Turrkey BLAdlers W. EspeAmance ourl
-igoi9 Iffith. Ave. Nk
Seattle� WA. 98155, APPROVED 8Y
tel, (206)216-2-124:
fax (206)648-1168
CITY OF EDMONDS SIDE SEWER PERMIT
11890 1) mr)�
_19q PERMIT
-TV
Address of Construction: 2 F,-�o -3 c-'-, ?L - Vy'
Property Legal Description (Include all easements): C-) p,( C -r
e' (jQ\e'V-_
R It C,' E i,4 6 Z;
WM!t(F 9t i
Owner and/or Contractor: —1 ��; Q-t,,k I 0� " �, ( L_W, I e- 5
StateLicenseNo.
i Permit No
Invasion into City Right-of-WayA§,No
RW Construction Permit No. —
Single Family
Multi -Family (No. of Units—)
El Commercial
El Public
2 '? S,
Cross other Private Property �T� No 0 Yes
EUMON4
,3S
Attach legal description and copy of recorded easement
I certify that I lavd-Fead and sh—all comply with all city requirements
as indicated oh the back of the Permit Card.
,C� 1 11
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE ONLY
0
FOR INSPECTION CALL 771-3202, PU7BL;CLOR;KS D7EF-.
Permit Fee: Issued By
Trunk Charge:-4?'1'-5 Date Issued:
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection: Date —Initial —
Comments
Reason Rejected: Date —Initial —
I Final Inspection Approved: Date initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3 90
I
The City of Edmonds
Side Sewer Drawing
EASEMENTNO . ............................................
NEW CONSTRUCTION k REPAIRS n LID NO . .................. . ASMT. NO . ..................
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR .................................................................................... PERMIT NO.
23 *7 714
JOB ADDRESS ...... ............. ............. ?�4 .......... ... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................... ...............
PWW-0001 -11175 (REV. 11/78)
--------- I .................................................................................................................................................
NAMEOF ADDITION ............................................................. .........................................................
Nos
+0
ladr.
L4 c*\l j =�\sreAeA. Approved:
DATE.5 ...... 0 ....... 9.9 .................. By ........................ 4 ..............................
NOTICE:
'Y
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds/ its Employees and Consultants.
Th.e City of 'Edmonds does not . warrant the
accuracy of anything set for.th on t ' hese
Map(�-). Any person or entity -requesting a
copy should conduct an independent
'ation shown on
inquiry regarding the inform
including, but not limited to,
-t-He -m a p (s) -h
th . e location of any sewer stub shown. Suc
sewer stubs may or may- not exist and may
or may not exist at the location sh ' own
Neither the city of Edmo-nds nor its
emp-1-o*yee's o*r offi-ce.rs sh.al'l be Viab-Fe for the
i n on this map(s), nor for
information g Ve
e representation provided based
any on
upon'said map(s).
k-A I -ILL' NV. 1115
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 6719 —Wl* �! .—
Cy,
2. Property Tax Account Number: A_I-rivg_t�lv 1 3,72:7 914-7- 0/0
3. Approximate Site Size (acres. or square feet): 6'��O 7�r-A M/?p /qflT/�
4. Is this site currently developed? X yes; _ no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
1,9
Flat: less than 5-feet elevation change over entire site. 6'
9,
Rolling: slopeson site generall ' y less than 15% (a vertical rise of 10-feet over & 49ep; e
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise
of I 0-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 33-feety.
Other (please describe):
6. Site contains areas of year-round standing water* 14 C:;' Approx. Depth:
7. Site contains areas of seasonal standing water: JACO Approx. Depth:
What season(s) of the year?,
1* Site is in the floodway floodpWin of a water course.
9. Site contains a creek or an am where water flows across the. grounds surface? Flows are year-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs
urban landscaped (lawn,shrubs etc) mixed
11. Obvious wetland is present on site:
For City Staff Use Only
1. Site is Zoned? R iqn7o
2. kS mapped soil type(s)? MA��)
3. Wetland inventory or C.A. map indicates wetland present on site? 411�_,
4;,,. :-,Critical Areas inventory or C.A. map indicates Critical Area on site?
5.. -�ite within' designated earth subsidence landslide hazard area?
X_b
6. Site des*;ignated on the Environmentally Sensitive Areas Map? 42
-LETERMTNATION
J��A�DY REQUIRED CONDITIONAL WAIVER
ZAIVER
Reviewed by:
er Dat,�.
7
P_-V Q I 104W
090 -199-
CRY of Edlmon&
Critical Areas Checklist
Ile Critical Areas Checklist contained on
this forin 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.
Tle purpose of the Checklist is to enable
City staff to determine whether any
potential Critical Areas are or may be
present on the- subject property. The
information needed to complete the
Checklist should be easily available from
observations of the site or data available at
City Hall (Critical Areas inventories? maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
and submit it to the City. 'ne 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 -
WA a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
VIth cnOugb detail that City staff can find
and identify the subject parcel(s). in
addition, theapplicant shall include
otherpedinent information (e.g. !�ite
Plan, topography map, etc.) or studies in
conjunction with this Checklist to assist
staff in completing their preliminary
assessmentof the site.
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 I Applicant:
gwz,-
Name
Street Address
.L?vP0'nV'r �Z
City, State, ZIP Phone
ignature
Date
Applicant Representative:
Name
lrorto
Street Address
-,R�Y2�2- U10' '9M�
City, State, ZIP Phone
9—ignature D -a t-e
� 1 4V _* PL 0
FIELD REPORT
r 19730-64th Annue West
M
U�l Lynnwood,Y.VA 98036
INC. Tel. 41,74-0106
HWAGEOSCIFNCES Fax. 42 . 5-774-2714
Itc
J&
40
014*
Job No.
Page No.�,Y
99000-6
1 of I
_.Report No.
Date
June 11, 1999
Project Name __FL0c__tion
or Address
Day of the Week
Esperance Court
Edmonds, WA
Friday
Owner
Permit No.
Weather Temp. (F)
Turnkey Builders
I
Clear/70's
Client
Client Rep.
HWA Project Engineer
Turnkey Builders
Jeff Wilson
S. Wright
Contractor
Contractor Rep.
HWA Field Rep.
Turnkey Builders
Jeff Wilson
S. Wright
WE NOTED THE FOLLOWING: (Contractor Activities, HWA Activities, Outstanding Issues, Resolutions)
10:50 a.m.: Arrived on -site at the request of Jeff Wilson (Turnkey Builders). Upon my arrival the contractor
was in the process of over -excavating loose fill from beneath the proposed building area associated with Lot 3
of Esperance Court. At this time, the contractor had only removed a portion of the unsuitable fill; however,
dense glacial deposits were exposed in the area were the fill had been removed.
11:10 a.m.: Off site.
3:230 p.m.: An additional site visit was made this day to confirm that the contractor had completely removed
the unsuitable fill material from beneath the proposed building area associated with Lot 3. At the time of this
site visit, the contractor (Ben Howard Bulldozing) was in the process of completing the over excavation process.
The exposed native soils appeared to be dense to very dense and adequate to support the intended building
loads. According to Ben Howard 2 to 4 inch ballast will be delivered tomorrow to cover the exposed subgrade.
I reiterated our recommendation to remove the wet, disturbed upper portion of the native soils prior to
placement of the ballast. Ben Howard indicated that he understood the need to remove the wet, disturbed
material and that he would remove this material prior to placing the ballast.
Note: Ben Howard asked if it would be necessary to remove additional native.soils-in order to cover the
building pad entirely with ballast. I indicated that this would not be necessary; footings can be founded on the
ballast, relatively undisturbed glacial deposits, or a combination of the two.
3:45 p.m.: Off site.
(OW1
Reviewed:
MA,
PLANNING D
NAME: I
SITE ADDRESS: 2-19'03 - 9'7"- �, (), DATE: -4161-91
ZONING: f- S -8 PLAN CHK#: 99 .- 6 1)
PROJECT DESCRIPTION:
CORNERLOT No .(Yes/No) FLAG LOT. Af. (YesINo)
SETBACKS:
Required Setbacks:
Front: 2-5' Left Side: 75, RiahtSide: 75-' Rear: 15-
Actual Setbacks:
Front: 37' Left Side: - 75' Right Side: -7,571 Rear: 157'
Street map checked for additional setback required? N. - m-) s,4y, (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED Pi (Y/N)
LOT COVERAGE: i i e5-�.
Maximum Allowed:— 35% —Actual:
'W'44e, C_rc- PA,�_
BUILDING HEIGHT:
Maximum Allowed:— Actual Height: 2�, 5'
2 Datum Point: q&1rh4A6,t,, 0� 7-19- A 41fiturn Elevation:
97-
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #: 96 Z 11'5- - tAw-,,,,,
SEPA DETERMINATION: not en Soi, &-mg MI -
LOT AREA: SooV
OTHER:
__VL,3) �p I
Plan Review By:
cWfla%pamh�^phmdadad
mc,,� A / IG7, (51 ,- I, Wkk-4K— '( tew '"
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PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE P<� __�
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS /APT#
SU),
OWNER NAME/NAME OF BUSINESS
'f 0 2A I K e �/l "F) V I L.
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
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MAILING ADDRESS
0
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IESCP Approvecr-ot
7-1 4:7
EXISTING REQUIRED DEDICATION
RW Pe,.It Requlred,A/� 0
Street Use Permii Req �yv" 0
CITY ZIP
TELEPHONE
15��f �s
Z
Inspection Required
.
k"A
PROPOSED
Sidewalk Required�a;4. 1 0
t-
NAME
OZJ --I s N
METER SIZE
t;t , � ! I
LINE SIZE
1"?W 1
I
OF FIXT
NO. URES
PRV R EQUIRED
0
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YES NO 0
9
ADDRESS
—
REMARKS U67 LW I 1.e� 9,,F C.,;� '.0
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CITY ZIP7TELEPHONE
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1_'1 'Poo
NAME
ENG17,EERING MEMO DATED REVIEWED BY
ADDRESS
9 9 i V
0
FIRE MEMO DATED REVIEWED BY
U,
0
CITY ZIP
TELEPHONE
z
LL
0
U
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VARIANCE OR CU
ADB#
SHORELINE #
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
SEPA REVIEW
SIGN AREA
HEIGHT
'T " 0 Zrj TS" A 0 4 4 m A 119
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL E�SEAENTS
I
,
Z-OT 7
A- FE S j �'fz- A-^((
EXP
LOT COVERAGE
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS (FT.)
uj
0�- 4 i
tL_ ad C) r-v
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
_j
1,
313 21
15 -7 c-,'
7
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<
PROPERTY TAX ACCOUNT PARCEL No.
z
LOT AREA
PLANNING REVIEW BY DATE
_j
N EW tA"FIESIDENTIAL PLUMBING MECH
REMARKS
I
F-1 ADDITION o COMPLIANCE OR
0 COMMERCIAL
CHANGE OF USE
E:] REMODEL APARTMENT SIGN
FENCE
REPAIR CYDS ( X FT)
-
_
OTHER
f DEMOLISH f TANK
CHECKEDBY
IT%', CPNSTRUCTION
Cpo&_
OCCUPANT
7�22
GROUP
GARAGE RETAINING WALL RENEWAL
4
SPECIAL INSPECTC:�
REQUIRED Yr_S
NAZ
OCCUPANT
LOAD
z
a
CARPORT ROCKERY - -
[:]
(TYPE OF USE. BUSINESS OR ACTIVITY) FyXPLAIN:
-
REMARKS
P
0.
L)
-0
- mc w s) ti k) KJ
PROGRESS INSPECTIONS PER UBC 108rj2
w
0
NUMBER NUMBER OF CRITICA�C
DWELLING
OF AREAS
STORIESk UNITS NUMBEF
L
3-!,
DESCRIBE�'WORK'tO BL: DONE:
Art- ,4,.�, ,;P17
r\� 's"T 7, c" �_'T j f\J'F�! LAJ
L_�,_ I P"i f A 0 N!I I k-F Z- 'CA F-- &-nAfe
FINAL INSPECTION
REQUIRED
VALUATION
FEE
4 4 4-�
PLAN CHECK FEE
7 7. 2
HEAT SOURCE _ib LA21 N(f'-/ LOT SLOP5 %
_3 e1:10 BUILDING Lily
VESTED DATE
PLAN CHECK N0v—),. (e PLUMBING
(�)
/ __ L
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL
:5 DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS STORM DRAINAGE FEES
uj "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE
_j
m IN INTEREST, AGREES TO NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
%
cc EDMONDS, WASHINGTON, OFFICIALS, EMPLOYEES, AND AGENTS FROWANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE'
01 DEEMED PLAN CHECK DEPOSIT
TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
_X'i.,r.3F
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION..
TOTAL AMOUNT DUE /104
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT,* AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THEOWNER. AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
I I CALL
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSATION iNSURANCE AND RCW 18.27. receipt is acknowledged in space provided.
I
S6'NATUR'j (OWNER OR AGENT) (425) DATE
DATE SIGNE'D OFF161ALS SI 'I IrPRE
4: r
771-0220
RELEASED BY D
ATT TION
ITISU LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR