21807 87TH PL W.PDF111111111111
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21807 87TH PL W
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CITY OF EDMONDS SIDE SEWER PERMIT
8 9 0.0" PERMIT
Address of Construction: 7- t'� o
Property Legal Description (Include all easements): IoT- 4 j? "4 Al o
Owner and/or Contractor: "F U 2- Al I C I'- , -1 S�l L L
(��. t,; � 0,;,
State License No. "Ibe f-,( KZ61-irA4 WA, I(Lk)Building Permit No.
RSingle Family
0 Multi -Family (No. of Units-)
El Commercial
El Public
Invasion into City Right-of-Way.*No El Yes
RW Construction Permit No.
Cross other Private Property0m No El Yes
Attach legal description and copy of recorded easement
"h�t/ h
I certify t '�r��and shall comply with all city requirements
as indicatild on the back Fn�e Permit Card.
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE ONLY
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: Issued By
V
Trunk Charge- �L- -) , Date Issued:
Assessment Fee:
Lid No.:
Partial Inspection:
Comments
Receipt NI I �Q " "
Date -initial
Reason Rejected: Date -initial
Final Inspection Approved: Date I n itial EL4i�'A
** 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
EASEMENT NO. .. ...— . ....... — ..... . ......
NEW CONSTRUCTION Ig REPAIRS F LID NO . .................. ASMT. NO . ..................
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR .................................................................................... PERMIT NO.
...............
JOB ADDRESS .... j6�82P.7 ..... V�k% .... PL-LL-�, ............................. LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
NAMEOF ADDITION ......................................................... -------------------------------------------------------------
/V
Approved:
PWW.0001.11175(REV.11/78) DATE .................... By 21-3 A
I ..................
'T
NOTICE:
'u .1 . d k�' :
No...wa r.r a n. t. y ... OT a.c.c. Y._..
The information I shown on the attached
Map(s) was compiled for use by the City Of
Edmonds/ its Employees and Consultants.
Th.e City of �Edm.onds 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
inquiry regarding the inform-ation shown on
including., but not limited to,
-t-Fe -m a p (s) -h
th . e lociation of any sewer stub shown. Suc
exist and may
sewer stubs may or may
or may not exist at the location shown.
Neither the City of Edmonds nor its
ernp'fo-yee-s o-r office-rs -sh-a-1.1 be 11a.b-'Ue for the
information given on this map(s), nor for
any one representation provided based
upon'said map(s).
%—A. I'IL-V- INU. —
Critical Areas Checklist 96 - 0 5-
Site Information (soils/topography/hydrology/vegetation).
.I. Site Address/Location: 5) If —:4�0
2. Property Tax Account Number:
Z 7 94-f-Z 0
Is 3. Approximate Site Size (acres or square feet): e'��C
4. Is this site currently developed? X yes; no.
If yes; how is site developed? 1"'.4, k�--51,mlvas- 6,/ T'6
S. Describe the general site topography- Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generall ' y less than 15% (a vertical rise of 10-feet over a '��4,�&
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-feet).
Other (please describe):
6. Site contains areas of year-round standing water: P C) ;Approx. Depth:
7. Site contains areas of seasonal standing water: Ql> Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area 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 mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
- -- - --For City Staff Usc Only
1. Site is Zoned? L/
- ��, - - 9,:7c7'-
2. SCS mapped soil type(s)? hb /Z
3. Wetland inventory or C.A. map indicates wetland present on site?
4;:-. :-,.Critical Areas inventofy or C.A. map indicates Critical Area on site?
5. 'Site within' designated earth subsidence landslide hazard area?
6. - S:it e designated on the Environmentally Sensitive Areas Map?
.DET�RMINATION
UDY REOUIRED CONDITfONAL WAIVER
WA
IVER
Reviewed by:_
!�ar6er Date,
Rev 0 1104194
-9 9
City of Edmon&
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whether any
potential Critical Areas are or may be
present on the subject property. 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. Tle City will
review the checklist, make a precursory site
visit, and make adetermination of the
subsequent steps necessary to complete a
development permit application.
Witha signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
otherperfinent information (e.g. site
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 / Applicant:
Name
Street Address
City, State, ZIP Phone
Signature -Daie
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
A
ature Date
0
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bulder.
Turrikey.Builders'linic.
16912 15th Ave. NE —
Seattle, WA. 98155
tel (206)216-2124_
fax (206)648-1168
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s . M6, 'Plan
legal dsscriptior�,
lot4.
TPA4T 101
APPROVED..BY PLANNING
RF.C:EiVED
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JUL 0 7 ISH
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
PLA-7- -r-w51aA--'
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lot coverage:,
10 s - F.
geyl
project
Esperance Court
DATE: - cb-lzi -41`9
PLANNING DATA
NAME: —1-�,nL44 9>,-: I d.'-q
k1i
SITE ADDRESS: 7-19 07 - 9 Z ' P1, tJ- -DATE:
ZONING: P--S -9 PLAN CHK#: 99- 2 15-
PROJECT DESCRIPTION: ivew - 15r— re4,-,4, a:��
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CORNER LOT____.La_(Yes1No) FLAG LOT (Yes/No)
SETBACKS:
Required Setbacks:
Front: 05- Left Side:--7.13 Right Side: -7, 5' Rear, /51,
Actual Setbacks:
Front: 33' Left Side: 5' Right Side: 2-o' Rear:
Street map checked for additional setback required? IV- (Yes/N o)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /V -(YIN)
LOT COVERAGE:
Maximum Allowed: 3S-17o Actual: ::k� ao 2- z
BUILDING HEIGHT:
NVA kiW Maximum Allowed:— —Actual Height:
&vq:- '"Datum Point: 4*9 4 �e� ftw\ k4A Datum Elevation:
1�% 7,1 R- -�o
A.D.U. CREATED?:
SUBDIVISION% 4-
CRITICALAREAS#: 9(0-05' 41,*..) umw
SEPA DETERMINATION:
LOT AREA: 9029
OTHER: e o L,_
Plan Review By:--