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21814 80TH AVE W
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PUBIJC WCM - EMINEERIM
ACTION REPORT
WREET FILE N? 4280
ISUSPENSE DATE:
Date: 7 i� - 1�6T*e: IC) *4-1'!� File #
Attachments:
SUBJECT:
(1-/n
REQUESTOR:
ADDRESS: J!�� f n 1 At -
PHONE:
REQUEST RECEIVED BY:
TELEPHGNE
CONTACT IN OFFICE r--j
OTHER:
0
RECEIVED BY:
PMITF Tn-
�� Av - U).
=Yes
=No
WOO:
MR.=
I M!
ACTION:
I
j
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(�-). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
tKe -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
emp-I-o-yee-s o-r offiCers -shall be liable for the
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.i
(Inspection will he provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCATION OF CONSTRUCTION ...... 2-1.81.-4-..--..80.t.h...A.ve-n.ue ... We.s.t ... .................................... ..... ..................................................
5� 'jE kSF -VPX,�� NP,— THF MUS0.1
PROPERTY LEGAL DESCRIPTION ... 5�gi; ... 39-, ... RAP ... Un --- J.�qn ................ S .. .......... . ............................ ....... ..................
TP.S Ei S. 601, Th H 166.545, N 60', Th 2 60', Th E 166.54 ' TPB
...................... . ........................... ........... ........... ........................................................................ ............... . .................................. . ..................................................
................................................................ O-VwvrNER AND/OR BUILDER .... RQLAND.71101ROR . . .................................. . .......................................................
CC -*1RACTOR'S NAME& ADDRESsF.E. Bechtold Co., P.Q.....Bo.x ... 5.8.6....-Ken.mor-e-. --- W-ashing.ton ..........................................
................................ .......................... . .... .. ....... ....... .. .. .. ....... ..... .......
April 30, ec se th city sani ry se
Permission Is granted . ............................................ . ............ 1914., for repair and/or conn tion of a side wer to e ta wer
system in accordance with City of Edmonds ordinances.
A�7-1�TION IS CALI D TO THE FOLLOWING: A licensed Side Sewer Contractor must be employed to construct
N\ 140. I —The owners of the property may obtain a permJt to construct sewer inside property line.
Do not cover any portion of sewer before it has been inspected.
side sewer In street area.
NOTE NO. 2—All work performed in city right-of-way requires an Invasion of RJght-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 -
Bert the pipe into the wye.
Date ............... . ................... 'BY ----------------
ate.
DISAPPROVED Date --- - ---- AL# ......................... By ................ Da;* .... ..... -----------
APPROVED Date.—.fi, ..... ......................... .......................................................
...... 2 ................ By 46W
Remarks: ............... . .............................. . ........................... .................................................................................... . ...................................................
................................................. . ........................................................................................ . .................................. . .......................................................
BOTH Permit Copies MUST Be Si eq Ely ner-of Firm Performing Construction PRIOR To Request For Inspection
hereby certify that the side sewer installation constructed under this permit
.......................... ------- ...... ....
'T&nfra"c Ing 6rmPerforming C struction)
*6i�'r 1�
wa---stalled in accordance with all governing ordinances of the City of Edmonds.
UDated this .... 2 .................. day of ... ........................................... 19!7
V 4 Check BEFORE you dig for: Water Gas F
Telephone Ej, Power Sewer [:], Other F V V
APPLICATION
STREET FILE for
The City of Edmonds SEDE SEWER PERAUT EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS CD
- E:-- - \--C:) CC) -
OWNER........ ................................................................ CONTRACTOR .................................................................................................. PERMIT No . ......................
T7
ADDRESS.................................................................... ..................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION
........................................................................................................................................
T\t-4P 2-7 - P2�,'
F:I, Y-2- f5p \t-4. Y4 N. E `14 THE% 14
7pa, T" &;�', -V64 -�� 16=Z, .---,4 - NJ. Cc,�'TH
f—:., -n-A E—:7- - -
Approved:
DATE....... / B y .............................
%�,JLLY U1 JV_jU111U11U3
. . . . . . . . . . City Receipt #:
Development Services Department CriticalAreas File#: 7_01-00-7T_
Planning Division Critical Areas Checklist Fee: $155.00
Phone: 425.171.0220 Date Mailed to Applicant:
47C. Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to A property owner, or his/her authorized'representative,
be filled out by any person preparing a Development. must fill out the checklist, sign and date it, and submit it
Permit Application for the City of Edrn . onds prior to to the, City. The City will review the checklist, make a
his/her submittal of the application to the City. precursory site visit, and make a determination of the
The purpose of the Checklist is to enable City staff to' subsequent steps necessary to complete,a development
permit application.
-determine -whether any potential -Critical Areas� are,. or
may be, present on.the subject property.. The information. Please submit a vicinity map, along -with the -signed copy..
needed to complete the' Checklist should be easily of this form to assist City staff in findin and locating the
.available fi�om observations of the'site or data available at specific piece of property described on'this form. In
City Hall '(Crifical areas inventories, maps, .. o . r . soil addition, the applicant shall include other pertinent
site plan, topography Map,, etc.) or
surVeys). information'.(d.g.
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, indemnify, defend and.,hold.the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole*.or part,ypon false, misleading, inaccurate or
incomplete information-Riniished by the'applicant, his/her/its agents or employees. -
By my sign . atuie, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge'and that I am authorized -to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANTIAGENT DATE
Pir6perty Ownerls Authorization
By my signature, I certify that. i haV� authorized the above Applicant/Agent to apply for the subject land use application,
and grant mypermi�sion for the public officials, and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection ag osting attendani t(o plication.
DATE
SIGNATURE OF OWNER �40s kA- 1 2. .
Owner/Applicant:
Name
�2- 1 3 1,% go
Street Address
Vok mov,45
Cit� State Zip
Telephone:...
-C
Email address (6pti6fial):,
Revised on 9114110
Applian't Representative:
Name
Street Address
city State Zip
Telephone:
Email Address (optional):
P207 CriticalAreas Checklist
Page I of2
#F2U CA File No. Z 0 11 00 76
Critical Areas Checklist
SitLi Information (sofls/�opography/hydrology/vegetation)
1. Site Address/Location: 2 1814 6D-T" -66 Vjt-,Yr, 69r"'J05 U62 6 Ise 2�
Property Tax Account Number- V70q9QQQ1-Q+4,0'0
3. Appro)dmate Site Size (acres or square- feet): 0,74 kMEN
00�
4'. Is this site currently developed? V ves; no.
lf'yes; how is site developed? _&o� —qAedk FnWfiy -b6WH66 'dj��E AIJD V -SH60
�5. D 'be the general site topography. Check all that Apply.
Flat - less. than 5-feet elevation change over entire site.
Rollirig:. slopes -on site generAlly less -than. 15%. (a.vertical rise of 10-feet over a horizontal
distance of 66-feet),
My:, slopes -present. on.site of more 'than 15% and less than 30%. (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
'vertical rise of 10-feet over a horizontal
Steep: grades of greater than 30% present on site a
distance of less, than 33..:fe;e
Other (please describe):
.6 Site,contains areas.6f year-round standing water: Approx� Depth:
I.- Site contains areas of seasonal standing water: Approx." Depth.:
What season(s) of the year?
8. Site. is -in the floodway NO floodplain N 0 of a watercourse.
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 ed
uxbah landscaped'aawn, shrubs etc)
M.- Obvious wetland is present on site: tQQ
For City Staff Use Oply
1. Plan Check Numbep if licable?
2. Site is Zoned?
3. SCS mapped soil type(s)? A IdEwo d vir 6 w, I C."d C, JA d ke-
5.
Critical Areas' inventory or C-A. map indi6tes Critical Area on site? A/6-
Site within designated ear . ffi subsidence landslide hazard area? Af 0
SUE DFURMINATION
MVER ` -
Reviewed
Re�indm 9114110
City of Edmonds
Site Classification Worksheet
Page 1 of 2
The project's Site Classification will dictate the specific stormwate.r management
requirements applicable to your site. Completing this worksheet will help determine the amount of
regulated impervious surface and whether your project falls into the classification ofa Small Site
(Category I or Category 2), or a Mnor Site. Please reference the Glossga (T)R. 10- 11), Figures D and
E, (pp. 8-9), and Examples fpp. 12-13), to assist with completion of this worksheet.
1) Is Permeable Pavement' Proposed For Use on this Site? El Yes Ef N
Refe�� to Stormwater Supplement Chapter 5.1 01
If YES, the subject area is to be considered impervious for initial site classification purposes. Include total
permeable pavement area in the calculation of Non -Regulated, Replaced and/or New impervious surface
areas in the table below.
2) Determine the Amount and Type of Existing & Proposed Impervious Surface for the Site
Refer to Stormwater Supplement Chapter 2 and Fig. C
Line 1: Identify the Non -Regulated Impervious Surface Area.
Line 2: Identify the Replaced Impervious Surface Area, dividing the total between Exempt and Regulated; either or both
may be zero. Note: For project classification purposes, Replaced Impervious may only be considered exempt
under certain conditions. Refer to the Glossary and Figure D.
Line 3: Identify the New Impervious Surface Area for your project. All impervious areas created post -July 7, 1977 or
after the date of annexation into the City are regulated & should be included in this total unless they can be
categorized separately as a Replaced -Regulated area.
Line 4: Enter the sum of the total Replaced -Regulated plus the total New impervious areas.
Line 5: Identify the total area currently mitigated by an existing city -approved stormwater management system.
Line 6: Enter the sum of the value in Line 4 less the value in Line 5 to identify the total Regulated area in which
stormwater controls have not yet been applied.
Line 7: Identify the total area proposed to be mitigated through the use of Low Impact Development Techniques.
Line 8: Identify the total area proposed to be mitigated through conventional Stormwater Management Techniques.
** Provide a copy of the following table on the -drainage plan sheet for the proposed project
Line
Type
Area (square feet)
t)
1.
Non -Regulated
(v
Exempt
Regulated
2.
Replaced
3.
4.
New (Post 1977) 4 4 4 4 4
Total Regulated, Impervious Area
Mitigation required if in excess 2000sf
+
" ` 1� �, 11� — I , , �,
5.
6.
Total Area Mitigated by Existing Stormwater Management System(s)
Regulated Area Not Yet Mitigated
G
7.
Area Proposed to be Mitigated by Low'Impact Development Techniques
I
8.
Area Proposed to be Mitigated through Conventional SWM Techniques
1 (e.g. porous asphalt, porous concrete, paver blocks, concrete open celled paving grids, or plastic lattices filled with turf orRFECEIVELD
Revised on 4121111
E72-SWI�t_Erosion_Control--04.21. I I -FINAL
'TREET, FILE
.Pr 5 o613
AU - 2011
DEVELOPMENT SERVICES CTR-
. CITY OF EDMONDS
01F ED Af
City of Edmonds
Site Classification Worksheet WOO
Page 2 of 2. 1"C. I %9Z
3) Determine the Total Area of Land Disturbing Activity 100 sf
Refer to Stor7nwater Supplement Chapter 8
14) Determine the Quantity of Grading, Fill and/or Excavation L& 50 y I
1
5) Will the project convert 3/4 Acre or More of Native Vegetation to Lawn or
E] Yes RT No
Landscaped Area?
6) Identify the Watershed the Existing Site Runoff Discharges to
Refer to Stormwater Supplement Chapter 2.3
Based on Site Location and Watershed Map — Figure-C. Check all that apply.
A. Direct Discharge 9creek or Lake Basin
• Edmonds Way Basin
• Puget Sound Basin
• Puget Sound Piped Basin
DETERMINE PROJECT CLASSIFICATION USING THE INFORMATION ABOVE
AND THE PROJECT CLASSMCATION, CHART (Figure B, pg 4)
w9small Site - Category I El Small Site - Categorly 2 Ainor Site
Stormwater Supplement Stormwater Supplement Stormwater Supplement
Chapter 5 Chapter 5 1 . Chapter 6
Revised on 4121111 E72-SWALErosion_Contro1--04.2L I I -FINAL Page 6 of 13
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREET FFI�L�EJJ-
Name:
Date:
Site Address: 2 A,, W
Plan Check 7-0 d 6`7 1�
Project Description:
Reduced Site Plan Provided: (5/ NO)
Zoning:
Map Page:
Corner Lot: (YES 00 Flag Lot: (YES In
Critical Areas Determination 9:
El Study Required
A�iver
SEPA Determination:
Wixempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required
Srt:
Z�
Spid
I
sr: 7
Actual Seffiack5
Street:
Side:
Side: -7,
Rear:
WDetached Structures:
Rockeries:
Fences/Trellises:
El Bay Windows/Projecting Modulation:
El Stairs/Deck:
Height
baturn Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Other
Parking Required: -z_
Parking Provided:
Lot Area: W�5
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: Z 5 16 fo,� + A ddo dF 4'. 1 T
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES /tv
COM(nefltS
ff
4 06.1 /q 10 /. 7 lv5
10 Z. 06
C 101--(F + 2,Y -7
S-45
Plan Review By:
Ptannifq Data Form 04-t I �06-doc
EXIST ROOF
(WILL NOT BE REMOVED
E�24 HR. NOTICE REQ. DURING ADDITION)
MNN
FOR INSPEC71ON
EXIST SHED
166.5
Fon _E:R 'Q
t C M L
EC 0
:N:
_F. _7 _7
D
+101.29'
OWNER/CON-MACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DRAINAGE
CD
EXIST CONC PAD----
831-8"
I
EXIST V
RESIDENCE
(1963)
5'— 0
C C)
+101 8'
EXIST CONC
SIDEWALK Ez
El
166.5
2 4
Applicant shall repalr/replace all damage to
["utilities oi- fronts.ge improvements in City
rig ht-of-way Per City standards that is caused
or occurs during the permitted project.
OWNERS:
DAVID AND YUMIKO MILLETTE
TAX ACCOUNT PARCEL NUMBER:
27043000104400
STREET ADDRESS:
21814 80TH AVE. W.
EDMONDS, WA 98026
LEGAL DESCRIPTION:
SEC 30 TWP 27 RGE 04 RT-9A-1
BEG NE COR E1/2 SE1/4 SW1/4
NE1/4 TH S 141.50FT TPB TH S 60FT
TH W 166.54FT TH N 60FT TH E
166.54FT TPB
01 1 C: rLMIN
SCALE: 1 "=20
HEIGHT CALCS
A = +101.95'
B = +102.06'
C = +101.48'
D = +101.29'
AVERAGE GRADE = +101.7'
ACTUAL +116.6'
MAXIMUM +126.7'
9�;
EXIST SEWER LINE
B
�—+102 . 06'
&\Sl (00C. (51
AN!>
18" PROJECTION
FOR BAY WINDOW
A
t+1 01.95
PROPOSED
65 SQ FT
ADDITION
EXIST
ASPHALT
DRIVEWAY
(1963)
NORTH
Zonq �_& Comer Fla&_
50the 12021:39
AcLu_al
Front F
SidesPi/s
-341.6
-5 -t 1-7
Rear W
Other
Height
M
C-4
04
LJ
<
CD
00
MANHOLE COVER
(DATUM PT +100')
. I
20
APPR BY ENGINEERING-
Date:— q1z_111
* exv�-;Tlpa" V-MF WkLL ;�"O-r
ael-40%/CO; -rVtnMiM NO
APPROVED BY PLANNING LMPM,11G1AS LAf4LF_$'1
Ell
RECEIVED
,AUG 19 2011
DEVELOPMENT SEFMCES OTR-
C11Y OF EDMONDS
STREET FILE