22318 95TH PL W.PDFiiiiii iiiiii
9341
22318 95TH PL W
44,
5PI-3-113 - Cf L �j 'Snohomish ..County
Assessor's Office
Gail S. Rauch
County Assessor
Cindy S. Portmann
Chlef Deputy
April 30,1998. SIHEti FILE M/S #510
3000 Rockefeller Avenue
Evereft, WA 98201-4W
Copy (206) 388-3433
Donald J Dunham,. Jr
22318 95th PI W
Edmonds WA 98020 -7 76 - 2 7
RE.: Tax Account No. 5442-001-015-0006
Short Plat #S-97-33 (City of Edmonds)
Recorded Auditor's File #9706115001
Dear Taxpayer:
We have segregated the above mentioned account(s), for tax purposes, to
I
correspond with said Short Plat. You will now receive statements for the
following Tax Account numbers:
Lot 1: 5442-001-015-0105 (Dunham)
Lot 2: 5442-001-015-0204 (Franklin)
If you have any questions, please feel free to call me.
Sincerely,
Jean Brunson, Abstract Clerk
Land Segregation Div.
cc: Gary & Diane Franklin
recycledpaper
OT:
10
CITY OF EDMONDS
USE
ZONE
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
jo,
S7 ITE/APT
It
OWNER NAME/NAME OF BUSINESS
ADDRESS
J-) ovq 4 " �,9
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO.
LID NO.
w
MAILING ADDRESS
Z
0
TESCP
PUBLIC RIGHT OF WAY PER
OFFICIAL STREET MAP.
Approved 0
CITY ZIP TELEPHONE
NUMBER
RW Permit Required 0
77*4 1-4
EXISTING � REQUIRED DEDICATION
Street Use Permit Req'd 0
Inspection 0
PROPOSED
Required
NAME
Sidewalk Required 0
cc
METER.SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
W
ADDRESS
YESO NO 0
REMARKS
CITY ZIP TELEPHONE
NUMBER
w
NAME
lAago
ADDRESS
0
ENGINEERING JAEMO DATED
REVIEWEDBY
L)
A/
CITY ZIP
NUMBER
ell
[TELEPHONE
FIRE MEMO DATED
REVIEWED BY
W
0
0
—
X
L
STATE LICENSE NUMBER EXPIRATION DATE
Aomf y
VARIANCE OR CU
ADB#
SHORELINE 0
Legal Description of Property - include all eaSements
SEPA REVIEW
SIGN AREA
HEIGHT
Z
COMPLETE
EXEMPT
A
ED
ALLO W
PROPOSED
IL
Ir
EXP
Q
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSE
D
FRONT SIDE REAR
FRONT LIR SIDE REAR
0
�
-IY2
577
Z
Z
w
_j
Property
Tax Account
LOT AR
.11,
PLANNING REVIEW BY
DA
'm
Parcel No. -ago
j),7, �
h&Ty
FINEW
RESIDENTIAL
El PLUMBINGIMECH
HEMAHK5
COMPLIANCE OR
ADDITION
COMMERCIAL
CHANGE OF USE
APT. BLDG..
REMODEL
SIGN
GRADING FENCE
CHECKED BY
TYPE OF CONSTRUCTION
P=
CODE
I
OCCUPANT
GR]U
REPAIR CYOS. I x _FT)
ODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
. []
SPECIAL INSPECTOR
REQUIRED
FAHEA
:�2_31R
OCCUPANT
LOAD
. .
0 YES
Q4@AQ6 RETAINING WALL/
RENEWAL
REMARKS
CARPORT ROCKERY
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PER UBC 108
ix-
NUMBER
NUMBER 0
CRITICAL twoldive
LD5
u
0
OF
NO
DWELLING
AREAS
INUMBE
STORIES
UNITS
R!%-.2,9
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
tAU I& PC'
VALUATION
FEE
FEE
7 3
,&.0% fA% -5'0, Fir,
AWN
HEAT SOURCE:
GLAZING
PLUMBING
Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be aone on private property ONLY.
Any construction on the public domain (curbs, sidewplks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns an
ENO. INSPECTION FEE
successors I n interest, agrees to indemnify, defend and hold
'Wn
harmless the City of Edmonds, Washington, its officials,
2
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
PLAN CHECK DEPOSIT
//77/
of this permit. Issuance of this permit shall not be deemed to
0
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinanibe
FOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
Information -given is correct; and that I am the ownetn, or the duly
authorized. agent of the owner. I agree to comply %4ith city and
"or
THIS PERMIT
T his application is not a permit until
state laws regulating construction; and in doing the authoriz.
AUTHORIZES
.
ed thereby, no person w0 be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance aria RCW 18.27.
INSPECTION
acknowledged in space provided.
SIGNATURE- (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
I
CITY OF
OFfICIAL'S DIGNATURE E
Afic ";r716 I qy
EDMONDS
CALL FOR
TTENTACAM
INSPECTION
rhn
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING.OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
File YELLJW — nspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109 J A*2,4 1. 0,0
PINK — Owner GOLD — Assessor
i
NOTICE:*
W ar—a.: c-c-u. Y.
N'o--- '-'ar-ral
Theinfor . matlon*shown on the attached
map(s) was cOm * plied for use by the DtY 01
Edmonds/ its Empl.0yees and Consultants,
Th,e City of 'Edm.onds does. not . warrant the
acy of anything set forth on these
accur
M a p ('s"). A n . V person or entity a
copy should conduct an independent
orm-ation shown-c
inquiry regarding the infi
I I
tHe -rn a p (S) / including, but not J*rn'ted to,
n of any sewer stub shown, Su(
the loc'atio
-not exist and rna�
sewer stubs may or may
t the location shown,
or may not exist a
r-ity of Edmo-nCjs nor its
Neitheir the
e m pl-oyee-s 0-r off rce-rs -sh-a-11-1 be Vi a-b-1--e for th
information given on this map(5), nor for
t' ' Ided based
any one represe.nta ion prov
upon'sald map(s).
M�Toa
A
70
- --t�1- - - --
: "C AL
,- -eL
--------------
N, E
5 P14,4 I- 7F
Z,.
F� W.14rER 1
STREff FILE
rl�`
Q
I
� o'- 60
...........
f T /Vov--r A-
vc- v
PLANNING DATA
NAME:,
SITE ADDRESS: DATE: 1,2 6,/1
ZONING: PLAN CHK#:. 7
PROJECT DESCRIPTION: C 191POfl-'l -
CORNER LOT A'�? (Yes/No) FLAG LOT IvL> (Yes/No)
SETBACKS:
.Required Setbacks:
Front: 2, i- Left Side: 7 Right Side: 7 Ila Rear:
Actual Setbacks:
Front:*?*'5-" Left Side: 33 Right Side:- 37 Rear:
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
Maximum Allowed: Actual: --f
BUILDING HEIGHT: X 1-11 .11,
Maximum Allowed: J�' Actual Height: 13 3
Datum Point: Datum Elevation: -'�-
A.D.U. CREATED?: PO
SUBDIVISION: 5— 977- 3 -3
CRITICAL AREAS #: ' ?�—Z03- 4-a�lae7L
SEPA DETERMINATION: 7!�7'ye A7
LOT AREA: q6 Z'5- t-
OTHER:
Plan Review By:— IJ4 5
cAfi1es*rmitkAp1andnLdoc
n ica Checkfist
Areas
logy vegetation)
it" ituormma -'S ro
4
Siti%ddf on z 24
ert'O"
6
Ta�,�Abbount
2. .7 Prop' 1Y I
y� uniber' .
CC%
3.4,.&;,1k1pp'rox. im,aiia''Site Size. 000 4�
or square feet):
A"'
op yes; no.
.4s ihis site cu,riendy'de�iei ed?
Z4
s
If yes; how is' ite develo A a 5e, t1_11_1 -44�e-�
V40
5
Describe the general site topography.�Check all that apply. B*
Aevaii6n Oiang� over entire site.
Flat: Jess than. 5-feet
Rolling: slopes on site geim.e.rally le�ihan 15% (a vertical rise of 10-feet -over a
6&
horizontal distance of feet).
Hilly: slopes present on si.t,e,of more than 15% and lessthan 30% a vertical rise
of 10-feet over a horizontal distance of 33 to 66-feet).
Steep:. grades of greater than 30% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe)-
6. Site contains areas of year-round st anding water XV Approx. Depth:
7. Site contains areas of seasonal standing water: Ala Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain oia water course.
9. Site contains a oran 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: &2
For City Staff Use Only
1. Site is Zoned?
2.` SCS mapped soil ty UVL0,V
lex 9 % -5 /04 -c
3. Weiland inventory or CA. map indicates wetland present on site? A10
4;-�. :-,Critical Areas inventory or C.A. map indicates Critical Area on site? Ap
5. 'Site within' designated earth subsidence landslide hazard area?
6. S:ite designated on the Environmentally Sensitive Areas Mapl
.DETiR�MATI*0N'_"". -
-----STUDY REQUIRED CONDITIONAL WAIVER
W AIVER, 41
Reviewed by:
Planner Date
RCVOIA)4194
'A-
V
T
rx &4
... q
v5;1533. xip 6ell -1
9,
- C itv*,
.of
k1l8t
The Critical Ai bdlikcontain6d on
a-ndsubrnifitio ty. 711te City will
3.:.: �
this form is to be mledout by any person
-,
� lo U., - I L, 9.0i�
review the checklist, make a precursory site
*-'. ,
preparing a D evelopment'Perfidt, -,1 �-� "I f
.1',
- . , , -
vmt, iand make a dit6iminatioh of the --
Application for the City of Ed :" ' ; .
m6tWIPfior
v,
t6seqiient st* necessary to complete a
to his/her submittal of a development.
development permikapplication.
permit to the City.
With a signed copy of this form, the
The purpose of the Checklist is to enable
should also submit a'vicinity map
City staff to determine whether any
or plot plan for individual. lots of the parcel
Potential Critical Areas are or may be
with enough detail that City sta'ff can find
present on the subject property. The
and identify the subject parcel(s). U
information needed to complete the
addition, the applicant shall include
Checklist should be easily available from
'Other Pertinent inforruation (eg. sitte
observ.Wons of the site or data available at
& tOpOgr
an, aphy map, etc.) or studies in'
City Hall (Critical Areas inventories, maps,
coldunction with this Checklist io assist
or soil surveys).
staff in Completing their preliminary
assessment of the site.
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
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 approp colu n bel
riatc rn ow).
Owner Applicant: Applicant Re
Presentative:
,41 /Oq h Z) Ati -�Yllew4lw
Name Name f
0 2-2- 0
CR R _1! 9ps
Street Address
Street Address
9 5e&"
City, State, Zip c7,,�O-� 7_�r Phone
li&gnatu:r!� 4. ate
-7 -7
_,Azr 5- A),W
Uty, State, ZIP �?,?e Phone
Signature Date
i
/t7 c
_._ --- - � __. ",., __L, �_ - �_, - — " - , _ .1, - �, - 7
J , '7,
city of Edinonds
RIGHT-OF-WAY. CONSTRUCTION
PERMIT' Permit Number.
L-sue Date:
A. Address or Vicinity of
B. Type of Work (be spec
C. Contractor:Q -L--Ax- ere Vie 1, / ®r-'
Mailing Address:z____UT� EOMQ�lz VA-(
State License #:
Fin
ITT
Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
0 City Project
E. n- Commercial EJ Subdivision Kutility (PUD, GTE, WNG, CABLE, N��:R)
n Multi -Family 0 Single Family EJ Other
INSPECTOR: INSPECTOR: �k�j
F. Pavement or Concrete Cut: 0 Yes I�No G. Size of Cut: x H. Charge.$
R
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany
kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTINIA TED REStORA TION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED
BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE A PPLICA NT
Two sets of construction drawings of proposed work required with permit application. J U N; 3,0,1997
A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion" ENGINEERMC,"
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 trench work shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the 4ov� statements.and Odefftand the permit requirements and the pink copy of the permit will be
available on site )al' t"imeor in e
Signature: Date:
Contr ;? � �6A gE
I VR/ � 0
I
IL_ 1&4 BEGINNING WORK
APPROVED BY:
FOR CITY USE ONLY
RIGHT OF WAY FEE:
0
NO WORK SHALL BEGIN PRIOR TO -PERMIT ISSUANCE Eng. Div 1997
FIELD INSPECTION NOTES
Comments-
mairam..
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to'Street Dept.)
1:1 YES
Date:
Date:
El NO
vj�
I
TH (-6, 5
P. 2/2
T7. �V-, 7
2164 ^Tt6V'.-,9194
TO. CONMUMON SUPERINTENDENT
.(p-70 - -5 z f q
l5o6 14AXxv(-v luxpr -y F 7 - -16 Z -3
CUST.IPROJ. NA
ADDRESS: Z Z -316 9S--""' FL LI)
W,O.#-. . 3 0.5 7-3 3 DWG..#: 121,606
FOLE V.
ATTACMvMNTS.
SKF-TCH PEW All
JOINTBOREFORM
DIALDIG: ;Rym E3 No # q7'/OOZqq/
PUD LOCATOR REQD
0 YES 0 NO
140TIFY PERMIT ADMMSTRATOR AT EXT. 8637 E]YES [340
y
NO
FAr, PF-e-AL---r
JOINT BORE
, WES
1:1
- Eb /vk6 kj r�,s
JOINT TRENCH
s-q /,,tj;!. &Prp-,R
IIMJRP140NE
-1613 Oak
TELtNISION
nAQ
SE
Njxt�pj t 21
joB nuoRrit
I
nFE OF PROJECT'
SECONDARY RIS
PRIMAPLY - RR
PLAT - LO
CROWNGS ONLY#
ROAD BORE
Pmw.
13ACMOR REQLURn
'MAMbOSSM RECEIVE
DISMM=.QN Q,K- OCT 2 3 1991
UNE EXMTSIDN-
HANOVAPAcrryENGINEEFift
LlCMIWG - .
�STERPOLF.
NIGHT LIGHT
RELOCATION
SY$TEM WFROVEhTENT
COMIENTS:— ::]�u QF:.-..lF0L6
ORC OR?KWAY , -rACAf C-4 P-A) 9 SORIC R00 ^4h 197- r,"AL(. PoLl-co#J�.
CREW COORMNATOR ONLY
1. TMOF CREW MUCTURE
2. FLAGPERSONS NEEDED
1. TRES TRWAING NEMED
4. BACKHOE REQUMED
S. SpFAULMOLS
6. COWAM%M!
'T AWjD Jf,�X FP-8^ S)CA -ro PDLY-
DATE UCTLAL
. w
A SIR
o 10)
NONE RADIOS
0 NIODW
YES NO
YES NO
N A5
APPROX7MATE
DATE OF C0?JSTklJCl7QN;
FOREMAN ASSIGNED;
ACTUAL. START VATE.-
COLlIq-MON DATE:
BACKHOt HOURS:
CREWHOURS:
YX