22625 76TH AVE W.PDF15135
22625 76TH AVE W
0 0
ADDRESS: -2.2/ja,5 --/Vo Ave -
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'
DRAINAGE PLAN DA'
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMP\DS'Ps\Forrm\Street File Checklist.doc
STREET FILE
CITYI- OF,EDMDPJDB
200 DAYTON ST. * EDMONDS.�VVASHINGTON 98020 - (206) 775-2525
DEPARTMENT OF PUBLIC WORKS
July 15, 1981
Mr. James H. Sanders
Earth & H20
560 Valleyview Place S.W.
Issaquah, WA 98027
Dear Mr. Sanders:
HARVE H. HARRISON
MAYOR
SUBJECT: DRAINAGE PLAN FOR GOODNIGHT BUILDING
22625-76th AVE WEST. EDMONDS, WASHINGTON
The information submitted for the subject plan is generallyl
acceptable. Due to its depth, the catch basin at location 7
should.be a,48-inch diameter type two.Also, please specify
orifice size on the drawing. Prior to approval, however, we are
requesting the following:
1. State hydraulics permit, as previously discussed with
applicant.
2. Sheet 1, Section B shows the 1:1 slope undermining
the existing building to the north. How is interim and
final stability to be provided?.
3. Additional calculations regarding:
a. Detention volume provided.
b. Derivation of quarry spall specifications in new
ditch, especially at pipe�outlet.
C. Design calculations on trasition from new ditch to
existing ditch.
4. Copies of recorded easements are needed, as well as
. agreement (s) for stream relocation.
5. Changes/additions to notes:
a. Galvanized steel pipe is not an Edmonds standard.
(Revise Notes 4B an * d 5A).
b. Prebackfill inspections are to be requested by
contractor at 771-3202 with 24 hours notice.
6. The temporary drainage and erosion control plan needs to
be more explicit and should specify methods,and sequences
for handling creek.
31
Letter I to Mr. 9mes Sanders
July 15,, 19.81 —
Page 2
7. Our pipe suppliers do not make 33-inch diame�er
pipe. Please check this for Item 1 on your plan.
If you have questions, please call Bob Franklin, 771-3202.
rd
Sincerely,
6 A
" (CK 0. WILSON
Acting City Engineer
RF/ges
. . //'� - I � -7-1-6,81 -
TFranklin dE
QiYDRAULIC PROACT
APPROVAL
"r—cir AU R.C.W. 75.20.100
UEPARTMENT OF GAME
600 Capitol Way North
Olympia, Washington 98MM
August 10, 1981
(Applicant should refer to this date in all correspondence)
PAGE1 OF - PAGES
0
r OF ?
DEPARTMENT OF FISHERIES
General Admin. Bldg.
Olympia, Washington 98504
13 LAST NAME FIRST CONTACT PHONEtS�
El El I
—Rautenberg, Robert A. 776-1078
1 2 3 4 El
9 STREET OR RURAL ROUTE
Fil WRIA
186tK Place
A B C D 08
_9036-
ZIP
CITY STATE
Edmonds, Washington 98020
F G
G
102 STREAM OR LAKE TRIBUTARY —TO
Trib. Halls Creek - Lake Washington
—Unn.
QUARTER SECTION SECTION TOWNSHIP RANGE (E-W)
29 27N 4E
TYPE OF PROJECT
Channel Alignment
..................................................................
King
.........................
Culvert Instal lation
COUNTY
I
LIMITATIONS:
El THIS PROJECT MAY BEGIN
Immediately
AND BE COMPLETED BY:
September 1 , 1981
-TIME
THIS APPROVAL IS TO BE AVAILABLE ON THE JOB SITE AT ALL TIMES AND ITS PROVISIONS FOLLOWED BY THE PERMITTEE
AND OPERATOR PERFORMING THE WORK.
The person(s) to whom this approval is issued may be held liable for any loss of or damage to fish life or habitat wh ich results from
failure to comply with the provisions or intent of this approval. Failure to comply with the provisions of this approval is a gross misde-
meanor punishable by fine and/or imprisonment.
The Departments of Fisheries and Game reserve the right to make additional restrictions or conditions or revoke the approval if deemed
necessary by the departments for the protection of fish life. These departments cannot be held liable for any property damage which
might occur as a result of this project.
This approval pertains only to the provisions of the Fisheries and Game Codes. Additional authorization from other public agencies
may be necessary for this project.
1. Erosion control methods shall be utilized to prevent siltation downstream. These
may include straw bales, quarry spall check dams, siltation ponds, and immediate
seeding and mulching.
2. Extreme care shall be taken -to assure that no petroleum products, fresh cement,
concrete or other deleterious material is allowed to fall, be wasted into or
otherwise enter surface waters.
3. Every effort shall be made to prevent siltation to the water from overburden
material.
SEPA: DNS, City of Edmonds, May 1981
cc: Bill Hermes, Agent
Enclosure: Technical Provisions - Culvert Installation Above Anadromous Fish Use Areas I
- New Channel Al,ignment
DEPARTMENT OF FISHERIES DEPARTMENT OF GAME
De�,� V)
1 P IECTOR /)DIRECTOR
TE CHN ICAL PROVISIONS
CULVERT INSTALLATION - ABOVE ANADROMOUS FISH USE AREAS
a, The bottom of the culvert khall be at or below the natural
stream bed,at the inlet and outlet.
b. Culvert ahall be of sufficient size to safely pass all
anticipated flows and debris.
ce A1.1 out slopes and fill slopes shall be structurally stable*
d. All cut slopes and fill slopes shall be planted immediately
after final grading with brush and grasses typical of the
vegetation in the general vicinity of the project,
e. A1.1 new or disturbed.bank areas at the inlet and outlet ends
of the culvert othall be suitably protected to prevent erosiono
f. Equipment may operate in the water while shaping of the toe of
the bank and/or the key at the toe of the bank for placement
of bank protection material.
g. BEmk protection material athall be clean and shall be of suf-
ficient size to prevent its being washed away by high water
or by wave action.
a
TECHNNAL PROVIS1UNS
NEW CHANNEL ALIGNMENT
2.
3.
Turing construction, the:iiew channel shall be isolated from the flowing
.stream by nat al plug's left in place at.the upstrea-m..and -downstream ends
ur
of the new channel.
w I ater.is diverte . d . in I to, the :new chan nel, �it.s 'ba nks *Shall be suitably
protected to prevent erosion.
T�
Diversion of flow into the newchannel shall be accomplished by first removing
the downstream plug; followed by removal of the upstream plug. The upstream
end of the old channel shall then be closed. Filling of the old channel shall
then proceed from the upstream c , losure downstream using compacted fill material.
All exposed areas of this fill shall be planted with trees, brush and grasses
of similar type and concentration as exists in the general vicinity of the project.
4. Equipment may operate in the flowing stream during removal of the -downstream and
upstream plugs from the new channel and during closure.and filling of the old
channel; except that the drive mechanisms (wheels, tires, tracks, etc.) shall
not enter or operate within the flowing.strea.m during these operations.
5. Immediately afterxemoval of the plugs. -from -the downstream and.upstream. ends
of the new channell, bank areas exposed by such removal,shall be suitably pro-
tected to prevent erosion.-
6. Immediately after completion of -the closure at the upstream end of the old chan-
nel, the exposed face of the closure �shall be suitably protected to prevent
erosion.
7. Immediately after filling of the old channel is complete, the exposed face at
the downstream end of the old channel shall be suitablyprotected to prevent
erosion.
8. Equipment may operate in 'the water while -shaping 'the toe of the bank and/or the
key at the toe of the bank for placement ofbank protection materials, except
that the drive mechanisms (wheels, -tires, tracks, 'etc.).-shall.not enter or
-operate withinihe-water during these operations. � These,operations-shall-not
take place duriftg.-theperiod when,spawning or incubation is.takingplace in
ese;o tions ,bhall,�,'
th vicini of ihe,project, 1.e. th A= tAke place.
z
�,.ind 'Uf ofe =Ace
9. All bank protection shall,:,be placed'.from-the,bank. -�There-shAl 1�e no dumping
fik :face-
-of bank protection .material -.4 irec tly:.,f rom A ..truck bed onto. the .;,ba.
iO.---Bank protection -material .,,shall,lbe clean -,and...-shall be. of .-suf f iciefit ",siZ6 .to
'b�, high-�.Water �,or -by wave action
.:�p;event,its teing Ya6hed'.,away
-11;,be :placed', -from the
11. If a f ilter blanket -is to be used -f ilter miterial sha
bank,and bank.protection material shall be placed concurrently with the filter
blanket.
12. The entire bank line on both sides of the new channel shall be planted with trees.,
brush and grasses typical of the vegetation along the banks of the stream in the
general vicinity of the project.
1/72
DRAINAGE EASEMENT 2— O)c
FILE
S'IRDENTURE made this day of
SM*9
en Herbert W. and Evelyn Friedman
�twe
hereina4er called the GRANTOR, and Robert A. Rautenberg and Kathryne L,
Rautenberg hereinafter called the GRANTEE, owner of the
-following described property:'
The west half of the southwest quarter of the southwesf quarter of the
southwest quarter of section 29, township 27 north, range 4 east, W.M.,
Except,the south 272.5 feet thereof, and except the north-264 feet
thereof, except the west 30 feet thereof for road.
Situate in the county of snohomish state of washington.
WITNPSETH;
That the said GRANTOR, for and in consideration of
mutual benefits do by these presents grant, baFgain,
-said GRANTEE, its successors and 9tsigns, a
sell, convey and coifirm unto the
right of way casement for storm drainage and storm drainage facilities
over, through, across, and under tfi property hereinafter described,, situated in
'$nohomi5h County, Washington, being more particularly described as follows:
A
The'east 15 feet of the north 50 feet of the following described property:
The north 18.5 feet of the south 272.5 feet of the west half -of the
southwest quarter of the southwest quarter of the southwest quarter of
section 29, township 27 north, range 4 east, W.M., Except the west 30 feet
for -.raa4.
Said GRANTEEs its successors and assigns, shall have the right as such
time as may be necessary# to enter upon said property for the purpose of repair-
ing said --storm drainage facilities
IN WITNESS WHEREOF said GRANTORf-ha " t hereunto set
and yiar f rst above written,
haqd, and §041. the day
X&
T
R
P$T4T� OF WA
_51UNGTON
ss
COUNTY
On this day personally ppeared before
4 ��within and
to me known to be the individual-s- described in an w o exe
foregoing instrument, and acknowTidged that 7�Xda��
signed the same a$ 7V,,91 Y/ - free an3 voluntary act
for the uses and �urp_Ais'_theirein mentioned. /i '-_� 4
GIVEN under my hand a off i cal seal t is/ YPI day of
- V1,14,
RECEIVED 'ic, In f5
Afo-td* -Fig I Ke state
AUG 17 1981 Wa�hington, residi at
Dir. Of Public Works
" , I '> /' ,
0
M FILE
�VOF RE
200 DXYTON ST. - EDMONDS. WASHINGTON 98020 - (206) 775-2525
DEPARTMENT OF PUBLIC WORKS
Mr. James H. Sanders
Earth & H20
560.Valleyview Place S.W.
Issaquah, WA 98027
Dear Mr. Sanders:
SUBJEC 'DRAINAGE PLAN
�fTT6T5_-7_6tE_A_V
July 15, 1981
HARVE H. HARRISON
MAYOR
QQQDNIGHT BUILDING
LI�E�DMOND��S, WMASHINGTON
The information subm-itted for the subject plan'is generally
acceptable. Due to its depth, the catch basin a t location 7
should be a 48-Inch diameter type two.Also, please specify
orifice size on the drawing. Prior to approval, however, we are
requesting the following:
State hydraulics permit, as previously discussed with
applicant.
%D
V)O 2. Sheet 1, Section B shows the 1:1 slope undermining
the existing building to the north. How is interim and
final stability to be provided?.
V4000, 3 - dditional calculations regarding:
a. Detention volume provided.
C)ILb. Derivation of quarry spall specifications in new
ditch, especially at pipe,outlet.
ok C. Design calculation�s-on trasition from new ditch to
existing ditch.
Copies of recorded easements are needed, as well as
ag reement (s),for stream relocation.
5. Chianges/additions to notes:
vla., Galvanized steel pipe is not an Edmonds -standard.
(Revise Notes 4B and 5A).
Prebackfill inspections are to be requested by
contractor at 771-3202 with 24 hours n f_.,
V/6. VITh'e temporary drainage and erosion control plan needs 'to
be'more explicit and should specify metho'ds'and sequences
for.handling creek.
0
Letter to M ames Sanders
.�uly 15, 19w 0
:Page 2
Our�pipe suppliers do not make 33-inch diameter
pipe. Please check this for Item 1 on your plan.
If*you have questions, please call Bob Franklin, 771-3202.
Sincerely,
PATRICK 0. WILSON
Acting City Engineer
RF/ges
LIA)2 P A L- LS /Ts
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COTY OF EDMONDS
CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525
BUILDING DEPARTMENT
STREET FILE
November 4, 1983
HARVE H. HARRISON
MAYOR
R. Rautenberg
12304 31st N.E.
Seattle, WA 98102
RE: WAREHOUSE/OFFICE BUILDING '6*2,2625 76TH AVENUE WEST;
PERMIT #810468
The above building permit has expired and become null and
void.
Since this project was never started we are returning your
performance bond.
If in the future you decide to proceed with this project,
please contact the Building Division.
Cind� R1 b---t6A
1 s
Perm t ordinator
enclosure
CITY OF EDNIONDS
CIVIC CENTER EDMONDS. WASHINGTON 98020 (206) 775-2525
COMMUNITY DEVELOPMENT DEPARTMENT
April 26, 1982
HARVE H. HARRISON
MAYOR
R. Rautenberg
123404 31st N.E.
Seattle, WA 98102
SUBJECT: AAREHOUSE/OFFICE BUILDING @ 22625 76TH AVENUE WEST:
PERMIT #810468
The Bu ilding Official has granted you an 180 day extenstion
on the above building permit'to begin construction per your
request dated April 23, 1982.
Construction must begin before -October 20, 1982 or the above
building permit will -become null and void.
Clind� Noqf�
Permit CoVrdinator
VV-
')0'?)
April 23, 1982
Harold Reeves
Building Department
Edmonds, WA
Due to the current economic conditions I have not
been able to start work on my Warehouse/Office
Building located at 22625 76th Avenue West.
I would like to have the maximum extension possible
for my permit #810468 so as to be able to continue
with this project.
Thank yo
# I -
R.A. Rautenber
RAR:cc
0
CITY OF EDMONDS HARVE H. HARRISON
MAYOR
CIVIC CENTER EDMONDS. WASHINGTON 98= (206) 775-2525
COMMUNITY DEVELOPMENT DEPARTMENT
March 25, 1982
R. Rautenberg
123404 31st N.E.
Seattle, WA
WAREHOUSE/OFFICE BUILDING @ 22625 76TH AVENUE WEST:
PERMIT #810468
' On October 26, 1981 the'Edmonds Building Division issued you
,..a permit -for. construction of a new warehouse and office
building to be located at the above address. We have not
been called for any inspections so we gather that the work
has not begun.
Section 303.(d) of the 1979 edition of the Uniform Building
Code states: "every permit issued by the building official
under the provisions of this code shall expi.re by limitation
and become null -and void if the building or work authorized
by such permit is not commenced within 180 days from the date
of such permi*t,". If work has not begun on the project b'efore
April 24; 1982, your permit will become null and void.
There are also provisions in the above section of the UBC that
will allow extensions on permits. Please contact the Building
Division as soon a's possible regarding your intentions.
cn
0
�,�OAO I ' .... Rppe�__�,
Harold Reeves.
Building Official
CITY OF.EDMONDS
APPLICATION
to the
ARCHITECTURAL DESIGN BOARD
DATEAm� Abikl� -FILE # 7-%['�_
SITE PLAN
FILEBUILDING PLANS (3): ELEVATIONS
IhNDSCAPE PLAN
T"^
ENVIRONMENTAL DATA I ' RECEIPT #
SIGN EXHIBITS F�YEEJ/(r)C) RECPT #
PLAN MODIFICATIONS TO FILE NUMBER:
HEARING DATE M wq Ct. JCJ�j
OWNER /REPRESENTATIVE PHONE 4PO�"
ADDRESS_?-'Z55-r-&1"1E;w-AyE: E. - ggA.-rol&- �p�=rLf_ y Wk.1 ZIP CODE 0)16 1,02-
ARCHITECT /DESIGNER. e,- L,&w L, Mprr-,aj - 14maA- U-Fr- PHONE 3Z2. - 4,04-9
PROPERTY ADDRESS- 2_2_C,2$5 -7<' , T �� A -4 [-- W ZONING. 1� � C -
LEGAL DESCRIPTION— \AJ 1/2_ 0 !�7. W 1/4- 4> r= -r t4 C- W. 1/4- cr-
Z!q -T W #.1 .5 k+ E!
S -7 *2 .5 -r a r- iis_r e>r- M_- ?Y- 4: rto�k__EAr:r-0 P M I -S, t4 6�1 _r L4
PLANS SUBMITTED FOR APPROVAL:
1 .
Building Plans - Preliminary
Final tl_�
Site Plan &---- — Landscape Plan Elevations
2. Sign Elevations Site Plan -Landscape Plan
3. Modification of previous approval
EXISTING USE OF PROPERTY E " X4 ' 12 1 Ltca
DESCRIPTION OF PROPOSAL
r'C4yP;5 W ZA" :FEgT1W g-&Ar -rn I-T!j! I
APPROXIMATE DATE WORK WILL BEGIN ON PROJECT
ESTIMATED TIME FOR COMPLETION OF WORK !2' AAQL4= tL--=
RELEASEMOLD HARMLESS AGREEMENT: The undersigned ap plicant, his heirs and assigns, in
consideration for the City processing the application agrees to release, indemnify, defend and
hold the City of Edmonds harmless from any and all damages and/or claims for damages, .
including reasonable attorneys; fees, arising from any action or inaction of the City whenever
such action or inaction is based in whole or in part upon false, misleading or incomplete
information furnished by the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY: The undersigned applicant grants his,.her or its per-
mission for public officials and the staff of the City of Edmonds to enter�'the subject
property for the purpose of inspection and posting attendant to this application.
(Signature of Applic'ant)
ENVIRONMENTAL CHECKLIST
A. BACKGROUND
1. Name of Propone ' nt Robert A. Rautenberg
2. Address and Phone Number of Proponent 9036 186th Pl. s. w.
.,Edmonds, Wa. 98020 - 775 4197
3. Date Checklist Submitted Sept. *24, 1980
4. Agency Requiring Checklist City of -Edmonds.
5. Name of Proposal, if applicable-
6. Nature and Bri-ef Description of Proposal (including but not limited to
its size, general design elements, and other factors that will give an
accurate understanding of its scope and nature:
-Warehouse bldg. with retail outlet in front of bldg., with
office for business in retail outlet on second story. approx-
17,500 total scr. ft. Bldq. constructed - pettern conc. block w/fl
7. Location of Proposal (describe the physical setting of the proposal, as t OP
well as the extent of the land area affected by any environmental im- roof
pacts, including any other information needed to give an accurate under-
standing of the environmental setting of the proposal):
-Bldg. will blend with adjoining property, approximately the
same design and usage.
8. Estimated Date for Completion of the Proposal Dec. 1981
9. List of all Permits, Licenses, or Government Approvals Required for all
Proposal (federal, state, and local including rezones):
.None at this time
10. Do you have any plans for future additions, expansions, or further
activity related to or connected with this proposal? If yes, explain.
No
11'. Do you know of any plans by others which may affect the property covered
by your proposal? If yes, explain.
No
12. Attach any other application form that has been completed regarding the
proposal; if none has been completed, but is expected.to be filed at
some future date, describe.the nature of such application form-
B.
ENVIRONMENTAL IMPACTS (Explanations of all 11yesto and "maybe" answers are required)..
YES ..MAYBE NO
I. Earth. Will the proposal result in:
a. Unstable earth conditions or in changes
in geologic substructures?
b. Disruptions, displacements, compaction
or overcovering of the soil?
c. Change in topography or ground surface
relief features?
d. The destruction, covering or modifica-
tion of any unique geologic or physical
features?
e. Any increase in wind or water erosion
of soils, either on or off the site?
f. Changes in deposition or erosion of
beach sands, or changes in siltation,
deposition or erosion which may modify
the channel or a river or stream or the
,:.bed of the ocean or any bay,'inlet or
lake?
Explanation:
2. Air. Will the proposal.result in:'
a. Air emissions or deterioration of
ambient air quality?
b. The creation of objectionable odors?
c. Alteration'of air movement, moisture,"
or temperature, or -any change -in climate,..
�either locally or regionally?
Explanation:
3. Water. Will the proposal result in:
a. Changes in currents, or the course
or direction of water movements, in either
marine or fresh waters?
b. Changes in absorption rates, drainage
patterns, or the rate and amount of sur-
face water runoff?
I
IPAS
YES
MAYBE NO
C. Alterations to the course or flow
of flood waters?
d. Change in the amount of surface water
in any water body?
e. Discharge into surface waters, o'r in
any alteration of surface water quality,
including but not limited to temperature,
dissolved oxygen or turbidity?
f. Alteration of the direction or rate
of flow of g round waters?
g. Change in the quantity of ground
waters, either through direct additions
or withdrawals, or through interception
of an aquifer by cuts or excavations?
h. Deterioration in ground water quality,
either through direct injection, or through
the seepage of leachate, phosphates, deter-
gents, waterborne virus or bacteria, or
other substances into the ground waters?
i. Reduction in the amount of water
otherwise available for public water
supplies?
Explanation:
4. Flora.' Will the proposal result in:
a.� Change in the.diversity of.species,-.-.
or numbers of'any species of flora (in-."
cluding trees, shrubs, grass, crops,
microflora and aquatic plants)?
b.' Reduction of the numbers of any
unique, rare or endangered species
of flora?
c. Introduction of new species of
flora into an area', or in a barrier
to the normal replenishment of exist-
ing species?
d. Recution in acreage of any agri-
cultural crop?
Explanation: Will remove grass, blackberry -bushes for building and
parking. Will landscape-i . n buffer zones and
in parking area as
proposed by architectural design bo ard.
-3-
YES MAYBE NO
5. Fauna. WIII the proposal result in:
a. Changes in the diversity of species,
or numbers of any species of fauna (birds,
land animals including reptiles, fish and -
shellfish, benthic organisms, insects*.or
microfauna)?
b. Reduction of the numbers of any
unique, rare or endangered species
of fauna?
IJ
c. Introduction of new species of
fauna into an area, or result in a
barrier to the migration or movement
of fauna?
d. Det'erioration to existing fish or
wildlife habitat?
Explanati,on:
6. Noise. Will the proposal increase
existing noise levels?
Explanation:
7. Light'and Glare. Will the proposal
p -d—
ro uc,e new light or glare?
Explanation:
8.. Land Use. Will the proposal result
in the teration of the present or
planned land use of an area?
Explanation: From retail and office business to retail, food
distribution center and related office space.
9. -Natural Resources. Will the proposal
resuTt- in:
a. Increase in the rate of use of any
natural resource?
b. Depletion of any nonrenewable
natural resource?
Explanation:
-4-
YES MAYBE NO
10. Risk of Upset. Does the proposal involve
a risk of an explosion or release of hazard-
ous substances (including, but not limited
to, oil, pesticides, chemicals or radiation)
in the event of an accident or upset condi-.
tions?
Explanation:
Population. Will the proposal alter the
loca'tion, distribution, density, or growth
rate of the human population of an area?
Explanation:
12. Housing. Will the proposal affect existing
housing, or create a demand for additional
housing?
...,Explanation:
13. Transportation/Circulation. Will the pro-
posal result in:
a. Generation of additional vehicular
movement?
b. Effects on existing.parking facili-
ties, or demand for new parking?
c. Impact upon existing transportation
systems?
d. Alterations to present patterns of
circulation or movement of people and/or
goods?
e. Alterations to viaterborne, rail or
air traffic?
f. Increase in traffic hazards to motor
vehicles, bicyclists or pedestrians?
Explanation: The wholesale warehouse'will have four delivery
trucks leaving once a day on routes, delivery Monday through Frida
On an average of twice a week, two semi -trucks de . livering[ to the
warehouse. There will be additional vehicle movement from delicates!
business and office personel.
-5-
YES MAYBE
14. Public Services. Will the proposal have
an effect upon, or result in a need for
new or altered governmental services in
any of the following areas:
a. Fire protection?
b. Police protection?
c. Schools?
d. Parks or other recreational
facilities?
e. Maintenance of public facilities,
including roads?
f. Other governmental services?
Explanation:
15. Energy. Will the proposal result,in:
a. Use of substantial amounts of fuel
or energy?
b. Demand upon existing sources of
energy, or require the development
of new sources of energy?
Explanation:
NO
16.. Utilities. Will the proposal result,in
a neeTTo-r new systems or alterations to
the following utilities:
a.' Power or natural gas?
b. Communications systems?
c. Water?
d. Sewer or septic tanks?
e. Storm water drainage?
f. Solid waste and disposal?
Explanation:
I M.
YES MAYBE NO
17.
Human Health. Will the proposal result
in the -creation of any health hazard or
potential health hazard (excluding
mental health)?
Explanation:
18.
Aesthetics. Will the proposal result
in the obstruction of any scenic vista
or view open to the public, or will the
proposal result in the creation of an
aesthetically offensive site open to
public view?
Explanation:
19.
Recreation. Will the proposal result
in an impact upon the quality or quan-
tity of existing recreational oppor-
tunities?
Explanation:
20.
Archeoloqical/Historical. Will the
proposal-r-e-sult in an alteration of
a significant archeological or his-
torical site, structure*, object.or
building?
Explanation:
C. SIGNATURE
I, the undersigned, state that to the best of my knowledge the above information is
true and.complete. It is understood that the lead.agency may withdraw any declaration
or non-significance'that it might issue in reliance upon this checklist should there
be any willful misrepresentation or willful lack of full di,;closure on my part.
PROPONENT:
-7-
14
Pall _p 29, 1981'
building permit.- Al,so',:a new easement* shall -be required for the
-relocation of.city utilities bisecting site.
ADB-25-81 CITY OF EDMONDS/DICK BESELIN Dayton End Park at west
end of Da ton Street..(CW)
The Engineering Department has no C01121 nts at this time. They have been
and shall be involved in 'the construction and inspection -of these
modifications to Dayton Street, should they be approved.
ROBERT GORMAN 8024 196th Street S.W. (RM-2.4)'
The parking layout.-is..satisfa'cior�.�..AtVevelopment plan showing
utilties/stom/sanitar"ye'system*s,��an*d,"any �equired easements shall be
.required prior to issuance ofb0lding permit. Underground wiring shall
be required. A as -built drawing for all systems shall be required
prior to occupancy of.units. All requirements of S-19-78 must be met
in conjunction with this development. Access is subjec I t to approval by
the Fire Marshall.
ADB-24-81 HOWARD JOHNSON 524 and.SW'Maple Street.,(RM-1.5)
1ngineering recommends a modification to the parking layout from five
stalls accessing from the alley to four stalls, with two tandem stalls
accessing off of Maple Street. The alley adjacent to the site must be
paved to match existing pavement to the west. A development plan for
alley, retaining walls and drainage -system shall be required prior to
issuance of building permits and as.-builts for all utilities installed
on -site required prior to occupancy. Underground wiring will be required.
ADB-27-81 E 109 Main -Street (BC)
The parking layout -is satisfactory.. Engineering shall requreied that the
gravel parking lot be paved in conjunction with the development.
ADB-28-81 DAN GANFIELD - 21104 70th,Avenue West (CG)
Applicant shall be required to sign a support of futu're.L.L.D.Jorm
for future development of the streets, curb, gutter andsidewalk in the
vicinity in -lieu of posting of a bond. Other requirements are that the
applicant must submit a development plan showing water/sewer/drainage
systems prior to issuance of permit plus as-builts of these systems prior
to occupancy. The rockery must be designed by a licensed professional
civil engineer. The parking layout.is satisfactory. Underground -wiring
is required. Also, a conditional use permit is required if more than
500 cubic yards of fill will be brought into the site.
IN
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CITY OF EDMONDS
EDMONDS, WASHINGTON
APPLICATION TO BOARD OF ADJUSTMENT
FOR CONDITIONAL USE PERMIT
File No 1 -5
14- jk--
Da te epr- 12,71980
Fee $25.00
Rec't No. R�77vq
HEARING DATE: 10 — I 5--00-b
Bullioncis Wa.
APPLICA,4T: Robert A. Rautenberg ADDRESS 9036 186th Pi- O�HONVIE*: ' 775 4191
Indicate type or degree of interest in the property: _Owner
OWNER:— same
ADDRESS
samm PNONE: s ame
LOCATION OF PROPERTY(ADDRESS):
1,6A,
14/01�
LEGAL DESCRIPTION OF PROPERTY:
West Halt of the
Southwest Quarter or
tn��
Southwest -Quarter of
the Southwest
Quarter of Section 29,
T-o—wnship
27 N, Range 4 E., W.M., Except the
Sout 2. t. ereot',
nd
except the North 264
-- -- ---------- —
ft. thereof,
Snoh. County, St. of WasH-l-ngton
To be completed by the Planning Dept: Use Zone-4—c— Legal des-cription-checked'and...
approved by:
Date:
VICINITY SKETCH: PLEASE SHOW BELOW A VICINITY SKETCH AS PER EXAMPLE, INDICATING NORTH.
Example: --00
CONDITIONAL USE REQUESTED
us C[q
C, C-
Allow for a DistAibu ion�.Warehouse and
C,(;
C
related
of f ices.
DETAILS OF PROPOSED USAGE: Whlse meat and cheese warehouse, plus office,
and meat and cheese retail - delicatessen.
RECEWED
-si'gnature of Applicant, Owner -
STATE OF WASHINGTON ss. Representative. SEP 26 1980
COUNTY OF SNOHOMISH
Dir. Of Public Works
On this date, before me. the undersigned, a Notary Publi� in and for the State of
Washington, duly commissioned and sworn, personally appeared
.who being dul� sworn, on his/her oath deposes and says that
(s)he has prepared and -read the foregoing statements and has acknowledged to me that the
recitations contained therein are true, and has signed this instrument as his/her free and
voluntary act and deed for the purposes therein mentioned.
Subscribed and sworn to before me this4-2y�� day of
NOTARY PUBLIC/,'in and for —the State of
Wash i ngton,,/r/es i ding at
NE
1 0
0
The proposed building on 76th is to be built for Certified Frozen Foods Inc.,
to be used for storage and distribution of s peciality meats and cheeses;
office space; and space for a retail delicatessen.' Certified Fr,)zen Foods
uses four small trucks with 121 refrigerated vans to distribute its spec ialty
food prod ' ucts to resturants and delicatessens -in the greater Seattle area.
The company employs thirteen people of which there are two warehousemang
-four driversq three outside sales people and four office personal.
The delicatessen will be aretail store featuring fine quality food products
includingt speciality meatsp sausages# cheese, pastat imported beerst winet
and bakery goods. The delicatessen will employ'three people,
The building will consist of approximatey 18,000 sq. ft. including the retail
shop and 6ffic ' a space an the second floor. Construction to be split face
concrete block,with landscaped.buffer zones around the building and in the parking
area to conform -to the. architectural design boards requirements.
R. A. Rautenberg
President RECENED
Certified Froze.n Foods Inc. 'S E P 2 6 1980
Dir. Of Public Works
ENVIRONMENTAL
CHECKLIST
A. BACKGROUND
1.
Name of Proponent Robert A.-
Rautenberg
2.
Address and Phone Number of Proponent
9036 186th
Pl. S. W.
Edmonds,'Wa. 98020 - 775 4197
3.
Date Checklist Submitted Sept.
24, 1980
4.
Agency Requiring Checklist
City of -Edmonds.
5.
Name of Proposal, if applicable
6. Nature and'Brief Description of Proposal (including but not limited to
its size, general design elements, and other factors that will give an
accurate understanding of its scope and nature:
—Warehouse bldg. with retail outlet in front of *bldg., with
office for business in retail outlet on second story. approx-
17,500 total sq. ft, Bldg. constructed - pettern conc. block w/fl
7. Location of Proposal (describe*the physical setting of the pr oposal, as top
well as the extent of the land area affected by any environmental im- roof
pacts, including any other information needed to give an accurate under-
standing of the environmental setting of the proposal):
—Bldg. will blend with adjoining property, approximately the
same design.and usage.
8. Estimated Date for Completion of the.Proposal Dec. 1981
9. List of all Permits, Licenses, or Government Approvals Required for all
Proposal (federal, state, and local- including rezones):
None at this time
10. Do you have any plans for -future additions, expansions, or further
activity related to or connected with this proposal? If yes, explain.
No
11. Do you know of any plans by others which may affect the property covered
by your proposal? If yes, ekplain.
No
12. Attach any other application form that has been completed regarding the
proposal; if none has been completed, but is 6xoected.to,be filed at
some future date,.describe.the nature of such application form:
B.
0
0
ENVIRONMENTAL IMPACTS (Explanations of all 11yesit and "maybe" answers are required).
YES
MAYBE NO
Earth. Will the proposal result in -
a. Unstable earth conditions or in changes
in geologic.substructures?
b. Disruptions, displacements, compaction
or overcovering of the soil?
c. Change in topography or ground surface
relief features?
d. The destruction, covering or modifica-
Q)
1� CO
tion of any unique geologic or physical
features?
e. 'Any increase in wind or water e . rosion
of soils, either on or off the site?
f. Changes in deposition or erosion of
beach sands, or changes -in siltation,
deposition or erosion which may modify
the channel or a river or stream or the.
bed of the ocean or any bay, inlet or
lake?
Explanation:
2. Air. Will the proposal.result in:'
a. Air emissions or deterioration of
ambient air quality?
b. The creation of objectionable odors?
c. Alteration of air movement, moisture,.-.
or temperature, or any change in climate,
tither locally or regionally?.
Explanation:
3. Water. Will the proposal result in:
a. Changes in currents, or the course
or direction of water movements, in either
marine or fresh waters?
b. Changes in absorption rates, drainage
patterns, or the rate and amount of sur-
face water runoff?
-2-
4
YES
c. Alterations to the course or flow
of flood waters?
d. Change in the amount of surface water
in any water body?
e. Discharge into surface waters, or in
any alteration of surface water quality,
including but not limited to temperature,
dissolved oxygen or turbidity?
f. Alteration of the direction or rate
of flow of ground waters?
g. Change in the quantity of ground
waters, either through direct additions
or withdrawals ' or through interception
of an aquifer by cuts or excavations?
h. Deterioration in ground water quality,
either through direct injection, or through
the seepage of leachate, phosphates, deter-
gents, waterborne virus or bacteria, or
other substances into the ground waters?
i. Reduction in the amount of water
otherwise available for public water -
supplies?
Explanation:
MAYBE NO
J
U
C14
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4j,1
_. J
J
4. Flora. Will the proposal result in:
a. Change in the diversity of.species,
or numbers of any species of flora (in-
cluding trees, shrubs, grass, crops,
microflora and aquatic plants)?
b. Redbction of the numbers of any
unique, rare or endangered species
of flora?
c. Introduction of new species of
flora into an area, or in a barrier
to the normal replenishment,o.f..exist-
ing
species?
d. Recution in acreage of any agri-
cultural crop?
J
Explanation: Will remove gras I s blackberry
bushes for building and
parking. Will landscape in buffer zones
and in parking area as
proposed by architectural design bo ard.
3-
N
YES MAYBE NO
5 Fauna, WIll the proposal result in:
-a-.
C-hanges in the diversity of species,
or numbers of any species of fauna (birds.'
land animals including reptiles, fish and
shellfish, benthic organisms, insects, -or
microfauna)?
b. Reduction of the numbers of an y
do
unique, rare or endangered species
of fauna?
C�,
fu
c. Introduction of new species of
fauna�into an area, or result in a
barrier to the migration or movement
.-s�
of fauna?
d. Deterioration to existing fish or
wildlife habitat?
Explanation:
6. Noise.- Will the proposal increase
exisfing noise levels?
Explanation:
7. Light and Glare. Will the proposal
produce new li�ht or glare?
Explanation:
8. Land Use. Will the proposal result
in the alteration of the present or
planned land use of an area?
Explanation: From retail.and office business to retail, food
distribution center and related office space.
9. Natural Resources. Will the proposal
result in:
a. Increase in the rate of use of any.
natural resource?
b. Depletion of any nonrenewable
natural resource?
Explanation:—
-4-
YES MAYBE NO
10. Risk of Upset. boes the proposal involve
a risk.of an explosion or release of hazard-
ous*substances (including, but not limited Cb
to, oil, pesticides, chemicals or radiation).
in the event of an accident or upset.condi-. J��
tions?
Explanation:
11. Population. Will the proposal alter the
location, distribution, density, or growth
rate of'the human population of an area?
Explanation:
12. Housing. Will the proposal affect existing
housing, or create a demand for additional
housing?
Explanation:
13. Transportation/Circulation. Will the pro-
posal result in:.
a. Generation of additional vehicular
movement?
b. Effects on existing.parking facili-
ties, or demand for new parking?
c. Impact upon existing transportation
systems?
d. Alterations to present patterns of
circulation or movement of people and/or
goods?
e. Alterations to waterborne, rail or
air traffic?
f. Increase in traffic hazards to motor
vehicles, bicyclists or pedestrians?
Explanation: The wholesale warehouse will have
four delivery
trucks leaving once a day.on routes, delivery
Monday through Frida
On an average of twice a week, two semi -trucks
de livering to the
warehouse. There will be additional vehicle movement from delicatess
business and office personel.
-5-
YES MAYBE NO
14. Publ i c Services. Will the proposal have
an effect upon, or result in a need for
new or altered governmental services in
any of the following areas:
a. Fire.protection?
b. Police protection?
_CZ)
c . Schools?
d . Parks or other recreational
facilities?
e. Maintenance of public facilities,
IQ7
including roads?
f. Other governmental services?
Explanation:
15. Energy. Will the proposal result.in:
a. Use of substantial amounts of fuel.
or energy?
b. Demand upon existing sources of
energy, or require the development
of new sources of energy?
Explanation:
16.1 Utilities. Will the proposal result in
a need fo new systems or alterations to
the following utilities:
a. Power or natural gas?
b. Communications systems?
c. Water?
d. Sewer or septic tanks?
e. Storm water drainage?
f. Solid waste and disposal?
Explanation:
I - �Z. ". I.
I M.
YES MAYBE NO
17. Human Health. Will the proposal result
in the'creation health hazard
of any or
potential health hazard (excluding.*
mental health)?
C14
Expl.anation:
18. Aesthetics. Will the proposal result
in the obstruction of any scenic vista
or view open toAhe public, or will the
proposal result in the creation of an
aesthetically.offensive site open to
public view?
Explanation:
19. Recreation'.' Will the proposal result
in an impact upon the quality or quan-
tity of existing recreational oppor-
tunities?,
Explanation:
20. Archeological/Historical. Will the
proposal'result in an alteration of.
a significant archeological or his-
torical site, structure', object.or
building?
Explanation:
40
C. SIGNATURE
I, the undersigned, state that to the best of my knowledge the above information is
true and complete. It is understood that the lead.agency may withdraw any declaration
or non -significance that it might -issue in reliance upon this checklist should there
be any willful misrepresentation or willful lack of full di'vosure on my part.
PROPONENT:
,_�g , .,.,
-7-
14
lot
F77
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FIIWOPY
set
October 7, 1980
MEMO TO: Planning Department
FROM: Engineering Division
SUBJECT:
T7 REETI1
�?OF OC.TOBER. .15, 1980
ff b;ltb
CONTI14UED AGENDA
See�eniineeiring'comments,dated September 9, 1930.for the fol-.:,,
lowing:
V-30-80 MICHAEL DEAN ECHLEBARGER
V-32-80 P. B. NASH
AGENDA
CU-AO-80 J. P. ADAIR - Conditional Use Permit'to consider
the possib7e extension of allowing a temporary struc-
ture (mobile home) at 1226 8th Avenue South (RS-6)
Engineering has no objection to this extension.
CU-54-80 SUSAN ARBURY - Conditional.Use Permit for child
care center at 7802 196th St. S.W. (PIIH)
Engineering has no objection to this Conditional Use
Permit.
CU-55-80 ROBERT A. RAUTENBERG - Conditional -Use —Permit for
distr1bution7w_a_r_e'Fo_use facility a,t 22625 76th Ave.,
West (BC)
Applicant.should be made aware of the following engi-
neering requirements:
1) Connection to City water and sewer.
2) Submit and obtain approval of site drainage plan
per Ordinance #1924.
D. Smit-h Dt J.E. Adams Dt (o.k. for changes)
Memo to: Planning Department
From: Engineering Division
Subject: Board of Adjustment Meeting of October 15, 1980
Page -2-
CU-55-80 (cont'd.)
3) Underground wiring to be provided in accordance
with Ordinance #1387.
4) Right-of-way Construction Permit required for
any work in public right-of-way.
C ;P
Otherwise, engineering has no objections to this -
Conditional Use Permit.
V-33-86 RON JOHNSON Variance from required height limit'
and to--a-Mow access off of a substandard easement
at 713 Driftwood Lane. (RS-12)
In accordance with the previous Board of Adjustment
action, applicant has provided a title report which
summarized the existence of a 16 foot nonexclusive
easement for ingress and egress to the subject pro-
perty. A portion of this easement was deeded to
the City. However, the applicant should be aware
that this easement and other easements for power
and sewer do not provide for a waterline utility
easement.
Therefore, engineering makes the following recommenda-
tions as conditions to this variance:
1) That the applicant obtain a waterline utility
easement and provide a copy of the same -'to the
City prior to building on this property.
2) That the applicant pave a 12 foot strip of the
access easement in accordance with a City approved
plan.
Subject to these conditions, engineering has no objec-
tions to this variance.
JAMES E. ADAMS
P0141j f
ZI L�) 0 ' A-**,� 71,S.6
r�
P.O. Wilson Dt
DRAINAGE EASEMENT
W&Lfma e this day of
�between -Herbert W. and Evelyn Friedman
hereinafter.;alled the GRANTOR, and Robert A. Rautenberg and Kathryne L.
Mutenberg hereinafter called the GRANTEE, owner of the
':'followin(,1 described property,
The west half of the southwest quarter of the southwest'quarter of the
southwest quarter of section 29, township 27 north, range 4 east, W.M.,
Except.t.he south 272.5 feet thereof, and except the north-264 feet
thereof, except the west 30 feet thereof for road..
Situate in the county of snohomish state of washington.
WITNE4SETH
That the said GRANTOR, for and in consideration of''
rhutual benefits do by these presents grant, bargain,
sell7conveTand con irm unto the*saia GRANTEE, its successors and 9tsignso a
right of way easement for storm drainage and storm drainage facilities
over, through, across, and under the property hereinafter descrMd�'situated in
�.:5nohomish County,' Washington, being more particularly described as follows;
The'east 15'feet of the north 50 feet of the following described property:
The n:rth 129.5 feet of the south 272.5 feet of the west half -of the
0
southwest quarter of the southwest quarter of the southwest quarter of
s . ection"29'*township 27 north, range 4 east, W.M., Except the west 30 feet
for raad.
e the right as such
Said GRANTEEs its successors and assigns' shall hav
of repair -
...time as may be necessaryt to enter upon said property for the purpose
Jog sai,d storm drainac[e facilities
-ha t hereunto set /0 Y1_
IN WITNESS WHEREOF said GRANTORf
hand and seal the day and year f rst above written,
T T
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0=L�"
�TAT�� 9F. WA�JUNGTON
ss
COUNTY.OF
q, 4P__
On this day personallypp,ar d before m
to me known to be the individual desc' tne within and—--
ribed in an w
foregoing instrument, and acknowledged that —tary apt
'0111 free and volun
signed the same as Id -
for the uses and p—u—rpdsesthe'rein mentionea. —A
GIVEN under my hand a,9/offical seal t is&I-A-1 day of
—1 19A4 - - //---?
A-0-� gryu�bljc�jnaWfbr- -tne state OT
Wa�hingtonj residing at
b"?
BUILDINGS]
, PUBLIC WORKS DEPARTME#
wwBUILDING PERMIT REVIE
BLDG. DEPT. SUSPENSE, DATE (P /11TV / 61
DUTE: �3 OFFICE 'ADMIN. PUBLIC*WORkS LO�4 IN
IRCITY ENGINEER (check)
0-1r, :, and Vehicle Access
Single Family
Mu
O�W e
c: En
C - i"E"
.JUN 2 9 1981
ITIAL +AP1, jP��Works
Ac C t-- 0 b e
Drainage Plan tjcyj- ApfI20L,6-7-91�
Ostreet File
V-jLegal Description
[]Quit Claim
Easem ent
13Calculate!Sewer Connection
dWATER/SEWER DI�ISION
Determine�:Meter Size
Complete Building Permit Review
6STREET DIVISION
—r-jcomplete Building Permit Review
t
1XjOFFICE ADMIN� LOG OUT TO BL-i�6. 13241T.
-PqN / r-71
man amnaffimecolawsam timms a = 2 /1 a GEM a am g am ma an on
IM IZ= USE! ON :00292 Imm 0 RM OEM Amm a am no= . mn MM zoo= nmmwn� Mu'amugumm '020 ma mom KIM== nonm
ma
BUILDING PERMIT APPLICATION (COMPLETE)
Q'2 COPIES OF SI�E PLAN
1:12 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY REVIE14-ED BY FIRE DEPT.)
0---3'COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SO. FT.
IMPERMEABLE SURFACE
LESS THAN 2,000 SQ. F-1.
Z-HECK ZONING REQUIREME14TS (SETBACKS)
1 COP" OF ENGINEERING CHECK LIST
0, 1 COPY OF PUBLIC 140 RKS MEMO
MULTIPLE OR C011MERCIAL
YES,Ug (ATTACH Copy OF ADB APPROVAL INCL
INC)
U SUBDIVISION — YESLJ NAME
DATED RECORDED
NUMBER
M4251MI
ALL DRN-TINGS
NO 0 (ATTACH COPY OF REQUIRE4ENTS)
CHECK SEWER DRAWING, AND ATTACH COP
IS DEDICATION REQUIRED — YES[] (OBTAIN nuIT CLARI)
CITY 6)DE
NO LA
DOES CITY HAVE EASEMENT ON PROPERTY
YES (ATTACH COPIES OF DRAWINGS)
NO
10 CHE SSj/j UTILITIIES
CK LEGAL ACCESS INGRE�
YES YES
NO
NO /[3
HAS SEWER A5SESSMENT BEEN PAID
PLAT NO.
YE. L.I.D' NO.
SUBDIVISION NO�
INCLUDE NUMBER OF UNITS
IF. MULTIPLE:
F,.COI* I IERCIAL: INCLUDE NUMBER OF FIXTURE.UNITS
�a /-231/
1---T-
6
JUN 2 9 1981
PUBLIC WORKS DUART�M CHEMIST
Dir. Of Public 771
BUILDING PER1laT REVIEW
-/V
(addres4s�e--
0 Street Right -of -Way Existin��-�--
REQD 6)
Z
Access Easements Existing_ I;EQD
Utility Easement Existing
REQD
94 Lot Per Subdivisicin .:Plat Assessor Ya'
p
trill,
Site Plan Checked for.Accura
Z
Undergmund Wiring Reqd.
1-4
Check Accurac o� Lega Description
y
Z Review by 'i J�4 114 Date
Existing Water 14ain Size.
Water 14ain Required
Service Line Required
Hydrant Size Existing _
c:4 Hydrant Reqd Per Fire Code Size
............
. ............................. -'-
Detector Check Yleter Reqd. e- <,
Cross Connection Inspection Y e-
Fire Department ConTnents
Charge Reqd.
Tda t er 14e t er
Review by Date
Septic Tank Design Approved /L///,,-
-Date
Al
Septic Tank Permit Reqd. Permit NO"
Availability
Sanitary Sewer Proj.
Drawing No. z) File No.
Side Sewer Availability
Sanitary Sewer Conne-ction Fee Reqd.
7,
:3: Review by Date
42/2" &V
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Open Ditch Exist' Z -�rjAepq d.
Aize
Culvert Reqd.
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C4 Catch Basin Reqd. Indicate an Site PjlM,,,j
0 Shoulder drainage maintain collection on swale open rmoff
�Iinhole7rweqd. In
dicate on Site Pl,-m
Soil Conditions and Ground Water Field Checked
y
Review b —1P Date
Revised: lv10-1977
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Commimity Deve
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Application
Rig
Street Paving Reqd.
Curb and Gutter Reqd.
Sidewalk Reqd-
W Curb Cut for Drive,�-ay Reqd-
c4 Right-of-way construction Permit Reqd.
Bond Reqd. for Public Improvements- 4 1z
Street Name Sign Reqd. /i/
Other Signing Reqd'.—
Pre Permit Site Inspection made on
0 BY: SSER
WATER
T-H z STREET
P4 ENGINEERING
-ents listed in mem to -ent Departnent,
Special Requiren lopn
Building Division
BY ate
All items filled in on Building Permit
Date
BY
Drawings Stanped and Notations Made
P4 Date
BY
Approved by Public Works Department
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sed: lv 10-1977
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RECEIVED
J U, N .2.9 1981
D'�Ir) Of'Publi Morks DATE:
MEMO TIO - Building Division
Community DeveloimcnL DcpartmenL
FP\OM: Engineering Division
Public Works Depart-menL
SUBJECT: 17/
After review of the subject Buildinp, Permit applicatio
the fo llowing comments: ft, we- h.ave
1. Connection to City water systei,.l re ui
19 red.
2. _C'ohnection to City sanitary__sewer_�_;Ystem required.
3. Ri.pht-of-wav Permit required for ("till work on Cit,
4. Driveway slope not Lo exceed 147,.
5. Ba'cl,%qater valve required if downsu.airs P111MI
elevation of unstream manhole.
6. Water and sewer lines to he separated by 10 foor, r'.1-
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CITY OF ED�WIDS
ZONE ER
BUILDING PERMIT APPLICATION
Q! Pume wen ks
JOB
NAME (OR NAME OF BUSINESS)
ADDRESS `7011 ke'
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LEGAL. DESCWIPTION
SUB IVISION SHORT SUB NO.
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MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
CITY TELEPHONE NNUMBER
EXISTING e7 no
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NAME
PROPOSED
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DEFICIENCY OF RIGHT OF WAY
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ADbRESS
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SEE ENGINEERING MEMO DATED
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CITY
TELEPHONE NUMBER
REMARKS
(1/ 4111
NAMC
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ADDRESS
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
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CITY
TELEPHONE NUMBER
REMARKS
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN AREA
ENV. REVIEW
A0B No.
--<-,.rA-- f2--f—A
ALLOWED
PROPOSED
COMPLETE
EXEMPT
45�AA .
SHORELINE
Lefial Descriptioh of Property (Show Bel : ow or Attach Four Copies)
VARIANCE OR CLI
PL;,N�)
REVIEW BY
DATE
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FRON T SIDE REAR
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REMARKS
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NEW
F] RESIDENTIA L
PLUMBING
CHECKED BY
OF CONSTRUCTION
CODE
HEIGHT
1:1 NON-RESIDENTIAL
MECHANICAL
ITYPE
0 ADD DEMOLISH SIGN
SPECIAL INSPECTOR
REQUIRED
GROUP
OCCUPANT
ElALTER EXCAVATE
1:1 YES El NO
JAREA IOC_UPANCY
LOAD
OR FILL FT;
REMARKS
PR E-M 0 V E N SP./ swim
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REPAIR Cl
COMPLIAN E INS POOL
P.
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NUMBER OF S'
UMBER OF
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WELLI NG
NITS
NATUREOFWO'RKTO BEDONE(ATTACH PLOTPLAN)
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PLAN CHECK FEE
VALUATION
FEE
13UILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
FENCE
marquees, etc.) will require �eparate permission.
SIGN
Permit Application: 180 Days I
Permit Limit: 1 Year - Provided Work Is Started Within 120 Days
RETAINING WALL
"Applicant, oil behalf of his or her Spouse, heirs, assigns and
SWIMMING POOL
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successors in interest, agrees to indernnify, defend and hold harmless
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the City of Edmonds, Washington, its officials, employees, and
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agents from any and all clainis for clarnages of whatever nature,
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arising directly or indirectly from theiissuance of this permit. Issu-
a
ance of this permit shall not be deerned to modify, waive or reduce
TOTAL AMOUNT DUE
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any requirement of any city ordinance nor limit in any way the
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City's ability to enforce any orclinanc� provision."
ATTENTION
APPLICATION APPROVAL
I hereby acknowledge that I have read this application; that the in-
formation given is correct; and that I ani ihe owner, or the duly author-
THIS PERMIT
This application is not a permit
ized agent of tile owner. I agree to CoMply, with City and state laws regu-
AUTHORIZES
until signed by the Building Official or'
lating construction; and in doing the work; authorized thereby, no person
ONLY THE
his Deputy; and fees are paid, and
will be employed in violation of the Labor Code of the State of Washington
WORK NOTED
receipt is acknowledged in space -
relating to %�ojknlen's Compensation InSur ! ance.
pro
vided.
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DATE SIGNED
INSPECTION
DEPARTMENT
DIRECTOR'S SIGNATURE
2_-�7_911
CIT OF
EDMONDS
DATE
THIS SITE IS LOCATED IN THE CITY
775-2525
OF EDMONDS. LOCAL SALES TAX
SHOULD BE! CODED 31.04.
ATTENTION
ORIGINAL — File YELLOW —In st, Ct.,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR S7RUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
PINK Owner GOLD Assessor
JUN
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304,306.
2 REM
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EDMONDS
WATB
NTROL
system
Atter review iOr Po
pproved On C'.
�s 3 6 C.
pfote6lon is
ALV E
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AS
OTHER
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USE PAW I �"- .-V W.. —%1 1'., V I
ZONE ER
CITY OF EDIMF�S 1W I
,BUILDING
PERMIT APPLICATION JOB
NAME (OR NAME OF BUSINESS) ADORE I Ss
LEGAL DESCR`IPTION SUBDIVISION, SHORT SUB NO.
QNFT
W
MAILI NQ ADDRESS
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-[ELEPHONE
CITY NUMBER
EXISTING
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-N—A M 9 PROPOSED
DEFICIENCY OF RIGHT OF WAY
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AW)RESS e112AIla
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SEE ENGINEERING MEMO DATED
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CITY TELEPHONE NUMBER
NAMC
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ADDRESS METER SIZE BUILDING SUPPLY SIZE FIXTURE LIN ITS
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REMARKS
CITY TELEPHONE NUMBER
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SMLICE'N5E 14UMBER CITY LICENSE NUMBER SIGN AREA ENV. REVIEW ADB NO.
46*irA — ALLOWED PROPOSED COMPLETE EXEMPT
IfTw .4-1 C_ AA SHORELINE
I -Ail DescriptioR of Pr(ilSerty (Show Below or Attach Four Copies)
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VARIANCE OR CU L REVIEW BY DATE
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e- EF�-F__ YARDS f LOT COVER�tE/
FRONT SIDE REAR
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At� �kj '. F4EMARKS
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RESIDENTIAL PLUMBING CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT'
ID
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NON-RESIDENTIAL MECHANICAL
Do
DEMOLISH SIGN SPECIAL INSPECTOR AREA _____T0_CCUPANCY OCCUPANT
F] REQUIRED GROUP LOAD
EXCAVATE 0 YES 0 N o
ALTER f;71 X FT
OR FILL
Lai REMARKS
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REPAIR PRE -MOVE INSP./ = SWIM
COMPLIANCE INSP. L_j POOL
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NUMBER OF STORIES 94UMBER OF
M
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
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112�1 I L
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PLAN CHECK FEE VALUATION FEE
BUILDING
IMPLUMBING
MECHANICAL
"This Permit covers Work to be done on private property ONLY.
Any.ponstruction an the public domain (curbs, sidewalks, driveways. FENCE
1-I'marquees, etc.) will require separate permission.,
SIGN
Permit Appii6ation: 180 Days
ie� ' RETAINING WALL
rinit, Limit: 1, Year � Provided Work Is Started Within 120 Days
"'Applicant, ,cm behalf of his or her spouse, heirs, assigns and SWIMMING POOL
iiul6ce'ssors in interest:agrees to indemnify defend and hold harmless
the City,'of' Edmonds, Washington, its officials, employees, and
any and all claims for d:mages of whatever nature,
agefits,AoiW
�4arisinj",!d1rvc'tIy or indirectl y from the issuance of this perrnit. lssu-
ince ofjh6;*.rmit shall not b' deemed to modify, waive or reduce TOTAL AMOUNT DUE
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j
any* requirement, of.any city ordinance nor limit in any, way the
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;",kiiy,'S'4bility.,� io_enforce� any ordinance provision." ATTENTION
APPLICATION APPROV L
..�0,ihtreby-'acki n6x�ledge, that I have.read this application; that the in-
i��aA6��given is:corre6,,and that I am 'the'owner, or thead as thgo,,- THIS PERMIT
'u'y u
This application is not a rm I,
e
�gree-to comply,%Wh city and 't. t� law e AUTHORIZES
until signed by the Building Official oi-,
ti ;,an the �worka�uthorized thereby, no person ONLY THE
a ngr4gonstru n
do
2P2
his Deputy; and fees are paid, and,
oif tghe Labor Code of th� State of Washington WORK NOTED
WHI W. emproyl., I viol I I I L
. receipt is acknowledged in spa pinoli.
1�
g tion nsurance., I ..,
s- ompensa
vided.
INSPECTION
611 Q 14 '�G�NTI 1,;j,; IDA:TE SIGNE
EPARTMENT
,N �.,ff
DIRECTOR'S SIGNATURE
a, CITY OF
ij
Or
E:DMONDS
DATE
THIS SITEAS LOCATED IN THE CITY
775-2525
OF, 0& LOCAL SALES TAX
EDMON .
to A.,:,w�:�:��_,�',SHOUMIBE
ORIGINAL — File YELLOW lnspecto�
ION
Lj
WF 'ICTO 'USE_ -OR OCCUPY'W BUILDING OR STRUCTURE
1� 1. " , � -HAS`BEiWjMADE,AND APPROVAL OR
JUN
PINK Owner GOLD Assessor
At;4, jNSPECTION
W. dC,Ur PANCY,� HAS r 'BEE N GRANTED. UBC 304, 306. 2 3 REM,
I : �
�.TUBLICWORKS,DEPARTMENT
Single ]Family
VIEW
BUIL�ING P'EII'MiT RE �D
M *0#c qjf
C fa
."�,��'BUIL DING ADDRESS -7 4id 0 7
JUN 2 9 1981 -L
i,, BLDG. DEPT. SUSPENSE DATE
I ---_�NITIAL DATE
fr—', 7
TE:, OFFICE ADMIN. —'PUBLIC WOR�S LO _7791 Pj 4xworks.
IaCITY ENGINEER (c�eck)
(3 Access Slope and Vehicle Acces s
Ai.
$,Drainage Plan tjcYr Apfl2QVV�1��
E3 Street File
Legal Description
i, OQuit cl
aim
e-
Easement j.5h.
13Calculate S6wer'Connection
MATER/SEWER DIVISION,
ZZI-3, /_y/
e
ODetermine Miter Size'
O'Complete Building Permit Review
"STREET DIVISION'
7
fComr
it Review
Comp, lete Building Perm
.,,,�,,tOFFICE ADMIIN. LOG OUT TO BE PT.
VAN !SM I r-71
tUILDING PERMIT APPLICATION (COMPLETE)
0"2 COPIES OF SITE:PLAN
1:12 'COPIES OF FIRE !PROTECTION PLAN
(PREVIOUSLY REVIEWED'BYIFIRE DEPT.)
D_3� COPIES OF DRAINAGE'PLAN':WITH CALCULATIONS
REQOIRED BY:SUBDIVISION 0
GREATER THAN 2,000 SO. FT.
IMPERMEABLE SURFACE E3
LESS THAN 2,;000 SO. FT. [3
_11*`CHECK ZONING REQUIREMENTS (SETBACKS)
1 COPY 'OF ENGINEERING CHECK LIST 3
1 copy 6� PUBLIC WORKS'MEMO
MULTIPLE OR COI-SIERCIAt
YES,N (ATrAcH copy OF ADB APPRIZOVAL INCL. ALL DRA!-TIDCS)
NO,
AM
SUBDIVISION YESE3 N ''E
DATED RECORDED
NUMBER
NO 1 (ATrACH COPY OF -REQUIRE21ENTS)
4,:CHECK SEITER DRAWING AND ATTACH COPY
77
i�S DiDI�ATION REQ` —.YESC] (OBTAIN QUIT CIA121)
UIRED
01.
CITY 60DE P
Moll
41� 0jti
NO
ES CITY HAVE EASEMENT ON PROPERTY
S C) (ATTACH COPIES OF'DRAWINGS)
ACCESS INGRE��S;g/ UTILITIES
YES YES
oe
NO (3 NO /'[3
SESSMENT'BEEN PAID
f 1 0
L. I., D., NO.
�LAT,�M,f;
UBDIVISION NO.
NC UDE1`NUMBER OF, U 11411 b
R ijOF FIXTURE UNITS
NCLUDE NUMBE
I
RECEIVED
J 29 1981
UN :.11
ir Of Publi 0 kS DATE:
Ir
MEMO TO.:1 Building Division
Covu-nunity De'velopment Dc'partment
FROM: Engineering,Division
Public Works Department
7 W
SUBJECT,:!
After review of the subject Building, Permit application, we have
the following.comments:
1. Connection to City water system required.
2. 'C'on�ection to Citv sanitary sevier system required.
3. Ripht-of-way Permit required for atly work on City property.
4. Driveway slope not to exceed 14%.
5. Backwater valve required if dovaisLairs plumbing i's below
elevation of uustream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
(). Pt-otl'�,Kae;- 7')&j G- . mvc7 AP yo&tivi 5:;)ro- uAarmye- DZ4cg"
U I E�&)
I
JUN 2 9 1981
pMIC WoRcs ruAnMn %CXLISr
Dir. Of Public &
BUnDRU PER1,,1IT REVIEW tt)6ZL3
(address)
0
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9
W
C4
Street Right -of -Way Existin�� �Z,
Access Easements Existing__�__�,�,�,,
I
Utility Easemient, Existn8__---At—VL gec- elrl,,�, -REQD
Lot Per.Subdivisi 1 an Plat Assessor �lap.
Site Plan Checked-for.Accuracy,
Underground Wiring Reqd.
Check Accuracy oA Legal Description
Review by Date
7
Existing Water Main Size
Water Main ReTaired
AM
Service Line Required -
f
Hydrant Size Existing
SIAI
Hydrant Reqd Per Fire Code
Size -
Detector Check Meter Reqd.
Cross Connection Inspection
Yes
Fire Department Comiients
Water Meter Charge Reqd.
Review by_ ZwLf�
Date
I
Septic Tank Design Approved� Alll�-
Septic Tank Permi t Reqd.
.Sanitary Sewer Availability
Drawing No. File No.
Side Sewer Availability
Sanitary Sewer: CbrAfoctior� ee Reqd.
Review by_ Date
Open Ditch Existi�g__��— ������eqd.
PAN
4144?, 5v , '��C,
2/-Y1
Date 4/1
Permit
Proi -
Culvert Reqd. Z3f4 /size
Catch Basin Reqd.! Indicate an Site Plan
Shoulder drainag6 maintain collection on swale open runoff
-A -1 — 1! 4"0
Manhoijj7r;qd. dicate on Site Plan
In
Soil Conditions and Ground Water Field Checked
I!f
Review 'by. Date
Revised:AvlO-1977
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