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227 2ND AVE N.PDFiiiiiiii lill 4787 227 2ND AVE N <a+(V-TL4 LV-, rdm. mds oforcupancy DEPARTMENTOF-BUILIDINGS,- PER INTERNATIONAL,'BU,ILDING'C,ODE,,,,SECTIION 111 nd AT: '22�2 AveN Edmonds.,WA 986 Building Permit M BLD2011-0453 R3 Dwelling Wiles: Occupancy established by this certificate: No. Stories: 2 Baseme�nt:. No Typb,of C'nst o r uction: V13 Owner of building: Shannon & Jonah Werre X'21 The Single Family Residence at 2272'dA N"O�-' hag b6dii�'inspected-5ii"dol*,approved complying with the requirements of the 2009 edition of the International Residential Codeas-a KIM group and division of occupancy and the use for which the proposed occupancy is classified. Issued this 30th day of July, 2012 Chief Buildinq Official Any change of occupancy or use requires a building permit and a new Certificate of Occupancy issued by the City of Edmonds Building Official. a, cf- -CA OV ED 0 NOTICE TO PERMITTEE AND/OR OWNER 0 PARTIAL APPROVAL 0 CORRECTION REQUIRED 0 ENFORCEMENT VIOLATION Owner VI4 Permit Number Job Address a4 I YI A Site Contact Type of Inspection 5-IM M III 6tw F� WORK DESCRIBED BELOW HAS BEEN INSPECTED AND APPROVED. APPROVED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE. CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED AND/OR THE NEXT PHASE OF WORK IS STARTED. RECALL FOR INSPECTION. REINSPECTION FEE MUST BE PAID PRIOR TO NEXT INSPECTION REQUEST. STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR. D v, -4 1 vI 0 —L (I AJ. fl, &—J —61 1 4. 1 (—A 14 U I K If 3/1 T-1 Cb fAi A o _aMQ LITMPRI11111111111111 iiiiiiiiii A A RA v, d6l Bill FAA E r*A1 -A"42 'I Le _11M 0111111i,01% MA&I-Im lilz' oft ML Do 9 0 AS -A 0 Building Inspector 0 Planning Engineering 0 Fire 11 Public Works )JOA Date I I j W y- a4 6 [ T��S NOTICE TO REMAIN ON SITE 3 ip White: Permit File Buff. Applicant OV EiD)4&�,- NOTICE TO PERMITTEE AND/OR OWNER 0 PARTIAL APPROVAL 0 CORRECTION REQUIRED 13 ENFORCEMENT VIOLATION Owner � Lwze Permit Number Job Address Site Contact Type of Inspectio WORK DESCRIBED BELOW HAS BEEN INSPECTED AND APPROVED. APPROVED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE. CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED AND/OR THE NEXT PHASE OF WORK IS STARTED. RECALL FOR INSPECTION. REINSPECTION FEE MUST BE PAID PRIOR TO NEXT INSPECTION REQUEST. STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR. M MME1 M�wv' Me 1501 0 (hy V_ -LCLJ/-x (-Affi 1�m le 7k" THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED BY (DATE) OR PENALTIES MAY BE APPLIED. FOR INSPECTION CALL 425-771-0220 0 Building 13 ann . ng YEngineering 0 Fire 0 Public Works rvo Inspector �41 ;j - Pate— I z__ ICE TO REMAIN ON SITE White: Permit File Buff: Applicant 2011 oqC;3 ZZ7 2P4.. )��M- CM I ENGINEERING July 28, 2011 Jerry Shuster City of Edmonds 121-5 1h Avenue North Edmonds, WA 98020 Permit Number: BLD20110453 Project Name: Werre SFR Project Address: 227 — 2 d Ave N ....... ...... Dear Mr. Shuster, The purpose of this letter is to indicate that we have chosen and provided specifications for the stormwater pump located on private property for the Werre Residence (BLD20110453). Calculations are also included. The storm detention system conveys stormwater to a Type 11 CB with a D-Al pump by Hydromatic. This pump r o*utes the stoi mwater into a Type I CB,.where it will gravity flow into the right-of-way's storm system via a city catch basin. The site's 10 year flow is 0.25 cfs/acre per City of Edmonds handout E72. For our site, 0. 165 acres, the 10 year flow is 0.041 cfs. A calculation to plot the 10 year storm's head and flow on a system curve shows that thi.s pump is adequate for the site. The previous plan did not show an overflow. The revised submittal will include a 6" PVC pipe from the Type 11 CB holding the pump to the Type I CB near the property line, which also collects the pressure line from the pump. Sincerely, CG Engineering Greg Guillen, PE, SE Principal - 250 4th Ave. South Suite 200 Edmonds, WA 98020 Phone: 425.778.8500 Fax: 425.778.5536 APPROVE') AS "0"') B,1 ENGINEFP.ING `61 A Date: S JUL. 2 9 2W I BUILDING DEPARTIMEto . a1TY OF rzDhrj0vjo,,A E 7_ 40- 0 F=T �A- + kF 0 '!) 6 C�Fs , 16 S I TIC F-5 o,04 r2-q 0 0 lzz-_ o, 46 Dewiption, 7- Date L) Checke Date ENGINEERING Scale Sheet No. 250 4th Ave; South P�Ojpct �ob N6. Suite 200 Edmonds, WA 98020, rhil Performance Wholesale Products Page: 6510-1 Section: Performance Data Data Dated: June, 2011 - FIW RPM: 1550 Discharge-, 1.1&' Solids: 1/2' 8- E 5.5 I W SEE SOMMIMEMIN ME EMMINIMMEMIS&Z NONE N&MIMMM N 0 MARIMMEMMIMEM MMMMEMMIMIMMIMMMM MI MMINSIMMMEMMEPMM11 XMMIMMMIIMMMMMMM MONSOON IM MEMO MERIMMIMMEMBE NEON MINIMUM 0 6 ===I Capacity, US GPM 0: 10 20 30 40 '50 60 l';*ters/second 0-.0' 1 .0, 2.0 10 cu meters/hr 6 8 10 12 The curVes reflect maximum performance characteristics without exceeding'full load (Nameplatie) horsepower. All pumps; have a service factor of 1.2-0peration is recommended in the'bounded area with operational point within the curve limit. Performance curves are based on actual tests with clear water at 70* F. and 1280 feet site elevation. Conditions of Service: GPM: TDH: L(D HYDROMATICO rIr Z> Wholesale Products Page--6570-2 Sectiow Dimensional Data Dated: June, 2011 Model _Turn On. .TurnOff -(2Ocm) 3.375- (8.5cm) V-Al WI -Al 95'(24cm) 3.5",(9cm) 3-1/2' .5-7/8" (149) -4-1/2" (114) 1-1/2" 09) —1-10 (3b) NPT 3-1/2" DISCHARGE (89) 1 0-5/811 (270) 7-1/8" (?00) PUMP ON -T Pump -OFF 3" H(76) All dimensions in inches. Metric for international use; Component dimensions ma� vary * 1/8 inch. Dimensional data not for construction purpose unless certified. Dimensions and w lgfits are approximate. On/Off level adjustable. We reserve the right to make'revi.sions to our product (s) arid lhe*product'(s) specifications without notice. HYDROMATIC10 Electrical Data Wholesale Piroclucts� Page: 65,70-3 Section: Electrical Data Doted; June, 2011 MODEL: D/V/W-Al Professional Series -Sump Pump R.P.M. 1550 MOTORTYPE -SHADED POLE WITH 'THERMAL OVERWAD, OIL FILLED MOTOR PROTECTION AUTOMATIC RESET/ OVERLOADRROTECTED' HP* VOLTAGE PHASE. NEC CODE SERVICE FACTOR FULL LOAD AMPS 1/3 .115 1 1 8.0 D-Al I-) L HYDROMATIC0 tor Technikol Datd Wholesale Products Page: 6570-4 Sectioh:Jec " hnic(a ' Data Dated.:, June, 2011 MODEL: D/V/W-'Al Professional Series Sump Pump Physical Data: DISCHARGE SIZE 1-1/2" NPT .SOLIDS SIZE' IMPELLERTYPE' VORTEX CABLELENGTH 101 STANDAR D 20'. OPTIONAL PAINT PAINTED'DARK GREEN, WATER -REDUCIBLE ENAMEL, ONE COAT, AIR DRIED. Tem perafure..�, MAXIMUM LIQUID. 140OF MAXIMUMSTATOR OIL -FLASH POINT Technical Datct.- POWP-RCORDTYPE STJW MOTOR HOUSING, CASTIRON LL Z 0-0 CASING. CAST IRON IMPELLER THERMOPLASTIC -SHAFT w MOTOR 'STEEL., Z n0% HARDWARE STAINLESS STEEL "O",RINGS BUNA-N MECHANICAL SEALS $tand'ard: CARBON CERAMIC UPPER BEARING N/A LOWER' BEARING SINGLE ROW7BALL HYDROM ATIC-0 A Specificafion Data Wholesale Products Page: 6570-5 Section: Specification Data Dated: June, 2011 SUBMERSIBLE SUMP/EFFLUENT MODELS: D-Al, V-Al, and W-Al 1.01 GENERAL Contractor shall furnish all labor,. materials, equipment and incidentals required to provide (Qty.) submersible centrifugal. sump/effluent pump(s) asspecified herein. The pump models covered in this specification are the V-Al, W-All, and D-Al. The pump furnished for this application shall be MODEL 0 -A I cis manufactueed by Hydromatic Pumps. 2.01 DESIGN CONDITIONS I - Each pump shall be rated H.P., 11� volts, phase,50 hertz and operate at I -% 0 R P M''. 3.01 OPERATING CONDITIONS The pump shall deliver 4.e U.S. GPM/LPS- at feet/meters TDK, and handle a N /A inch solid. The curve submitted for approval ih�allstatdjn addition to head and capacity performance, solid handling capability, amp rating, and design impeller diameter. 4.11111 CONSTRUCTION Each pump shall be of the sealed submersible type incorporating features normally found in pu trips furnished for the residential market. These features include: 1. The ppmp.volu.te and Motor housing.shall be high quality gray cast iron, ASTM A-48, Class 30. 2. The pump shall feature, a multiple strainer inlet.that prevents clogging from foreign objects and provides optimum operation and reduced maintenance. 3. All external mating parts shall be machined and Bdna N, O-Ring sealed. 4. All.fasteners exposed to the pumped liquid shall be 300 series stainless steel. 5. All power cotds shall be water resistant UL or CSA approved, with double insulation and sized as a -function of Amp. draw. 5.01 MOTOR AND. SHAFT The stator, rotor and bearings shall be mounted in a s - ealed submersible type housing. Single phase t.notors. shall be.Shaded Pole; with automatic reset thermal - overload protection. Full Load and Locked Rotor Amps as Well.,cis Run winding resistance shall be tabulated for each Ounip. 6.01 BEARINGS, SHAFT AND MECHANICAL SEAL A heavy duty single row ball bearing shall be requited. It is permanently, continuously lubricated and cooled by the dielectric oil, which fill ' s the motor housing. The motor shaft shall be'corrosion resistant steel and sealed from the �pumped liquid- with a carbon ceramic mechanical seal, If HYDROMATICe Wholesale Products Page: 65-70-6 Specification Section: Specification Data Data Dated: June, 2011 7.01 IMPELLER The Impeller shall be a thermoplastic, eight vane, vortex design with three pump out vanias'on the -back side..These vanes wash out grit and stringy Material that will damage the shaft and mechanical seal.. 8.01 AUTOMATIC CONTROL All pumps sho tud be capable of automat . ic operation. 9.01 PRESSURE SWITCH Toe D!.Al Single Phase pdryip is� furnished With a Oressure-diaphragm switch that is UL listed foe water and sewage Ind GSA certified, The.diaphragm switch cord shall be fitted with a piggy -back plug that allows the pump -to be operated't'nanUally.withbut removal from the sump.' 10.01 FLOAT SWITCH TheM.-All. Single Phase pump is supplied with a tilt-sen,siiive wide-angle float switch which is sealed in at non-corros.iv6 PVC enclosure. The switch is UL listed'for water and sewage -arid QSA certified. The float.switch-cord shall also,be fitted wift a piggy-Oack:plug, that allows the pump to be operated manuAlly. without removal from the sump.. 11.01 VERTICAL MECHANICAL SWITCH The WAII sing!d.*phase pump is furnished With a rhagoetic mechanical switch which -is sealed in a non- corrosive, PVC enclosure. The switch will be activated. bya� PVC float sliding up and down a non-corr6sive rod. The, mechanical'switch cord shall also'be, fitted'with a piggy -back plug that allows the pump- to be operate'd manually without removal from the sump. 12.01 PAINTING All cast.iron parts shall be painted * beforie ' a " ssembly with a water reducible alkyd air dried er�amel. The paint shall be, applied in one coat with a minirn.um thickness'.6f 3 to 4 mils,. 13.01 TESTING Alf pumps shall be indiv'idually tested to iriblOcle the following: 1 The pump and power cord shall be visually inspqpted for imperfections, buts or nicks. 2. The pump shall have a ground continuity check-and',the motor chamber'sh.all be Hi -potted to test or� moisture content'andioe insulation defects. 3. The motor and volute ho qsing shall be pressurized and a 10 second air leak decay test rum 4. A specific amount of oil is now added. The pump is run in a -fully putornated, sequenced, control. console, which monitors voltagei c6rrent�_ancl, w a*tts visually arid ele6tronically..The testee listens for any noise� or malfunction. rL, 93 HYDROMATIC" 8Lb eoitc)qG'3 7z-z z-ncl N-e- �[ - A G'm m 9-01 La Fn m m.:E -4 m m m Oro m Zzm m 040 Z Co 33 > :< (A mo > - , m z z 0 rl m 2z L2 0 cr) RIM ELEV 97.0' RUNOFF 48"0 TYPE 2 CB FLOW CONTROL STRUCTURE WITH SCALE: 3/8" = l'-O" RIM ELEV 99.0' LOCKING LID-\ L= 48"0 TYPE 2 CB TANK SECTION 8"0 STANDPIPE & OUTLET 0.75' (3/4-) DIAMETER J ZulAuf, JoAnne From: Hawkins, Jaime Sent: Wednesday, October 26, 2011 12:5d PIVI To: Zulauf, JoAnne Subject: FW: Accepted: 226th ST SW Walkway Review Thank you, Jaime Hawkins 425-754-4106 From: Richard, Sam rmailto:SRichardawhRacific.com] Sent: Monday, October 24, 20113:58 PM To: Hawkins, Jaime Subject: RE: Accepted: 226th ST SW Walkway Review Jaime, I will have files delivered back to you tomorrow AM. Here is what I found: 0 Puget Sound logging, sub or service? We have no request to sub let 0 IDR's need yes or no's on material checked and need your signature 0 Need substantial completion letter * Need justification for change orders Did you do any employee wage rate interviews Need you to sign QPL's in material book Need you to finish FNR for bid ite*m #56 Not sure if Jodi will accept the hours you paid for street cleaning, this is normally paid by hour on the day sweeping was performed. Need the daily traffic control reports ( I know Sandra emailed but I cannot find my copies or the email) Sam From: Hawkins, Jaime rmailto:Hav�kins(�)ci.edmonds.wa.us1 Sent; Monday, October 24, 20113:14 PM To: Richard, Sam Cc: DeLay, Jodi Subject:RE: Accepted: 226th S7 SW Walkway Review Hello Jodi, hello Sam, the contractor for the Interurban Trail - has decided to pave the Pervious HIMA this Friday; therefore, I need to,reschedule our meeting. Vapologize for the inconvenience. Thank you, Jaime Hawkins Capital Projects Manager 1 I City of Edmonds/Public Works/ Engineering Div. 121 5th Ave N, Edmonds, Wa 98020 hawkins@ci.edmonds.wa.us 425-754-4106 Original Appointment ----- From: Richard, Sam rmailto:SRichard(�whpacific.com] Sent: Friday, October 21, 2011 1:54 PM, To: Hawkins, Jaime Subject: Accepted: 226th ST SW Walkway Review. When: Thursday, October 27, 2011 1:00 PM-3:00 PM (GMT-08:00) Pacific Time (US & Canada). Where: City Hall, Kerr Room a 2 FIGURE 1 CROSS-SECTION of TYPICAL DETENTION SYSTEM CATEGORY 1 SMALL SITE PROJECTS ADEII TE DEPTH PREVEN, IIAMAGE TO 'I" T ADEQ TE DEPTH TO PREVENT IIAMAGE TO PIPE RUNOFF FINISH GR FROM SITE COMMI, CATCH SUIN 0 9OX 05OX TO 0.75% SLapr SEE FIGURE 2 c6li METENTION PIPE LENGTH Rd REFER TO TAKE I FIGURE 2 DETAIL OF CONTROL CATCH BASIN a kL,n 0, RIM LDCKING" ELEVATION UD Gy MIN. MEASURED FROM THE TOP OF THE El E 901 OR GRErE BOX DR RISER FINISHED GRADE 0.5 % baluw high polrd inl;ddb &URVA rnbw ;,,mnhmr a ;a diumdtw ar 10 In I San twtm undef'— it TO APPRO�M DETENTION PIPE 70 To Y\A Fo m YL _5 SZE PER TABLE I AT- AFIAA-L- �', I I December 2000 Page 6H-17 Figure 6H-6. Shoulder Work with Minor Encroachment (TA-6) or J6 A....... . . . . . . . . Note: See Tables 6H -2 and 6 forth a meaning of the symbols andfor letter codes used in this figure Truck -Mounted Attenuator (optional) 1/3 L W—U RECQ VE- JUL 202011 A DEVELOPMENI- SERVICES CITY OF EDMONDS mr VL Typical Application 6 Co�jTQot- ('Zt-4o -Aje 0 RAI Sect. 6H-01 0 Vc. �.�;TATUS: ISSUED ENG20110341 Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements. A 6" cleanout with 12" locking cast iron lamphole cover is required at the property. line. Maintain 10' separation between the sanitary side sewer and the water service line. Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. Sound/Noise originating from temporary construction sites as a result of construction activity are exempt.from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and I 0:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. Avall other times the noise originating from construdion sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120. Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance fo this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance ptovision. INSPECTIONS 0 E-Sanitary Side Sewer Inspection PARTIAL INSPECTION DATE: INITIAL: NOTES: PARTIAL INSPECTION DATE: I 0/'Z,-t INITIAL: NOTES: 0,�r- -rO 9Jr ot- 7-C) FINAL INSPECTION APPROVED DATE: INITIAL: &Xtc- �Z4 -bw fii�- A�t � I ;, Q S W ,A4-r#r 'S ki 6w-7- lz,�IslaA-Q - L,/7 . // V- (b, C/ 0 it oq53 Z-2-- 7 Z `4 A V, c Q - December 2000 Page 6H-17 FigUr - -t.- �'- -.,?Ider Work with Minor Encroachment (TA-6) or A APPROVED AS NOTED B eEIN161RI Date: :21AV� ��k 1� aosofc- wMaur "&"f (tb&ex:,A as fosslue-cor ckow,re Wvj'm w-.er*5 - ,5e� krA-F-Aeb Typical Application 6 Note: See Tables 6H-2 and 6H-3, for the meaning of the symbols and/or letter codes used in this figure. Truck -Mounted Attenuator (optionat) C(:)t,jTtzot- (,Z�-,q Aje 0 RECEOVED JUL 2 0 2011 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS Sect. 61101 WTE.15 T FO k w o Ky� :ALLZY wHco ALLSY 'rS SL4Cx7t'p cowsj -TIO cv- (J pof� 6OUT w LEI: jt� ve q rwwwo �R(4f-�beq�)� aina' C tctt Ir Ocie% lna'�43MO 06�rl ��)C— . . red Description By Date Checked Date ENGINEERING Scale Sheet No. 250 4th Ave. South Suite 200 Project Job No. Edmonds, WA 98020 (%b . 3,-b zo I I ()qS7�; _ZZ_t Z 0 0 City of Edmonds Site Classification Worksheet Page 1 of 2 The project's Site Classification will dictate the specific stormwater 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 of a Small Site (Category 1 or Category 2), or a Nflnor Site. Please reference the GlossM (pp. 10- 11), Fig-ures D and E, Wy. 8-9), and ExMples (pp. 12-13), to assist with c2MIetion of this worksheet. 1) Is Permeable Pavement' Proposed For Use on this Site? F1 Yes dNo Refer to Stonnwater Supplement Chapter 5.1 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 RWIaced and/or New impervious surface areas in the table below. 2) Determine the Amount and Type of Eidsting & 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 Rolaced-Reaated 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 Uw 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 ** C. N Wk 1(ye- Line Type Area (square feet) 1. Non -Regulated Exempt Regulated 2. Replaced 3. New (Post 1977) 4. Total Regulated Impervious Area Mitigation required if in excess of 2000sf + 5. Total Area Mitigated by Existing Stormwater Management System(s) 11_1�_ —1— 11101 — 10-- I'll 6. Regulated Area Not Yet Mitigated — -2 15 7. Area Proposed to be Mitigated by Low Impact Development Techniques 8. 1 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 or stone) Revised on 4/2 1/11 E72-SWALErosioA Control-Draft-04.21. 11 -FINAL FWC JA. 5y JUL 20 I -till DEVELOPMENT SF:�Ilfces cm STREET FILE CITY OF ED,!_ .-Is City of Edmonds Site Classification Worksheet Page 2 of 2 0 D 3) Determine the Total Area of Land Disturbing Activity 590D sf Refer to Stormwater Supplement Chapter 8 14) Determine the Quantity of Grading, Fill and/or Excavation is cy 5) Will the project convert 3/4 Acre or More of Native Vegetation to Lawn or El Yes 51"No Landscaped Area? 6) Identify the Watershed the Eidsting 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. RrDirect Discharge B. F-1 Creek or Lake Basin Wfdrnonds Way Basin o Puget Sound Basin M"'Puget Sound Piped Basin DETERMINE PROJECT CLASSIFICATION USING THE INFORMATION ABOVE AND THE PROJECT CLASSIRCATION CHART (Figure B, pg 4) N(Small Site - Category 1 El Small Site - Category 2 El Nflnor Site Stormwater Supplement Stormwater Supplement Stormwater Supplement Chapter 5 Chapter 5 . , Chapter 6 Revised on 4121111 - E72-SWM-,Erosion—Control-Draft-04.21.11-FINAL Page 6 of 13 APPLICATION for The City of Edmonds SEDE SEWER PERNaT EASEMENT No . .......................................... NEW CONSTRUCTION 0 REPAIRS 0 113-02100 OWNER .......... Mqriej CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No . ...................... ..... ... K..-Gaat -------------------------------------------------------------- 227 2nd Ave. N. ADDRESS------------------------------------------------------------- I -------------------------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ kl�,— NAMEOF ADDITION ......................................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By ..................................................................... 20110729036 1 PG Return Recorded Instrument To: 07/29/2011 1:36r 12.00 City of Edmonds — Clerk's Office SNOHOMISH COUNT I ASHINGTON 1215 1h Ave. N, Edmonds, WA 98020 ACCESSORY DWELLING. UNIT COVENANT Property Address: 227 2 d Avenue North, Edmonds Washington Assessor's Parcel Number: 00434401100500 Legal Description: EDMONDSPLAT OFBLK011 D-00 -LOT 5 Grantor: Shannon Werre Grantee: Citv of Edmonds Related Permit Numbers: PLN20110045 (ADU) & BLD20110453 I, the undersigned, have attained approval for an Accessory Dwelling Unit (ADU) at the property address above, in accordance with the provisions of Chapter 20.21 (Accessory Dwelling Units) of the Edmonds Community Deve lopment Code (ECDC). I agree and understand that it is my responsibility to notify all future property owners or long-term lessors of the existence of the ADU and that its existence is predicated upon the occupancy of either the ADU or primary dwelling unit by the owner of the property. Additionally, I will notify all prospective buyers of the limitations on use and maintenance of the ADU as stipulated in Chapter 20.21 (Accessory Dwelling Units) of the Edmonds Community Development Code. An example of the limitations of the ADU per Chapter 20.21 is the property owner is required to reside in the primary or accessory dwelling unit for 6 months out of every year. Finally, this covenant shall be recorded in order to notify all current and future property owners that if any conditions of the ADU approval, are violated, the property owner will be required to remove all improvements which were added to convert the primary dwelling unit into an ADU and restore the site to a single-family dwelling unit. On my oath, I certify that I reside at 227 2 "d Avenue North, Edmonds Washington, in the primary or accessory dwelling unit for more than six months of every. year. OWNER/GRANTOR: Shannon Werre SIGNATURE: DATED this day of d*,- 2011 On this day personally appeared before me Shannon Werre, to me kno6bto be the individual described therein and who executed the within and foregoing instrument, and acknowledged that she signed the same as her free voluntary. act and deed, for the use and purposes therein mentioned. Notary's pressure seal must be smudged. I'll 1-1 V.- -,IF*, ggs D S 14 M M tA 0 Tq,� US L I C Dated: Signature of Notary Public: Residing At: 5,C:- i My Appointment Expires: MUST BE RE, CORDED WITH THE M COUNTY AUDITOR - PLANNINGDATA SINGLE FAMILY RESIDENTIAL IFSTREETFILE Name: Date: SiteAddress: ��l Tax Parcel ooqVL4 ok t o o Project Description: VJ Plan Check#: -1� L _b (3 0 Lj o �-3 Tv� 0-0 110 0 t 5-(k) Reduced Site Plan Provi ded: (6/ NO) Zoning: V,� — � Map Page: I Corner Lot: (YES Flag Lot: (YES Critical Areas Determination#! C,?,,Ara01iQt)05-0 El Study Required XWaiver SEPA Determination: 0"Exempt Needed (for over 500 cubic yards of grading) 0 Fee 0 Checklist 0 APO List with notarized form Required Setbacks Street: Side: Sidj: Rear: Actual Setbacks Street: Side: Side: ear: El Detached Structures: El Rockeries: El Fences/Trellises: DCBay Windows/Projecting Modulation: IJ Stairs/Deck: Height Datum Point: Datum Elevation: (co Maximum Height Allowed: b,0 Actual Height: -7 Offier Parking Required: Parking Provided: Lot Area: —I � Maximum Lot Coverage: 35% Proposed Lot Coverage Calculations: ADU Created: (Y`E P Subdivision: Legal Nonconforming Land Use Determination Issued: (YES Comnie—nts Plan Review By: r, A Planning Data Form 07-14-09.doc PLANNING DATA STME Plan Review By: Planning Data Form 07-14-09.doc %P) -ZT] 2,AdA-ve- '4vi's ed To Cab It I I Ea J .......... . 665-5 FT o6 6 &S� ;0,0000 . . ............ ... ... ...... .. ...... ..... ---------------- p VC + q kF ... ....... Vesmption WC-C-fei;�, W5 ENGIN�r=RING 250 4th Ave. South Project Suite 200 Jr Q&r- (44, vi-)� Or Scale Job Sheet No. Edmonds, WA 98020