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22822 75TH AVE W.PDF111111111111 5983 22822 75TH AVE W I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS 121,2622 7.5tn iwe W CITY ZIP TELEPHONE NUMBER WA. 980,1216 (4 2-3 )7 8�3 - 4AME Gh-ry Par.ldr;sork ADDRESS AVE -mlle ATY ZIP TELEPHONE NUMBER (4 -) 5 ) 2 5 2 - 5j 3 Te-be-btli ADDREfS L) cip 'HONE NUMBER A Legal Description of Property - include all easehenfi. Uji Lot 15� Uk 1, Evert2,reen addition Lake Ballinger, According to Flat thereof of _Pl�_ recOrcZd 10� %,-,Auae 15 :Its i:>age 58, Rewrd of Snonorid�h County, WA Property Tax Account Parcel No. 44154M-015-0002" E] NEW RESIDENTIAL ��ECH COMPLIANCE OR. ADDITION COMMERCIAL CHANGE OF USE REMODEL El APT. BLDG. SIGN EIREPAIR GRADING CYDS. DEMOLISH WOODSTOVE SWIM POOL INSERT HOT TUB/SPA LGARAGE RETAINING WALU ,.1,CARPORT ROCKERY RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: NUMBER NUMBER OF CRITICAY OF DWELLING I 'n _ STORIES UNITS .. : .; 1 1 WJ41 0 DESCRIBE WORK TO BE DONE IATTACH PLOT PLAN) USE I j;- ZONE PERMIT NUMBER .9� ADDJOB 1-1 SITE/APT 11 RESS, -V� ­Ck] bUBDIVI510N NO. LID NO_, RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Appro d EXISTIN REQUIRED DEDICATION ��7 RW Permit R;11-�-o S�t �afi5l, Req*d m P, pelion R:' ciu�rvd Sidewalk Required iz .0 PROPOSED cr —ZURES �NO PRV REQUIRED W x , YES 11 NO REMARKS Z a: 12i- Si P v-Q-14, � zi IUj Z W J NGINEERING MEMO DATED /Vo -/, -�) .3 REVIEWED BY J nj 1�j IRF MEMO DATED REVIEWED BY VARIANCE 0R.CU ADB # SHORELINE # SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I I EXP LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) PR ALLOWED OPOSED FRONT SIDE REAR FRONT L/R SIDE REAR 315/ 7 LOT AIA 7, NG F 17 BY _2LANNI f-V DATE -2 BY OrrWAL IMIPIlo I UN A"t--A. OCCUPANT REQUIRED LOAD REMARKS - - --------- PROGRESS INSPECTIONS PER UBC 108 FINAL INSPECTION FIEQUIRED VALUATION PLAN CHECK FEE BUILDING HEAT SOURCE: Gas GLkZING. IN, PLUMBING Plan Check No. -7 C) MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewolks, driveways,, marquees, etc.) will require separate permission. GRADINGIFILL STATE SURCHARGE Permit Appllc�tlon: 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 And o successors in Interest, agrees to indemnify, defend and hold harmle Ss the City of Edmonds, Washington, Its officials, E employees, and agents from any and all claims for damages of r whatever nature, arising directly or indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance provision." I ENG. INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the 111914r)o lk-­ I IntoIT r information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL 0' authorized agent of the owner. I agree to comply with city and s It ate I state laws regulating construction; and In doing the work authoriz- THIS PERMIT AUTHORIZES This application is not a permit until C ed thereby, no person will 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 LeF tion Insurance aria RCW 18.27. -rTE INSPECTION acknowledged in space provided. S, T SIGNAT t G OWNER OR A NT) . SIGNED D EPARTMENT CITY OF EDMONDS '0 ATTENTION' CALL FOR RELEASED BY: ATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION 'e, UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL - Fil, YELLOW - In . Spector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 102-87 PINK - Owner GOLD - Assessor I /A 1V APPLICATION CARD No . .... ................ ......... .......... The City of Edmonds for SIDE SEWER PERMrF ��iUTSIDE EASEMENT No INSIDE 0 REPAIRS 0 . ...... ..................................... 452)c —093 1 0'? OWNER..... d& ................................. I ................ CONTRACTOR ---- ) ................. ....... .......................................... PERMIT No. HOUSE No . ....... 2-2-,?2-2-- ..................................................................................................................... 74�- 1j. STREET AVENUE LOT No. ....... .. .............................. .... . .. ........ BLOCK No. / A.. NAME ADD --- 1-5. Z'& 4:� " R / ickr-'y ...... ...................... ..... ..../ ....... ....... .... ......... ...... . ......... 1?74.111.7 1' ..................... ... ............... Z BACKFILL WORK ORDER ISSUED SEWER WORK ORDER ISSUED ... 1�'- I I fez S, OOROVED 1144 A Date Approve f ......................................... DEPOSIT, .......................................... .......... BY_- ..... . ................ :7� ............... ...... .................................. DATE ... ............ 97 117 C_ () lz� Randy and Kim Lintott 22822 75th Avenue West Edmonds, WA 98026 CITY OF EDMONDS BARBARA FAHEY 121 5TH AVENUE NORTH - EOMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works - Planning/Building * Parks and Recreation - Engineering - Wastewater Treatment Plant October 3, 1997 Subject: Determination regarding Critical Areas Checklist * ',`47405 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. IMPORTANT�ikFciRMATIONTO:BENOT-ED, PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOUMAYNEEDTOSUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination 'not a project -specific determination. moo'. To' Permit applications include the following: Enc: Determination * Architectural Design Board C:Reception\Jana\CRLTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Diane Cunningham Planning Secretary I rl ALL -41$M Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan PLANNING DATA -NAME: SITE ADDRESS:_�'Z� "75W6Vb_1'1DATE: ZONING: f �__ k PLAN CHK#:. 10 PROJECT DESC PTION: Mqsj�� CORNERLOT A6 (Yes/No) -FLAG LOT A1,16, (Yes/No) SETBACKS: Required Setbacks: GOO �, Lj Front: 2!�_ LeftSide: Right Side: -7 Rear: Actual Setbacks: Front: Z% Left Side: Right Side: Rear: AA9 Street map checked for additional setback required? J (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED — (Y/N) C,4 41-W LOT COVERAGE: V Maximum Allowed: 35-�* Actual: BUILDING HEIGHT: 17 Maximum Allowed: Actual Height: Datum Point: Datum Elevation- A.D.U. CREATEW: A� / SUBDIVISION: CRITICAL AREAS #: 0/ -7 / 13 SEPA DETERMINATION: &-lyt" ef LOT AREA: —7 (alk i Plan Review By: ::I�s Oj c.Afi1cs\permjt\Ap1and3Ldoc CA FILE NO. — Critical Areas Checklist ------------------------------------ ------------------------- Site Information (soils/ topography/ hydrology/ yegqtation) I. SiteAddress/ Location: 2. Property Tax Account Number: 'jJ4 / 5- — CIO I 3. Approximate Site Size (acres or square feet): -7. b 4. Is this site currently developed?X yes; no. oin:� e�' 7 If yes; how is site developed? K Descri e the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15 % and less than 30 % ( a vertical rise of 10-feet over a horizontal distance.of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: ; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. -Site is in the floodway—_-4.- floodplain—. of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? 10. Site is primarily: forested ; meadow ;shrubs mixed urban landscaped (lawnshrubs etc) __ 11. Obvious wetland is present on site: WIA Aca -chkdoc, Rev 02/11/97 City of Edmonds 'V,W CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a deten-nination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map along w ' ith the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site ' I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). 0 ' /A licant: �;a'm'e Street Address City State Zip 7 Telrrhune-, A 3ignature �� Z Z-L' (?7 Date c:rcception\jana\cac1.doc Applicant Representative: Name Street Address city State Zip Telephone Signature Date (over) '67� �) C. 181) STREET ADDRESS FILE BARBARA FAHEY CITY OF EDMONDS MAYOR PUBLIC WORKS DEPARTMENT - 7110 — 210TH ST. S.W. - EDMONDS. WA 98026 (425) 771-0235 - FAX (425) 744-6057 - E-MAIL: kIein@ci.edrnonds.wa.us WEB SITE: www.ci.edrnonds.wa.us March 25, 1999 Mr. & Mrs. Lintott 22822 —75 1h Ave. W. Edmonds, WA 98026 Subject: Water Leak Credit Account 45-04300 Dear Mr. & Mrs. Lintott: I have reviewed your account and will allow a credit for the billing period between October 19, 1998 through April 20, 1999 in accordance with our City policy. The policy states that the customer will be billed at the retail rate based upon the average water consumption for the same period during the previous year. In addition, the excess water lost from the leak will be billed to customer at the City's wholesale rate with a 15% surcharge added for administrative cost. Only one leak credit will be granted in any three- year period. Should you have any additional questions after you receive your new billing, please contact Denise Burke, Utility Billing Clerk, at 771-0241. Sincerely, Jim Waite Water/Sewer Supervisor JW/lk cc: Denise Burke Utility Billing Clerk wordata\water\credit99\#504300 9 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan KIM & RANDY LINTOTT 2282275 1h Ave W Edmonds, WA 98026 (425) 776-3056 March 22, 1999 Jim Waite City of Edmonds - Combined Utility 71102 101h SW Edmonds, WA 98026 RE: Leak Adjustment Request Dear Mr. Waite; RECEIVED MAR 2 4 1999 PUBLIC WORKS DEPI. Your department notified us that you suspected a leak in our water system because our usage was creeping higher and higher. We found the leak near the water meter and had it repaired on Thursday, March I 8'h. We would like to request an adjustment to our bill. If you have any questions, or need additional information, please call me at (425) 640- 4608 (work) Sincerely Kim Lintott OCT 03 '97 03:40PM STEVENS HERLTHCqRE City of Edmonds CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be fiUed' out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Arcas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). P. 3/3 An appliCeAt, or hiVlacr rgPrOseulfitivc- Must fill Out tht checklist sip and dam it. aad submit it to the City. The C4 will review the &ecklis;L make a precursory site visit, and make a determination of the 3UbSCqUCDt StOPS MOSSUY to complete a development permit application. Vease submit a vicinilr/ =p along with the. signed copy of this form to waist City staff in fladiag and locating the 3pecific piece of propeM described ou this form. In addition, the applicant shall include other pertinent information (e.g., site plan, tOPOFSPhY map, qtc.) or studies in conjunction with this Checklist to assist staff in completing their PrelimiUiRrY assessment of the site I have complKed the attached Critical Areas Cbecklist and alleg that the answers provided are factual, to ihe best of my knowledge (fill out the appropriate, column below). Cpi%er/Applicant- I ;�'aQ D� :L a'M—e I Street Address I city state I zip Date Q'r6M9i0n%J11n%\42r'1'dW Applicwt RepreSOUtAtivc-- Name- Sued AddrM city state zip Telephone Signature Date 0 0 T -1 1 1 .-" A V %0. � i. k I -.-- OCT 08 '97 03:39PM STEVENS HEPLTHCPRE P.2/3' %oriticaj Areas Checklist q7-113 -------------------------------------------------------- 7 ------ Site Information (soils/ topography/ hYdroloev/veaetation) I- Site Address/Location: 2. Property Tax Account Number: �414 3. Approximate Site Size (Picres or square feet).- S.P:, 4. Is thU site currently developed yell; — no. 7X If yes; how is site developed7 —%&srj N( 5. Descri the meral site topography, Check all that apply - Fiat less d= -5-feet elevatiort change over entire site. Rolling: slopes on site generaUy less a= 15% (a yadcaj rise 01 1.0-feet over a horizontal distance of 66-feet). Hilly.- . 51opes present on site of znore than Is% andlessd=30% (avertical rise Of lUeet over a hozizontal distance of 33 to 66-feet). Steep: grades of greater'than 30% present on site (a vertical rise of 20-feet over a horizontal distamce of less d= 33-feet), Other (please deswibe): 6. Site contairw areas of Year-round standing water; __jj ; Approx. DeA: 7, Site contains areas of seasonal standing water: �pprox. Depth. What seasork(s) of the year? S. Site is in the floodway 264_floodplain- ofawatarcouzoe. 9. Site contairis a cre� Or an area where water flows across the grounds surface? - Flows are Year-round? Flows are seasonal? __ (VvUt time gf year? 10, Site is prinjArily., forested meadow shrubs mixed -urban landscaped (lawr4shmbs ew) 'Wr 11. Obvious Wetland is present on site: -96 w t "'MW J'iw W9 M, n7 �� i D 31 32 COPPER TACK IN LEAD IN CONCRETE MONUMENT -IN CASING. 30' i!in;� Ito �o co 1 0 C) z 40 flool N 88*11'52" W2'80.05 ME . AS., 280.10 PLAT 228TH'r I ST. S.W. Lof 2 FOUND 1* 0. OF �; x C 01.J'R POSI' Lor 5 S.E OF FEIN OF CYCLONE CORNER I! 4.7N x 0.- S.W. PROF DEED LINE 30337 E 2r BRASS IN r-ONCS STU FILE IN CASINC. a! 'm Lo C) I/