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22907 102ND PL W.PDFiiiiiiiiii 180 22907 102ND PL W is ADDRESS: TAX ACCOUNTIPARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: ,2,0 d 1 -6) -27Y Y - el - r- CRITICA L AREAS OJ nditional Waiver F] Study Required E] Waiver _!�E JERMINATION DISCRETIONARY PEP -MIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER):—haf oa5y rno'wo PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE S: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S),#: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #:- FOR: WATER METER TAP CARD DATED: LID #: LOT: BLOCK: LATEMP\DSrs\Forms\Street File Checklist.doc PLANNING DATA mi 1-1 - q6 SITE ADDRESS: .2 Z'�o 7 iPZ,,l DATE: ZONING: A5- y PLAN CHK#: 76 - zi PROJECT DESCRIPTION: -641 91/C4 Required Setbacks: Front: Z. 3' Left Side: 7 kz- Right Side: 7 )'L Rear: Actual Setbacks: Front: I/ Left Side: tO Right Side: Rear: 1 0 Z. CORNERLOT /VO —(Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /(,/0 (WN) LOT COVERAGE: Z r7o Maximum Allowed: Actual: BUILDING HEIGHT: r / Maximum Allowed: Actual Height: — Datum Elevation: — Datum Point: A44 SUBDIVISION: CRITICAL AREAS #: 64 - fr- 1,5_3 Use PC)AY%q1 SEPA DETERMINATION: to Xe2n IL LOT AR OTHER: MOMIS Plan Review By: rxk-- , "5 K 0 0 City of Edmonds Conditional Waiver Applicant: I Scott Hammond Determination #: I CA-95-253 Project Name: I Hammond Addition I Permit Number: I Plan Check # 95-21 Site Location: 1 22907 102nd PI W Property Tax Acct. #: 1 6107-002-001-0301 1 Project Description Addition on 6CXI-V ,,"n side of existing house. Waiver Criteria (all criteria must be found to apply): XXX There will be no alteration of the Critical Area or its required buffers; XXX The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; XXX The development proposal meets the minimum standards of the Critical Areas ordinance; XXX The above findings are based on the following conditions of approval: 1. This conditional waiver is granted for the sole purpose of constructing the proposed addition on the north side of the existing house. Any other proposals must either provide a study or be granted a conditional waiver. Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is eby Waived, as authorized by Chapter 20.15B. 150 (B) of the Edmonds Community Develop e t Code. Steve Bullock -4 February 1, 1996 Name Ignature Date 13 I ��' - IN, z 'r, 13, '- � PERM i, �j�"JFFI January 24, 1996 City of Edmonds Community Services Planning Department 250 - 5th Avenue North Edu")ndsj WA 98020 RE: CrIticol Areas Chi-chliSt Determination #(7A 95- 253 For Scott Hammond Altuntimn Slupbon WWI As y�w vuZ,niod jost.:05 nb"n 7 me! WV I-v, ' wai %riting P, rpquent a CQUA&M WaVer to M nOW1 riv%uirement ro-nuMiq� ?vow I" , :ov!ew of tht. CrIMPal Aroan M-MI& 1 Wryi—! W No the adAllon I want to do on mi h-m�- � � 1 �n L��r 7, . T�Pr 11, contact wiQ N&I T%elkor, a fleoterhnirwl Enjinw"q and W, ettormn me that there is "y uvw2 for a orlal Mel Nr the work I W pe,posing I" d" on my home And thot the Vrop"spd 212 FF MMM WIM aid a, Mther Npat I on Q- ur�k'"; 11 it, Ut dir-0 1 n V th- P%1 iting shlp.�-. I am VruvWltig a Jetter from him Nst.ribing his MOWS & the ,qp onoditi"ns aloag with p0t plan showlnZ tht- 1"Mlun Q m:i 77� v -v; M On - �! 1 - " ''n ! "'- 1: .! N 9 WA Nei I R Twelker and Consulting Soils Scott Hammond 22907 102nd Place West Edmonds, Washington Re: Proposed SFR Addition 229(Y7 102nd Place W. Edmonds, WA. Dear Mr. Hammond: *hone: (206) 284 2410 Associates, Inc. Engineers 610 Wheeler St. No. 404 Seattle, Washington 98109 January 23, 1996 At your request we have revW*,ed the circumstances of a proposed addition to the single family residence at the above aftess. We present herewith a report of our findings, conclusions, and recommendations. She Descripfim The property consist of a quadrilateral lot having an average depth of 250 feet and an average wkfth of 75 feet. It consists of 2 principal topographic elements (1) an upper n&-uly level area which covers somewhat more than the westerly three-quarters of the she, and (2) a moderately steep slope at Me east and, whose total height is approximately 60 feet. The upper nearly level area contains an existing house with a carport, while the slope at the easterly end is covered with native vegetation and a number of large evergreen trees, the condition of which conveyed no irKkabon whkover of downslope soil movement. Soil exposures are of dense glacial till, the upper foot or two of which consist of loosened or weathered "supra-till.w m QonclusjQns and Recommerdations On the basis of our review of the circumstances of this project, we draw the following principal conclusions: 1 . The hillside at the rear of the property is in pristine condition, is protected with vegetation, and is formed in a very competent soil formation, 2. The proposed extension to the existing residence 12 feet by 21 feet, does not extend in the direction of the steep slope-, ft is located at the southeast corner of the existing house, and is extended to the South for a distance of 12 feet, parallel to the top of the sk)pe. 0 0 3. The proposed addition will not under any circumstances place additional loads on the slope (which is no" 40 feet away). In fact, the addition will result In a small reduction of the body sresses within the slope; this is because of the negative loads occasioned by the removal of the material for the crawl space of the now addition. 4. Interim Critical Areas ChaMer of Municinal QQde We note that the City of Edmonds has adopted a Critical Areas ordinance (Chapter 20.168), in which the properties of certain kinds of land are described, along with the steps which have been invoked to protect them, and the administrative remedies which are available to the public in the application of these rules. You have been notified by the City Planning Department that a Critical Area (in the form of a steep slope) may exist on or near your property. We note that Paragraph 20.15B.040A states"$. General Exemomm . The provisions of this Chapter and any administrative rules promulgated hereunder shall not apply to the following: . . . . .2 Remodelling, reconstruction or replacement of legal structures and improvements that do not meet the reqLdwMents of this Chapter but Which are in existence on the date this Chapter becomes 4ifective, provided that such activity does not increase the potential impact to a Cfffical Ar6a or 16 buffer, or in the case of an existing structure or improvement in geologic4dly ha�ardous areas, does not create the potential of soil movement or risk of harm or damage to existing uses or development; or to the public safety;" 5. We believe that the proposed addition to this Structure meets the requirements of this exemption in all respects: The house has obviously been in existence for many years. The proposed extension will not impact in any material way the Critical Area or its buffer, and it will create absolutely no risk of soil movement. We note that the building extension will occupy approximately 100 square feet of the buffer area (in the part most distant from the slope); however, we assume that the Drafters of the ordinance included the buffer provision merely as a physical safeguard for the Critical Area, and that they were sufficiently respectful of the Fifth Amendment to the U.S. Constitution that they did not intend the provision for a "buffer zone" to be a "taking." We reiterate: The proposed extension of the house will have no adverse effect whatever on the stability, the condition, nor the appearance of the slope which lies beyond. The following items are noted for your guidance in completing the design and construction of the addition 6. We anticipate that adequate vertical support for all proposed foundation elements will be found at shallow deph beneath finished grade. Unsuitable material in foundation areas may be replaced with compacted structural fill or with pea gravel (which requires no compaction). Spread footings may be designed for contact pressures of 3000 psf, with a minimum footing width of 16 inches. 7. Groundwater occurrences are not anticipated to be a factor in the subsurface aspects Of the project; however, in the event that groundwater is encountered in the site pre- paration work, it should be carefully tiled off to allow permanent maintenance -free drainage, preferably in a manner which can be checked visually throughout the life of the project. 8. All beIgx-SKadg gigam- including retaining walls, should be provided with perma- . # I 0 0 7 T M. PIW. M nent drainage consisting of fifter-wrapped perforated pipe in an envelope of free - draining materW (preferably coarse washed sand). 9. Surface water (roofs, driveways, patios, etc.) should be collected and conducted to an approved discharge point. Under no circumstances should surface water be led into foundation drains. dry wells, or infiltration pits. Surface water from downspouts can eittier be led to the storm drain In the street or conducted by fightline to a horizontal perforated pipe at the east property line, from whence it will escape as sheet flow. 10. Erosion during the construc ' fion period is not expected to be a matter of concern, regardless of the tirne of year construction takes place. 11. Resistance to transient lateral forces (wind or earthquake) will be found in base friction and lateral earth (passive) pressures. This is a one-story structure; assuming it to have been corwucted to meet thebutiding codes then in effect, no significant damage 1?. - is to be anticipated, even in a strong motion,seismic event. We shall be pleased to assist in any way possible in the completion of the remaining prelim- inary aspects of this projed and to perform the necessary support services during the con- struction phase. The Perzonal History Statement of Neil Twelker is attached for your information. \�. ti. T Wcl OV WASjy. $757 NHT:nt I F_xpiREs 31131 1 4t Very truly yours, NEIL H. TWELKER AND ASSOC.. INC. Neil H. Twelker, Pros. I rA 1:1 lit I NEIL A. TWELMR BS (Civil Engineering) AM (Soil Mechanics) PhD (Soil Mechanics) University of Washington Harvard University Harvard University Member American Society of Civil Engineers Geological Society of America Structural ErOneers Association of Washington United States Committee on Large Dam Tau Beta Pi Sigma Xi Liclu-m University of Washington Registered Professional Engineer Washington (Civil) Oregon (CIVII) 1942 1954 1958 CPllwe of Architecture and Urban Planning Alaska (Civil) Eaerience Fifty one years total experience in the application of soil mechanics and geotechnical engineering to construction and landslide stabilization, including. Nine years with the Seattle District of the Corps of Engineers, with responsible charge of soil engineering on major and minor projects, including design and construction phases of Chief Joseph and Albeni Falls Dams, and preliminary investigations on dam sites throughout the Pacific Northwest. Design, construction, and emergency repair to flood control levees and breakwaters. Two years'with Shannon and Wilson, Soil Mechanics and Foundation Engineers.. Seattle, with resporWbie charge of site Investigations for Wells Dam (Columbia River) . Tolt River Dam, Upper Baker River Dam, slope stability investigations for open pit copper mines in Utah and. Nevada, and miscelianoeous foundmion and landslide investigations. ThEee years of combined private practice, teaching, and graduate study (1953 -1956), including work on the St Lawrence Seaway, airfields throughout New England, and con- sultation on construction of Rance River Tidal Power Dam, St. Malo, France. Thirty-seven yms in- present practice. Soils and foundation engineering for buildings, bridges, roads, dams, and breakwaters. Over 6000 professional assignments in Washington, Oregon. and Alaska, IrK*Wing waterfront and major industrial developments for Port - of Seattle, Port of Tacoma, and other governmental and private organizations, and U.S. Navy at Auk Field, Adak Island Air Station, and Puget Sound Naval Shipyard. Consultation on design and construction of numerous large and small diameter soft ground and hard rock tunnels, deep trenches, and caissons. Numerous remedial and underpinning pro)ects, foundation and site preparation for residential. commercial, and Industrial structures of all sizes. Soil and foundation studies and con8truction consultation for Tri-Cfties Bridge (Columbia River, Washington). .,In Seattle: Crown Plaza Hotel, Westin Building, Fourth and Blanchard Building, Warwick Hotel, Market Place North, Seattle Aquarium, Museum of Flight, Resto- ration of Pike Place Market, and other projects, large and small. In Portland, Ore.: Portland General Electric HQ Complex, KOIN Plaza, Marriott Hotel, Ben Franklin, and many others. -Z 4-1. 41-f - oll lij u YIIAA _0 c N 2? 40 ILI - - r -_� 11 -I�L7 -F City of Edmonds Critical Areas Determination Applicant: I Scott Hammond I Determination #: I CA-95-253 Project Name: I Garage Addition Permit Number: I Site Location: 22907 102n' Pl. W. Property Tax Acct #: 1 6107-002-001-03 Project Description: Construct a garage addition with second floor living space in the location of an existing carport on the northwest side of the existing building. Waiver Criteria (all criteria must be found to apply): X -There will be no alteration of the Critical Area or its required buffers; X -The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; X _The development proposal meets the minimum standards of the Critical Areas ordinance; X -The above findings are based on the following conditions of approval: 1. This conditional waiver is only for the garage addition shown in the attached site plan and garage plan. 2. A building permit is required for all work. Based on the above findings and condi�ions� h requirement for a Critical Areas Study e associated with this development permit id eteby Waived as authorized by Chapter 20.15B.040 (A)(1) of the Edmonds Community Dev/lop ,�ient Cq;�� 7 Steve Bullock �� t %'-. April 24, 2001 Name '�§i-dnature ' Date .. - — 1 0 0 City of Edmonds FEB 1996 Conditional Waiver Applicant: I Scott Hammond Determination #: I CA-95-253 Project Name: I Hammond Addition I Permit Number: I Plan Check # 95-21 1 Site Location: 1 22907 102nd PI W I Property Tax Acct. #: 1 6107-002-001-0301 1 Project Description: Addition on north side of existing house. Waiver Criteria (all criteria must be found to apply): XXX There will be no alteration of the Critical Area or its required buffers; XXX The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; XXX The development proposal meets the minimum standards of the Critical Areas ordinance; XXX The above findings are based on the following conditions of approval: 1. This conditional waiver is granted for the sole purpose of constructing the proposed addition on the north side of the existing house., Any other proposals must either provide a study or be granted a conditional waiver. Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is h reby Waived, as authorized by Chapter 20.15B. 150 (B) of the Edmonds Community Develop t Code. Steve Bullock - '�.J Fcbruary 1, 1996 Name Signature Date 4!N ON PERM), January 24, 1996 City of Edmonds Community Services Planning Department 2150 - 5th Avenue North Edmonds, WA 98020 RE: Critical Areas Cht--(,Iili,,;L Determination #CA- 95-2253 Foe Scott Hammond AtteiAion. Stk:phf�-Tl RU1100h A,- �,Io, -Cp to co f lie aedi I ion I Want t v d�-, on n,-- 11- yr., tact- witli Ni-11- Tvelk.--r, ;.A Ceot�--OWoal ki t h Z4 t t 11 t- I. (. i s I �,.! I; t. t. -2 am ttf do on my homo --ind *111;4t ths- 27,2- furthE'r fli am prvvidin& a letter fr,�im him (:I," hi:i findiii,&Z .-f the of My 'It- C-oll-Iftions WHIII ;,k P11(st I drl:,1:-<1,;) W.A 41' e,- Telephone: (206) 284 2410 Nei I R Twelker and Associates, Inc. Consulting Soils Engineers Scott Hammond 22907 102nd Place West Edmonds, Washington Re: Proposed SFR Addition 229(Y7 102nd Place W. Eft"xis, WA. Dear Mr. Hammond: 610 Wheeler St. No. 404 Seattle, Washington 98109 January 23, 1996 At your request we have reviewed the circumstances of a proposed addition to the single family residence at the above address. We present herewith a report of our findings, conclusions, and recommendations. She Descripj�w The propeM consist of a quadrilateral lot having an average depth of 250 feet and an average width of 75 feet. It consists of 2 principal topographic elements (1) an upper neady level area whiO covers somewhat more than the westerly three-quarters of the site, and (2) a moderately steep slope at Me east end, whose total height is approximately 60 feet. The uppw nearly level area contains an existing house with a carport, while the slope at the easterly end is covered with ' native vegetation and a number of large evergreen trees, the condition of which conveyed no intkation wNaever of downslope soil movement. Soil exposures are of dense glacial till, the upper foot or two of which consist of kxsened or weathered "supra -till." ConclusiQns and Re=rnerydations On the basis of our review of the circumstances of this project, we draw the following principal conclusions: 1 . The hillside at the rear of the property is in pristine condition, is protected with vegetation, and is formed in a very competent soil formation. 2. The proposed adension to the existing residence 12 feet by 21 feet, does not extend in the direction of the steep slope: it is located at the southeast corner of the existing house, and is ezended to the south for a distance of 12 feet, parallel to the top of the slope. a T6rllil 6" F IR -A WZ. M P i!, M. 3. The proposed addition will not under any circumstances place additional loads on the slope (which is nwly 40 feet away). In fact, the addition will result In a small reduction of the body stresses within the slope, this is because of the negative loads occasioned by the removal of the material for the crawl space of the new addition. 4. interim Critical Areas ChaMer of Municipal QQd We note that the City of Edmonds has adopted a Crit" Areas ordinance (Chapter 20.168), in which the properties of certain kinds of land are described, oJong with the steps Which have been invoked to protect them, and the administrative remedies which are available to the public in the application of these rules. You have been notified by the City Planning Department that a Critical Area (in the form of a steep slope) may exist on or near your property. We note that Paragraph 20.158.040A states"*. Qeneral Exematea . The provisions of this Chapter and any administrative rules promulgated hereunder shag not apply to the following: ..... 2 Remodelling, reconstruction or replacement of legal structures and improvements that do not meet the reqLdwMents of this Chapter but which are in existence on the date this Chapter becomes effective, provided that such activity does not increase the potential impact to a Critical Aria or 16 buffer, or in (he case of an existing structure or improvement in geologically ha�ardous areas, does not create the potential of soil movement or risk of harm or damage to existing uses or development, or to the public safety;" S. We believe that the proposed addition to this structure meets the requirements of this exemption in aJI respects: The house has obviously been in existence for many years. The proposed extension will not impact in any material way the Critical Area or its buffer, and it will create absolutely no risk of soil movement. We note that the building extension will occupy approximately 100 square fM of the buffer area (in the part most distant from the slope); however, we assume that the Drafters of the ordinance included the buffer provision merely as a physical safeguard for the Critical Area, and that they were sufficiently respectful of the Fifth Amendment to the U.S. Constitution that they did not intend ft provision for a Obuffer zonen to be a "taking.' We reiterate- The proposed extension of the house will have no adverse effect whatever on the stability, the condftion, nor the appearance of the s" which lies beyond. The following items are noted for your guidance in completing the design and construction of the addition 6. We anti6pate that adequate vertical support for all proposed foundation elements will be found at shallow depth beneath finished grade. Unsuitable material in foundation areas may be replaced with conVacted structural till or with pea gravel (which requires no compaction). Spread footings may be designed for contact pressures of 3000 psf, with a minimum footing width of 16 inches. 7. Groundwater occurrences are not anticipated to be a factor in the subsurface aspects of the prooct; however, in the event that groundwater is encountered in the site pre- paration work, it should be carefully tiled off to allow permanent maintenance -free, drainage, preferably in a manner which can be checked visually throughout the life- of the project. 8, All belgwaadg IpWM. including retaining walls, should be provided with perma- nent drainage consisting of fifter-wrapped perforated pipe in an envelope of free - draining material (preferably coarse washed sand). 9. Surface wat (roofs, driveways, patios, etc.) should be collected and conducted to an approved discharge point. Under no circumstances should surface water be led.into foundation drains, dry wells, or infiltration pits. Surface water from downspouts can either be led to the storm dra)n in the street or conducted by tightline to a horizontal perforated pipe at the east property line, from whence it will escape as sheet flow. 10. Erosion during the construc ' tion period is not expected to be a matter of concern, regardless of the time of year construction takes place. IN 11. Resistance to transient lateral forces (wind or earthquake) will be found in base friction and lateral earth (passive) pressures. This is a one-stofy structure; assuming it to have been constructed to meet thebtMing codes then in effect, no significant damage is to be anticipated, even in a strong motion.seismic event. We shall be pleased to assist in any way possible in the completion of the remaining prelim- inary aspects of this project and to perform the necessary support services during the con- strucWn phase. The Personal History Statement of Nail Twelker is attached for your information. tk. T *,Fl Very truly yours, ^V %V ", S /.,.. I S757,:0 NAL NHT:nt I ExPiREs 31131 1 1 NEIL H. TWELKER AND ASSOC.. INC. tIV2 . & 0-/-, Z� 4- � Neil H. Twelker, Pres. NEIL H. TWELKE BS (Civil Engineering) AM (Soil Mechanics) PhD (Soil Mechanics) University of Washington Harvard University Harvard University Member American Society of Civil Engineers Geological Society of America Structural Engineers Amociation of Washington United SWes Commktee on Large Dame Tau Beta Pi SIgma Xi LA=uneL University of Washington Registered Professional Engineer Washington (Civil) Oregon (CIVU) 1942 1954 1958 Cp1lege of Architecture and Urban Planning Alaska (CiviQ Eaerience Fifty one years total experience in the application of soil mechanics and geotechnical engineering to construction and landslide stabilzation, including. Nine years with the Seattle District of the Corps of Engineers, with responsible charge of soil engineering on major and minor projects, including design and construction. phases of Chief Joseph and Albeni Falls Dams, and preliminary investigations on dam sites throughout the Pacific Northwest. Design, construction, and emergency repair to flood control levees and breakwaters. Two years with Shaman and Wilson, Soil Mechanics and Foundation Engineers,. Seattle, with responsible charge of site investigations for Wells Dam (Columbia River) , Tolt River Dam, Upper Baker River Dam, slope stability investigations for open pit copper mines in Utah and. Nevada, and misceltaneous foundation and landslide investigations. ThEse years of combined private practice, teaching, and graduate study (1953 -1956), including work on the St. Lawrence Seaway, airfields throughout New England, and con- sultation on construction of Rance River Tidal Power Dam, St. Malo, France. Tharty-seven years in- present practice. Soils and foundation engineering for buildings, brkkm, roads, dams, and breakwaters. Over 6000 professional assIgnmerds in Washington, Oregon, and Alaska, IrK*Aing waterfront and major industrial developments for Port. oV Seattle, Port of Tacoma, and other goverrynental and private organizations, and U.S. Navy at Auft Fmid, Adak Island Air Station, and Puget Sound Naval Shipyard. Consultation on design and construction of numerous large and small diameter soft ground and hard rock tunnels, deW trenches, and caissons. Numerous remedial and underpinning projects, foundation and site preparation for residential. commercial, and industrial structures of all sizes. Soil and foundation studies and construction consultation for Tri-Cities Bridge (Columbia River, Washington). .0In Seattle: Crown Plaza Hotel, Westin Building, Fourth and. Blanchard Building, Warwick Hotel, Market Place North, Seattle Aquarium. Museum of Flight, Resto- ration of Pike Place Market, and other proji�cts, large and small. In Portland, Ore.: Portland General Electric HQ Complex, KOIN Plaza, Marriott Hotel, Ben Franklin, and many others. 0 0 . \\N /A )\w -25 4s' - ----------------- ............ --------------- lij IID e-F 2-0 CA I-H-L- NU- ritical Areas Checklist 0 1�i Zs,5 Site Information (soils/topography/hydrology/vegetation) 1. Site AddressALocation: 102ml A- - U/. 6io'-t-o"Jos 2. Property Tax Account Number. &1Q*7--00Z-001-c3o,1 3. Approximate Site Size (acres or square fed): 'Z 0 44 IL-L DEC 2 4. Is this site currently developed? -A'yes; — no. PERM"OUNTER If yes; how is site developed? ///)o 15r- 41c)OS,5 S. Describe the general site topography. Check all dig apply. X 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 I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: /-/0 _; Approx. Depth: 7. Site contains areas of seasonal standing water- . Ado ;Approx. Depth: What season(s) of the year? 8. Site is in the floodway /VO floodplain A10 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? A10 Flows are seasonal? i�� (What time of year? -- ). 10. Site is primarily: forested ; meadow —; shrubs mixed urban landscaped (lawn,shrubs etc) X . 11. Obvious wetland is present on site: For City Staff Use�Oidy --'sitelsZo ned? mapped 2 Si.CS soil type(s)? 3� -Weiland inventory or C-A. imp indicates wedand present on site? ritical Areas inventory or C.A. map,indicates Csitical Am on site? 4 i wi n Igna -dim' ted ea� subsidenc6- landslide hazard am? 6.:: desi ated on*the Environmentally Sensitive Areas Map? gn DETERMINATION STUDY REQUIRED CONDITIONAL WAIVER WAYER Reviewed byT-.:--� bate Planner RcvG1104fN city of Edmonds Critical Areas Checklist 'Me Critical An= ChecMist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to histher submittal of a development permit to.the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Amu 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, 0 and submit it to the City. Tbe City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map Zr Plot Plan for indl—Vidual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In adMon, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assiist staff in completing their preliminary assessment of thesite. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner I Applicant- 1HOA10 Nam K9- 0 7 -/() T---1 ti Pz. Street Address o&W:), " � -7 7,5 5Zz,=> City, State, ZIP Phone A 12 lq(" Si ufz Date Applicant Representative: Nam Street Address City, State, ZIP Phone Signature Date 0 0 City of Edmonds Critical Areas Determination Applicant: I Scott Hammond Determination #: I CA-95-253 Project Name: Permit Number: F Site Location: 1 22907 102nd PI W Property Tax Acct. #: 6107-002-001-0301 1 Project Description Non -Project Specific Determination: Study Reguired Due to the presence of steep slopes on or adjacent the subject property, a study is required. The purpose of this study would be to identify the impact of development on the steep slopes. Typically, a 50 foot buffer is required from the top of steep slopes unless some geotechnical studies indicate otherwise. If an applicant feels tho any way, they may request a Cond Stephen Bullock Name -ct the Critical Area in repare a Study. January 4, 1996 Date CH ijj�ILE.NO. STREETIUical Areas Checki S Site Information (soils/topography/hydrology/vegetation) 1. S ite Address/Location: �.2-2-ctc:,,? 2. Property Tax Account Number: - 6y 10 —7 0 c) 3. Approximate Site Size (acres or square feet) -V- 4. Is this site currently developed? i,-,' yei; _ no. If yes; how is site developed? o v�- tc>'f- 5. Describe the general site topography. Check all that apply. k-"" Flat: less than 5-feet elevation change over entire site. V!� 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: ZL ; Approx. Depth: What season(s) of the year? 8. Site is in the f1oodway_.,n,.Z(0 floodplain of a water course. 9. Site contains a k or ea where water flo ws a o the grounds surface? Flo year- s are seasonal?,4 (What time of year? found? 10. Site is primarily: forested meadow shrubs mixed urban landscaped Qawn,shrubs etc) 11. Obvious wedand is present on site: Witftin'desig:Wed. earth subsideaftlandslift bazard: areWj RcV01/M4 '�- .4 J cr 90 - 19" - City of E&mon& 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 Edmondsprior 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 determination of the subsequent steps necessary to complete a development permit application.. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below) - Owner / Applicant: 6, Name Applicant Representative: Name -2- -)- `� 0 ? 10 2- UJ - Street Address Street Address City, State, ZIP t2-ag ) 6 72--2-Gcc.? Phone bXV'('-n- fUlr( !§1gJ6Vre u- Date City, State, ZIP Phone Signature , Date City of Edmonds Critical Areas Determination Applicant: I W.B. O'Brien Determination #: I CA-94-87 Project Name: Permit Number: F Site Location: 1 22907 102nd Place West I Property Tax Acct #: 1 6107 002 00103 1 Project Description: Non -project action Waiver Criteria (all criteria must be found to apply): XXX There will be no alteration of the Critical Area or its required buffers; XXX The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; XXX The development proposal meets the minimum standards of the Critical Areas. ordinance; XXX The above findings are based on the following conditions of approval: 1. Before any permit application may be applied for, submit to the Planning Department a topographic survey prepared by a Licensed lAnd Surveyor delineating Steep Slope Hazard Areas. Any slope over 30% with more than 10 feet of rise wiJI be classified as a Steep Slope Hazard Area. A 50 foot buffer is required from both the top and toe of the slope. A 15 foot building setback is required from the 50 foot buffer. 2. If the results of the above survey determine the lot unbuildable, any development which is not identified as an exception per ECDC Chapter 20.15B must receive a Reasonable Use Exception or a Variance pursuant to ECDC 20.15B.180A and 20.15B.040C). 3. All proposed development of the subject lot must meet the requirements of Chapter 19.05 of the Edmonds Conummity Development Code. Name Signature Xaw* , 890 - 19 C) - �`A City of Edmope.' RIGHT -OF -MY CONSTRUCTION. PEIMIT Perm I it Number. Issue Date: A. Address or Viciluity of Construction: 22907 102 pl W (9604232) B. Type of Work (be specific): Tnstail Seryrid-P C. Contractor: Wgghiington natural Can r Contact: Marlaukne KingsbuKy Mailing Address: 1122 75 St SW Everett Phone: 356-7500 X7596 State License #: 98208 Liability Insurance: Bond:$ D-. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. Commercial Subdivision F1 City Project Q Utility (PUD, GTE, WNG, CABLE, WATER) Multi -Family Single Family E] Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut' 0 Yes [INo G. Size of Cut: x H. Chargi�,$ APPLICANT TO READ AND SIGN r INDEMNITY. Applicant understands and by his signature to this application, agrees t' -ho the City ofEdmonds harmlessfrolni ries, damages, or rJu claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmgi�, I;r any, 6f its , . #par"-Ints or' employees, including or not limited to the defense ofany legalproceedings including defense costs, aAd.attorney fees by reason dfgrantidithispermit. il 1 11 k THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the abovestatements and understand thepermit requirements and thepink copyof thepermit willbe available on site at all s for inspection purposes. Signature: Date: 12-5-95 "roron' tracior —or t CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APP ROVEDBY: TIME AUTHORIZED: VOID AFTER �_kV A Y S SPECIAL CONDIT IONS: COMMENTS: RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND Ill: RESTORATION FEE: PERMIT'FEE: . - 0. TOTAL FEE: .,3 RECEIPT FEE - DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE - Eng. Div. 1994 AVMI*xjIcnEr-WC-q-v Watermain depth �-40 I"D(COh-,—rtO(Q gas main Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury Engineering Aide .1,4 C) <�-L) Key: -V- Water -G- Gas -SS- Sewer .e, Water hydrant 0 Water valve Washington Natural Gas Company 1122 75th Street S.W.. Everett, Washington 98203, (206) 355-3331 AVV&Ivxjton Energy Comp" Addendum to: City of Edmonds Right of Way Permit Application Vatermain depth �-40 1"D(C^�-Tto#Q gas main Submitted by: Mariamne Kingsbury Engineering Aide -1-4 0 CL-) T c�, Key; -W- Water -G- Gas -SS- Sewer Water hydrant 0 Mater valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 washmgIon NatwW Gas�—.� AVVbIvxjton Energv Company Watermain depth �-Ao j"E>(c,&.-TtOf,.j gas main Addendum to: City of Edmonds Right of Way Permit Application I Submitted by: Mariamne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 -Z/O NJ j Oii�) �V Key: -W- Water -G- Gas -SS- Sewer ,e, Water hydrant 0 Vater valve Washington Natural Gas Company - 1122 75th Strect S.W.. Everot, Washington 98203, (206) 355-3331 c7" / oo 45� e. v- eA� oz )qo RECEIVED APR 2 4 2001 PERMIT COUNTER -5 s / - overbegd o-vtr-h&d, up me- siyv4 4 c6mes fo h, of ml 5t"?-40 4� CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BYSINESS kn 0-0 C/V1 4 MAILING ADDRESS 4;� ;z 9 0 J CITY ZIP ELEPHONE NAME ADDRESS zip V /ITE NAME Cl �,WI.PERMIT EXPIRES se USE PERMIT 4 U Z ZONE 14e NUMBERA 0 JOB UITE/APT# JO fADBDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCIP Approved RIN Pemilt Required Street Use Pernift Req'd EXISTING — PROPOSED Inspection Required Sidinvalk Required REQUIRED DEDICATION— FT 1 Underground 1 Wiring required METER SIZE LINE SIZE 0. OF FIXTURES PRV REQUIRED I I ta I . YES 0 NO '� LREMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE _:X0.5?CX) 'HONE cc ADDRESS I CITY ZI z P TELEPH6NE 0 U I — STATE LICENSE NUMBER EXPIRATION DATE I CHECKED By PROPERTY TAX ACCOUNT PARCEL NO. (, /0 —� -X--) -z— 0 0 / 0 3 6) / . 0 NEW RESIDENTIAL ?, —_ t 2� �ZU;I�TBING I ECH ADDITION COMMERCIAL / '-CM OR 1-1 CHANGE OF USE REMODEL APARTMENT 0 SIGN REPAIR C] GRADING CYDS E] FENCE X ( FTI DEMOLISH TANK OTHER GARAGE CARPORT RETAINING WALL El 1. RENEWAL PE OF USE, BUSINESS OR ACJ-IVLT.*) "PLAIN ENGINEERING FIRE REVIEWED BY VARIANCE OR CU SEPA REVIEW COMPLETE I EXE EXP LOT COVERAGE ALLOWED PROPO! PARKING RE,� I PROVIDED Z, cc tu z z REVIEWED/DATE DATE tu cc U. SHORELINE OR ADB# INSPECTION I-PBOND REO'D OSTED 0 YES :kNO SIGN AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) FRON SIDE REAR FRONT L/RSIDE REAR 14- `�) zz 77 Id )_13 z LOT AREA I PLANNING REVIEWED BY ATE p(_ I CHECKEDBY I TYPE OF CONSTRUCTION NUMBER NUMBER OF CRITICAL ::m_ OF DWELLING AREAS SPECIAL INSPECTOR AREA .STORIES UNITS NUMBER 47- k-f REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1 Wle,owd de dc 4- e t e A s I X� r 4E��n ') /1-1 *Y 1-5�>Aja S I PLAN CHECK FEE ,,�JEAT SOURCE GLAZING % OT Opp,�/. 40 BUILDING C PLAN CHECK NO: q VESTED DATE PLUMBING .............. MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. J_ C I T_ STATE SURCHARGE W PERMIT APPLICATION: 180 DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ta 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE W IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAP NG IN 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTIO FEE cc , ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE R PLAN CHECK DEPOSIT 0 i DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' TOTAL AMOUNT,OUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THg-ZTATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'SNMPErATION INSURANCE/4-D R�W 18.27. NATU R AGENT) DATE SIGNED (425) 771-0220 ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STIiUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL PR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTE I D. UBC SECTION 109 FAX 5/98 VALUATION Wm a GROUP / /,,� OCCUPANT LOAD INSPECTION REQ'D 0 FEE C?z 96— APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid. and I receipt is acknowledged in space provided. -FICIALS SIGNATUR DATE], , j ,5 ORIGINAL -FILE Y8LLOW-IN8PECT PINK -OWNER GOLD -ASSESSOR - - -.- -i:� C)z ; ivy . .. . ................. . .... FA -Z: CITY C,-OPY JAN 2 6 1996 PERMIT COUNTER APPROVED BY PLANNING . . ......... L C:> -T STREET FILE RECEIVELo i�, JAN, 2 6 -Sn��6 PERMIT COU�ITE-R APPROVED By PLANNING -Z- REVISIONS �G Z7 -7S WT— Clad�CLA "AT, 0 4,- too t^ Ap WkK (WERICONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE APPROVED BY PLANMING CIL 12,k to I RECEIVEE) MAR - 9 2001 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS FIE OLLNER: MR 4 MRS SCOTT HAMMOND 51TE ADDRE55: 22901 102nd PLACE SUJ, EDMONDS, WASHINGTON EXISTING SQUARE FOOTAGE: 133& SQFT. HEATED ADDITION SQUARE FOOTAGE: 155 SQFT. UNHEATED GARAGE AND STORAGE SQUARE FOOTAGE: 6% SQ. FT GLAZING: REG ROOM 230 SQ FEET: GLAZING 312E� SQ FEET BEDROOM 212 SQ FEET: GLAZING 24 50 FEET BATH 64 SQ FEET: GLAZING & SQ FEET HALL 141 50 FEET: GLAZING 12 50 FEET TOTALS: 653 SQ FEET: GLAZING 15.25 SQ FEET ( IIB% HEAT SOURG-E- EXISTING GAS FORCED AIR FURNACE LOT SIZE: 1'3,515 _E0. FT. LOT COVERAGE: 2)30 SQ. FT. ( 11% ) ui 0 z Lu ui C LL C�, 0C", 0 CN, Date 2/01 Scale 1114v, Drawn FREN Job Sheet 19, TO OLI'Mrii t-vi-j - -- -, I AND 2. AND LOTS 3 AND 4 OF NND 4 OF CITY OF EDMONDS )NDS SHORT PLAT S-98-88 S-98-88 ---- — — — — — — — F 53.00' c� c� !_0 53.00' N 89*46'32" W-66.25' 'o A=25*00'13" ?8"' E Lq R=67.54' ) . �2 �=29.47' 34.70' 34.72' 89'46'32" W 04 ............ 7.5' 0 04 J 4 13ENEFIT LOTS 1 AND 2 AND LOTS 3 AND 4 OF 0 CITY OF EDMONDS SHORT PLAT S-98-88 2 EX. PRIVATE DRAINAGE 1 -5 N 89*46'32- W w EASEMENT PER A.F. NO. 9812280219. TO EX. PRIVATE WATER EASEMENT PER 12.00' a BENEFIT LOTS 1 AND 2, A.F. NO. 9812290219. — 00 0 f4 AND LOTS 3 AND 4 OF TO BENEFIT LOT 1, r! to r- CITY OF EDMONDS AND LOTS 3 AND 4 OF A=115*00'13" SHORT PLAT S-98-88 CITY OF EDMONDS R-20.00' SHORT PLAT S-98-88 L=40.14' z 61.00, ----------------------- A=90*00,00" �q R=20-00' 121.94' 321.02' (PLAT) N 89'46'32" W 320-99' (MEAS.) 20.00. 20.00, L 1 L=31.42' 41.00' 50.35' 10.59' 20.00' 66.25' 'o A= 34"15'50" R=47.54' Lo C*4 L=28.43' A= 34"15'50" R=47.54' L-28.43' ........................... 7.5' 0 c� .2 g,006 sF NET 12.217 SF GROSS co '4 MA( K I WWAI 7.5' 7.5' ............. . .................... H4. 96' 04 ±0.9, 242.49' EX. SPLIT RAIL WOOD C4 FENCE ±0.6' NORTH EX. SPLIT RAIL WOOD a c� 7.5' to L 0 -r V I N 89*46'32" W 163.79' SOUTH LINE OF THE NORTH 20 FEET OF LOT 4 I ASI 11111 ''1 1111 W1 '.I 14,�.4(1 It.11 (ii ifil', 4 Alfl) 1, R=380.()(" L=20.9'1' EX. INGRESS. EGRESS AND UTILITY EASEMENT PER A.F. NO. 9812280219, TO BENEFIT LOTS 1 AND 2. AND LOTS 3 AND 4 OF CITY OF EDMONDS SHORT PLAT S-98_ 88 LEGEND SET 1/2" X 18-- IRON PIN WITH PLASTIC CAP NO'D. 12055/22969 (LOT CORNERS ALONG PRIVATE ROADWAY WILL BE STAKED AS CONSTRUCTION IS COMPLETED) N 89*46'32" W 163 * 46' %lr%oru REVISIONS '01, zyeFz)--? i-v 16CI,2- Is (��Cs WN %.+f-,A L*e J- -..y to A APPROVED BY PLANN-s'�-1.3 (o 0-70c�-Joc, c�sc;- OWNER/CONTRACTOR IS RESPONSIBLE FOR 4 /Z-+ EROSION CONTROL AND DRAINAISt /c RECEIVED MAR — 9 2001 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS OWNER: MR 4 MRS SCOTT HAMMOND SITE ADDRE55: 22B01 102nd PLACE SO EDMOND5, WASHINGTON EXISTING SQUARE FOOTAGE: 1338 5QFT. HEATED ADDITION SQUARE FOOTAGE: 155 SQFT. UNHEATED GARAGE AND STORAGE SQUARE FOOTAGE: ro% 5Q. FT GLAZING: REG ROOM 230 50 FEET: GLAZING 332E� SQ FEET BEDROOM 212 5Q FEET: GLAZING 24 50 FEET BATH 64 SQ FEET: GLAZING & SQ FEET HALL 141 SQ FEET: GLAZING 12 SQ FEET TOTALS: 653 SQ FEET: GLAZING 1525 50 FEET ( 11.5% HEAT SOURCE: EXISTING GAS FORCED AIR FURNACE LOT SIZE: Ic3,815 eQ. FT. LOT COVERAGE: 2)30 5Q. FT. ( 11% ) ui 0 Z Lu Lu z (N Date 2/01 Scale 1"410, Drawn REN Job Sheet E PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE APT OWNIR NAME NAME OF BUSINESS ADDRESS LEGAL DESCRIPTION —CHECK SUBDIVISION NO LID NO ac k4 ,4x4tA r W MAILING ADDRESS Z 1: e t. 0 o PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 CITY 41F, LEPHONE NUMBER RW Permit Required 0 EXISTING — REQUIRED DEDICATION Street Use Permit Req'd 0 A, 1095' �4?020 PROPOSED Inspection Required 0 NAME Sidewalk Required 0 uj METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED Lu ADDRESS ;YES 0 NO 0 REMARKS cc Y) 0 VIE— W U Lu M_ CITY 41H TELEPHONE NUMBER Z Z W NAME cc ADDRESS 0 ENGINEERING MEMO DATED REVIEWED BY I_ 4?)" V, U < TELEPHONE NUMBER CITY FIRE MEMO DATED REVIEWED BY W Z 0 E L) STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPAREVIEW ADB NO. Legal Descri I ption of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT SHORELINE 4 Z 6456,1+L- OX e JP EXP 0. VARIANCE OR Cu PLANNING REVIEW BY DATE W L) SETBACKS —FEET HEIGHT LOT COVERAGE K Z 7 u' FRONT SIDE REAR j Property REMARKS C�L Tax Account Parcel No. (010 002. 00 1 ElNEW RESIDENTIAL PLUMBING 19ADDITION COMMERCIAL MECH"ANICAL FIREMODEL APT BLDG. El SIGN a/0 CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT x _FT) GROY�_, GRADING FENCE — CYDS. REPAIR WOODSTOVE SWIM POOL SPECIAL INSPECTOR AREA OCCUPANT EIDEMOLISH INSERT HOT TUB/SPA REOUIREI LOAD ElGARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 305 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: D IRE ev�,r I ol,;_ CRITICAL CD 8 NUMBER'OF W NUMBER 0 OF DWELLING AREAS to STORIES UNITS INUMBER 0 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) o A -Do ri to tj FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING % -7.2 2:�W PLUMBING -:31 , 5 Plan Check No. III MECHANICAL 140K40- This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewolks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: I Year - Provided Work Is Started Within 180 Days on beha.If of his or her spouse, heirs, assigns and ENG. INSPECTION FEE . -6t �est, agriiiii to indemnify,'detend'and hold, successors in I e harmless the City of Edmonds, Washington. its officials, 2 employees, and agents from any and all claims for damages of cr < whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance 0 1 nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and In doing the work authoriz- AUTHORIZES ed I y, no pqrs III b mplo�yed in violation of the Labor ONLY THE signed by the Building Official or his/her hereb on w e WORK NOTED Deputy; and fees are paid. and receipt is Code of the Statjro WashinFonrelatirig to Workmen's Compensa- 7 acknowledged in space provided. tion Insurance/Ind RCW 18 7. INSPECTION SIG OR ACENT) TE SIGNED DEPARTMENT ,til,KTURE I OFFICIAL'p S)G RE E AT CITY OF S '29 7), /Z - 29- EDMOND CALL FOR RF:[,-. ny.," ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 W Q229 ORIGINAL F,;e YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, USC 1�v I _**_ — -�Ix PINK — Clv.ner GOLD — Assessor CHAPTER 3. 1 .0 M.7-5/ RECEIVED MAR. - 9 20�'l DEVELOPMENT SERVICES CTR. rATY OF EDMONDS &Ymn