The URL can be used to link to this page

23115 102ND PL W.PDF1111111111 216 23115 102ND PL W N C. City.of Edmonds A CONSTRUCTION, y STRMTFirERMI Permit Numbe'r. 09--l' Issue Date: Jv - 0 A. Address or Vicinity of Construction: - 23115 102 PIL V ( 9505970 ) 89 0 - 199 11. JLYPV OL k—sPec %;;: reralsolon is rpAuesIM to JnargUl L /4 PE Maiu in. 102 PI W from 11' V c/1 & */— 26' S —N c/1 going aasterly to serve in. and throughout the Plat of Fieser Short Plat Contractor: -Wash-Ington Nalmr-al ' Can Contact: - Er-ank. Swan Mailing Address: 1122 75 St SW Rverett Phone: 447-3284 State License #: 98203 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. [-]Commercial []Subdivision El City Project [W Utility (PUD, GTE, WNG, CABLE, WATER) F] Multi-Famiily E] Single Family n Other INSPECTOR: "o INSPECTOR: F.- Pavement or Concrete Cut: 0 Yes [ENo G. Size of Cut: H. Charg4�,$_ APPLICA . N - T . T . 0 - READ AZ, GN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City ofEdmondg harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legalproceedings including defense costs, and attorney fees by Ton ofgr _ 1; - Irgthispermit. k' ) P-� THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THEWORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PR,q6ESS�D F6RJSSUANCE . TO THE APPLI&NT Consiruction drawing df pro�bsehwoilerequi7ied�withebei!initlipplic*iRn-.- "s 4' f'- 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 above statements and understand thepermit requirements and thepink copy of thepermit will be available on site at aj;4i*s for inspection purposes. Signature: Date: 4-3-95 or DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY- RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER I YEAR DAYS DISRUPTION FEE/FUND III: SPECIAL CONDITIONS: COMMENTS: RESTORATION FEE: PERMIT FEE: TOTAL FEE: 130' RECEIPT FEE: '—*— DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT I.SfSUANCE Eng. Div. 1994 I -f FIELD INSPECTION NOTES Comments: Diairram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION El YES Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: El NO �T_ ore di hours 1:be'f gging Oi I �5-_5 j WS 6 ST IN 22 F 1 221; 132 .1. J. 232�A Woo" v ja A -A 234TH j. p 'm 235TH PL 6TMH Sw 36i Sw 2371" 15. ALL e=k NJ ix>-mjrT-.t tj f T__ Ul VOCM4 VAJO E'S (2y-f k*�.j tOlD4 POLE LN DAL "I 12� 1" 2 V"_j r_S Iff a PL Nw IWOIS St loft if 4 W Misr Ihv L c' F igam pt ? It 1" 31. R_ YR F�_—A/Ej�_ —rO frm<m evezy to' ST "A cvescy so w 122TH S11, 10 P-P—TAIKJ sr 19 R HrD -_4—VqP9O Al� F=rAiQ Tvri ST 3. 1911 e -< t; pp ST . �1) I tp ir IFATH f I TTFT9 CITY OF EDMONDS USE z "' )q 5 — 8 PERMIT 940814 NUM13ER A* A% CONSTRUCTION PERMIT APP KATI ON 7 JOB ADDRESS SUITE/APT A)AO OWNER NAME/NAME OF BUSINESS a 3 ;6� ,�o ... I ZoET y '47 / 6; 3 LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO. UJ Z WAILING ADDRESS A& Oil 10" 7:2,7—" /99 r PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved CITY ZIP E NUMBER RW EXISTING — REQUIRED DEDICATION Street Permit Required 0 Use Permit Req'd C3 r YX Ac Inspection Required C3 NAME PROPOSED Sidewalk Required cc Ao/ 1). Al MEURPIZE LINE )IJE NO. OF FIXTURES PRV REQUIRED ADDRESS YE NO 13 Sx L5 L) Pp/,� ZIP BER REMARKS whiltill Awa /60000 Z * CITY ITELEPH9NE., Z rQq74r_ x, NAME rle__�Ape_ at4_1 400 * ADDRESS 4. ENGINEERING MEMO DATED R air 4 cc CITY ZIP I TELEPHONE NUMBER Ir I'_ Z I . F7 22/371 FIRE MEMO DATED REVIEWED By W 8 Jr"77#Z cc EXPIRA NUMBER TI N E ;0"TATEPPENSE 7/e SIGN AREA ALLOWED PROPOSED SEPAREVIEW COMPLETE X7 . ADS 0 -Legal Description o.f Property - include all easements A114 Z 111012cr2p JE SHOZF(EL NE # E�XP VARIANCE)p dU' - IN VIEW BY )fATX Lu 0 _j Z SETBAC14S — FEET HEIGHT LOT COVIR46A 0 .0 .j Property F R 0 N T iDE, ,;. —/ FJEAR& 11 Z Ts Account PIXce 4140 7 60 24", 1 NEW L�X RESIDENTIAL PLUMBING MECHANICAL ADDITION"' COMMERCIAL EIREMODEL APT. BLDG. El 7tr_15- 60- FZ. t4d SIGN REPAIR GRADING FENCE CYDS. E] I— x _FT) CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT GROR' WOODSTOVE SWIM POOL DEMOLISH INSERT HOT TUB/SPA SPECIAL INSPECTOR REQUIRED 13 AREA Ij/ 74 CCUPANT tL OAD GARAGE RETAINING WAL I Cl RENEWAL "Raw ROCKERY YES Z 0 jai (TYPE OF USE, BUS NESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIO 5)of A snsioeA�CA-- CRITICAL 0 NUMBER "OF NUMBER OF DWELLING AREAS N TNUMBER?L/—/(fi CO 0 STORIES UNITS DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) 1511 FINAL INSPECTION'AEOUIRkD V.-'VALUA FEE,.. PLAN CHECKFEE �. , 1, 115cyd.5 BUILDING '5*47 S61 HE�T SOURCE: GLAZIN), % PLUMBING Plan Check No. 7# MECHANICAL GRADINGIFILL 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. STATE SURCHARGE 4 Permit- Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE successors -in interest, agrees to indemnify, defend and hold 'Uni harmless the City of Edmonds, Washington, its officials, i employees, and agents from any and all claims for damages of cc whatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT ..60660 14983Z of this permit. Issuance of this permit shall not be 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 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 i THIS PERMI T This application Is not a permit until state laws regulating constrUction; and In doing the work authoriz- ed thereby, no person will be employed in violation of the Labor AUTHORIZES 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.fQes are paid, and receipt is tion lasurance and RCW 18.27. INSPECTION acknowledged in space provided. R OR -AGENT) DATE S ED DEPARTMENT OF I I L'S SI NATURE DATE el 17 / CITY OF EDMONDS IF. ATTEKTION CALL FOR INSPECTION E A OSED BY DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspector U A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. . UBC CHAPTER 3. PINK — Owner GOLD — Assessor rn PER"'T COUNTM71 �$5 'N7 (sa WJIP MkkL fzat 01 Lt" v al vewooy 10 V110 ut Mo WS + -2 . . . . . . . . _Z1u4_ Uk AftN__ 1 1 wig t UF,�,O(P, OUtilbre. �%IVDM 1090e- 4-0 P _WK 10 � F laOAA IT F\r.1jf.P!EV ;� �16, WOW 0 S e-fz- - /<S STREET FILE Ze SLP 0 V f4\41 A' T C G- 1 t N' E FA Iq f ; % " 4> y, - -Z i� iNt ,P OP000 P)2 pp7' c r A . �P P SR E I RECEIVED SEP 13 1994 PERMIT COUNTER LEGAL j) (ToTA E5CRIPTIoN THE 5OUTH go L PA;ZeeL) NORTH 10F �!ETOFTHrm, Nop,TH 10 �T OF -ME EST 100 FE-ET ET OF 'NEST OF LOT 13 AUD T, ALL'IN BLCc 2 LOT loo FEET THE- K _ "S AND OF LOT pA6EPLAT Tile I WESTa TWE 50 14.4�Nv-rHe 5 REOF IZ ATE PARK DiLV)T,H 90 Ft�er 40 AND 41 r=C0'ZDED Arco OF LOT WASHI RecoRDS OF N vOLUM'� 1_3 RDINj To Op PLATs "TON. 'SINONOMISH COUNT-Y ACCEPTABLE TIGHTLINE MATERIAL PLANNING N-12 ADS Sch 40 PVC SI)Ft 35 (ASTM D3034) TZ, SRI 1"joeev - I . .0posep- WATER SERVICE INSPEams REQUIRED. CALL 771-0235 5 7- lk, X, Mitt, APPR 4-" VE S lot JvOTED 17 t 07- q,*K .7 39) 7_�_ -f- C P' ;2� acow ps v girl 70 f. #f;ptf 7.47 wort-k-t's—f y __40 25V 0 6.4,7,96f -Cyr Wf y -.?&/Cv P/? POSF-D -10' 71; 178. a 61?0 Pece &WTN.1 4 To 196- M-12 09DS !Oil ANA," 01) COMM. 0"r3Jpr CH007'y L 12: K ro -378 �CH. vo p rod- j 10i avpwx--� VC, -6e, F6&14� FROM -Ag 07 7 7, F? VP 77(. V &MEET FILE lot. w ITE_ E-7S E�C- LO IVL SEP 3 1994 'PERMIT COUVER 890 .199 - City of Edmonds 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 hWher submind of a deMopment permit to the City. The purpose of the Checklist is to enable City staff to determine Whedier any potential Critical Areas am 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 h!&%er representative, must fin out the checklist, sip and date it, RECEIVEr) SEP 0 1 1994 PERMIT COUNTER and submit it to the City. The City will review the checAdist, make a precursory site visit, and nuke a � nination of the nbsequent steps necessaryto complete a. devdopment permit. apoimtion. With a sigiW copy of this form, the applicant should also submit a vicinity map or pk)t plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In adMong fte applicait shall include other pertinent Information (eg. site phin, topography unq4 etc.) or studies in conjunction with this Checldbt to assist staff In completing their prellininary asgessmad of the'dt& I have completed the attached Critical Area Checklist andattest dw the answers provided are fhctual; to the beg of my knowledge (fill out die aWwpiate column below). Owner / Applicant: TF)FtQ X F14t-- Nann 3,;3 - Al / FS7 7 /V :r r Stmd Addma Appftft - I -I Nam city, swwe� ZIP Phow city, Stab, ZIP 7/x: � �-� 7— D&W S484M Diu CA ME NO. q4,Y Critical Areas Checklist Site Information (soils/topogmphy/hydrgloa/vegetaflon) RECEIVED Alp. R 1. Site Addressn"ation: 14,2 Y Z// JUL 12 1994 2. Property Tax Account Number: A /40 2 002 0/2 OF 3. Approximate Site Size (acres or square fed): j:/ 6Vc**) 25L PERMIT COUNTER 4. Is this site currently developed? _)t_yes; _ no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. FIX- less than 5-feet elevation change over entire site. Rolling: slopes on site generally lea than 15% (a vertical rise of 10-fect over a horizontal distance of 66-feet). Hilly: slopes present on she 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 ske (a vertical rise of 10-feet over a horbontal distance of less dm 33-feet). Other (please describe): 6. Site contains of year-round standing watw. Alj!� Approx. Depth: 7. Site oontains areas of seasonal standing waw. A/AQ Approx. Depth: What season(s) of the year? 8. Site is in the floodway AZ floodplain of a water course. 9. Site contains a creek or an am where water flows across the grounds surface? Flows are year- round? 4/ Flows are seasonal? Mhat time of year? 10. Site is primarily: forested meadow _; shrubs mixed A"' urban landscaped (lawn,shrubs etc) 11. Obvious wedand is present on ske: 4Z6 WWWOVOW PLANNING DATA SITE ADDRESS:- 411111ptv"J DATE: . -rA /0- // - ZONING: PE4UVHW*- 'P/-Z 7 1 Wk Irl"IYAMMINMIrk SETBACKS: Required Setbacks: Front: M Left Side: P2' Right Side:jb—, —ftap;--q-/L1 Actual Setbacks: :-file Front: ';4' Left Side:_��ight Side:_Y�x Rear: FLOOR AREA: LOT COVERAGE: Maximum Allowed: I I,711P, IV 131"W Actual: BUILDING HEIGHT: Maximum Allowed: Actual Height: 1m7r,5 SUBDIVISION: kg �MV,�Iaj " Ig CRITICAL AREAS #: SEPA DETERMINATIO LOT OTHER: PERMIT APPLICATION REQUIREMENTS To: Applicant From: Lyle Chrisman, Engineering Inspector Owner. Plan Check No: Address:— 40 z Date: After review of the subject permit application, the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.M.40:00 P.M.WEEKENDS/HOLIDAYS — 10:00 A.rvL-6:00 P.M. 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDERIOWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 18.30.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30) 8. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to %. (ECDC 18.80.060D) 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refuse without a permit fi-orn the Fire Department. 13. Connection to City water system is required. There is 9 separate charge for the water meter. (ECDC 7.20) .14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) 16. Connection to the City sanitary system is required. A separate permit is required. LID# Fees paid: Yes— No Charge (ECDC 18.10y 17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) PnrnmQ&[*T /`�`*ISTREET ALE PROJECT REVIEW CHECKLIST PROJECT NAME: PROJECT ADDRESS: PLAN CHECK #: RECEIPTDATE: PEVIE D BY: (Initial/Dafe) ] W 'TER PLA"I. A COMMENTS FIRE Si BLDG. SEWER ISTREE� Setbacks/Variance/Setback Adjustment Conditional Use Permit 2 AD13 Requirements mm 3 Other Zoning Requirements 4 Underground Wiring Required I .... . ......... ........ . ..... . . . . . . . . ..... -,F -tit Lot Slope 15% 6 SEPA Environmental Checklist/Hydraulics Permit Tree Cutting Plan Plat/Subdivision Requirements ..9 Legal Description Verification 10 Quit Claim/Street Dedications 11 Easements - Public/Private . .... ......... . 12: Engineering Storm Drain Review Fee MOM -*Y EMM 1 13 Engineering 2.2 Inspection Fee ...... .......... . . . . ......... x ................ ................... . 14: Drainage Plan (On -Site) ............. Setback - Top of Bank, Stream, Water Courses Setback - Storm Drain Line NO ............ 17: Open Ditch - Existing '18 Culvert Required .............. - - - - - - - - - - - - - - - - - - - - - - - - - - ---------------------- Culvert Size . . . . . . . . . . . . . . . . . . . . Shoulder Drainage/Shale Oeen Runoff V1 1 21 Catch Basin Required ILS ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Driveway Slope & Vehicle Access 2 .3 Sidewalk Required ... . ............ ..24:1- Curb & Gutter Required .......... ....... ... . . . . . . . . . - - - - - - - Curb Cut For Driveway Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . .... . . . . . . . . .. ol Street Paving Required - - - - - - - - - - - - - -1 ..... - - - - - - - - - - Right-Olf-Way Construction Permit Required L/055-- -:28 Street Name Sign Required ;'29: Other Signing Required OEM Bond Required For Public Improvements ... 3.1... FEMA Map Check/Water Table Side Sewer Availability Yj, 5 . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Calculate Sewer Connection Fee If No LID #ZiW- 34 Create Street File 3 Existing Water Main Size Water Meter Size U.. Service Line Size Water Meter Charge Required ........... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hydrant Required Hydrant Size Existing Fire Line Charge Required - Sprinkler ............... ............ ....... . . . . . . . . . . . . . 42 Street Cut ,Miscellaneous - - - - - - - - - - - - - - - - - - - - - - - 44 Reviewed By: FILWT NNING 0 1 REET F1 V I — 0�"_ ENGINEERING —19!!� Pubtic W(5RKS 018"'e"t vi-ew Lt,,K -Jlv-, 4- st-xF E C E I V E D STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNM TZTRl r6ELe CALCBY: ADDREss 32- 7 — A,,, PHONE: .57ayrer W"q- 5;,ql3 3 9ZZ,2- 19 DATE: '"DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE DETENTION PIPE LENGTH WASHED GRAVEL TOP�AND 4"PERj: F4PE TO BE LEVEL :7tO��UTFLOW` TRENCH, MIN 10' LONG RIM ELEV— I*MIN COVER GrMI—K SPACE 2-MAX CwVE. 613141 ELEV— FROM CONTROL L OUTLIET 4" a MIN T 4"PERF PIPE W.ICAPS .51/. 111. SLOPE 4"0 PIPE INN. r ORIFICE RUNOFF SPREADER OUTLET mv ELEV— L4*rR CA rC" IRV ELEV— BASIN CONrROL CArCPf BASIN /2 Z 6- �)EDEP, 4-- 6- OUARRY SPALL S SYSTEM CROSS SECT ION .21.3 EEP. 3/4-CRUSHED ROCK FROM CONTROL OUTLET INTR RIPRAP OUTLET RECEIVED SEP 131994 PERMIT COUNTER cf S L< FOOTING DPAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection APPROVED BY before backfilling and for final inspections. 2, Responsibility for operation and mainten s e In priva Ist te property is the responsibility of the property owner. N79i'ITREETI i� 4Wrage pipe must be flushed DATE out and removed from the catch basins to allow proper operation. Ile outlet control orifice must be kept open at all times. --- n fr%� Page 6 of 6 CA FILE NO. Critical Areas Checklist Site Information (soils/topography/hydiplogy/vegetation) RECEIVED 1. Site Addrew/Location: //9,2 2. Property Tax Account Number: A le:Z e2o 2 0 /-? 0 J U L 12 1994 3. Approximate Site Size (acres or square feet): j,'/ OA9 25, — PERMIT COUNTER 4. Is- this site currently developed? __)�_yes; _ no. If yes; how is ite developed? -5- s I-Vr= 1,,F_- 2 fZ, Y—/ 5. Describe 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 greate� 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: Ale� Approx. Depth: 7. Site contains areas of seasonal standing water: IVO Approx. Depth: What season(s) of the year? 8. Site is in the floodway A/ floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? A/ Flows are seasonal? _ (What time of year? 10. Site is primarily: forested ; meadow _; shrubs mixed 43(" urban landscaped Qawn,shrubs etc) 11. Obvious wedand is present on site: Z RcvOU0094 ar 90-194- City of Edmon& 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. Ile 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 avaable from observations of the site or data available at City EWI (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. Ilie 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- VAth 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 pertment information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to aseist staff in completing their preliminary assessment of the�stte. 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:. . T40FIQ X Name 3,P - Al / FF' 7- Str&d Ad&= Applicant Representative: Name Street Mlrew a-"41 5P"9/'? 7 City, State, ZIP Phone City, State, ZIP .4ign Date Phone Signature Date 8 go - 199 City, of JEdmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. Issue Date: A. Address or Vicinity of Construction: 2--31 / T — lt9 -2 A"P P/- I,& B. Type of Work (be specific): �krdWg 1AIro s-Mgerr -9 yFa, C. Contractor: e,9 57PL167-1,1Z., Mailing Address: '?�2 ?— k/ /5rg"r State License #: 94F__.� Ac =1E S,*ok7r R4.,�sr D. Building Permit #(if applicable): Contact: Jngsgev EzCx&'y Phone: ry .Z — Liability Insurance: _)&E5 Bond: $ 4�4Q,419 Side Sewer Permit # (if applicable): E. E] Commercial tZ Subdivision El City Project E] Utility (PUD, GTE, WNG, CABLE, WATER) E] Multi-FaniilyRr Single Family Other INSPECTOR: 4,, 1 INSPECTOR: F. Pavement or ConcreV Cut 0 Yes E]No G. Size of Cut: x 19 H. Chargq�_$ APPLICANT TO READ AND S] 24,�- I 'Id the -ty 0 'E INDEMNITY. Applicant understands and by his signature to this application, agrees to hc ty o Edmonds harmless from injuries, damages, or � �17' claims of any kind or description whatsoever, fo�eseen or unforeseen, that may be made"al!' *n' Ci Edmonds, or any of its departments or !t st the Ity of employees, including or not limited to the defense ofany legalproceedags including deMnsecost's, and attorney fees by reason ofgranting thispermit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESATIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IAOMPLETED BY CITY FORCES, AT WHICH TIME A1bkYIT'OR C"R"ED'I'T_W1LCBEPROCESSED FOR ISSUANCE TO THEAPPLICANT. '. I , / 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 �ity Engineer. All street cut ditches shall be patched with asphalt or Ci ty approvedNaferial prior to the end oeve1404*t day; NO EXCEPTIONS. Ihave read the above statements andunderstand thepermit requirements and thepink copyof thepermit will be available on site at all times for inspection purpose& - Signature: Date: ntractor or Agent) . , I CALL DIAL-A'DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY .. *1k 44C APPROVED BY: 71ME AUTHORIZED: VOID AFTER DAYS SPECIAL CONDITIONS: &0 aflM,&kE2 P44Z IT 0 1/ 10,5,0 CO MENTS: DATE: --I ^ RIGHT OF WAY DEPOSIT 2 DISRUPTION.FEE/FUND III: 'RESTORATION -FEE:, PERMIT FEE: TOTA.L,F'EE: RECEIPT FEE: ISSUED, BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISWUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments: Diagram.: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) El YES Date: Date: FE] Me % I 45%, gag 2 1w N �4 0 4AI"MAN4 49 V. DIMINO CONS7, APP 3 MAILMX,6:5� 3NOW 5 WAfg; IR0040= wa )9VAW 0-5 r hirg 40 54) aff*_s 67N.0 Cagle PLOW ir&_STx/CM9 TC= 38& 04 raw"J.1 IG=37d, 57 OV) OFW 37d",:," : / E -, - 9 7 5 - 40, 9 0 Z'"'i W) 14 r = 973 - 5.9 C-3 (o rMaipa MLPK "raw 379 30 X=97Z Z4129V ryp P '4 7-vp 24p, TRACT X M r x AL A N, INL67: '0/ T�p 3?9.14) /6-0977,AO rLOCA7Zr /9" cok' AXIOM W6"sr)r)) A e NOW MA14540)(6-5 9", 9, It I v, 4, =f& N cc IVZ Al W SVC 4F, 6)(5 7' GRA C06, 7VP 1-1141vw5vc ' I \N'N �,ARCEL C PARCEL D ------ PARCEL A PARCE L B /,vz W!Svr- '"4 14A7a0v457 .7 CLEA& //VO , 1,1M17-5 jeworr no hv4er ma 00 GOOD 40 w 0M owns M 40 A1Ar4vlxX,41w 57,0-"&DrA4.) YC AWOR- 49,04 IN rco vsz) It 4? e7ZIAPI5 e AW ",lo; A44 C: O.-Pro ilse,cxsr ww-ee /VO7-67: re,&Ae1NG LIA417--w if 01V V4&-r#V Y=0,C RARCC4 A I rAaT SP954' 0�l`ASPR ANO 5007 5Y. L ,iFXS7- F�*R /N 10ZN9 R4, f' AS IN01047&P S457- 36NrRAf,4&& ON, C.457',946-Ir ON P4AN 7-0 !O-AS7.- ELEVV 379-49 -TtAC7- JI SiCOUNP tu COAIC ypa 7 A?I. wd.apr/ CU7- 0,C FILL, Z11:1v APWA -47D ^AA/ C-0 -or Awmsr e 0A A0%Q6z-&*wy 7_11ASP11 COA/C CZ-0 ZAI 0,= C&IISH60 S111fF 7-OR Ye MINOS 0kj1Sq45r,> 4V OF- 041N��4C7' V R5.0 F_X-MUL)ED 60NC 0,045 C_CT I ON I - ROADWAY SC* CONSTRUCTION SEQUENCE: Ariiinge and - attend preconstruction meeting witA City of City of 24muds inspector. 2. Fla� clearing limits tal -Inr),_ I Filter fence 4. Ins. -all construction entrance and filter on exi iting catch basin. 5. inzall storm drain system and utilities. 6. Proride catch basin protection - 7. Grain site. Lot grading can be done at this tin. If not, all TZSC measures an required -bylie-Cityls inspector shall remain in place or le replaced at the time house construction in k(-.)ne. S�ai or surface disturbed areas. 9. C lem out and test storm drain system. 10. R�mve silt fences after site has been s��ilized and the City's inspector has d the removal. 71ove NOTES: 1. A�LWORK SHALL CONFORM TO THE REQUIREMENTS OF THE CITY OF � EDMONDS AND THE STANDARD SPECIFICATIONS FOR -noN, 19,w. MUNCIPAL PUBLIC WORKS CONSTRUc 2. C6NVECT ALL ROOF DRAINS TO DETENTION PIPE SYSTEM. C�VISHALL BE 16 GAGE GALVANIZED STEEL OR ALUMINUM. STEEL DETINITION PIPE SHALL HAVE ASPHALT TREATIV0171 1 COATING OR BETMER. 4., c6lTMETE STORM DRAIN PIPE 12- AND SMALLER SHALL BE NON- REW-ORCED PER ASTM C-76. 5. S �!NTARY SEWER PIPE, ROOF DRAINS AND FOOTING DRAINS UNDER P.�V,41) -SURFACES SHALL BE PVC PER ASTM 3034, SDR 35. FOOTING DRANS OUTSIDE OF PAVED AREAS MAY BE SINGLE WALL"ADS". CAU, ' ENGINEERING DIVISION (771-oZZ4 FOR PREBACKFILL AND T*A� INSPECTIONS. 7. RESIDNSIBILITY FOR OPERATION AND MAINTENANCE OF PROPERTY IS THE �DR!jNAGE SYSTEMS ON PRIVATE MATERIAL S01,TSMILITY OF THE PROPERTY OWNER. A6CXX,AULATED IN THE STORAGE PIPE MUST BE FLUSHED OUT AND Rf,71�'ffED FROM CATCH BASINS TO ALLOW PROPER OPERATION. H , T OUTUT CONTROL OR]FICE MUST BE KEPT OPENAT ALL MIES. 1, L60-i,TION OF EXISTING UTILITIES IS APPROXI1\4ATE AND ALL UTIRXIES MAY NOT BE SHOWN. CONTRACTOR SHALL VERIFY LOCiTIONS AND ELEVATIONS AS REQUIRED. CALL 1-800-424-5555 FOR TIUM LOCATIONS PRIOR TO ANY EXCAVATION. 9. `17HE- CONTRACTOR IS RESPONSIBLE FOR EROSION AND S XftENTATION CONTROL AT ALL TIMES UNTIL PROJECT ENSURE SILT DOES NOT ENTER OFF -SITE STORM ONTO CITY DRAJJ,�- SYSTEMS AND MATERIAL IS NOT TRACKED 'TS.'.TESC MEASURES SHOWN ON THESE PLANS ARE A GUIDE. PE � qTY'S INSPECTOR MAY REQUIRE ADDITIONAL MEASURES. 10. CAPI ND �MARK- SERVICES W/ WHITE 2"X4" 'S W/ TYPE OF SERVICE �Pl IN BLACK LETTERS. LE�etAL PC-:e)CF?,1PT10N oTAL -PAKCF-L) THE 5OUTH 90 FEET OF THE \,NF-15T 100 FEF.TOF LOT 1*5 AND THE N.0 ZrH 10 FEET OF THE WEC-T; 106 FEET OF LOT 14 kN D THE NORTH 10 FEET OF LOT 15 ANDTHE SOUTH 90 FEET OF LOT 1(.P,. ALL iN BLOCK Z) \NE5T6,ATE, P,4.RK DIV. IN10'..2) ACC01ZD1t4G TO THE PLAT THEZEOF REMFLDIED IN VOWME 1:5 OF PLAT5, PA625 40 AND 4-1, �F.COIZD5 OF 5NO M(5H COUNTY; WASkAINGTot-4. S D 8 SITE DEVELOPMENT SERVICES 310 208TH ST SE BOTHELL WA 93012 481-9687 F1 ESER SHORT PLAT DATE: - 94 bES: DCD SCALE: 1"=30' DWN: TDS DRAINAGE PLAN JERRY FIESER 323 N.18Bth ST, Sea -MA 98155 1 of 2