238 SKYLINE DR.PDFIiiiiiiii lill
13134
238 SKYLINE DR
00 00
TAX ACCOUNT/PARCEL NUMBEW-
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E]Conditional Waiver [] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: —
05Z�2
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: 1�fz
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSrsTorms\Street File Checklist.doc
CITY OF EDMONDS
USL PERMIT
ZONE NUMBER
82r
CONSTRUCTION PERMIT APPLICATION
INAME (OR NAME OF
joe
ADDRESS
/6�
A B�INESSI
117-171��
L5�GAL DESCRIPTION CHECK
'No
"D I'D
117ZON
Z
CITY
T
PUBLIC R:.- 1- -.1 1- .111C.Al ST REE1
7 21
EXISTING REOUIREDDIEDICATION
NAME
PROPOSE.
911y
RIGHT Of .,A� CONStPUCIION PERMIT PEOUIPED
�5 AODPI,SS
STREET,! C PERMIT PEOUIREO
SEE ENCIIEEPING MEMO D.TED
CITY
ELEPHONE NUMBER
SEE P,-., � P7 PE, I t, n�ECK LIST DATED
�V'
RI.MAk,�;
NAME
nuz-
ADDRESS
METEA LIZE ILUING SUPPLY SIZE UNITS
CITY
TELEPHONE NUMBER
1,U 111111URE
REMAPKS
'STATE LICZNSE NUMBER
CITY LICENSE NUMBEP
12- s-
SIGN AREA
ENV. REVIEW
AD8 NO.
/AW
Le a, Description of Property - include
all easements
ALLOWED
PROPOSED
COMPLETE
EXEMPT
ov, below or attach four copies)
g
IS
::4=
1 .1
19
/P, F�!�,E*
EE
IPLA 10 REVI J, B
D
Z.
YARDS
COVERAGI!
Z
Z
Z&O.T SIDE
EA.IL.T
Ak -lu c,� C,-Iz I e%xf
ET�NEW
2�ERESIDENTIAL
PLUMBING
Y--:,
ADDIALTER
NON-RESIDENTIAL
MECHANICAL
REPAIR RETAINING WALL - SIGN
OILDI.LotA �fT7rill`�,
EXCAVATE FENCE
DEMOLISH OR FILL I
CHECKED 8 IYPE OF rON3TH-CVN E I PHEJG4T
, 1, -1-- VA co",
I q79 12-5'
E-MOVE INSPJ
E]CPROMPLIANCE
S ECIAL INSPECTOR
IOCCUPANT
INSP
JAREA
RPEOUIREC
JOCCUPANCY
GROUP
Q_3
13 El
I YES I No
REMARKS
JLOAO
SIDE SEWER WATER LINE
0
El El 1:1
Z
NUMBER OF STORIES
NUMBER OF
e IRE- Q 0
DWELLIN?
UNITS
NATURE OF WORK TO BE DONE tA T-TACH PLOT P
4
VALUAT,ON
FEE
PLAN CHECK FEE
"25
BUILDING
'73 +11
27
PLUMBING
30
MECHANICAL
This Permit Covers work to be dooe on private property ONLY.
GRAnING,FILL
Any construction on the public domain (curbs, sidewalks,
marquees, etc.) will require separate permission.
_driveways,
Permit Application: 180 0ays
Permit Limit: I Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his Or her spouse, heirs, assigns and
successors in Interest. agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the Issuance
of Ihis permit, Issuance of IhIs permit shall not be learned 10
0 ITIOEIlly, waive or reduce any requirement of any city ordinance
ig or 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
AP.PLICATION APPROV17AL
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 construction; and In doing the work authoriz.
THIS PERMIT
AUTHORIZES
This application Is not a permit until
1, until
ed ' hereby. no person will be employed In violation of the Labor
ONLY THE
signed by the Building Official or his
Code of the State of Washington relating to Workman's Compensa.
�SOAK NOTEL
Deputy: and fees are paid. and receipt is
tigilit InsurAnce.-
INSPECTION
acknowledged In spece provided.
E SIGN
A; -Ff/
rEPARTMEN!
OFFICIAL-S SIGNATURE
CITY OF
EDMONDS
THIS SITE IS LOCATED IN THE ITY
OF EDMONDS. LOCAL SALESTAX
ATTENTION SHOULD BE CODED 31.04.
775,2525
DATE
I-Z -7- &Z-
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL
OR RIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. uBc
NO V i ig8f
CHAPTER 3.
PINK — Owner GOLD — Assessor
u
av,
*he City of Edmonds Side Sewer Drawing EASEMENT NO. .- ---------- ----------------------------
NEW CONSTRUCTION REPAIRS LID NO - ------------------ ASMT. NO - ---------------
)WNER .... B-L--uF-PR-lt4--T ---- Roml��S ----------------------------- CONTRACTOR -B-o-13 ------ AYL-v -- - ----------------- ----------- ------- PERMIT NO.
OB ADDRESS ------ Z-3-S- ---- IS. LEGAL DESCRIPTION: LOT NO - ------ 6.0 --------------------- BLOCK NO - --------------------------------
------------------------------------------------------------------------------ ----------------------------------------------
NAME OF ADDITION ---- EtAE--fzP,-L-,.D ------- P-A-Lirn-5
VC.OPPER -,O�j -4 1
111PLAfiricrip
c-uRB LINE
WW"l -11175 (REV. 11178)
2.31; SKUNF- DRivs I
.1-5,
—7..S'DF
PLAS
.3
34
-c
0
C/,O. Vop
4i" :REDLKZR
EEP CL
tja& W Y 6
I
2.ro'
9�5'DEEP
'49, 12.10 EW-110
J - -me- c./b.
SEWEA MkIN SADDLE
Approved:
DATE ......
Byh-40 -------------- --------------- .......
vs
w li4l.
fw*
�v n-1
7 -2
Ai
Ln
:01,
L7
4A
41
#A
... ...... .
. . . . . . . . . . . .
- 4;m
A
16
, Z'.
rIECEIVED
OCT 3.12014
DEVELOPMENT SERVICES*
COUNTER
Water Service Drawing
The City of Edmonds
EASEMENTNO . ................................. ........ .
NEW CONSTRUCTION REPAIRS 0 LID NO . ...... ........... . ASMT. NO . ........ .........
-RACTOR
71%M.F PA� .... P.RT ..... PW RNO ............... PER?,,IIT
CON'l
OWNER
14:'(L-1 r4 r= LEGAL DESCRIPTION: LOT. NO . ... ................................. BLOCK NO . ...................................
JOB ADDRESS ... ................. ...........
(ZT 14
S �<,/ L- I Z) P-- . Approved:
MW-00ul-11175 (REV. 11178) DATE../—..F*7-'�?.? ................... By -M ...... 5.V[tcA.S ....................
Hearing Exarniner Decision
Case No. SM-05-94
Page 13
"PFALS:
Section 20.105.020.A & B describe how appeals of a Hearing Examiner decision or
-recommendation shall be made.. The appeal shall, be made in writing,'and shall include the
decision being appealed along with the name of the project and the date of the decision, the
name of the individual or group appealing the decision, their interest in the matter, and
reasons why the appellant believes the decision to be wrong. The appeal must be filed with
the Community Development Director within ten (10) working days after the date of the
decision being appealed.
MIE LP#,MS FOR RECONSIDDERATION AND "PEAL:
The time limits for Reconsideration and Appeals run concurrently. If a request for
reconsideration is filed before the time limit for filing an appeal has e*xpired, the time clock
for filing an appeal is'stopped until a decision on the reconsideration request is completed.
Once the Hearing Examiner has issued his decision on the reconsideration request, the time
clock for filing an appeal continues from the point it was stopped. For example, if a
reconsideration request is filed on day 5 of the appeal period, an individual would have 9
more days in which to file an appeal after the Hearing Examiner issues his decision on the
reconsideration request.
LAPSE OF APPROVAL:
Section 20.05.020.0 states 'Unless the owner obtains a building permit, or if no building is
required, substantially commences the use allowed within one year from the date of approval,
the conditional use permit shall expire and be null and void, unless the owner files an
application for an extension of the time before the expiration date:
NOTICE TO COUNTY ASSESSOR:
The property owner may as a result of the decision rendered by the Hearing Examiner
request a change in the valuation of the property by the Snohomish County Assessors Office.
I AM I 1 1.3 10
The following exhibits were offered and entered into the record.
1 . Planning Division Advisory Report, with 10 attachments
2. Letter from Tung Bui, dated 11/9/05
3. Letter from Gerald and Sarah Bernstein, dated 11/11105
4. Letter from Nick and Renee Blattner, dated 11/12/05
5. Email from David Pater of DOE, dated 11/14/05
6. Letter from John Quast, dated 11/14/05
7. Letter from Sky Young, received 11/16/05
8. Hearing presentation by John.Quast
9. Memo from Steve Bullock, dated 11/18/05
10. Letter. from. David Mann, dated 11/21/05
0
013
A" 0
ulty of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
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 the application 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).
Date Received: 11
City Receipt #:
Critical Areas File t7:;
Critical Areas Checkfist Fee: $155.00-
Date Mailed to Applicant:
A property owner, or his/her authorized 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.
Please submit a vicinity map, along with 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 rnap, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT
DATE
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting pttendant to this application._
SIGNATURE OF OWNER
Owner/Applicant:
lwre�'O�' V'A?k('
Name
Street Address J
bjmw� �4a- q1ox
City State zip
10071)1?
Telephone: T",
Email address: bauc-al-e4'e hofmal'), Lao
DATE 7"J"/3
Applicant Representative:
Name
Street Address
city State Zip
Telephone:
Email Address:
Revised opt 12118112 P20 - Critical Areas Checklist Page I of 2
R20 CA File No:�P�2013CNK
Critical Areas Checklist
Site hiformation (soils/ topography/h drology�vegetation) Igo, -Re)
1. Site Addms/Location: 25 9 5 � � --
2. Property Tax Account Number: 00 %Z 300000 U 0 00
3. Approximate Site Size (acres or square feet):
yes; no.
4. is this site currently developed?
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat- less than 5-feet elevation change over entire site.
N 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: W ..; Approx. Depth:
7. Site contains areas of seasonal standing water: V 0 ;Approx. Depft
What season(s) of the year?
8. Site is in the floodway NO floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
N'O Flows are seasonal? _ (What time of year?
10. Site is primarily: forested - meadow ;shrubs mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
- For City Staff Use Only
1. Plan Check Numb�r, if applicable 10 j I I -- — —
2. Site is Zoned? 4-CV0( -ff / f V- Y- . 111) CL� I - -
d c- epe e-;-�ovle cy!�
3. SCS mapped sou type(s)? A 1&,qAA
4. Critical Areas inventory or C.A. map indicates Critical Area on site? -T
5. Site within designated earth subsidence landslide hazard area? ./V
srM DETERNUNATION WAIVER
REQUIRED
Reviewed
Revised on 12IM12 P20 - Critical Areas Checklist Page 2 of2
2014 REAL ESTATE TAX
KIRKE SIEVERS
SNOHOMISH COUNTY TREASURER WS #501
3000 ROCKEFELLER AVE., EVERETT WA 9820
00423000006000
:IRST 4 LINES OF LEGAL DESCRIPTION:
EMERALD HILLS BLK 000-DOO -LOT 60 SUB TO ESE TO
PUD AND GEN TEL
PROPERTY ADDRESS:
238 SKYLINE DR
EDMONDS, WA
BUCK STEPHEN D & THERESA M
238 SKYLINE DR
EDMONDS, WA 98020-2964
KEEP THIS PORTION
CURRENT YEAR TAXES & FEES
CURRENT YEAR BILLING INFORMATION
PUB HOSP #2
93.31
Voter Approved %
47.89%
PORT OF EDMONDS
96.51
Amount
4,683.73
SNO-ISLE INTERCOUNTY RURAL LIBRARY
440.20
Land
577,500
SNOHOMISH COUNTY-CNT
949.70
Improvements
302,900
CITY OF EDMONDS
2,002.86
2,099.18
TotalValue
880,400
STATE
EDMONDS SCHOOL DISTRICT NO 15
4,097A9
Special Assessments:
Levy Code
00210
SNO COUNTY CONSERVATION DISTRICT
5.02
Levy Rate
11.1077
GrossTax 9,779.25
- Exemption 0.00
+Spec Assesmnt 5.02
Total Tax: 9,784.27 Total Tax: 9,784.27
1 SUMMARY OF TOTAL AMOUNT DUE AS OF 04/2014
[CEL NUMBER KIRKE SIEVERS
=0006000 TREASURER
(425)388-3366
H2014 4,892.13 4,892.13
Make checks payable to: SNOHOMISH COUNTY TREASURER
Mail to: PO BOX 34171
SEATTLE, WA 98124-1171
SUMMARY OF TOTAL AMOUNT DUE AS OF 10/2014
YEAR TAX---- PENALMINTEREST/FEE
H2014 4,892.14 4,892.14
�A_MOUNT DUE T 4,892.14
4,892.14
Assumes I st half was
PROPERTY ADDRESS:
238 SKYLINE DR
EDMONDS WA
DETACH AND REMIT THIS COUP N WITH 2NU PKYMLN I IN I
ENVELOPE PROVIDED - DUE OCTOBER 31ST UDC) —NOT WRITE BELOW THIS LINE
BUCK STEPHEN D & THERESA M
238 SKYLINE DR
EDMONDS, WA 98020-2964
PARCEL NUMBER KIRKE SIEVERS
00423000006000 TREASURER
(425)388-3366
00423000006000 00000489214 22014 0
Make checks payable to- SNOHOMISH COUNTY TREASURER
Mailto: POBOX34171
SUMMARY OF TOTAL AMOUNT DUE AS OF 04/2014
YEAR TAX PENALTY/INTEREST/FFF
H2014 4,892.13 4,892.13
rA—MOUNT DUE -7 4,892.131
SEATTLE, WA 98124-1171
PLEASE MAKE NAME AND ADDRESS CHANGES ON BACK
IGUARENTYE JRRENTYEAR FIRST HAI
1 9,784.27 1 4,892.13 1
PROPERTY ADDRESS:
238 SKYLINE DR RECEIVED
EDMONDS WA
DETACH AND REMIT THIS COUP N WITH IIST PAYMt.N] IN I — OCT � 1 �Uiq
ENVELOPE PROVIDED - DUE APRIL 30TH f55--NOT WRITE BELOW THIS LINE
OEVELOPMENT SERVICES
COUNTER
BUCK STEPHEN D &THERESA M
238 SKYLINE DR
EDMONDS, WA 98020-2964
00423000006000 00000489213 12014 0
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
=F&E I
Name: hL' 00q-2-300000 600c)
Date: Q
Site Address: 2 3 '9 964 ((I\t- 9 (�
Plan Check #: L? 10-7
Project Description: dff i�, C �p �Q ( wu&v,�
Reduced Site Plan Provided: 0021 NO)
Zoning:
Map Page:
Forner Lot: (YES
Flag Lot: (YES
Critical Areas Determination #: C-44 :744(
0 Study Required LA-/
Ef—waiver
SEPA Determination:
Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required
Street:
Side:
Af
Side-
'7.
Rear
Actual Setbacks
Street: /L 0
C,
e:
Side:
Rear:
El Detached Structures:
Rockeries:
Fences/Trellises:
Bay Windows/Projecting Modulation:
Stairs/Deck:
Height
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height- (o4-
Other
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: -,-c4 ck- a -+ -7 7 6 -f ?6_0 7 6 4)
ADU Created: (YES
Subdivision: IVI 16? 0c9p
pll� �, , Z,. V 6c
Legal Nonconforming Land Use Determination Issued: (YES mp
Comments
lye 6u-e- Oun
Yo 5e �fc,�_
eVII S-1VI)
mcreac� MU* C-/\
Plan Review By: to r"
Planning Data Form G4-11-06.doc
CITY OF EDMONDS
ASSET INFORMATION SHEET
is IR NEW
E] ADDITION
11 RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
Lea 4 rf-I 4 :51,g2 y Z: c, -- Z-
SERIAL NO.
LOCATION
DEPT. NO.
Sk Ll 4 / -4 bA
6 vo
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER 1ej 3 of / I
PROJECT COMPLETION DATE 3c, - R3
COST 16 (o
B.A.R.S. ACCOUNT NO. 4ftt- coo - �-3
ESTIMATED LIFE :2 �sr
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
ILE
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
(tnp
DEMRTMENT FILE
C1r
W- OF EDMONDS
PJJBLIC WORKS DEPARTMENT
-'RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinity of Construction
238 Sk-vline Drive Plat #163-067,
9 Owner: WashincIton Natural Gas Co
Name
805 156 AV NE
Mailing Address
Bellevue, Washington 9800
city, S ta te, Zip Code
e Contractor: Seme AS Above
Name
Permiw.
Issue Date
9 Permit Issued To: I. -
Type of Work to be Done:
Install New Service
e Work in Connection With:
El Sub or Plat ;N Single Family
El Comml. / Ind. El Apt. Condo.
0 Pavement Cut: El Yes 0 No
Mailing Address State LiCense Number
Z
1� City, State, Zip Code Telephone Number
U
0. NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
0.
< B. APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
f4 from any 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 legal
proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
0
U Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
W
QQ following the final inspection and acceptance of the restoration by the Engineering Division.
0
Z
0
LU
V)
0
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering.
Call 775-2525, extension 220.
I understand that this permit must e avaija!�b�lca the jo te for mispection purposes at all times.
Signature: Date — 1/2 I./P
Ownel 'or Agen/
THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: --I
Time Authorized: Vold after Cl) days
Special Conditions:
Ammendments:
Permit Fee: '4 " � -2 � 7) - i:_") C )
Security Deposit:
Receipt No.:
Fund 111 Fee: 0!rft I.
Street Cut Dimens Psi 11tkT FILE
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
FIELD INSPECON NOTES (Fund 11?6, Route 'conv to Street,ntept]
Comments:
Diagram:
Contractor called for inspection Ye's No
Work Disapproved By: Dat-e: Bv: Date -
Work Approved By: Date:
Inspector:
Ena. Div. December 1978
I v �11 I io
L V
41
69
SS
PL IV
sr, g rw f,4 'S ccp)
1 &
31 ft.. 3jrqj;-
STW
46 N
sm- 13o* N
1963
24)'Po j
DO m
1963 12OW t,07,
11(ol
%0
;7
kV Wid
0) /97V
TIM
j Y4 1
'74
:2 P,0"0 1,372
129N
09"
f9 4p
.RALD HILL DR-
67W ccp MIS
> -4316
90 Z�a
1974
JA %
05
%
Z3
1977
till
77�
-80 low Aa,
it,
IOR I$
ORKISI- I
M ",RTM
;',0 "ON
t''
DISAPPA0MV::]$Y Date t
B Datei
jo
Date,
jkppAOvBb,
a del
I
CATCM IBA31H;
AV* OIT3�0(01L
WSUAL)
hd
tov4m-,
......................
too -nc. Lj W or
LCVf"L yXgoy"
IkOr P I pr CAP
'"'EE VV/ (-"LD14G LEGS
SYSTEM CROSs-S
EcTiON
'TP,F-�CH COVER
3/4'- 0/2" WASWCD
C-PAVE L
6" DIAM M;tF pj
TRENCH CROSS-SECTION
NOV 18 1982
RAN6ARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE
for
............ ----------
location A.310 4 C
A
plan by
phone
date -
DESIGN DATA
Trench Perc LF per Imperm Trench
I Number I Rate 1 1000 Sq-ft. Area Reg.
10=El
NOTE S
I. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
Soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at re�ular intervals (at least
twice per year
e
CITY OF EDMONDS
AINAGE PLAN
CATCH SASIN:
me I' lm(olk.
TRENCH L.1r04Q'rW
W
'b
"r1kWW-W COWIM-6
.............................
e PirILT PIPE
6"TIEE W/ 66"LONG LEGS
LCVM TRICNcit
CAP
SYSTEM CROSS—SECTION
ce
W
U
IMEACR COVER
3/4'- I'J!' VVAS14EID
G P-4-V E L
6" DIAM FW;tF PIPE---��.
TRENCH CROSS-SECTION
NOV 181962
INFILTRATION SYSTEM
PAGE I OF 2
for ISLAM Ohm=
location--gg= L21C_
plan by Its'n
phone W
dat A I — 1:2—M-2—
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
M
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
CITY OF EDMONDS
0 a
MEMO TO:
FROM:
SUBJECT:
DATE,:
Building Division
Community DevelopmenL DepartmenL
Engineering Division
Public Works Department
After review of the subject Building Permit application, we' have
the following comments:
Connection to City water sys-tem required.
2. -C*onnection to City sanitary sewer system required.
3. Ripht-of-wav Permit required for any work on City property.
4, Driveway slope not to exceed 14%.
5. Backwater valve required if downsuairs p1timbing is below
elevation of upstream manhole.
6. Water and sewer lines to he separated by 10 foot minimum.
,; ff-M,
� W
0" 1 -r--
'Ri-Y,m D I Oz,-- -Tn 'R) 6d- 1 C_ Outi-,
0 A-)
"kJA7L4e- ?I e-1
'71
SignaLure
�A'l
14000 1 Olea 01,4416 a 14 20
(address) -- (date)
0
Street -Right-of-Way Exist Ui1g......REQD
Z
Access Easemmts Existing
REQ�._
Utility Easement Exist*
Ing — — — — — —
Lot Per.,Subdivision , - Plat
Assessor Map_
Site Plan Checked for Accura
Z
1-1�
Underground Wiring Reqd.
Check Accuracy of Legal Description
Z
Review
94,
Exist4-ig Water Main Size
Water Main Required NIA
Service Iine Required I
Hydrant Size Existing
r4
Hydrant Reqd Per Fire Code
Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Departnxmt Conuients
'dater Meter Char Re
gg qd.
Review by
_Pate
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability
Pr03.
Drawing No.
—File No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
:3:
Review by
Date
Open Ditch Existing���...Reqd.—
Culvert Reqd.
Size
94
Catch Basin Reqd.
Indicate an Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Manhole reqd.
Indicate an Site Plan
Soil Conditions and Ground Water Field
Checked
Review by. - 10
Date
Revised: lvlO-1977
Page 2
Is
Street Paving Reqd. ,f
Curb and Cutter Reqd.
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
ty, Right -of -Way Construction PIE��-t R'eqd.
Bond Reqd. for Public Inprovements 16
Street Nam Sign Reqd.---
Other Signing Reqd.
C�' - Pre Permit Site Inspection made an
z
0
BY: S94ER
WATER
P4
Cn
z STREET
)-4
ENGINEERING
0
C4
P4
P4
-CC
ISpecial Requirements listed in memo to Commmity Development Depararent,
Building Division
BY -
items filled in an Building Pern-dt Application
Date
BY Date
DrawirW,s Stamped and Notations Made
BY Date
by Public Works Department
Fzvised: 1v 10-1977
TO
TUWAY MESSAG
FROM
j x 6
SUBJECT: -:� -
�, �� '�� I e "f L I AJ ig- )-)-t:l
DATE t/) - A
��i 4 41 F,4�2.42 CO A I 2�1)2 I-) C 7-7
4 A e— ep 77.Az
m
=,4
E
4 /,A,;
s
s
A
G
E
SIGNED
R
E
p
L
S4
y
DATE:
SIGNED
CASCADEO Ll-C2375
SENDER; DETACH THIS PAR7 AN5 FILE FOR FOLLUVi UP,
PRINTED IN U.S.A.
9
IB
BUILDING IIFIUIIT RE,VIEW
4-
BUILDING ADDRESS
BLDG. DEPT. SUSPENSE DATE �j 12q 10—
OFFICE.ADMIN. — PUBLIC WORKS 'LOG IN
CITY ENGINEER (check)
P,Acc6ss Slope and Vehicle Access
5-Drainage Plan
0Street File
Chegal Description*
DQuit Claim
0 asement
E
-.-:.;:IDCalc:ulate -Sewer. Connection
LffWkER/ SEWER DIVISION
�'J
D'' i'�
e erm n .Meter Size..
-Permit'.Review'
Complete,
""'B " 11 d*i
U ng.
STREET'DIVISION
-11,romp 1 e t e Bui 1 ding Permit'.Review
Di-
OF- FT E ADMIN., LOG OUT TO BLDG-. IPT.
F1-1UILDING PERMIT APPLICATION (COMPLETE).
2 COPIES OF SITE PLAN
2 COP'IES OF FIRE PROTECTION PLAN
(PREVIOUSLY 'REVIEWED BY FIRE DEPT.)
U� COPIES OF DRAINAGE PLAN 14ITH CALCULATIONS
REQUIREDL BY SUBDIVISION El
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN 2,000 So. FT.
HECK ZONING'REQUIREMENTS (SETBACKS)
"COPY OF ENGINEERING CHECK.LIST
/,I COPY OF PUrAIIC WORKS MEMO
Lj MULTIPLE OR CO101ERCIAL
YE�S [] ':(ATrACIi 'COPY OF ADB APPROVAL INCL. ALL DR*TINGS)
,��N 0
SUBDIVISION — YESj2j//"`NAME.
DAT&�
NUMBER
NO (ATTAM -COPY 'OF -MUIRF3-�wM)
CHECK SEWER DRAWING AND ATTACH COPY
IS DE . DICATION REQUIRED YES[� (OBTAIN QUIT CIAR-0
No 3' ( CITY CODE
DOES CITY HAVE EASEMENT ON PROPERTY
YES[] (ATTACH COPIES OF DRAWINGS)
NO
0--CHECK LEGAL ACCESS* INGRESSEl" UTILITIESTI
YES Lj-' Y���
NO [I NO [3
-LJ HAS SEWER ASSESSMENT BEEN PAID
YES L.I.D. NO.
PLAT NO.
SUBDIVI.SION NQ
1,10 - ET
I F, MULT IPLE: JNCLUDE NUMBER OF UNITS*
1-F'COMMERCIAL: INCLUDE NUMBER OF FIXTURE UNITS
INITIAL
-4-- � - �, - -, . - '-Z'. "
Multiple
Commercial
DATE
100�
PUBLIC WOWS I)EPARTMENT CHECKLIST
BUILD= PETMT REVIEW
(addre,�A)
(date)
Street Ri&%t-of-Way Exist �EQD
Z
Access Easements Exist
Utility Easement Existing 11111,f 42Z,�Z-Z,7, 6, REQD
lot Per Subdivision kat Assessor Map
Site Plan Checked for AccuracY__,f___4
Z
Underground Wiring Reqd.
Check Accuracy of Legal Description Ce_-,�L
Z
Review Date'
Existing Water Main Size
Water Main Required
Service Line Required
Hydrant Size Existing _
A�
Hydrant Reqd Per Fire Code Size
4
Detector Check Meter Reqd. A
Cross Connection Inspection
Fire Department Comnmts
Water Meter Charge d.`�:/_
7
o-)
Review by Date
Septic Tank Design Approved Date 7-S Z_,
Septic Tank Permit'Reqd. Permit No.
Sanitary Sewer Availability, Pro*
J_
Drm,Ting No. / I W117' File No.
Side Sewer Availability
Sanitary Se,,�r (;9nnection/Fee Re�qd.
:3:
Review b 4k, t A-- Date
Open Ditch Existing___A��� _Reqd.
Culvert Reqd. �71' �, a Size
s14
Catcli Basin Reqd. -Indicate on Site P lan
0
Shoulder drainage maintain AIA lection on swale open runoff /0,
;7
Manhole reqd. X/� Indicate on Site Plan
Soil Conditions and Ground WaterField Checked (2 14C
Review by
Revised: lvlO-1977
a 0
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: . 4e3A 0,?/ VF
After review of the subject Building Permit application, we have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. —Right-of-way permit required for any work on City property.
4. —Driveway slope not to exceed 14%
5. —Backwater valve required if downstairs plumbing is below elevation of
upstream mannole.
6. —Water and sewer lines to be separated by 10 foot minimum.
BD 6/82
CATCA BASIX:
AM els--w(OIL
USUAL.)
0
,rlkwftcw Covom-k
.............. == . =:Nz .
60 -n &1..* U W K --,,
60� r a §Lvr P I PC
C-riEF- W/ (."LOW, LEGS
LWVJrL TIMENC-H
CAP
SYSTEM CROSS-SECTION
-TP,ENr_H COVER.
3/40 WASWED
GPAVEL
6" DtAM PERF P
L
TRENCH CROSS-SECTION
NOV 18.1982
S166 ARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE .1 OF 2
for IN a WK &%=
aft"&k"Ll.
location _A9_111b__5AU1 JUSIr L)e_
plan by X!S
phone LOI 77= 1 Q.M AL ft—
date j:1—zk7__
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
+
4Vda Mob 7
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
CITY OF EDMONDS
'all-
u
tav Mwe
dloo c
&UILDING PEJU11T REVIEW Multiple
BUILDING ADDRESS Commercial
BLDG. DEPT. SUSPENSE DATE )1124 ' 112- INITIAL DATE
OFFICE ADMIN. — PUBLIC WORKS LOG IN
PICITY ENGINEER (check) [A
Access Slope and Vehicle Access
/0-Drainage Plan
[]Street File
ElLegal Description
OQuit Claim
/fifEasement
C a*l''d:u 1 a t e Sewer. Connection
'ON
Lff WATER/ SEWER DIVISI
i ne*,.M
eter Size..
i,1:*..,t:,-; Cou
iplet�! ilding.Permit.Review
�TREET'D'IVJSION
omplete,Building Permit'. Review
[]OFFI E ADMIN. LOG OUT -TO BLDG -.-' DEPT.
-------------------------------------------------------------------------
[D-tUILDING PERMIT APPLICATION (COMPLETE).
r_,_�
OPIES OF SITE PLAN
2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY 'REVIEWED BY FIRE DEPT.)
COPIES OF DRAINAGE PLAN WITH CALCULATIONS
REQUIRED BY SUBDIVISION
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN 2,000 SO. FT.
HECK ZONING'REQUIREMENTS (SETBACKS)
COPY OF ENGINEERING CHECK.LIST
1 COPY OF PUjr',LIC 14ORKS MEMO
U MULTIPLE OR COHMERCIAL
YEE; [] '-(ATrACH'COPY OF ADB, APPROVAL INCL. ALL DRNTINGS)
N 0
J3 SUBDIVISION — YESg NAME. ///A.
DATEr��
NUMBER
NO (ATTACH -COPY'OF - UIRF2-UNM)
CHECK SEIIER DRAWING AND ATTACH COPY
IS DEDICATION REQUIRED YES (OBTAIN QUIT C-LAR0
( CITY CODE
NO [3'
DOES CITY HAVE EASEME14T ON PROPERTY
YES[] (ATTACH COPIES O'F DRAWINGS)
NO
11__C__,,1ECK LEGAL ACCESS INGRESSO'__�UTILITIESfj—
YES yp-cj—
NO NO
HAS SEWER ASSESSMENT BEEN PAID
YES L.I.D. NO. .' /�/. . ..
PLAT NO. //X/) - r— 6-
SUBDIVISION NQ
11 , f)
U L T I P L E JNCLUDE NUMBER OF UNITS'"
'11,F C,OMMERCIAL: INCLUDE NUMBER OF FIXTURE UNITS
P//
.1
00
00
44
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT: 4e3
After review of the subject Building Permit application, we have the following
comments:
1. -Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. -Right-of-way permit required for any work on City property.
4. -Driveway slope not to exceed 14%
5. -Backwater valve requ ired if downstairs plumbing is below elevation of
- F
upstream man o-Fe-
6. -Water and sewer lines to be separated by 10 foot minimum.
BD 6/82
00
PUBLIC VORKS DEPARTMENr CHEa(LIST
1-1-1) It 0 i Z�W'j a zi VV11160201201
kaddre_ss)///1e 7
Street Right -of -Way Exist I E Q D C_�)
Z
ing
Access Easements Exist* TE;QD
----------- ------ ---------
Utility Easeiment Exist ing-7
W
Lot Per Subdivision lat Assessor
W
Site Plan Checked for Accuracy_.,._r_4
Z
Underground Wiring Reqd.
Check Accuracy of Legal Description 0,/�_
Z
Review by Date
Existing Water Main Size C
Water Main Required
Service Line Required
Hydrant Size Existing
94
Hydrant Reqd Per Fire Code A'14 Size
Detector Check 1�kter Reqd.
Cross Connection Inspection
Fire Department ComTients
#4ater Meter Charge, Reqd.,(-r/-
Review by Date—///
Septic Tank Design Approved �ZL Date
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability Proj
Drm4ing No. / //) 14- / J�_ - File No.
C4
Side Sewer Availability __LA��Z 1141"o'-
94
Sanitary Sew r ection/Fee RjZqd.
:3:
Review /
) rn'_1
,by 7/) Date 2
LO
Open Ditch Existing___,J���.._Reqd.
Z
Culvert.Reqd. cl�7� 1 .5 // "�7 6 Size
934
Catch Basin Reqd. c'�r / , 7, '/ Indicate on Site Plan
0
Shoulder 4painage maintain '44 lecdon on swale open runoff
Manhole reqd. X<-2 It'l Indicate an Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Revised: lvlO-1977
20E-
-IoAvolvo-
(or bEck
(OWC
-z ut (" ,
r�ww"tWuVIVIKAUTOR RESPONSIBLE.
RE . OCATING ALL ON -SITE LITILITIES.
ONIREVISION TO ANY UTILITIES
MAY IRE SEpARATE PERM,
IS RESP0118113U
A ikl
r, OR
I W
. . ....... . .....
d
)�Vuk(
Q,
RECEIVED
OCT 3 12014
DEVELOPMENT SERVICES
COUNTER