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PERMIT NQ 96-2-7-
City of Edmords, -;;I jU
. I. . PERMIT EXPIRES
SIDE SEWER PERMIT -
Address of Construction:
PropertyTax. Account Parcel No.. M od6 0616 2—
Attach copies of all access and utility easements 01 MPJVetified and Approved b
Owner and/or Contractor:
Contractor Li cen se -4;r,)1A0,4 pilding Permit a __0
Of A,
21000Single Family
El multi-Fam'ily (No. of Units
Commerci a*I (No. of Units
Public
. Invasion into City *Right -of Way: El Yes ZO*No
*RW Con struction Permit#
Cr oss other "Private Property:
El Yes
"Attach, legal description and copy'of recorded easement., -
Owner or contractor signature and acknowledgement statement:
By signing for this permit I certify that I have read the City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein
co
Date
CALL DIAL -A -DIG (1-800-429-5555) -BEFORE ANY EXCAVATION� 9
FOR INSPECTION CALL 425-771-0220 extensionla&V
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
11n
FOR OFFICE USE ONLY
Permit Fee $ Repair Fee $ Issued B
U,
Trunk Charge $ bate issued: /I Z_ A Z_
Assessment Fee $ Receipt No:.
City Permit Surcharge Fee $5.00 Total Fees Paid $
NOTE: IF JOB.SITE IS NOT READY FOR. INSPECTION WHEN
INSPECTOR ARRIVES. A $45. RE INSPECTION FEE WILL.BE CHARGED.
Job Site Ready -YES -NO m.-Date: Initial:—
ParUal Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL I NSPECTI ON APPROVED: Date: LO Initial: As-builtto Street File:
t- PERMIT MUST BE POSTED ON JOB SITE t�
White Copy: File Green Copy: Inspector Buff Co0y'. Applic6nt
L;!emp;bldg;fonnssspennitjlg4/00
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CITY OF EDMONDS SIDE SEWER AS- BUILT
ADDRESS SCALE
23926 - 74 AVE W NTS
HOMEOWNER CONTRACTOR
-SOUNDVIEW HOMES
DATE RAWN PERMIT
01/31/2005 BY SIBREL NO. 0627
0— ID
x
111.2 D F--F-
DoAtAm
gy-;tA 11 LIV
ZONE- � %ISM
F_-1
-SUBACKS:
303, co
kn ry o—"'FROINT ---7> cm
C-6 It it SIDE L=
�j
-4- �-q REAR
0 --e OTHER Lu al
cn
41GHT
014NEV0,14 -TO sf- 0
S 89' 45' 30" E LA- r-
310.0
180.66 AaV6 ?4elt- g! 0
f. - ---! .....
=;g . �. .4 rp
RESIDENCE
FINISHED FLOOR 0 3;10.
MN
PRIME WAY
-A
zt- c�
z
GARAGE
RWE UWAY
310.0 c 1 3y Nt
_1.0
E E
IE 6" C,O,�306,5
CA MARKER POST
to
-T to
z
98.86'
6 012 5 10 15
U) -F9—F=l 2-7'-4'
9 1 TIM PL-AN
can oe�� Nolwo —�MVNE NTRACTOR IS RESPONSIBLE
LOT 4 FOR EROSION CONTROL AND DAMAGE
4ZLARE!NC,0 4 JANr= a0PPIELT
SHORT�-PLAT
1wLAT NUMEMPt
ilicifov"A"goococor?0-2- APPROVED AS NOTED
V BY ENGINEERING
p ANO MAY 2 2 2002
Date:
PERMIT COUNTER
- )L:�-
89- 15' 4��
75-59"
HOT TAP
EX. 6" DI WATERLINE
INSTALL
FOOTING DRAINS NUI
TOkKERTIC&ITLINE
DETENTIO,M
SDR
N -
R
4 Rl
in
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WA TER
METER
HANCOR
APPROVED)?Y PLANNIN ssco
Hr=IC7HT crALC.da,
A 310.0
B 311.0
c 310.0
D 310.2
TOTAL 1241.2 % 4 =-Z�t03
04 �53 STREET LE
,.49,41,,3/ REGIS -Rt
E CT
CT
Oas A'?2 2 3 261-jl-lp
S TE OF SHINGTON BUILDING DEPT.
C E 0"—
Oritical Areas Checkli to
Site Information (soilSftopography/hydrology/vej ation) C,;,� U Uj
1. Site Address/Location: /0� adaced�-711'9- o 111d D
2. Property. Tax Account Number:--..,6/ n�-se -�QQC/- - 020,5—,
3. Approximate Site Size (acres or square feet): _
4. Is this site currently developed? _yes; �4 no.
If yes; how is site developed?
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 generall ' y 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-feety,
Other (please describe):
,6. Site contains areas of year-round standing water. Approx. Depth:
7. Site contains areas of seasonal stand' water: e_; Approx. Depth:
What season(s) of the yeat?
8. Site is in the floodway floodplain of a water course.
9. Sitecontains a c 0-1 —here water flo the grounds surface? Flows year-
---- --- ws acr ss
round'? Flows are seasonal? - , (What time of year?
10. Site is primarily: forested ;rneadow _;shrubs mixed
urban landscaped (lawnAj)*t1A*,*Y_,Y
11. Obvious wetland is present on site:
-For City Staff Use Only
1. Site is Zoned? S — "PI
2. SCS mapped soil type(s)? Ili Z—,q"- S/,
I A L
3. Wetland inventory or C.A. map indicates wetland present on site?
4..�- :-,.Critical Areas inventory or C.A. map indicates Critical Area on site?
5. 'Site within designated earth subsidence landslide.hazard area?
6. Site des';ignated on the Environmentally Sensitive Areas Map?
DETERMWATION
REOUIRED CONDITIONAL WAIVER
V, W, AIVER,
Reviewed by:
puaKer
L9 eb"
Date
RCV01/04194
V 9 a - 19 4 -
City of Edlmon&
Critical Areas Checklist
Ile Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whether any
potential Critical Areas are or may be
present on the subject property. The
information needed to complete the
Checklist should be easily available from
observations of the site. or data available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
and submit it to the City. The city will
review -the Checklist, make a precursory site
visit, and make a 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 I the parcel
with enough detail thatCity staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent infonmation (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:
Name
Applicant Representative:
Nam
W di
—7 'M
;7
Street Address Street Address
0 ce)
V
ly 173K2
City, State, ZIP Phone City, State, ZIP Phone
4&74
Signature
/Date Si`inafule T_ Date
Lot 1:
Street Setbacks:
i
Side Setbacks:
Rear Setback:
Lot 2:
Street Setbacks:
Side Setbacks:
Rear Setback:
Lot 3:
Street Setbacks:
Side Setbacks:
Rear Setback:
Lot 4:
Street Setbacks:
Side Setbacks:
Rear Setback:
Clarence Coffelt
File No. S-97-71
Page 3 of 5
From the east property line (72nd Avenue West).
From the southern edge of the proposed 15 foot
access easement and from the south property line.
From the west property line.
N/A
From all property lines and access easements.
N/A
N/A
From all property lines and access easements.
N/A
N/A
From all property lines and access easements.
N/A
d) Corner Lots: No comer lot is proposed.
2. Lot arrangement to topography: Satis�actory.
3. Lot Coverage of Existing Buildings on Proposed Lots: 35% maximum
lot coverage is allowed.
There are no existing buildings located on the site.
4. Zoning: The subject property is zoned RS-8 (single residential family with a minimum
8,000 square foot lot size requirement) and the proposed development appears to be consistent
with the zoning code.
5. Consistent with the purposes of the Zoning Ordinance? Yes.
B. Conformance to Comprehensive Plan:
1. Conforms to the policies of the Comprehensive Plan? Yes.
C. Environmental Assessment:
1. Is this site identified on the City's Environmentally Sensitive Areas Map? No.
2. Is an Environmental Checklist Required for this application? No,
D. Critical Areas Review:
1. Critical Areas ReAew number: CA-94-149 and CA-96-11 1.
2. Results of Critical Areas Review: waiver from the requirement to complete a study
was issued.
S977 I FDOC July 17, 1997 / Staff Report
0
C
CA FILE NO.
Critical, Areas Checklist
Site Information (soils/topography/hydrplogy/vegetation) RECEIVED
1. Site Address&ocation: .2 Y// 7 — If-)2
2. Property Tax Account Number: - A /O:Z e2o 2 0/2' OF J U L 1 2 1994
3. Approximate Site Size (acres or square feet): n94�� 25, PERMIT COUNTER
4. Is this site currently developed? —)L-yes; — nb.
it yes; how is site developed?
5. Describe the general site topography.� Check all that apply.
on change over entire site.
Flat: less than 5-feet elevati
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: Al,��l Approx. Depth:
7. Site contains areas of seasonal standing water: 1VjQ 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 area where water flows across the grounds surface? Flows are year-
round? .4Z Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped Qawn,sbrubs etc)
11. Obvious wedand is present on site: .4Z5
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P. 04/04
This sketch is to assist in loceiing
the promises. It ir. not based In
a survey. and Chanot Title 'Corp.
assumes.no liability for the variations,
If any, In dimensions and location.
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PLANNING DATA
/7/
NAME: DATE:
SITE ADDRESS: 9 2-& _-7 WA A v PLAN CHK#: 02�_ 1'71
PROJECT DESCRIPTION: __S'F�7 144
REDUCED SITE PLAN PROVIDED . es�o)
MAP PAGE: 067�7 CORNtEE::O�T: ILYes- K&j�� FLAG 1_01��No)
ZONING: CRITICAL AREAS DETERMINATION #: 6A - 9q-1q'_j CA
U Study Required:
;:E�aiyer
Ll Conditional Waiver
SEPA DETERMINATION:
Ll Fee
.Ll Checklist
EIAPO list wl notarized form
',,,�U(N ded for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
"' c
Exempt
SETBACKS: -7. IF d-e-5
Required Setbacks:
Actual Setbacks:
Street: ��7 Left Side Right Side: /19 Rear:
Street map checked. for additional setback requ Ire ? (Yes/No/DNA
,,LrDETACHED STRUCTURES:
ROCKERIES:
Ll FENCEsrrRELLISES:
U BAY WINDOWS / PROJECTING MODULATION:
STAIRS I DECKS:
A217r lri�-rl'tce_ �' 4---
PARKING: Required: ,-?-Actual:
LOT AREA: :::07 �_4 1
LOT CO RAGE,
Calculations: 2-f57P-0 Wf(� —ke�a '7 &10
BUILDING HEIGHT: L/
S 1hd Datum Elevation:
Datum Point: % 'S " :b I E- 2,
Maximum Allowed: Actual Height:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes
OTHER:
Plan Review
NewBPP1anningDataForrn.D0C
..........................................
WSTOWR - [W
(ONTACT "MA
E U CEdmonds UtIfies Consoffm FOLAA #61
..........................................
A coordinated utility environment which.maximizesjoint utility opportunities to provide quality servicefor the citizens ofEdmonds
...........................................................................................................................................................................
YOU WILL BE GIVEN A CONFIRMATION NUMBER BY EACH
UTILITY ONCE YOU HAVE INFORMED THEM OF YOUR PROJECT
SITE ADDRESS: q31 ;ZG 0 6twzoa5 Lap&-
IPU 92
# L
-3;0
ILLHUUM
Bob Kakaley - 425-670-3214
You will need to provide PUD with a site plan and a completed
New Service Questionnaire.
PUGET
SOUND
# �7 33
ENERGY
New Customer Construction
Call to verify gas availability and to coordinate service install.
You
Department - 1-888-321-7779
will need to provide�parcel number, contact phone number
and mailing address. —
# 13117
verizan
Dow Brandley — 425-710-4il8
You will need to provide Verizon with the location of your
project, total line requirement, and the date in which service is
required. A copy of your development plan may be required.
4
nn0%A1%nA
UnwM00ftn"D
You will need to proved AT & T Broadband with the location of
253-437-6go6 or e-mail:
your project, a copy of your development and site plan (digital
wa-ope-north@broadband.att.c.om
copy if available.) The date in which service is required and a
list of contact names, phone numbers & mailing addresses.
#
4S
Steve Dunphy - 425-774-7769
You will need to provide OVWSD with the survey map of your
For customers in Olympic View Service Area
site and complete a development information form.
THIS FORM MUST BE COMPLETED AND GIVEN TO DEVELOPMENT
SERVICES STAFF AT THE TIME OF PERMIT SUBMITTAL
DATE RECEIVED EX
I PERMIT PIRES
SE PERMIT
CITY OF EDMONDS ZONE NUMBERCftD-2-
JOB -74-r" A W Lo SUrrE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS k3l aC /
OWNER NAMEMAME OF BUSINESS
PLAT NME/SUEU)MSION NO. LOT4 LID NO.
VeAkA� '710 A
15 "LING ADDRESS LID FEE $
1 TESCP Apprmed
PUBLIC RIGHT OF WAY PER OFFICIAL MEET MAP RW Pamilt Requked
20�, 011t Street Use Pennit Recrd
CITY ZIP TELEPHONE EXISTING — PROPOSED bapecdon fkeqLdred
Sidewalk RequIred 113
REQUIRED DEDICATION— FT UrKleramund
U
Z
A
F
E
I wimil raqwm
NAME MUER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
m 4_11 1141 01Z YES%16 NO 13 25
E ADDRESS REMARKS z
0,
x OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
I ib
CITY ZIP TELEPH-QNE 4'4fl tb
K `y14-,k4 lto:�-3 1101�_-Sa"1.17
ENGINEERING REVIEWEDIDATE
044V
cc AMRESS
110 Z.
9 '70'k cilt Av-P- S Aft BY DATi
Z In
cc
CITY zlpl TELEPHONE IE
VARIANCE OR CU SHORELINE OR ADS# INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION,!ATE RECVD POSTED
Y, I I I I - .1 1
ES
'SIGN AREA A HL
SEPA REVIEW 13Y 4GHT
PROPERTY TAX ACCOUNT'PARCEL*.NO.
COMPLETE EXEMPT ALLOWED PROPOSED �'ALLOWED PROPOSED
004,A9q%W6&j'701 EXP
LOT COVERAGE REQUIRED S ETBAC KS (Fr.) -PROPOSED SET13ACKS (Fr.)
<EW' 61�;;41NITIAL PLUMBING MECH ALLOWED PROPOSED FRONT— L/R SIDE REAR
z
ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
_5
PARKING LOT AREA PLANNING REVIEWED�BY A)
0 REMODEL APARTMENT 0 SIGN REOD I PROVIDED
FENC
o /1z —
REPAIR jg �G CYOS X 0/g
IT_4T FT) REMARKS
0 DEMOLISH TANK OTHER
[3 RETAINING WAL!�*.
z CARPORT ROCKERY [3 RENEWAL'.
GARAGE
PPE OF USE, SU EBB OR ACTIVITY) EXPLAIN:
CHECKED BY' TYP N C OCCUPANT
NUMBER OF'
2C &�.71# 1—— 7 , GROUP
NUMBER cRrnmi.��, L
Yr
a OF DWELLING AREA PECIAL INSPECTOR JAREA ftlfj4o 4,' Iko OCCUPANT
STORIES 31 UNITS NUMI REQUIRED.[:], YES LOAD
DESCRIBE WORK TO BE DONE 4a
REMARKS
PROGRE.SSIINSPECTIONS'PER�UBC-'IOB/FINAL INSPECTION AEG-D
low ak W
0,q 47
LI-1 q
f::f=L B29L�_ VAWATI10N $ t9l'5) -7
'6iiilicrlption I-FIEE Description
FEE
y j 7,
Jr r Plan Check a
,q
Ht; SOURCE GLAZING %
�I%E %
PLAN C EC 0 Tlumbitig-
.0e
-2 Mechanical .00,
THIS PERMIT AUTHOR03ES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONILX ANY CONSTRUCTION ON THE PUBLIC 4-� Recording Fee
Grading
3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 0�
1: SEPARATE PERMISSION. Engr. Review 100, 4".1
PER ffAPPUCATION: 180 DAYS R. 101, City Surcharge
PERMIT LIMM I YEAR - =DED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection ezvo. State"Surcharge 4,610
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICAlfr, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS . FROM ANY AND Fire Review Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFV; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Fire Inspection Total Amount Due
I NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROV'rSION.'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION Landscapainsp. Receipt #
GIVEN IS CORRECr AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided.
WORKMENS COMPENSA��RANCE AND RCW 18.27.
SIG 26 . V61 F OFFjrli-�S SIGNATURE DATE
.��R -AGE DATE SIGNED (425)
I � I I - ;t;)-- 0 -?— &LM&A J
Ax I 1�" 5hj a �
771-0220 RE - A ED BY DATt
ATTENTION EXr 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI_ 771-0221
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL -FILE - YE W NSPAOR
10/01 FAX PINK -OWNER - GOLD -ASSESSOR
S 89- 45' ;30- E
180.66
310.2 D
w
I
0
z
310.0 CLA
1E 6* C.O.=306.5
CAP & MARKER POST
—"LA5'Qa0'_L
98.86'
012 5 to 15 25 so
91R I I
SITE PLAN
sm sameftft. p4crnm 84-A&Z. V . 201-0-
ZLARENalE 4 JANE C.Or-r-MLT
SHORT PLAT
PLAT NUM150-Ft #9-6f'7-'71
%, lil%J.V
D 31 0.2
TOTAL 1241.2 X 4 ;-31
AoA3
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VA 7ER
fVER
EX. I
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T
R 18-'�&16V ED
MAYI 2002 MAY 2 0 1002
PER co N_
0 NTER PERMIT COUNTER
012 5 to 15 -.0 50
9-R—F 1 1
I
0-4
TAIS U
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OR
D2 GRAYM
18A
A SPH
AND
M4141
4L
REMOVE AND REINSTALL
S98 E-2
01
ca OUMAU
UALr SALLOMR
o —SAwcvr EmnN
,ASPHALT FOR IN TALLATION
OF DOME"" W "'R
3
,AND SANITARY S WER
V,
io�.`SERMM RE100 STRUOT
ASPHALT AS SPI�tCIIFIED.
10
SCAL
IV D
rm 2002
PER IT C - N 'ER
E I v
M AY 2 0 2
�EGI
IV
A. V, 0 200
IT Co
-RI` a N E
IV
I ERMIT COUNTEti-
EXISTIN
PROPEF
CENTER
EASEME
EXISTINI
WITINI
TIN(
VaftM
EX197INI
IYJSTINI
0091INJ
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UT, STINQ AMALT
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