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PLAT MAP
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CA File No:
Critical Areas Checkliist,
Site Enformation' (soils/ topography/ hydrology/ vegetation)
1 Site Address/ Location: 44-W14,
2.
3.
4.
5.
Property Tax Ac count Number: 00 -;Ll
Approximate Site Size� (acres or square feet) -
Is this site currently developed? Zyes; no.
If yes; how is site developed? 47�-Me-s 7��es
.........
't�zlle
k'all that apply. ..........
Describe the general site topography.
Flat: less than 5-feet elevation-change,over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise 0-feet over a horizontal
distance of 66-feety.
a e ical rise
0 ( v rt'
15 0
Hilly: slopes present on site ofmore than 15% and les 30% a, vertical rise of 10-feet
L 0 c/
over a horizontal distancp,of 33 to 66-feet).
It 0 v rtj s
Steep: grades of greater than 30% present on e (a vertical nise of 10-feet over a horizontal
distance of less than 3346�t),
I
Other (please describe):
6. Site contains areas of year-ro�nd
7. ' Site contains areas of seasonal ste
What season(s) of the year?
standin ater: Approx. Depth:
n i water: ;Approx. Depth: -
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek o area where water flows across the grounds surface? Flows are year-round?
r w
F lows
lows are seasonal? (What time of year?
10. Site is prim�q�: forested meadow ;shrubs mixed
urban la��caped (lawnshr.ubs etc)
11. Obvious wetland is present on site:
Critical Areas Checklist.doc/3.19.2001
f
City of Edmonds
Development Services Department
Planning Division
Phone: 425.77-1.0220
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: U/ 1VT/ a;e__
_; Ego" -
City Receipt#: _q
Critical Areag File M. .0_00Z;�ni 35-
C ' ritical Areas Checklist Fee: $45.00
Date Mailed -to Applicant-" 6 -�Z6 -6Z
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 map, 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
attomey's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information fumished 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 APPLIcANT/AGENT 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 p
,,psting attendant to this app4cation.
SIGNATURE OF OWNER DATE
d
PLEASE PRINT CLEARLY
—77
Owne�r�pplicgnt: AppHcant Representative:
Name
7*�19130_ q
Street Address U
(!F�"Md
41
City State Zip
Telephone: 7
Email address (optional):
Name
Street Address
city , State Zip
Telephone:
Email Address (optional):
Critical Areas Check] ist.doc/3.19.2001
S.W. /4, SEC. 31 T.27N. RA E.W.M. - 005
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------ G all dAMa9Q tO
Applicant shall rQP6Jr/rplQQ nto in City
utilities or 1rofitt'90 irinprOVOM0
r1ght.0f.wgy per C�,y gtiandardo that 19 caused
or occuan during %hQ parrnmed pro)"I.-
CI 0,�, EDMONDS
'UILDINCm1EPAp-rMEKF;;'
WORK_
ADDRE
OWNER,-
131.)G. OFFICIAL
v
PERMIT NUMBER
7
Pe'r
23.930. H'5v-\wo-\/ 99 .
&C� Yy) on A c\-dou,
00 CV-3
5 CNJ Iro
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VIS
(L
W
00
Im
SVC
LL-
LLJ
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL. AND DRAINAG�.
"cc
L5
APPROVED BY PLANNING
&I max ficvicic �C,(3�*
I
CHAINLINK
SPECIFICATIONS
i I Ga. Wire - Note: Larger the number, lighter the wire.
17/8 Line Posts -- May be called 2' - same thing,
2 3/8 Terminal Posts -- These are comer, end, and gate posts.
1 3/8 Top Rail Used on 3', 4� and 5'fences.
1 5/8 Top Rail Used on Vand higher fences.
There are'two weights of pipe aserl One is Tube and tbe.otlieris Strucittral.11te lauerbein-
0
We beavimv. Tube is standard ou feaws up to 6 Mgb. Structural tcrayinatpo,;ts = used on 6
ronces. If yoo intend to install slats in a 6 fence, all line,posts sbould he Structural or
Schedule 40 pipe.
W13hope- rhU ii!formation will be of help to you
FOR GREATER SECURITY
FENCE WITH STEEL
LONGER LASTING- — LESS "NTENANCE'
10 YEAR G.VAAA1VTEj.'
Residential double drive gates
.. .........
Residential slide q4tes
RESUB
OCT - 2 2013
BUILDING DEPARTMENI
CITY OF EDMONDS
0
Qua�io Fencing since 1965
Length
Height
Walk Gate
Drive Gate
Fence Style'
ko J V
CHAINLINK FENCE.
Wire Ga.
Top Rail
LlnePosts
Term. Posts
Barbed
Wire
Tension
Wire
Concrete
WOOD FENCE
Cedar Boards
Framework
Post
Post Spacing
Pipe Base
To Grade
Stairstep
Facing
Gate Top
F1 t
11nd
Dip
Tear.Out 13%
Haul Away
.1 ;.,1
(425) 775-0631 (206) 62�-8480 (425) 885-3566 PROPOSAL
(360) 659-1170 Fax (425) 776-2189
6410 212th Street SW, Lynnwood, WA 58036
www.townandcountryfence.net
DATE _1JLi
CUSTOMER
RES - --------------
ADDRESS 2380
BUS.
C" E I 4,i� zip
FAX.
—M
ATTN: M;6%ckke I& :g, CEL * (�111,
JOB SITE
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CUSTOMER RESPONSIBLE FOR PERMIT WHERE 'REQUIRED
customer advises and warrants that helshe is either the owner - or agent of the owner - of the pmperty
described hereon.
CUSTOMER ASSUMES FULL RESPONSIBILITY FOR LOCATION OFFENCE and agrees to'. at custome6
sole expense, defend and hold Town & Country Fence, Inc. harmless respecting claims of encroachment
c]Qims of damage to underground utilities. and/or any other claims brought on account of the work hereinabove
described.'
CUSTOMER ASSUMES FULL RESPONSIBILITY FOR UNDERGROUN, D SPRINKLER SYMMS.
CUSTOMER AGREES TO PAY FOR SAID FENCE IN FULL UPON COMPLETION.'Further, customer
acknowledges and agrees that, In the event collection of customer's payment obligation hereunder Is placed in
the hands of an attorney, customer shall pay attorney's fees and Court costs thereby necessitated.
PRICE GUARANTEED FOR 60 DAYS APPROVED AND ACCEPTED
Credit card payment subject to 3% transaction fee. -R1
PRICE . IWO LIS . C� 0 Date 20
S. TAX OCT 2 2013
TOTAL
CITY OF ED990113'9—
Dial - Din I i I V�. 1, -..1 -it
21
LOGO = 31" X 13"
SILVERCREST = 13 11
j FILE
12'
RECEIVED
SEP 13 2000
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
010316, THESE ORIGINAL 11RA-WINOS AND SPECIFICATIONS JOB NAME: G R E G E R S 0 N H 0 M E S CLIENT APPROVAL:
M-1 ARE PROPRIETARY ANDIOR CONFIDENTIAL TO
Q BERRY NEON 00. INC. (BNC), AND SHALL NOT BE SCALE: 1 1 '- 0 ==DATE * 8 114 / 0 0 =FILE NAME: SILCRST.SCI 1.31
REPRODUCED IN WHOLE OR IN PART, OR USED It
bern IN ANY MANNER EXCEPT IN THE COURSE 01: berfy
y ^DOING BUSINESS' WITH BNC, WITHOUT PRIOR SPECIFICATIONS: FACES FOR EXTERIOR LIT, D/F FREESTANDING SIGN,
,...nekA WRITTEN PERMISSION OF BNC, �0 COPYRIGHT- WHITE LEXAN W/ VINYL COPY (230-157 COBALT BLUE) neon
o 9 1 1 BERRY NEON CO., INC. REGISTRATION PENDING. - - - -------------------- - - --A 1
21027 61st AVE. WEST P. 0. BOX 5269 LYNNWOOD, WA,98046 (425) 776-8835 (800) 488-2430 FAX (425) 774-8221 E-MAIL beryneon@gte.net
SEp .3 2000
ENT Sr)r-,�tVo'NCDErS, CTFt.
DV�011l OF
CITY
��'-Th) fT FILE
t- -
CITY OF EDMONDS ZONEc
CONSTRUCTION PERMIT APPLICATION JOB - 6
OWNER NAME/NAME OF BUSINESS ADDRESS 7- 21
& r ie,� e r soA )',c- C, 'VI LEGAL DESCRIPT
LING ADDRESS
c)—)
2�11�1; � I. ONE NUMBER
77L-
TELEPHONE NUMBER
NAME
ADDRESS
STATE LICENSE NUMBER EXPIRATION DATE
-7 - c, I
Legal Deifcription of Property - include all easements
I ., -f 41
W
Tax Account
Qel No.
'ONEW
RESIDENTIAL
PLUMBING(MECH
COMPLIANCE OR
ADDITION
COMMERCIAL
Ix
CHANGE OF USE
APT. BLDG.
REMODEL
IGN
GRADING
FENCE
REPAIR
CNIDS
I x _FT)
DEK40LISH
WOODSTOVE
SWIM POOL
INSERT
HOT TUB/SPA
GARAGE
RETAINING WALL/
CARPORT
ROCKERY
RENEWAL
(TYPE OF..VSE. BUSINESS OR,ACTIVITY) EXPLAIN
PERMIT
NUMBER
SUITE/
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
13
RW P."nil Required
0
EXISTING — REOUIRED DEDICATION
Street use Permit Req'd
0
Inspection Required
0
PROPOSED
_75;E7SIZE
Sidewalk Required
0 cc
METER SIZE
NO. OF FliTURES
PRVj 3EOUIRED
uj
YES Q NO 0
REMARKS
Z
ENGINEERING MEMO DATED
REVIEWED BY
—I
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES I UNITS INUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) I
VARIANCEOR CU
SEPA REVIEW
COMPLETE � EXEMPT
Ex
LOT COVERAGE
ALLOWED I PROPOSED
BY ITYPE OF
ADS # SHORELINE #
___ I ---
SIGN AREA I HEIGHT
ALLOWED I PROPOSED I ALLOWED I PROPOSED
FRONT SIDE REAR FRONT UR SIDE REAW
SPECIAL INSPECTOR AREA OCCUPANT
REQUIRED 13 YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
041PA �L ...
- r __,� I
FINAL INSPECTION REQUIRED
FEE
SOURCE:
PLAN CHECK FEE
BUILDING
PLUMBING
Plith Check No,' MECHANICAL
CI-)
This Permit covers work to be done on private property ONLY. GRAPINGWILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission. STATE,SURCHARGE --;0
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DR�INAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
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 e 7-1 e7
i whatever nature, arising directly or Ind irectly 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 -
4,61
Q
x
nor limit in any way the City's ability to enforce any,ordinance
provision."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
'
in fo
information given is correct; and that I am the owner, or ttte duly
ATTENTION.
APPLICATION APPROVAC
u"
authorized agent of the owner. I agree to comply with city and
s t at
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application is not a permit until
ed t
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Off iciBI or his/her
Code of the St 4tp of Was�ington relating to Workmen's Compensa-
[a
WORK NOTED
Deputy; and fees are paid, and receipt is
ion Insuranpe ina RCV08.27.
ti
INSPECTION
acknowledged in space provided.
SIGN ATURE NER OR'XE SIGNED
DEPARTMENT*
offici 'S GN T, DATE
JDATE
71-
CITY 0 F
EDMONDS
,2rF
ATTENTION
CALL FOR
FtfLEASED-13Y. DATE
IT IS UNLAWFUL TO IIISE OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File y ELLOW — in , Spector
A CERTIFICATE OF OCCUPANCY HAS BEEN,) GRANTED. UBC
SECTION 109
102-117
PINK — Owner GOLD — Assessor
'A
a
Z
9
DATE RECEIVED
U I PERMIT EXPIRES
;01-Q
CITY OF EDMONDS
CONSTRUCTION PI�qMITAPPLICA
9 g)Ol
77 NAME/NAME OF BUSI NESS AG��a
i-10-aW 14
MAILING ADDRiSi- _21
CITY ZIP ITELEPHONE
,L'ol m ni, dg L7&b -7-26- -o / 0
NAME
ADDRESS
CITY ZIP ITELEPHONE
NAME ICBL#
ADDRESS
CITY TELEPHONE
71 6
STATE CENSE NUMBER EXPIRATION DATE
y t_-W_AV19 jt=;e1_,A13?A`=m �q' 'a,
PROPERTY TAX ACCOUNT, PARCEI�_NO
USE PERMIT
ZONE (1(4
NUMBER
JOB
PLAT NAME/SUSDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESGPZ
RW pe It=ed
Street Use Permit Rsq'd
EXISTING — PROPOSED
Inspection Required 13
Sidewalk Required 13
REQUIRED DEDICATION— FT
Underground
Wiring required 13
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES E3 NO 13
REMARKS
z
z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
i4r.famewc. eeiay) td) FWAu
,1I ENGINEERING REVIEWED BY DATE
BY DATE
6—
k VARIANCE OR Cu SHORELINE'OR AD 1# INSPECTION BOND
BY POSTED
REO'D
' S ONO $
$EPA REVIEW': SIGN AREA HEIGHT
COMPLETE ALLOWED PROPOSED �ALLOWED
PROPOSED
XP
RiSIDENTIAL,
PLUMBING / MECH
LOT COVE GE
ALLOWED
REQUIRED SETBACKS ( ),
FRONT SIDE REAR
*PROPOSED SETBACKS (Fr.)
FRONT L/RSIDE REAR
PROPOSED
ADDITION
*�K COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
&A
7
z
z
REMODEL
MULTIFAMILY
SIGN
PARKING
REO/D 11 PPROVIDEjDj_
LOTAREA
PLANNING REVIEWED. By DA;TE;/�/
Z,
60,
REPAIR
DEMOLISH
o GARAGE
CARPORT
GRADING
CYOS
TANK
RETAININGWA 14.
ROCKERY
FE!N!2A1?
w X / Fr)
OT E
H R
FIRE SPRINKLER
:,FIRE ALARM
7/5
REMARKS
Veil 114
I[TYPE OF USE� BUSINE§S
RL!hzif
OR ACTIVITY) EXP
MIX
CHECKED 13Y
TYPE
QF_CONSTRUCTION
NUAAEfER
OF
NUMBER OF
DWELLING
"MITO
CRITICAL
AREAS
., MAZI.Aa
W j
.2
-
ECIAL INSPECTION
JAREA
DESCRIBE WORK TO BE DONE
EM MIAM-f �
11FAW,
HEAT SOURC
U YES
REMARKS
PROGRESS INSPECTIONS PER UBC'108/FINI
h4b- A
OCCUPANT
GROUP
OCCUPANT
LOAD
9
In
-1 'A Mal
INSPECTION REG-D 13
ON-'
VALUATI
Descrlptk� 'FEE Description FEE
/tf,, Plan Check State Surcharge
1E %
u I I d i r m,i t-�: City Surcharge
PLAN CHECK NO:
VESTED DAIE
0
flumbingk'
Mechanical
THIS PERMIT AUTIRORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
It ' BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3
I= SEPARATE PERMISSION.
Engr. Review
LU PERMIT APPLICATION: 180 DAYS
PERMIT LlMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY: DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CYTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
x
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ TH S APPLICATION; THAT THE INFORMATION
APPLICATION
GIVEN IS CORRECT; AND THAT I AM THE OWNEIZ OR THE DULY AUTHORIZED AGENT OF
APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Offictal or his/her Deputy: and Foes are paid, and
IN VIOLATION OF THE LABOR 60DE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCYV 18.27.
DATE
SIG R AGENT)
DATE SIGNED
1A9
1-VA615)
t
771 -0220
ELTE B f AAT
ATTENTION U
Off 1333
ri
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CPRTIFI-
Z 'YELLOW
�
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109'.
ORIGINAL - - INSP CTOR
�
PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING