303 6TH AVE S.PDFlill 11111111
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303 6TH AVE S
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City of Edmonds PERMIT NO: 9221
PERMIT EXPIRE
SIDE SEWER PERMIT
Address of Construction: 30 3 6. /q111;_. -S - LID #
Property Tax Account Parcel No.
Attach copies of all access and utility easements . . Verified and Approved by
Owner and/or Contractor: 1?07-62 zZOL —7-YE Zir _S_�ZC
Contractor L i c e n s e #: &.1) Building Permit #:
Single Family Invasion into City *Right -of Way:, Yes E
4TREATAM
Multi -Family (No. of linits *,RW.Construction Permit
F-1 Commercial (N,2:,of Units Cross other "Privatf Property: [R Yes F-1 No
X,0772!Z41F, ��/,7 Z
Public Attach le al description and cd9py)Mrecyc6rdred easement.
.9
r
Owner/Contracto'r
Owner or c�nf`ractor signoa'and acknowledgement statement:. Date
i
By signing for this rmi ertify that I have read the City's public handout entitled
Side Sewer SpecificZa2ris, and shall comply with all City requirements outlined -therein..
19 CALL DIAL -A -DIG (1-800-425-5555) BEFORE ANY EXCAVATION 9
.9 FOR INSPECTION CALL 425-771-MM extension 329 9
24 HOUR NOTICE REOUTRED FOR ALL INSPECTION REOUESTS
FOR OFFICE USE ONLY
. .......... . . . . .. ...... .....
Pe r m it Fee $ Rep air Fee $ Issued By:
Trunk Charge $ Date, Issued:
Assessment Fee $ Receipt No:.
City Permit Surcharge Fee $5.00 Totalfees Paid $
NOTE: IF'JOB SITE IS NOT READY FOR INSR��
�9TIQN WHEN
f , r 77
INSPECTOK' ARRIVES A 45 RE71NSPECTION FEE WIL k dHARGED.
Job Site Ready YE'S, NO'. —Date. Init 1� ial:
Partial Inspection:---, 'bate: Initial:
Partial Inspection: 4
i, Date: Initial,--
W
FINAL INSPECTION APPROVED: Date: 10 1/- 00 Initial: ��11 As�built to Streeffile:
1,� PERMIT MUST BE POSTED ON'JOB SITE'O�
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L-,temp;bldg;forms�ssperTnitjlg4/00
October 10, 2000
To Whom It May Concern:
1, Melissa L. Chapman, give Roto-Rooter permission to access my property and dig in my
back yard for the purposes of repairing a plumbing problem. Roto-Rooter has been hired
by the property owner next to my property, Jack. Russell. My property is located at 610
Maple Street, Edmonds, WA.
Side Sewer Drawing
The City of Edmonds
EASEMENTNO . ........... ................................
NEW CONSTRUCTION El REPAIRS LID NO. ..._ ............. ASMT. NO. —...-
OWNER----------------------------------------------------------------- --------------------------- -- CONTRACTOR ----------------------- .......... ................................................. PERMI'I' NO.
LEGAL DESCRIPTION: LOT NO. — ................................... BLOCK NO.. ---------- - ------ ----
JOB ADDRESS .... 3P.3 -------- 6. - 7. .........................
11
I
(0 +K
S(9
PWW.0001-1 1175 (REV.1 1/78)
NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------
mAple. -:S+-e-,e-+
7-o e%4v%y 4" Conc- L-lk-r.
tMS-VIA5 14" conc -c
14' Pv c-
4" PVC- Vernc-o
Ra ' Y- &Ae L)� Resc"e. goo+er-
pal
Approved:
DATE ..................... ----------------------------------
J. Y ------- -----
V
RECEIVED
JUL 2 6 1993
PERMIT COUNTER
CRY Of Edinon&
Critical Areas Chec'kfist
'Me Odfical Areas 4M=Hist contained on
dds form is to be filled out by =y pergon
prqmdqg a Devc1opment pemait
Application for the (Nty ofEdmonds prior
CO his&cr mxbz� ofa development permit
to the city -
The purpose Of the Cheddist is to enable
Qty staff to determine whether any potential
Cdfical Areas am or may be present an the
=bject prapetty. 7hC information needed to
complete the Chadk][ist should be easily
available from observations of the sitc or
data available at City Hall (Critical Areas
invcntOrics� maps, or soil surveys) -
An applicmt. -or his/her representativq-, i
fill out the chocldist, sign and date it. and
submit it to the City
ne city will review
the checHist. make a precursow site Visk
and malm a deknoination of the mbsequctit
stcPs neccssaxY to complete a development
Permit application. .
With a signed copyof this form, the
-IPPlicaut should also submit a -vicinity map
Of the P=ccl vith enough detail that City
staff can find and identify the, sabject
Pawl(s). In addition.' the applicant is
encouraged to include any odier pertinent
information or sttidics in conjunction with
this Chec4dist to assist staff in completing
their PrellrnlnalY assessment of the site.
I have completed the attached Critical Area Cheddist and attest that the answers provided -are
factlial. to the best Of my Imowledge (fill out the appropriate column below) -
Owner/ Applicant:
7::So� e—
Marne
I-StIc
\.-*�-�-'\*�\
SWect Address
'-�ity. State. Zip Phone
Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP Phone
Signature
Date
ST73EET FILE
Critical Areas Checklist'
Site Information'
Project Name: - : Permit Number.
Site Location-:��' Property Tax Account Number. �;7b 0
Approximate Site S ize (acres orsquarc feet): �)2bkD
Have you filled outa. Critical Areas Cheddist for a pmjcct on this site- before?
General Site Co n�ditions
1. Has the site bcei.i cleared or logged? Date of most recent action:
Soils / Topography
2. In the Snohomish County Soil Survey. what is the mapped soil type(s)?
3. Descri-be the general site topo"by. Check all thatapply.
Flat less than 5 feet elevation change over entire site -
I
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet) .
M113r. slopes present on site of more than 15% and less than 30'Vp a vertical rise
of 10 1 feet of horizontal distance.)
grades of gmter than 301/a present on site.
comments
HydrologyNegc! I tation.
4. Site contains areas of year-round standing water
5- Site contains areas of seasonal standing water- \-�3 Approx- Depth:
6- Site is in the fl6odway. floodplain k�) of a water course.
Rev M 719 2
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
0
OWNE�R NAkIE/NAME OF D41NESS
J-N(: K
M i I G ADDRESS
A LIN
z I �,
,3: _,o
6
0 kA 'A
P ---rT—ELEPHONE NUMBER
F-�
A !� N G�VE
CITY
STATE LICENSE NUMBER
ZONE
PERMIT
NUMBER 9:30 5 GO
z" �_
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 5
AW Per.it Required 0
EXISTING ------ �._ REOUIRED DEDICATION —
Sliew U.9 P.—I ftq'd� 0
PROPOSED
Inspection Required 0
Sidewalk Required 0
METER SIZE
:NUMBER
EXPIRATION DATE I REMARKS
SIGN AREA SEPj
Legal , Description of PrTe y - Include all easements ALLOWED I PROPOSED COMPLETE
z M 01F b W � S
FI V, W1 cz A — (y) K% IiL I,\ c: VARIANCE OR CU PLANNING I
_l
L ot cl, vsN
SETBACKS —FEET
FRONT SIDE REAR
ti
Property
Tax A .. unt L4 L1 7— 0q S7 0o
Pe�el No.
REMARKS
0 NEW 19 RESIDENTIAL PLUMBING
ADDITION COMMERCIAL MECHANICAL
'E1 REMODEL APT_ BLOG. SIGN
GRADING
El REPAIR
CHECKED BY
TYPE,��CONSTRUI
V_
IEW BY DATE
HEIGHT I LOT COVERAGE
WOODSTOV.E
M
SPECIAL INSPECTOR
AREA
OcCUPANC�,,,,,
D�MOLISH
INSERT
SWO7 TPU0801SLPA
GROUP
OCCU
I : 1. ..
REOUIRED
0 YES
LOAD
GARAGE
RETAIAING WALL/
' !
CARPORT
ROOKERY
RENEWAL
REMARKS
z
0
(TYPEjOF USE, BUSINESS OR ACTIVITY) PLAI
PROGRESS INSPECTIONS PER.U.BC 305
J,NUMBER NUMBER OF C.R.IT.CAL
OF 1, DWELLING a
900, STORIES . . UNITS 3ERCA93 iolll
. '.,PCRIBE WORK TO BE OONE(ATTACH PLOT PLAN)
VEm St %,w tj W FINAL INSPECTION REOUIRED
a Lk \A k(M C_lEXO(L qiiLVC&
PLAN CHECK FEE
iv`it,
BUILDING
L\ _
C
%
I
PLUMBINO
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINOIFILL
Any construction on the public domain (curbs, sldewplks,,
-
STATE SURCHARGE
driveways; marquess, etc.) will require separate permission.
Permit Application; 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
n and
"Applicant, on behalf of his or her spouse, heirs, assigns and
a
ENG* 'NSP'
ENO. INSPECTION FEE
x
successors in interest, agrees to Indemnify. defend and hold
ho I
'C 'a 5
harmless the City of, Edmonds, Vqashlngton, its officials,
gas 0
employees, and agents from'any and ill claims'for damages of
uance
whatever nature, arising directly or Indirectly from the Issuance
ad to
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
PLAN -HE
a
Ox
n-nca
I modify. waive or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance
Inan..
provision."
TOTAL
TOTAL AMOUNT DUE
'd
at I he
I hereby acknowledge that I have read this application; that the
- du ly
Information given is correct: and that I am the owner, or the duly
I'd
ATTENTION
AT
authorized agqnt of the owner. I agree to comply with city and
a 0
tate laws regulating construction; and in doing the work auth OrIz-
ad thereby, no person will be employed in violation of the Labor
I
Code of the State of Washington relating to Workmen's Compensa-
THIS PERMIT
AUTHORIZE
ONLY THiS
WORK NOTED
tion Insurance.
10 TURE 0 ER Oil AD
2
INSPECTION
0 E ART.ENT
CPITY OF
EDMONDS
ATTENTION.'
CALL FOR
INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UN`iIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICAT OF OCCU ANCY HAS BEEN GRANTED, USC
y
771-0220
CHAPTER 3.
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid. and receipt is
acknowledged in space provided.
IC14L;S SIG"RS-'! DATE
RELEASED BY:
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
0
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5
I ./d
STREET FILE
:Z!3 CGL-c
LTZ
Ilk
r,*�fLau �Qi I
J7
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS EASEMENT No . ..........................................
10-09200
OWNER................. ............................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS .............. 3aa-fith ... Averiue-s . . ........................................ 4 ......
E
LLI
�j
LEGAL DESCRIPTION: LOT No . ......................................... .... BLOCK No . ............................................
NAME OF ADDITION
DYE TESTED ON SEWER
JULY, 1972
Approved:
DATE................................................ By ......................................................................
=ME TROSCAN PROPERTY PROFILE=
Snohomish (WA)
OWNERSHIP
INFORMATION
Parcel Number
:4342 095 001 02 06
RTSQ:03E -27N -24 -SW
Bldg Id Number
:1
Record Type
:Platted
Development Type:Res
Owner/Taxpayer
:Russell Jack M Jr
CoOwner
Site Address
:303 6Th Ave S Edmonds 98020
Mail Address
:12044 62Nd Ave S Seattle
Wa 98178
Phone
:Owner:206-772-6838
Tenant:206-774-5762
SALES AND LOAN INFORMATION
Recording Date
:09/01/1970
Loan Amount
Auditors Fee #
:
Lender
Sale Price
:$10,500
Loan Type
Deed Type
:Re Contract
Interest Rate
% Owned
Vesting Type
ASSESSMENT AND
TAX INFORMATION
Land
:$85,000
Levy Code :00210
Structure
:$32,100
2000 Taxes :$1,524.93
Total
:$117,100
Senior Tax
% Improved
:27
School Dist :015
Excise Number
:9074
Exemption :T
PROPERTY
DESCRIPTION
Easement
Census
:Tract:505.00
Block:4
Neighborhood
Code :501
MapGrid:454 F6
Zoning
:Rs-6000
Zoning Rest
Actual Use
Building Name
Land Use
:11101 Res,Sgl
Family Res,Detached,l Unit
Subdivision/Plat
:City Of Edmonds
Legal
:BLK 095 D-02 -
N112 OF LOTS 1 & 2
Vol:2
Page :39
Profile -Page 1 of 3
The Information Provided Is Deemed Reliable, But Is Not Guaranteed.
=ME TR OSCAN PROPERTY PROFILE=
Snohomish (WA)
Parcel Number:4342
095 001 02
PROPERTY CHARACTERISTICS
• Bedrooms :2
lst Floor SqFt :660
Lot Acres
• Bath Full :1
2nd Floor SqFt
Lot SqFt
• Bath 3/4
3rd Floor SqFt
Year Built
:1942
• Bath 1/2
4th Floor SqFt
Eff YearBlt
:1942
• BathTotal :1.00
AboveGrnd SqFt :660
Bldg Type
• Flooring :Crpt\Vinyl
Bsmnt Fin SqFt
Roof Type
:Composition
• Fireplace
Bsmnt UnFin SF
Roof Shape
:Pitched
• Heat Type :Basebrd
Bsmnt Total SF
Siding
:Siding
• Garage :Detached
Loft SqFt
Foundation
:Concrete
• Units :1
Building SqFt :660
Constructn
:
• Sauna
Deck SqFt
Bldg Grade
:Fair
• Spa
Patio SqFt
Bldg Cond
:Avg
• Stories :1
Porch SqFt
Bsnint Type
Garage SqFt :200
Bsmnt Grade
BUILT INS
UTILITIES
.........
.........
• Range/Oven
Elect Svc :Pole
• Hood/Fan
Water Src :Public
• Dishwasher
Sewer Type :Sewer
Vacuum
Microwave
Grbge Disp
Intercom
OTHER
INFORMATION
...........
• Elevator
Waterfront Type
• Fire Sprinklers
Waterfront Qlty
• Street Surface :Blacktop
Lowlands
Street Access :Yes
Tidelands
• Sidewalk :Yes
Topography
• Ground Cover :Cleared
Topography Prob
• Right to Farm
View Quality
• Right to Forest
Profile -Page 2 of
3
The Information Provided Is Deemed Reliable, But Is Not Guaranteed.
MetroScan Full Legal APN:4342 095 001 02
--------------------------------------------------------------------------------------
CITY OF EDMONDS BLK 095 D-02 - N1/2 OF LOTS 1 & 2
The Information Provided Is Deemed Reliable, But: Is Not: Guaranteed.