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TAX ACCOUNTIPARCEL #:
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: E] Conditional Waiver E] Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver E] Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATEd-
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
SIDE SEWER AS BUILT DATED: q M179
SIDE SEWER PERMIT(S) #: 6 Ald
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
:'WATER METER TAP CARD DATED:
OTHER:
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STREET FILE INSPECTION RECORD
CITY OF EDMONDS, PUBLIC WORKS DEPARTMENT
DATE:
PROJECT:
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APPLICATION
fThe City of Edmonds for EASEMENT NO - --------------- ------------ ---------
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS F� LID NO. - ................ . ASMT. NO - ----------------
OWNER ----- -------------------------------------- CONTRACTOR ------- ---------- ................ PERMIT NO.
JOB ADDRESS ------ -E�C.7 --= — -- ----- L,, - - ------------------ LEGAL DESCRIPTION: LOT NO. ----------- BLOCK NO - ------------ -2-
----- ---------------------
..................................................................................................................................................................
NAME OF ADDITION ..... ........ <
........... --------
Approved:
DATE..... .................. B y .... ...........
11/75
_Av?
-1he"Oty-of-Ed '_'_nd*,
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APPLICATION -
for
�NT
;IDE StWilt:`0 ERMIT:' ,'EASE -ME NO . ...... ...............
NEW CONSTRUCTION E] REPAIRS E] LID NO - ------------------- - ASMT. NO . ......
CONTRACTOR
C,! �.,45W
PERMIT NO.
�WNER - ---------------
— ------------ ------------------------------
-----
-------- --- ------------- ----
- --------
JOB. ADDRESS
...... �? - ----- - ----------------- ----_---------------
LEGAL DESCRIPTION: LOT
NO - ---------------------------------- --- BLOCK NO. ....
------------------------------------------------------------------------------------------------------
------------
...................... ................
/
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STHL FILE
NAME OF ADDITIO N --- ---------------------
-------
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...................................
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Approved:
DATIE
B
............................... ..................................
.. ........ .
75-
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7.
S SIDE SEW t PERMIT
CITY .,ODEDMOND
WATER -SEWER DEPARTMENT
T
73
PERMIT -
STrREET FILE
f the construction.)
Call 775-2525 for side sewer inspections BEFORE covering any portion o
NO Sat.. Sun., or holiday inspections.
(Inspection will be provided within 24 hours after requat.
-----------------------------------------
............ ...................
ADDRESS LOCATION OF CONSTRUCTION .......
LEGAL DESCRIPTION --------- xn� ....... .......... 140-1 ........... - -------------------------------------------------------
PROPERTY
A_r, .... .................................. . ..................................................
........ ......... ..... ............
...............
—Art - - ------------------------------------------------
I%Tm A - - -------- ...............
/OR
0, BUILDER ---------------
.. ...........................................
-- - ------------------------------ - -- - -- - ---------------------------------------------------
.......... ;��. __ `�_ I
CONTRACTOR'S
NAME & ADDRESS _----------------
to the city sanitary sewer
ted ............ .. . .. . ............
Permission is gran �for repair and/or connection of a side sewer
in accordance with City of Edmonds ordinances.
9—tem
)k�,XENTION IS CALT nsed Side Sewer Contractor must be employed to construct
D TO THE FOLLOWING:
rmIt to construct sewer Inside property line. A lice
NOTE No. 1—The owners of the property may obtain a pe
rtion of sewer before it has been inspected.
side sewer in street area. Do not cover any Po as y rMit obtainable from the City Engineer's office.
-of-way requires an Inv ion of Right-of-Wa Pe
NOTE No. 2—All work performed in city right
NOTE No. 3—Obtain full Information regaXding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
I and 12 inches inside property line; minimum grade of 2%. No berids in grade
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property I ne
sharper than % will be permitted.
failure due to improper
NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
work which may develop within one year of completion.
ces except to in -
NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenan
Bert the pipe Into the wye.
...........
---- . .............. ...
. ................................... By .........
DISAPPROVED E] Date .. --- Date ............. BY ................ Date ............... ------------------- 'BY
APPROVED ................. By------ . . .. . .. . ...............................
)ate ... . ....
7
--------------------------------------- -------------- - ---------------------------------------------------
Remarks: ........ ...... C .. . . . ...............
................................. .................................. . ............................................. .........
.............................. . ........................................................
.......................................
Request For Inspection
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To
er installation constructed under this permit
--------- * ----------- ................... .... hereby certify that the side sew
vmer of Contracting Firm Performing Construction)
of the City of Edmonds.
W installed in accordance with all governing ordinances
.... ............ 19 ---------
Dated this ............................ day of ............................................ ....
......... . .... * -------------
By----- 00
C� - --------------
Check BEFORE you dig for: Water E3, Gas E], Telephone 0, Power E], Sewer Other 0 j -4
APPLICATION
for
The City of Edmonds SUDE SEWER PERMIT
NEW CONSTRUCTION E) REPAIRS 0 BASEMENT No . ....... .................... .............
. . . ...... darland-, ---- Wi.1-1-ic). M. .......................... ----- CONTRACTOR .................... ................................. ........... ..................... --------- PERMIT No . ......... ............
ADDRESS -,3.1..7...,3.rd ..... Ava (
. ........ ...... . ....... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................. ..............
..A ....... -----------------------------------
I
NAMEOF ADDITION .........................................................................................................................................
Jana., 19 -&�L
Dyq, TO-s-fc-d 0/i S(zwa-r
Approved:
DATE--- — .......................................... By.— ................................ .................................
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CITY OF EDMONDS GARY HAAKEN30N
MAYOR
121 5TH AVENUE NORTH * EDMONDS, WA 98020 * 425-771-0220 * FAX 425-771-0221
Website: www.cj.edmonds.wa.us
DEVELOPMENT SERVICES DEPARTMENT
/17C. 1SC)Q3
April 2, 2010
Mayfield Condominium Association
Attn: Myles Walsh, President
3173 d Avenue South
Edmonds, WA 98020
Subject: Hazard Tree Removal -
Mr. Walsh,
I have reviewed the materials submitted in the request for removal a hazard tree from the
grounds of the Mayfield Condominiums located at 317 3 d Avenue South. The request is to
remove one European white birch tree located in the southwest comer of the property. Certified
arborist Steve Lambert, Lambert Tree Care, submitted a Tree Hazard Evaluation Form that gave
the tree a hazard rating of 9 and recommended removal of the tree. Having conducted a site
visit, I concur with Mr. Lambert's assessment.
The landscaping where the tree is located is mature, and two other European white birch trees
will remain after the hazard tree has been removed. The landscaping requirements of Edmonds
Community Development Code (ECDC) 20.13 will still be met on the site, even with the
removal of this tree. As such, no replacement tree will be required.
The removal of the one European white birch tree, as identified in the materials submitted March
25, 2010 is exempt from the need to obtain a tree cutting permit pursuant to ECDC 18.45.030.F
and the tree may be removed by the Mayfield Condominium Association.
Please feel free to contact me if you have any questions, 425-771-0220, liengci.edmonds.wa.us.
Sincerely,
EDMONDS DEVELOPMENT SERVICES DEPARTMENT
0
Ve m' �en L —ie n vk�--
Associate Planner
Cc: Street file
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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Steve P. Lambert
M", Board -Certified Master Arborist ON 1061 B
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PNW-ISA Certified Tree Risk Assessor #151
General Contractor —License# LAMBETC98 I P I
'2008 PNW-ISA Commercial Arborist Award
BID / INVOICE
Date: N6 ye- VIA �j e,- Y1, �Z_061 -,i
Customer: Z"L, P 1'e-' Id ' Co", kssec.
I �'Z V--, _S
Contact Person:
Ref erred by: &I K e, V1 h r
Description of Work:
no
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H/phone:
W/phone:
C/phone:
E-mail:
Fax:
Job site:
Sub Total
Tax
Total
'fA6_- ZLZ - 90 iJ�
I hereby give authorization for Lambert Tree Care to perform the work as outlined on this bid sheet.
Fullpayment is due upon completion of work. Thank -you!
X
Signature
Date
206.949.7641 / LambertTreeCare. com /6241 NE ao-e Pi - ww=,wA gm
evy
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A Photographic Guide to the.Evaluation.,of Hazard Trees in Urban Areas
TREE HAZA RD E VA L UA TION FORN2nd Edition
Site/Address: meku -A-&-ld co"M;rl a PAS
f a
'317 3 A ve- _S FolvkaJ5 tz//N
Map/Location:
Owner. public private - unknown _ other
Date: I I A I nspector: P C-1-R A
Date of last inspection:
TREE CHARACTERISTICS
Tree Apecies: E146WeA A
DBH: # of trunks: 'Hei6ht: 575'- Spread:' AQ
Form: 0 generally symmetric El. minor asymmetry J29.major asymmetry Ostumpsprout 0 stag -headed
Crown class: 0 dominant 3-co-dominant 0 intermediaie El suppressed
Live crown ratio: 0�6 Age class: D young Ei semi -mature X mature 0 over-mature/senescent
Pruning history: 0 crown cleaned 0 excessively thinned Ktopped El crown 6is ed' El pollarded 13 crown reduced E) flush cuts 0 cab I led/braced
Onone El multiple pruning events Approx.dates:
Special Value: 0 specimen '0 heritage/historic 1: . I wildlife unusuil f1A ED street tree Eliscreen . Dshade 0 indigenous 0 protected by gov. agency
TREE HEALTH t,
Foliage color: El normal 0 chlorotic 0 necrotic Epi)
6ormicsZ. Y N
Foliage density: 0 normal Osparse -Leafsize,: , Dn&mal Elsmall
L, , el
Annual shoot,growth: Clexcelleni &*'aige Dpo'o`,r�.` TwIgWebick? Y N
Woundwood development: El excellent 0 average 0 poor 0 none
Vigor class: D excellent Xaverage 0 fair 0 poor
Majoi.pests/diseases:
SITE CONDITIONS
-Growth obstructions:
ED stakes 171 wire/ties 0 signs
C3 curb/pavement [I guards
0 other
El cables,
Site Character: Mresidence El commercial 'D industrial '[3 park" 0 open space El natural- 0 woodland\forest
Landscape. type: 0 parkway 0 raised bed 0 container 0 mound 0 lawn 0 shrub border-" I E3'Windr break
Irrigation: 0 none Ei adequate 0 inadequate El excessive El trunk wettled
Recent site dis turba.nce? . Y 10 0 construction El soil disturbance El grade change E3 line clearing 0 site clearing
% dripline paved: 0% �, 10-25% 25-50% 50-75% 75-100% Pavement lifted? `Y N
% dripline w/ fill soil: 0% 10-25% 25-50% 50-75% 75-100%
% dripline grade lowered: 0% f6-25% 25-50% 50-75% 75-100%
Sol[ problems: 0 drainage 0 shallow 0 compacted E3 droughty 0 saline 0 alkaline 0 acidic 11 small volume El disease center El his'
E3 clay El expansive' 0 slope 0 aspe ct: tory of fail
Obstructions: 0 lights 0 signage 0 line -of -sight 0 view 11 overhead lines 0 underground utilities '0 traffic E) adjacent veg, 0
'Exposure to wind: 0 single tree 0 below canopy 0 above can I opy 0 recently exposed 0 windward, canopy edge 0 area pr�one to windthrow
Prevailing wind direction: S W — Occurrence of snow/ice storms 0 never El seldom 13 regularly
�'TARGET
UseUnderTree: Kbuilding Oparking Otraffic Opeclestrian Drecreation Olandscape Ohardscape nsmallfeatures 0' utility lines
Can target be moved? Y Uf Can use be restricted? Y (9
Occupancy: 0 occasional use�� Elintermittentuse . Ofrequentuse X constant use
The International Society of Arboriculture assumes no responsibility for conclusions or recommendations derived from use of this form.
0 0
TREE DEFECTS
ROOTDEFECTS.'
Suspect root rot: Y N Mushmom/conk/bracket present: Y N ID:
Exposed roots: 0 severe El moderate El low Undermined.: El severe E-1 moderate El low
Root pruned: - distance from trunk Root area affected: Buttress wounded: Y N When:
Restricted mat area: 0 severe 0 moderate El low Potentia[for mot failure: D severe D moderate 0 low
LEM - deg. from vertical El natural D unnatural D self -corrected Soil heaving: -1 Y N
Decay in plane of lean' Y N Roots broken Y N Soil cracking: Y N
Compounding factors: Lean severity: 0 severe 0 moderate D low
CROWN DEFECTS., Indicate presence of individual defects and rate their severity (s = severe, m = moderate, I = low)
DEFECT
ROOT CROWN
TRUNK
SCAFFOLDS
BRANCHES
Poor taper
Bow, sweep
Codominants/forks
Multiple attachments
Included bark
Excessive end weight
Cracks/splits
Hangers
Girdling
Wounds/seam
Decay
Cavity
Conks/mushroornsibracket
Bleeding/sap flow
Loose/cracked bark
Nesting hole/bee hive
Deadwood/stubs
Borers/termites/ants
Cankers/galls/burls
Previous failure
HAZARD RATING.
Tree part most likely to fail: Failure potential: 1 - low; 2 - medium; 3 - high; 4 - severe
Size of part: 1 - <6" (15 cm); �- 6-18" (15-45 cm);
Inspection period: - annual - biannual other
Failure Potential + Size of Part + Target Rating Hazard Rating 3 - 18-30" (45-75 cm); 4 - >30" (75 cm)
Target rating: 1 - occasional use; 2 intermittent use;
3 + 3 - frequ6nt use; 4 - constant use
HAZARD ABATEMENT
Prune: . 0 remove defective part 0 reduce end weight D crown clean 01hin Draisecanopy Ocrownreduce El restructure 0 shape
Cable/Brace: Inspect further 11 root crown 0 decay 0 aerial ED monitor
Remove tree: (3 N Replace? Y N Movelarget: Y N Other
Effect on adjacent tmes: 0 none 0 evaluate
Notification: Downer Dmanager 0goyerning agency Date:
COMMENTS
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3' 41 5 71
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.0
May 23, 1979
MEMO TO: Art Housler, Director
Finance Department
FROM: Leif R. Larson
Director.of Public Works
STREET FILE
SUBJECT: BILLING FOR ADDITIONAL EXPENSE - STREET CUT SECURITY
DEPOSIT 7 ORDINANCE #1935
R114 CONSTR. PERMIT NO.: 78-214
DATE ISSUED: 9-14-78-
LOCATION OF WORK: '�317 3rd Ave. :'S.
SECURITY DEPOSIT AMOUNT: .-1`48700
RECEIPT 140. & DATE: Rc.5728 9-14-79
COMPLETION DT. OF REPAIR: ll/l/ 7:8
Please bill the below mentioned company for $ 197.28 to cover
additional expenses incurred by the.Street.Division when accomp-
lishing the subject work,:
Ron Suran,
428 3rd Ave. No.
Edmonds, WA 98020
The total of the Security Deposit including this billing will
be $ 345.-28 'to be deposited to Street Division Revenue Fund
1117000-000-389.10, under the above mentioned R114 Permit.
lv
PJ 59
10
CITY OF EDMONDS -
PUBLIVA 91" 0
S DEPARTMENT, ENG I NEER A, I V I S I N
APPLICATIOiN FOR -RIGHT-OF-Ilff C NSTRUCTION PERMIT
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSE�
Applicant to Complete Parts A and B
A. Permit. to be issued t o '4�1
Fo r Wo rk a t : (address or vicinity) Ez'-�;'
Type of Work to be done:
(attach drawing when applicable)
Time Required -- Start: F . inish:
Ow ne r 'xv
Name
Mailin,g Address
City State Zip
Contractor.
Name
Telephone Number
State License Number
Mailing Address
City State Zip Telephone Number
NO 14ORK TO -BEGIN PRIOR TO PERMIT ISSUANCE **
B. INDEMNITY: Applicant understands and by his signature to'this application, agrees
to hold the City of Edmonds harmless from any injuries, damages, or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or 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.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration by the Engineering Division.
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 subject to inspection and res.toration in accord ance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525,- ext. 220.
I understand that this permit must be available at the job site for inspection/ -
purposes at all times.
Signature:(
Date:.
Owner or Agent
TO BE COM . PLETED BY ISSUING AGENCY.�/
Date Issued: )�;en,!n� Permit No.:
Security Bond:
Time Authorized:
Fee
APPROVED BY
D a t e
'o
IS,
r 7:
STREET F
40, . 4* .
) CITY OF EDMONDS
UgLIC WORKS DEPARTMENT, ENGINEERING DIVISION
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
A, Permit to be issued to:
Fo r Wo rk a t : (address or vic
Type of Work to be done:
(attach drawin g-when applicabl )QZ
LIJ A-!�
Time Required -- Start: an �Z;))�i �in i s I i �:
Owne r: A,26-1e5-411)
Namd
— M -7
Mailing Address
— A5�4, 9d-
.City State Zip
Contracto r: - /4, /-Z
Name 7-
Hailing Address
'e"V. grow
City State Zip
A)
Telephone Number
,o� , 1,kllo - ltrI9 -
State License Number
a
Telephone Number
*'k �q 0 t-,'ORK TO BEGIN PRIOR TO PERMIT ISSUANCE --**
B. INDEMNITY: Applicant understands and by his signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, damages, or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
tile applicant or 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.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance'
of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restorationfee) 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 subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes at all times.
Signature: Date:
Owner or Agent
TO BE C01HPLE'rED BY ISSUING AGENCY
Date Issued: &Zaz�� Permit No.: 19F- F e e
Security Bond!,
Time Authorized
APPROVED I V e
4b %
1111717�
00
t
90
STREET FILE
DATE:
MEMO TO: Building Division
Community -Development Department.
FROM: Engineering Division
Public4,,Works Department -
SUBJECT: FINAL.INSPECTION
PROJECT: AS- L-At!-�
APPROVED NOT APPROVED
n
Engineerin Divisjqn
Vri
BY:
W at.erZivi on/
BY.* J
ewer, D/Vi
S Sion
By:
j
C ITY OF EDMONDS...
WORKS DEPARTMEN'Ti'11GINEERING DIVISION
S T
TREE I MN Fnp P1C.HT-*nFAAY rnNqTPi1rTTnNi P�pm
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION.PUR.POSES
Applicant
to Complete Parts A and B
A, Permit to be.issued to:
For Work at :(address or vic
Type of Work to be do , ne:. 6'�Ae��
(attach drawing when applicable)
Time Required ---Start:
Owner: A�afl/
Name
:�'eae_
Mailing Address/
12&_&oe
.City State Zip
Contractor:
Name
Finish:
Telephone Numbei-'
State License Number
Mailing Address
City State Zip Telephone Number
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
INDEMNITY: Applicant understands and by his signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, d . amages, or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or 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.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and a6cept'ance
of the restoration by the Engineering Division.
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 subject.to inspection.and restoration in accordance with Cit y Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must.be available at the job site for inspection
purposes at -all t1m,es.
Signature: Date: �Z'5�0 1-7-SC7'
Owner or Agent
TO BE COMPLETED BY ISSUING AGENCY:
D a t e I s s u e d :
d3 Permit No.:__;
Security Bond: 4-/'ga—
Time Authorized:
/ V . F.ee: Z5�--
APPROVED BY
Date : _irz-�
1 �7 (! s
-: �k
March 20, 1978
STREET FILE
MEMO TO: Art Housler, Director
. Finance Department
FROM: Leif R. Larson
Director. of Public Works
SUBJECT: REIMBURSEMENT OF STREET CUT SECURITY DEPOSIT
ORDINANCE #1935 -
R/W CONSTR. PERMIT NO.: , 78-018
DATE ISSUED:
LOCATION OF WORK: 317 Third Ave. S., Edmonds
SECURITY DEPOSIT -AMOUNT: $147. 38
RECEIPT NO. & DATE: 0003, 1/23/78
COMPLETION DT. OF REPAIR: 3/15/78
Please prepare a Treasurer's Check in the amount of $ 24.38
made payable to the foillowing:
L. J. Roth
23920 84th W.
Edmonds, WA 98020
The balance of the deposit in the amount of $ 123.00 is to
remain.in Street Division Revenue Fund 111-000-000-389—.10.
Turb
SIGNtu
IV
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S-ffdet. Div. Sa!terlie '/' - Ass"t.C.i. �or
vu A",%
S
CITY OF EDMOND
J
qKS--`DEPARTME11T.,"-,tENG IN
E IVISION
,� t4�,
APPLICATION FOR RIGHT-OF-IIAY'CO,'ISTRUCTION'PERNIT
��'�,4-THIS',`PERMIT. MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION
V Applicant to Complete Parts A and' B
I -- C.
to be issued t o
For Work. at -(address or vicinity)
Type of Work to be done: t-a
L
(Attach'drawing when applicable)
A5
Time Req Start: Finish:
uired
Owner: U C, k
PURPOSES
Name
Mailing Address
LL)
77/
City State
Zip,
Telephone Number
Contractor: Co--,,
-3- V
Name
State 'License Number
Mailing Address
L d A
17 ?7
City State
Zip
Telephone 'Number
B, INDEMNITY: Applicant understands and by his signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, damages, or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or 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.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a period of one year following the final inspection and acceptance
of the restoration. by the Engineering Division.
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 subject to inspection and restoration in accordance with City Code. A
-.24-hour notice is'required for inspection by Engineering. -Call 775-2525, ext. 220.
:''I understand that -this permit -must be.available at the job site for inspection
purposes at all times.
�4 Date:
Signature:
Own r or Agent"
,�,U,_'TO.BE COMPLETED BY ISSU.ING AGENCY:
.-'.,,_,.Date Issued:_1 Permit No. Fee:
'.Security Bond: J
,.,,:.T i m e �Authorized:
APPROVE Date
D BY
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% :-:"'E4mqn4s, Washington, 22 _19. 73
4 0 CIS -24. 3-
-DOLLARS $
TH Er L. J. Roth
ClRollin
4L� 23920 - 84th AvO. W.
EdmowM, Washington 98020
City of Edmonds
EDMONDSBRANCH
NATIONAL BANK OF WASHINGTON
EDMONDS, WASHINGTON TREASURER
Security Deposit Refund 001-000-000-T10.10.nO
R/M Permit # 73-013 317 3rd Ace. S.
WARRANTS REDEEMED
BONDS & COUPONS REDEEMED
LA IM S
-ALARY
PRINCIPAL
INTEREST
DESCRIPTION
]DENT. Nos.
BONDS
COUPONS
..I.D NO.
—1.0 NO.
_.I.D NO.
M-
A
March 20, 1978
141--'MO TO: Art Housler, Director
Finance Department
FRO -'I: Leif R. Larson
Director of Public Works
SUBJECT: REIMBURSEMENT OF STREET CUT SECURITY DEPOSIT
ORDINANCE #1935
R114 CONSTR. PERMIT NO.: 78-018
DATE ISSUED: 1-23-78 -
LOCATION OF WORK: 317 Third Ave. S. , Edmonds
SECURITY DEPOSIT AMOUNT: �14/.Jb
RECEIPT NO. &. DATE: #�0-03, 1/23/78
COItPLETION DT. OF REPAIR: 3/15/78
Please prepare a Treasurer's Check in the amount of
made payable to the following:
L. J.. Roth
23920 84th W.
Edmonds, WA 98020
24.38
The balance of the deposit in the amount of $ 123.00 is to
remain in Street Division Revenue Fund
.10.
lv
11TY OF EDMONDS
PU13L_ql W KS DEPARTMENT, ENGINEM #DIVISION
STREE.WPLItATION FOR RIGHT-OF-WAY CONSTRUCTION PERMIT
T I 16OLM
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B
A. Permit to be issued t o 0 1 i t�
For Work at:(address or vicinity)
Type of Work to be done: C,- if
(attach drawing when applicable)
Time Required -- Start: Finish:
Owne r: 0A'UC*--
Name
Mailing Address
1�� V--,, � LL) 1%-
City State Zip
Contractor: L. J� R OK O-C-)\ c-, I ,
Name
3 ';;; ') c, ;1
Mailing Address
L -z'
6 L"I CA ol
City State Zip
2 '7 1-/ - --;- 116, -7 -- '? '7 '-/ --�9 ') '�- �---
Telephone Number
State License Number
"7'-7 q - -). �
Telephone Number
B, INDEMNITY: Applicant understands and by his signature to this application, agrees
to hold the City of Edmonds harmless from any . injuries, damages, or claims of any
kind ordescription whatsoever, foreseen or unforeseen, that may be made against
the applicant or 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.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials for a perio� of one year following the final inspection and acceptance
of the restoration by the Engineering Division.
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 subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes at all times.
". "" . , I Z
Signature: Date:
Owner or Agent
I TO BE COMPLETED BY ISSUING AGENCY:
Date Issued:j
Permit No.: Fee:
Security Bond:
Time Authorized:
APPROVED BY
1 0- v ( Revi ;o (I)
Date:,
00
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\JAN it
FILE Public Works bept
STREET
Washington Federal Savings and Loan Association
LYNNWOODBRANCH 'j,
5729 1951h S.W. - LYNNWOOD, WASHINGTON 98036 12061778-1121
IMAILING ADDRESS: P.O. BOX 270)
12/29/77
City of Edmonds
250 Fifth Avenue North
Edmonds. Washington
Attns Building Department
iRe:Edmonds File''
Developers Wen. Garland
Suran and Olson
Gentlemen:
With reference to the above Identifed matter, this will certify that this
Institution has savings account (loan) for the above referenced developer
for the project so Indentifled. -in consideration of the permitted develop-
n
ment of the property, and In lieu of a performance bond, this InstItutlo
hereby agrees that It will freeze the following sums of money for the Indl A
cated site Improvements pendlng'written authorization for release of Bald
funds by the City of Edmonds: 11,500-00
S-
The total sum Indicated will be withheld by this Institution from any dl
bursements of any kind until written authorization has been received by the
I I A
Institution from the 61ty OT Lamonds to release the sum of money nd caLIB UT
the.written authorization from the City.
The design, location, materials and other specifications for the Indicated
site Improvements are those required by the City of Edmonds sa appear In the
above referenced Edmonds file and In compliance with Ordinance 1620 of said
City.
In the event the developer/owner falls to complete the Indicated Improvements
within 12 months, the City of Edmonds may demand that the Improvements
be Installed or completed Immediately to City standards and the balance of
the funds held pursuant to this agreement shall be utilized for sold Install"
ation or completion.
Sincerely,
Washington Federal Savings and Loan
Association
BY:
Approved:
J9,
Dove I ope r/Owsie r HOME OFFICE: 1423 FOURTH AVENUE SEATTLE. WASHINGTON 98101 iMW
BRANCH OFFICES: ARCTIC BUILDING BALLARD BELLEVUE /REDMOND BOTHELL KIRKLAND LYNNWOOD. MAGNOLIA RAINIER
CITY OF EDMONDS(��,(��
A!G��ORKS DEPARTMENT, ENGINWIRW3 DIVISION..
B
APPLICATLON FOR R-IGHT-OF-WAY CONSTRUCTION PERMIT
-STR E&TTULEBE AVAILABLE_A_T�THE JOB SITE FOR INSPECTION'PURPOSES
Appli&ant,'to Complete Parts
A and B
A Permit to be issued t.o:_
D
-Cb tA 0,
For Work at :(address"or vicinity)
b-
0.
k+ 3
Type of Work to be done:
Y?_� L� 6\) C_�.)
RF1r
(attach drawing when applicable)
AUG 2 1978
Time Required,- Start:
0 tr�-
Finish:
p,,hlir Igo"_q, Deol-
Owne r: "A
Name
Mailing Address
3
74
Y. ''State
Zi P
Telephone Number -z
,,Contractor:
Name
Mailing Address
City State
State License Number
-Zip . Telephone Number
B. INDEMNITY" Applicant' understands and by his signature to.thi.s application, agrees.
to hold the City of Edmonds harmless from any.inj
uries, damages,, or claims of any
kind or description whatsoever, foreseen or unforeseen, that,may be made against
the applicant or the.City'of Edm ' o nds, or any..of its departments.' or employees,.
El-,
including or not limited to'the defense of any.legal proceedings,in 1'ding.'defen'se
C U
costs, court.costs, and attorney fees by-xea�on of granting this permit...
-U.Pon-issuance 6f�,'this permit., the contractor,is-responsible-f and`�
t or workmanship
materials f o r- -a period, of one year- . f ol lowing the. f inal inspection d'accep tance'
an
-.of, the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated iresioratio 'fee) will'be held until*-
n
the final street patch is c�mpleted, At which time a.debit or cred":it-'
Fill be
processed for issuance to the applicant.
.Work is subject -to inspection and restoration in accordance with City Code.' A�
.24-hour noticeis required for inspection by Engine I ering. Call-775-2525, ext."220.
'I,understand that this permit must be avalla e at the job site for inspection'
purposes at all times.
Signature: Date:
Owner or Agent
TO BEICOMPLETED BY ISSUING AGENCY:
Date Issued: Permit No.: -7 9 1?_5" Fee:
.Security BonZ.
Time 'Authorized:
APPROVED BY
Date
1018
Rev. 10/77 - - _2 ��<)
P X UTILITY DISTRICT No. I
of Snu..om.ih County !,AREA
Location
4�
Date W. 0. N a.
2 3 S T
Z R__
Revision Scale C) C)
Reason for work �R
�' 'F
t'j 1 L�_(-
Engineer A� C- -As Built
_C� 1) U —
V, �Q 0 'k-P x W
1 LLA_ Fil* No.
Approvals
PERMIT REQUIRED
FOREIGN CONTACTS
EASEMENT
ENVIRONMENTAL ANALYSIS
Type Li
Conhpany
Exempt under District SEPA
J.RN.No.
]interpretation
procedures, Section III -A
Date Granted
Grantor
Fees required YesM NoCIF
Paragraph_ ltemiLl.�
Log Post ed linventory
Type �_k- G) , " ' " - Date Granted—
ZD
Date Rv 77
Transf.Card Pole Dept.
Date—Amoun't4', IT
Referred To:
Circuit M�
Date —By
.Map_Poste
Date Released For Construction—
Date Work Completed
B
Foreman
L',� .- (L
Circuit Number
7,'�- -
-Substation
O.H. U.G. Cond KV
Add—Ckt Ft_PN
Remv_Ckt Ft —PH
Net—Ckt Ft
Water
L
Sewer
r-� L i L: R S Gas
Backhoe
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(1�1 3 7(( 1
W.O. No..--
STREET FILEPUBLIC 14ORKS ENVIRONNENTAL REVIE'v!
PROJECT NAME: GARLAND, BILL
ILE #
AN ENVIRONMENTAL REVIEW OF THE PROPOSAL HAS
BEEN COMPLETED AND -THE FOLLOWING DETERMINATIONS
HAVE BEEN MADE WITH REGARD TO:
DRAINAGE: A City storm system is located in the public right-of-wa
with sufficient capacity to accommodate the surface run-off
from the site. The site drainage plan must include a
retention/detention facility wi,th an outlet to the City system.,
GRADING: The grading plans provides' for minimum disruption of soil
and change in tonography which --will result in a positive
affect on the environment,,.
UTILITIES: Sanitary sewer system, storm sewer system, power, domestic
water system exist in the public right-of-way, adjoining
the site, with sufficient capacity to serve the proposed
.development.
CIRCULATION: The plans includes proper access which will provide safe
ingress and egress resulting in a positive affect on the
environment.
OTHER: Existing noise and air pollution levels will increase from
vehicular traffic due to increased traffic flow caused by
the density of the proposed development.
PREPARED BY:
DATE:
Ij
December 23, 1977
city tngineer
P/W Env.Rev. 3/77
0 0
DATE: 12] -7 -1
IMENIO TO: Building Division STREET FILE
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: N\J 9 49�XiTh
N VT S
After review of'the subject building permit application, we have
the following comments:
(1) Coordination of the location of any Structure with respect to
LIT—ilities, streets, property lines and driveway grades —is tic
responsibility of the contractor.
,(2) The contractor is required to keep the abutting streets clean-
ed of dirt and debris caused by the construE—tion
(3) A "Right -of -Way Construction Permit" is required,.from the
Engineering Division of Public Works, f,or any work within
the Public Right -of -Way or public easement.
4) Driveway slope not to exceed 14%.
f2- Irma
IM1,314M."o WM411% A
t K il*- 4--& 1 E14 Wat "h z ro
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IFEMOMMINET, MT
ISO
PIV 5/77
J1!:!1T. WIT!, LIST
VW
1,"'ILDING PIllUT I�J7�1 1 '1-,,
Strcet Pdpht-oF-1.-:,iNr Rxisting_,(en hpne-*�
tinj
Access Disoments Fais
Utilitv Fiscincia Existinf, PTOD
tin K)
Lot Per Subdiv4sion Pla t Assessor I 'ap
Site Plan (11ccl.-ed for Accuracv
u
A
Unclororound !�Cnd. 71
0) Lww�e
lkatc
1, tamp- 0,
e r-
Yxistin,a 1�1'.iter '.1aj.n Sj.�-c
1,*atcr "ain Pocuircd
HN'dra!"t Si.�C Vx:isni-w,
ilv(lrant per hre Cz)dc Ze
J)cteCtor Cj,.CC.I: -Lej- A
Fir"
-72
Scptic Tan!,- lkitc
Scpti.c Tnu), Pen"JA Pc(adycd lo m it "o.
Saidtary Sei-.-cr Proj
NO. RIC -0.
NNW,,
Scv.-er U
anital), �`;C,,-cr Conmccticlji Fee TIC(Iiii.ml
p A
A Pate
,l,. I 1 1, C] 1 4 t
— Rco.-L,
Culvert Pec.1dred Si.70
Agz -.g —
Catch BaF�ili Pe(luired 111(1-i.cate oil ,�i,:C, PI"'m
"Inn
Nanhole —111(licay.- oil Sitc I
soi I (' I (I
ondition.-, F, Growid 1"ater N.old (locke
01 e
57,
—54
Zoe x&
0'- - - -- ..
Street Paving, Required
(7urb and C,,ittor Rcquiro(I
SidewaR
9-:4 Curl) Out for ',-,'Oq.uircd
Pi l'i t - o Jl- ""'ay Construction Pcii:d-t Remdrod Ive-f
Bon(l Pcquircd for Public hvroveMents
Street Nxic Sign ReNdml
Other Sinnir�g !'cniuirccl
Pre ll(,I-",Iit Site Inslicction r,.Rcle on
- el
C
Watcr
Enginccl-l-np,
listcd in memo to 1,uildin- Jlz-prirtment
j -il]CCI j], oll ],�,,14 1 Pciriit Application
:> Datc
1300
C; Stanpccl "Ind Notations !,-I(lc -7
Pato
YOXII(II(I 10)! PUlDliC.
STREET FILE
DATE: -1 ie� -7
1,-1E1MO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: �� I / -
After review of the subject building permit application, we have
the'following comments:
(1) Coordination of the location of any .9tructure with respect to
utilities, streets, property lines and driveway grades is th—C
-esponsibility of the contractor.
(2) The contractor is required to keep the abutting streets clean-
ed of dirt and d ris caused by the construction.
__(3) A "Right -of -Way Construction Permit" is required, from the
Engineering Division of Public Works, for any work within
the Public Right -of -Way or public easement.
(4) Driveway slope not to exceed.14%.
PIV 5/77
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9TREE's��`-P'MLE
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1-7
Y+71) f
c*,v- +77
STREET FILE DATE: <3
191 '07
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: :; 11 -15(10 ANE G 4S^QLA&J0
q UNIT Cofzoo
After review of the subject building permit application, we have
the following comments:
(1) Coordination of the location of any structure with respect to
utilities, streets, property lines and driveway grades is the -
responsibility of the contractor.
The contractor -is required to kee� the abutting streets clean-
ed of dirt and d ris caused by the construction.
(3) A "Right -of -Way Construction Permit" is required, from the
Engineering Division of Public Works, for any work within
the Public Right -of -Way or public easement.
(4) Driveway slope not to exceed 14%.
PW 5/77
00
Z) STR, E F�
�T FILE
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GAN <5�*' INJ 9*\) I LICA
USE
B 0-11D I N G, D E PAR T M E Applicant Fill ZONE MBER -
PERMIT.' APPLICATION Inside Heavy Lines JOB
OF BUSINESS)
NAME (OR NAME ADDRESS
LEGAL LOT LOT AREA SUBDIVISION NO.
-i 0-YES El No L_> C? o L* I " .
.MAILING ADDRESS. 0�.' M 4P
Z Z�,j (25 STREET R/W
3: . I EXISTING STREET R/W -r. DEFICIENCY THIS PROPERTY
0 -5 17 : - ��� .1
CITY f ELEPHONE NUMBER COMP. PLAN ST. R/W FT. FT.
17 74 — 114j7D
NAME REMARKS Z
-H9CKED BY 77 W
W ADDRESS W
Z
TELEPHONE N STREET AND/OR UTILITY WORK R/W PERMIT
M CITY UMBE REQ'D. REQUIRED W
rz:> 93�YES 1:1 NO Q YES 0 NO
I �� 0
NAME -.0 UNDERGROUND
WIRING REQ'D. BYES ONO
sm
0 ADDRESS TYPE CONNECTION 0-YES VERI [D BY,
SANITARY SEWER 0 NO
U 7:
<
It CITY TELEPHONE NUMBER SEPTIC SYSTEM El YES PERMIT NUMBER
APPV*D BY CITY ENG.
3-NO
Z
o 7 74—'l 1,44D -
U STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS
AC* QA4f5O METER SIZE BUILDING SUPPLY
Legal Description -of -Property (Show Below or Attach Four Copies)
S, Z L
REMARKS
Z
0 0LSdP1(, �Iew ADD,
SIGN AREA EVIEW AD. NO.
ALLOWED PROPOSED Compl_E;0;� EXEMPT
U
0 V/
.j I
'REMARKS
ko
W I I-ILE
.j IPLA ATE
VARIANCE OR CU NNING REVIEW By
YARDS LOT COVERAGE
FRONT SIDr R41 4;�)�:.. �0
NEW RESIDENTIAL. [:]�GAS
LINE FIRE ZONE TYPE OF CONSTRUCTION-] CODE
NON-RESIDENTIAL SIGN
ADD I — T— J13 (,- 'Irg; 7
UPANCY OCCUPANT..:
r R . TAINING SPECIAL INSPECTOR C
DEMOLISH
D OC Up
WALL REQUIRED GRO LOAD
LTER*, r-]EXCAVATE FENCE 0 YES 0140
OR FILL PLAN CHECKE13L BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
0 REPAIR PRE -MOVE swim .-,) I . . , .,
INSP. El POOL I'M SHOULD BE CODED 31.04.
REMARKS
NUMBER O.F STORIES7N MBER OF
I WELLING
3�U
UNITS
NATURE OF WORK TO BE DONE . _\Q_
Q
U 14 1-r ED 0
RE\ C�t VA— 73 W
VALUATION FEE
PROPOSED USE
Z PLAN CHECK
NO. Z
2 W
PLOT PLAN IINDICATE BUILDING SETBACKS,
G BUILDING CL
ABUTTIN STREETS)
M . . 1;�(, 49L 0
U I
(4 PLUMBING W
W 7�
(:��L_k C _Qj__0 k-W T >
W
HEAT & GAS LINE I U "i Cr- 0
0
FENCE
t
Z
SIGN
RETAINING, WALL 4'
0
U
SWIMMING POOL ,
I hereby acknowledge that I have read this application; that the in- TOTAL AMOUNT DUE c
formation given is correct; and that I am the owner, or the duly author-
ized agent of the.owner. I agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL.-
lating construction; and in doing the work authorized thereby, no person
wW be employed in violation of the Labor Code of the State of Washington THIS PERMIT This application is not 4. permitk.*,,.
relating to Wor . kmen's Compensation Insurance. AUTHORIZES until signed by the Building Official or�.,��
NOTE Permit rimit one Year(Except DEMOLITIONS and FILL ONLY THE his Deputy; and fees are paid, and'.
PERMITi -without conditional use permit, which shall be completed in 90 WORK NOTED receipt is acknowledged in space pro -
days; MOVED -IN BUILDINGS shall be completed in six months.) vided.
INSPECTION
SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT DIRECTOR'S SIGNATURE'
6-:Z3-7 7 CITY OF
EDMONDS DATEr'
NOTE. Applicant Subject to Plan Check Fee 775-2525
This Permit covers work to be done on private roper.ty ONLY.
Any construction on the public domain feurbs, siFlwalks, driveways, ORIGINAL - File YELLOW Inspector,.......
marquees, etc.) will require separate permission. GOLD - Assessor PINK - Owner
G*
00,
sft�)
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