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327 2ND AVE N.PDFIiiiiiiiiiiii 4790 327 2ND AVE N City of Edmonds RIGHT-OF'WAY CONSTRUCTION PERMIT Permit Number. '7q- e)'4 3 Issue Date: A. Address or Vicinity of Construction: 3 2 7- 2,,,vo A '.IE- B. Type of Work (be specific): :5 7roe- A,' r7Z- 7-,,= Ll C-rlvlll C. Contractor: L-e4-1 14, k INQCZygg! C!QN� Contact: T-VA)Cr-- 0 LL.- Mailing Address: 1-1515; 4, 57- AA/f5:,W Phone: A�� :74M 110 1 State License #: Tr92AWCn r5 Liability Insurance: Bond:.$ 1). Building Permit# (if applicable): q�0057 Side Sewer Permit # (if a . ppli6able): E. L) Commercial E] Subdivision E] 'Cit)FProjpct U L tility,(PUD, GTE, WNG, CABLE, WATER) n Multi -Family E�rSingle Family Other INSPECTOR: AlAl / -rC-41 77- INSPECTOR: F. Pav 6ment or Concrete Cut ET'& EINo, G. Size of Cut: x H. Chargq_$ APPLICANT TO READ AND SIGN INDEMNITY: Applicant under,stands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany 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 and attorneyfees by �eason of granting this permit. THE CONTRA CTOR IS RESPONSIBLE FOR WORKMA NSHIP AND MA TERIA LS FOR A PERIOD OF ONE YEA R FOLLO WING THE FINA L INSPEC- TIONAIVDAi7CEPTANCEOF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREIETPATCHISCOMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required with permit application. A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220. Work and - material is to * be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut trench work shall be patched with asphalt or City;approved material prior to the end of the working da�; NO EXCEPTIONS. I have read the ab e &;ents and understand the permit requirements and the pink copy of the permit will be available o tim or inspection purposes. Signatur Date: �C�cr�—t& or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER A04) DAYS SPECIAL CONDITIONS: RIGHT OF WAY FEE: 30- DISRUP71ON FEE/FUND I 11: RESTORATION FEE: T OTAL FEE: .30— RECEIPT NO.: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT CE . I Eng. Div 1997 FIELD INSPECTION NOTES Comments: I Diagram CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY:. (Fund 111 - Route copy to Street Dept.) D YES Date: Date: E] NO C: City''d Edmonds RIGHT-OF-WAY CONSTRUCTION. PERMIT Permit Number. ag — I Wue Date: &_ 7—q A. Address or Vicinity of Construction: 327 -2 Ave N (0#107006736) B.-Tvix of Work (�e specific). Insta-U - a 2" PE Pipe Gm main in E&xmft . St . IBIJ — 17 C. ve N; tie into ex-1s_EJ—Ln_g_m_a1n__21_uS_ of the c/1 of EdmondB St E of th c/1 of, 2nd Ave N. Eftendl wain 24*�N of 2W Ave N. Contractor: PUM SO= RIBRGY Contact: pMya jSM1rjD Mailing Address: Im 75th St SW Everett 982f%ne: (425) 356-7520 State License #: D. Building Permit # (if applicable): Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. -El Commercial El Subdivision City Project E), Utility (PUD, GTE, WNG, CABLE, WATER) Multi-Fami'ly E] Single Family E] Othqr. . ...... INSPECTOR: INSPtCTOR- rx, r-1- 2 5 yy r1q- 4P F. ravement or Conurr-Lo Cut L_J JL C-5 L-1 Im U %J. �1� Ul APPLICANT TO, READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City ofEdmonds harmlessfrom injuries, damages, or claims bfapy 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 ofany legal proceedings including defense costs and allorneyfees by reason ofgranting this permit. THE CONTRACTOR ISRESPONSIBLE FOR WORKM�NSHIP AND MATERIALS FOR APERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required with permit application. A 24 hour notice is� required for inspection. Please call the Engineering Division, 771-0220. Work andmaterial is to be inspected during pro g*ress and at completion. Restoration is to be in accordance with City Codes. Street, shall be kept clean at all ti ' mes. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the ahove statements and understand the permit r�quirements and the pink copy 6f the permit will he availahle on site at all timesfio inspection urposes. 5/24/99 Signature: —-Date.- (Contractor oi'Ag&nt) CALL DIAL -A -DIG PRIOR TO BEGINNING. WORK FOR CITY USE ONLY APPROVED BY. ('�On LJ TIME AUTHORIZED: VOID AFTER __AVA 15 DAYS RIGHTOFWAYFEE: DISRUPTION FEE/FU`ND I 11: SPECIAL CONDITIONS: AJ& RESTORATION FEE� T OTAL FEE: � %x414 I a a KOM ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT.. ISSUANCE Eng, Di� 1997 FIELD INSPECTION NOTES Comments: Diagram (Fund 111 - Route copy to Street Dept.) - I CONTRACTOR CALLED FOR INSPECTION El YES El NO Partial Work Inspection by P.W.: Work Disapproved. By: Date: FINAL APPROVAL BY: Date: t 327 SCALE: 1"- 50' END MAIN 219' N, --- 1E 1E C 21-N.22t PE IP MAI L 2" M N/ w . . . TIE-IN a E, 21' S C 'L (2X2 SVC TEE) 24' W,21'S NOTES 1. CALL- 2 DAYS BEFURE YOU DIG 1-800-424-5555 2. CITY OF EDMONDS: Maintaina minimum of5'h o riz o n ta 1 and 3' vertical clearance from all city utilities and appurtenances. C u ts in p a v in g a re s h o w n a s 11 - - 2- - - cuts in paving anticipated. N o tif y -E n g in e e rin g D iv is io n 2 4 h rs prior to construction - 4 2 5 -7 7 1 - 0 2 2 0 3. PROJECT MGR: DOUG USITALO: 425-356-7520 DESCRIPTION DATIE BY APP' AS -MILT DFWMTIM WIN DAR COMEW S CMFLKM TIW DWILLAWFINWff rim w Im I rainn IKM 0 FTIK 0 wa UM un or Tw WF Tw w put I Fog WWACTM mmm F�UGET SOUND <@> 04FRGY ap Or 15 U. U UZ no wr 65 -nn— -23-27N-( am PROPOM MAIN FWTAW mo= WAM Un 0=11L W& FWM RIM 11 2" PEI 240' RDHONM 2" PE IP MAIN EXTENSION TO SERVE: 327 2 AVE. N. 1�0700�6736�1) z 1� C. 18,9 11 CITY OF EDMONDS BARBARA FAHEY 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works e Planning/Building * Parks and Recreation * Engineering 0 Wastewater Treatment Plant January 28, 1999 John Waldburger PO Box 1893 Edmonds, WA 98020 SUBJECT: Right of Way Dedication Reconsideration - 327 Sm—ond Avenue North Dear Mr. Waldburger, After review of the information you submitted last week, the City has determined that reconsideration of the 10-foot right of way dedication requirement is appropriate. The City previously received 5 feet of additional right of way from the property on the east side of Second Avenue North to obtain 35 feet of right of way on that side of the street. Since the required right of way to be dedicated on that street totals 50 feet, only 15 feet of right of way will be required from your side of the street. The right of way dedication required with development of your new house will change from 10 feet to 5 feet. If you have any questions please call me at (425) 771-0220. Sincerely, JAMES C. WALKER, P.E. City Engineer c: Jeff Wilson Gordy Hyde Waldbl.DOC 0 Incorporated August 11, 1890 ,g) 13 August 10, 1999 Mr. Gordy Hyde Development Serviceo Engineer City of Edmonao 121 5"h Ave.. N. Edmonclo, WA 95020 Dear Gordy: Ao per our telephone converoation of laot week, my huoband and I would like to be. conoidered ao contributoro to the City'o general oidewalk fund in lieu of building a 66 oidewalk oegment!' in front of our new home under conotruction at 327 2" Ave. N. I have obtained a bid from PeoignWorko Conotruction, the company which hao done conoiderable concrete work already at our building oite. Owner Mick O'Neill hao given me a price orf $10 per linear foot for a 5"- thick oidewalk mcaouring 50 feet in length (the width of our building lot on the caotcrri—or 2 nI Avenue oide). The curb lo already in place oodoeo not figure into the coot of the oidewalk. Flea9e let me know at your carlicot convenience if our $500 contribution to the oidewalk fund io acceptable, and I will loouc a check to the appropriate department. Thank you for your conoideration of my requeot. 51mccrely, al-e� 5 WI.IA6.wn uc Waldburger F.O. E30X 18935 Edmondo, WA 98020 425-775-5043 4, -9ww"PIK-11 Vill MR Ty""Imm CITY OF EDMONDS 18 90 Address of Construction: Z Property Legal Description (Include all easements): ,,7�13_40 -5 - I - 0 Owner and/or Contractor: T—�- N L�IA 1--:5k 4:e StateLicenseNo. !��8_ Building 64- Q Single Family Invasion into City Right -of -Way No El Yes Multi -Family (No. of Units-) RW Construction Permit No. Commercial Cross other Private Property: Pl-�o Yes Public Attach legal description and copy of recorded easement 0"n P,iERI)j /7- 6JVP1,qe,5 lb DAKs SIDE SEWER PERMIT PERMIT N2 9052 LE I cerlrytt�t I hav?i read and shall comply with all city requirements as indicated on the back of the Permit Card. it No. '19 coe::�- /_0 �)c Date / V- * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICE USE ONLY FOR INSPECTION CALL 771-SM, PUBLIC WORKS DEPT. &0 04 R3 t 5 Permit Fee: Issued By Trunk Charge: Date Issued: Assessment Fee: Receipt No.: Lid No.: Partial Inspection: Date -Initial - Comments Reason Rejected: Final Inspection Approved: Date :7-23-21 Initial Date -Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3/90 The City of Edmonds Side Sewer Drawing EASEMEN'." NO. -- ---------- — ............... -.1 NEW CONSTRUCTION REPAIRS —F� LID NO . .................. . ASMT. NO OWNER..................................................................... ------------------------- CONTRACTOR .................................................................................... PERMIT NO. JOB ADDRESS ... ;��97 -------- 10 ............................... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ........... ........................ 'Jd A ve- /\,) NAME OF ADDITION ..................................................... ............... ived: Lx;"T�ls C,-(4/b f I I I �- Y PWW-0001-11/75 (REV.11/78) I w. r oJ(— DATE J 61 ....... By ... C:�.. ....... Cl� ...................... STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET CALC BY: ?�bti .OWNER ADDRIESS PHONE: eLo5 - 02 Lf-C7 =�mV, ': -1 -1 �) . , D All * **.**DESIGN DATA *** ** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE /04 DETENTION PIPE LENGTH LOCKING LID ICAL) FINISHED G -M MINIMUM 6 N RANCfGP or M Tj TL 6M Al2 UR&PROM GH31 E �rl CONC BOX OR RISER TO SLOPE 0 OUTLET F +19'OM UT OUTLET CONTROL I NL I UPPER CATCH BASIN ORIFICE CONTROL CATCH BASIN SYSTEM CROSS SECTION 2'X2'X6'.DEEP, 4-6' SPALLS OR EOUAL FROM CONTROL CB 2'X 2'X 31 DEEP, 3/4' CRUSHED ROCK EXISTING GRADE T W S i FROM CONTROL OUTLET WASHED ROCCK R ZENC B� MIN 10- LdNG, PIPE TO LEVEL �-�XPERF ERF PIPE W/ END CAPS TRENCH 8MALLC2E LINED WITH MIRAFI PRIOR T PLA MEN F WASHED DRAIN ROCK AIARAP OUTLET RUNOFF SPREADER. TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED YO DETENTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection �PPROVED BY before backfilling and for final inspections. 2, Responsibility for operation and maintenance of drainage systems on private property is the op�q responsibility of the property owner. Material accumulated in the storage pipe must be flushed -- out and removed from the catch basins to allow proper operation. The outlet control orifice DATE must be kept open at all times. I Impermeable Area Sq.� Ft. 2000 2500 3000 3500 4000 4500 5000 Table 1 — Detention Pipe Sizes Required Pipe Diameter Vol Cu Ft 1511 1811 2411 3011 .50 40 28 .16 TO 62 50 35 20 13 75 60 42 24 15. Required pipe 87 70, 49 28 18 length in feet 100 80 56 32 21 112 90 63 36 23 1 *25 100 70 40 25 Note: Allowable Pipe Materials: Impermeable Area Sa. Ft. 2000 2500 3000 3500 4000 4500 5000 Reinforced Concrete Aluminized Steel Aluminum CMP Asphalt Coated N — 12 ADS (Not permitted on roads) Table 2 — Outlet Orifice Sizes Outlet Orifice Diameter (inches 5/8 5/8 3/4' 3/4 7/8 7/8 7/8 Table 3 — Rectangular Catch Basin Requirements Detention Max. size Catch Basin pipe diameter knockout Type < 1811 2011 Type 1, CS 15 18" to 24" 26",- Type IL, CB 16, 24" to 36" 3611 Type 11, CB 19 19 (48". Basin) 36" to 42" 4211 Type 11, CB 19 19 (54" Basin) *Source: Assoc. Sand & Gravel Co. Standards 5 Revised 3/16/95 PLANNING DATA NAME: SITE ADDRESS:- DATE: ZONING: PLAN CHK#: �98,- �J� PROJECT DESCRIPTION: A)�U CORNERLO (Yes/No) SETBACKS: FLAG LOT _(Yes/No) Required Setbacks-, Front: 57,0 Left Side: Right Side: Rear: Actual Setbacks: Front: W Left Side: Right Side: _Rear: Street map checked for additional setback required?- J" (Yes/No) 0 LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED -(Y/N) LOT COVERAGE: ,,,- 19 Maximum Allowed: b I jmEvPj Actual: BUILDING HEIGHT: Maximum Allowed: Actual Height:--2g0& Datum Point: A�M. Datum Elevation:-- /ZQ A.D.U. CREATED?: M0 SUBDIVISION: 001, CRITICAL AREAS #: P6 SEPA DETERMINATION: OTHER: J!# PERMIT EXPIRES CITY OF EDMONDS use PERMIT ZONE 9900,97, NUMBER CONSTRUCTION PERMIT APPLICATION JOB SU I ITE/APT# ADDRESS OWNER NAME/NAME OF BUSINESS 6t&� LEGAL DeSdRIPTION CHECK SUBDIVISION NO., LID NO. /4— cc w z MAiC-INd AbDr;E SS PUBLiC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 0 -!P ci'ry ZIP, TELEPHONE EXISTING 4J REQUIRED DEDICATION RW Permit Required 'tre r of U.0 Permit Re, 1 ka? D I Inspection, Required ; j>r PROPOSED :54-;k 1-1--d Ve NAME' METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED U YESK NO 0 .3 RE A RIK S L) Cc 4 < z CITY ZIP ELEPHONE 4 '419) V F-14-y ic 0 �v k , A 6 4'" A '70 0 'A'114 -470 ?z D 7 4 NAME- X) 6514 A4�1 t!7j Z- f'v�l TNIGINEtRING MEMO DATED REVIEWED BY 0: �41 IA k)JZ 4 � 641 t" JA r— Al -/y A f, 'ADDhVSS 0 FIRE MEMO DATED REVIEWED BY W -7 �d CITY ZIP TELEPHONE J0 z 0 LL VARIANCE Oh�cu ADB# SHORELINE It rvo wood. STATE LicENSEN MBER EXPIRATION DATE HECKED BY tj ��4q iEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT --.- ALLOWED PROPOSED ALLOWED PROPOSED z I-EdA DESCRIPTION OF PROPERTY - INCLUDE ALL EASEMENTS 0 EXP�� LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) Cc U cn ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR W PROPERTY TAX ACCOUNT PARCEL NO. 4 5, ;2a - AA,05 1!%� LOT A7REA PLA E DATE W �tnj q L)U �"0%9 I , . /� W Me NEW RESIDENTIAL PLUMBING MECH REMARKS ADDITION COMMERCIAL r- -..ZMPLIANCE OR HANGS OF USE REMODEL APARTMENT SIGN FENCE REPAIR Qr CYDS CHECKED BY TYPE OF CONSTRUCTION CQ-DE OCCUPANT X FT) DEMOLISH TANK OTHER 7_ &) . I t 7 GROUP GARAGE RETAINING WALL SPECIAL INSPECTOR REQUIRED OCCUPA�T CARPORT ROCKERY RENEWAL C] YES LOAD rrY�E OF USE, BUSINESS OR ACTIVITY) EXPLAIN: P-: a- REMARKS .08 m 14AA.4 17w PROGRESS ibi4WI IRC 1 z Lu a NUMB6R . CRITICAL -- =! D to 1-NTL1MBtJR'& OF DWELLING AREAS + I :64 671�Fte-gf- � )� . . r--. I �=-- 11 -7 to o I STORIESQ+f"+ UNITS NUMBER I 1 6, C�, . I I DESCRIBE WORK TO BE DONE IA�j - �� 14&--C: I.— i fit 7 FINAL INSPECTION REQUIRED' VALUATION FEE PIL AN CHECK FEE 12 LOT SLOPE % f BUILDING C: �-2 PLAN CNPCK NO- Z10- VESTED DAfE I W PLUMBING aur — MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL :1 DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE w PERMIT APPLICATION: 180 DAYS PERMIT LIMIT:.1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS STORM DRAINAGE FEES Cn u) "APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE uj :�) -j IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF cc EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY a FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE -1 0 DE PLAN CHECK DEPOSIT EMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE x NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* TOTAL AMOUNT DUE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION I GIVEN IS CORRECT, AND THAT I AM THE OWNER, 08 THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAI THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CON$TRUC- CALL This TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED application is not a permit until signed by the Building Official or histher Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S C?Iv receipt is acknowledged in space provided. ,JqNSATION INSURANCE AND RCW 18.27. SIGNATy !��Lw GE DATE[IGNED (425) D�F * �IGjrE DATE 111 Q 34- 771-0220 By REL S By DAT A17LNTIO� IT IS UNLAWFUL TO USE OR OCCUPY,A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLIWI- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR C no rO' /-7 11n Critical Areas Checklist . 7-OS- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: `52, 7 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? no. If yes; how is site developed? 5. Describe the general site topography- Check all that apply. Fiat: less than 5-feet elevation change over entire site. 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 w ater Approx. Depth: 7. Site contains areasof seasonal standing water: do Approx. Depth: What season(s) of the year?, 8. Site is in the floodwa a X0 of a water course. y— /,/0 floodpl in 9. Site contains. Zeek or an area where water fi ows across the grounds surface? Flows are year - .round? 0 Flows are seasonal? (What time of year? 10. Site is primarily: forested ;meadow _;shrubs mixed urban landscaped (Jawn,shruh's etc) 11. Obvious wetland is present on site: For City Staff Use Only 1. Site is Zoned? F 2. SCS mapped soil type(s)? 3- Wedand inventory or C.A. map indicates wetland present on site? 4.,.-.-- :-,Crifical Areas inventory or C.A. map indicates Critical Area on site? 5.. 'Site within' designated earth subsidence landslide hazard area? 6. Site designated on the Environmentally Sensitive Areas Map? �Ji�� .DETERNfTNATION "-:'STUDY REOUIRED CONDITIONAL WAIVER WAIVER R ewed by: evi -Pla er RcVOI/04/94 890 - 199 City of Edmon& Critical Areas Checklist 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 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 I 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. -fbe 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 applicantshould also submit a vicinity map or plot plan for individual lots of e parcel with enough detail that City staff can find .and identify the subject parcel(s). In hddition,-, the applicant shall include otherperfinent information (e.g. site plan, tapo ' graphy map, etc.) or studies in conjunction -with this Checklist to.assist staff in completing their preliminary assessmentof the site. I have completed the attached Critical Area Checklist and attest th . at the answers provided are factual, to the best of my k nowledge (fill out the appropriate column Owner I Applicant: Y Name 07 Fl&�ovtck- Street Address City, State, ZIP Phone Signature Date Applicant Representative: Nam Street Address City, State, ZIP Signature Phone Date DA Zone C lowl -1/4, SEC. 23 T.27N., R.3 E. 712 .0-- 0 71 CA PER --- ST 52 A I I ai 62 sit G54 e.54 19 414 13 13 16 .. , 6Z3 6)4 60S *1 0 A 413 6/1 608 607 -- 0 SCALE X Jlr49T 00 401 602 60s v 5*13 . S4 -f . .7 02. SN It It 622 Y-41 N -4 N 4 N Pn 9--- A. 41, Cie S35, 721 A % q09: 529 5-00 sb9 524 709 PV6ET 5OUND ao 124 -431 7,15 2z 427 T fol is 423 Qf Sovmp VIEW Jt 414 4m 426 boi 614 - + 4J2 GE GLEN 429 417 41 14 j;;'dwis. 2100%., 1 a I i I 1� N VALIiYw F SM 14, SPAAGUE 0,; 1 - 0 IF 16� ow C". la It - L;4 GNIND STA? ry on 10 ov LIU- I z or F- ,.?/ VIE Ak BILL vi SANK lim 0 MAIN Say x 146' a 111 all I ISO 112 DAYT N ST. DAYTON' WASrff a I,-., . m �21 Q XI 01 111 13 1 A 209 210 -- a to.1 '221 14; "T 2'15* ce 20211 2221 Zto 61al e I;; 22, 10 22-F MAPLE '000. John and Sue Waldburger 8107 Frederick Place Edmonds, WA 98026 (206)775-5043 RE: Site with Tax Account Number:23270310190006 U, A, LEGAL DESCRIPTION: PARCEL A: I All that portion of Government Lots 1 and 2, Section 23, Township 27 North, Range 3 East, W.M., described as follows: BEGINNING at a point on the North line of Edmonds Street in City of Edmonds, North 6004112711 West 276 feet from the Northwest corner of 3rd and Edmonds Street; thence North 6004112711 West along said North line of Edmonds Street 99 feet; thence North 3202810011 East 120.77 feet; thence North S5018,00,, West 60.66 feet; thence North 3202113511 East 43.77 feet to the true*point of beginning of this description; thence North 3202113511 East 50.07 feet; thence South 6004115711 East 147.74-feet; thence South 29018,0311 West 50 feet; thence North 6004115711 West 150.41 feet to the point of beginning; EXCEPT East 20 feet for street purposes; (ALSO KNOWN AS Lot 4, Block B, Central Addition, Edmonds, Washington, according to the unrecorded plat thereof); APPLICATION for The City of Edmonds SWIE SEWZR PERMT EASEMENT No . .......................................... NEW CONSTRUCTION 0 REPAIRS 0 113-01800 owNER.......... ROP-ti-Repialds --------------------------------------------------------------- CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT NO - ---------------------- ADDRE100 327 2nd Ave. N LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . .......... ................................. W-------------------------------------------- !� ................................................. .......... 0 Is . co lj NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- ................. Dye Tested On Sewer 1972 Approved: DATE................................................ By ---------------------------------------------------------------------- o ALLI!y 10 ISO o"r r 4-scome. jrl .co Typo I RIM 96DOi 7?:j i FWW I.E. 96.W I., - Do oil— of 10.W or L PQ &low. 7000, NOr.E: PROVIDE 90SM C04TRoL FILTER) FABRIC MCE AT NECESSARY LOCAT06 DURING C40NS 2 G I 7/8" 04Wt 06fice /59r-o 24' x 37 ADS N12 Flpe .5% flopt c� . lNew CI3 16 Type I -L �z lbl� Now CD Type I w/ lockIng grau Rim 104.95 LE. 96.61 u� ww ra I � j w I :0 Now CD 16 Type I-L RAM 105.00 1 %ExIslUnq curt, 4 th Ave. RECEIVED FEB 0 3 1999 KWilIT COUNTER DIRIVIEWAY SWPE - 0.05 1; qs.u7 0 E Ep + t 116- L ,if- Ewp" CD w/ kx*W4 #rsu Rim lotm, /Itirm 104.95 I.E. 97.03 I.E. 9625 12" rVc scl, 3034 Exiet4n@ cur� E3UIL121N& HF-I&H-1 CoAL-CULATlaN-5: (A) 105.91- + (19) 105.0a + (C.) 102.45' + (0) 102.25' a 412.24' VN*M,4W Sy 4 a 105.0W + 25.01CY a MAX EWI-DlNdp HT OF 128.06- (126-0 FLOT FLAN 1" z2a-0" 4A r r ng � Sir, il u * F LOT ADDRESS 327 2nd AVENU 1w /77 ASSESSORPARGEL# 232703-1-019 LEGAL DESGRIPTION: SEE ATTACHED kbRl PUBLIC, ALLEY "cb 50.0,7, X DIA X 32'-0' DMNAGE DETENTION SYSTEM. CONNECT TO EXISTINO STORM Comc, drlvewag SEWER SYSTEM few FDe.A,.Nr. AIVO L .PIAEULP *D PF7MW,Ox-' SIJ NOTE: PROVIDE EROSION CONTROL FILTER . ..... FABRIC FENCE AT NECESSARY "� - LOCATKM DURING CONST. �/ T- r I mm 3011-0 walks t? C�1% Vc �� $4 0 Ui.1 NEW 5-O"CONC -551DEWALK 2nd AVENUE N. P—IWAW,,Iwl 7- 13-UILPIN& HEI&HT CALCULATIONS: (A) 105-51- + (B) 105.00'+ (W 102.45'+ (0) 102.215'= 412.24' VIVIDW PY 4 = 103.Q&'. + 25.00' = MAX ENJILDIN& HT OF 128.06- (126--o 94 AN 11" - 26'-0 PLOT FL LOT ADDRESS 327 2nd AVENUE An Fn OVED PLAN ASSESSOR PARCEL # 232703-1-019-0006 ING LEGAL DESCRIPTION: SEE ATTACHED RSCEIVED FEB 0 3 1999 PERMIT COUNTER DRI�SVAY SLOPE 0.05 C15.10, Mv E NORTH PUBLIC, ALLEY 50.07 conc �rlveway c . -1051 10.5, 34'' b 1 1 F �00 Zo 70 mmm BUILDW110, DE-C 2 3 5q,-o 55� M E x 0, ?K 0 z10 ',,onc. walks 70 op 50.00, 0 2nd A\v/ENUE N. v BUILVINC-7 HE16HT CALOULATION5: (A) 103.51' + (B) 105.00' + (0) 102.45' + (D) 102.:25' = 412.24' DIVIDED BY 103.06' + 25.00' = MAX BUILVIN& HT OF 125.06' (126-0 PLOT PLAN 1" =!2eo'-e7' LOT ADDRESS 327 2nd AVENUE ASSESSORPARCEL 232703-1-019-0006 LEGAL DESGRIPTIO,N: SEE ATTACHED NORTH EDMONDS PDBI'Ic WCM - ACT-1014 Rr�]PORT T R E Et-- 0 L C- M 5645 SUSPENSE DATE: Date,.— A Time*.—//�� File # r--lyes ttachments: A SUBJECT: REQUESTOR: NAME: A, ADDRESS: 1-14 3 PHONE . 776 REQUEST RECEIVED BY: TELEPHONE C361� CONTACT IN OFFICE =1 OTHER: _ =1 RECEIVED BY: F1 H, 7>oow. HAM smol, cLa4w, ewzosls All Concerned Notified Action Complete�d/File