327 ELM ST.PDF11183
327 ELM ST
ADDRESS: Z?9-7 a m 5t)/tc�
TAX ACCOUNT/PARCEL NUMBER: 610 20-ao o(--),'-' om �3
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: 63-3
,a DETERMINATION: 0 Conditional Waiver R Study Required— Waiver
DISCRETIONARY PERMIT #'S:- V., 0,3- 0 -7q (501 Sdbad- (MIA (!b �4) A&M
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DA
SEWER LID FEE $:
LID #:
T-6
SHORT PLAT FILE: LOT: 10 BLOCK: 0
SIDE SEWER AS BUILT DA
. SIDE SEWER PERMIT(S) #: 9 0 17 )
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA
LATEMP\Dsrs\Fonm\Street File Checklist.doc
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APPROVED BY PLANNING :31-7 Ek,,, S+-
APPROVED ASNQTED
BY ENGINEERING`---�
Date:— LjcI03
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OWNERICO,VrRAcToR IS RE,(
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City oAdmonds, ivV: ' _-R
'Development Services Department. :,CityReceipt#: -2-1 k
Planning Division Critic I Ar6is�,Filei`*-.'I�
Phone: 425.771.0220 Critical Areas Checklist Fee: W.4
0221 an:
Fax: Date Mailed to App i, ` ` i - - _' ' - - '.
The Critical Areas Checklist c6n-iam'e'd on this form is to A property, owner, or his/her authorized representative,
be filled out by any person preparing a. Development' must fill out the checkliii, gig6'land it and submit it
Permit Application for the City of Edmonds prior. to. to the City. The City wilLreview the cl�;cklist,', make a
his/her submittal of the application to the City. precursory site visit, and' m''ake a determination of the
The purpose of the Checklist is to enable City staff to subsequent steps necessary to complete a development
A.+� U_+1k_ +—+;-I f�_;*4 . -1 A- permit application.
CUIV I -IV %, as are, or
may be, present on the subject property. The information
needed to completi the Checklist should be easily
available from observations of the site or available at'
City Hall (Critical areas inventories, maps, or soil,`
surveys). .: ":.,
Please submit a vicinity map, along with the signed copy,
of this form to assist City sta:ff in finding and locating+the
specific p . iece of pr I operty I de��ribed on this- fOrm. . In
addition, �the 'applicant shall include other pertinent
.information (e.g. site plan, topography map, etc.) or
studies in conjunction wit4 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 d"jesi, 'including reasonable
attorney's fees, arising from any action or infraction base'd in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I cer* that the information and ex�iblts herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this applicatio�n
on the behalf of the owner as listed below.
SIGNATURE OF APPLICANTIAGENT 0 1,� DATE
Property Owner's Authorization
By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use applic ation,
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 posting attendapt to this application.
SIGNi�URE OF OWNER
Owner/Appficant:
I- I IA -A -I,-, I`) I
Name
Street Address
ELM, 1A WA qf 0 0�,Z)
city State Zio
Telephone: lo—
Email address (optional):
DATE
Applicant Representative:
con e- L n
Name
JIM 9� �Iq 0 X '�Sezaeo_ S-k-
Street-Address
RoV,_ i / - A1,4, ?g o,�, i
city, State. zip
Telephone: -
Email Addre ss (optional): b o o a� 6 e vx o (-, w k. c o x,
Critical Areas Checklist.doc/3.19.2001
NAME: e,
SITE ABDRESS: -3-5
PROJECT DESCRIPTION:
PLANNING DATA
=VMilm
REDUCED SITE PLAN PROVIDED?: (Yes / No
MAP PAGE: 15-2— CORNER LOT(5LNo) FLAG LOT: ffes
ZONING: CRITICAL AREAS DETERMINATION #: /9 B —B
Study R'eciulred:
Alver
Conditional Waiver
CH
SEPA DETERMINATION:
LJ Fee
Ll Checklist
U APO list w/ notarized form
U (N eded for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
xe
IreE mpt
SETBACKS: t �-1 e,
Required Setbacks:
Street: ";L� Left Side: 5 Right Side:
Actual Setbacks:
Street: Left Side: 20 Right Side:— '�!;W Rear &
r_1 Street map checked for additional setback required? (Yes / Nod-D'A
DE I ACHED STRUCTURES:
E3 ROCKERIES:
U FENCESfTRELLISES:
LJ BAY WINDOWS / PROJECTING MODULATION
El STAIRS/ DECKS:
PARKING:. Required:2— Actual:2--
LOTAREA: 'A'&6
LOT COVEIZALT.-__-
44+ 6,oje,'
Incl
57 4 h>-f -
BUILDING HEIGHT:
Datum Point: _T e-'Ve,)w- i:�Wle-*�Elevation:
Datum
Maximum Allowed: ---.Actual Height:
A.D.U. CREATED?: (No / Yes)
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / No
OTHER:-
2- usc-,
Plan Review By.
NewBPPIanningDataForm.D0C
CITY OF EDMONDS
��CIVIIC PEN TERI� WATER -SEWER DEPARTMENT CaJI PRospect 6-1107 when work
Is ready for Inspection. (No in No 3072
tions Saturday, Sunday or
_;.VPWyWo W'-,ZW holidays.
-SIDE SEWEk PERMIT
ADDRESS 327 Elm Street
S. .............. I ................................... 7 ...... ---------- ..................................................................................................
tG owner
OWNER ............. �.qrge ... Culver
... ................................................................. CONTRACTOR ................................................................................
Perinission Is granted ................... ...... 2
1q.. 6 8, for ..................... .. days to REPAXR or CON
with City Sewers In accordance with application on file and governing *ordinances. NECT a side sewer
ATTENTION IS CALLED TO THE FOLLOWING:
T,
NOTE No. I —The owners of -the property may obtain a permit to construct sewer Inside property line. A licensed Side Sewer Contractor must
i be employed to,construct side sewer in street area. Do not cover any portion of sewer before It has been Inspected.
NOTE No. 2—Obtain full information' regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
7 �No. 3—Top-of side serwe r must have at least 30. inches coverage at property line and 12 inches Inside property line; minimum grade of 2
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
NOTE No. 5�—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 appur-
tenances except to Insert the pipe into the wye.
APPLICATION
TIM City of Edmonds
for
SIODE SEWER PERIMaT
NEW CONSTRUC17ON E] REPAIRS F1
EASEMENT No . .............................. ...........
OWNER ---- --- —
............................................. CONTRACTOR .....
........... . ....
...... PERMIT No(!::: .
ADDRESS ... J-�� ...........
.................................................... LEGAL DESCRIPTION: LOT No . ........
Zjq_ -------------------------- BLOCK No . ..............................................
NAME OF ADDITION .......
..................
uj
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APProved:
DATE
y
APPROVED
AUG 110
Date: March 8. 1968
Memo to: John E. Moran
Supt. of Public Works
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Property Description: East-651 of Lot 10, Block 2. South Park Addition
Commonly Known as: 327 Elm Street Owner: George Culver
Z.F.F. Calculation:
(.65 x (105.7)
( 61.7$ x ($5.50
Public Works Department Use Only:
( 1 ) Unit x ($25.00)
V-
V 4
0-4
61.75
339.62
Z. F. F.
Connection Fee
I -
$ 25.00 Trunk Charge
$ 10.00 Permit
374.62 TOTAL
or
1 4
I
am
'R
-7
9 - I - __ --- .-.
Date: March 8, 1968
STREE
T HLE
Memo to: John E. Moran
Supt. of Public Works
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
I
Property Description: East 651 of Lot 10, Block 2. South Park Addition
Commonly Known as: 327 Elm Street Owner: George Culver
Z.F.F. Calculation:
6 . 5 x (105.7) 61.75 Z.F.F.
61,74 x ($5.5 $ 339.62 Connection Fee
Public Works Department Use Only:
1 Unit x ($25.00)
$ 25.00 Trunk Charge
$ 10-00 Permit
374.62 TOTAL