510 4TH AVE S.PDFlill 11111111
5075
510 4TH AVE S
lll,� (, (�� 5CK q "I A�� S,,
APPLICATION
for
The City of Edmonds SIODE SEWER PBRbHT
NEW CONSTRUC77ON 0 REPAJRS EASEMENT No . ......................... .................
00
OWNER.... ----------- ...... ..................... CONTRkCTOR ...... ............................................................................................ PERMIT No . ......................
ADDRESS .............. .......................... LEG�AL DEWRMrION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF, ADDIT1014 .................................................. ........................................................ ..............................
JUn4L) lq7a
DVa, Ta. s+ed On Ja WC r
Approved,
DATE................................................ By- ....................................................................
I
0
0
APPLICATION
The City of Edmonds i I -t EET FILE I for ..EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS 0 LID NO . .................. . ASMT. NO - ----------------
OWNER ----------
. ..................................... .................. CONTRACTOR ... �m, ................ ------- PERMIT NO . ....................
JOB ADDRESS ------- .. ................ LEGAL DESCk-IPTION: LOT NO - -------------------------------------- BLOCK NO . ....................................
........................ . ........................................................................................................................................
NAMEOF ADDITION ................................................................ . .....................................................
Approved:
---- -- ... ... . .. B ...... .......... ............... YUYiK
DATE
APPLICATION
The City of Edmonds for EASEME T NO
JOB
0
4D
SIDE SEWER PERMIT - --------------------------------------------
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO. ........ -
CONTRACTOR .... vzm__ ........................................... PERMIT NO.
-------- Is-, ............. LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
....... ------
..................................................................................................................................................................
NAMEOF ADDITION ------------------------------------------------- ---------------------------------------------------------------------
(.10
DATE .....
................ I ......... By --------------------------------------------------- Yi7YE
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER'SEWER DEPARTMENT
PERMIT i�
Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.)
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.
ADDRESSLOCATION OF ......... ........ f,� .... . ........................ . .......................................................
PROPERTYLEGAL DESCRIPTION ...................... 11 ...... I ............... M�Ilq .................................................................................................
....................... ................................................... . ........................................................................ .......................................................................................................
........................... : .................................... OMWEBAWDIOR BUILDER ........ ( ...... Z_-L ... li..Jn ....... . . .......................................................
"A CONTRACTOR'S NAME &,�DDRESS ........ ...... %_� ........ .. .........................................................................................
Permission Is granted ............ /: ............. ........... 116 for repair and/or connection of a side -sewer to the city sanitary sewer
system in accordance with City of Edm6nds ordinances.
1,_.ANTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any portion of sewer before It has been Inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer 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. 5--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. 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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED
APPROVED
Remarks:
/ �;p
Date ........... By ................ Date ................. . . ..... By ................ Date ............... . ................... . By .................
...... - ------- --------
Date...... By .............. . . .............. ................................ .......................................................
........................................................................
..................................................................................... ..... * ...... * ......
B P �mit Copies MUSTB4&,,,§1igned B Owner of Firm
I �_.M 7
ne r of struction)
'I . " hereby
w wn /�&-trAc-tinC4,(,er� n-
_nstalll d/X, accordance with all governing ordinances of the City
Performing Construction PRIOR To Request For Inspection
certify that the side sewer installation constructed under this permit
of Edmonds.
LI/ Dated this ............................ day of ............................. ........................ ......... 1 19 .........
V V Check BEFORE you dig for: Water E], Gas E], Telephone Ej, Power E], Sewer [], . Other E] V V
6-T- PGE Mit) OW&-s
A I
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4
ON.
NO lop. MR.
PETAIL "All
SCALE, 1/4" = V-0"
j 4th AVE. 5.
APPROVED 13Y ENGINEERING
20'-0" L 20'-0" rA
Date:
PART I AL 5 1 TE FLAW
56ALE: l"=:2O'-o"
BUTTERFIELD DESIGN GROUP PROJECT, PATE: 0.2-12-02
400 DAYTON EDMONDS, WA 90020 MR. 4 MRS DALE DR-411 N6 NO.:
425-77,5-0,564 FAX: 425-77"746
EMAIL: BuftarfiaidDesIgnQATTBI.COM H0661NS
BUTTERFIELD PARTNERSHIP, INC. 1 510 4th AVE. SOUTH - EDMOND5, M. qb02O 1
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Bufterfield
FACSIMILE COVER SHEET
TO:
FAX NO.:
PHONE NO.:
FROM:
RE:
Message:
Design Group Architqcture Interiors Planning
M1421re-Me- r's
silo,
DATE: 101
No. Pages, Including Cover: S
- 70w-1
WWI
If all pages are not received clearly, please call (425)775.0564. Thank you very muchl
*400 Dayton Street *Suite C- Edmonds *Washington* 98020* telephone 425.775.0564 w-fax 425.776.5746,r
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BUTTERFIELD DESIGN GROUP
00 DAYrON EDMONDS. WA 9=
425-775-OW FAX Qs-7766W
EMAIL BUttwfi&WDeelgnaATT131-COM
BUTTERFItLl) PARTNERSHIP- INC-
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Bufterfield Design Group Architecture Interiors Planning
FACSIMILE COVER SHEET DATE:
No. Pages, Including Cover:
TO:
FAX NO.,
PHONE NO.:
FROM:
RE:
Message:
-N6.
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10
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If all pages are not received cleady, please call (425)775.0564. Thank you very much!
*400 Dayton Street *Suite C*Edmonds *Washington* 98020 *telephone 425.775.0564 *fax 425.776.5746,p
2/T :C� T 220 1 ��S2t7 : Di
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JRN-29-2002 01:15P FROM: TO:7710221 P:1/2
Post -it* Pax Note 7671
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Butterfield Design Group
M-EMORANDIUM
TO� Lyle Crissman, City of Edmonds
FROM: Colin Winters
DNfE: January 29, 2002
RE Hog6,in s Duplex at 5 10 0 Ave. S
Architecture Intedors Planning
R—I G�Ulq�ELU
JAN 2 �" EM
MIGINEENG 00H,18101M
There are cui-rently two curb cuts on this property, one for each ur�t of the duplex. (See attached
drawing.) Both drives face 41h Avenue. The north curb cut is 17' wide and the South is 20� wide.
The building owners will be usingo, the south drive, and have a motor home that they would like
to move easily in and out of the drive. We are requesting that the curb cut be widened an
additional 19' to a width of 38'. We need to know if this is acceptable to the City.
Please advise me at your earliest convenience as to the possibility of widening the south drive. I
can bc reached at 425-775-0564. Thank you.
4 �� -
A -As
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JRN-29-2002 01:15P FROM: TO: 1 771022.1
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Permit No: ana
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date:
A. Address or Vicinity of Construction:
C) _1C UJ
B. Type of Work (be sne
IftetA 0 r, itK
ID
C. . Contractor: S" CCXA Contact \0A
Mailing Ajddress6t w_� \r Phon L4
State License #: ut-�Vs' U P, ZO a ility Insurance: Bond: $
jt #
D. Building Permit # ff�ap icable): Side Sewer Permit # (if applicable
E. n Commercial \E Sub I division J City Project EUC (PLTD, GTE, PSE, CHAMBERS, OVWD)
Multi -Family Single Fami y �Other - ,
El
Ja�SPECT-0i:'_-
F. PAVEMENT: . ""��YES G. SIZE OF CUT X H. Charge: $
S
CONCRETE CUT 0
IDEMNITY. Applicant understa s by hislher sighattike to this application helshe holds the City of Edmonds harm.16sfrom injuries,
damages or claims of any kind description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any of its departments or em ees, including but not limited to the defense of any legal proceedings including defense costs and
th rmt.
attorneyfees by reason 0 r ti�&.
THE CONTRACTOR is ONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEP NCE OF THE WORK ESTIMATED RESTORATION. FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY F CES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Traffic control nd public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must e trained as.required by (WAG) 296-155-305 and must have certification verifying completion of the
required tra* ing in their possession. Y(- r
Restoratio is to be'in accordance with City codes. -MI street -cut trench work shall be patched with.asphalt or City-.
approved aterial prior to the end -of the workday —NO EXCEPTIONS.
Three se of construction drawings of proposed work are required with the permit application.
IRAVEJ" THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THATIMUSTMAKE THE PINK COPY OF THE PERMITA VAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
Pate.
Signature�
_'/'(Cou6ctor or Agent)
CALL DIA,L-A-DtG (1-800-424-5555) PRIOR TO, BEGINNING WORK
Approved byr4r�'n W4
Time Authorized. 'Voi-d After & / `7 02—
Special Conditions: F-4" & -To 16r6lgo
,5*
0 _5,,iF 4_�� rati ge,
_&4JS-709(-7F_D- aA�2-6k�L,
if IVCKP_��,MX.
USE ONLY
Right-of-way Fee:
Disruption Fee/Fund I 11:
Restoration Fee:
Total Fee: f2'52�
Receipt No -
Issued by:
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINA
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
e'.� Mm Ina �v IvA
FINAL APPROVAL OF PERMITTED WORK.. Rfi Ve
INSPECTOR'YSIGNkURE DAJE;.
For inspection requirements see.Engineering Information Handout.
......... . ... .....
McConnell, Jeanie
From: Afdem, Rich [REAfdem@snopud.com]
Sent: Friday, March 29, 2002 8:01 AM
To: Jeanie McConnell (E-mail)
er
Subject: Butterfield Project 510 4TH Ave Sout t mi, 001-0235
Hi Jeanie!
We had submitted for a permit at the above location to relocate a pole
due
to a new sidewalk. Butterfield Design has sent us a drawing showing a
revision of the sidewalk around the pole they said, was approved by you
or
Lyle that would no longer require the pole to be relocated. I thought I
better check with you before I cancel the job to see if you have
approved
their new plan.
Please let me know.
Thanks,
RICH AFDEM
SO CTY SENIOR DESIGNER
(425) 670-3208
(425) 787-7522 PAGER
(425) 267-6171 FAX
rtejf
amid
JAC
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1
I
Engineering
Permit ID:
Permit Number:
Permits
New Permit
Delete
Permit lype: F-7977 .... 7 Blanket Permit? El
Work Order M
........... * -------- * --------------- * ------ -------- *,-,-,*"* ------ * -------------
Construction Address ...
---------
*"--,* -------- *
-------
Number: Street Name: Type: Dir: Apt:
AV
.............. ....... .......... ................... ................... .......... . ........
Intersection? Street Names ... 1 7
.2 Ik
Contractor Name: J_Sn homish County PUD i'� Contractor List..
Date Received,
Disruption Fee: I'to
Issue Date: 17M =/M9
Restoration Fee: -001
Expiration Date:
Permit Fee: $70,00
. . . . . ...... —ji
Approved By:
Permit Surcharge: 1$5.00
Permit Status: JVoid
Total Fees:
Bill Quarterly? Receipt M r - —711
Job Notification:
Job Start Date:
i, ...... . ... ................. . . ... . ........ .
................................ ............ ................
ACP/Conc Cut? El Description
Section: I '� Special Condittions:
Inspectors
Job Completion Date:
r ... ........ ..... .... . ................
................ .............................
Relocate pole due to new sidewalk required as part
of this project.
Pole to be located so 5'of sidewalk can be
constructed. Flaggers required if ane b ock is
z��� .......... .
Change in project plans - pole no loKger needs to be
relocated. PUD will not be billed for this permit.
Ak
City of Edmonds PERMIT NO: 1111
PERMIT EXPIRES
SIDE SEWER PERMIT . .1 1
Address of Construction: LID #
Property Tax Account Parcel No.T.j(P,cn1. e_)11 7 o;� km,, e-, k j Iin
Attach copies of all access and utility easements Verified -and Approved b
Owner and/or Contractor:
Contractor License Building Permit ttco/ 05ZY-7
Invasion into,Cit *Right -of Way: Yes El No
Single Family Y
Multi -Family (No. of Units *RW Construction Permit #
Commerdal (No. of Units Cross other "Private Property:. Yes XN 0
Pu "Attach legal description and copy of recorded easement.
0wnP.r/C.nntrsr.tnr
"1 14 qill 5re an&iicki�o edgement statement: Date
By si Y
gdg fol this permit I certify that I have read the City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
9 CALL DIAL -A -DIG (1-800-4274-5555) BEFORE ANY EXCAVATION 2
2 FOR INSPECTION CALL 425-771-0220 extension F-12—VI'T
24 HOUR NOTICE REOUTRED FOR ALL INSPECTION REOUESTS
1,� PERMIT MUST BE POSTED ON JOB SITEt,
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L,temp;bldg;fortns;sspennitjlg4/00
HOWELL WAY
71
4.5' DEEP 51
61'
C/o
>
21 <
C/o 510 4TH AVE S
'/0
712.5' out
A�
4" to 6"
Reducer Nt
0 ED * CITY OF EDMONDS SIDE SEWER AS- BUILT
0
d ADDRESS SCALE
ci 510 4TH AVE S NTS
HOMEOWNER CONTRACTOR
DALE HOGGINS
DATE DRAWN PERMIT
NO. f:� 7 Q
At 1890 3/28/02 13Y 1. ABILA 9111.1
JRN-30-2002 02:47P FROM: TO:7710221 P:1/1
utterfield Design Group
SENT VIA FACSIMILE
ME70RANDUM
TO: Lyle Crissman, City of Edmonds
FROM: Colin Winters
DAT71�-. January 30, 2002
RE: I lioggins Duplex at 5 10 e Ave. S
ArchIteure Interiors Ranning
We would.)ike to revisit the City of Edmonds' request to relocate the power pole from its current
locati n at the comer of 4'11 and Howell (510 4th Avenue S) from its existing location to a
locati n 5' south We are requesting the ability to pour the new sidewalk- around the pole in its
exjst� g looation. :If we were to move the pole, it would require the restringing of phone and
powilines, making it cost prohibitive to do so. In a recent meeting that Brad Butterfield had
with avelGebert, this issue WdS addressed. Dave asked Brad to forward you a memo with this
t.
reque�
Pleas advise me at your earliest convenience as to the possibility of leaving the power pole
whero it I& I can be reached at 425-775-0564. Thank you.
Z,aex 75,
A I Y)O 40jo;#� rl.C,4�mA� AK '771: M= A f— A Ir, 77r, 97AA.
aujIL ay; miqu trig.Lneeringi inc; 4;eb 2b2 9bbl; NOV-8-00 12:45; Page 2/2
-2826 0 fts' ?SP-n951
17 2 - 1 " HpvAt ' t ' Avvilue 0 R,jirp 4U1 W Cy0ft", (425) 252
ENGINEERING, INC. Ivav-6
.Novernber 8, 2000 RECEIVED
Mr. gmd Butterfield NOV 0 2000
Buttetfield Design Group DEVELOPMENT SERVICES CTR.
400 Dayton CITY OF EDMONDS
Edmonds; WashingLOIT 98020
RE: Hoggins Residence, 510 4th Avenue South
r,Arthwork Estimate
vear Brad:
&- requested by Richard Kent, we have calculated approximate carthwor" volumes 11r
development of the above referenCAA proj=t- The cstimated volumes are as f011Ows:
E,Wmated Volume of Cut: ......................... 100 Cubic Yards
Estimated Volume Of Fill: ........................... 475 Cubic Yards
Thesc volumes am approximate estimatesonly and are intended for use with the building permit
Submission. They are not to be used for any contractual Purposes -
We trLst I that this letter is adequate for YOU subrnission to the City' if not, OT if you have any
questions, Pleasc call
Sincerely,
Higa Engineering, 14C.
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
J14 C. 1 90 Fax: 425.771.0221
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept:
City Receipt No: / Z9 14 /6
Date Mailed to Applicant:
CRITIEWL."'A"REJAS 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
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. 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 assist staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate columin below).
Owner/Applicant: PA66 HC)O-Of a6
".e' ga ot KI 0 1-
r/L/ I I L'VL'�'
Name
Street Address
City State Zip
Telephone
Signature
Date
d:receptiortqana/CACLHandout.doc
Applicant Representative:
f'<'�rar—'R nt'o 12 C-510A)
Name
Street Address
*0() 00
City State Zip
o V/ 1/// 4,0 0 ?v
Telephone
Signature,
Date
CIC.) Revised 411 Qt2000
CA FILE NO 00-163
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: /0 4-f k1 A C/C- i
PFTTMFV� "V076 .00/ - 017.0*202-
2. Property Tax Account Number:V—T-Mer, 'd'c� I- - 0 / A, all nean
3. Approximate Site Size (acres or square feet): 6 064 54 Fr.
4. Is this site currently developed? yes; _no.
If yes; how is site developed? (:�� HoOs 5
.1
7
Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire *site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-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
I 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
Site contains areas of year-round standing water: &,�� _; Approx. Depth:
Site contains areas of seasonal standing water: AM —;Approx. Depth: _
What season(s) of the year? A)o
8. Site is in the floodway NO, ` floodplain of a water course.
9. Site contains a creek of an area w here water flows across the grounds surface? Flows are year-
round? /V 0 Flows are seasonal? . (What time of year?
10. Site is primarily: forested meadow -shrubs mixed
urban landscaped (lawn,shrubs etc) V�
11. Obvious wetland is present on site: A10
7
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w
SPECIAL INSPECTOR
I
AR EA OCCUPANT
LOAD
o
STORIES
UNITS
NUMBE R
REQUIRED [:] YES
UPI f
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
7x�kuihf_ IAI!SYL )Ce?-7 V/14-(Q
D
/V6, IV �z "-,;It OW_x
or d_A�7q
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kp
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Vd
VALUATION
FEE
PLAN CHECK FEE
HEAT SOURCE G LAZ I NG LOT SLOPE %
BUILDING
PLAN CHECK NO: VESTED DATE PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONL Y THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
j SEPARATE PERMISSION. ly
STATE SURCHARGE
w PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
u) *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
w IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
j LANEtSeAPiNG 7d
WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
2 EDMONDS, INSREQTION FEE
cc
iu)
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
4 RETGT
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
a PLAN CHECK DEPOSIT
OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
_j DEEMED TO MODIFY, WAIVE
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
x RECEIPT
TOTAL AMOUNT DUE 79� /V5
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION I
APPLICATION APPROVAL
GIVEN IS CORRECT;AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
1
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OFF161ALS SIGNATURE DATE
DATE SIPNED
SIGNYU5E (OWNER OQ_jT) 1�>)11' (425)
cvlcu (� (,Lk
fl _k4,0,
'
771-0220 -RE
CEASED BY DATE
ATTENTION EXT03
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE ANDAPPROVAL OR A CERTIFI-
ORIGINAL -FILE YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR'
5/98
K
'Auk"
CITY OF EDMONDS
N I rw SINGLE FAMILY/DUPLEX COVER SHEET
Directions: Applicants are to complete the Information In the WHITE BOXES ONLY (Shaded. boxes are for City
use only). This cover shoot must accompany each building permit application for a now single-family
residence.
PROJECT. ADDRESS T—, I "IN - '4'v MVk-- AA"V
PROPERTY TAX ACC6UNT` PARCEL 0 6 , kM I - 0) �-W 0-a
DESCRIPTION OF WORK
OWNER ��� PHONE j )-S-
CONTACT PERS PHONE_jV6 61
E-MAIL FAX —
MAILING ADDRESS- 4to 4:r� - �Inw c5r
fq FAX CORRECTIONS 11 MAIL CORRECTIONS E-MAIL CORRECTIONS
ey SIGNING THIS STATEMENT I UNDERSTAND TNAT I AN THE CONTACT PERSON FOR TNIS PROJECT. IT Is MY
RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE
STATUS OF THE APPLICATION. I UNDERSTAND IT 15 MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT
ITTAL ANY DISCRETIONARY PERMUT T T MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE
au M JILITY I HAVE :
T":T TO THE BEST OF MY Al I TED AL NECESSARY DOCUMENTATION IN ORDER TO MAKE A
D NO DISCREA) APP ALS ARE REQUIRED
COMPLETE APPLICATI DAT`E
SIGNATURE_ ;Z��
40NI
ZONE T
ITS'EXISTING
NUMBER. OF DWELLING -tIN
DISCRETIONARY APPROVALS CA tX)-K3 Determination LA3
SUBDIVISION CU VARIANCE SHORELINE_
SEPA Expires OTHER
City Us@ Only
LOT COVERAGE INF ORI�AT k
AA
EXISTING SF-j-&�0"PROPOSED SF TOTALSF
HEIGHT CALCU'LATION INFORMATION t�i. q
�OK
DATUM C D
Jk-
AVE -=j ACTUAL':.
SETBACK INFORMATIONY j
FiFOUIRFO FRON 1171, t�SIDE SIDE-- 0 REAR 14
T115,e
eagfq= FRONT SID SIDE--;6gF= RE
CNg,-Loi YEiCINO -;0YE4
llygsolt :.R RbING I' -
STAFF COMMENTS: -
ENGINEERING INFORMk1TION
V7 M-) QAt
DRIVEWAY SLOPE % iv Ae GRADING CYDS
EASEMENTS-'
EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 _L-SQ.FT
EXISTING* IMPERVIOUS AREA INSTALLED 1977 OR LATER. __,—SQ.FT.
PROPOSED NEW NET IMPERVIOUS SURFACE
SIDEWALK REQUIRED YES [:]N . 0 .. DRAINAGE PLAN REOUIR ED YES [:]NO
UNDERGROUND WIRIN�REQUIRED [0YES []NO
- I -
STREET DEDICATION 6A-X'k�k�&Y) FT. LID#
STAFF COMMENTS:
SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only)
START OF WORK
EXCAVATION A GRADING
SHORING INSTALLATION & MONITORINQ
PROOF ROLLING
[:]PLACEMEN f OF FILL & CO . MPACTION
SUBSURFACE DRAINAGE.
VERIFY SOIL BEARING
PILE.PLACEMENT
EROSION CONTROL
0 GENERAL SITE MONITORING BY THE
GEOTECHNICAL ENGINEER OF RECORD
0 GENERAL SITE M ONiTORING BY TH E
GEOTECHNICAL ENGINEER OF RECORD
-DURING WET ViEATkER CONSTRUCTION
FINAL GRADING FIELD REPORT
0
OOTHER-
STRUCTURAL*
OPLACEMENT OF REINFORCEMENT
OPLACEMENT OF CONCRETE
E] BOLTS INSTALLED IN CONCRETE
EIS TRUCTURAL MASONRY
OSTRU'CTURAL STEEL ERECTION
OHIGH STRENGTH BOLTING
0 WELDING (WABO CERTIFIED -ONLY)
OOTHER
-04
PLAN CM3CK #
APPLICANT
DATS IRSCRIVED
BUILDING CONSTRUCTION INFORMATION
CODE EDITION$ 1997 UBC, UMC. UPC. WSEC. WAG WITH AMENDMENTS
DESIGN CRITERIA WIND EXPOSURE B WIND SPEED 80 MPH SEISMIC ZONE 3
Fl::: Live Load Root Snow/Live Load Balcony Live Load_La&2
F1 Dead Lo.d40 Root Dead Load Balcony Dead Load___LS
NUMBf it OF STO.RIES 2- BASEMENT FLOOD ZONE
SOILS REPORY.P01 VIDED [3 V
LOT SLOPE %. i IL FS %NO
FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL)
Existing proposed
Total
Living Space
AtA ok-11-IT
491,41r) -
Garage
Calport
Deck/Cover0d Porch
Other
ENERGY CODE COMPLIANCE INFORMATION
FUFL
TYPE GAS. OIL 0 ELECTRIC
0 OTHER
t11FORCEDAIR OHEATPUMP ONYDRONIC
OOTHER
qFRGV
MFTHOD OF COUP LIANCE
PRESCRIPTIVE: List Option 0 ��LL
FOR CITY USE ONLj
UA APPROACH: Provide UA Calcusdons
Coiling Insul , soon
0
SYSTEMS ANALYSIS: Provide Computer Analysis
Wall Insulation
Floor Insulatio;
Door U-Volve ' * 140
Window U-VSIuS . ng
0
ENERGY1VENTIL ATION WORXSHEETS PROVIDED
Skylight U-Volut tp(,#JY
0
WINDOW SCHEDULE PROVIDED
Glazing %
VENTILATION CODE COMPLIANCE INFORMATION
KITCHEN F AN CFM BATHROOM FAN(S) CFM C�n LAUNDRY FAN CFM kW-�
WHOLE HOW VENTILATION SYSTEM
0 EXHAUST OPTION
FRESH AIR TO BE PROVIDED To WINDOW VENTS 0 WALL PORTS
EACH HABITABLE ROOM WITH:
EXHAUST FAN TO BE CONTROLLED WITH 1�4 HOUR TINIFFIAND SIZED AS FOLLOWS!
I - 2 BEDROOMS: 60 - 75 CFM 0 4 BEDROOMS: 100 - 150 CFM
AP3 BEDR06MS: 10 - 120 CFM 5 BEDROOMS: 120-180 CFM
HVAC INTEGRATED OPTION
DEDICATED HEAT RECOVERY VENTILATI ON 0 PTION
SEPARATE PERMITS (City US41 Only)
19RIGHT* OF WAY CONSTRUCTION PERMIT 0 MECHANICAL PERMIT
OENCROACHMENT PERMIT OPLUMBING PERMIT
19STATE ELECTRICAL PERMIT j9WATER METER
0FEgCE PERMIT �dslft SEWER PERMIT
0 RESIDENTIAL FIRE SPRINKLER PERMIT 0 IRRIGATION (SPRINKLER SYSTEM)
OOTHER OOTHER
Any request for modification. variants or other administrative deviation (h*fln&ftff *VSrISRC@")
must be specifically called out and Identified. Approval Of Any PlAt Of Plan Contain ' lag provisions
which do not CGMPIY with the city code and for which a variance has not been specifically
Identilled, requested and considered by the appropriate city official In accordance with the
&ppropristg provision of city Code of state low dos& not approve any Items not to code
specification.
PERMIT ISSUANCE AP
PLANNING REVIEW A. APPROVAL
CONDITIONS DIP APPROVAL:-6;1
OVALS (City U:se Only)
D :AT 9; q49
pfne--�
-P- - 17!5-- f-77
ENGINEERING REVIEW& APPROVALOJXr,-LaAr�&�
CONDITIONS OF APPROVAL:
_DATE-W-40)
BUILDING REVIEW & APP
CONDITIONS OF APPROVAL:
DATE
3C
Eli
im �e -
9
�� ?�W
�% r/l
:,7
. . . . . . . . . . . . . . .
mvi
E—�W
I
lITF
c
I
nATA
LOT SIZE
BUILDING
LOT COVI
GLAZING
517,25- P44�t)
RECEIVED
MAR 2 2 2001
BUILDING DEPT.
fw�
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY
LOCATION 510 4TH. AVE S EDMONDS 98020 SO CTY AREA
POLE NO. NE 1/4S 26 T 27 R 3 DATE 10-09-01 W.O. NO. 327070
REASON FOR WORK RELOCATE POLE FOR ENGINEER AFDEM TASK 03
NEW SIDEWA1 K DRAFTER U.G. NO -
FOR BUTTERFIELD PARTNERSHIP SCALE NTS
DATE WORK COMPLETED — APPROVED..( DATE PRINTED
FOREMAN ENVIRONMENTAL ANALYSIS
N EXEMPT 0 NOT EXEMPT
FEES REO'D 0 YES 0 NO PARA. 18 ITEM C SUBSTATION WESTGATE
PRIMARY OVERHEAD O.H. U.G. COND. KV CIRCUIT NO. 12-405 PHASE 123
0 RESIDENTIAL ADD CKT.FT. PH
U tUMMLM_,lAL REM CKT. FT. PH ENGR'S TEL.
LEO NO. NET CKT. Fl.
.@$ . = $_ O.H. U.G. COND. _KV F670-3208
SECONDARY OVERHEAD ADD CKT. Fl. PH ENGR'S PAGER
BASIC FEE S_ REM CKT. FT. —7522 11 r\l
@s .=s NET CKT. FT..
METER/CONV.POLE $_ PERMITS (DATE GRANTED)
PRIMARY UNDERGROUND 0 TREE TRIM
0 RESIDENTIAL 0 STATE
0 COMMERCIAL 0 COUNTY
BASIC FEE S_ N CITY
LEU NO. 0
EASEMENTS 2
SECONDARY UNDERGROUND 0 REQUIRED 0 NOT REQUIRED
BASIC FEE S 3
-@S-'=S
UNDERGROUND PLAT DATE RELEASED
BASIC FEE 5— FOREIGN CONTRACTS
rL FT.0 =s E GTNW JPN NO. 1
STREET LIGHTING 0 CATV JPN NO.
(i FT.0 .=s OJOINT TRENCH GTNW & CATV
WORK IN RIGHT OF WAY 0 JOINT BORE GTNW & CATV
0 PRIMARY 0
0 SECONDARY POLE STENCILING
q FT-.@l =s FROM TO
MISCELLANEOUS FEES TAKE OFF POLE
VAULT S PRE-CONST. REQUIRMENTS
PERMIT S 0 TREE TRIM 0 PUD LOCATOR
COST ESTIMATE 5006.00 0 BACKHOE 0 FLAGGING
0 ONE t-ALL DA I L
No.
TOTAL DUE s 5006.00 INDEX POLES P AT
DATE PAID LOGS MAP
C-MAP
I - - , I T� v, ,
XFMR
RECEPT NO.
NEW SVCE APPLICATION NO. LOCATION MAP PAGE 454F-6 h
0 EXISTING POLE
9 EXISTING POLE —TO BE REMOVED
0 NEW POLE
X NEW POLE TO REPLACE EXISTING POLE
FOLLOW BMP PRACTICES TO INCLUDE 6' OF STRAW OVER
DISTURBED SOIL AND REMOVE EXCESS SOIL
NOTE: THIS JOB WILL HAVE TO BE WORKED WITH NO OUTAGES
POLE 1-27
SET 45'POLE 6"SOUTHWEST AS STAKED
INSTALL ALLEY ARM PER ASSEM 12F337 ANCH L-8 SOUTH
INSTALL 9.8" APITONG XARM AND BUCK 3-#2ACSR PRIM NORTH
DEAD l-#4CU PRIM AND NEUT. SOUTH
INSTALL 10" ST LT BRKT AND RECONNECT TPX SVC
TOP AND ABANDON OLD POLE TO VERIZON/AT&T
HOWELL
'j,
7-139
16 7 -12 4
167-125
-2174 F
r-1 V L_
s
-2UG03
4528
c:
CO
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IV
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CDC
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RON
V
-2!
G1,
'I
ITE DATA.
LOT S
BUILDI
LOT C
GLAZI
NOI
EA'
RECEIVED
MAR 2 2 2001
BUILDING DEPT.
3: 'or) A
K
CITY Of EDMONDS
SINGLE FAMILY/DUPLEX COVER SHEET
Directions: Applicants are to complete the Information In the WHITIF BOXES ONLY j5haded boxes are for City
use only). This cover Sheet must accompany each building permit applic . align for a now Single-family
PROJECT, ADDRESS E�; i !� — L4, V N fu 4z-, Aj� %-j .
PROPERTY TAX ACCdUNf PARCEL 0 Oq kn I — 0) �—Ql 0--1
DESCRIPTION OF WORK
OWNER_�:e
CONTACT PER
E-MAIL
PHONE 'I ) -S —
V-04V44W PHONE j?5-6M-#
FAX 1% - 677*4
MAILING ADDRESS **o jwlnow. g5ir
KFAX CORRECTIONS 0 MAIL CORRECTIONS E-MAIL CORRECTIONS
BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. 17 16 MY
RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE C17T AND ONLY I CAN MAKE INQUIRIES ON THE
STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT
SUBMITTAL ANY DISCRETIONARY PERMITS Tr,"T M Y BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE
THAT TO THE BEST OF MY ABILITY I HA V E SWBMILTED ALJ. NECESSARY DOCUMENTATION IN ORDER TO MAKE A
COMPLETE APPLICATIO 0 NO Di RE VAPP ALS ARE REQUIRED.
DATE
SIGNATURE_
ZONING INFORMATION � - .9 -'1710 -1 .
ZONE th—ID' �;LOTAREA t1114 I
NUMBER OF DWELLING VNITIS EXISTING_L.S!±DEMOLdHED (�D 64) PROPOSO-2�&�
DISCRETIONARY APPROVALS CA OZ�4&3 Determination- LA3
SUBDIVISION CU VARIANCE SHORELINE_
SEPA Expires OTHER
City Use Only
AGE INF ORMATal
LOT COVER
o-5ROPOSED SF 31) (1, 9 TOTAL Sic %
EXISTING SF la�
HEIGHT CALCU LATION INFORMATION
DA Lfy-" D
AVE-'., 2gi.-Itg "'ACTUAL" L*'J-**39;1.5"
ORMATION
SETBACKINF rv/ �k
amiam FRON7M �,Z�WSIDE ? IDIE' /0(2- REAR
/L S
e&QLQ= FRONT
S DE REAR 00
N �Of
NO --ST.'*DI?DIC. YES N.
E
[:]NO'. —]YES P
CNR*'.'LO YES E
P p.
a-FNT REQUIR . ED YES5j*N*O`*. RECORDING #
NVI.
STAFF COMMENTS:
�v
U
ENGINEERING INFORMATION
DRIVEWAY SLOPE% GRADING CYDS 1301-
EASEMENTS
EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SO.FT
EXISTING IMPERVIOUS AREA INSTALLED 1977OR LATER.
PROPOSED NEW NET IMPERVIOUS SURFACE
SIDEWALK REQUIRED YES []N . 0 DRAINAGE PLAN REQUIRED YES []NO
12 0.
UNDERGROUND WIRING REOU . IRED YES []NO
Ak-Aal- A)14
STREET DEDICATION Y1 FT.
STAFF COMMENTS:
LID#
SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only)
Rall-se
START OF WORK
EXCAVATION & GRADING
SHORING INSTALLATION & MONITORING
PROOF ROLLING
PLACEMEN f OF FILL & CO MPACTION
SUBSURFACE DRAINA GE
VERIFY SOIL BEARING
PILE. PLACEMENT
EROSION CONTROL
GENERAL SITE MONITORING BY THE
GEOTECHNICAL ENGINEER OF RECORD
GENERAL . SITE MONITORING BY T14E
GEOTECHNICAL ENGINEER OF RECORD
'DURING WET WEATHER CONSTRUCTION
[--]FINAL GRADING & FIELD REPORT
0 OTHER -
PLACEMENT OF REINFORCEMENT
PLACEMENT OF CONCRETE
BOLTS INSTALLED IN CONCRETE
[--]STRUCTURAL MASONRY
[--]STRUCTURAL STEEL ERECTION
HIGH STRENGTH BOLTING
WELDING (WABO CERTIFIED ONLY)
COTHER
PLAN CHECK torn - V A, q
APPLICANT
DATE RECEIVED
BUILDING CONSTRUCTION INFORMATION
CODE EDITIONS 1997 UBC. UMC. UPC. WSEC, VIAO WITH AMENDMENTS
DESIGN CRITERIA WIND EXPOSURE 0 WIND SPEED 80 MPH SEISMIC ZONE 3
Floor Live Load! 40 Root Snow1LIvs Load :9- ���BSICOny Live Losd_L&f�)
-T- ___L�
Floor Dead Load 0 Root Dead Load Balcony Dead Load
NUMBER OF STncUES 2- BASEMENT FLOOD ZONE
LOT SLOPE % - ".6— OK SOILS REPORT PR9VIDED 0 Y
FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL)
Existing Proposed Total
Living Spece Afgc/ a-3.fT ?2 .
Garage RR4-2r5 142AI. 25
Carport ap
Dock/Coveted Porch
other —
ENERGY CODE COMPLIANCE INFORMATION
GAS, OIL 11 ELECTRIC 1:1 OTHER
FORCEDAIR []HEATPUMP []HYDRONIC [] OTHER
'HOD OF COMPLIANCE
FP RE S RIPTIVE: List Option 0— FOR CITY USE ONLY
WTARGCE T UA APPROACH: Provide UA Calcustions Calling Insulation
1:1 SYSTEMS ANALYSIS: Provide Computer Analysis Wallinsulation
Floor Insulatlo;
Door U-Valuo OL40
Window U-Vslus
0 ENERGYIVENTILATION WORKSHEETS PROVIDED Skylight
0 WINDOW SCHEDULE PROVIDED Glazing %
VENTILATION CODE COMPLIANCE INFORMATION
KITCHEN FAN CFM 100 BATHROOM FAN(S) CFM_�& LAUNDRY FAN CFM'��
WHOLE HOUS VENTILATION SYSTEAJ
El EXHAUST OPTION
FRESH AIR TO BE PROVIDED To WINDOW VENTS 0 WALL PORTS
EACH HABITABLE ROOM WITH:
L;;r.AUST FAN TO BE C04TROLLE-0 WITH 94 WOUR TIMER AND SIZED AS FOLLOWS -
I - 213EDROOMS: 60 - 75 CFM 4 BEDROOMS: 100 - 150 CFM
r3 BEDROOMS: 80 - 120 CFU 116 BEDROOMS: 120-160 CFM
NVAC INTEGRATED OPTION
rIDEDICATED HEAT RECOVERY VENTILATION OPTION
SEPARATE PERMITS (City Use Only)
WRIGHT OF WAY CONSTRUCTION PERMIT 0 MECHANICAL PERMIT
OENCROACHMENT PERMIT OPLUMBING PERMIT
EgSTATE ELECTRICAL PERMIT 9WATER METER
OFENCE PERMIT 9SIDE SEWER PERMIT
OFIESIDENTIAL FIRE SPRINKLER PERMIT 0 IRRIGATION (SPRINKLER SYSTEMI
OOTHER OOTHER
1
,30
Any request lot modification, variance or other administrative deviation (herinalter "Valiance")
must be specifically called out and Identified. Approval of Any PlAt Of Plan Containing Provisions
which do not Comply with the City Code and for which a variance he$ not been @PSCIIIC8IIY
Identified, requested and considered by the appropriate city official In accordance with the
ppropristo provision of city code of State low does not approve any items not to Code
:Pacification.
PERMIT ISSUANCE APPROVALS
PLANNING REVIEW st APPROVAL
CONDITIONS OF APPROVAL* At
Wit Use Only)
DATE
!S-he(s
EN . GINEERING REVIEW & APPROVAL,�W
CONDITIONS OF APPROVAL:
DATEW10)
BUILDING REVIEW & APPROQ
CONDITIONS OF APPROVAL:
DATE
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