515 SEAMONT LN.PDF11111111111111
13018
515 SEAMONT LN
ADDRESS:
TAX ACCOLJNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver Ej Study Required,4�Waiver
DISCRETIONARY PERMIT #'S:-
DRAINAGE PLAN DA
PARKING AGREEMENTS DA:
EASEMENT(S) RECORDED
PLANNING DATA CHECKLISTONYED:
SCALED PLOT PLAN DATED:,
SEWER LID FEE $: -- LID
SHORT PLAT FILE: LOT: BLOCK --
SIDE SEWER AS BUILT DATED -
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:.
WATER M[ETER TAP CARD DATED:
U\TEMP\DS-Ps\Fbnns\Suvd File Chocklist.doc
.7
:7
RECEIVED
-111996
L*
890-19
PLAiiii4ititi ?T-;�,
City Of Edmonds
Critical Ar*eas Ch bicklis''t,
'ne 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. Ile
information needed to complele 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. -me 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.-
. I
With a signed copy of this form, the
applicant should also submit avicinity map
or plot plan for indfvAdual lotsof the parcel
with CnOugh detail that City staff can find
and identify the subject parcel(s). in
addition, the applicant shall include
Other pertinent information (eg. site
PlaA, topography amp, etc.) or studies in
coqjunction withthis Checklist to assist
staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best.of my knowledge (fill out the appropriate column below).
Owner / Applicant: Applica . nt Representative:
T04W V
Name Name
Street Address
c— �) morj 96, VA-Wo-17 7 Y-Aro 7
WCity te, ZIP Phone
ignat ure Date
Street Address
City, State, ZIP
Signature
Phone
Date;,
Critical Areas Checkl'
logy/v� t r
Site Informadon (Soolt-opography/hydro ege at TO 40
1. Site Address/Location: swo A o w �r
2- Property Tax Account Number 2.5"X 0
'3. Approximate Site Sizelapres or square feet):
4. Is this site currently developed? _��yes; no -
If yes; how is site developed? jk
5. Describe the general site topography. Check all that apply.
V1 Flat: less than 54eet 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):
46. Site contains areas of year-round standing water- Approx- Depth:
7. Site coritains areas of seasonal standing water. Approx. Depth:
What season(s) of the year?
8. Site is in the flood 90 floodplain of a water course.
9. Site containTsia creek or an area where water flows 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 (lawn,shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Site is Zoned? f-s- (f
2.. SCS mapped soil type(s)? AlArvA%A - Vr_19AA Z - 9
3. Wetland inventory or. C-A. map indicates wedand present on site?
4;.,. :-,.Critical Areas inventory or C.A. map indicates Critical Area on site? No
within' designated earth subsidence landslide hazard area?
6. Site designated on the Environmentally Sensitive Areas Mapl Ma
DETERMINATION
'-STUDY REQUIRED CONDMONAL WAIVER
WAIVER
Revie'wed by:
Planner Date
R"01/0"4
PUBLIC WORKS ;AP*;-TffCKLIST AV.S.L—
BUILDING P LAM
T FILE �(:a&d d *re s s
A
Street Right -of -Way Existin
Z
I
Access Easements Existing-
REQD
94
Utility Easement Existing.
__PEQD _N A."
Lot Per Subdivision Plat
Msessor
-Site Plan Checked'for Accuracy_
Z
Underground 14iring Reqd.
i A
F4
0
Check Accuracy of Le al De t,
1P lonn-
Z 'Review
by
Date'
Existing Water Main Size
Was Main Required
Service Required
Re ujred�-
:1
Exi
Hydrant Size is
P4
jr
Hydrant Reqd Per Fire Coo
Size
Detector Check Mete�rRe
0
Zonnection
Cross pection
E-4
,onm ts
,ir t C
Fire Dep t Comments
Water Meter Charge.Reqd.
Review by.
Date
Septic Tank Design Approved
Date
Sep Tank Permit Reqd.
Permit No.
e7t'
r y
rSan:itary Availabilit
Proj.
Drawing No.
inp
File No.
Side Sewer Availabill
Sanitary Sewer Connection e qd.
�3:
Review by
t
Open Ditch Existing _
Reqd.
Culvert Reqd.
ke
>swaleopen
1:4
Catch Basin Reqd.
Indi ratp Site Plan
i t
0
Shoulder draj e maintain collection on
rimnoff
op ru
Mjanh�reqd.
Indicate on Site Plan
S 1 Conditions and Ground Water Field Checked
e:w b�y
Date
Revised: MO-1977
Page 2
'*�Igr,reet Paving Reqd-
Curb an tter Reqd..-
Sidewalk Reqd.
Curb Cut for Driveway Reqd.
P4 Right -of -Way Construction P Reqd.
Bond Reqd. for rovements
Str Sign Reqd.
Other Signing Reqd.
Pa-rmil- I.Mi-a Tnc ar-t-inn Ynnrlp nn
BY: S
E-4
WATER
H z STREET
ENGINEERING
Special Requirements listed in meno to Comnmity Development Department,
Building Division
'QV fiA MFIAA AN
> a L-C
c) All items filled in an Building Permit Application
h=eL N
r4 BY U=P1NJ Date
PL' Drawings Stauped and Notations Made.
P4 BY Date
4
Approved by Public Works Department
Revised: 1v 10-1977
effER, ..CA . . ....
t4RESS
Lu
Z
APPLICATION
S113E SEWER PERMT
EASEMENT No . ..................... ..................... .. ..
NEW CONSTRUCTION E] REPAIRS
/-/0 2st,
CONTRACTOR PERMIT . .........
LEGAL DESCRIPTION: LOT ........................................ BLOCK No . ..............................
................
NAME OF ADDITION ............. ............................................... ......... .........
2 ...... ....... ........
4r;l
xx %T
13-0 7- RB J
J""
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
call 7,76-1107 for side sewer inspections BEFORE covering any portion of the constru ti
c ion.) A.
Inspection will be Provided within 24 hours after request. NO Sat., Sun., or holiday inspections.
ADDRESS LOCATION OF CONSTRUCTION .......................
PROPERTY LEGAL DESCRIPTION .............................................. .
......................................... ..................
-------------- ------ ...............................................
........................................... 1 ................... I ..............................................................
.................... .......................................................................................................
................................................................ OWNER AND/OR BUILDER ................
............................................................. .......................................................
44.
'NTRACTOWS NAME & ADDRESS
.....................
wermission Is granted ........... ... ................. ----------- . ........ .
_19 ......... for repair and/or connection of a side sewer to the city
sanitary sewer
system in accordance with City of Edmonds ordinances.
4
ONTION IS CALLED TO THE FOLLOWING:
No. I —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 obtain -able 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
sharper than 'A will be permitted.
grade
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:
NOTE5 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 Date ... . ................................... By ................ Date By ------_----_ Date .................................... .......
NN ---------------------
'BY ..... ....
"PROVED Date..
e ---- ........................................................
0\6!)�,.-N .13 .............. .... BV
Remarks: ....... . ...............................................................................................................................................................................................................
..................................................................... . ............................................................................................................................. . ............................................. .........
BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request
For Inspection
V -,,u
ult,
'Xo - --- ---- ...... ............. ... hereby certify that the side sewer installation constructed under this permit
wrier o o'ntractin -------------------------i--- - ....
.0q g Firm Perfor ruction)
ed in ccordance with all govern ordinances of the City of Edmonds.
St a
Dated this.-
.............
j -------------- da y of-
V Check BEFORE you dig for: Water Gas Ej, Telephone E], Power E], SeZ 0, Other E] V V
1:6; �ner
ed �(i.
_i�_rm --- Per*er
a th all goV IrdiI
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(_�rder No. SNO 5.22,83
A.L.T.A COMM TMEN
SCHEDULE A
Page 2
The land referred to in this commitment is situated in the county of
Snohomish, state of Washington, and described as follows:
That portion of the northwest quarter of the northwest quarter of
Section 25, Township 27 North, Range 3 East, W.M., in Snohomish
County, Washington, described as follows:
'Commencing at the southwest corner of the northwest quarter of the
northwest quarter;
thence north 279 feet and east 130
thence north 117 feet;
thence east 124 feet;
thence south 117 feet;
thence west 124 feet to the point
feet to a point of beginning;
of beginning;
TOGETHER WITH easement for ingress and egress over property
described in Recording Number 2113194;
The south 15 feet of the property more particularly described as
follows:
-Beginning at a point 16 rods north from the post set for the
southwest corner of the northwest qu4rter of the northwest quarter
of Section 25, Township 27 North, Range 3 East, W.M., in Snohomish
County, Washington;
thence north 132 feet;
thence east at right angles 304 feet;
thence south at right angles 132 feet;
thence west at right angles 304 feet, to the place of'beginning,
being a portion of the northwest quarter of the northwest quarter of
Section 25, Township 27 North, Range 3 East, W.M., in Snohomish
County, Was ington.
END OF SCHEDULE A
So
CITY OF EDMONDS
USE
ZONE PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
UITE/APT #
ADDRESS
15 — A A3
OWNER NAME/NAME OF BUSINESS
+4 r1l �Q �i ,) L L IL 011
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO.
LIE) NO.
cc
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z
3:
0
MAILING ADDRESS
5 Ir. A vf t
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
TESCP Approved 0
RW Permit Required 0
Street Use Permit Req'd 0
Inspection Required 0
Sidewalk Required 0
CITY ZIP
S)
TELEPHONE NUMBER
—7
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NAME
METER SIZE
LINE SIZE
PRV REQUIRED
YES 0 NO 0
W
ADDRESS
REMARKS
uc
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W
CITY ZIF_7PH0NE
NUMBER
NAME
�tAjjll(Ad
ADDRESS
L) (L L),� �t -A
ac
o,
ENGINEERING MEMO DATED REVIEWED BY
a:
0'-
Z
a
CITY ZIP
VA
V", 11Z
TELEPHONE?'UM135R
1,2
FIRE MEMO DATED REVIEWED BY
tu
!K
STATE LICENSE NUMBER EXPIRATION DATE
fZ � \
SIGN AREA
ALLOWED PROPOSED
SEPA REVIEW
COMPLETE EXEMPT
ADS NO.
Legal Description of Property - include all easements
kc, Lr U
SHORELI . NEO
EXP
VARIANCE OR Cu
PLANNING REVIEW BY
DATE
U)
(49
Lu
SETBACKS — FEET
FRONT SIDE REAR
'AIMARKS
HE113HT ILOT
COVERAbE�
Z
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Property
Tax Account
—0005'
Parcel No.
NEW DQ RESIDENTIAL PLUMBING
ADDITION COMMERCIAL MECHANICAt.
REMODEL APT. SLOG. El SIGN A
CHECKED BY
TY,?E OF CONSTRUCTION
I A VnC>t)ie [14
COD,�V
occ
GRADING FENCE X
REPAIR CYDs. FT)
fn
W
0
cO
WOODS OVE SWIMPOOL
DEMOLISH INSERT HOT TUB/SPA
GARAGE RETAINING WALL/ —1
ROCKERY F RENEWAL
(TYPE 0 E, BUSINESSPR ACTIVITY) EXPLAIN:
SPECIAL INSPECTOR
REQUIRED
AREA
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER U6C 305
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS NUMBER
DESC.141BE WORK TO BE DONE (ATTAC PLOT PLAN)
FINAL INSPECTION REOUIRED
J)4—
VALUATION
FEE
PLAN CHECK FEE
BUILDING
r2
HEAT SOURCE:
ZING.
IN)
PLUMBING
Plan Check No.
MECHANICAL
Thig"Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
'Lnu
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
5
cr
<
employees, and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
1.
PLAN CHECK DEPOSIT
0
X
modify, waive or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or th i a duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and In doing the work authoriz- AUTHORIZES T . his application Is not a permit until
ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relatingto Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tiao lQsurance and RCW 18.27. INSPECTION. acknowledged in space provided.
SIGqAT U!fE (OWNER OR PGENT) - ATE SIGNED DEPARTMENT 0
CITY OF OFFI L'� VNURA DATE
EDMONDS
CALL FOR RELEASED BY: DATE
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 is. 0220 ORIGINAL — File 1. YELLOW — inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC U
CHAPTER 3, PINK — Owner GOLD — Assessor
102-07 .01
Property Owner: 'I homas ana t\joia oeettjl
RE iAINIrIG VIALL Property Address; 515 Seamont Lane,
ROCY.ERY Edmonds, WA 98020
4- 12 GA
Tax Account Parcel # 27032500210700
126.2*-/
WD STEPS 128Y If IMPERVIOUS SURFACE CALCS (SOLID SURFACES)
17* 0 TREE) Existing Building Roof Outline 1765 sf. (constr in 1945)-
1- 126.1'
Existing Driveway & Parking: 1400 sq ft constr 1977,
G IAC 200 sq ft added 2007
S.F. COVERAGE) Existing Garage: 580 sf. (constr 1977)
WAIT ING Proposed Sun Room': total 9 , 8 sq ft. Wds . -3+sq-ft-Tm-
RETAIN
BUILDING ';j Y\
41 - 127.2'-\ 610
10, 0 TREEIg 126,2* CHIMNEY S' 0 TREE 12.3- 7160 V1 �Yy) EI&Y 9WP/
WO STE 08 -7b
P� �5
127.6
TOP .111-11 . : , BUILDING
;z HEIGHT CALCS
1 29 3,8* 0 TREE NW = 124'.
NE =129'
O%SSUE FOR
�409� - -129.5* SE = 129'
D CO 1283" SW = 126.5'
Oil (129 5' -/ EIIV) 127Y
ROCKERY 00 D
PEAK EtEV AVG GRADE 127.1'
WD DECK .1-136+7* + EAVE FLI V ME Of ASPHALT g -
i2f ACTUAL = 145.3' (bldg ht.= 18.2')
CAVE ELEV -1284* 128.4 MAXIMUM = 152.1'
129.7
CONC STEPS 11.3- EDGE OF ASPHALT
I'll I'll,
AND, LIAND.NG 128.8'
BUILDING
TWO 6' 0 TREES 129 LOTCOVERAGE:
i. y fb R M 1284 1735 sq ft. (12%)
ILI �ARD DRAIII. 129.1'
I
RIM ELEV 128 30. V I
EXIST ASPHALT 5, r LOT AREA:
51 ir PARKING
IrIYARI,
S _L
. : IDEYARD 1290- C OC4 BUILDING 14508 sq ft.
SMACK 12.1
12
A
L,1212* L
'Y
EIGHT CALC-
W = 1 24,
=1 9,
NE =1 E2
I)A0 SE 29
12 1
'AFT
RIM
1290
t— LOT _SLOPE: 7.6%
SEWER
F (APPRO'A
OVERHEAD POWER 130
1B. 11 CRT, 5ETBA C, K /-129.8
-130 V THr
K
J-4 -
�1.4111111'09'1 124.00
SEAMONT LANE
S S
S/7157 PL&V
BURIED SEWER MAIN
A96LF SEL�
SANITARY SEWER MANHOLE.
RIM ELEV 128,72'
EXIST CONC C R OVER HEAD POWER LINE
EDGE OF ASPHALT SCA LE'-'
N
SITE PLAN
GUTTERS/DOWNSPOUTS
TO CONNECT TO EXIST. SYST APPROVED BIY PL�N ING
% S
`14- i5-/ (k oci
APPRO VSI) P's
'I'j INF ING r
IRING ?I
/ '
Zone comer In
Setbacks .9 �Wred _ Fag— S 0 M"EET FILE
US' S(pOSED SURFACES -To Front -Actual
ALI, 0\4F-RED W1TVjjN 2 DAIS Sidesw/C
BE C
RearAf RESUB
Other MAY 0 8 2009
jLe�ht /9- 2- M