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N rmo)( Isoo �-V-om Wow% %A 7, r-OIX SITE WIEZ 50J.-J2.,
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71� 7
r
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F-A IST IN6
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1111"01)T Nop-TIA 3:Ez 56.66
ALI-GY Colts 1, L%�-%-
MURRAY TOBIASON,
Planning - Chffl Engineering - Landscape Architecture 1>0tA,QA.CcM It TIMSa F"AJIJ.
R6 - lWh ShO SoUdmeA Sub 107 - Everett Wag*VW S&V4-M -r4-A ^.cc-r .6 40 (o - 00 1 - 0 1 - c;wW.
Phone (206) 513-2500 - Fox (206) 742-2822 Sr4e: Date: I I I I c) 1() 6 Job' No.: XZ aia I
BY: V Checked: -J?V I Shoot I of /
A
PC-v-v toos Sk.>;Lf--P"r-z A.T---TGjX-
t-3 tt00q.'Q-_ 3i5-1q0
TO'T k L' 4t(�0-60 S-� e- 5000 _5-P
'DC-51C--lN PE:$?- CI-TY
2 4 'C�k iD 4 0' LC-.ti C', -T H
'Tti Pe- I L C, 5 Zb" r-noctor� S.,Z�Q-
(WOP-r-SHeC'r A-T-r^C-1Ae1.'�>
G Y\ N Cn I tA ?e- 7-0 k C> U:�� -To Ze lv-emovsr->�
MURRAY - TOBIASON,
Planning - Civil Engineering - Landscape Architecture
W6 - I Wh Street Swh"st Stile 107 - Everett, WaNnOM 9=4-63M
Phone (206) 513-25M - Fax (206) 742-2822
jDate: jJobNo.: Z
IChecked: jpy" I Shoot I of
Table 1 — Detention Pipe Sizes
F
Impermeable
Required
AreaSq. FL,
Vol,Cu Ft
2000
50
2500
62
3000
75
3500
87
4000
.100
,-4500
112
125
Note: Allowable Pipe
Materials:
Impermeable
Area Sa. Ft.
2000
2500
3000,
3500
4000
4500
�50
4
Pipe Diameter
150 18" 240
30"
40 28 16
10
50 35 20
13
60 42 24
15 Required pipe
70 -49 .28
18 -length In f46f
.180-, 56 32;
21
90 63 36
23
100 70 C_4�0
25
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
Table 3 — Rectangular Catch Basin Requirements
Detention Max. size* Catch Basin
1pe diameter —knockout Type
< 18" 20" T 1 C13 15
. 1. Y121-1-1
18" to 24" 26" <:Tjje IL])CB 16'
24" to 36" 36" 11, CB, 19 19 (48" Basin)
36" to 42" 42" Type 11, CB. 19 1.9 (54' Basin)
*Source: Assoc. Sand & Gravel Co. Standards
Revised 3/16/95
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
CALCBY: KA1111
ADDRESS 150-7 t4%-T(AkeL%- V-OAr-> PHONE: -334-
LALF 'j'a7_5'B DATE: NOV. 19, 1)�6
*DESIGN VA TA
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
(0,3 0 S-f 2- "V
DeTENTION PIPE LENGTH LOCKING LID
'TYP'C�o
ED tG STYPICAL)
FINISHED G MINIM - UM
Tj TLI C 6
M aEtj0CfQP
G 6' . -
H E ATUNR 13F
TIGHTLI C CONC BOX OR RISER'
To r
SL
-5Z TO IZ SLOPE
--:'13 13UTL 16"
T CONT UL
q-2�1"T 16"Pvc-
Z7.E.S OUTLET CONTROL CKJTT e 515,
MIN
)F-. - S& e0s MIN.
7.. S&
UPPER CATCH PASIN ORIFICE '71816 -
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2'X2*X6'.DEEP, 4-6- SPALLS 13R EQUAL
FROM CONTROL CB 2'X 2*X 3' DE EP. 3/4' CRUSHED ROCK XISTING GRADE
FROM CONTROL OUTLET VASHCD ROCK
OUTFLOW TRENCH, MIN JO' LONG.
PERF PIPE TO BE LEVEL
PERF PIPE V/ END CAPS
T HT8HALL 15ELINEF VITH NIRAFI
,RIPRAP OUTLEr P15 ON i PLAC N WASHED DRAIN ROCK
RUNOFF SPREADER. TRENCH.
FOOTING DIWNS SLUU NOT BE CONNECTED TO DETENTION SYSTEM
NOTES. -
I. Call Engineering Division (771-0220) for a fightline, and detention system inspection
before backfilling and for final inspectioas. APPROVED BY
2. Responsibility for operation and maintenance of drainage systems on private property is the
responsibility of the% property owner. Material accumulated in the-storago pipe must be flushed
out and removed from the catch basins to allow proper operation. no outlet control orifice DATE
must be Icept open at all times.
. . . - 1 6
-75 01f -!5
1V
RECORDED
Chy of Zdmond% BoAding Division
2" 5th AV4=ue North
Zdmondol, WA 98020
97 JAN 30 PM 12: 04
8 C3
AUDITOR =0
SNOHOMISH COUNTY. WASH. -I
DEPUTY—
C= CD
0
C'3 rn
DECLARATION OF RESTRICMVE COVENANT
C-) �4
MWLTZ-FAMU-Y RESEDINTIAL
rM M
- a j
d(2)lenneth & Lois Nilsen Additionaloupg.
I WA and@
L"W Ducription (abbrevistsd): Bec Twn Rng.-
OR Lot_l§____JBlock I Plat—Cily Park AdditiX.
0
Assnoor's Tax Parcel nWo): (1) 4096-001-018-0005 (2)
Asmsor's Tax Forcel EN not yet assigned
wimaw.Kenneth and Lois Nilsen and James and, Ester Rasband
are *0 Owstro of the following described red estate in the City of Edmonds, to wit:
Property Address.-_-516 4th Avenue -South_, Edmonds
Lqd Ducripoon: Lot 18, Block 1, City Park Addition to Edmonds,_according to
the
. plat -thereof recordedin Volume 9 of Plats, Page-10. in Snohomish County, Wa
hington
Awasor's Tax Pareal TD 4096-001-018-0005
VVNZRZAS. the above nwvwd owners are desirous of imposing a restrictive covenant upon
Promimm Ift COMPliance with Section 19.00.640 of the Edmondie Community Development Code.
City of Edmonds. Bonding Division
250 Sth Avenue Mortis
Edmonds, WA 98020
WITNESSM, that for and in consideration of the promises, the ebwn named Owners do
hereby declare end grant to the City of Edmonds as Grantee the following restriCtivt COVOMMI, to -
Wit:
That at the time of the azecutioa of this Covenant the Grantors have agreed to the Ordinance
of the City of Edmonds provide that so building for multiple family bousing May be erected on
subjeot property containing more thm units -
Sold Cavmant sbab be bindinj upon all prexent and future owners of said real estate and their hel",
soccemrs and assipm.
DATED this ::Pq day of J94ILL
State of Vvialti.qw.
Colunty of — W+6J\ 6-- KR
I eerft that I bmaw or bave satisfactory evidence that zg-
�& eA signed
this Instrument. on oath stated that he/she was authorized to execute the inStrum"t and �
acknowledpd it as the (title) of (name of party
old b4aw on whom Instrument was executed) to be the free and voluntary act of such partj for t4
uses and purpasei mention* In this Instrument. Subscribed and sworn to before me this _217
day of _.- TA t.,/ a &te �4 Ct
TRAVIS L
'or T"
NOFAV FUHUC
MISSiONA"
2006 NOM
PP4M, U
Co
9701300400
D
NI C in and for the state Q"�, ui��
I
ki expires
F 1 4 4 1) 1 111 F.VO) 1) 1 41�1
CRy e(Umends, RoUng Division
M 5tk Avenue Nefth
Woos" WA 91020
WITNUUTHP that for and in consideration of the promises, the abevv named Owneft 40
bor*by dWars and sfant to the City of Zdmonds as Grantee the (6110wiDS f$40101v* COVORAfits to'
Wit:
That at the tim of ft axecutloiA *(this Covenant the Greater$ havo altreed to the Ord1umce
of dw City at Edmonds provW that pa butildonj for multiple family hou6V11 may be erected oil
fthjert proper" coutaining More duln unit$.
Said Cavenamt Aoll be bbWng upon all present and future owners of said rtal estats and their heirst
ssmonson md ansips.
DAM this
day of
0
Sion
TA
State of W"Wat"n PUBLIC
)14 -ea.. 1013�
cow* of OP
NIL
gligned
I *or* fte I know or bw at
W ohs wgi authorW to execute aw instrum4dt and
this histrument. on 00 anted that
Wowssitediled it n the (title) of (name of party
ot bAsY on whom lastrument was aeo.utod) to be the free And voluntary Act of such pit r the
um and rpans mend no In this last bserlbod and gworn to before me this
day of
Notary Fol; M and rGr 04 $A" of
My
'970 130 0 4 0 0
it? C
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT
PerwitNumber.
Issue Date:
F - � 4L
A. Address or Vicinity of Construction: '5 1
n C ur-11 . ir 1% _'4-
lype o Amr.9
I If
Ili, f N NACA AL
C. Contractor: Cofitact:
MailingAddress:
one: ( 2JQ
StateLicense#: Liability Insurance: Bond: $
D. Building Permit #(if applicable): 617 (Ai 6S Side Sewer Permit # (if applicable):
E. n Commercial E] Subdivision 0 City Project E] Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family Q9 Single Family 9 Other
INSPECTOR: �";'y 4& INSPECTOR:
F. Pavement or Concrete Cut: Yes DNo G. Size of Cut: x H. Chargq�,$
APPLICANT TO READ D SIGZ
INDEMNITY.- Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom 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 limitedto the defense ofany legal proceedings including defense costs andattorneyfees by reason ofgranting thispermil.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD 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 WIIL 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 day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on sitelt all times_for i0fpection purposes.
Signature:
Date: T-A-1--crAz
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
I
APPROVED BY. 6d Atli 41-t-
TIME AV'MORIZED: VOID AFTER A!1" 9 DAYS
SPECIAL CONDITIONS:
o&OT eirz J e .4
RIGHT OF WAY FEE:
DISRUPTION FEE/FLTND 111:
RESTORATION FEE:
T OTAL FEE: so
RECEIPT NO.:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
-7-7 7 77 7--r"1;77 77
4
r7
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number.
Issue Date: 97
X
A. Address or Vicinity of Construction: -!5),y
B. Type of Work (be specific): A
C. .."xJ e-
�2' ('_J
C. Contractor:
_&�Zba,o .@6tact: Vjtj f2,p Az-t4-
Mailing Address: 15"-,) 1 M4_r� - f4d Zk L�V?hone: :25q zz I/
State License #: 0 _A'5 13A "-C,() & 6 a:Z Liability Insurance: VZ 5t Bond:$
D. Building Permit # (if applicable): Too 6-S Side Sewer Permit # (if applicable):
E. E] Commercial Subdivision El City Project [J Utility (PUD, GTE, WNG, CABLE, WATER)
0 Multi -Family Single Family 9 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut Yes 0No G. Size of Cut: x H. Chargq�,$
APPLICANT TO READ ARMID SIGIN
INDEMNITY: Applicant understands andfiy his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany
kind or description whatsoever, Jor eseen 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 reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINALS.TREETPATCHIS 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 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 eFid of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on siteYt all timesfi ection purposes.
Signature: _11;4 Date: -1 —12'0
(Conir5ctor or Agent) 7
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng, Di� 1997
L��
The City of Edmonds
Water Service Drawing
EASEMENTNO . ............................................
NEW CONSTRUCTION Ple" REPAIRS Fl LID NO . .................. . ASMT. NO . ..................
OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO.
JOB ADDRESS ............................
LEGAL DESCRIPTION- LOT NO . ...................................... BLOCK NO . ....................................
NAMEOF ADDITION ..: ...................................................................................................... .............
11-2-1-17 *90,f
Approved:
PWW-0001-11/75 (REV. 11178) ??
DATE ............................................ By ..... .. .....
�Po Dl)y"y
CITY OF EDMONDS
Address of Construction:
,# �:- k 8 L14"A A,,-v-
SIDE SEWER PERMIT
PERMIT
P erty Legal Description (Include all easements): )-,4 C;
Am I -\, �,J �� v. , d, VA ii,14IL4,_
tractor: VA�� sbo-n
�._Own5vand/or Con
State License No.
0 Single Family
Multi -Family (N
Commercial
Public
Building Permit No. — `4 77- 0 0 8
-7
Invasion into City Right -of -Way: x No Yes
RW Construction Permit No.
Cross other Private Property: F No El Yes
Attach legal description and copy of recorded easement
/I �rtify that I have read and shall comply with all city requirements
slindicated on the back of the Permit Card.
D Ve
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
I OFFICE USE ONLY r I
FOR INSPECTION CAL- ;4 3202, PUBLIC VVORKS DEPT.
7-21-062&50
Permit Fee$ /.00. ap Issued By
. -2 C 2
Trunk Charge Date Issued:
Assessment Fee: Receipt No
Lid No.: —
Partial Inspection: Date —Initial —
Comments
ejected: Date —Initial —
Reason R
Final Inspection Approved: 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
OWNER
5 Ll
JOB ADDRESS ...... .. ..... .... .... .......
Side Sewer Drawing
NEW CONSTRUCTION
EASEMENT NO. � ............ .... .........................
REPAIRS E] LID NO . .................. . ASMT. NO.._. .............
CONTRACTOR.................................................................................... PERMIT NO. ee�.�51
LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
..................................................................................................................................................................
S-r%4 NAME OF ADDITIT ...... Euf . . .. . ........ ............. ....................................................................
TREATI iMENT PLANT
- I
1.4-3 -v4
PWW-0001-11/75 (REV.11/78)
14 lb r 0- _-d 6 1 pop
+ 4V`o-V.c_ e" .
4
—4 va��.L
Approved:
..........
DATE ......................... By ...............................
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAM X " -t 4VO A,&jFW
FF BUSINESS
Um
PERMIT
NUMBER
SUITE,A
JOB — 1*9lte 6xim PT41
ADDRESS 115/6 41
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 0
AIN Permit Aequtr a 0
EXISTING — REQUIRED DEDICATION —
I
Street Use Permit Req'd 0
Insp"tion Required 0
PROPOSED
Sidmalk Required
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I
I
YES D NO 0
IRE et ilelt t e s Ile -
A 011?,61V //,4t--
xk�kkli
Ad
ENGINEERING MEMO DATED
>
zip
qf
SEA
EN
NUMBER
A.Llrr-r-. of
L- W Ili
PI [ON DATE
7-
SIGN AREA
ALLOWED OPOSED
I PR
SEPAREVIEW
COMPLETE
EXP
ascription of P art '
XKYJ
cl de all eademerds l6q-1141
ZA & Ad;
A&;
wA-
VARIANCE OR CU
PLANNING REVIEW BY
SETBACKS — FEET
FRONT SIDE
REAR
�E7
rax7c"Zoun, 10 00 111 _<) Ire
Nrcel No.
- 0 Dj—
RE3�&� k j
W
NEW
ADDITION
REMODEL
A ESIDENTIAL
COMMERCIAL
PT L.,
0 LA
PLUMBINGIMECH
COMPLANC OR
CHANGE OF11SE
1:3 SIGN
00ArFe4 -&-r tw4j&
ITYP
CHECKED BY E OF CONSTRUCTION
ODE
1C
FENCE
0 REPAIR CYD3. I x ----Fn
IN DEMOLISH
GARAGE
CARPORT
OODSTOVE
1:1 INSERT
M RETAINING WALL/
It ROCKERY
11
SW M POOL
HOT TUa/SPA
E] RENEWAL
SPECIAL INSPECTOR
REQUIRED 13 YES
11401 A Z3're)
IRMARKS
—1 1..
PROGRESS INSPECTIONS PER UBC 108
NUMBER NUMBER OF A
OF DWELLING 6)
,Ile
0 STORIES UNITS I CN
G!I DESCEVE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REOUIRED
ADS NO.
SHORELINE@
OATS
COVERAGE
LOAD
—1
(7e, -7-W.N.
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
LAZING
%
I
—�.
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curt:,s, sldewplke,,
driveways, marquees, etc.) will require separate permission.
STATESURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant. on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
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
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
OZ nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
2710,
provision."
�
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
information given is correct; and that I am the owner, or the duly
:Uthorized agent of the owner. I agree to comply with city and
tate laws regulating construction; and In doing the work authoriz.
THIS PERM IT
AUTHORIZES
This 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 relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid. and receipt is
t ion Insurstlicepand Plr-�7-
INSPECTION
acknowledged In space provided.
SIGNATU ER E I JDATE 619NED
DEPARTMENT
CITY OF
OFFICIAL'S SIGNyrURE
EDMONDS
CALLIFOR
[EASED BY:
ATIf ENTION
INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
it
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION iog
PINK — Owner GOLD — Assessor
10247
P
<—NEAR1561 FMIS 4107-A147 13 vim= 462.9z'
10"Comc - SOL)TH
bD Sr= c-o P-mc-%L 01F %ADNEUI-
1.0. OL,
\NW� ArVAD FOVV-T" N146 S. FCVZ-TH PVC-NOE -:-,OU T t4 \NAIPPL "Eysit 10"CONC.V . 4EST
FLOM NOVI V11 r-oiz SITE
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H005e TO ee 29 3610
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EXPIRES 9 3 -?7
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ib
BF-NC-VAMAV-r- USED EX
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DEsc.Rip,sD oN
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(0 1.9 4 zVOUT FroM
SOUTHIE:58.ss -2-4 0 M M . 1% S Lbr-V 4 V PON-' E Asl
t> - (0 61' OVT = 68.11
-TTA Of=
-CM
�4
(.SEE A
A"A "T' 0-7.4,S To 13E
2 2 0'060b" %A/ 62-66' cE6 RM 65.Ob
I D" XN FMOME N$T.1E-56,'7(
o
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'j"I.S 10"OUT NOSUM XE= 56.66
6!'Ir4 I.E.=57.
AL%-GY
MUHRAY- TOBIASON, INC. -T-Owl�-3 40tAs S.Ircz Pk^'),
Planning - Civil Engineering - Landscape Architecture A.
626 - 128th Street Southwest, Suite 107 - Everett Washington 98204-6368 4ol 00 1
Phone (206) 513-2500 - Fax (206) 742-2822 1 Scale: I "= 7- 0 Date: it 19 Job No.: X2. 015
1Bv: VI-i I Checked: -J?V Sheet I of /
I
A C.QNDUMINIUM
IN SECTION 26, T.27 N., R.3 E., W-M-!
CITY OF EDMONDS, SNOHOM-ISH COUNTY, WAS . HINGTON
. c;
I
volume -919- at 0:;.z:31 Re::,-'.
HE,Ry S. V414ALEN. Lwr!)
-j.,
n_T; — NE
.�9*54 30 *
HOWELL - WAY
517 41hAvE.SO.
CONDOMINIUM
BUILDING (A)
W
z
W
>-0
519.4th'AVE'S'O.
CONR9�Mk"� �11...
BUILDING`-�--.
.8 7. ..;t-
"t n
130.00*
N. . . . . . . . .
L po 0.
2Z V:
S.Al
--ick-
Lead Plagi. sidewalk.
'�..Tcck [a
IT 0 Cal sim C,,,o@r of subject proveriv
Iron ne"t "'Wkied Of. 3.9
CERTIFICATE
LEGAL DESCRIPTION-'. IFY.THxr�.THIS PLAT Of' PARXViEW TWIN A,
Hie env, cz,!t
a co I NMI me AT A. POINT 160 FE ET W95T'AM 0 13 2 FEE T 8 —
%
EAS11 � OFTH� 137 _*5913 UPON� All ACTUAL. SUN VCV OF T H E PROPE RTr He. R C I it
OF SOUTH HALF OFTHE NORTH1EASr. 4UARTCR of THE: NORTHI �j_ giijT;�THE: CCIUmSES'AND: DISTANCES ARE SHOWN CORRECTLY T�
GUARTZM OF SECTION 26, Townsillp-Xr: NORTH. RA
—M.
_MT3 4RZ'-S Tqf0H THE GROUND AS SHOWN AND THAT INA
Is A
THENCE WEST ISO Fige'r. To TMr- ECS*'Zl't Oi!TN.i.r.CZRTAINipsopEitTrv..� OWN
*IT"-TNIK.PRoV1SIO4,- CO?11
Nam, ?F'THC STATUTES GOVERNING
DE It DE D TO 'PRE C IT Y OF ED NO NOS Sy 069 0 N C C a no a t2 R-'MMX1rSk'-0"O
T
E C
W
z
W,
>i
EXISTING ELEV
A:
62.99'
B:
62.94'
C:
61.94'
D:
62.72'
41 1
AVE: 62.65'
EXCAVATE 200 YARDS
BACKFILL:
NEW GARAGES 60 YARDS
OVERDIG 40 YARDS
NORTH SIDE YARD 50 YARDS
BURM CREATED AT ALLEY
50YARDS
APPROVED AS
B U'k 'Lpj t? 16
JAN It G 1',';�-1:7
1#1
/-7 w-f I IAI)
?ro pp>eO
A
4TH AVE S.
NORTH
DATUM 62.52'CB IN STREET
In
i Fropa 5a Ck
ING PLAN 1/9/97 Cwtractor: Rasband Homes, Inc.
SCALE: 1 " = 20"
SUBDIVISION BLOCK CITY PARK ADDITION
LOT 18 Address: 516 4TH AVE SOUTH
LOT SIZE: 8,184 SQ. FT.
PLANNING DATA
NAME:. 4S b" 51(0
SITE ADDRESS: 5 4;7,f- 17,13
6 - 17 '7
ZONING. "q PLAN CHK#:
PROJECT DESCRIPTION: (onst,,&i- re5,,41�a
CORNERLOT A�- —(Yes/No)
SETBACKS:- t) A-c 6t�p,, j ( , +
Required Setbacks:
Front: 15, LeftSide: lc,, Right Side: to, Rear:- i 13,
Actual Setbacks:
Front: No' Left Side: Right Side: W Rear: 3 31
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED N -(Y/N)
LOT COVERAGE:
Maximum Allowed: 451% Actual: A' 4ff 1,34 40 .3 Y,
BUILDING HEIGHT:
Maximum Allowed: Z, ra Actual Height: 2�5
Datum Point: - facy—h tz..t P" Datum Elevation:- 3 5 M
,�% 5rAt4_-A4.(4_" I,," ,,
A.D.U. CREATED?: -N-s
SUBDIVISION: Cb, Lv- Am,,,�, -h
CRITICAL AREAS #: 9(
WA, W/
SEPA DETERMINATION: (VP 4- DU --Xf=*Q
LOT AREA: 13o, 19 7-34 1 P3, & 17
OTHER: (_7^k2,-vP Ke-,?xs" Otvwi r,.
;�- -A, DaaAa ;�-r a,�% Dow" ' dia, 2-C,—",). 5
Plan Review By:
PERMIT APPLICATION REQUIREMEIM
Applicant
om: JamaI Mahmoud, Engineering Inspector
j
, T
Nuer Plan Check No: 9
Mress: -5 1 -it, Date, ,?c�
fter review of the subject permit application, the following requirements must be met
Construction hours are: WEEKDAYS — 7:00 A.M.-10:00 P.M.;WEEKENDSIHOLIDAYS — 10:00 AIVL-6:00 PIVL
A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60)
Truck haul route plan must be submitted and approved prior tapermit issuance.
Builder/owner is responsible for containing all temporary runoff and erosion control on site (ECDC 1830.030d).
NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DkAWAcE
FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAMijg�G.
(ECDC 18.30.50G)
FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFTLLING. (ECDC 18.30)
Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp
may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit
(ECDC 1&90)
Dn*vew slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to
R-L_ r _ %. (ECDC 18.80.0601))
Driveways must be paved from' property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C)
INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30)
No burning of construction refuse without a permit from the Fire Department
Connection to City water system is requiredL 'There is a separate 'charge.for thevater meter (ECDC 7.20)..
A back water valve is required if downstaiis plumbing is below the elevation of upstream manhole. (ECDC 7.20)
Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10)
Connection to the City sanitary system is required- A separate permit is required -
LID# 51.- Fees paid: Yes NO Chargc�
(ECDC 1&10)
Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed
value of the structure. (ECDC 18.90)
A FINAL ENGINEERING INSPECMON IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY
OF THE BUILDING OR STRUCTUR& (ECDC 1&90)
?MrA"J=
fr�
ENGINEERING
ROUTE TO .5M On ZA Back I Add?� Total Days�_Mailed
N . I
Yk
o T k
RESUB #1 ON —Back Add? —Total D s,_
RESUB #2 ON TO Back Add? 'led
Total D s, ai
1. Site/Drainage Plan &.CalcsALV2- Z- OK�___
2. Grading Plan/Calcs/CYG.7,zV sEPA? OK
3: Driveway Slope% -6X- Profile OK_�Lk_
4. Truck Route Plan OK
5. Street Dedication?- /Y//" FEET
6. Easement . __� Type __OK_
OTHER COMNIENTS:
Corrections Required Received
L-2 LS. S m;f,
3.
4.
PW REVIEW Date Sent / j17-Z::�_Back_2-aL(_,FIRE REVIEW'Date Sent Back
PLANNING REVIEW TIME TOTAL DAYS *** ENG REVIEW TIME'
FIRE DEPT REVIEW TIME TOTAL DAYS*** PW REVIEW
BUILDING DEPT REVIEwnum: In -House Outside
ORDINANCE COWLETION DATE
PERNUT #
TOTAL DAYS
TOTAL DAYS
TOTAL DAYS
COMPLETlON DATE TOTAL REVIEW TIME DAYS
ISSUE DATE
*CONTACT PERSON STATEMENT*
BY SIGNING TEOIS FORM I UNDERSTAND THAT I AM TEE ACKNOWLEDGED CONTACT PERSON FOR
THIS PROJECT- IT IS My RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY
AND ONLY I CAN -MAKE INQUIRIES ON THE STATUS OF THE PERMIT. I UNDERSTAND 17HAT IT IS
My RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY
PERMITS TEIAT MAY BE APPLICABLE TO TE(IS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF
My ABILITY I EIAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A
CO
ON.
7ATI
/'Skgnea Daie Mailing Address
W- I -� - C)� a-j�.
Co�fact Person (Print Clearily"
hone Number FAX Nnmber
/v,'4dv(1 Ad.
ROUTE1=41remp/Bldg/Forins-5/96
- mo
outugonaimse-perml
Ds'.-Rokitilrbinbift-
I
0
E
A�
_4 4-
8 9 0 - I C) C�
City-ofEdmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number.
Issue Date:
A. Address or Vicinity of Construction:
B. Type of Work (be specific): D\k,-; N*11) J�,J!E�,y-fmA_
C. Contractor: !�_A30 ��" kl�� V1
C0 Lt
'Contact:
MailingAddress: ;SNONb
"L,)`i 9�
Phone:
ko -7 0 -
'S 2-6 b
State License #: bo\0 Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. [] Commercial 0 Subdivision 0 City Project E) Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family x Single Family E] Other
INSPECTOR: INSPECTOR: RvJ zo
F. Pavement or Concrete Cut El Yes 0 G. Size of Cut: H. Charge.,.$
x
APPLIC"AN'T TO- READ A&IGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or
claims of any 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 legalproceeding8 including defense costs, and attorney fees by reason ofgranting thisper7nit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, -A T WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing 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.
T�raffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the abovestatements and understand thepermit requirements and thepink copyof thepermit willbe
available o aU * s fo ' ct *on yurp
Signature: (Contractor or Agent)u Date
APPROVED BY:
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
RW
TIME AUTHORIZED: VOID AFTER
SPECIAL CONDITIONS: p A,
COMMENTS:
DATE:
I 7�0
FOR CITY USE ONLY
RIGHT OF WAY DEPOSIT
DAYS DISRUPTION FEE/FUND III:
RESTORATION FEE:
PERMIT FEE:
TOTAL FEE: 62 C1.)
RECEIPT FEE:
ISSUED BY:,`=::44A.�L —
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
El NO
Of,, 9 T12 Z) S VgZaENLZ: :.UOT'4P3OIJ
h\\ �
>
C;
,�, --�A, �A , -A ---I ---A Nf\ �D � I
S14 40
zc;
si--7
la
y; an
city orldmoudel'Building Division
250 Sth Avenue Narth
Edmonds, WA 98020
WjTNT,SStTH, that for and in consideration of the Premiscs, the above isamed.owners do
hereby dedare and truit to the City of Edmonds as Grantee the following ftstrlc�dve co, . vanant, to -
wit:
That at the time of the execution of this Covenant tM Grantors have agreed to the'Ordinance
of ON City of Edmonds provide that no building for multiple family bousinp
, may be erected on
subjeet PrOPOrty containing more than units.
Said Covwsnt shab be bindinj Upon all prmnt and ffiture owner, of said reeJ estate and their heirs,
successors and asfiPs. DATED this <:P- q — day of 1q..f7
state or WWWfflV"_
coamty of eigned
I Car* *0 1 know or have satisfactory evidence that d
this Instrument. on oath stated ftt htjsbe was authorized to a;;_C_Vt4_'t_hg instrument an S of party
acknowledged it n the (dile) of ___ (Pam
Fnentw&S tzecuted) to be the fm Ind voluntary act of such Partj ror the
r1t
on bobaff on whom instru trument. Subscribed and sworn to before me this -2(7
uses and purposei mentions In this ins
day of
TRAVIS L ST4
NOTARY PUBLIC
MISSION
2005 N R Oft
PROVO, UTAH
COMER,
9 7 0 1 z3 0 0" 4 0 0
in and for the Staft
yu. 1.26)IME0351
City efUmeads, Building Division
M Stk Avenve North
ldwowK WA 91020
WITNZSUTK thtt for and in consideration of the promises, the abovi named S"Orl 40
bweby "*to and grant to 04 City of, 24monds to crantee tho followins raltricave covensfitf to.
Wit:
TbM as 0% *= of t1W ex"WOR ' of this Covenant tM Grators have 49r0td to the OTditlancl
of On Cky of Eftands provW that ips building for multiple i'golly housiq mey be syseted oil
fthis" prove"Y coutaining Moft dum . '2- wfflma� units.
SWd Cavanmt shall * 151841all Upon all 1p"Mat and 16ture owners of said r661 astate imd their heirs,
mmmon and eselps.
DATED'" day of
G.
G
0
Sion
Stats of WaAhington PUBLIC
)$a
cow* 4( LLLL -- ) OP
I *of* " I bNOW or hwe goal 0 siped
tMe luetwusat. on oath stated ftt Ws 4 was outhorized to execute thq jostrumeAt and
WatmWedpil it as the (000) Of ("Me of party
06 bAsy on whom 160rument was COW* to be ths fm &Ad voluntary Act of such psrt� �r the
uses and nuqmft�s M�Wtiiqftq to t6his lal bserib" nd more to WWI me this
_ gr se/
day of 19
Notary
my tOMWAWOO
and for 8 ofWASkIngton.
9701300400
voL. 3261PAGE0352
RECORDED
City of Edmonds,. Building Division
250 5th Avenue North
ldmondsq WA 98020
97 JAN 30 PH 12: 04
AUDITOR
SNOHOMISH COUNTY. WASHJ
.DEPUTY—,.--
DTCLARATTON OF RESTRICTIVE COVENANT
MWWn-FANEILY RESEDINTLAL
I V-t-�
Gr&aWr(#):(�Lmes I Ester Iaslanl(2)-Kenneth & Lois Nilsen Additionaloapg.
Loo Description (abbftvisted): Sec —Twa— Ang Qtr
OR Lot 18 Block___I_Plat Citj Park AdditiaD.
Mses3orls Tax Parcel I]Wo): (1) 4096-001-018-0005
Asmsorps Tax Parcel 1D# not yet usigned
watRw,Kenneth and Lois Nilsen and James and. Ester Rasband
an tbe owners of the following described real estate in the City of Edmonds, to wit:
hopertyAddresv;_ 516 4th Avenue South, Edmonds
Lqd Description: Lot 18, Block 1, City Park Addition to Edmonds, according to the
plat -thereof recorded in Volume 9 of Plats-,-_Paqe_,10, in Snohomish County, Wa hington
Assessor's Tax P&PW M 0 (s), 4096-001-018-0005
WHKIIWAS, the obevv awned owners are desirous of vinposing a restrictive covenant upon
said prembos In compliance with Section 19,00.040 of the Edmonds Community Development Codc
vot. 3261PAGE0350
City of Edmonds
A.
C.
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. q 17- 0 W
Issue Date: 71;��
A. Address or Vicinity of Construction: - 518 4 AV S (9709033)
* C. T-mal-oll A7n1 ^f 9"MPP TP fvnin qAIR t^
9 15. 1 ypo OR k— spec cl:
285'E C/L 3 AV S @ 15'S C/L Howell St., then go south 190'
@ 18'W C/L 4 AV S.
Contractor: -Puget Sound Eugrgy Contact: Mariamne Kiugsbuey
Mailing Address: 1122 75 St SW Everett Phone: 356-7500 X7596
State License #: 98203 Liability Insurance: _ Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F] Commercial El Subdivision El City Project Q Utility (PUD, GTE, WNG, CABLE, WATER)
C] Multi -Family [] Single Family E) Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut Yes []No G. Size of Cut: x H. Chargq�,$
4
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmond8, or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorney fees by reason ofgranting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FIMCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing 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 ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihaue read the abovestatements and understand thepermit requirements and thepink copyof thepermit willbe
available on site at all times for inspection purposes.
Signature: �'4rkzna JVJJ Date: 4-15-97
r (CoAiractor d Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVEDBY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER llt�f- '10 DAYS
SPECIAL CONDITIONS: w P,
COMMENTS:
DISRUPTION FEE/FUND 111:
RESTORATION FEE:
PERMIT FEE: - 0 C)
TOTAL FEE: 2 0 C) ( )
RECEIPT FEE:
k
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
APPLICATION
for
The City of Edmonds SIDE SEWER PMNaT
EASEMENT No . ..........................................
NEW CONSTRUCTION E] RkRAIRS 0
OWNER.... Fah..cy.) .... M.m.,-JoAn ...... B . .............................. CONTRACTOR ............... ............................................................................. .... PE , RMIT No . ......................
A LOT No . ..............................................
ADDRESS ... ... ......... ........................................... LEGAL DE)SCRrPTION
BLOCK No . ............................................
NAME OF AI ....................................................................
.ZDITION ........................................................ . .. .. . .
LL
Ui
LU
cc
Juno-
5t- wq-r
Dya. Tt6*ed On
Aj�broved.
PATE................................................ By .................................................. ...................
USE PERMIT
,CITY OF EDMONDS ZONE UMBER
"1. 4: f F, -,76 _9 70 0
CONSTRUCTION PERMIT APPLICATION JOB SuITE/7V;r#
OWNER NAME NIJOF BUSINESS ADDRESfj�'051, I
LEGAL DESCRIPTION'CHECK SUBDIVISION NO. LID NO.
uj MAILING ADD S
Z
0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MA'P. TESCP Approved 0
ZIP TELEPHONE NUMBER RW Permit Required 0
CITY
EXIST G S
IN r�o REQUIRED DEDICATION Street Use Permit Req'd 0
Fw, ON4",-i,�L1604 1 )1 Inspection Required
PROPOSED Sidewalk Required
NArAt
Lu
MET S LINE )If NO. OF FI RES PRV REQUIRED
FF YE NO 0
ADDREV X Z
oz-d I
REMARKS
41
cc ZIP ITELEPHONE NUMBER
4 CITY Z
log 2,%-- 6WO Z
&A si I"a �U,0� ap
a: ADDRESS INEERING MEMO DATED REVIEWED BY
00
�&y !9 -1
IT ZIP TELEPHONE NUMBER
E MEMO DATED REVIEWED BY
Z Wj Lu
s
SjATft,LIdENSE �ii_IMBER I PIFIATL(§N DATE
.# i0ii- SIGN AREA SEPA REVIEW ADS NO.
ALLOWED PROPOSED COMPLETE., JEXEMPT
Legal Description of Property - include all seme
, Xn,.
t2 SHORELINE#
2 EXP
- VARIANCE FIR cu PLANNING REVIEW BY DATE
Cc
0
a-
0.1
FEET 3HT" LOT COVERAGE
�TBACKS HEI( Z
Fii6NT SIDE 10 REAR 7-5 A.S.2 Z
Properly
REMARKS,
Tax Accoun
Parcel No. t 00 -o fe - (a. 0-4100-
=1 Cen4y,�i4- kelarx R 95-177
NEW RESIDENTIAL PLUMBINGIMECH
COMPUANCE OR
CHANGE OF USE
HADDITION COMMERCIAL
REMODEL APT. BLDG. SIGN CHECKED BY TYPE OF CO . NSTRUCTION CODE OCCUPANT
FENCE GRO
REPAIR CYDS. El I x _FT) A
WOODSTOVE SWIM POOL SPECIAL INSPECTOR CUPANT
DEMOLISH D INSERT HOT TUB/SPA REQUIRED 41 20� A?6:Sj -1%'* gAD
XGARAGE RETAINING WALL/ 13 YES 4-5f) 4-31, 0-
OARRO"r E] ROCKERY RENEWAL REMWR�S / 0
F: (Trj`OF USE. 8 Y) EXPLAIN: PROGRESS INSPECTIONS PER.UBC 108 3
;U WINE S OR �CTIVIT 0
z 7,1
Lu NUMBER NUMBER OF CRITIC wsee_ ot V1 14 CL 'a
0 OF DWELLING AREAS
W STORIES UNITS Z N 'R*J&Jf'-
0 zucr ,aeS16;w JSy,7-. V*t4-CPV46A )qc
ZD SCRIBE WORK TO BE DONE
tpir-3 _fN_4 ai NAL INSPECTION REQUIRED'
VALUATION FEE
L
PLAN CHECK FEE
BUILDING
(,`-IT SOLfj;&:
GLAZING
0/0
,02 CA-Aw
PLUMBING
Plan Check No.
MECHANICAL
21
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any constructio I n on the public domain (curbs, sidewqlks,
driveways, marquees, etc.) will require separate permission.
STATESURCHARGE
Permit Application: 180 Days
0
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant on beha If of hip or her spouse, heirs, assigns and
ENG. INSPECTION FEE
30
(n
SU'ccessors i� interest', agrees to indemnify, defend and hold
2
harmless the City of Edmonds, Washington, its officials,
2
employees, and agents from any and all claims for damages of
cr
4
whatever nature, arising directly or indirectly from the issuance
DEPOSIT
Z
of this permit, Issuance of this permit shall no, be deemed to
PLAN CHECK
�/049M
modify, waive or reduce any requirement of any city ordinance
0
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
00
provision."
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLIGATION:'� APPROVAL
information 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 construction; and In doing the work authoriz-
THIS PERMIT
AUTHORIZES
This 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 relating to Workmen's Compensa.
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance and 7.
INSPECTION
acknowledged in space provided.
SIGN R (OWNER 0 GEN DATE SI NED
DEPARTMENT
CITY OF
OFXFICJIGN DATE
EDMONDS
ATTENTION
CALL FOR
RELgASED BY:
VATE
INSPECTION
IT IS U1,41-AWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW
— Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
PINK — Owner GOLD — Assessor
102
SNOHOMISH COUNW PUBL.TC UTI= DISTRICT NO. I
[TDOUED
1476 Rev. 12/94
_7'� AREA
LOCATIONS\ �Q �4"' �)kUr,_ -C-) E:'�) N N6C-1 9 FO C ) 'Z> (D C,
POLE # I\IV-1/4 s2_QT-27R '-;!-> DATE w.0.# -_2S2-
REASON F(BRWORK ENGINEER 2.�ArWADWG.# I
DRAFTER U.G. #
SCALE
DATE WORKCOMPLETED FOREMAN
A000r%vcn nATv pmu=n
SUBSTATION
FEES REQUIRED:
ENVIRONMENTAL ANALYSIS
0 YES 3NO
W EXEMPT 0 NOT EXEMPT
PARA. 18 ITEM C
PRIMARFOVERHEAD
O.H. U.G. COND. KV
0 RESIDEIIUIAL 0 COMMERCIAL
ADD CKT. Fr. PH
LEO
REM CKT. Fr. PH
$
NET -CKT. FT.
SECONDARY OVERHEAD
O.H. U.G. COND. KV
BASIC FEE $
ADD CKT. FT. PH
So$-/= $
REM CKT. Fr. PH
NET _CKT. FT.
METER/CONV. POLE s
PERMITS (DATE GRANTED)
PRIMARF UNDERGROUND
ORESIDEWrIAL: Q COMMERCIAL
U TREE TRIM
:;.,
BASIC FEE $
U STATE
LEU #
0 COUNTY
to $_1 = $
U CITY
$
u
EASEMENTS.
$
U REQUIRED /NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE $
-to$-'= $
UNDERGROUND PLAT
DATE RELEASED
BASIC FEE $
oft,@
FOREIGN CONTACTS
U GTNW JPN
U CATV JPN #
STREETEJGHTING
$
U JOINT TRENCH GTNW & CATV
0 JOINT BORE GTNW & CATV
WORK 0 RIGHT-OF-WAY
• PRIMAW
0
• SECONMRY
POLE STENCILING
-M@$-'= $
FROM -TO
TAKE OFF POLE
MISCELLANEOUS FEES
PRE-CONSTR. REOUIREMENTS
VAULT $
PERMIT $
U TREE TRIM U PUD LOCATOR
$
0 BACKHOE 0 FLAGGING
$
U ONE CALL DATE
MTAL DUE: $
DATE P�11)
INDEX
POLES
PLAT
LOGS
U-MAP
XFMR
MAPI
RECEIPT*
NEW SYC�PPLIC. #
5'
LOCATION MAP PAGE :-4't -1 IF QP
CIRCUIT NO. PHASE
-7E57 - 7 S2-2-
�6) �-A:�� C5-
t-AIC) �L� 72.:\p Dcs\,�Q \pc)\\_�
Location: 27N3E26A scale 1:50
T *%Tot-
L Vs: The City of Edmonds
I
Field locate all utilities.
Call 1-800-424-
5555
24 hours before:digging.
2) Survey is not re'
quired
_T_ I r_= — I"
>
3) Maintain a mini
mum of 5
horizo
ntal and 3,
vertical
clearance from all city
utilities and app urtenances.
P IF
4) Cuts i n aving ate show n aso
5) cuts in paving anticipated.
t -c,
EHE L L
W
4^1ZEIP"
3P'I`�\
7-
7
I q
C1 I Z - LJIDS
--elf
[No.
DESCRIPTION
DATE
B Y
A P FP-'D
REVISIONS.
AS BUILT INFORMATION
FIT T ER OR CON TRAC TOR:
COORDINATOR:
F
DATE COMPLETED:
PERCENT COMPLETED:
TEST
INSTALLATION / RETIREMENT
SUMMARY
E
TYPE OF TEST:
SURE:
L
D
DATE ON:
DATE OFF:_ E OFF:
ITIM
I I R
MAIN SIZE
W.TF.qIAL
TOT,*-!.,'C-3tA(_
TYPt OF PIPE:
PIPE MANUFACTUREA:
TESTED BY:
WasWgion
NaturM Gas,'-
:PRCOPOSED MAIN FOOTAGE
F WTEMAL f TOTAL FOOTAGE
OP MAP:
rLAI MAP: 16-4- 6eS
114 SEC: KJ G
WORKAREA:
EMERGENCY SEC.
DESIGN PRESSURE: PS10
D
E
c,
SYSTEM MAOP: PSIG PSIG
PERMITS: F_EDMC)�_JC�Y�-
S
G
N
P F_ P MA I H F_ K-F.
R \/ tH
4 AV
DRA
C"ECKED:
ArrRovEjj.
IN:___6(J�� ILAA 30
OnAWING 1`10.
7 0 C)
L
Notes: The City of Edmonds
1 Field locate all utilities.
Call 1-800-424-5555
24 hours before digging.
2) Survey is not required
3) Maintain a minimum of 5'
horizontal and 3' vertical
clearance from all city
utilities and appurtenances.
MR F-- P
4) Cuts in paving are shown as (a
5) antic,ipated.
HOW ELL- 6�5 -T
p
4-
T,
1- ?) an
7—
9 IZ- - LAIDS
'Co
No.
DESCRIPTION
DAT E
13Y
PEP D
REVISIONS
AS BUILT INFORMATION
FITTER OR CONTRACTOR:
COORDINATOR:
F
DATE COMPLETED:
PERCENT COMPLETED:
E
TEST
INSTALLATION / RETIREmr=NT
SUMMARY'
TYPE OF TEST: PRESSURE:
L
D
DATE ON: I -TIME C:---
DAI E OFF: ITIME OFF:
IfR
MAINSIZE
W.TFRLAL
T0!,'1,-C-0TA(-'
TYPt OF PIPE:
PIPE MANUFACTURER: -
I
IT ESTED BY:
F1
I
I
Vfthdnglon
Nattwal Gas
OP MAP: I C,
PLATMAP:
I14SEC:K3GZ4--, 2,q
WORKAREA:
PROPOSED MAIN FOOTAGE
EMERGENCY SEC. No.:
MATERIAL
TOTALFOOTAGE
DESIGN PRESSURE: Psia
D
KA PC--
4-7- (D
SYSTEM MAOP: - P
PSX3
E
PERMITS:
S
N
MPF IP MAI �A F�� X-F.
B� 4 AV
DRAWN:
Oil
J06NO.
CHECKED: I I
Arrpovu):
DRAWINO NO.
(c,
4-
7—
(0
Notes: The City of Edmonds
1 Field locate all utilities.
Call 1-800-424-8565
24 hours before,digging.
2) Survey is not required
3) Maintain a mini mum of 5'
01
horizontal and 3. vertical
clearance from all city
utilities and appurtenances.
4) Cuts in paving are shown as (a
5) _',cuts: in'pa�ving anticipated.
No.
DESCRIPTION
DATE
13Y
APP*D
REVISIONS
AS BUILT INFORMATION
FITTER OR CONTRACTOR:
COORDINATOR:
F
DATE COMPLETED:
PERCENT COMPLETED:
E
TEST
INSTALLATION I RETIREMENT
SUMMARY
TYPE OF TEST: IPRESSURE:
L
D
DATE ON: ITIMF C!..-
DATE OFF: ITIME OFF:
1111
WINSVE
WTEMAL
TOT,'-','C-OTAr--
TYPt OF PIPE:
PIPE MANUFACTUREA:
I
ITESTED BY:
Natux-al Gas
0 P MAP:
P LA T MA P: 16— 4- 6, S
114 SEC: K3 P-- Zf, 2��
WORKAREA:
PROPOSED MAIN FOOTAGE
EMERGENCY SEC. No.:
MATERML
TOTAL FOOTAGE
DESIGN PRESSURE: PS10
KA PC=—
C)
SYSTEM MAOP: PSIG
PSIG
PERMITS:
S
G
N
:2" MPF— IP MAIM U-7-XT.
70
S 4 AV
DRAWN:
I , cl-7 JOB No. C) S)
CHECKED: I DRAWING NO.
Arr,,?ovr-(i: C) C-D� F —71
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17"IN 4, a4rW
Jo 10
CITY PARK ADDITION
TO EDMONDS
VOL.9, PG. 10
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CITY PARK 'ADDITION
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VOL.91 PG. 10
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I
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M
%*ATtR METER
A
FIRt HYDRANT
$4
WATER VALVE
OASIVALVE
POWER VAULT
-0-
UTI�ITY POLE
UTILITY ANCHOR
12
TELgPHONE RISER
YARD LIGHT
BLOW OFF
MAIL Box
JUNCTION BOX
JL
STR�ET SION
OTREET LIGHT
1 '114
1�u
191
70z�_elp. Jw
4 17 lh'=490 101WO AV 0
E-4
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AF-slo.0 Mina 4.*
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CONTOUR INTERVAL 2'
20 n 12n i AA
J6 HIM
W IN S Z, Wr N F_
5 16 BASIS OF BEARINGS: RECORD OF SURVEY VOLUME 9. PAGE 110,
RECORDS OF SNOHOMISH COUIll WASHINGTON
DATUM, CITY OF EDMONDS
BENCHL INVERT SANITARY SEWER MANHOLE 'INTERSECTION
4TH AVE. S. AND HOWELL WAY
JELEV.= 55.10
LE96L QESCRIPTION
10
THE EAST 71 FEET OF LOTS 19 AND 20 BLOCK 1, CITY PARK ADDITIONS;
TO EDMONDS, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 9 OF
PLATS, PAGE 10, RECORDS OF SNOHOMIS COUNTY.-WASHINGTON.
1458 W4 cn
N, eg F4 r w, ?78. 58' a4z c. 4m, f, e a, 4 r LOT 6RE RECEIVED
8783 SO. FT., z
ERSEN DRIVE DE-C 0 It 2000
J1091 I)EVELOPMENT SERVICES CTR.
CITY OF EDIIAOND3
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AUG 15 2000
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