518 6TH AVE S (2).PDF5429
518 6TH AVE S
CITY of EDMONDS
For Inspection Call 771-�202
Address of Construction:
? E' I
E-C
F. I V
My SIDE SEWER PERMIT
1AAY 6'1�86 PE . RMIT NO. 074 . 95
PUBLIC
I - S "E, E T F I I&. IF
Property Legal Descri pti on I ncl ude al I easements
..Owner an . d/or Build'er: __91z I
Contractor & Lice ns e No:
.Singl:e'Family Residence V/
Multi -Family '(No. of Units*
.Commercial (No. of fixture Units
09(1
UMUNUZI�
TREATMENT PLANT
A
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross -other Private Property: No Yes (If Yes, easement,required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
75 —6
I certify.that have read and s,hall compT—y Date
with the i'tems listed on the back.
'110" 0A, 051055904, oil 5FAIS 510 1 A U VZ,/ZO
Permit Fee: issued By: 177
L
2 J
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments. Date Initial
Final Inspection Approved: Qz Z__
SD t—e Initip
00
Rejected:
CD -a I —te —I—nitial
Reason
PERMIT MUST BE POSTED ON JOB SITE
White Copy File Green Copy Inspector Buff Copy Applicant
The City of Edmonds Side Sewer Drawing
EASEMENT No . ........................
NEW CONSTRUCTION E] REPAIRS LID NO. T�� ---------- - ASMT. NO - ----- ------------
OWNER
_WA
_P
,,H_. _ I K � CONTRACTOR .-BA-M
oL ......... . ... �_t ............ ---- ------- C.0_N.-TRACTORS. --------- PERMIT NO.7
JOB ADDRESS 18 . (
..... — --------- ----- 0 ----------- - ----------- - ---- LEGAL DESCRIPTION: LOT NO. .---2 ------------------------------ BLOCK NO. __=EDM NDS
;r zrM Eq
N
T--PLAN]
swrb4 smuss Z. ---------------------------------- S 340--.8-5 -----------------------
N RT H—
Pkapeoms CA*ft;� ----------------------------------------------------------------
140 5CALA
1520
TH
Z'0P
4�'lc—c-wips
6 T4 A\/F-. So.
PWW-0001 -11/75 (REV. 11/78)
sit
I
6%
.V
C
—14
2.5 , OP
4�% F- 0 - W%Q
14!
c
4 6
1.5,8eiaw culkla PROP CORNLR
2.5,
,�) � 9 G 714 So
F-%tS-r G
r
Approved: 19.1 # To STUS
DATE fig�- 2 - 1,%-(0 f
ByOW*- ----------- ------
L
S ECEIVED
STREET FILE
Critical Areas Checklist. 1 4
Site Information PERMIT COUN'K-R
ProjectName: - 'SC-kr,6e1(- Permit Number:
Sift lAxation: 5 Property Tax Account Number- 215 2 _762)
Approximate Sift Size (acres or square feet): -7225 5z, 44--
11ave you filled out a Critical Areas Checidist for a project on this site before?
General Site Conditions
1. Elas the site been. cleared or logged? Date of most recent action:
Soils / Topography
2. in the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site topography. Chcc1c all that2pply.
Flat less than 5 feet elevation change over entire site -
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet ovcr"a
horizontal distance of 66 fcet-)
ffilly.- slopes present on site of more than 15%and less than 305,te ( a vertical rise
of 10 feet of horizontal distance.)
__§tccp: grades of greater than 30% present on site.
comments
Hydrology/Vegetation .
4- Site contains areas of year-round standing water
5- Site contains areas of seasonal standing water- Approx- Depth:
6. Site is in the floodway, �\) -o floodplain_ of a water course-
7. Site contains acreek or an area where water flows across the grounds surface? flows
are year-round? . Flows are seasonal? 9
8. Site is primarily: forested meadow shrubs mixed
9- Obvious wetland is present on site: 0
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
--;F-6r�Gty-,LJse.0n*l,Y--=,
., . 6 "0'.
JL'q
CRY of Edinonds
Critical Areas Ch'ec'kll*st
The Qifical. A=as ChecHi.,st containedon
dds f0m is to be filledout by any pcmn
PMO&g a Development permit
Application for the City of Edmonds pirior
to his&cr mbmkW of a developm=t permit
to dic city -
The PUTOSC 'Of the Cheddist is to cnabic
Oty staff to determine whc&cr any potential
Qitical Arcas amor may be Present an the
st'bjcct Pr%3crtY- The inf0mution. needed to
Complete fkc Chcddist should be fly
CaM
avaibbic fwm observations of the site or
data available at CitY Hall (Ckitical Axcas
inventories, maps, or soil surveys) -
An applicant. or his&cr repres
sentativ,
,, must
fill out the checldist� sign and date jk and
submit it to -the City. The City Will leview
the chccfdist� m a pt=mty sftcvisitv
and make a dctc�ation ofthe subseque
nt
stePs n0ceSSMY to complete a development
permit application.
With a signed oopyof this for.. the
-applicant should also submit a vicinity map
of the PaINXI Vith CnoU& detail diat City
staff can find and identify the. subject
ParCe1(S)- In addition, the applicant is
encouraged to include anyothcr pertinent
in * formation.or st6dics in conjunction with
this Chccldist to assist staff incompleting
their Preliminary assessment of the site_
I have completed the attached C&itical Area Chccldist and attest that the answers provided -are
factual. to the best of my knowledge (fal out the appropriate column below) -
Owner/ Applicant:
h
Name
C�D I/ " 19 /� U""
Title
Applicant Representative:
Name
Title
Sfta Address
q 6q -3 N I Street Address
q q0
Ety—.S—tat—e.ZI —P----L Phone
:g6-L � sz� 0 ( �' 2-' -q -'s
Nignature V
Date
City, State, ZIP
Signature
Phone
Date
_5
NIN
01
-N89053 4 3'1 E
co.r. S2.5 66ODO
TL. 2-068
N 890-33'1�!
H011V
TL 2 -087
S-57-78
. %04
N 89-33'45" E 150.00
-7A4.5'0 0
00
0
20
C� PO 0
co
CO
OD
(D
00 tj
Ir
conat
In
0)
ro
11
N89033'43 E-74
0,
a)
to
. .. * ,
0
0
75,—Oo��
N W-53 43 Er.
00,
:.
z
0
20
15
15
6,187 eq. ft.
f
6,W7 sq t
f
0
C�
0
0
U)
0
1�0 x
(D
fO -7 5.0 0 K/
,175.00
N ag*13'45-E
T.,L. 2-089
j
SURVEYOR'S CERTIFICATE
This map correctly repre4ents a. s,4:rvey
mar, y m e' o r 'under my d i r e c:1 Vo h 'in
Go ance with the requirements of, Olk
-SNO1133dSNI Jo a8O338
TH AV F-
APPROVED BY PLANNING
040
STFAEET FILE
PLOT, * tftLA14
9 0 . 1 9 9 7
E
City of 'Edmonds STPEET,�r L
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: . c?d- 319
o --Z, g Issue Date: /0 2d-
A. 'Address or Vicinity of C6 . nstruction: S-1 (9 A V e— 5
B. Type of Work (be specific): I M5'rA L- L Q�, bg-op Ae-,etj54 &-rI4 AVC.S
�ng Ld 3o, P-r3
-C. Contractor: C- qA m F. C� r?-.� CA
Mailing Address�: 5-!�3 MktN
State License #:
D. Building Permit # (if 'applicable):
Contact -
Phone:
Liability Insurance: Bond: $
Side Sewer Pennit # (if applicable)i
E. -F-1 Commercial El Subdivision El City Project Utility (PUD,* GTE, WNG, CABLE, WATER)
< E] Multi -Family Single Family F� Other..
INSPECTOR: INSPECTOR:
71 x 4. 1
F. Pavement or'Concrete Cut: J4 Yes' DNo G. Size of Cut: - Charge
11�bS-Sjt3Le (,-.,11NDuL-U OVICAL U-r 1P. tQF-F-0E-JD, 4,>eff- c-OCA-M- S
APPLICANT TO READ, AND SIGN
41. '14i
4 ges, or
INDEMNITY: Applicant understands and by his signature to this, application, agrees 61-1!51d the Chy of Edmonds harmliis rdifi inji ries
claims of qny'kind or description whatsoever, joreseen or unfoi�en, that may be made'�ag-ains`tihe City. of Edmonds, or any of its departments or employ-
ees,.including or not limited. to the defense of any_ legal proceedings including defense costs, andattorneyfees Yy reason ofgranting thispermit.
.THE COMRACTOR IS RESPONSIBLE FOR WORKMANSHIPAND MATERIALS FOR.A,PERIOD,OF ONE YEAR FOLLOWfNG,THE FINAL INSPEC77ON
AND ACCEPTANCE OF -THE WORK ES77MA TED RESTORA 77ON FEES WILL BE HELD UN77L THE. FINAL S7REET PATCH IS COMPLETED BY
CITYFORCES,'�T WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT
Construction'drawing of proposed work required with permit -applicatioll.',`
A 24 hour notice'is required for in soection; Please call the Engineering Depar
Work ' is to be inspectedduring progress and at completion.
Restoration is.to be in accordance with City Codes. 771-0220
Street shall be kept clean at all times.
Traiffic Control and Public Safety shall be in accordance with,City regulations as required by the City Engineer.
All street cut ditches shall be patclied with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
a
NO-, WORK SHALL..BE.GIN PRIOR TO PERMIT, ISSUANC.E
Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
(Fund I I I - Route copy to Street I)1�6�ptj
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapprove& By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July
AVE -S
AJ
C- ofiz. a —
Z- LOS'
Rc. - G U6, DR-Ops
zo
A,5 P O-A L:T
9 w
7-0 A,
koci<- ra o Ll.<-
C avj)L�
;6jp-
5- zlo
F H
ui
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION n REPAIRS n EASEMENT No . ..........................................
105-09900
OWNER........ Davi.d.-Everest .............................................. -------------------- CONTRACTOR ................................................................................ ----------------- PERMIT No . ......................
ADDRESS ..... 5-l-&--rath --- Aveaue ... S . ................................................... LEGAL DESCRIPTION: LOT No.... ........................................... BLOCK No . ............................................
NAME OF ADDITION..
0
DYE TESTED ON SEWER
JULY, 1972
Approved:
DATE................................................ By ......................................................................