524 HOLLY DR.PDFiiiiiiiiiiiiii
11718
524 HOLLY DR
AFW4 K
9-
EDMONDS
TREATMENT PLANT
CITY OF EDMONDPgg; SIDE SEWER. PERMIT
9 0 PERMIT ';\,12 36C, I
1 9cz
Address of Construction: 12y
Property Legal Description (Include all easements): 5t-- C 7-4el AD Z 7— 4 /f 6 1:-:-
/E7-
t7 77 ZI--X 5 2 e,,�
2 �5_- z_ -7 2 --coo 3
Owner and/or Contractor: i):�� 16 &/� 1_211zF��
State License No. Zmay Building Permit No. !ZS062_1
O/Single Family
RECEIVED
1:1 Multi -Family (No. of Units "it 0 6 1994
El Commercial PUBLIC WORKS DEP7
0 Public
Invasion into City Right-of-Wa/y No 0 Yes
rmit �
RW Construction Pe 0.
Cross other Private Property: [ No 13 Yes
Attach legal description and copy of recorded easement
I certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
Date'
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: 30, Issued By 7�_ � *
Trunk Charge:- Date Issued: 7-6—�7,7—
Assessment Fee: Receipt No.: A75/ 1
Lid No.:- 7
Partial Inspection: Date -Initial -
Comments
Reason Rejected: Date -Initial -
Final Inspection Approved: Dat�, Initia
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Greeri Copy: Inspector Buff Copy: Applicant
Revised 3190
Affink
DONNEL V. BORNE BUILDING
Building Design / Consultation
901 Bell Street * Edmonds, WA 98020 - (206) 774-9256
8/29/96
Sharon Nolan
Civic Center
Edmonds, Wa.
Sharon,
This is to inform your office that the Bradley Project 96-460
located at 524 Holly Dr. has been discontinued because of cost
factors. Please stop all work in your office. If there are any
questions please contact me at 774-9256 or Jim Bradley at 298-7091.
Thank you,
Donnel V. Borne
901 Bell St. Edmonds, Wa.
774-9256
Side Sewer Drawing
The City of Edmonds EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASMT. NO . ..................
OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO.
JOB ADDRESS ........
.......... --------------- LEGAL DESCRIPTION: LOT NO - ------------------------- ............ BLOCK NO . ....................................
PWW-0001-11175 (REV.11/78)
NAME OF ADDITION .........................................................................................
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Approvc4l.
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DATE........................ I ............. By
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VATUM 100.01
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�,.AOROVED BY PLANNJIIN,'-i
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63
AN 1'8
STREET FILE C ITY Copy PERMIT COU'r,11TER
ll�rT
The City of Edmonds Water Service Drawing EASEME INT NC . ............................................
NEW CONSTRUCTION Od REPAIRS LID NO . .................. . ASMT, NO . ..................
OWNER BAPQO�.-.�;J ...................................................................... CONTRACTOR .................................................................................... PERMIT N09�ND2-1
JOB ADDRESS ..5 .... 2 ....... 4 ............. H ot LEGAL DESCRIPTION: LOT NO . .......... ........................... BLOCK NO . ....................................
. . ..................
NAMEOF ADDITION ........................................................................................................................
7-
0
H10 L L,-) 1) R i \j F'
PWW-0001-1 1/75 (REV. 11/78) DATE .3.UL'� ... 1. Z) ... D!)A .... B, L#.f ...... W ....................
k City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
r
PERMIT Permit Number. -)
L/
Wue Date: 7
A. Address or Vicinity of Construction: 524 Holly Drive (9423923)
11 8 9 0 B. Type of Work (be specific): Install New Service
C. Contractor: -Washington Natural Gas Company Contact: — Frank 9wan
Mailing Address: 815 Mercer St, "Seattle, WA Phone: 224-2278
State License #: 1 98111 Liability Insurance: - Bond:$
D. Building Permit # (if applicable): Side Sewer'Permit # (if applicable):
E. n Commercial E] Subdivision El City Project Pq Utility (PUD, GTE, WNG, CABLE, WATER)
F] Multi -Family E] Single Family n Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes E]No G. Size of Cut: k H. Chargq�,$
APPLICANT TO READ
INDEMNITY. Applicant understands and by his signature to this application, agrees to
claims of any kind or description whatsoever, foreseen or unforeseen, that may be mo
employees, including or not limited to the defense ofany legalproceedings including dqf
THE CONTRACTOR IS RESPONSIBLE FOR WORKA11ANSHIP AND MATERIALS A
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATEDRESTORATIONJ
IS COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE
-�GN
!_t City ofEdm.nds ha ss*fro'- n s ages, or
. r
i�,;gainst the City of Edm93n, or any � s, d a ments or
J
nse,q9sts,,and attorney fee; by relwf-of��antinj this permit.
P!?/A �PERIOD OF ONE YEAR OL OWING THE FINAL
Foi�-
I,ZES 'WILL BE HELD I INTIL T TCH
R, CESSED FOR ISSUA CE*,WLGI A
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�'�o be in accordance with City Codes.
Street shall be kept clean at all times. Ar/
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.
1haue read the aboue statements and understand thepermit requirements and thepink copyof thepermit ivill be
t
available on site at all tk*we�-ro-T insp t* oses.
Signature: Date: July25, 2994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: Wkt—�tm
TIME AUTHORIZED': VOID AFTER K—DAYS
SPECIAL CONDITIONS:
COMMENTS:
DATE:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Fn��g. Div. 1991
'A
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
Diaaram.:
CONTRACTOR CALLED FOR INSPECTION El YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
El NO
44
74*
'Adden,dlm, t'0 Y
-C t of FAMOnds,
Right 0 al
-Pubmitte.d bys X�TCHELL . S. - LANKFORD,
-7-
Engin'99ring
n
Washi '7ton Natural Gas
41F
YJ
63
�7L
V3�- IIN-G to window
Water main depth Key:
w- water
-g- gas -
:gas main -ss- sewer
e- water hydrant
0 . watL, -.- valve
?IS '4=cf St. (1 0. 1:,,, lew), ScaV3,.WA S 4111 %1206) 622.-767
N 0 T I C
TO PERMITTEE AND/OR OWNER
PARTIAL APPROVAL
9 0.19 VIOLATION
C� F
'4 CORRECTIONS REQUIRED
Permit Number Owner
Job Address ' .5_Z4
F--i No PERMIT -STOP WORK -REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY
WITH ALL APPLICABLE CITY CODES.
71 CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT - STOP WORK.
MAKE WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE.
F-1 STOP WORK - UNTIL AUTHORIZED To CONTINUE BY CITY INSPECTOR.
LjCORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE
NEXT PHASE IS STARTED; To AVOID POSTING OF A STOP WORK ORDER, ORDER To
CORRECT, OR ABATEMENT PROCESS.
LjJOB CARD MUST BE POSTED ON SITE AND BE VISIBLE FROM STREET.
71 APPROVED PLANS MUST BE AVAILABLE To INSPECTOR ON SITE.
71 WORK DESCRIBED BELOW HAS BEEN INSPECTED AND Is APPROVED.
F-1 CONTACT INSPECTOR AND ARRANGE FOR APPOINTMENT.
71 RECALL FOR INSPECTION.
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN
—DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTIONS CALL 771-0220.
q;�71 F-1
Building Division Planning Department 6"J Engineering Department Fire Department
CITY OF EDMONDS
Inspector Date
-9 9
City of Edmonds
Critical Areas Chec* Mist
'Moo Critical -Aueas (Mmmist co, ntained on
da form is to be filled out by my person
pt paring a Development permit
APPlication for the City of Edmonds prior
tO his&= submittal of a development permit
to the city.
11C Purpose of the Cheddist is to —able
City staff to determine whether any potential
Critical Areas we or may be present on the
subject property 'The information needed to
"""Plete the ChOcIdist should be easily
available from observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
RECEIVED
JUL 2 7 1993
PERMIT COUNTER
An applicant. Or his&cr Mprcscutative. must
fill out the cheddist. sign and date it, and
submit it to the City. The City win review
the checklist, a procursory site visit.
and ma1w a ddamination of the subsequent
steps necessary to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough ddA that City
staff can find and identify the sd4ject
parcel(s)- In addition. the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checidist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Cliceldist and attest that the answers provided we
factual, t . o the best of my knowled . ge (fill out the appropriate column below).
Owner / Applicant:
I
--,I I
Name
o,4P4kqz--
Title
Street Address
r-- t4
City, State, Zip
Phone
' u �;
z ' 6 'Ju" 1,3
i ture D te
Applicant Representative:
Name
, Z'
Title
Street Address
.CityStatej,Z!a
Pho 4e
-7 7%. 3
Signature Date
Critical Areas Checklist'
Site Information
Project Name: 1eN--A1J Permit Number.
Site Location: 'FZ
A-- 4ol Property Tax Account Number
Approximate Site Size (arwas or sminrn fev-A:
Have you filled -out a Critical Areas Checklist for a project on this site before?
STREET FILE
General Site Conditions
1. Has the site bccn cleared or logged? /UO Date of most recent action:
Soils / Topography
2- In the Snohomish County Soil Survey.,what is the mapped soil qpc(s)? a�A 4zd wt�r�
3. Describe the general site topography. Check all that apply. /-"X 111�1 -
__Ylat less than 5 feet elevation change over entire site- Z- e)0,0
r./o
V'� Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet)
11illy.- slopes present on site of more than 15% and less thari. 30Yp a vertical rise
of 10 feet of horizontal distance-)
Stecp: grades of greAter than 30% present on site.
Comments
Hydrology/Vegetation.
4. Site contains areas of year-round standing water 0
5. Site contains areas of seasonal standing water: --Approx. Depth:
6. Site is in the floodway floodplain of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? M flows.
are year-round? Flows are seasonal?
8. Site is primarily: forested - meadow s hrubs mixed
9 - Obvious wetland is present on site:
10- Wetland inventory or map indicates wedand-present on site:
11. Critical Areas inventory or map indicates any Critical Area on site: f\J L-1/
For,C-ity-Use Only
Rev 3127/92
City of Edmonds
-OF-WAY CONSTRUCTION
RIGHT
PERMIT Permit Number.
Issue Date:__�2
A. Address or Vicinity of Construction:
9 0 1 9 C� B. Type of Work (be specific): Zt::P�_N(,Z FO�_C IVA SNPJC� �_QC1\XVC;'1)
C. tontractor:5�40ACAAks�k Cb.AWI-k Contact: eN07k P\�-Ae_m is U-�
MailingAddress: a�N.()N4FI ".6sn' 9<1 Phone: - (6-7 o - -_--,�;)Lo 2�
State License #: i (,� A 98LOA16ability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. F] Commercial Subdivision El City Project Utility (PUD, GTE, WNG, CABLE, WATER)
F] Multi -Family Single Family r] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes 0 G. Size of Cut: x H. Chargq,,$
XN
APPLICANT TO READ AND
J J
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold ty ofEdmonds harmless fro4l;ni%ef, Z a�.,._r
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made a�falt�the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legal proceedings 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 RESTORATIOA�rEES411,1,)BE HELD UNTIL TlIfFfiV,�L SIR
TET PA TCH
. A
IS COMPLETED B Y CITY FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSE D FOR ISSI TI ANT.
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. 1r.. ,
Ihave read the abOL)e statements and understand thepermit requirements and thepink copy of thepermit will be
auailable on sgaat all times fqr inspect' ses.
Signature: _C�k� = — Date: 62 —
(Contractor or Ag+�)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: A4�2
TIME AUTHORIZED': VOID AFTER DAYS
SPECIAL CONDITIONS:
COMMENTS:
_15
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FUND 111:
RESTORATION FEE:
PERMIT FEE:
TOTAL FEE:
RECEIPT FEE:
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
EngTg. I)iv. 1991