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CITY OF ED,'40NDS
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CONDITIONAL PERMIT
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ADDRESS. '-Maft U.
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APPROVEODA-CE-
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BLDG. OFF11CIAL
KEEP THESE STAIVIPED
PLANS ON JOE-SITE FOR
ALL iN'-',PE(,YIQNS
PERMIT NO. T�HEET
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DATE SIGNED
C��_�o 4S 469 SEND PARTS I AND 3 WITH CARBON INTACT. -
POLY PAK (50 Sets) 4P 469 PART 3 WILL BE RETURNED WITH REPiY.
DETACH AND FILE FOR FOLLOW-UP
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bui I ding permit. - Also',.A-- new ieasement', shall -be requi0ed for the
relocation of.citY utilities bisecting site.
ADB-25-81 CITY OF EDMONDS/DICK BESELIN Dayton End Park at west
end.of Dayton Street. (N)
The Engineering Department has no comments at this time. They have been
and shall be involved in 'the construction and inspection of these
modifications to Dayton Street, should they be approved.
ADO-22-81- tOBERT'GORMAN' . 8024 196th Street'S.W. (RM-2.4)'
The parking layout is..satisfactory- A I tVevelopment p1an showing
utilties/storm/saniWy systems.
and any required easements shall be
required prior to issuance of building permit. Underground wiring shall
be required. A as -built drawing for all systems shall be required
prior to occupancy of units. All requirements of S-19-78 must be met
in conjunction with this development. Access is subject to approval by
the Fire Marshall.
HOWARD JOHNSON 524 'and.531:- aple Street. (RM-1.5)
C*� 'M
Engineering'recommends a modification to the Parking layout from five
stall,s,��4ccessing from the alley to four stall with two tandem stalls
acces,s.i�ng Off of Maple Street. The alley adjascent to the site must be
paved 'to match existing pavement to the west. A development plan for
alley, retaining walls and drainage -system shall be required prior to
issuance of building permits and as-builts for all utilities installed
on -site required prior to occupancy. Underground wiring will be required.
ADB-2.7-81 * JEAN BRANAA - 109 Main Street (BC)
The parking layout,is satisfactory.. Engineering shal-I requried that the —
.gravel parking.lot be paved in conjunction with the development.
ADB-28-m-81 VARGANFIELD - 21104 70th.Avenue West (CG)
Applicant shall be required to sign a support of future L.I.D.jom
for future development.'of the streets, curb, gutter and sidewalk in the
vicinity in -lieu of pqsting of a bond. Other requirements are that the
applicant must submit a -development plan showing water/sewer/drainage
systems prior to issuance of permit plus as-builts of these systems prior
to occupancy. The rockiery must be designed by a licensed professional
civil engineer. The parking layout is satisfactory. Underground -wiring
is required. Also, a conditional use permit is required if more than
500 cubic yards of fill will be brought into the site.
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Dan Smith
Gary McComas, Fire
INTER -OFFICE COMMUNICATIONS
I DATE ADril 21,
FROM Planning Department
SU13JECT: . ADB-24-81 / HOWARD JO'HNSON
May 6th is the,hearing date for the'abo' ve+item.,.
We need your comments on the review.
IF
CITY OF EDMONDS
APPLICATION
to the
ARCHITECTURAL DESIGN BOARD
DATE%4 81 FILE #
SITE PLAN
BUILDING PLANS (3): ELEVATIONS
LANDSCAPE PLAN
ENVIRONMENTAL DATA RECEIPT #
SIGN EXHIBITS FEE RECPT #
PLAN MODIFICATIONS TO FILE NUMBER:
HEARING DATE 5 :Y0 - 81
OWNER/REPRESENTATIVE
14 0 VV A R p
PHONE vex-5
ADDRESS /
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ARCHITECT/DESIGNER L S -r,J n 4 AJ PHONE
PROPERTY ADDRESS. -5-2 9 i3 S,3,/ /\IN A T> ZONING
LEGAL DESCRIPTION '�,^A IS r4zE-r o�c Lor 29 ALL ol:- Zo7- :30, -BLQCA�
C" I-:,- Z-�-- ID M . 0 AJ r-)5 - PL� AT VOL.
S n 477 ,� Ak, - Co
PLANS SUBMITTED FOR APPROVAL:
1. Building Plans - Preliminary
L__ Final
Site Plani-- Landscape Plan �_ —Elevations 1--
2. Sign Elevations -Site Plan Landscape Plan
3. Modification of previous approval
EXISTING USE OF PROPERTY e-7 T) /-- '� �- )(,
DESCRIPTION OF PROPOSAL x - 7:> I- 'E_ x
APPROXIMATE DATE WORK WILL BEGIN ON PROJECT Z_ /9pz
ESTIMATED TIME FOR COMPLETION OF WORK -A PT� 12 c� !:>,-q -r-' s
RELEASE/HOLD HARMLESS AGREEMENT: The undersigned applicant, his heirs and assigns, in
consideration for the City processing the application agrees to release, indemnify, defend and
hold the City of Edmonds harmless from any and all damages and/or claims for damages,
including reasonable attorneys; fees, arising from any action or inaction of the City whenever
such action or inaction is based in whole or in part upon false, misleading or incomplete
information furnished by the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY: The
mission for public officials
property for the purpose of
and the staff
inspection and
undersigned applicant grants his, her or its per -
of the City of Edmonds to enter the subject
posting attendant to this application.
(Signature of Ap-�plicant)
TO AT/
SUBJECT DAT,;f
IPA
SIGNED
1 DATE
SIGNED
FREUIFORM s 4S 469 SEND PARTS 1 AND 3 WITH CARBON INTACT. -
PMY PAX (50 SETS) 4P 469 PART 3 WILL BE RETURNED WITH REPLY.
DETACH AND FILE FOR FOLLOW-UP
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197-10-177
Environmental Policy act
(3) Major actions which will be located within envi-
ronmentally sensitive areas are to be treated no diffc - r-
ently than other major actions under this chapter.. A
threshold determination shall be made for all such ac-
tions, and an EIS shall not be automatically required for
a proposal merely,because . it is proposed for location in
an environmentally sensitive area.
(4) Certain categorical exemptions do not apply on.
lands covered by water, and this remains true regardless
of whether or not lands covered by w�ter are mapped.
[Order DE 77-24, § 197-10-177, filed 12/22/77; Order
75-1, § 197-10-177, filed 12/17/75.]
WAC 197-10-180 , Exemption for emergency ac-
tions. Actions which must be undertaken immediately,
or within a time too short to allow full compliance with
this chapter, to avoid an imminent threat to public
health or safety, to prevent an imminent danger to pub-
lic or private property, or to prevent an imminent threat
of serious environmental degradation, shall be exempt.
Agencies may specify -these emergency actions in their
guidelines. [Order DE 77-24, § 197-10-180, filed
12/22/77; Order 75-1, § 197-10-180, filed 12/17/75.1
WAC 197-10-190 Use and effect of categorical ex-
emptions. (1) Those. activities excluded from the defini-
tion of "action" in WAC 197-10-040(2), or
categorically exempted by WAC 197-10-170, 197-10-
175, and 197-10-180, are exempt from the fhr-�b-_
determination (inr111rt;--
preparation, of draft ElSs pursuant to WAC 197-10-
400 through 197-10-495, including the circulation of
such statements, and theconduct of any public hearings
required by, this chapter. The lead agency shall also pre-
pare or supervise preparation of any required final EIS
pursuant to WAC 197-10-550 through 197-10-695.
[Order 75-1, § 197-10-200, filed 12/17/75.]
WAC 197-10-203 Determination of lead agen-
cy —Procedures. (1) The first agency receiving or ini-
tiating a proposal for a major action, or for any part of a
proposal when the total proposal involves a major action,
shall determine the lead agency for that proposal. Agen-
cies shall determine the lead agencyfor all proposals for
a major action they receive, unless the lead agency has
been previously determined, or the agency receiving the
proposal. -is aware that another agency is determining the
lead agency. The-fe-ad agency shall be determined by us-
ing the criteria in WAC 197-10-205 through 197-,10-
245.
(2) If the acting agency determines that another
agency is the lead agency, it shall mail to such lead
agency a copy of the application it received, together
with 'its determination of lead agency and explanation
thereof. If the agency receiving this determination
agrees that it is the lead agency, it shall so notify the
other agencies with jurisdiction. If it does not agree, and
the dispute cannot be resolved by aere--
cies shall im---4-- '
0
APPLICATION
for
The City of Edmonds SEDE SEWER PER3HT
NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . ................... ......................
lQ3 - QQ 30,-)
OWNER .....
Z!�� ................................................... CONTRACTOR ........ ................................................................................... PERMIT No . ....................
ADDRESS J& . .................................................... LEGAL DESCRIPTION: LOT No..--.. ----------------------------------------- BLOCK No . ............................................
NAME OF ADDITION..
A d
pprov
DATE.......................................... ..... By ......................................................................
"T
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DATE: I-Z-,F/
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division,
Public Works Department
SUBJECT:' -5-33 k*&P- 15r-
After review of the'subj,ect Building Permit application,'we hav(
the following comments:
Connection to City water.sy.sten required.
2... 'Connection to City sanitary sewer �vy .
_Atem required.
3. -Right-of-wav Permit requi ed for any work on City*TjToperty.
4. Driveway slope not to exceed Ili%.
5.. Backwater valve required if dot,;nsunirs s e 0
__plumbing 1., 1) w
elevation of upst�eam manhole.
6. Water and sewer lines to be' separated by 10 foot minimum.
PI Mff.
'SignaLure
pMLIC uoRKs DUARTMENT CHECKLIST
BUILDIM PEYMT REVIEW
Af AAZE- -,. r, , 4Y. 2 4_1
(address�_ (date)
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Street Riglit-of-Way Existin��gt)
Z
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Access Easements Exist
ad
Utility Easement Exist
94
Lot Per Subdivision Plat Assessor Mp_�ee_ Z4
W
Site Plan Checked for Accuracy V �-
Z
Underground Wiring Reqd. j1e4,vfeA-
Check Accuracy of Legal Description 61,:__
Z
Review by
Existing Water Main Size
Water Main Required
Service Line Required
Hydrant Size Exist'
P4
Hydrant Reqd Per Fire Code Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comnents
Water Meter Charge Reqd.
Review by_ Date
Septic Tank Design Approved Date +Z-91
Septic Tank Permit Reqd. Permit No. P---V
Sanitary Sewer Availability Proi
Dr"ing No. ? Ps, S
Side Sewer Availability
P4
W
Sanitary Sewer Connection Fee Reqd.
:3:
Review by. "r :i� Date
3
Open Ditch Existing___,k.,�_�...�Reqd.
Culvert Reqd. /9,- ,,- ;I olz Size
Od
Catch Basin Reqd. /, Indicate an Site Plan
0
Shoulder drainage maintain collection on swale open runoff
Mm-ihole reqd. -Indicate on Site Plan
Soil Conditions and Ground Water Field Checked -7 dc,
Review by Date
Revised: MO-1977
Page 2
r4
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Street Paving Reqd.
Curb atid Cutter Reqd.
Sidewalk Reqd. -e_ 5-
Curb Cut for Driveway Reqd.— T, �J-'-/' "5:
iU-'�if4f-Way Construction Permit Reqd. 5
Bond Reqd. for Public Inprove-nents*'�'. 5-
- t. . 4�
Street Name Sign Reqd.
Other Signing Reqd.
Pre Permit Site Inspection made on
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BY: S94ER
WATER
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SIMET
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ENGINEERING
Special Requirements listed in memo to Commmity Development Deparment,
Building Division
BY Date
o
All item filled in an Building Permit Application
94
BY Date
P'
Dr Sumped and Notations Made
BY Date
Approved by Public Works'Department
Revised: lv 10-1977
CITY OF*EDMONDS
PUBLIC WORKS DEPARTMENT
TO:
LU
0
im
LU
SUSPENSE DATE:
SUPERINTENDENT
investigate
and Report
Take Appropriate
Action
Prepare
letter/memo
for my signature
For Information
Previously Ref'd
Status of Action?
Return to:
OFFICE ADMINISTRATOR
BUILDINGS & GROUNDS DIV. SUPERVISOR
EQUIPMENT RENTAL DIV. SUPERVISOR
STREET DIVISION SUPERVISOR
V �
WATER/SEWER DIVISION SUPERVISOR
TREATMENT PLANT DIV. SUPERVISOR
SECRETARY
WORK ORDER COORDINATOR
COMMENTS:
Co
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1%77,,iP, Z)!�q t4,- Ar A�
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FROM:
DATEt
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