543 PINE ST.PDFiiiiiiii iiiiii
14342
V1011=3
PROPERTY LRW.
NOTIL.
170HTLIKE DOWNSPOUT
C4
CUNC. LANDING
0
Propose d
AOGlFM-GATE
Am
CONCRETE SURFACE
3.
Resldence
CONC.
PATIO
BELOW
4
T
t,
I
9L.
IEMOVE EXIST. RESIDENCE
CONC. LANOW
I E�ECTRIC ER
ELECTRIC SERVICE EN
RANCE
tEMOVE EXIST, WOOD DECX —
I
V�l
REMOVE EXIS
. 'ALK
to
1MOVE EXIST GRAVEL DRIVEWAY
RUN ELECT. POWER
-UNDERQROUNO
<
POWER POLE
EXISTING GRADE
COW" L143
WATER U
DRIVEWAY APRON
COM��ROLR'AGE MITIA
34ALL CONFORM
00 NOT REMOVE
TO CITY STANDARD
"C'U""""T'
DATUM POINT:
TOP OF
'rN
SITE PLAN
NOTE-.
CORTRACTO SMALL VEF?IFY WDICATio cm,!
SCALE: ima* v.0. T-7
ELI.. WHEN L.Al.l. NEW 11RUCIll ON 111111IT
t XCAvATioN TL RE ON PROPERTY,
NOTE:
CONTRACTOR SMALL YEA7Y LOCATION
OF UTILITIES AND COORDINATE SERVICES
INSTALLATION.
CITY
COPY
?A A R 0 1.'
Thomas E Belt
P.O. Box 216
Lynnwood,, Washington 98046
copy
cob,� - ILE I[I THE
. ..... 4 3R'S -oFFICE -------
k=A%-.P10L- dr_tj�
RFOUIRED
OCT 0 9 1997
COB DAN i1ili, Srohufflisll CounlY Treasuref
Ily— BOB DANTINI
Document Title(s): NOTICE OF EASEMENT AND MAINTENANCE AGREEMENT
Grantors(s): THOMAS E. AND DORIS M. BELT, HUSBAND AND WIFE
Granteells)-� THOMAS R. AND SANDRA JO TINDALL, HUSBAND AND WIFE
Legal Description: NW1/4, NW1/4, SECTION 25, TOWNSHIP 27 NORTH,
RANGE 3 EAST,W.M.
Assessor's Property Tax Parcel/Account Number(s): 252703-2-137-0009,
252703-2-122-0006
252703-2-121-0007
TO ALL WHOM THESE PRESENTS CONCERN:
Notice is hereby given that THOMAS E. BELT and DORIS M. BELT, husband
and wife, owners of the following described properties, situate in the County
of Snohomish County, State of Washington, to wit:
TRACT A
Beginning at the Zouthw�est corner of" h' Northwdst.quai!6('6f;th6,Northwest
j e
-thence'
quarter.of Section 25,,.Township:27,-.:North, Ranw,3,�,.�East-;%�W.M_
425�
:N 89*37'03",E,along �he,si66i�.'Iin6;�i.'�i��d�subdiiiisib�;,.-!d�distance-,of,,, -feet,
7
to the True Point"of Beginhin6':�th6n6dif�66ntiriui6d.-N,--89.�',37'0:�'!>E a;disiarice-
of 30 00 1 eet'-,.�_thence, N�
6 'distance*-6,f
-37-03 :.W,-a diS*t6n6e,:6V5Afebt;Aher1C .-,N-'0P39,
--S89
56.88 feet toAhe point of curvat`um'o`f.*a curveio�_t6e"*iright having a- e6dius- of
20 feet; thence northeasterly,;along s aid curve consuming a. central angle of
901, an arc distance of 31.42�.feet; thence N 89021'00"'E, a distance of.5
feet; thence N 0*39'00" W, a distance of 12 feet; thence S 89137,03" W,
a distance of 60 feet; thence S 0039'00" E, a distance of 12.64 feet to the
point of curvature of a non -tangent curve having a radius of 20 feet and which
radius point bears S 13149*39" W from said point of curvature; thence
southeasterly along said curve consuming a central angle of 7 5 1 3 1 '21 ", an
arc distance of 26.36 feet; thence S 0039*00" E, a distance of 67.57 feet;
Thence S 89037'03" W, a distance of 5 feet; thence S 0039'00" E, a
distance of 92.5 feet to the True Point of Beginning.
does hereby reserve and convey unto THOMAS R. TINDALL and SANDRA JO
TINDALL, husband and wife, their heirs, successors and assigns, owners of the
following described property, situate in the County of Snohomish, State of
Washington, to wit:
Lot 1 of City of Edmonds Short Subdivision No. S-13-89 as recorded under
Auditor's File No. 8912270038, records of Snohomish County, Washington.
(ALSO known as a portion of the Northwest quarter of the Northwest quarter
of Section 25, Township 27 North, Range 3 East, W.M., in Snohomish
I
-:-I - -IV k
'GZ J.
U/V%OU>l GSIV)
a permanent easement for the installation, maintenance of ornaniental fencing,
N al!j sjol!pnV under, across, through and updn the e6st
.0 Aj!3 10 L 101 landscaping, lawn and appurtenances, over,
1
5 feet of the south 103 feet of the hereinabove described Tract A.
J!m 01 'uoj6u1qseM
oaq!j3sep 6uimollol
pueqsnLI 'I'IVGNI-L Maintenance, repair and/or reconstruction of any fencing.or ornamental landscaping,
&jasaj Aqaiat4 soop lawn or appurtenances installed within the easement right of way hereinabove
i -76 10 03IJBISIP reserved and conveyed shall be the responsibility of and the cost of said maintenance,
4
k.68 S a3uG41
�jo acmelsip we repair and/or reconstruction, shall be borne solely by the beneficiaries of the easement
Ie Alialseaqlnos
!aq juiod snipej right of way herein reserved and conveyed, their heirs, successors and assigns.
jnjBAJn3 10 juiod
09 Jo az)uels!p e
�O N 03uat4l fla3l
isip oje ue ',06 This instrument shall be a covenant running with the lands hereinabove described and
93ua41 4a9l OZ
is binding upon the owners of such lands, their heirs, successors and assigns, forever.
�)41 01 zeal 88*99
�M CO.LCo68 S
I
leal 00*0C ;o IN WITNESS WHEREOF we hereunto set our hands and seals this day of
Mod anj_L at4l 91 October, 1997.
0 3 CO.LCo68 N
qJ33S jo jaVenb
041 le BUIUU11308
TOM
Thomas E. Belt Doi is M. Belt
'unoo qsiwot4ous jo
0 sigumo '91!m pue
'Aqajaq s' 8311ON
Thomas R. Tindall Siindra Jo Tinqja
S3H_L V40HM -111V 01
State of Washington )
) ss.
AtjadWd s,J0ss8ssV County of Snohomish)
:uoilduosea ie5e-i I certify that I know or have satisfactory evidence that THOMAS E. BELT and DORIS
qS188JUBJE)
:(SjSj0jUejE) M. BELT, husband and wife, are the persons who appeared before me, arid said
:(sjepLL watunooa persons acknowledged that they signed this instrument, and acknowledged it as their
free and voluntary act and deed for the purposes mentioned in this instrument.
Dated
uoj6utt4seM 'poomutiAl
9LZ XOG *O'd tary public in and for th6State of
1108 3 sew041 Washington, residing at 61�vo'7'6'
-I,-:--- * /" / 4., .0 -
vo.
CA FILE
Critical Areas Checklist
---------------------------------------------------------------
Site Information (soil shopograph ydrology/vegetation)
I . Site Address/Location:
2. Property Tax Account Number: - 2_Lz_) 20 032- i?-i o,)o-7 .- 6J e. cAJX-;,,t- �0
3. Approximate Site Size (acres or square feet): - I I / - 1�
4. Is this site currently developed? _L__�__Yes; no.
If yes; how is site developed? C_�
5. Describe the general site topography. Check all that apply.
'Flat: less than 5-feet elevation change over entire'site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-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
I 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contai ns areas of year-round standing water. Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in thefloodway X-110 floodplain of a water course.
9. Site contains a'creek or an area where water flows across the grounds surface? Flows are year-
round? 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-
D9TERMINATION
^m_chk.doc; Rev 10103/97
City of Edmonds
N�JW CRITICAL AREAS CHECKLIST
The 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. The
information needed to complete 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. The 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.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this. form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff. in ' completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate, column below).
Owner/Applicant:
Name
�treet Address
WA- w)),r)
ity State Zip
Telerho�� ..........
Signature
Date
Applicant Representative:
Name
Street Address
city. State Zip
Telephone
Signature
Date
c:reccpflonNjana\cac1.doc
(over)
7
C
April 17,1998
Tom & Sandy Tindall
543 Pine Street
Edmonds, WA 98020
CITY.OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT .1
Public Works - Planning/Building e Parks and Recreation * Engineering - Wastewater Treatment Plant
Subject: � Determination regarding Critical Areas Checklist # 98-104
Dear Applicant:
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENT
AL CHEPKLIS1 OR CRITIC S .1;
A L AREA. _TMY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
mo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 40
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
Thank you.
Sharla Graham
Acting Planning Secretary
C:Reception\Jana\CRLTR.doc
9 Incorporated August 11, 1890 0
Sister Cities international — Hekinan, Japan
Thomas E Belt
P.O. Box 216
Lynnwood, Washington 98046
COPY
cob. FILE jrj THE
3R'S oFFICE
C A %-, I -J L— 4
REQUIRED
OCT 0 9 097
COB DAN 11141, Sasl�uiriisli Countl Ireasulef
By_ BOB DANTINI
Document Title(s): NOTICE OF EASEMENT AND MAINTENANCE AGREEMENT
Grantors(s): THOMAS E. AND DORIS M. BELT, HUSBAND AND WIFE
Grantee(sl:" THOMAS R. AND SANDRA JO TINDALL, HUSBAND AND WIFE
Legal Description: NW1/4, NW114, SECTION 25, TOWNSHIP 27 NORTH,
RANGE 3 EAST.W.M.
Assessor's Property Tax Parcel/Account Number(s): 252703-2-137-0009,
252703-2-122-0006
252703-2-121-0007
TO ALL WHOM THESE PRESENTS CONCERN:
Notice is hereby given that THOMAS E. BELT and DORIS M. BELT, husband
and wife, owners of the following descri bed properties, situate in the County
of Snohomish County, State of Washington, to wit:
TRACT A
Beginning at the Southwest corner of..,the Northwest, quarter of ithe Northwest
quarter . of Seq tion 25,; T6wnship.77�',�North, k6ng6.-.3,,Ebst,,W.M...
thence-
.'t,-along the south1in f-�s�bid subdivAsiori-iA�., fanbe of.*.,425.feet
'N 89-37-03". e�.o
to the True Poiht:of Beginning�,��.thendbfoontinuin6-,,,N.,890-37�03",*�E, a'distance
-a -digi nc 03- f e6t; ---.-thence
of 30 00 feqi;"then6e -.N 0,?39!00! a e:,,*o
S 89037'03"*.W, a.distance-. V391'00":W 'a distance of
56.88 feet to -the point of curvature.-'OVa curveto the right' having a radius of
20 feet; thence northeasterly.. along said curve consuming a.central angle of
90*, an arc distance of 31.42 feet; thence N 89021'00" E. a distance of 5
feet; thence N 0"39'00" W, a distance of 12 feet; thence S 89037'03" W,
a distance of 60 feet; thence S 0039'00" E, a distance of 12.64 feet to the
point of curvature of a non -tangent curve having a radius of 20 feet and which
radius point bears S 13049'39" W from said point of curvature; thence
southeasterly along said curve consuming a central angle of 7 5 0 3 1 '21 ", an
arc distance of 26.36 feet; thence S 0039'00" E, a distance of 67.57 feet;
Thence S 89*37'03" W, a distance of 5 feet; thence S 0039'00" E, a
distance of 92.5 feet to the True Point of Beginning.
does hereby reserve and convey unto THOMAS R. TINDALL and SANDRA JO
TINDALL, husband and wife, their heirs, successors and assigns, owners of the
following described property, situate in the County of Snohomish, State of
Washington, to wit:
Lot 1 of City of Edmonds Short Subdivision No. S-1 3-89 as recorded under
Auditor's File No. 8912270038, records of Snohomish County, Washington.
(ALSO known as a portion of the Northwest quarter of the Northwest quarter
of Section 25, Township 27 North, Range 3 East, W.M., in Snohomish
o i nrml n CA FILE NO.
Critical Areas Checklist
Site In' f6miation (s6ils/topography/hydrology/vegetation)
L Site AddressALocation: -W,3 S7"C-e-e!
2. Property Tax Account Numbw. 03 — -I - 13 7 - o -0 0 C� c7stl:lle
3. Approximate Site Size (acres or square feet): 17
7 e�9g2L:2
4. Is this site currently developed? ____yes; 4-- no.
If m; how.is site developed?. 1(11,4-.
1
5. Describe the general site topography. Check all that apply.
Flat' less than 5-feet elevation change over wtire site.
Rolling: slopes on site generally less dian 15% (a vertical rise of 10-fee t over a
horizontal distance of 66-feet)-
Hilly: slopes present.on site of more dmd - 15% and less than 30% ( a vertical rise.
of 10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of grqater than 30%. present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water. Approx. Depth:
7. Site contains areas of seasonal standing water. Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contain� 1 creek or an area where water flows across the grounds surface? Flow . s are year-
round. IV p Flows are seasonal? (What time of year?
Y
10. Site is primarily: forested mead6w
_; shrubs mixed
urban landscaped Qawn,shrubs etc)
11. Obvious wetland is present on site.
TIOW,
7 WAIVER:....
bv:*-----*.1�-�1
Revast"M
C4
City of Edmonds
Critical Area's Checklist
The Critical Areas Checklist contained on
this form is to be filledout 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 propeay. IMe
information needed to -complete the
Checklist should be easily available from
observations of the site or data available at
City Hall (Critical Areas inven tories, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
RECEIVED
AN 1 J.: 1994
COMMUMly SUMCES
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.
With a signed copy of this form, the
applicant should also submit a vicinity map:
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcci(s). in
addition, theapplicant shaU indude
other Pertinent infonnation (eg. site
Plan, topography !nap, etc.) or studies in
conjunction with this Checklist to assiA
staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the an
swers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner/ Applicant.- Applicant Representati v*e:
Name Naffie
Street Address Street Address
" Phone
,-'7 0 -�. c 5, p,--- 8
Date
city.1tat.e. 23! Phone
z
Date
Uit 01 hamonds b I r1rt 1
y
RIGHT-OF-WAY CONSTRUCTION
Permit Number:
IssueDate:
A. Address�i,or,Vic. ty -6f.Constr,u6tion: 5-4 3 P t V 15 27-
-B.' *or -:(I.v speci ic)::-': I Ad S 7A L L U6 D eo Pa
Type k
9 0 - I c�
ASPHAL-r -5W
C. Contractor: C14XK'13AE�/Es C-4150 P'IC/z(d& C-A Contact: j4elt- G/240LA/014L-
Mailing Address: 531
,> f-4&/,j -5-r Phone: 7 74- - '�D 4 6
State License #: 5V P E g- C 10 t 0 A Liability Insurance: Bond: $
FILE
D. Building Permit # (if applicable)- Side Sewer Permit # (if applicable):
E. - F� Commercial Subdivision El 'City Project [R Utility (PUD, GTE, WNG, (��ATER)
F] Multi-Farnily' EJ SingleFamily n Other
INSPECTOR: INSPECTOR:
avement o oncrete Cut s Yes E]No G. Size of Cut: L(--�' H. Charge $
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by..his signature to this application, agrees to hold the City of Edmonds hatwilessfirom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made V&aj* r the City of Edmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings including defense as ' ,and attorney fees by reason of granting this permit..
THE CONTRA CTOR, IS RESPONSIBLE FOR WORKMA NSHIP A ArD MA TERIA LS FO OF ONE YEAR FOLLOWNIZHEAAL VUIC77ON
AAD ACCEPTANCE OF THE WORK. ES77MA7ED RESTORA77ONFEES WILL BE 7HLD�UNHL THE FINAL STREET PATCH IS COMPLETED BY
CITY FORCES, AT WHICH 77ME A 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 Departmentsr&=
Work is to be inspected'ddring progress and at completion. 7714220'
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.
I have read the above statements and
on site at Atimes for inspection Pur,
Signature:
0
(qntractor or Agent)
the permit requirements and the pink copy of the permit will be available
Date:
:RESTORATION: 7EF-.
. ..............
PERMIT. FEE:
all U11
Engrg. Div.- 1991
M �
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.,,
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
0 YES 0 NO
Date:
Date:
Eng. Div. July 1985
itA-U710M: OTI+r—R—U*TiLITY CAf3u
I %It,& VV-1 MTY 0 to I M57A-L L
S-a 3 P I �\( a- -ST.
17 — 1'7-- C-Y 7 17 IM LL
LAM,
�5.A A% L L A;:,;,,; E
R F t5
F -'
- ---------
OA D
5 R
'HWEG R c' ---
...... Lo
-I
2-4n TlLt-
OF
LX
RECEIVED
1 4 1992
IJA
PERMIT COUNTER
STREET FILE
CITY OF EDMONDS
SIDE SEWER. PERMIT
9 0 1 9 PERMIT
84 G 9
Address of ConstrL ction: J
I
Property Legal Description (Include all easements):
REC
POBLIC WONS DEPT
It/ 0 D 3 C', c
Owner and/or Contractor: L
State License No. Building Permit No. 7
)9 Single Family
0 Multi -Family (No. of Units—)
0 Commercial
0 Public
Invasion into City Rlght-of-Way:;� No El Yes
RW Construction Permit No.
Cross other Private Property: 11 No *Yes
Attach legal description and copy of recorded easement
I ftify that I have read and shall comply with all city requirements
Z
a2in icated on the back of the Permit Card.
�- / 7 -
Date
* CALLPIAL-A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE ONLY
FOR INSPECTION CAL PUBLIC WORKS DEPT.
Permit Fee: ssiled By
Trunk Charge:
Date Issued:
Assessment Fee: Receipt No.:
Lid No.: —
Partial Inspection: Date —Initial—_
Comments
Reason Rejected:
Final Inspection Approved: Date?_:k �_Initialen�
bJ tq -
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 Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS r-1 LID NO - ------------------ ASMT. NO . ..................
OWNER ---------------- ------------------------------------------------------------------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO.
----------------
JOB ADDRESS - -------------------------------- - ------------------ ) ------------------------------ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------- ----------------
P" N"\ 'rc!:-V -
1!
k1% Obr) C- C_
L
_J
al
0-.
NAMEOF ADDITION ..... ............................. - .................................................................
3 0 -aw-1
2 2
V
2
C cl,
I
Zx CJD
d�v . Approved:
3 e, f'? -2
PWW-0001-1 1/75 (REVA 1/78) DATE .9n..L3P.-..q - - -------------
7r�n,5,P,cjlW by 111?. M/OrR-0-57
CITY -OF EDMONDS
STREET FILE
SIDE SEWER PERMIT
0
P.ERMIT N_- 8,409
Address of Construction:
Property Legal Description (include all easements): I+
J__)'1v _F, L,, I'
Owner and/or Contractor: __,>f4-Q_- L N/,V D
State License No. TRZ, 410 15 15 13-2 kZ I\ — Bu i Id i ng Perm it N o. C)' 7-0 5 5
)K Single Family
El Multi -Family (No. of Units—)
El Commercial
El Public
Invasion into City Right-of-Way:*N[ No 0 Yes
RW Construction Permit No.
Cross other Private Property: El No %-Yes
Attach legal description and copy of recorded easement
,< — / 3 — 1?1�
I Vfify that I have read and shall comply with all city requirements
asKndicated on the back of the Permit Card.
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
OFFICE USE ONLY
FOR INSPECTION CA PUBLIC 17=T.
(), 0 0 7114290
Permit Fee: Issued By
Trunk Charge: Date Issued: 57/
Assessment Fee: Receipt No.:
Lid No.: —
Partial Inspection: Date —Initial --
Comments
Reason Rejected: Date —Initial—_
LFinal Inspection Approved: Date —Initial—
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3!90
Revised 3/90'.
SIDE SEWER PERMIT REQUIREMENTS
1. Side sewer permits shall -be posted at job -site and available to.
inspector at time of inspection. Inspection during normal working
hours only.- One (1) working day notice required. Side sewers
must be left uncovered until inspected. A water'test is required.
2. Property owners can obtain a permit to install side sewers on
private property. Licensed side sewer contractors must be
employed to construct side sewers in the City right-of-way.
Invasion into City right-of-way requires a separate permit.
3. The side sewer contractor assumes full responsibility for each
installation for one (1) year.
4. Trenches within City right-of-way must be restored to orig'inal
conditions. Street restoration -fees shall be paid in ' advance,
under a*right-of-way permit.. Contractors shall be responsible for
right-of-way failure due to poor compaction of fi.l.l.
5. No down spouts, footing drains or floor drains can be connected to
a side sewer system.
6. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
7. Cleanouts at property line and at house will have risers installed
to within 12" of surface grade with removable cap.
8. Commercial establishments require a minimum of six inch (6") side
sewer line.
9. Side sewers may not be installed closer tha.n thirty inc.hes (30")
to any structure.
10. Cleanouts are required at 30"-60" from each plumbing exit line and
at minimum intervals of 100' along sewer line run.
11. Side sewer lines must be laid at a mini mum grade of 2% (1.15 0
and maximum grade of 100% (450).
WRb (1/8 bend) is' allowed
12. No turn in sewer gre
si
be Veen cleanout. All 90 turns must be constructed of a
45 (1/8 bend) and wye with removable cap for cleanouts.
13. No cleanout shall be paved over. If located in.pavement, cast
iron lids will be installed.
14. All connections will be of gasketed type. No solvent joints
unless prior approval is granted.
�,4
STREET FILE
City of Edmonds
..RIGHT-OF-WAY CONSTRUCTION
PERMIT
Permit Number: 1.;? 1:21 1.11,
Issue'Date:
A. Address or Vicinity of Construction:
(3 B. Type of Work (be specific): LN-e— 1�lj N �r_
9
I- &-je, C r, to
'r-NC Contact: L-AkAJ
C. Contractor:
Mailing Address: �Z, ao e AM) Phone: Cpq 01
..Liability Insurarim Bond: $
StateLicense,#:
D. Building Pernuit # (if applicable)': S .. ide Sewer.Permit # (if app licable):
E. 0 Commercial El Subdivision City Project F ity (PUD, GTE,'VrNG, CABLE, WK.FER)
E] Multi -Family Single Family F� Other
INSPECTOR: INSPECTOR:
F.. Pavement or Concrete Cut 5kyes E]No G. Size of Cut: N : t 2, H. -Charge $
APPLICANT TO READ AND SIGN 1<1776 70 14; 95�
INDEMNITY., Applicant understands and by his signature to this application; agrees to hold'th� City of Edmonds harmlessftom injuries, damages, or
claims of. an� Aind or description whatsoever, foreseen or unforeen, that may be made against the Ciiy of Edmonds, or 6ny pf i4 departments or ernploy-
ees, inch,iding.or not li.mitedto the defense of any. legalproceedings including defense -costs, a�d attorney fees by reason. :ting'A. is. . per;nit.,�
oi0' Q_
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSH!�,�NO MATERIALSFOR A PERIOD OF ONE YEARFOLLOWING 7-HEFINAL INSIEC77ON
AAD ACCEPTANCE OF THE WORK. ES77MA TED kESTORA 7ON FEES WILL'BE-nELD.,U L . THE FINAL STREET PATCH IS. COMPI]ETED BY
C17Y FORCES, A TWHICH 77ME A D . EBIT OR CREDIT WILL BE PROCESSED FOR ISSU. �V E TO THE APPLICA�.
Construction drawing.df proposed w6rk required with permit application.
A 24 hour notice is required for inspection' . -Please call the Engineering Department
Work is to.be inspected cip"ring progress and at completion. —7-71.0 20
Restoration is to be in accordance with City Codes.
Street shall be kept,clean at all times.
Traffic Cd I ntrol and,Ptiblic 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 EXCEPTION$.
I have read the above*statements and understand the permit- requirements and the pink copy. of the, permitVNII be available
on site at all If fior pecti npurposes.
S,
Signature: Date:
(Contractor or lkgent�,
CALL DIAL -A -DIG PRIOR,T0 BEGINNING. WORK
FOR CITY USE ONLY
TIME,:AUTHORIZED� Y.OID:AFTER:. DAY& .;DISRUPTION: FEE/FUN D.- I.I.I1:::-.
. ... .... . ..
ONiFEE::.
SPECIAL..CONDrrlON,S:,:-, ..................
S:,
..�Q.MMENT
AITFEE:.
ALfE
rTVT Wn.
t:�
DATE:- � - ISSUED BY:
NO WORK SHALL BEGIN
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund 111 7 Route copy to Street Dept-.)
Comments:
I Diagram:
a
I ;V
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by W-.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
- I
Eng. Div. J
Citv of EdmondATRFFT F11 F
RIGHT-OF-WAY CONSTRUCTION
PERMIT 'ZR,a�
Permit Number: '3
Issue Date:
A. Address or Vicinity of Construction: 543 Pine Street
B. Type of Work (be,svecific): Install New Service
9 0 1 9
C. Contractor: Washington Natu�ral Gas Company Contact: Frank BVan
MailingAddress: 815 Mercer Street, Phone: 224-2278
- State License #: Seattle, WA 98111 Liability Insurance: Bond; $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. 'F_J Commercial El Subdivision El City Project K4 Utility (PUD, dim, WNG, CABLE, WATER)
n Multi -Family SingleFamily M Other
INSPECTOR: INSPECTOR: H ITCUTT
F. Pavement or Concrete Cut Mes E]No (1) G. Size of Cut: — 2 x 4 H. Charge$
APPLICANT TO READ AND SI ?
INDEMNITY. Applicant understands and by his signature to this application, agrees to h th hy of Edmonds harnile4,�rqAlnit e&tmages,,9.r
be made ag6ns - Ity of Edmonds, or any of its '
claims of any kind or description whatsoever, foreseen or unforeen, that may asti Kthe i",, 4, departments or ewploy-
ees, including or not limited to the defense of any legal proceedings including defense costs, and attorneyJees by reason of granting this permit.
THE CONTRA CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR APEROD OF ONE YEAR FOLLO WINP T#AFfJyAL'INSI`EC77ON.
AND ACCEPTANCE OF 7HE WORK. ES77MATED RESTORA77ONFEES WILL BE HELD &I �i!LTHE FINAL STPEET PATCH IS COAIPLtTEL, BY
C17YFORCES, AT WHICH 77MEA DEBITOR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Departm
Work 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 ofthe*kking . day;
NO EXCEPTIONS.
I have read the above statem 4"nd understand the permit requirements and the pink copy of the permit will be available
Cti.
on site at all time pection p
Signature: I/A119M Date: September 9, 1992
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
�m
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street De
,pt.)
Comments:.
L- �-
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
SAM
Naftv-&Gwl—
AW-ftngk- Ei a gy CarowV
to City of Edmonds
Right of Way
Permit Application
Submitted by: T2tICA4'F'D �t,U-A'Qo
Engineering Aide
Washington Natural Gas
622-6767 x2761
pager )f.,9 - 1(
Ycx=, IUCL.L.11
water nyarant
0 water valve
815 Memer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET STREET FILE
OWNER V Tl,,4,oq z-z, CALC BY: t_7
ADDRESS 5iZS Z'ZA45 PHONE: r7l:� - FC700
ffO 2. DATE:
*****DESIGN DATA*****
IMPERVIOUS AREA PIPE DIA PIPE L.G ORIFICE
5 rl 0/ 5;c
DETENTION PIPE LENGTH WASH ' ED G AVEL
OUTFLOW TRENCH, MIN 10' LONG
TOP AND 4"PER117 PIPE TO BE LEVEL
RIM ELEV_ I'MIN COVER GrMIX SPACE OM
2*MAX COVER RIM ELEV C FROM
ONTROL
4L OUTLET-
T
4" 0 MIN 4"PERF PIPE W/CAPS
SLOPE 4"0 PIK MIK
ORIFICE RUNOFF SPREADER
OUTLET
INV ELEV_ INV ELEV_
MWER CArCH
BASIN COAFrROL
BASIM
/Z xZx6"DEEP, 4'-6'OUARRY SPALLS
SYSTEM CROSS SECTION x 2.2- DEEP. 3/4- CRUSHED R . OCK
FROM CONTROL
OUTLET
RIPRAP OUTLET
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
NOTES: r - r
FILE,
1. Call Engineering Division (771-0220) for a tightline and dSTiJsjj;K_MkpeCtion
wolfl"_
APPROVIED BY
before backfilling and for final inspections.
2, Responsibility for operation and maintenance of drainage systems on, private property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
DATE
out and removed from the catch basins to allow proper operation. The outlet control orifice
'
must be kept open at all times.
Table I -- Detention Pipe Sizes
Impervious
Surface
Required
Pipe Diameter
Area Sq. Ft.
Vol Cu Ft
1151�
18"
24"
30"
2000
50
40
28
16
10
2500
62
50
35
20
13
3000
75
60
42
24
15 Required pipe
3500
87
70
49
28
18 length.in feet
4000
100
80
56
32
21
4500
112
90
63
36
28
5000
125
100
70
40
25
*NOTE: Use thb next
highest surface area
to determine de.tention size if calculated impervious surface area is
greater than 1/2 the value between numbers.
(i.e., 2280 use 2500)
I Table 2 -- Outlet Orifice Sizes
Impervious Surface
Area Sq. Ft. Outlet Orifice Diameter (inches)
2000-2999 5/8
3000-3999 3/4
4000-5000 7/8
I Table 3 -- Rectangular Catch Basin Requirements I
Detention
Max. Size
Catch Basin.
pipe diameter
knockout
Type
< 18"
20"
Type 1, CB 15
18" to 24"
26"
Type IL, CB 16
24" to 36"
36"
Type 11, CB 19 19 (48" Basin)
36" to 42"
42"
Type 11, CB 19 19 (54" Basin)
*Source: Assoc. Sand & Gravel Co. Standards
ALLLOVVABLE STORM DRAINAGE
DETENTION OR CONVEYANCE MATERIALS:
• Reinforced Concrete (right-of-way) I
• Non -reinforced Concrete (non -right-of-way)
• Aluminized Steel
• Aluminum 16 GA or better
• CMP Asphalt Coated
• N-1 2 ADS HDPE (Min. 2' cover required under paved areas) water tight
• PVC-SDR 35, ASTMD-3034 or better
• Ribbed PVC pipe, ASTM D-2444
—Ducticle iron pipe Class 50
- Tightlines system:
• N-12 ADS (Smooth Wall)
• PVC-SDR 35, ASTMD-3034, or better
• Hancor F-81 0
S:\ENGR\HANDOUTS\Drainage tables E21
STANDARD DETENTION k-.-.)-i'STEM-WORKSHEET
(5000 SF OR LESS)
CALC. BY:
OWNER: ADDRESS: PHONE:
DATE:
FMP�R7VIOUS SUFACE AREA PIPE DIA. PIPE LENGTH ORIFICE
I - I - I
FOOTING DRAINS SHALL NOT
RIM ELEV.,_--\ i DETENTION PIPE LENGTH
FINISHED
GRADE
TIGHTLI
11 MINIMUM
_" 0-5% TO 1 .0% SLOPE
UPPER CATCH BASIN
V. ELEV.
CONTROL CB
BE CONNECTED TO
OCKING LID (TYP.)
IM ELEV.
F 6" Min, clearance
Measured from top of
/F Conc. box or riser.
DETENTION SYSTEM
TO CITY CONVEYANCE
ELEV.
L�'---OUTLET
T
'I-,,
CONTROL
9" YIN.
'--ORIFICE
RIM ELEV.
INV. ELEV.
2'Y,2'Xl 2" DEEP CONTROL CATCH BASIN
(4'-6- QUARRY SPALLS OR EQUAL) IN. 6" COVER
CONTROL CB
FROM CONTROL CB
RIPRAP OUTLET
SHALL BE PERPENDICULAR
TO SPREADER TRENCH—
PERF. PIPE SHALL BE
LEVEL & CAPPED AT ENDS
NOTES
I
SPREADER TRENCH
TRENCH SHALL BE LINED
WITH MIRAF1 &ON TOP
/8" WASHED DRAIN ROCK
1. CALL ENGINEERING DIVISION (771-0220 EXT. 1326) 24 HOURS IN ADVANCE FOR A TIGHTLINE AND DETENTION
SYSTEM INSPECTION BEFORE BACKFILLING AND FOR,FINAL INSPECTIONS.
2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property
owner. Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation.
The outlet control orifice must be kept open at all times.
CITY STORM
CONVEYANCE
SYSTEM
SPREADER TRENCH
SHALL BE AMIN.
OF 10'LONG AND
PERPENDICULAR
TO CONTROL CB.
10i
DATE � i
IS
REET FILE
CITY OF EDMONDS
List: PERMIT
ZONE NUMBER 9 Z0337 �
CONSTRUCTION PERMIT APPLICATION
I
I . I
JOB SUITE/APT #
ADDRESS ,V�3 /,19 -
1,4 IF
_ i�
OWNER NAME/NAME OF
I
:t� LnA lii7#-WT,&,
LEGAL OESC
U§VISION NO�
LID
-P ;
IvAr� ADDRES�
i q1C,,
PUBLIC RIGHZOF WAY, PER OFFICIAL ST.REET MAp.
TESCP Approved 0
RW Per mit Required R
CITY ZIP ELEPHONE NUMBER
Fdn,0 Y'd C (t) 94
�7,7q 2
EXIST NG QUIRED DEDICATION
street Use Permit Root d 0
PROPOSED
Inspection Required
H:j
Sidewalk Required
Z
REMARKS
ADDRESS"
All -Z1
Z
NUMBER
ATELEPHONE
NAME
ENGINEERING MEMO DATED FIEJEM
ADDRESS
0
0
//
METE:V
S �PPLY SIZE NO.
OF FIXTURES
9 CITY ZIP
TELEPHONE NUMBER
.4
IBUILDING
Z
7 7
3
REMA7
V)lMb
STATE LICENSE NUMBER
11
4S f j, -?,g K A-
AREA
SEPA REVIEW
AD8 NO.
Legal Description of Property - include all easements
ALLOWED
PROPOSED
COMPLETE
MPT
Z
JEXE
SHORELINE
Q
EXP
VARIANCE OR CU
JLANNING REVIEW 611
DATE
3
14971 543-91--�-*?
SETBACKS — FEET HEIGI�T
I LOT C6VERAGt
Z
FRONi V101SIDE �6 REAR 14�
Z
Z
Tax Account P rcel
REMARKS
IK NEW
ESIOE�NTIAL
PLUMBING
0
El
M MECHANICAL
ADDIALTER
COMMERCIAL
0
0 APT. BLDG.
REPAIR
SIGN
GRyq.-, ENCE
Mo CYOS , []
El DE LISH I-- I X —FT)
CHECKED BY
TYPE OF CONS��TION 1CODE
—
I
g F
GHT
I
n1po T-
El RE swim
F GARAGE
MODEL POOL
]z
S EC�I,A INSPECTOR OCCUPANCY
L
At I
RPEOt . E . GROUP
0 YES
JOCCUPANT
LOAD
ODD TOVE/ r7 RETAINING WA LL/
Ow
INSSERT �-- L—J ROCKERY RENEWAL
REMARKS
Z
0 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:.
PROGRESS INSPECTIONS PER UBC 305
NUMBER OF STORIES
BER OF
t4K -,=C-
0
INUM
DWELLING
W 11�
.0
UNITS
DESCRIBE WORK TO BE DONE IATTAC. PLOT PLAN)
F INAL*INSPECtIO.N REQUIRED
VALUATION
FEE
PLAN CHECK FEE
)AY a r AMsmao,,W
;2 dt�t ow
BUILDING
C Y 6,tvAer'm
PLUMBING
t Amr, oqs 14,14,
Plan Check No
6106 !jZX.711yt7 A* zwo
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewelks, .
driveway., meirquees,w` etc.) will require separate permission.
STATE SURCHARGE
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 ano..
ENG. INSPECTION FEE
o successors in interest, agrees to indemnify, defend and,hold
harmless the City of Edmonds, Washington, its officials,
.i 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
Ox nor limit in any way the City'B.ability to enforce any Ord I nance
-0 /-50
TOTAL AMOUNT DUE
ll�iq6
provision."
I hereby acknowledge that I have read this application; that the
information given Is correct; and that I am the owner, or the duly,i
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
laws regulating construction; and In doing the work authoriz-
AUTHORIZES
This application" is not a permit until
:tate
d. thereby; no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
CTo the tate of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
ti6 InsuranG6.
INSPECTION
acknowledged in space provided.
(OWNE"R AGENT) DATE SIGNED
DEPARTMENT
JG�ATURE
I-Z,
Cl F
MOIGNATURE DATE
ECITY S
N =J
ATTENTION
CALL FOR
RELrrW
___2����ATE
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
Ems
ORIGINAL — File YELLOW — inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
771-0220
PINK — Owrer GOLD — Assessor
10247
PERMIT APPLICATION REQUIREMENTS
TO: Permit Coordinator, Building Division
FROM:- Lyle-Chrisman, Engn eening Inspector
OWNER: TIA)pm�, PLANCK# 6BO
ADDRESS: 546 AJE DATE: —
After review of the subject permit application, the following requirements mustbe met.*
1 . Construction hours are: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOIJDAYS ..... 10:00 A.M.-6:00 P.M.
2. A separate RIGHT -OF -WAY -Construction Permit is required for all work on Publicpioperty. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issua nke_
4. Builder/Owner is responsible for. c6intiining all temporary runoff and erosion control'.on site. (ECDC 18.30.030d)
S. NO WORK SHALT, BE DONg WITHINIS FEET OFSTREAMS OR 10 FEETFROMANY CLOSED DRAINAGE FACIL-
177 BUILDERIOWNER IS REPSONSIBLE FOR IDEN77FYING CONDITIONS'ON 771E DRAWING. (ECDC18.30.50G)
6. FILTER FABRIC FENCE SBAU.BE INSTALLED AND INSPECTED PRIOR TO'CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED, ON STORM DRAINAGE SYSTEMS,TIG FOUNDATION I)PLUNS, AND
',CATCH BASIN INSTALLATIO &§]PECTIONS ARE REQUIRED PRIOR- T0 BACKFILLING. (ECDC18.30)
,�Jf
8.. -Repair or replici'all defectivpexistifig, curb, -gutter, and sidewalk adjacent to the' "' ' "'
pr6oerty. -an intersection is involved a
ramp may requ to meet with.the City Enginee s Staff �6�dete the extent of repair prior to
handicap.*. b�' kedi.. n,,
�A
issti�nce of the permk��ECDQU&9
%Avithout a.waiver.- �att bemade'. tO keip the slope below 14%.
Every' emp� should
4.
Waive�:granted
CDCA9.80.060D
J
ie to Ci RIG
is% "'uired. (ECDC
1� it 1�i �av
nveways mus ty
18.80.060
_X
M4
INSPECTIONS ARE RE ,104ND.AFTER Po iG.
RE DRJIVEWAYS AND SIDEWALK&PRIOR. URP
,V
(ECDC18.30) . . . . . . ...
o b u rn i i i g o f c' o* ns tr6
cti6 artme6t-
ut a permit, from the FireDep
�Th63
is a separate.i66rji, bir.-th �:(ECDC 7.30) -
bd�k
-�.44-.'�A at&,valve. ils p�uznbing- is W6iW the elevati6n,040s Ole. .'(ECDC 7.20)
4.1"
18
sewer main -_�'(ECDC
.15;"Wk�iarid by.10fee6fiininium..
A separa i64
Connection ;o thdCli
te permit- is:'
F Y00 (ECDC .18A0)
LID#
vipngii iequu-ed,.Pi,"WI�n'e'w"construction; and fbradditiori�, iaterations; ii�d repairs that exceed 5096' of the total
assess e ctur�'.J,(E
ed valu; '.' 6fifii�'i CDC48.05.010)
18..'.4 FINALENGINEERINGI�INS.PEC77ON-IS REQUIRED PRIOR TO 771E B-1 UILDING DIVISION GRAN77NG OCCU-
E)&Dl*d' STRUCTURE."..'(ECDC18.90)
ANtYOFTHEBi
074
"'.26
Ag.''
lily
20.
FILE
"ji&I, Si
STREET FILE
ZONE PERMIT
4U �
CITY OF EDMoNbs NUMBER
��S�UITEIAPT
CONSTRUCTION PERMIT APPLICATION SUITEIAPT #
nWNER NAMEINAmE OF WSINFSS FAD E 1,
MA
,FG ADDRES�
P BUC RIGNI OF WAY PER OFFICIAL STREET MAP
U 0
EXISTING FIF-UIRED DEDICATION —
PROPOSED
TESCP Approved 13
RW 11 Rl��Url
St,.:a.,: P. d.d.d
Inspection Required
Sidewalk Requited
c
74w\C
TELEPHONE NUM
-7,?q q--? 5
NAMIREMARKS
71 __)A7
d-4- ILItIA.4, t4f A0, _41�� r-7,14L (7
77161W
Z
0
Z
:A =Np 2e,
T ELEPHONE NUMBER
11H -6-0 00
NAME
Alk 11
ENGINEERING MEMO DATED RW
, , 4 , .
ADDRESS
9,32Y -2/
METE.R SI,
7
YPPLY SIZE NO.
OF FIXTURES
7
cc
CITY 41,
S66=16-;_98) 7 Z_��V
FTELEPHONE NUMtE�
JRI EMATNIV-460
STATE LICENSE NUMBERj1_1-
SIGN AREA�
v
ALLOWED �'�'PROPOSED
SEPA REVIEW
COMPLETE IEXEMPT
I
ADS NO.
SHORELINE
Legal Description of Property - inCiucle all eaZ;ents
E XP
VARIANCE,OR CU
�41ANNING REVIEWS?
1,07-
SETBACKS .FEET.., EIGHT
j
F RONT REAFIJ�
LOT cbvERAGlE
Z
Z
Tax A�6count Parcel'
7 C
REMARKS,—'
N Ew RESIDENTIAL PLUMBING
A OIALTER El COMMERCIAL MECHANICAL
0
7
REPAIR APT., I BLDG. SIGN,
FENCE'
DEMOLISH [Z CY.S.
CARIORT swim
REMODEL GARAGE POOL.
W ODD STOVE/ [],RETAINING WALL/
INSERT ROCKERY RENEWAL
0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
CHIECKE -BY.
TYPE 0 CONSTRUQT,ON C�ODE
EIGHT
SPECIAL INSPECTOR 'e �'H JOCCUP
REOUIRED
YES ROUP
JOCCUPANT
LOAD
4,
PROGRESS I.NSPECTIONS PER,U130 305
Z
NUMBER OF STORIES
NUMBEROF
DWELL NO
[UNITS I
DES WORK TO BE DONE JATTACH PLOT PLAN)
;BE
&a.0--A J`:�e
FINAL-INSPgCT1ION REQUIRED
%
VALUATION
FEE
PLAN CHECK FEE:
)SY &P&14r 4,MS0LW,AT
BUILDING
PLUMBING
CY CqAqpe_�n
Plan Check No.6?0 6,12,,Y& 61/0
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain.(curts, sidewpiks,
veways, marquees, etc.) will require separate permission.
)j I'
E,
STATE SURCHARGE
_dr
Permit Application: 180 Days
Permit Limit: I Year - Provided Work is Started Within 180 Days
STORM DRAINAGE FEE
130
ENG. INSPECTION FEE
- Applicant, on behalf of his or her spouse, heirs, assigns and
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
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability 'to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
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 the duly
authorized agent of the owner. I agree to comply with city and
a tate laws regulating Construction; and In doing the work authoriz.
SO thereby, no person will be employe4 in violation of the Labor
Code 0 t a State of Washington relating to Workmen's Compensa-
Insuran
MR
ATTENTION A PPL I CAT I OjAffl'V�J3 :I
THIS PERMIT application ii not a permit until
ALT HOR IZ Es This
I
ONLY THE signed by the Building Official
WORK NOTED Deputy; i d ees
aCknowle�d ed in ;cg�
ng
INSPECTION
DEPARTMENT
CITY OF —ONATURE DATE
)S
EDMOND
LATURE(O— 9 AGENT) ju SIGNED
CALL FOR DATE
ATTENTION
IT S UNLAWFUL TO USE OR OCCUPY� A BUILDING OR STRUCTURE
UN71L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
CHAPTER 3.
ORIGINAL — File YELLOW — Inspector
771-0220 PINK — Owner GOLD — Assessor
PROJECT REVIEW CHECKLIST
PROJECT NAME:... 011q/1z_
PROJECT ADDRESS:
STREET F
PLAN CHECK #:
RECEIPT DATE: 3_6
REVIEWED
BY: I
i I ate
PLAN.
WATER
COMMENTS
FIRE
: BLDG.
SEWER
STREET
ENG.
Setbacks/Variance/Setback Adjustment
-------------
Conditional Use Permit
ADB Requirements
x.:
Other Zoning Requirements
Underground Wiring Required
I?- 4191-vz-
Lot Slope 15%
SEPA Environmental Checklist/Hydraulics Permit
. . . . . . . . . . . . . . ...........
Tree Cutting Plan
.. ....
Plat/Subdivision Requirements
------------------------ a
Legal Description Verification oi_-
Quit Claim/Street Dedications
Easements - Public/Private
Engineering Storm Drain Review Fee—
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .....
13.
Engineering 2.2 Inspection Fee z3o
z
14
Drainage Plan (On -Site)
. . . . ............ s
4.
. ...
Setback - Top of Bank, Stream, Water Courses�
. . . . . . . . . . 22. . . . . . . . . . .
Setback - Storm Drain Line
. ......... . . ...
Open Ditch - Existing
I . . . . . . . . . . . . . . . . . . . . . . . . . .
1.11??1?1?1?1?1 11111111111111111111 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Culvert Required
Culvert Size
Shoulder: D rai nage/Sh ale Open Runoff
. . . . . . __
Catch Ba�ln Required
0.
Driveway Slope & Vehicle Access
...........
Sidewalk Required Y45
Cijrb-'& Gutter Required
Curb Cut For Driveway Required IIZS
..... . . . . . . . . . . . . . . . . . . . . . . . . .
Street'Paving Required
Right -Of -Way Construction Permit Re4uirbd �45
Street Name Sign Required
. . . . . . . . . . .
Other Sighing Required
Bond.Required For Public Improvements
FEMA Map Check/Water Table
Side Sewer Availability
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........... ..... . . . . .
.. .... .
Ca, Iculate Sewer Connection Fee If No�LI6- T
. . . . . . . . . .
Cte'ate:Street File -.- A10
Exiisting Water Main Size
60"
Water Meter Size
- ---------
6/9
Service Line Size
Water -Meter Charge Required
ark_
Hydrant, Required
40%
Hydrant Size Existing
Fire Line Charge* Required - Sprinkler
......................
--'- 4 - 2
Street Cut
43:
-ru,2;q-Aitoimg(,
iscellaneous Ot 0,iv-,
4
44
1 499
4' 4
R6viewed,By:,
TRE
2A-L-
FIRE
PLANNING'�. ENG INEERING
PUBLIC W13RKS
RECEIVED'.
MAR 0.! -1992,:*-.
p UBLIC
-WORKS DEPL
I
0
00 1
3
CZ 4
to
It
12
14
Is
t6
17
to
STREET FILE
STATE OF WASHINGTON) as. I hereby certify that the within
instrument was f iled and recorded
County Of SNOHOmISH) in Docket:_LL��� 0 4:7 9
at Page/S
at the request 0 �..V
WITNESS my hand and official sea"
By
4
,When recorded mail to:
:r Z r7i
C3
7
AGREEMENT AND EASE24ENt'-
SNi4Nc
`C0VM TME
For and in consideration of Ton and no/100 Dollars
(S10.00) and other good and valuable consideration in hand
paid, receipt Of which is hereby acknowledged, which amount
includes compensation for that right set forth in this
4- consideration of the I>erformance by the
19
20
zi
22
23,
24
Nq
26
09
Co
C131
C__
—4
r"
13
instrument and enants, set forthe Grantor hereby conveys and
parties Of the cOv
warrants to Grantee the following easement.*
A nonexclusive perl>etual easement across, along, in,
and upon the South I . 03 feet Of --he west 20 feet of
Grantor's property described as parcel 2 in Exhibit
ference. made a part
A, attached hereto and by this re to the property,
hereof, for unrestricted ingress A, from Pine Street
described as Parcel 1 in Exhibit
and egress from the property, described as Parcel 1
in Exhibit A, to Pine Street.
SUBjECT To THE FOLLOWING:
-ISE T . AX 2319ME0073
,J[7:ED 1`1113t: P KENDALL
.J., logn
ATTORNEY AT LAW
jjj%S.%%..ALAq
. K A MEET
SF: ATTLL W I I'*
C12M 19 %., F AX Oil-U-4'
9003160480 �
M
C �:*.;
2
3
4
S
6
10
11
12
13
14
is
16
17
is
19
20
21
22
23
24
25
26
STREET FILE
The cost of maintenance of the road oii this easement shall
be borne equally by Grantor and Grantee.
The rights and obligations of the parties shall inure to
the benefit of and be binding upon their respective successors
and assigns.
DATED this_/ _day of 19
jg
Grantor -7
Grantor
STATE OF WASHINGTON
. ZN
County Of I ga, personally
on this N-day of CL 19
appeared before me
,�
also known as the Grantor, known to me to be the individual
described in and who executed the within and foregoing
instrument, and acknowledged the same res and
voluntary act and deed, for the uses and purposes velftep.
this
S
GIVEN under my hand and official seal
19 C1 ('s
TARY
:.0 N=
N-1
Notary ubli �i�nd for the State f
Washington, residing in A-
A -
My commission expires —
STATE OF WASHINGTON )
)ss-
County of
On this kl�,day of .,19 C' personally
appeared before me
also known as the Grantor, known to me to be the individual
described in and who executed thP .. yAthin d foregoing
instrument, and cknowledged free and
a
voluntary act and deed, for,,ky'. 96 Aapk purposes mentioned.
.t
IVEN under my hand arj� �Oqciak%sAl this_Lk�,1�1-',iay of
19
VOL. 2319PABE007
Q �z SUZANNE P. KENDALL
A,. NX.
ATTORNEY AT LA
ALAtKA5T1tFr.T
y" %
,F.ATTLL WASIONCTON 0911-
5 - '4%
9 0 0.' t% (:,� 10 - T A X 9 1, A.
3 1 GO 4 8 0
APPLICATION
for
The City of Edmonds SIDE SEWER PERMT
NEW CONSTRUCTION E) REPAIRS E] EASEMENT No . ..........................................
nA_n A 1 Cn
V -T %J -T I %I# %J
ovvNm .................. ... Th.o.ma.s ............................................... CONTRACTOR .............. -- ................................................................................ PERMIT No . ......................
.............
ADDIZESS .............. 5.43-Plae ... Street .................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
J
IL
Lu
NAMEOF ADDITION .......................................................................................... . .............................................
DYE TESTED ON SEWER
JULY9 1972
. Approved:
DATE................................................ By- ....................................................................
w".ATY COPY
STREET FILE
EDMONDS OFFICIAL TRUCK ROUTES
CITY OF
I � lffl
NWOWWOALE
LIT
w I
c c
104"1
-7�
—J-1J L Y N N W 0 0 D
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kl4HT$ FLIM 9
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(RLIB
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TO LYWNWOOO
WE
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mcco
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Kill
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W 0 0 D W A Y 1.
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TIT M 0 U N T L A K E
10I.— T E R R A C E
LAX9
STREET Fil
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IA W th
tn 4A W
coo
Inco
A A A
re -I
40
04A
4r--
9a —
,3"f,
14/-f 117-
ft)
I '-I
STREET
FILE
0 PROPERTY LINE
__j4-
NOTE:
0
TIGHTLINE DOWNSPOUT
LINE OF ROOF
ORA S TO INFILTRATION
OVERHANG ABOVE
TRE K DOWN SLOPE
CONC. LANDING
WASHED AGGREGATE
Proposed
AT�-
CONCRETE SURFACE
Residence
uu,
ul
CONC.
PATIO 'w
T-
-"T
BELOW-00'
UOVE EXIST. RESIDENCE-
E4ECTRIC XMER-
uj
8
CONC. LANDINGr-
-rrq 1
_tg
ELECTRIC SERVICE ENrRANCE
IEMOVE EXIST. WOOD DECK
I
REMOVE EXIS"AL
cy
r, ly e w ay
RUN ELECT. POWER
IEMOVE EXIST GRAVEL DRIVEWAY.
-UNDERGROUND
M I- NT_�
PROPERTY LINE of
EXISTING
POWER POLE
EXISTING GRADE
L-EXI$TING
FINISHED GRADE WATER
i
DRIVEWAY APRON
CONTOUR LINES
PONTOUR LINES METER
SHALL CONFORM
DO NOT REMOVE
TO CITY STANDARD
DESIGN REQUIREMENTS
I'VE :5 7;F;5,g TDATUM
POINT:
TOP
OF EXIST. C.B.
REF. EL. 100'-0'
NOTE:
SITE PLAN.
CONTRACTOR SHALL VERIFY INDICATED SITE
ELEVATIONS WHEN LOCATING NEW STRUCTURE ON PROPERT�
SCALE: 1/16" 1' 0
EXCAVATION
NOTE:
CONTRACTOR SHALL VERIFY LOCATION
OF UTILITIES AND COORDINATE SERVICES
INSTALLATION.
f .
CITY
MAR 0!"
STREET FILE
71-0 1 PROPERTY LINE
blwl4lr_
Frc-c
r_� r=�OF' -6
NOTE:
0
LINE OF ROOF
TIGHTLINE DOWNSPOUT
DRARJS TO INFILTRATION
OVERHANG ABOVE
TRENCH, DOWN SLOPE
0
CONC. LANDING
WASHED AGGREGATE
Proposed
VA'T10
CONCRETE SURFACE
Residence
Lu
CONC.
PATIO
IT
BELOW
00'
qu
f
tEMOVE EXIST. RESIDENCE
�jECTRIC M ER-
I
CONC. LANDING--
',e'
ENTR
ELECTRIC SERVICE ENrRANCE
IEMOVE EXIST. WOOD DECK
REMOVE EXIS
AI'K
N'1'::
-i-Privewa
-RUN ELECT. POWER
,IEMOVE EXIST GRAVEL DRIV F,WAY
-
-UNDERGROUND
T-I
PROPERTY LINE 74 .01
78
EXISTING
POWER POLE
EXISTING GRADE
(-EXISTING
FINISHED GRADE WATER \-DRIVEWAY
APRON
CONTOUR LINES
CONTOUR LINES METER
SHALL CONFORM
DO NOT REMOVE
TO CITY STANDARD
DESIGN REOUIREMENTS
DATUM
POINT:
1
1 2p F E�L�L
REF. EL.
NOTE:
CONTRACTOR SMALL VERIFY INDICATED SITE
SITE PLAN. ELEVATIONS WHEN LOCATING NEW STFILICTURE ON PROPERTY, F
EXCAVATION
SCALE: 1/16" = 1' . 0'
NOTE:
CONTRACTOR SMALL VERIFY LOCATIO14
OF UTILITIES AND COORDINATE SERVICES
INSTALLATION.
9-d
MAI? 00
MAR 0 C'
AFTER RECORDING, RETURN- TO:
Thomas E Belt
P.O. Box 216
Lynnwood, Washington 98046
9710090061
10/09/97 10:13
p.0002 Recorded
Snohomish County E X G 15 E . u"X-1.
R r: Q U I R E D
COPY
FILE I
cob% N THE
3" OFFICE
00T 0 9 1997
COB DAIN INI, SP,06misli County Treasuier
l3y_ BOB DANTI-NI -
Document Title(s): NOTICE OF EASEMENT AND MAINTENANCE AGREEMENT
Grantors(s): THOMAS E. AND DORIS M. BELT, HUSBAND AND WIFE
Grantee(s): THOMAS R. AND SANDRA JO TINDALL, HUSBAND AND WIFE
Legal Description: NW1/4, NW1/4, SECTION 25, TOWNSHIP 27 NORTH,
RANGE 3 EAST,W.M.
Assessor's Property Tax Parcel/Account Number(s): 252703-2-137-0009,
252703-2-122-0006
252703-2-121-0007
TO -ALL WHOM THESE PRESENTS CONCERN:
Notice is hereby given that THOMAS E. BELT and DORIS M. BELT, husband
and wife, owners of the following described properties, situate in the County
of Snohomish County, State of Washington, to wit:
TRACT A
Begi ' nning at the Southwest corner of the Northwest quarter of the Northwest
quarter of Section '25, Township 27 North, Range 3 East, W.M.; thence
N 89137'03" E along the south line of said subdivision, a distance of 425 feet
to the True Point of Beginning; thence continuing N 89037'03" E, a distance
of 30.00 feet; thence N 0139'00" W, a distance of 103 feet; thence
S 89037'03" W, a distance of 5 feet; thence N 0039'00" W,'a distance of
56.88 feet to the point of curvature of a curve -to the right having a radius of
20 feet; thence northeasterly along said curve consuming a central angle of
90', an arc distance of 31.42 feet; thence N 89021'00" E, a distance of 5
feet; thence N 0039'00" W, a distance of 12 feet; thence S 89037'03" W,
a distance of 60 feet; thence S 0039'00" E, a distance of 12.64 feet to the
point of curvature of a non -tangent curve having a radius of 20 feet and which
radius point bears S 13149'39" W from said point of curvature; thence
southeasterly along said curve consuming a central angle of 75'31'21", an
arc distance of .26.36 feet; thence S 0039'00" E, a distance. of 61.57 feet;
Thence S89137'03" W, a —distance of-5 feet, thence S0-939'00�`E, a --
distance of 92.5 feet to the True Point of Beginning.
does hereby reserve and convey unto THOMAS R. TINDALL and SANDRA JO
TINDALL, husband and wife, their heirs, successors and assigns, owners of the
following described property, situate in the County of Snohomish, State of
Washington, to wit:
Lot 1 of City of Edmonds Short Subdivision No. S-13-89 as recorded under
Auditor's File No. 8912270038, records of Snohomish County, Washington.
(ALSO known as a portion of the Northwest quarterof the Northwest quarter
of Section 25, Township 27 North, Range 3 East, W.M., in Snohomish
County, Washington.)
14
'3'1 -1
—16 1 ob.1 1 -7 7Y/I
LC--
ZD
a
a permanent easement for the installation, maintenance of ornamental fencing,
landscaping, lawn and appurtenances, over, under, across, through and upon the east
5 feet of the south 103 feet of the hereinabove described Tract A.
Maintenance, repair and/or reconstruction of any fencing.or ornamental landscaping,
lawn or appurtenances installed within the easement right of way her6inabove
reserved and conveyed shall be the responsibility of and the cost of said maintenance,
repair and/or reconstruction, shall be borne solely by the beneficiaries of the easement
right of way herein reserved and conveyed, their heirs, successors and assigns.
This instrument shall be a covenant running with the lands hereinabove described and
is binding upon the owners of such lands, their heirs, successors and assigns, forever.
IN WITNESS WHEREOF we hereunto set our hands and seals this -M day oi
October, 1997.
� �i W 4, 1 z -0 J- 1 0 --
Thomas E. Belt Dor I fl��
Thomas R. Tindall Sandra Jo Tinq)ae
State of Washington
ss.
County of Snohomish)
I certify that I know or have satisfactory evidence that THOMAS E. BELT and DORIS
M. BELT, husband and wife, are the persons who appeared before me, and said
persons acknowledged that they signed this instrument, and acknowledged it as their
free and voluntary act and deed for the purposes mentioned in this instrument.
06 Vanz
Dated \; .......
0
2$Z5
Q
hAary public in and for thrState of
SO xG
Washington, residing at PUBV
...24
my appointment expires
"1111111"k \\N
SE
PERMIT
CITY OF EDMONDS
ZONE
NUMBER �2
CONSTRUCTION PERMIT APPLICATION
joa SUITE/APT #
ADDRESS
OWNER NAME/NAME OF BUSINESS
P
ge Q-,jA.4 :71-_
EGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
uj
Z
MAILING ADDRESS'
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP'Apiprovedt 0
0
n -1 1-;
EXISTING — REQUIRED DEDICATION
a� 0
RW Permit Requije
Street Use Permit Reedo,413
CITY ZIP
TELEPRONEf4UMBERI
&
I
PROPOSED
Inspection Required,4,/,/V t)
Sidewalk Required 0
NAME
0
a:
w
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 11
1
0
ADDRESS
u
REMARKS
0
uj
CITY ZIP TELEPHONE NUMBER
<
P 41" 1,
w
Z
PET= 1�
NAME
w
ADDRESS
ENGINEERING MEMO DATED REVIEWED BY
0
0
CITY ZIP
TELEPHONE NUMBER
FIRE MEMO DATED REVIEWED BY uj
Z
1
0
U
cc
STATE LICENSE NUMBER EXPIRATION DATE
VARIANCE OR CU ACS# SHORELINE #
Legal Description of Property - include all easements
8 , SEPA,,REVIEW SIGN AREA HEIGHT
6MPCETt EXEMPT ALLOWED PROPOSED ALLOWED
1PROPOSED
I
o.
EXP
u)
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT.)
w
0
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
Lj
_j
�
Z
Z
5
_j
Property
Tax Account
_T
LOT AREA
I G REVIEW,,
DATV
Parcel No. 000
f�) 70
E] NEW RESIDENTIAL PLUMBINGIMECH
P
EMARKS ."p,
T
94 Z�o
i6,ou
hj .4. 11,7
COMPLIANCE OR
ADDITION 1:1 COMMERCIAL E] CHANGE OF USE
APT. BLDG.
1:1 0-
REMODEL SIGN
eKECKED BY
TYPE OF CONSTRUCTION
CODE
OCCUPANT
GRO
GRADING r FENCE
REPAIR CYDS. I x — FTn)
1
1 24
e
,
DEMOLISH WOODSTOVE SWIM POOL
11 INSERT El HOT TUB/SPA
SPECIAL INSPECTOR " _JAREA_
_;3CCCURA_NT
REQUIREI
LOAD
RETAINING WALL1
REMARKS
DGARAGE
CARPORT El ROCKERY El RENEWAL
PROGRESS INSPECTIONS PER UBC 108
Z
a
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
_j
D
NUMBTR NUMBER OF CRITICAL 0/,? 1 bejekgi�
Lu
a
OF DWELLING AREAS
W
0
ST RIES UNITS io NUMBER21-/97,
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN'
FINAL INSPECTION REOUIRED
VALUATION
FEE
CHECK FEE
13UILDING
16k I* SO,UtiL,=:
PLUMBING
MECHANICAL
Plan Check No.
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curts, sidewelks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
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
ENO. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
ow)
harmless the City of Edmonds, Washington, its officials,
m
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
TOTAL AMOUNT DUE
0
X
nor limit in any way the City's ability to enforce any ordinance
provision."
I hereby acknowlTdge that I have read this application; that the
information given is correct; and that I am the owner, or tho 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 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 ofthe State of Wash I ngton.relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion InLi!rance aria Rd—WT8.27. acknowledged in space provided.
INSPECTION
SIGNATURE (OWNER O�_�GENT) DATE SIGNED DEPARTMENT
.4 OFFICIAL'S SIGNATURE
CITY OF
EDMONDS
e;ATE
ATTENTION V CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORYINA — File YELLOW — Inspector
771-0220 L
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109 PINK Owner GOLD — Assessor
102-87
4
TEE
r
t)'CONTROL C.B.
TYPE 1, CEI '15
15' DIA. X 80
N-12 ADS PIPE
MOVE EXIST. RESIDENCE
MOVE EXIST. WOOD DECK
4' DIA. TIGHTLINE
FROM ALL DOWNSPOUT
DRAINS AND DRIVEWAY
DRAIN TO INLET C.B.
:MCIVE EXIST GRAVEL DRIVEWAY -
INLET C.B.
TYPE 1, CS 15
0 6, 64
A)v
ky
1�v
PROPERTY LINE
f4* PIP - ----- (-4' PERF PIPE
_gill CR
RGNCi1FF EZD
OUTLET, 40 FT. LONG
LINE OF ROOF
/' OVERHANG ABOVE
Proposed
Residence
E�ECTRIC 71 E
-ENTRY
L 'I _j
REMOVE E IS,)�-`WA K
riveway-,-,
PAVEMENT.
PROPERTY L94E 74.01
01
feel i� 'Irel-
'?AAI4�
CC
-WASHED AGGREGATE
CONCRETE SURFACE
f-A "N
cr
uwj
SERVICE
RUN ELECT. POWER
UNDERGROUND
EXISTING
POWER POLE
L.EXISTING
EXISTING GRADE FINISHED GRADE j WATER DRIVEWAY APRON
CONTOUR LINES CONTOUR LINES METER SHALL CONFORM
DO NOT REMOVE TO CITY STANDARD
DESIGN REOUIREMENTS
114\IE 52_��'t5TDATUM PO INT:
'�U
2 Ar
C; ep 0 F� ej
04 t.(
gr4 '�Ao 9 t� et
'c Dr -
SITE PLAN.-O
SCALE: 1116* V-0-
APPROVED AS NOTED
,Alo C 6
7c/
I
-dr-
I
NOTE: �
CONTRACTOR SHALL VERIFY IINDICATEE) SITE
ELEVATIONS WHEN LOCATINO NEW STRUCTURE ON PROPERTN
E)tCAVATION
NOTE:
CONTRACTOR SHALL VERIFY LOCATION
OF UTILITIES AND COORDINATE SERVICES
INSTALLATION.
Lu
LJL BY,,PLANNINIG
Uj
Lu
co STREET FIL
Cal
0
XAQ
T
CONTRACTOR
CONTACT PHONE
PROJECT ADDRESS
ZONING 1105 60000
SITE AREA
ALLOWABLE SITE COVERAGE '5
-PROPOSED SITE COVERAGE 10, `7 0/6
REQUIRED SETBACKS F.ZO S 6' S 51 B/5/
PROPOSED SETBACKS
F Z�5-0 S jo,(p S 5-0 132a.
MAXIMUM ALLOWABLE BUILDING HEIGHT Z57 -0
m
MAIN FLOOR AREA 1&-2 1
SECOND FLOOR AREA 72-80
THIRD FLOOR AREA
BASEMENT AREA 4,5 6
GARAGE AREA -7 7..7
TOTAL GROSS AREA 068
TOTAL GLAZING AREA 2- S_
TOTAL HEATED AREA
GLAZING TO FLOOR AREA RATIO %
BUILDING HEIGHT CALCU LATION
CORNER A EL._ 10.
CORNER B EL. 0'
CORNER C EL. qzl! 5""
CORNER D EL. 6 1 -,8
TOTAL -3-77'77" + 4 EL.
ALLOWABLE BUILDING HEIGHT + 25'
MAXIMUM ALLOWABLE BUILDING HEIGHT: E L.
PROPOSED MAXIMUM BUILDING ELEVATION: EL.
IMPERVIOUS AREA CALCULATION
BUILDINGS 1-11f SF
DECKS 2 49 SIF
PATIOS I "/ SF
WALKS SF
DRIVEWAY q 3 SF
.'310/ SF
EXISTING
-BUILDINGS
SIF
DECKS
SF
PATIOS
59
SF
WALKS
2-
SF
DRIVEWAY
1013
SF
Z 7
SF
TOTAL
IMPERVIOUS
AREA
El INFILTRATION TRENCH REQUIRED LF
[I DETENTION PIPE REQUIRED LF
IV NO ON -SITE DRAINAGE DETENTION SYSTEM R
14,1,011
IJ
TEE W/ 7/8"
ORIFICE DIA-
CONTROL C.B.
TYPE 1, CB 15
15" DIA. X 80 FT.
N-12 ADS PIPE -_
71t - 0 PROPERTY LINE
f4" PIP 4" PERF PIPE
RGN6FF ETDIfR
OUTLET, 40 FT. LONG
0 HA Z ABOVE
_CVERLINE OF ROOF
m
,,,-"-WASHED AGGREGATE
CONCRETE SURFACE
Proposed
rul
N
Residence
J
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1j;
REMOVE EXIST. RESIDENCE-1
4
\i
I
ELLECTRIC MF(ER
REMOVE EXIST. WOOD DECK
4' DIA. TIGHTLINE
FROM ALL DOWNSPOUT
DRAINS AND DRIVEWAY
DRAIN TO INLET C.B. -
REMOVE EXIST GRAVEL DRIVEWAY
INLET C.B.
TYPE 1, CB 15
EXISTING GRADE
CONTOUR LINES
-ENTRY
L A.L AY—..:-
L
r ul
01 L;
cac
uj
IL
0
m
IL
I -ELECTRIC SERVICE ElRANCE
REMOVE EX
llSXAWA�K
RUN ELECT. P.OWER
riveway
-UNDERGROUND
U'
NI
ASPHA
PAVEMENT
PROPE13TY LNE 74 0 1 mz==
E X
XISTING
PO ER POLE
EXI�TING DRIVEWAY APRON
FINISHED GRADE WATER SHALL CONFORM
CONTOUR LINES METER TO CITY STANDARD
IAO DO NOT REMOVE DESXM REOUREMENTS
5"""-��15TDATUM POINT:
TOP OF EXIST. C.B.
REF. EL 100
NOTE. -
OONTRACTOR SHALL VERIFY MICATED SITE
I T E P' L A N ELEVATKMS WHEN LOCATING NEW STRUCTURE ON PROPERTY, PRIOR TO
EXCAVATION
SCALE: 1/ 16H
NOTE:
CON -TRACTOR SHALL VERIFY LOCATION
OF UTILITIES AND COORDINATE SERVICES
INSTALLATION.
RECEIVED
14AY 5 1992
PERMIT COUNTER
jjv- \.\NS
to "S-xV,-'D
Not,
0%S-4\5 ,
;��XAJO
�kss
11
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LL.
of.-,
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RECEIVED
MAY'
.51992
PERMIT COUNTER
'40 4 A / �AD �4 c. t�-
CONTRACTOR
CONTACT PHONE
PROJECT ADDRESS
ZONING /�c 5 & 00 0
SITE AREA
-7&Z7-
ALLOWABLE SITE COVERAGE
-PROPOSED SITE COVERAGE 57_-�
REQUIRED SETBACKS
F ';0 S 5
S
B 15
PROPOSED SETBACKS
- 0
F S 10 '(P'/ S 15�0'_B2_a!
MAXIMUM ALLOWABLE BUILDING HEIGHT -1,
MAIN FLOOR AREA
SECOND FLOOR AREA
THIRD FLOOR AREA
BASEMENT AREA
1456
GARAGE AREA
77,7
TOTAL GROSS AREA
5063
TOTAL GLAZING AREA
z 5- 5 /z,
TOTAL HEATED AREA,
GLAZING TO FLOOR AREA RATIO 70� Z
I
%
BUILDING HEIGHT, CALCULATION
CORNER A E L. 0
CORNER B EL.
CORNER C EL.
CORNER D EL.
TOTAL 577 17' + 4
ALLOWABLE BUILDING HEIGHT
f 3 1,
MAXIMUM ALLOWABLE BU ILDING HEIGHT: EL.
PROPOSED MAXIMUM BUILDRIG ELEVATION: EL.
BUILDINGS 7 If SF
DECKS SIF
PATIOS SF
WALKS, SF
DRIVEWAY SF
_j_j —0/ S F
EL.
+
EXISTING
BUILDINGS
SF
DECKS
SF
PATIOS
SF
WALKS
SF
DRIVEWAY
SF
SF
TOTAL
IMPERVIOUS
AREA
[I INFILTRATION TRENCH REQUIRED LF
El DETENTION PIPE REQUIRED LF
NO ON -SITE DRAINAGE DETENTION SYSTEM 7j
TEE W/ 7/8'
ORIFICE I CIA.
0 1 PROPERTY LfNE
CONTROL C.B.
TYPE 1,
_LjLPIPE 4' PERF PIPE
C8 15 A-.
RUNOFF SPREADER
OUTLET, 40 FT. LONG
N
LINE OF ROOF
OVERHANG ABOVE
15* DIA. X 80 FT.
N-12 ADS PIPE
to
-WASHED AGGREGATE
Proposed 11 ��ATIO
CONCRETE SURFACE
Residence
Lu
cc
�LT
0
a:
uj
IL
REMOVE EXIST. RESIDENCE
Cr
w
E4ECTRIC E
JR
-EN
A
-ELECTRIC SERVICE ENTRANCE
REMOVE EXIST. WOOD DECK
_Lj
4' DIA. TIGHTLINE
FROM ALL DOWNSPOUT
DRAINS AND DRIVEWAY
0/�
REMOVE EXISY/WALK
DRAIN TO INLET C.B.
REMOVE EXIST DRIVEWAY
-RUN ELECT. ROWER
GRAVEL
INLET C.B.
0AV
-UNDERGROUND
TYPE 1, C8 15
PROPERTY LrNE 74.0 1 8
wk-tl� R av
EXISTING
POWER POLE
EXISTING GRA DE
J
FINISHED GRAD!
T
EXISTING DRIVEWAY APRON
WATER
CONTOI IR LINES
CONTOUR LINES
RACMri
SHALL CONFOFrfA
DO NOT REMOVE TO CITY STANDARD
DESIGN REOLMEMENTS
1"INE 57��'1!5TDATUM POINT:
TOP OF EXIST. C.B.
REF. EL. 100'-0'
rE PLAN
SCALE: 1/16"
Lu
Lu
NOTE. -
CONTRACTOR SHALL VERMY INDICATED SITE
ELEVATIONS V4'KSN LOCATING NEW STRUCTURE ON PROPERTY, PRIOR TO
EXCAVATION
NOTE:
CONTRACTOR S+IALL VERIFY LOCATION
OF UTILITr=S AND COORDINATE SERVICES
INSTALLATION.
OVED
r
S"TRE1.7 FILE.
RECeIVED
MAY 5
PERMIT COVAITE1
.10
I
--I� /0 r-,lvq /- I/ --
/A) 14 (o
Recelveo
MAY -' 5 1992
PERMIr couVrER