554 6TH AVE S.PDFiiiiiiiiiiii
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554 6TH AVE S
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: www.ci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
August 13, 2002
James H. Little
5566 th Avenue S
Edmonds, WA 98026
Re: Address Correction
Dear Mr. Little:
GARY HAAKENSON
MAYOR
This letter is to inform you of an address correction. Your building application list
5546 th Avenue S as the site address. � You have requested that address be
. changed to 556 6th Avenue S. You currently live at 556 6 th Avenue S and have
requested that address be changed to 554 6th Avenue S.. In essenc . e you are
switching the two addresses. I will inform all City Divisions including Fire, Police,
Utility Billing, Public Works and Building.
it is your responsibility to inform the Post Office and all other interested parties of
this correction. -We apologize for the inconvenience this may cause you and
greatly appreciate your cooperation.
Sincerely,
V64eve 4op en "SWrvice�s
cc: Fire Department
Police Department
Utility Billing
Public Works
Building Official/Street File
Incorporated August 11, 1890
Sister City - Hekinan, Japan
DA ZoneF N.W. 1/4, SEC. 25 T.27N., R.3 E.W.M. 153
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Address-!dKonstructioh
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Property tax A�,p unt'P.
Attacfi copies dfall-access and utility easements
Owner and/or Contractor: I- r ",
Contractor License #: GAZ I's
XSingle Family
F� Multi -Family (No. of Units
F-1 Commercial (No. of Units
F] Public
PERMIT NO:. 9645 (Ld
PERMIT EXPIRES
Verified and Approved b
ilding Permit #: 5aa C )I S
lniva�sion i�nto City *Right --of Way: es El No
*RW Construction Permit
Cross other "Private Property: El Yes No
A -A Y_
"Attach legal description and copy of recorded easement.
Owner or contractor signature and acknoA�Iedgement statement:
By signingfor this permit I certify that I have read the, City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein.,
CALL. DIAL -A -DIG (1-800-4*,-5555) BEFORE ANY EXCAVATION 9
W- FOR INSPECTION CALL 425-771-0220 extension 13i=
NOTE: IF JOB, SITE IS NOT READY. FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES 'NO '--Date: Initial:—
.Partial Inspection: Date: Initial:.
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Dat e: 1: As -built to Street File:
n Initia W."
PERMITMUST BE'POSTMON JOB SITE,'6-
� I . White Copy: File Green Copy: Inspector Buff Copy: Applicant
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CITY OF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
554 6TH AVE S
PERMIT
NUMBER 9645
HOMEOWNER xxxxxxxxxx
CONTRACTOR B & M
CONTRACTORS
DATE
08/28/02
DRAWN
BY
ISMAEL ABILA
4r
V
pin M
City.of Edmonds WHILLI FILL Permif No: OW44f- WO
RIGHT-OIF-WAY"CONSTRUCTION.PERMIT Issue Date: 7—/0—t!V_
\_j
L
A. Address or Vicinity of Construction:
o
B. Type of Work, (be specific):
4
0\ 1i � / 7�Z) Li,12 f21- 7
V) c)
C. 'Contractor: L & _LX K�, Contact:
0 1 - : � , . . . .
j Phone:
Mailing Address7
--;'I Liability Insurance: Bond: $
1� State License #:- 4
D", Building Permit�#'(if applicable): Side Sewer Permit # (if applicable):
E F-1 Commercial , - E] Subdivision [:] City Project EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
Multi -Family Single Family r-1 Other
INSPECTORI
V
PAVEMENT: F-1 NO G. SIZE OF CUT X 30 H. Charge:
CONCRETE CUT: ;KYES F-1 NO
f Edmonds harmlessfrom injuries
IDEMNITY.- 'Applicant understands by. hislher signature to this application helshe �21ds the City o
damages or. claims of any kind or:'description'7ha-tsoever,-foreseen or unforeseen, th-a-f-may de against the City of Edmonds or
10e ma
any of its departmehts or emplo�des, including but *not limited to the defense of- izny legal �roceedings including tl�fense costs and
attorneyfeesby reason ofgranti�Lthis permit.
THE CONTRACTOR IS- RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBITOR CREDIT WILL BEPROCESSEDFOR ISSUANCE TO THEAPPLICANT.
Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. 'Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the
required training in their possession.'
Rejstor�tiofi is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday - NO EXCEPTIONS.
Three sets of constiuction drawings of proposed work are required with the permit application..
VESTATEMENTSAND UNDERSTAND THE PERMIT REQUIREMENTS, AND ACKNOWLEDGE
I HA VE READ THE ABO f 4
THA*T I MUST MAKE, THE PINK COPY OF THE PERMIT AVAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
Date:
13 �9
Alk
Signature: J
(Contractor or Agent)
CALL DIAL -A -,DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
-FOR CITY USE, ONLY
A I
Approved by:
��T�i u d: Void After
me A'thdr.ize
-"Special Conditions: 6#5,umlo -w
kight'-of-way Fee:
,Disruption Fee/Rind 11-1:
Restoration Fee: A
Totaffee:_..
Receipt. No:
k r v-i-i I C_-T r%*7 A A I
7
7U`P6N"C'OMPLtTI0N*"OF PfWITTEWWORK�,AN' ENG�INEERING:'FINAL�_,"-,':�
INSPECTION IS REQUIRED PER CHAPTER, 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE.
FINAL APPROVAL OFPERMITTED WORK. Clou,4 00 ��I;i e'),6D,1JqW'd"
INSPE&ORS SIGNATURE DATE: 10/1-7/07
Foe inspection requirements see Engineering Information Handout. J C61 IiA5
TO PERMIT ISSUANCE
WORK SI-IALI.
BEGIN PRIOR
ENO
a
6
00
WALNUT ST
CH & 'E
2" X 9 MPE ELL
3 3 2�'.
0 NR C/M
2 W., . IN
F I
lEb, C ------
Ai' # 1 0" MPE ELL
3 9 S 4'E CIM
2 SMEDILLOC ------
LO
FLfo �o
z
C
30 R�
EX. 1 !44" PE IP 23'S
Cb
TEST & TIE E.Y. 518" MPE SVC
TO NEW MAIN ZL
PROP. Z' MPE IP MAIN Ai-
�#E CIM
�a,-mL V5 3S 0q6H,V) M&,""L
C/M Q
END OF MAIN Al
[,�JJF[ELD LOC.
IV
--HEMLOCK WAY
z�PLOT PLAN.
SCALE. 1"=50'
FITTER (CHECK BOX IF COMPLETE)
Work area left in Clean & Safe ondition
Complete all Pipe Tables and Gas Pressure Stamp
Field changes Red -Lined -on as -built
Material verified and Chcnges noted on paperwork
All Valve & Tie-in Locat','ons noted on as -built
Note beginning of Main, EOM & Line of Main locations
Show Rope Locations & Cul-de-sac Radius
Foreman's Signature
Company
- Employee ID#
El
STANDARD NCC GAS CONSTRUCTION NOTES,.
1. FIELD LOCATE ALL UNDERGROUND UTILITIES. CALL "ONE- CALL! TWO WORKING
DAYS PRIOR TO CONSTRUCTION. 1-800-424-5555.
2. ALL CONSTRUCTION IS TO CONFORM TO PSE GAS OPERATING STANDARDS
AND GAS STANDARDS PROCEDURES MANUAL
3. INSTALL MAIN VALVES OUT OF TRAFFIC WHERE POSSIBLE.
4. ANY CHANGE IN ROUTE. TIE-IN METHOD OR ADDITIONAL MAIN FOOTAGE MUST BE
APPROVED BY PROJECT MANAGER.
5. COMPLETE *PIPE CONDITION REPORT" ON ALL EXPOSED EXISTING PSE
FACILITIES. CHECK BOX ON REPORT FOR WIRE BOX (TEST LEAD)
INSTALLATION.
6. INSTALL ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE. INSTALL
ANODE AND TEST LEAD WIRES PER PSE GAS OPERATING STANDARDS 14.2 AND
14.5.
7. MAINTAIN CATHODIC PROTECTION FOR STEEL MAINS BY THE USE OF
CONTINUITY BONDS OR OTHER MEANS DETERMINED BY THE PSE CORROSION
ENGINEER PER PSE GAS OPERATING STANDARDS 10.3
8. INSTALL ANODES AND TEST LEAD WIRES AS REQUIRED PER PSE GAS
STANDARDS PROCEDURES P0201 AND P0303 AND PSE GAS OPERATING STANDARD
10.2. TEST LEAD WIRES ARE REQUIRED ON ALL TRANSITION FITTINGS.
9. REFER TO PSE GAS OPERATING STANDARD 6.8 FOR MAIN AND SERVICE COVER
REQUIREMENTS.
10. MAINS AND SERVICES SHALL BE TESTED AND PURGED PER PSE GAS
OPERATING STANDARDS 6.14 AND 6.17.
11. CUSTOMER TO PROVIDE ALL TRENCHES ON PRIVATE PROPERTY PER PSE
STANDARDS.
12. EROSION AND SEDIMENT CONTROL SHALL BE PER PSE STANDARD PRACTICE
0150.3200 TECHNIQUES FOR TEMPORARY EROSION AND SEDIMENT CONTROL AND
ANY ADDITIONAL LOCAL JURISDICTION REQUIREMENTS.
13. TO PREVENT ACCIDENTAL OVERPRESSURE OF ADJOINING SYSTEM. NO TWO MAINS
SHALL BE CONNECTED EXCEPT AS SHOWN ON THIS DESIGN UNLESS APPROVED BY
A PSE REPRESENTATIVE
14. SYSTEM MAGP DENOTED BY SYSTEM MAOP - 45 PSIG.
Estimated Actual
Type/Work jPipeSIze Type Length Length Manufacturer
INSTALL
1 2'
MPE
Ito'
GAS MAIN PRESSURE & TESTING
TYPE TEST
PRESSURE
I TESTED BY
DATE ON
TIME ON
DATE OFF
TIME OFF
Desig Press_ 60 PSIG
SYS MAOP 45 PSIG
PROJECT PHASE
NOTIF#
ORDER#
SAP Superior
Service/Meter
Bervice/Meter
Service/Meter
Servioe/Meter
Ind. Service
Ind. MSA
DIs. Reg. / FT
HP Svc1MSA
Relocate
Retirement
X626861725
107012911
X626861725
106083597
XM76263
tractor CONSTRUCTION COST CODES:
021-103.1 1 L- E-
Projed Manager Contact Infommition:
D.USITAL0
425-327-3451 Call Ptx)w
N/A Paw
V1c11?1t1hfm,i-
-L
0
4
C)
C.0
- Ownerl Developer Contact Info
JAMES LITTLE
556 6TH AVE S
EDMONDS, WA 9W2O
ATTN: JAMES LITTLE 425-778-7620 office
CALL (800) 424-555-
2 BUSINESS DAYS BEFORE YOU DIC-
THIS SKETCH NOTTO BE RELIED UPON FOR EXACTLOCATION OF FACILRIFS
N/A
EDMON S
REV#
DATE
BY
IDESCRIPT11ON
FUNCTION
CONTACT
PHONE NO
DATE
3
PROJECT MGR
D.USITAL0
206-418-4236
04-17-02
2
I
ENGR-GAS;
6A6 AV
jawr
CRA AVI I Lffff OP AWAY
DRAWN BY
MLOCK
206-418-4217
04-17-02
CHECKED BY
COUNTY
-SNOHOMISH
EMER SECT
5
GAS WK CTR
MNSNHG
APPROVED BY
FITTER #1
1/4 SEC
NW25-27-3
OP MAP
16CO62
PLATMAP
1".066
FITTER #2
MAPPING
JOINT FACILITIES ARRANGEMENTS
UTILITIES
CONTACT
JAMES LITTLE
INSTALL 2" MPE IP MAIN
554 6TH AVE S
SAP Superior Order
DESIGNED BY PILCHUCK CONTRACTORS INC.
107012911
2L SCALE PAGE
1.=501 I 1ki
City of Edm * onds Permit No: op -
RIGHT -OF -WAY CONSTRUCTION PERMIT issue Date:
A. Address or Vicinity of Construction: A Vt� _S
B. Type of Work (be specific): —
Contractor: `�B'f A4 6MM&A9M24iS_
Mailing Addrew To ?Lcy
State License #
D. '� Building Perini -
,�E
Contact:. [�N axl_=_
q � '5 z
Phone: '4257
Insurance: Bond: $ 12,000
ver Permit # (if applicable): 4qz0q5"_
Commercial, F1'Subdivision _'__�City Pr6ject E] EUC (PUD, VERIZON, PSE, AT& T, OVWD)
M -Fa rhi El
ulti b4ingle.Family Other
INSPECTOR:
F. PAVEMENT CUT: e0-YES, D NO G. SIZE OF CUT X
CONCRETE CUT:. El YES 0
All'LICANTTO IZEAI) ANI) SIGN
INDEMNITY. Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmless ftom
.injuries, damages or claims of any kind or description whatsoever, foreseen or unfi6reseen, that may be made against the City-oi�'
Edmonds or any of its departments or employees, including but not limite-77o the defense.4�ny legal proceedings including defense
costs and attorneyfees� by reason ofgranting this permit.
Nc�
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP,AND MATERIALS FOR A PERIOD. OF ONE YEAR FOLLOwNGTHE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED -RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT W1LL BE PROCESSED FOR ISSUANCE TO THE APPLIC4NT.
* Traffic control and public safety shall be in accordance with City regulations as. required by the City Engineer. Every
flagger must be trained as reqiiired'by (WAC) 296-155-305 and'must have certification verifying. completion of the
required training in their possession.
* Restoration is to be in accordan*ce with City codes. All streOt-cut trench work shall be pa�ched with asphalt or City -
approved material prior to the end of the workday " NO EXCEPTIONS.
* Three sets of construction drawings of proposed work afe required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK- -
I HA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
TkA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
Signature- Date:
.d
I M
gent)
ci ' ty.
USEONLY,
Approved by: L �A Right--;of,v�ay,.Fee,: r
Time Authorized: Void After e!P_S11 Disruption Fee/Fund-IM,
Special Conditions:, CITV Restoration -Fee'.
Total Fee-
Recei pt No:,
Issued- by:
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING- FINAL
INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE-EDMONDS
COMMUNITY DEVELOPMENT CODE, (Phone 425-771-02.209 Ext. 1326)
DA
FINAL APPROVAL OFPERMITTED WORK. TE;
h7spector's Signature
For inspection requirements seeEngineering Inspec , hon Information handout.
NO WOIZK SHALL ffl,C IN I'M011 TO 11EIM IT ISSUANCE
DAMy Documents\Forms\Engnr�g\ROWpermit—.doc
7. RIECEIVED
City of Edmonds fataft
CRITICAL AREAS CHECKLIST 'PERMITMOUNTER
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 sub ect 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 infor mation (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
Street Address
city State Zip
Telephone
Signature
Date
Applicant Representative:
Name
6 �, a VC - S -
Street Address
city /State Zip
-7 729 --7 ?,--0
Telephone
Signature
�� . �7; . 0 0
Date
cseception\janakaddoc
(over)
CA FILE NO
Critical Areas Checklist
CA -?to c - (-L
--------------------------------------------------------------
Site Information (sO*IIS/tODOgraphy/hydrology/vegetation)
I Site Address/Location: eV VX
2. Property Tax Account Number: 7--jn Z-�Z� 03a 13S 00
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? _yes; �,/no.
If yes; how is site developed?
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 10-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: g rades 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 contains areas of year-round standing water: ,� 0 ; Approx. Depth:
7. Site contains areas of seasonal standing water: /119 Approx. Depth:
What season(s) of the year? 1 /�,
I L
8. Site is in the floodway /1 d floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? — 4110 — Flows are seasonal? Al 0 (What time of year? h14
10. Site is primarily: forested ; meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: 4X
DETERMINATION
^ca.chkAoc.- Rev 10/03/97
-t-4 C. 189")
March 2, 2000
Daniel Little
556 e Ave. South
Edmonds, WA 98020
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Subject: Determination regarding Critical Areas Checklist # 2000-12
GARY HAAKENSCIN
MAYOR
Dear Applicant:
Enclosed please find a copy of Ahe 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 ENVIRONMENTAL CHESIWSI OR CRITICAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINA77ON WITH ALL
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.
Shada Graham
Planning Secretary
C:ReceptionUana\CRLTR.doc
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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JTY OF EDMONDS W Irpermit No.
PUBLIC WORKS DEPARTMENT Issue Date
RIGHT - OF - WAY CONSTRUCTION PERMIT
S r U d
A. *Addre5s or vicinity of Camtruc
on
Tt Lt;,
Name
WI) k- 3 to 31
Mailing Address
City, S ta te, Zip Code
Contractor:_'PIA.0. q� swi))A, Ci
Name
A-) Q N k M q q
Mailing Address
U �J 0 R
City, State, Zip Code
P11.1)_*1 S�IJAO (,DUL
T
;e of Work to be Done: (._;� 0 ft K D 04D
T_(ZL!4 LNA IQ 1A)
• Work in Connecti on With:
El Sub or Plat >( Single Family
El Comml. / Ind. 0 Apt. Condo.
• Pavement Cut: 0 Yes )( No
v W V
State License Number
) )!!q:— -- CD-)) d-
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand th I at this pynITI-t e av ilable t the
Signature:_NZX
Owner or A�gent
THIS PERMIT MUST BE POSTED A'
site for inspection purposes at all times.
ae kh
JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Void after —days
Special Conditions:
Ammendments:
Permit Fee: /r.00
Security Deposit: 61
Receipt No.:
F u nd I I I Fee:
Street Cut Dimensions
� X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
DATE:
14EMO TO: Building Division
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT:
After review of the subject building permit application, we have
the following comments:
E2.1
— — — — — — — — — — — — — — — — — —
IIW.0;12� -r---
NWAPTIff 4P or-W-.f=
am
—.9 M Lira N-40--M
M
7-H-S
-2
--1-60 3(o
Sr"WIT" F"
N-�t-ET FILE
DATE: I � - I L-A - -7 "�>
14EMO TO: Building Division
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT:
After review of the subject building permit application, we have
the following comments:
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BUILDING DIVIS10ir Applicant Fill
PERMIT APPLICATION Inside Heavy Lineis
NAME JOR W—Amis OF BUS,
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CITY
FELEPHONK NUMBER
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NAME
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U `ST_A_T_ff_L_1ZF_NSE NUMBER CITY LICENSE NUMBEi
Legal Description of Property (Show Below or Attach Four Copies
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LEGAL DESCRIPTION I SUDDIVISION I'SHORT SUB Nu
-7- 715
1
PUBLIC RIGHT Or WAY PER OFFICIAL. S'jR91ffT MAP
EXISTING Itr_-i
PROPOSED
DEFICIENCY Or RIGHT OF WAY
PUBLIC IMPROVEMENTS REQUIReO 0
DRAINAGE IMPROVEMENTS REQUIRED 0
DRAINAGE PLAN REQUIR190 0
UNDERGROUND WIRING REGUIREO
C:ONNECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REO-0 0 NO.
ELEVATION OF PROPERTY CORNERS 0
& FOOTINGS REQ-0
SEE ENGINEERING MEMO DATED
0 By
METER SIZE 113UILDING SUPPLY SIZE
SIGN AREAPOSED JCOMENV. REVIEW
ALLOWED I PRO PLETF4 EXEMPT
RELINE
REMARKS
VARIANCE OR CU JPL.ANNING REVIEW By JDATE
YARDS [LOT COVERAGE
GAS
FRONT
ET NEW
RESIDENTIAL
LINE
FIRE ZONE -
TY
NON-RESIDENTIAL
SIGN
ADD
DEMOLISH
RETAINING
SPECIAL INSPE
0 ALTER
EXCAVATE
OR FILL
WALL
FENCE
I— X—FT1
REQUIRED
El YES EJ N o
PLAN CHECKED BY
REPAIR
PRE -MOVE
INSP.
swim
POOL
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REMARKS
Z NUMBER OF STORWES
OF
7NUMBER
DWELLING
UNITS
NATURE OF WORK TO 13E DONE
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PLAN CHECK FEE
IPLOT PLAN
BUILDING
PLUMBING
MECHANICAL
FENCE
Ln SIGN
in Applicant, on behalf of his or her spouse, heirs, assigns and
W
j successors in interest, agrees to indemnify, defend and hold harmless
7 the City of Edmonds, Washington, its officials, employees, and RETAINING WALL
q I ag . ents from any and all claims for damages of whatever nature, SWIMMING POOL
I arising directly or indirectly from the issuance of this permit. Issu-
a ance of this permit shall not be deemed to modify, waive or reduce
anv rentliMment of anv citv ordinance nor limit in any way the
SIDE REARI
F CONSTRUCTION ICODE 1HEIGHT
AREA OCCUPANCY OCCUPA
GROUP LOAD
THIS SITE IS LOCATED IN THE
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
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PUBLIC UORKS DEPARTAOT CHECKLIST
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BUILDING PER-1IT REVIEW
(addresi5
(date)
Street Right -of -Way Existing����-,�—�REQ�__
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Access Easements ExisOn W&=�s
-2-77 REQD
ef!�Mt.Existi!ng
REQD
Lot Per Subdivision
Plat Assessor Map
Site Plan Checked for Accuracy,
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Underground WIring Reqd.
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Check Accuracy of Legal Desdipt—ion
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Review by,
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_Pate
Existing Water Main Size
Water Main Required
Service Line Required
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Hydrant Size Existing
1:4
Hydrant Reqd Per Fire Code
Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Comnents
Water Meter Charge Reqd.
Review by Ao/1 S L--qE&,�;:7—&�Date
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
Sanitary Sewer Availability
c::;;� L. Proi It> -I
Dr"ing No.
1 -Aq�� EE�, File No.
Side Sewer Availability
Sanitary Sewer Connection Fee
Reqd.
:3:
Review by
Date
Open Ditch Existing----,,�/�...
�Reqd.
Culvert Reqd. 4-00g—Og
Size
94
Catch Basin Reqd.
Indicate an Site Plan
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Shoulder drainage maintain collection on swale open runoff
E--4
Manhole reqd. A=Zx
Indicate on Site Plan
Soil Con ditions and Ground Water Field Checked -s,- - A- -,&. ,
Review by. k
Date
I —
Revised: MO-1977
Page 2
Street Paving Reqd.
Curb and Gutter Reqd. 7
Sidewalk Reqd. &.6 a .4
Curb Cut*for Driveway Reqd. kr -0
r4 Right -of -Way Construction Permit Reqd.
Bond Reqd. for Public Inprovenents
Street Nam Sign Reqd.
Other Signing Reqd.
Cl, Pre Permit Site Inspection wde on
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14 BY:' SEWER
WATER
PL4
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ENGINEERING
Special Requirements listed in mem to Commmity Development Deparment,
Building Division
BY Date
r-> All item filled in on Building Permit Application
r4 BY Date
P4 Drawiqg
gs Stanped and Notations Made
BY Date
Approved by,Public Works Department�
Revised: lv 10-1977
SURVEY FOR JAMES. LITTLEID
March 8, 1979
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780,
At 8 Y -f-4 4-7
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LEGAL DESCRIPTION
PARCEL I
The north 80.00 feet of the east 78.00 feet of the following de scribed tract:
That portion of the northeast quarter of the northwest quarter of the northwest quarter
of Section 25, Township 27 North, Range 3 East W.M., described as follows, Situate in
Snohomish County, Washington, beginning at a point 66o.00 feet east and 330.00 feet south
of the northwest corner of Section 25; thence sou.th 100.00 feet; thence east 150-00 feet;
thence north'100.00 feet; thence west 150-00 feet to the point of beginning.
PARCEL 2 r
That poqion of the northeast quarter of the northwest quarter of the northwest quarter
of Section 25, Township 27 North,*Range 3 East W.M., described as follows, Situate in
Snohomish County, Washingto ' n, beginning at a point 660.00 feet east and 330.00 feet south
of the northwest corner of $ection 25; thence south 100.00 feet; thence east 150.00 feet;
thence north 100.00 feet; thence west 150-00 feet to the point of beginning; EXCEPTING
therefrom the north 80.00 feet of the east 73.00 feet.
0 0
DATE:
14EMO TO: Building Division.
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT:
After review of the subject building permit application, we have
the following comments:
a
MUNI "A'. ANIVURPIRM-N-11
Pal
DESCRIPTION
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----------------- -
THAT PORTION OF THE NORTHEAST 'QUARTER OF THE NORTHWEST QUART
No R T H W E�
S ,
0 0 F THE L
F THE NORTHWEST QUARTER OF SECTION 25, TOWNSHIP 27 NORTH
RANGE 3, EAST, W.M.
.0 DESCRIBED AS FOLLOWS, SITUATE IN SNOHOMISH
COUNTY, WASHINGTON, BEGINNING AT A POINT 660 FEET EAST AND 330
FEET SOUTH OF THE NORTHWEST CORNER OF SECTION 25; THENCE SOUTH 100
FEET; THENCE EAST 150 FEET; THENCE NORTH 100
FEET; THENCE WEST 150 FEET TO THE POINT OF BEGINNING.
PARCEL--I-:------
THE NORTH 80 FEET OF THE EAST 78 FEET OF THE FOLLOWING DESCRIBED
TRACT:
THAT PORTION OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER OF
THE NORTHWEST QUARTER OF SECTION 25, TOWNSHIP 27 NORTHA RANGE 3
LA:j"I", W.M., DESCRIBED AS FOLLOWSA SITUATE IN SNOHOMISH. COUNTY, WASHINGTON,
BEGINNING AT A POINT 660 FEET EAST AND 330 FEET SOUTH OF THE NORTH-
WEST CORNER OF SECTION 25; JHENCE SOUTH 100 FEET; T++E+4G.E—E-Aa-T--j-"
-F�, THENCE EAST 150 FEET;,.THENCE NORTH 100 FEET; THENCE WEST 150
FEET TO THE POINT OF BEGINNING.
PARCEL 2:
THAT PORTION OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER;OF
THE NORTHWEST QUARTER OF SECTION 25, TOWNSHIP 27 NORTHA RANGE 3,
EAST, W.M., DESCRIBED AS FOLLOWS, SITUATE IN SNOHOMISH COUNTY, WASHINGTON,
BEGINNING AT A POINT 660 FEET EAST AND 330 FEET SOUTH OF THE NORTH-
WEST CORNER OF SECTION 25; THENCE SOUTH 100 FEET; Muf"dto !t _' M_ -
EtWFEV- THENCE EAST 150 FEET; THENCE NORTH 100 FEET; THENCE WEST 150
FEET TO THE POINT OF BEGINNING, EXCEPTING THEREFROM THE NORTH 80
FEET OF THE EAST 78 FEET.
WE HEREBY CERTIFY THAT THE ABOVE LEGAL
DESCRIPTIONS ARE COMPLETE IN FORM AND
CONTEXT.
PIONEER NATIONAL TITLE INSURANCE COMPANY
SNOHOMISH COUNTY OFFICE
BY
R. A. ROBINS6N, ADVISORY TITLE OFFICER
I r
APPLICATION
for
The City of Edmonds FILE SIDE SEWER PERN9T
EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS E]
105-09500
OWNER........ &Iames ... H.....Little ......................................... -------------------- CONTRACTOR ................................................................................................... PERMIT No . ......................
ADDRESS .... 556...-..6th ... Aveaue ... S.w ...... ............................................ LEGA-L DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
0
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NAMEOF ADDITION .........................................................................................................................................
DYE TESTED ON SEWER
JULY, 1972
Approved:
DATE.......................................... ..... By ......................................................................