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602 12TH AVE N.PDFlill iiiiii 640 602 12TH AVE N CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT Cal .76-1107 for side sewer inspections BEFORE covering any portion of the construction Inspleetion will be provided within 24'hours after request. NO Sat., Sun., or holiday Inspections. ADDRESS LOCATION OF CONSTRUCTION ........... . ............................................................................................................................................................ PROPERTY LEGAL DESCRIPTION .................... ............... .................................... I ............................................................................................................... ..................................................................... ................................................ ; ....................................................................................................................................... ................................................................ OXVNERAND�OR BUILDER .............. : .............................................................. ....................................................... CONTRACTOR'S NAME & ADDRESS ..................................................................... ............. Permission Is granted ............................................................ 19— ..... . for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. ATTENTION IS CALLFD TO THE FOLLOWING: NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. ,T­7E No. 2—All work performed In city right,of-way requires an Invasion of RJght-of-Way Permit obtainable from the City Engineer's office. 0 No. 3—Obtain full. information regardifig Ordinance 11.16.030 and Regulations g . overning side sewers when you get permit. No. 4—Top of side' sewer must . have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of '2%. No bends in grade sharper than 'A will be permitted. NOTE No. 5--Trenches in street must be.water settled and surface of street restored to original condition. Contractors sball be responsible for failure due to Improper work which ma� develop within one year of completion. NOTE) No. 6_It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except tb in- sert the pipe Into the wye. DISA-PPROVED n Date ......................................... By ................ Date By ..... zate .............. ................. . .................. ........ ; ......... APPROVED' X Date ........................................................ ...... ji, Remarks: .... ..... 4�� ........ . 2-7 .2' _.­�T),­i,/7 .............. .................. ................. ­* .............................. ...................................................................... ................................................. ......................................................................................................................... rmi BOTH Pe,.7pieesMUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection I ........ . ... ......... . ............................. ... hereby certify that the side sewer installation constructed under this permit ,for (gown of C tra ting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. Dated this ..... / ................. day of—v4_47 .......................................... _( A 6116­3� ul"ImnlDw, ­­ At- *--. XX7_­_ — --- — — . — — I - — APPLICATION for The City of Edmonds E, SIDE SEWER PERYaT GPTHT:P� Et"'b" EASEMENT No . .......................................... NEW CONSTRUCTION REPAIRS ONVNER .... 4�.-e ..... e .......... CONTRACTOR;;;�.,?,--,.'.'2.1,e�� z jPERI= No. ADDRESS ...... ... 7 .... Z�:�dc --- --- ........................... LEGAL DESCRIPTION: LOT No . ....... e� ............................ ... BLOCK No . ............................................ NAME OF ADDITION./�/`/�O��`�f I.: , Ve-7-2�1—r ......... — ------------------------------------------------------------------- DATE................................................ By ...................................................................... APPLICATION EDINIONDS for I TREATM Ell-,11T P1 ANTI The City of Edmonds SII)E SEWER PER-111 EASEMENT No . .......................................... Llt��W CONSTRUCTION REPAIRS 0 - o,5�c,-,--o OWNER .......... ..... . ------_--___ CONTRACTOR ......... Z_,,t,..4-RMIT No.. ADDRESS ......... L�0_27 ..... .......................... ................... .... LEGAL DESCRIPTION: LOT No . .......... ............................ BLOCK No . ............................ ............... NAME,OF _-.,,jvTiON ........... z �r "!�; ef7l.7 . .......... .............. ........................................... la / /�,;7 9� _rl� 72. 70 Appro ed: DATE .............. By<-�_ i 14 Critical Areas Checklist CA File No: I CF7 Site Information (soils/ topography/hydrology/vege7tati n) 1. Site Address/ Location: !�51 GLA:�,_ -Y) AA- 2. Property Tax Account Number: —7 0 3. Approximate Site Size (acres or square feet): 2— <-� 144jt06 V 4. Is this site currently developed? )L/ yes; _ no. If yes; how is site developed? 5. Describe the general site topography. Gieck all that apply. U 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 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): C�p Q- 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? G-�� Y�-U� 8. Site is in the floodway — floodplain I of a wadr course. 9. Site contains a creek or an area where water flows across the grounds surface? Flow's are year-round? Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawnshrubs etc) 11. Obvious wetland is present on site: se J� IS 4. .............. N ber' tu�mm , . �, :# .1 S t Z IQV� c "pin, dh!i0C a 7� 'h' �§4gna I 5-s'. ftp4eart D UDY;REO ol Critical Areas Checklist.doe/3.19.2001 ED City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 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 the application 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). Date Received: 07-, City Receipt *:_ Critical Areas File #: Critical Areas Checklist Fee:. $45.00 Date Mailed to Armlicant: A property owner, or his/her authorized 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 assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information fin-nished by the applicant, his/her/its agents or employees. By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file thi pplic be mlf of the owner aslis77ow. 'T -7 /, Y SIGNATURE oF APPLiCANVAGENT Q V %/L��ATE Property Owner's Authorization / By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and nostin"tten s li ation. I! IL6 SIGNATURE OF OWNER �620AQA—, ..... .. DATE ';� //7 V Owner/A t: pplican al Applicant Representative: ),, MJ�) Name Name ;;e &0)- Street Address Street Address r--7cwc*)u� city State zip city State zip Telephone:'��24---779-6W#q 1 Zoz� - ��*?> /I I Telephone: Email address (optional):.Jh,0V,&,,,- R- wl-w-Email Address (optional): Critical Areas Checklist.doc/3.19.2001 City of Edmonds Critical Areas Determination Applicant: J William Feldman Determination M CA-2002- I Ol Project Name: Permit Number: Site Location: 60212 1h Ave. N. Property Tax Acct M 1 4270-000-007-00 Project Description: non -project specific Determination: Study Required A site inspection of the property has confirmed a lot developed with a single family residence. The eastern portion of the lot slopes up steeply to the adjacent property to the east. Based on the survey information submitted with the critical areas checklist and the inspection of the site it is confirmed that the bank on the property slopes greater than 40%. Based on the above findings, it is determined that there is a steep slope critical area on the site. In this case, a Critical Areas Study is required to delineate the top and toe of the slope, the, buffers and setbacks for a Steep Slope Area. For a Steep Slope Critical Area, which is defined as any area with a slope over 40% and a vertical rise of over 20 feet, a licensed surveyor must create a map of the site which indicates the top and/or toe of the slope. A 50 foot buffer is required from the top of the slope and a 15 foot building setback from that buffer. The 50 foot buffer can be reduced down to 10 feet upon the review of a Geotechnical engineer who will certify that no additional potential for soil movement will occur with a reduction of the 50 foot buffer. No permits will be issued for this site until the Critical Areas study has been completed. Also, tree cutting, which would normally would be exempt from permits on a single family lot like this, will require a permit and completion of the Critical Areas study. If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Areas located on the site, they may submit their proposal to the Planning Department for review. If the Planning Department finds that the proposed development permit will not adversely impact a Critical Areas or. - s buffers, a.'Gonditional waiver may be issued on a project by project basis. Steve Bullock , I (_ May 28,2002 Name SisCature Date LAND SURVEYORS CERTIFICATE THIS MAP CORRECTLY REPRESENTS A SUR)rqY MADE BY ME AT THE REQUEST OF BILL FELDMAN IN �pbl 20101 ---------- GU Y It U-1A CERTIFICATE NO. 2953 0 z t L 11/2412= VOI 1 VERTICAL DATUM: ASSUMED 0 10 20 40 60 SCALE IN FEET z 506a — 53% 43.7 TOE 506.5 C6 508.8 504.2 CA% SOO 500.8 dp.�Nl 505.1 53t-, 500.3 48.5 8 50 .3 5 0 53�6_ — 4 8.5 498.9 5". T 0 499.81 503.8 511.7 49910 4__4 512.6 529.9 527.5 526.8 526.0 TOP SLOPE 0 FrOT.T. 0 a F. Pr.ra Wa7.Ti-.T-4l WAW^. lw?wq VA M MW� M AMKWAIA� M 0 pliAll DEC-18-1998 04;44 CHICAGO TITLE psi Z.. z 0 z 0 2 z Z' 0 pin 39 425 259 8242 P.02/04 L ej cf) z V 41 1 - rl -Z;k AD S .2 Z—:5— �_g 0111-1 ot, V, zyz ZONIE_ SETEACKb'. FRONT—_ SIDE REAR_��' OTHER- HEIICHT 4yi r OwEA UNA 1p'MISR, Ad"A0 ---j "o __Z-��12 T- 14 1 mJ4 P0:5' I t-i m-W� r_VE.Or e­­t��FL— WIU— LAI MFLJ6f—, 0 0 Fjt. I F-r-MD'j (:� ,'�vp E;ir�r- to r;f-- =yl c C\j p7r, Ps-Fmpt__p - FT CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME I(ME OF E1U5INt:b* L (0 MAILING ADDRFbb N W ? — I �7,-r I J-�-j i\Jo CITY ZIP ?0 TELEPHONE NUMBER SIAME c"i:10 1 100 Ao� SS 0 L,*k TELEPHONE UMB )kLjArn NAME. — ADDRESS CITY �_o 0 STATE LICENSE NUMBER Leg — -k-j'Vj1A-j (_, /C `T44`D_T 'S-LIJ TELEPHONE NUMBER EXPIRATIFN DATh ("I Olt— i�_ ,ronertv - incilide all easements i5—rop—erty TaxAccount 410-000-oo-4 -00016 Parcel N 0. 1 USE PERMIT ZONE NUMBER -95 O(C66 JOB SUITE!APT # -w-1- Ale Mat/H — IVI Li M NEW LrJ RESIDENTIAL PLUMBING ADDITION COMMERCIAL 1:1 MECHANICAL APT. BLDG. El SIGN REMODEL GRADING REPAIR CYDS. FENCE I— x _FT) WOODSTOVE DEMOLISH INSERT El SWIMPOOL HOT TUB/SPA MGARAGE RETAINING WALL/ RENEWAL CARPORT ROCKERY �T—y p FINESS OR —ACTIVITY) EXPLAIN: yd�? WvSe,06W NUMBER OF NUMBER OF DWELLING AREAS STORIES UNITS NUMBER 7CR BE WORK TO BE DONE (ATTACH PLOT PLAN) 01 1 Lo 0 .EGAL DESCRIPTION CHECKI SUBDIVISION No LID NO AV I RIGHT OF WAY PER OFFICIAL STREET MAP. ESCP Approved 13 PUBLIC W Par." R.q R uired 0 EXISTING _ AEOUIAED DEDICATION 'real Use Pe; A 0 Sin 'P.,"o R u�IrAeq L n 'd 0 PROPOSED Sidewalk Required C3 METER SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 0 REMARKS cc Lu 0 Z DATED REVIEWED BY SIGN AREA SEPA REVIEW P ALLOWED ROPOSED COMPLETE EXEMPT EXP, A X IARIANCEMA. I 'P R Y I T LOT 3ETBAC7 T AFES HEIGHT FRON IDE j C) REAR`2A 5'H—ECKED BY TYPE OF CONSTHUQ1IUN a6vtip ^_3 TP—ECIAL INSPECTOR AREA OCCUPANT REOUIRED 0 1 LOAD PROGRESS INSPECTIONS PER USC 305 FINAL INSPECTION REWIRED PLAN CHECK FEE BUILDING — 7,30 HEAT SOURCE: GLAZING IN) - — — PLUMBING _Z_ Plan Check No. MECHANICAL GRADINGIFILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewpiks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: I . Year - Provided Work Is Started Within 180 Days STORM DRAINAGE 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 whatever nature arising directly or Indirectly from the issuance of this permit . 1�suance of this permit shall not be deemed modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance ENG. INSPECTION FEE of to PLAN CHECK DEPOSIT TOTAL AMOUNT DUE provision." 1 0 Z Z CL I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL 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 THIS PERMIT This application Is not a permit until state laws regulating constructl on; and In doing the work authoriz- AUTHORIZES ONLY THE signed by the Building official or his/her ed thereby, no perso 11 be employed In violation of the Labor WORK NOTED Deputy; and fees are paid, and receipt is Code of the State of rasCrigton relating to Workmen's Compensa- acknowledged in space provided. tion Insurance and, $18.27. SIG RE iOWNER 07R&_N I INSPECTION DEPARTMENT CITY OF ----------- OFFICIAL*S SIGNATURE DATE �I Al, EDMONDS 4E CALL F01I RELEAS�b BY: _DATE L S�o Al ATTtNTION INSPECTION BUILDING OR STRUCTURE IT IS UNLAWFUL TO USE OR OCCUPY A E AND APPROVAL OR HAS BEEN MAD 771-0220 ORIGINAL — File YELLOW — inspectbr UNTIL A FINAL INSPECTION A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC .­­ I PINK — Owner GOLD — Assessor