604 SATER LN.PDF11111111111111
14392
604 SATER LN
TAX ACCOUNT/PARCEL NUMBER: 2q2,1 t,6ZO 2�DD 6�<;-
BUILDING PERMIT (NEW STRUCTURE): -
COVENANTS (RECORDED) FOR:
CRITICAL AREAS : 4�� DETERMINATION: Ej Conditional Waiver El Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DA
S CALED, PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:S -7i
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERmrr(s) #:
SOILS REPORT DATED:
STREET USE ENCROACHMENT PERMIT #:
LID#: '
LOT: BLOCK -
WATER METER TAP CARD DATED; o
OTHER: F"5zo/A
L-\TEMP\DSTs\Fcrrw\Sacet File Checklistdoc
CITY OF EDMONDS
Address of Construction:
Property Legal Description (Include all easements):
zkx Atf �-- 7-- 0
OTREET FILE
SIDE SEWER PERMIT
Owner and/or Contractor: f U U6
State License No. ell _,R —of /1 -D UZ Building Permit No.
I .. I— —
�Single Family
Multi -Family (No. of Units—)
El Commercial
E3 Public
PERMIT NO- 8398
7`�
Invasion into City Right -of -Way: Yes
RW Construction Permit No.
Cross other Private Property: ORN"o 11 Yes
Attach legal description and copy of recorded easement
I certify that I have read An'd shall comply with all city requirements
as indicated on the back of the Permit Card.
2',
,04bate -f
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
* FOR INSPECTION
Permit Fee:
Trunk Charge:
Assessment Fee:
Lid No.:
OFFICE USE ONLY-
BLIC WORKS DEPT.
Aw&w%w -
Date Issued:
Receipt No.:
Partial Inspection: Date —Initial
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Date —Initial
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
Revised 3/90
SIDE SEWER PERMIT REQUIREMENTS
1. Side sewer 'permits shall�,be posted -at job -site -and available to.
inspect6r a*t time of'in0ection.' 'Ihs'pktio� d6r'iyng 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 re.sponsibility for each
installation for one (1) year.
4. Trenches within City right-of-way must be restoredto original
conditions., Street restorati,on fees shal-l'be paid in advance
under a right-of-way permi't. Contractors,shall be retp*onsible for
right7of7%Way failure due to poor cbmpaction,of fill.,
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'ai 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") s.ide
sewer line.
.9. Side!sei��ers may not be installed closer tha�n.-thirtyjnche`s, (30")�
to dn� 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 minimum grade of.2% (1.15 0)
a . nd maximum grade of 100% (45 0
XT
r
12.' No turn in side sewer.gre ;, �Z (1/8.bend) is allowed
P - Mr, 41
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 wil'I be installed.
14. All connections wil.1 be of gasketed type. No solvent joints
unless prior approval is granted.
&
STRE0. FILIECEIVED
CITY OF EDMONJD6o 61992 SIDE SEWER, PMMIT
1,9 UB
P LIG WOAkSPEPT. PERMIT 3398
Address of Construction:
Property Legal Description (Include all easements):
Owner and/or-,C'Ontractor:
r-I'L K0
Building Permit No.
State License No. KZ/ - 13 C -Of
I
t<n`g,Le Family
11 Multi-Pamily- (No. of Units—)
11 Commercial
13..Public
I
;()n4 &
IT
Invasion into City Right -of -Way: OB"'No 11 Yes
RW Construction Permit No.
Cross other Private Property: M"N"o 11 Yes
Attach legal description and copy of recorded easement
I certify.that I 6ave readAdd shall comply with all city requirements
as indicated on the back of the Permit Card.
2,
D a tt �e
CALL DIAL-A-DIG.(1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
FOR INSPECTION CAL PUBLIC WORKS DEPT.
77/t,O-Z�-0
Permit Fee: Issued By
Trunk Charge: Date Issued: zz�;
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection:
Comments
Reason Rejected:
Final Inspection Approved
Datej—_�&Z_- lnitiale�_4 Fo e- -5 , W
Date . Initial
Date —Initial
PERMIT MUST BE POSTED ON JOB SITE
WhIteCopy:Fie Green Copy: Inspector Buff Copy: Applicant
Re�ised 3M
*rhe City of Edmonds
Side Sewer Drawing
NEW CONSTRUCTION ;K
OWNER- ----------------------------------------------------------------------------------------------
JOB ADDRESS6.04 ---------- S-ATc.R ----- LANet --------------
4%494 010S
5 of�
0 C-Ap
C7
.0
F-Xtsr. 4!cAAJ
r3.
PWW-0001 -11/75 (REV. 11/78)
EASEMENT NO - --------------------------------------------
REPAIRS F� LID NO - ------------------ - ASMT. NO - ------------------
IdCONTRACTOR -G.0-LD.1-G-G4P,.5 ---------------------------------------------------- PERMIT -------
LEGAL DESCRIPTION: LOT NO - ---------------------- ------------ BLOCK NO - ------------------------------------
----------------------------------------------------------- ----------- ----------------------- ......................................
NAMEOF ADDITION ------------------- - --- -------------------------------------------- I ------------------------------------------
XDDirtcP4
EKISTING VA00-SE
G04- SATM L4.
-S,D-p N.. 6WISTIMC2
WWS.S.
Approved:
........................
DATE 77...(0177-19.92 ------ By 4�zl .................
S.TREET FILE
L USE PERMIT
CITY OF EDMONbs '0" a-6 NUMBER 9 2AO420
CONSTRUCTION PERMIT APPLICATION SUM
OWNER NAIIII�LIUSINESS ADDRESS
7L
LEGAL DESCRIPTION CHECKI SUBDIVISION 110, 7 LID NO
!3__
02 MAILING ADDRESS' —
519- rIC-A I -A "/e PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved
CITY ZIP TELEPHONE N U - �S- e,' AW Permit Required
UQ
IIE..IRED E.I..Tl..
EXISTING
Street use P.—I Red IT
,e�40&.1jX5. k,1,4 Inspection Required
NAME
yRE
S.ds.elk Required
A S
ADDRESS
M/
A"I/
CITY Z11
,jTELEPHON
E NUMBER
-
7
NAME, —
,1,11 /11,7
Fe
5 0 01;, (�c V
ENGINEERING MEMO DA
R VIEW Y
ADDRESS
0 eff /22- tu',
LOING SUPPLY
Lo
SIZE
NO. OF FIXTURES
CITY . ��jTELEPHONE
7-
NUMBER
REMARKS
EMARK
.
ST7�LICENSE NUMBER_,),/
ki—
EXPIRATION DATE
/)W
SIGN ARSU
SIGN AREA
A
ALLOWED PROPOSED
Fj�()F)
SE PA REVIEW
COMPLETE 1EXEMPI
EXP
AOB NO,
Legal Description of Property - include all easements
SHORELI:�E 0
VARIANCE OR CU
I
BY
DATE
SETBACKS — FEET
F R . . T . S IED E'O,'5
JLOTCOVERA.E
-h
iWX7�wcci nt
0 NEW
2�`RESIOENTIAL
F-1 PLUMBING
2'ADDITION
1:1 COMMERCIAL
0 MECHANICAL
R`�.MODEL
11 APT. BLDG.
El SIGN
El D !A—b
FENCE
0
REPAIR clo.
1— x —FT)
M OODSTOVE
OE OUSH W
INSERT
SWIMPOOL
HOT TUB/SPA
GARAGE RETAINING WALL/
CARPORT ROCKERY
RENEWAL
JTYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER OF STORIES
NUMBER OF
7
DWELLING
UNITS
olve-
DESCRIBE WORK TO BE DONE IATTACH PLOT PLAN)
'4�
MAC4efj_
W
I :T- A/ I b F-5 2-'S-/
S ECIAL INSPECTOR AREA OCCUPANCY I OCCUPANT
P 0 R.1.170 / //k- LOAD
REOUIRED G
YES _3
EMARKS
PROdRESS INSPECTIONS PER LIBC 305
I-)EP— /1-Y71
FINAL INSPECTION REOUIRED
4"m o d I el Add )t�eek-
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
I GLA21NG
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidevirolks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
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
ENG. INSPECTION FEE
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
PLAN CHECK DEPOSIT
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."
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
ATTENTION
authorized agent of the owner. I agree to comply with city and
a late laws regulating construction; and in doing the work authoriz.
ed thereby, no person will be employed in violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
I tion Insurance, -
S;IGN�AAT�U714= I DATE SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
M
ATTENTION
CALL FOR
INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
CHAPTER 3.
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy: and fees are paid. and receipt is
acknowledged in space provided.
/FFICIAL'S SI I
'WTUR
&12 Z7TI
ORIGINAL — File YELLOW — inspector
PINK — Owner GOLD — Assessor
M
DATUM POL4T EL. 100'-0*
TOP OF EX:
Q7-- -
5,47-,:EW ZAA115
PROPERTY LIN il� yl
RUN NEW ELEC RIC
SERVICE LINDE GROUND
PROPOSE
10 A DRIVE
z
ILI
1�1 LEC''RIC RFT I LA ING
3
EXISTING WAT (2SERV CIE Em
METER LOCATI ER ENT I NCE REMOVE EXIST.
ON oll I L
— ELECT. SER"ICE LINE
DO NOT REMO E
AND ENTRA NCE
0
CONNECT EXIST. PANEL Inr m
EXIST: HOUSE
SERVICE TO NEW GARAGE PA TO REM.A!N
REMOVE EXIST. f
SAN SEWER I I-- ppng3nQs=n
REMOVE EXIST.
AS REQUIRED TO
CLEAR NEW CONST. ON
c- I- 111 0�v
ADDITI ONCRETE STEPS
REM EXIST.
CONCIR
r E STEPS
r A N::!,%
DECK ---
INSTALL NEW SAN. SEWER D
I ADDITION —
REMOVE XIS
LINE TO CLEAR LINE Of ROOF PROP ED
NEW CONSTRUCTION GRAAVELORIVEWAY :1
OVERHANG ABOVE ADDi.Tl N
L EXIST. DECK
TO RE �A!N
PROPERTY Lff4E 17-
NOTE:
CONTRACTOR SHALL VERIFY
LOCAT;CN Of UTIUT?ES AND
COORDNATE SERVICES rOfC--?ECtK)N AND
RECEIVED
JUL 1 4 1992
PERMIT COUNTER
NOTE:
PROPERTY CORNER LOCATIONS
rl
m
-n
m
PERNUT APPLICATION REQUHUEMTMS
TO: Permit Coordinator, Building Division
FROM: L I" Chrisman, Engineering Inspector
OWNER: PLAN CK # 64 f-3
ADDRESS: 6404, 1449e. DATE:—,<//4/fz--
After review of the subject permit application, the following requirements musthe met.
1. Construction hours are: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOLIDAYS ..... 10:00 A.M.-6:00 P.M.
2. A separate'RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/Owner is responsible for containing all temporary runoff and erosion control on site.- - (ECDC 18.30.030d)
S. NO WORK SHALL BE DONE WMIN 15 FEET OF STREAMS OR 10 FEET FROMANY CLOSED DRAINAGE FACI&
177. BUILDERIOWNER IS REPSONSIBLE FOR IDEN77FYING COND17TONS ON THE DRAWNG. (ECDC18.30.50G)
6. FILTER FABRIC FENCE SHAU BE INSTALLED AND INSPECTED PRIOR 710 CLEARING AND CONSTRUCTION
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES, FOUNDATION DRAINS, AND
CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter, and sidewalk adjacent to the property. If an intersection is involved a
handicap ramp may be required. Contractor shall meet with the City Engineering Staff to determine the extent of repair prior to
issuance of the permit. (ECDC 18.90)
9. Driveway slope shall not exceed 14 % without a waiver. Every attempt should be made to keep the slope below 14
Waiver granted to (ECDC 18.80.060D)
10. Driveways mu t be paved from property line to City RIqHT-OF-WAY. A separate perimit is required. (ECDC
18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING.
(ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.30)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
is. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18. 10)
16. Connection to the City sanitary system -is required. A separate permit is required.
LID# , Fees paid: Yes No Charge (ECDC 18.10)
17. Underground wiring is required on all new construction; and for additions, alterations, and repairs that exceed 50% of the total
assessed value of the structure. (ECDC 18.05.010)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU_
PANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
19.
20.
HEET FILE
At_
bJECT NAM
R E:
-PROJECTADDRESS_X�,�,,e,4�
Alm
C
._fT., D
EWIED
B:�:..;-(
gitiol/D a
e
. . .......... .
LA N..
WATER
I
....... ...
ENTS;-e-*,..-*-e��,...e,.-.-.-.'-.-...",e*.-...."', '' "
SEWER
STREE
�
E
Setbacks/Variance/Setback Adjustment'.
Conditional Use Permit'.
..........
...... . . . . . .
ADB Requirements-.
Other Zoning Requirement
Underground Wiring Required
. . . . . - - - - - - - - - - -
.5
Lot Slope IS% -
SEPA Environmental Checklist/Hydraijlics Permit..,
........ ..... ..... ....
Tree Cutting Plan
Plat/Subdivision Requirements . . . . . . . . . .
Legal Description Verification
Quit Claim/Street Dedications mmk_�* um
Easements- Public/Private
Engineering Storm Drain Review Fee
Engineering 2.2 Inspection Fee,
Drainage Plan (On -Site)
......................
Setback - Top of Bank, Stream, Water Courses ..........
Setback - Storm Drain Une . . . . . . . . . .
Open Ditch -o Existing
Culvert Required
Culvert Size
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required
.24
Curb & Gutter Required
Curb Cut For Driveway Required
Street Paving Required
Right -Of -Way Construction Permit Required
Street Name Sign Required
Other Signing Required
Bond Required For Public Improvements
FEMA Map Check/Water Taq!e Of
Side Sewer Availability
Calculate Sewer Connection Fee If No *LID #
Create Street File
Existing Water Main Size
Water Meter Size
37
Service Line Size
. . . . . . . . . . . . . . . . . .
------------ X-1 - - - - - - - - - - - - - - -
Water Meter Charge Required
Hydrant Required
Hydrant Size Existing
41+::
Fire Line Charge Required - Sprinkler
.42
Street Cut
Miscellaneous
-;:--43
Reviewed By: A FILE
I,;t - tua
FIRE PLANNING ENGINEERING PUBLIC WORKS
k
(5-1TY,OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/147E Cy OU31NESS
MAILING ADDRESS
&04 5A7j_RP_
CITY ZIP TELEPHO
_' YIA /0Pvv 771
ly
Al
'>Od
'e
NAME
j-Ay
ADDRESS
1-9/ .1-� m/Y 5.
CITY ZIP _ lTELtF-U-E NUMBER
PACkI9,5, 77,q -Oapp
NA
MEET FILE
PERMIT
NUMBER
RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCIP Approved
PUBLIC
RVY Permit Required
EXISTING _ REQUIRED DEDICATION
Strom use Permit Req�d
I'sittiction Required
PROPOSED
dmalk Required
015
Ate,
ADDRESS
77-:2-0 -V774
JBUILOING SUPPLY SIZE
NO. OF FIXTURES
CITY ZIP TELE HONE NUMBER
REMAAKS-
N REA 1:v,�
.SIGN,
',:-ALLOWED
SEPA REVIEW
�OMPLETE, ]EXEMPT
ADS NO.
-------------- 7
Legal DesCription,of Property' include�.411_ea.semenlls 1'
_76H®RELINEN
Exp
V AIANCE OR CU'
NNI
E
SETBACKS — FEET
T COV RA
EMARKS
me,
I SID'* NG
D 11-1 ENTIAL�
NEW�
J
2'ADDITION COMMERCIAL
Li M_ECHAN,C�,-
APT. SLO 1 0.
ORIMOOEL
0 REPAIR
IODS �&F
DEMOLISH WINOSE91'
SIGN,
'FiNCE:_
I M
SHWOTTUB/sPA"
'
E Y
C E.KE
TYPE OF CONS
sPECIAL,INSPECT
FIE
AREA
I T.UP
LOAD'
GARAGE RETAININGWALL/
CARPORT ROCK
[TYPE 60 USE. BUSINESS OR ACTIVIT�mPLA!N;.
F
RE N�EWA'L
MARKS
PROGRESS INSPECTIONS PER UBC 305
NUMBER OF STORIED NUMBER OF
DWELLI�._.,
7 WD UNna
44e
*j, N P CTION REOUIRED
I FEE
OL I AMNU,
%
PLUMBING
P n Check No. /,,aZ
MECHANIrAL
This Permit covers work to be done on pirl to property ONLY.
�RADINGIFILL
Any construction on the public domain (curts. Sidewpiks,
driveways, marquees, etc.) will require clarate permission.
STATESURCHARGE
Pe It Applicatl6n: 180 Day$
STORM DRAINAGE FEE
Permit Limit: I Year - Provided WOrk Is Started Within 180 Days
..Applicant. on behalf of his or her spouse heirs, assigns and
interest, agrees to lndemnif�, defend and hold
ENO. INSPECTION FEE
successors in
harmiess the City of Edmonds. Washington, Its officials.
from any and all claims for damages of
employees, and agents
whatever nature, &rising directly or Indirectly from the.issuance
issuance of this permit shall not be d emed to
PLAN CHECK DEPOSIT
of this permit.
modily, waive or reduce any requiremi 3nt Of any city ordinance
Ox nor limit In any way the.City's ability to enforce any ordinance
TOTAL AMOUNT LIE
provision."
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 duty
the owner. I agree to comply with city and
THIS PERMIT This application is not a permit until
authorized agent of
a ate laws regulating construction; and In doing the work authorlz.
ti n violation of the La bor
be employed I
AUTHORIZES
ONL THE signed by the Building Official or his/her
Deputy; nd fees Oro paid, and receipt Is
ad thereby. no person will
Code of the State of Washington relating toWorkmen's Compenso
WORKY NOTED
acknowl ged in space provided.
trance.
w R
INSPECTION
DEPARTMENT E DATE
OFFICIAL'S SIGNATURI
CITY OF
EDMONDS DATE
RELEASED BY:
IETA
ATTENTION DING*
IS UNLAWFUL TO USE On OCCUPY A BUIL
N
97FP ORIGINAL — File YELLOW inspector
71 02k
IT PIRE
VAL OR
UNTIL A FINAL,INSPEICTION HAS BEEN MADE AND P VAL
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
PINK — Owner GOLD —*Assessor
CHAPTER 3.
RECEIVF-0 STREET FILE
MAI 15 1992 421��
PERMiTcOUNTER
. 41"oll
LU ol_
uj DATUM POINT - EL. 100--o",
��L�l 0 00
TOP OF EXIST. C.B.
5,47-.--w Z,4"V,5
PROPE E
SU- 'NEW E E Ric I
R ICE UNDEC�GROUND
PROPOSED.N
N, 1 0 A DRIVEWAY I- �REMOVE EXIST.-
00' LEC RIC CONCRETE ASPHALT DR, IVEWAY ui
. 1-1 1 i F'
EXISTING WATER SERV CE PAVEMENT
ENTRANCE
METER LOCATION CON�RETE Io- REMOVE E
DO NOT REMOVE S-T EPS — ZZ:� ELECT. SER�.ICE LINE
I __ 8 AND ENTRTCE
CONNECT EXIST. PANEL TI T, 7 1
I I EXIST: HOUSE
SERVICE TO NEW GARAGE PlL� -1 il: 4L - I
REMOVE EXIST. TO REMAIN
3
SAN. SEWER LINE PROPOSED REMOVE EXIST.
AS REQUIRED TO eN In
vK: CLEAR NEW CONST. -ADDITION I CONCRETE STEPS
REMOVE EXIST.
CONCRE 'E STEPS
r rT
r Ir
�1_ PROPOSED
-DECK----'—
INSTALL NEW SAN. SEWER I t
LINE TO CLEAR REMOVE �_XIS-r . .......
— __ " /' "
PR P 9�E
b rT
'
0
_DE K
" C Mc.
'N' LINE OF R60F X IS DDT"N PROPOSED
NEW CONSTRUCTION GRAVELv RFRIVEWAY
0. OVERHANG ABOVE ) I I
ADDITj:)N
'EXIST. DIE
L
JOBE AIN','
PROPERTY UNE
NOTE:
CONTRACTOR SMALL VERIFY
LOCATION OF LITILlITIES AND NOTE:
COORDINATE SERVICES CONNECTION AND PROPERTY CORNER LOCATIONS
INSTALLATION
AND DIMENSIONS SHALL BE
NOTE. VERIFIED PRIOR TO EXCAVATION.
THIS IS A FLAT
SITE. THERE ARE NO
CONTOURS SHOWN. NOTE:
CONTRA(TnP ql4Ai I vrDiry imnitA-ram
0
9
IS
0
STREET FIL6
Critical Areas Checklist
Site Information
ProjectName: 5,,--WAfJ'
Site Location: 6M 5A TEJZ 1,4,Vrc� —
Approximate Site Size (acres or square feet):
Permit Number:
RECEIV,,ED
MAY ' 1 1992
PERMIT COUNTER
Property Tax Account Number: 65,9,�, VW -45_�
1 q, 6 po i
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
Ak2
1. Has the site been cleared or logged? /)0 Date of most recent action:
Soils / Topography cl VA
cov -b 'f
"\ � -Z
2. In the Snohomish County Soil Survey,, what is the mapped soil type(s)? -
3. Describe the general site topography. Check all that apply.
k-�� 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 of horizontal distance.)
- I Steep: grades of greater than 30% present on site.
Comments
flydrology/Vegetation
4. Site contains areas of year-round standing water: A10
5. Site contains areas of seasonal standing water: AIP —Approx. Depth:
6. Site is in the floodway A0 floodplain Ala of a water course.
7. Site contairis a creek or an area where water flows across the grounds surface? _.Al&l flows
are year-round? ___Z10 Flows are seasonal?
8. Site is primarily: forested meadow ;shrubs mixed
9. Obvious wetland is present on site: Ala
10. Wetland inventory or map indicates wetland present on site: _,A161
11. Critical Areas inventory or map indicates any Critical Area on site: /\/O
...... ........
For- City Use Only — ------------------------------------
STUDY REQUIRED: Critical areas study is required.
CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.
WAIVER: Critical areas study is not required.
Determination Number.
.Re.Y.Y.27/9.2 ... �
Reviewer Z� I q�-Z
Planner 'Da-te.
........ ........
9 9
Ciq of Edmonds
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
ta 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.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertine n*t
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site. -
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Narne
Title
604 5,+ -FE17 Z'41-IE
Street Address
City, State, ZIP 7 g-7,6 Phone
Signature Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP Phone
Signature Date
The City of Edmonds
APPLICATION
for
SEDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS
EASEMENT No . ..............................
R C *4 U RjA
OWNER ..... . .... .............. ... 414 .......................................................... CONTRACTOR ... RLISS ...... *-C+4N!50C;�N ........... ---------- **" PERMIT No . ......................
`A! LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
............ . .....................
NAMEOF ADDITION ..........................................................................................................................................
ANC,
diju
INLINE WM4 Macl)r=e
WiTm rayusm. umr-
(4117-1 DEEP)
ro Fi
.411 1sai I cn
<Ab(4'C=WEFP0 -'r
.%J%, MeND (41cmiap)
INA WNS wl-r�-k Socum
OF Su%LM%NcZ'
0
e4 &A -Z 1.5
Approved:
DATE . .....
400000 - - ------
15 ;i
Statutory Warranty Die4d
THE GRANTOR EDWARD T. kMRRISS and JEAN K. NDRRISS, his wife
for and in consideration of Ten Dollars and Other Valuable Consideration
in hand paid, conveys and warrants to RONALD kL SUL444 and DOROTHY DL SURAN, his wife
the following described real estate, situated in the County of SnohcmLah
Washington:
, State of
That portion of Govertment Lot 2, Section 24, Tounship 27 Worth, Range 3 East, W.H.,
described as follows:
Beginning at the Northeast corner of said Lot 2; thence West '30"feet; thence South
30 feet to the corner of the Paved Highway and 7th Street produced in Edmonds, Snohamish
—4 st s Ide of 7 th Street, produced, a
cc e
d%ittnce �of 3 5MLFVeet tothe ftrue �po n0o%dgl�n �n�96.35"w
or less, to the East side of Third Street; thence Southwesterly, along said East
side of Third Street, a distance of 87.16 feet; thence East, along the North line
of Oscar L. Kline tract, a distance of 739 feet,, more or less, to the West side of
said 7th Street, produced; thence North, along said West i�ide of 7th Street produced,
a distance of 76 feet, more or less, to the true point of beginning;
EXCEPT the East 585 feet thereof; 6Eso
EXCEPT the North 15 feet thereof convGyed to City of Edmonds for'Street by Quit Claim
Deed recorded fttober 7, 1970, under Auditor's file No, 2167672.
SUBJECT TO easements of record under Auditor's file Nols. 1317395 and 2004036.,
SUBJECT TO Waiver of all claim for demages granted to City of Edmonds, under Auditor's
file No. 2167672.
Dated this 26th day of DECEMBER, 1972.
i5, :BALES,7
h
RECEIPT NO_,C�;---
1A N 1973
(SEAL)
STATE OF WASHINGTON, I
County of Snohamiah
/XDep*
On this day personally appeaied before me Edward T. Morriss and Jean K. Morriss
to me known to'be the indivAual 6 described in and who executed the within and foregoing i�Arturnenit,` and
, I AP - I
acknowledged that they signed the same as- their free and volufit�i 'Lct a4*di�d, for 'the
uses and purposes therein mentioned.
GIVEN under my hand and official sea] this &V of Dec ri 0,
Notary Public in and for the State of Washing'",
residing at Edoonds-
d
657 iAA21
( �j
ri
0 .
0
El
CITY OF EDMONDS SIDE SE"WER PERMIT
WATER-SEWER'DEPARTMENT
PERMIT
-7-7 ? 31 9 a,? 0
Call 7,76-1107 for side sewer inspections
Inspection Will be Provided within 24 hours BEFORE covering a-nY Portion of the construction
after request. NO Sat., Sun., or holiday inspections.
ADDR ESS LOC
AT'ON OF CONSTRUCTION—
. .......... t.: ................
PROPERTY LEGAL DESCRIPTIO I . ".. � .................... : ......................................................... . ..........
................. . . � �'. .. I ....................................
................................ . ................. I ---------------- : ..........................................................................................................................................
.......................................... I ......................................................................................................
................................................................ OWNER AND/OR BUILDER,..'-"�"." ........... : ............ ..................................................
........................ . ..............
CTRACTOR'S N-AME & ADDRESS ..... . . ..................... . ...........................
.. ................. ............................
Pernilssion Is granted ------ - -- --- ---- . - �' Q, :t 1� -
........ ....... - ----------- ----------
.................
Bystelin In accordance with'ai�; of 19":�.J' for repair and/or connection Of ..................
"'T . ances. a side sewer to
ENTION IS the city SanitarY sewer
OALLED TO THE FOLLOWING:
No. I —The owners of the Property 'nay obtain a Permit to truct sewer inside property line. A licensed Side Sewer Contract
side sewer in street area. Do not cover any Portion ocosewer before it has been inspected. or must be employed to co
NOTE No- 2—All work performed in city right -of &Y requires an InvasiOn Of Right -of -Way e t nstruct
—Obtain full information regarding Ordinance 11-16.030 and Regulations rnii obtainable front the City Engineer's office.
NOTE No. 3 -W
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property governing side sewers when You get Permit.
sharper tha-n % will be Permitted. line and 12 inches inside property line; minimum grade of 2%- No be . nds in grade
NOTE No. r,--TrenChes in street must be water settled and surface of street restored
NOTE) No. 6__Work which May develop within one Year Of completion. to original condition. Contractors shall be responsible for failure due to improper
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
sert the pipe into the Wye.
-DISAppROVED Date. vpE to in-
PPROVED Date .................. .............. ---------------- Da
'A .722=04L 'Me, . . ................... BY ................
A' Or Date ------- ..-By ................ te, ............
f
--- - ------
BY !PAE
Ow ----- ...............................
Remarks: ...... ;Ee�ko
............. I . ......... ................................................................... .......................................................................................
........... .......... ... .................................... 7; ..................
............ ............ ....................
.... .. . ................ ...... .......
-B P it 0 S: ST I Be Si By Owner of F i rm P e . rforming -- Con - stru .......................... ..............................................................
ctiOn PRIOR To Request V 7--�-
or Inspection
-------------
(Own of co'ntra ' ............... ...... ...... .... hereby cert
U'-1" inst led in ti Performing Construction) ifY that the side sewer installation constructed under this permit
ccordance h all governing ordinances of the City Of Edmonds
Dated this ... "y
V V Check BEFORE you dig f of -----
or: Water 0, --�0400� 19 0�
--- Gas El, Telephone 0, power Ej, Sewer C], 0
ther 0
0
0
_Iftwvmmmp� C) C3
9 0 - 1 9
City. of Edm6ndO STREET FILE
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number:
Issue Date:
A. Address or Vicinity of Construction: - 6o4 5,+T,--/z
B. Type of Work (be specific): if0A11(1EC_'r t7)Z^/A./ 7—o �;7p—,z,A e_,EU1EiZ,
C. Contractor: eVA1.5TXyc-71_gx1
Mailing -Address:
State License #: #/a —
D'."Building Permit # (if applicable
Contact: IV,19R _F/V 13KZ&
Phone: 771 �-%30-76 (AT-,51 T--P). _-a%.,57S-z>J44-
Liability Insurance: Bond: $
Side Sewer Perrmit # (if applicable):
. I ; �-: ['El: Ciiy'Project E] Utility (PUD, GTE, WNG, CABLE, WATER)
E. _F] Commercial - El Subdivision
F-1 Multi -Family jgj Other
INSPECTOR/Ald '1-�44AJ WS'PECTOR:
F. Pavement or kncrete Cut Oes E]No G. x 9 H. Charg&$
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the Chy of Edmonds haindessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made against 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 costs, and attomeyfees by. reason of granting this permit.
THE COMM CTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING 7HE FINAL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MATED RESTORA77ON FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
C17YFORCE9'AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO 7HE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Departme 4, 2-62M,
Q�
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 of the working day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at all timesfar inspection purposes.
Signature: M Date: 77
,/��z
(Contractor or Agefit)
CALL DIALA_DIG PRIOR TO BEGINNING WORK
NO-. WORK SHALL BEGINPRIOR TOTERMIT'ISSUANCE
Engrg. Div. 1991
OTSFIELD INSPECTION N (Fund I I I - Route copy to Street Mot%)
Comments:
Diagram:
CONTRACTOR CALLED FO'k IN.SPECTION 0 YES ONO
Partial Work Inspection by "P. W.,
Work Disapproved By: Date:
FINAL APPROVAL BY: Date::
Eng. Div. J
9 :000000
,�City*,of Edmome
RIGHT-OF-WAYCONSTRUCTION
PERMITrmit Number:. 427
Pe
5-
Issue Date: 0
A. Address or Vicinity o f Construction:' 6, Q 4- ATeiL L_ Kj
B: Type of Work (be specific):- 10STPLA. Ls, 4 jjj6,.'0jQ "16T, P0 Lk- (-VT
8.9 0 1 99
P,6e Aptt,-r - '=av m - Pa L4- -To "?UP 4tol""- I MGT W, ASPR -A V'_�
C. Contractor: Contact; y-v 9-T M P. Q -r t
..Mailing Address: -Z 10 116 Phone: (67o;�- -5-2-0-7
Aw!j
State License #: Liability Insurance: Bond: $
D. Building Permit.# (if applicable). Side ewer Permit # (if applicable):.
E. 'F-1 Commercial, E:I' Subdivision 'E] City Proje*ct El -utility (PUD, GTE, WNG, CABLE, WATER)
F] Multi -Family 0P-*51ng!e Family D Other
INSPECTOR: INSPECTOR::
F. Pavement -or Concrete Cut LIK-es LJNo (3. Size of Cut: .Z—)x H. Charge$
f t 61 PIIAA APPLICANT TO READ AN 1 0 SIGN
INDEMNITY. A lica*nt understands and. by his signature 10 this application, agrees -h I
Pp hFCiiy of Edmonds arm ess a urj�l �,4ammages, or
re�n, thai may ade akh s oyEdrnonds' or any' of
claims of any jUnd or description whatsoe ver, f6reseen or u�ifo be m __,�tt LCYty its de a,�nY�ms or employ-
ees, including or not limited to i e defense a defense �oslr
h any legal proceedings including and audmey fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON
p RESTORA770 , N FEES W iLD -UN77L THE FINAL SYREETPA TCH IS COMPLEYED. BY
AND ACCEPTANCE OF THE.WORK. ES77MATED ILL BE-R7
I .. ; ' ZE
CITY FORCES, A T WHICH. 77ME A DEBIT OR CREDITXILL BE PROCESSED FOR TO THE A PPLICANT.
Construction drawing of proposed -work required with permit application. -
A 24 hour noticeis required for,inspection; Please call the Engineering DepArtm
Work ' is to be inspected during progress and At completion.
Restoration is to b6*in accordancewith City Codes. 771-0220
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 ditchesshall be patched with asphalt or City.approved material prior to the'end ofithe wor�)pg day;
NO EXCEPTIONS..
I have read -the above statements and understand the permit requirements and the pink COPY of the permit will be,available
on site at all times fior inspection purposes.
Signature: 4.4. A ai� Date: 4- -,q
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED: BY:
:RIGHT,OF:.WAY::DEPOSIT.::::::: 7?�_ ..
. ......... ........ ..
TIME -AUTHORIZ,ED: VOID AFTER.. DAYS' DISRUPTION FEE/FUND I 11.
DATE-.. BY:
NO WORK SHALL BEGIN PRIOR
Engrg. Div. 1991
FIELD INSPECTION N (Fuff I I I - Route copy to. Street D,&A---)
%.,0 ents:
4
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES ONO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
�, I
Eng. Div. Jul)
1476
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH
COUNTY
REV. 7/07
LOCATION
S. A
ScD <-- CD AREA
POLE NO.
�,j W 1/4 S 24 T -7
R DATE
q-1A- -qZ
W. 0. N 0. a 10 -S
REASON FOR WORK
Ns-T SEL -�AG S q
��o ll� ENGINEER MArg-:rlrl%3
DWG. NO. C) CA %
-To (V,\ ez�—, os--w A
DRAFTER
U. G. NO.
SCALE
DATE WORK COMPLETED
APPROVED
DATE PRINTED
FOREMAN
—
ENVIRONMENTAL ANALYSIS
FEES REQ'D
0 EXEMPT
0 NOT EXEMPT
SUBSTATION
MAPL UJC;,(=) 1)
11i YES 0 NO
PARA.18
ITEM Q
PRIMARY OVERHEAE
O.H. U.G. COND.
KV
CIRCUIT NO.
PHASE-4 a
0 RESIDENTIAL
ADD
',KT. FT. PH
0 COMMERCIAL
LEO#
REM
KT. FT. PH
NET
' KT. FT.
os '1= S
SECONDARY OVERH 7 AD
BASIC FEE $
o s—
METER/CONV. POLE
PRIMARY UNDERGROU 4D
• RESIDENTIAL
• COMMERCIAL
BASIC F E $
LEU#
SECONDARY UNDERSROUND
. BASIC FE E
O.H. U.G. COND.
KV
ADD
K T. FT, P H
REM
K T. FT. 'PH
NET
' KT. FT.
PERMITS
(DATE GRANTED)
• TREE TRIM
• STATE
0 COUNTY
ED CITY
0
EASEMENTS
0 REOUIRED
10 NOT REOUIRED
rL/-k
I
DATE RELEASED
BASIC FEE
FT. 0
S
FOREIGN CONTACTS
0 GTNW JPN#
STREET LIGHTING
t FT. OS—
= $
0 CATV JPN#
2 JOINT TRENCH GTNW & CATV
Cl JOINT BORE GTNW & CATV
WORK IN RIGHT OF
WAY
0 PRIMARY
0
POLE STENCILIN
D SECONADARY
t FT. 0
FROM �
TAKE OFF POLE
TO
MISCELLANEOUS FEES
.VA 11 L T S
PRE—CONSTR. REOU.IREMENTs—
DMOO D -=� PERMIT S
El TREE TRIM N PUD LOCATOR
C S'T Pi 'T C S 2 (,:p lq 5
0 BACKHOE 0 FLAGGING
12 ONE CALL DATE
INDEX
POLES
PLAT
TOTAL DUE S
LOGS
U-MAPI
I
D ATE PAID
XFMR
C-MAPI
I
RECEIPT# _—
LOCATION . MAP PAGE.!�LS;
NEW SVCE APPLICATION#
T A Z x SS 5.6cTiol'i As p "A t.:T- f= 9�- o rv\
6TI.N& 'PoLC VJ&- S T ru PR-09 coq-Nuz, A!5 t.-VAY--f-o
9 P� 9-& A F= go m po W- E -To pp -op C-Q?-1v(zq-
.5-r es t. L R-%66-�-w f)Q PC) Lf= Q S I W G,
v pi o' o 410 C) a -To p, 9- S &-I-o A
A S IS TAA 14 6- 1)
F-re V- /-c . fj 0 v C-Tv 2-
w4e-rj wo a..Y-..
(\AT(L. 's 1)1 "2.. O'l
DOROTHY DROBNER
Utility Billing
INTER -OFFICE COMMUNICATIObIle
0 q TTREET FILL'.- 5.
0 A January 9 19 7�
FROM Building Department
r()P. 4 1 V -'s
SUEJECT: Change of street addresses
old new
-604-:3rd
Ave. No.
604
Sater
Lane
L ane
John Steng r
606
Sater
Lane
L ane
�08-3rd
Ave. No.
Walter Sh rman
608
Sater
Lane
L ane
Ave. No.
R. Suran
610
Sater
Lane
.610-3rd
614-3rd
Ave. No.
R. M. Murphy
611
Sater
Lane
No-
I
Bruce Fyfo
615
later
e
Lane
Ame�i,,No,. .
Roy E . J o nle s
617
r
Sater
Lane
L
Today I
am mail ing
letters to 'the
ab��i-nrej-a-ffd to. the change of a,ddres s.
A copy
of one is attached for your
information.
I
Thanks
Ann