608 9TH AVE S.PDFIIIIIIIIIIII
9947
608 9TH AVE S
ADDRESS:
1-�
TAX ACCOUNTIPARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKJNG AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:--T— o /0
SEWER LID FEE $:
DETERMINATION: 0 Conditional Waiver Ej Study Required E] Waiver
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED --
SIDE SEWER PERMIT(S).#: I -�o
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED: 9/1(s &5
OTHER: Mot- -* 4S Z-7 10/az-155
LATEMP\DSrsTomis\Street File Checklist-doc
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STREET FILE
RESUB
AUG 10 2007
BUILDING DEPARTMENT
CITY OF EDMONDS
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"Nothing in this permit approval process shall be
interpreted as allowing �or permitting the
maintenance of any currently axis" illegal,
nonconforming or unpermitted building; structure
or site condition which is outside the scope of the
perinit application, regardless of whether such
building, structure or condition is shown on the
,gite Ian or drawing. Such building, structure or
confition may be the subject of a separate
enforcement action."
f3Rv-1Wt(,k fZ15*DP-A60'
'S CALE
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-SITE PLAM
Zone Comer.Flag--z
Letbacks -ge �uired
Actual
7&ides
s-ides Rear-
0 th
ther
Reight
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
11 S TREE T F:I:L:E: ]I
Name:
Lndh.. ac�,Acoick
Date: z&A—a
-
Site Address: %A\te'. !p
Plan Check
)Q04
-0791
Project Description: RIE4�� -blr'\C/ e-X�C/
Reduced Site Plan Provided: NO)
Zoning:
Map Page:
Corner Lot: (YES
Flag Lot: NO)
Critical Areas Determination #: Q007 - 0MG
Study Required
waiver
SEPA Determination:
R Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist
0 APO List with notarized form
S 4F, ep -ep t
G'% e-
Side:
Side-
5
ActuqlSethack5
Side:,,,,,)
Side: J4"
W
Detached Structures:
El Rockeries:
El Fences/Trellises: NOC.Ae- 0,
El Bay Windows/Projecting Modulation:
Stairs/Deck: b,, 9
,
/ C>1e_C_\Q_ Q-V
�J
Height
Datum Point: A&
Datum Elevation: N /A
Maximum Height Allowed:
Actual Height:
CC
4.0)l�ooc M,
6ther-
Parking Required:
Parking Provided: Nc> Ckn-,C,
og-
Lot Area: 12�1
Maximum Lot Coverage: 35%
�4posed: X0_ _7
Lot Coverage Calculations: E�v�; Rot"*
k, 8-&qqk _330 -
:oo
a/ --I -a DG .7-7.
ADU'Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued:
(YES
�Commen:g
Plan Review>4��_���
Planning Data Form 04-11-06.doc
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JUL 9 1985
CITY of EDMJ#DS SfE SEWER PERMIT
'A
12R 0 PERMIT N015547349
For Inspection Call 771S EET #66-p5rus
Address of Construction:
Property Legal Description (Include all easements):
Own
a
EDMONDS
7 1, —
Contractor & License No: (7LI LL
Singl:e Family Residence
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No
,KN Yes (If Yes, Right-of'Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: -No rl<. Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE
I clertify
with the i
THE LTVS LISTED ON THE BACK
i nave reaa ana snaii compiy
listed on the back.
7_121 _K_ -
Date
fA1,04F OAF OA 'Arinoww _01 no
Permit*Fee: issued By: \114m�r d Lfi1l'
Trunk Charge: -7 c?
Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Ini tial-
Final Inspection Approved:
CID
Date Initial
Rejected:
eason
** PERMIT MUST BE POSTED ON JOB SITE **
. Date —!—nitial
White Copy - File
Green Copy - Inspector
Buff Copy Applicant
The City of Edmonds Side Sewer Drawing
EASEMENTNO. - -----------------------------------------
NEW CONSTRUCTION REPAIRS F-� LID NO - ------------------ ASMT. NO - --------------
-5. 4-5
OWNER cm, e-S ----------------------------- CONTRACTOR - - -------- SAVC-K-ROF . ............. PERMIT NO.
JOB ADDRESS ALO-s ........ .............. ........ ------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ---------------------------
Ir -- -- . — � -- -- F
-------------------------------------------------------------- SZ-1-N. -R ------- RIO<
ft7f� ---------------- t-.� .........
NAMEOF ADDITION ----------------------------- --------------------------------------------------
1
44-c
-rc cx---DAR -S�r.
PWW-0001-11/75 (REV.11/78)
7'DP
4-wis
3'DP
ro"C-0- CAI>
Approved:
DATEZ- ----- ...........................
1�1
co
C)
CITY of EI)MVI)��-XREE-7 HLIF
S#E'
SEWER
PERMIT
For Inspection Call 771-3202
PERMIT NO.
07345
Address of Construction: k 111AS WiMt-
Property Legal Description (Include all easements): L&
Owr
Contractor & License No: 1-41- (7q LL
Single Family Residence
Multi -Family
Commercial
(No. of Units
(No. of fixture Units
Invasion into City Right -of -Way: No �C Yes (If Yes, Right. -of -Way
Construction�Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Q!!!� Yes (If Yes, easement required,
attach legal �escription and county easement number.)
PLEASE R TIE S LISTED ON THE BACK
7 2ertif�rlt �� have read and shall comply Date
with the iteW listed on the back.
Permit Fee: Issued By:
Trunk Charge:
Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
Rejected:
Reason Date 1-n-itial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant
SIDE SEWER'PERMITS'-"
1. Property owners Mu-st- obtain a permit to install side sewers on their property.
A licensed side sewer contractor mus't be employed t6%constr
uct side, s,,6wers
in the public right-df-wa'�.
2. The si'de' sewer 'co'n�i-rdcfor assume's' f U.1"t" r�spo'ns'l bi 1 i ty for each installation
for one 01)�Uear-.11.
3. Commercial establishment requires a minimum of a six inch (6") side sewer
line.
4. Side sewers may not be installed closer than thirty inches (30") to any
structure.
5. Side sewer lines must be laid at a minimum grade of 2% (1.150) and maximum
grade of 10.0% (450).
6. No turn in side sewer greater than 450 (1/8 bend) is allovied between
cleanout. All 900 turns must be constructed of a 450 (1/8 bend) and wye
with removab.le cap for cleanouts.
7. No down spouts, footing drains or floor drains can be connected to side
sewer system.
8. Pea qravel is required for bedding when installing sewer lines thr.ough other
than granular soil.
Cleanouts are required at 30"-60" from each plumbing exi '�d minimum
9., t lin� an ' at
Vn'�ervals of 100' along sewer line run.
10. Trenches within City right-of-way must be restored to original -conditions.
Contractors shall be responsible for right-of-way failure due to poor compaction
of fill.
ll.. Cleanouts at property line and at house will.have risers installed to within
1.2" of.'surface grade w'ith removabl'e cap.
12. Water test is required.
13. Side sewer must be left uncovered until inspected and approved by the City.
_14.- Inspection during normal wbrking hours only. One (1) working day notice
required.
#P20 CA File No.�20074/6�
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/vegetation)
i. Site Address/ Location: (a wt,� wt-to -rj�S itJ74, q962-6
2. Property Tiix.Account-Number:
3. Approximate Site Size (acres or square feet): .-LO AC,4ZC5
4. Is this site currently developed? Zyes; — no.
If yes; how is site developed?.-- AM- LIS. r 0,-J -57 x-7�C
5. Describe the general site topography. Check all that apply.
21VM Flat: less than 5-feet elevation change over entire site.
A-� Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over I a horizontal
distance of 6&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):
6. Site contains areas of year-round standing water: WD 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 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:
For City Staff Use Only
I. Plan Check Number, if applicable? ysk-z - WD7 —0-7 91
2. Site is Zoned?
3. SCS mapped soil type(s)? G - +C�
4. Critical Areas inventory or C.A. map indicates Critical Area on site? !E��Ne_
5. Site within designated earth. subsidence landslide hazard area?
DETERMINATION
STUDY REQUIRED
WAIVER
#P20
City OfIdmonds
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).
0 -1<07
1�,W-7- t/
Date Received: I I Ub I U -t-
City Receipt#:_ J�JCZ
Critica I Areas File #: �11\007
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant: 8-9--:�206-7
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, indenmify, defend and hold the City of Edmonds harmless from any and all damages, including r easonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SiGNATuRE oF APPLicANT/AGENT DATE
Property Owner's Authorization
By my signature, I certify 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 posting attendant to this application.
t i 1�
&AL ak -I IZ4,
�SIGNATURE OF OWNER OW DATE
Owner/Applicant:
LJ'PD6 k3(Z-C(vJKK/
Name
Applicant Representative:
/JJ,/J4A4
Name
9 7-9 A 61�C 6716 lVe / 75-�57/
Street Address Street Address
E�- )A) n -r ArL
city � - State Zip
Telephone:
City State zip
Telephone: -
Email address (optional): - Email Address (optional):
CITY OF EDMONDS ASSET INFORMATION SHEET
[2(NEW ASSET NO. 4S --o),-1
El ADDITION ADDITION TO ASSET NO.
El RETIREMENT
DESCRIPTION
SERIAL NO.
LOCATION
DEPT NO
*PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECTNUMBER
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE �;p
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
VERIFIED BY
PROCESSED
BATCH NO. -
G.L. ENTRY
REFERENCE DATE
g r"; -
INITIAL
b1p)
DEPARTMENT FILE
PPD= REVIEW CNECKLIST
hl,
DRWI� I 11r -
PRDJECT NAME:
Aim Tf'&l 10Vf1VTrM r,7krrW.
COMMENTS
FIRE
Sn4GLE FAmILy/mULTIpLE/Caq4ERCIAL - (Circle One)
PLANNING
BUILDING.
Reviewed by: (initial/date)
WTRISWR I STRMT E1`;GNRNG
CHECKED Planning
VARIANCE/SETRACK ADJ.
IMMY'//
CONDITIONAL USE PERMIT
2
ADB REQUIREMENTS CHECKED
7777-77-
-777=
117777 7
T/"/ -777
////////
111111177
7
3
IOTHM ZONING RWJIPZMM
1111111T
1114111111
ENVIMOMMAL F M-TURES
7777T1777
777/7777
WM/f
5
ACCESS SLOPE & VEHICLE ACCESS MA,
b RM
—90r -"
DRAINAGE PLAN (On Site) cly �4
7
STREET FILE ------
8
LOGAL DESCRIPTICN VERIFICATIM M4 'IL,�,e
177111111-TRIIIIII
QUIT CLhIM/DEDICATIONS
111IT777TT17711111
10
r
EASEMENT - PUBLIC/PRIVATE
777777777
777777777
77777777
CALCULATE SEWER CONNECTICN IF NO/LID#
7177777//
777MIll
12
PLAT/SUBDIWSIGN REQUIREMENTS
ITMW777TIM77
1-3
IF
RIGHT-OF-WAY CONSTRUCTION PM*= REOD
T1777777T
14
BOND PBQD FOR PUBLIC IMPROMENTS
1111ff1W
777777777
15
SOILS COMMONS & GROUND
WATER FIELD CHECKED -------
16
STR= PAMG REQUIRED
777T/77////////
//////
17
CURB AND . GUMER REQUIRED
77W-MI11111=1111
18
SIDEWALK REQUIRED
19
CURB CUr FOR DRIWVAY REQD
TRIP
/M//
177
/////////
/////////
T"TH
20
STREET NAME SIGN REQD
1111M11
11111111h
21
OTHER SIGNING REQD
////77777'777T7777
77777777//
22
SIDE SEWER AVAILABILITY
7177
77777777
77T7 77
T717777
23
EXISTING WATER MAIN SIZE
24
WATER Mn SIZE
3111
77777-77T77'
25
SERVICE LINE SIZE
7777777-77
5,1110
111111IT7TI7711111
26
HYDRANr RE)QUIRED
47111111
7 7 7 7777
VIM 7/77
27
HYDRANT SIZE EXISTING
//AM
7TIMIMT111111111
////////
28
CROSS MM)CTION INSPECTION REQD
IIIIT17T
29
WATER METER CHARGE REQD
co
30
FIRE LINE CHARGE REQD - SPRINKLER
7-7777
IM1111
TR1111171
ItI1111111
31
SIMIX CUT
32
OPEN DITCH EXISTING
11im
33
REQD
7 7 7 7 TT177
/////////
TITM It
/////////
;K
1
34
CULVERT REnD
7TR11111
/////////
111111111
////////Pr1r\
"
35
SIZE
711117T77777TTIT11)
T -
36
CATCH BASIN REQD
37
INDICATED ION SITE PLAN
177777
//////
7111111111///1////
/////////
/////////
y
38
SHOULDER DRAINAGE MAINTAIN
SHALE OPEN RUNOFF
7 77777
7T7TR77T
777TITR7
39
MISIC:
40
I
REVMWED BY:
PLANNING MGR.
ENGINEERING YjGR. PUBLIC WORKS MGR.
A2k
Am W USE
CITY OF TIVIONDS ZONE
CONSTRUCTION PERMIT APPLICATION JOB
NAME (OR NAME OF BUSINESS) ADDRESS
.1-1,11 1 - I RE
VY X Ir - Lk FVAM-.4. I - -1 - lu" bU8UIVISION NO.
br 5
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING UIRED DEDICATION
PROPOSE Yk&50
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED
. 7 —
SEE PIW DEPT. REVIEW CHECK L ST DO. 0
ILI
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)v::) i
I
'11.19-
LEPHONE NUMBER
lc�_ 7n Z
7 -, a-4�_ S�. �_ ').
ZITY TELEPHONE NUMBER
EIAMA,�� 115-
STATE LICENSE NUMBER CITY LICENSE NUMBER
RU 1AAE-t-Al, tlqr-E
Legal Description of Property - include all easements
(show below or attach four copies)
Lo� 5 " bl"Ara_ P_,IhLr�
PU9
LYS] NEW
RESIDENTIAL
El PLUMBING
ADDIALTER
NON-RESIDENTIAL
MECHANICAL
REPAIR
RETAINING WALL
El SIGN
DEMOLISH
EXCAVATE
OR FILL
FENCE
1:1 1 x _FT)
PRE -MOVE INSP.1
COMPLIANCE INSP.
swim
D POOL
PERMIT
NUMBER
D NO.
METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA ENV. REVIEW
ALLOWED I PROPOSED I COMPLETE I EXEMPT
VARIANCE OR CU
PLANNING REVIEW BY
ADB NO.
IORELINE #
DATE
YARDS [LOT COVERAGE
N_ FRONT SIDE REAR I
SIDE SEWER WATER LINE
0. El
a:
(n NUMBER OF STO�IES NUMBEROF
Uj
0 UwtLLINu
0 1 UNI I b cl Is3E_
, [NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN) j
ED BY I TYPE OF CON
SPECIAL INSPECTOR
REQUIRED
0 YES NO
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"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
E whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
3 (93 AX41
modify,.waive or reduce any requirement of any city ordina nce
0
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
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the S;ta of Wash on relating to Workmen's Compensa-
WORK NOTED
ti( ?e
I NSPECTION
3IG TU E(O OR A9E7)=
r )ATE SIGNED
DEPARTMENT
CITY OF
;:nKAr)mn-z
CODE
HEIGHT
OCCUPANCY
OCCUPANT
GROUP F_
LOAD
VALUATION
/- I _,Ka 00
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged In space provided.
OFFICIAL's SIGNATURE
a:
Z
a
Z
Uj
Z
Z
ATTENTION - 771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 0;,U,
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. U
CHAPTER 3. SW5
102-78
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD A:ssessor
i
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT:
7177"' -
DATE:
After review of the subject Building Permit application,' vie have the following
comments:
1. Connection to City water system required.
2.
Connection to City
sanitary
sewer system required.
3.
Right-of-way permit
required
for any work on City property.
4.
Driveway slope not
to exceed
14%
5.
Backwater valve required
if
downstairs plumbing is below elevation of
upstream manFo7e—.
6.
Water and sewer lines to be
separated by 10 foot minimum.
9
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DEvEL JUL. 2 5 2007
OPMENT 'Sen
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