Loading...
626 GILTNER LN.PDFiiiiiiiiiiiiii 14000 626 GILTNER LN To Harry Whitcutt Building Official FORM 41 - LITTLES INTER -OFFICE COMMOCATIONS DATE January 29, 1 c3 L4 FROM Bill Nims Engineering Department 6�V�ner Ln - SUBJECT: Permit Application for 626 - M_Avtenue North The following is a list of Engineering requirements for subject permit: 1. Twenty (20) feet of paving on interior street. 2. Installation of 8" and 4" cast iron water main with blow -off. 39 Sanitary sewer connection required. 4. Underground wiring required. 5. One fire hydrant required. CP. The developer has posted with this Department a cashier's check in the amount of $2,000.00 in lieu of installing the public improvements. The Engineering Department approved the application. 14JN: rf _1A 0-0- CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT C, PERMIT - Q' ��l I Call 775-2525 for side sewer Inspections BEF�RE covering any portion of the construction. Inspection will be provided within 24 hours,-lafter requst. NO Sat., Sun., or holiday inspections.) ", ",:2 - " -1 5:: ADDRESS LOCATION OF CONSTRUCTION ........... ��, - > — V1, h10—CA0. ............................................................... .. ................................. _­ ............................. Lp-�- - & lins= ......... ............................................................ PROPERTY LEGAL DESCRIPTION ......................................................................I . .................................................. .................................................................................................. ............... . .................................. . .................................................. ............ * ------------ * ... * .................................. O1VNER,1XDjOK BUILDER ......... L.1 . ......... -------------------_-- - ------------------------------------------------------- CONTRACTOWS NAME & ADDRESS ............... F. ......... ��Wi'n .................................................................................................................................. Permission Is granted -----_---- V h 1,:;-m ..... . ........................... for repair and/or connection of a side sewer to the city sanitary sewer S4 In accordance with City of Edmonds ordinances. ACTION IS CALLED 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. NOTE No. 2—All work performed in city right:of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches lrf�lde'prQperty line; minimum grade of 2%. No bends in grade sharper than % will be permitted. 7" NOTE No. 5—Trenches in street must be water settled and surface of street restored -�6�originai condition. Contractorvhs��I,be responsible for failure due to improper work which may develop within one year of completion. 1, 1 . I .. �, --,, 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 to in- sert the pipe into the wye. DISAPPROVED E] Date ... ...... ? ............... BY ....... ....... Al .......... Dat By ........... Date ................ ................. 'By ................ ... .. .......... ----- APPROVED Date .......... ..... ............... .......... BY . ........ ............. - ----------- t .................. . ............................................. . ....................................... Remarks: .............................. ...... 7 ...... . ....................................................................................................................... ..................... m� ............................. ..................................................................... . ............................................................................................................................................................................. ......... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection I .................................................... ... I hereby certify that the side sewer installation constructed under,,this permit ..... .... .................. Twner of Contracting Firm Performing Construction) Womstalled in accordance with all governing ordinances of the City of Edmonds. Dated this .............. P�7 ....... day of ........................... ....... .................... 1 19.24, V V Check BEFORE you dig for; Water E], Gas E], Telephone E], Power F], Sewer E], Other. E] V V APPLICATION In TIW City of Edmonds for EASEMENT NO. - ----------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS E LID NO . .................. ASMT. NO . ............. OWNER ------- LJIE� --------- -------------- ......... -------------------------- CONTRACTOR --- I -------------------------------------------------------------------------------- PERMIT NO. L-N�llr= . ........ LEGAL DESCRIPTION: LOT NO. -- - ------------------- BLOCK NO . ........................... JOB ADDRESS A -------------------- I ------------------------------------------------------------ -1- -- .--- e--Il -T-t-�IF�P7- --------------------------------------------------------------------------- ................................................. DATE...... z .. ......... By � ----------------------- .......... for The' City of Mmonds EASEMENT NO - --------------------- ---------------------- SIDE SEWER PERM NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO. -------------- OWNEP . ......... 149-/ ........ 7' Cqk-� ..................... ........................... CONTRACTOR .... 10— A 4 ....... HN/1 ........ ---------------------------------------------- � PERMIT NO . .................... JOB ADDRESS ------ 4.;Z� �el. --------------------- ------------ --------- ------------- --- ------------- LEGAL DESCRIPTION: LOT NO - ------- ------------------ BLOCK NO - ------------------------------------ ........................ -- .................................................................................. ................................. .......... NAME OF ADDITION .... ��?t --------- --------------------------------------------------- 0 Approved: DATE............................................ By ------------------------------------------------------------ 117 C.. . Jso�3 City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number- Lssue Date: A. Address or Vicinity of Construction: e4A B. Type of Work (be specific): 4:4 -g�442C ZZ L2 110, C. Contractor: '�:4uvaz �f Mailing Address: State License #: Contact: Phone: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. E] Commercial [J Subdivision El City Project )4 Utility (PUD, GTE, WNG, CABLE, WATER) n Multi -Family E] Single Family n Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut D Yes E]No. G. Size of Cut: x H. Charg4�_$ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany kind or description whatsoever, foreseen or unforeseen, that may he made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including d�fense costs and attorneyfees hy reason of granting this permit. THE CONTRA CTOR IS RESPONSIBLE FOR WORKMA NSHIP AND MA TERIA LS FOR A PERIOD OF ONE YEA R FOLLO WING THE FINAL INSPEC- TIONAND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required with permit application. A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220. Work and material 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 trench work 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 timesfor inspection purposes. Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER "7 DAYS SPECIAL CONDITIONS: RIGHT OF WAY FEE: DISRUPTION FEFIFUND I 11: RESTORATION FEE: T OTAL FEE: 00 RECEIPT NO.: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments CONTRACTOR CALLED FOR INSPECTION El YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: TO THE ELECTION BOARD City of Edmonds.change of addresses. Old 626-3rd Avenue North 628-3rd Avenue Nort 632-3rd Avenue Nort 642-3rd Avenue North ( These changes due to a new STREET FILE may 7, 1975 New Name 626 Giltner Lane vacant 628 Giltner Lane G) Itner 632 Giltner Lane urpur 631 Giltner Lane -,,�Reiser ���e s-i-d —n6-+ i o n Ann El I in Building Dept. co CA FILE No. Critical Areas Checklist -------------------------------------------------------------- Site In -formation (soils/topography/hydrology/vegetation) I Site Address/Location: �-r,41612 qvL- 419/g&-n A/�� 44,�d 2. Property Tax Account Number: :ZVa763,1— 2-,V7-0001 3. Approximate Site Size (acres or square feet): Lod) o 4. Is this site currently developed? yes; _no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. tl� Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: Me Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway V'w floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? lick Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow ;shrubs ;rnixed urban landscaped (lawn,shrubs etc) 6 11. Obvious wetland is present on site: M, — DE-TERMINAMN STUDY RE 'R vie' e... We.db� ^ca,_chk.doc: Re� 10/03/97 City of Edmonds RECEIVED JUL 15 ... P COMMUMU V41W CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to'complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant- Applicant Representative: hviA KfZN-'C'6-' Name N, �2-4, Street Address Street Address city State Zip city State Zip Telephone Telephone Signature 7 Signature ---- 'Y' '�5- - Date c:recepdon\jana\cac1.doc Date (over) CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works - Planning/ Building e Parks and Recreation - Engineering * Wastewater Treatment Plant 0C. is July 20, 1998 Harry and Bernice Schulz 626 Giltner Lane Edmonds, WA 98020 Subject: Determination regarding Critical Areas Checklist # 98-191 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. IMPORTANT INFORMATION TO BE NOTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY, The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site-spetific determination not a project -specific determination. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL .40 PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Eric: Determination * Architectural Design Board C:ReceptIon\Jana\CRLTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Shada Graham Acting Planning Secretary o Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan ucna4,q4LAA t7Lbx T-:)iLAIt 141 alaD Noo T,,-J LVb I em F—' 41 1r3 p9l it it ulrd VLA-9 - V3 C3+. a 10 1'4 %d �3 jqj�o Cyl t Z- 09 W_ '� I V: I N' S.E.'CON Gov. "LO�l tv N N�E Cof. Gov. Lof 2 C'V 0 17-0i71 El- 0 -Z - 00Z IZ-00-3 IZ-00# 12-001 M 40 -7 2-0/-5 N 0 0 2-Ooe 01 0071 10 2- 2� 7 8 1 02 P_-2 24 le-226 S- 13 2 - r Z_ Oic) X 2o 6 9 2- 7, 2 -C). 013 Oz .9- Z-o38 '/0 2-z7.5 3 5 OZI I -z-f- 2-07-2- 2-037 J 4 Z-CL3& 2-OZ9 12-02-8 N, Oq5 Z-C�62_ 2-0-5-/ E-Rlue C' /VS 01 F A. N, 2-03 3 -4 Oz b 6 CLI LOHA WAY lk ? - 0 I 2-o75 /0 7 12-073 _j 10 IFF D U — it _'a!ro 2- 0-6 e IZ-oS 7 9 8 2-01,0 4 0 0 > < PA Yl VE A )5 2-o77 /0 /3 Tract 9 14 A 8 15 16 17 10 Lli :�L 2-o7/ 18. -04.e 19 2-070 o LO 4 DISTANCES SHOM4 ARE SCALED (D GLEN ST 5 7 8 101 IU5117 f 0 Z This sketch is provided, without charge, for your information. It is not intended to show all matters related to the property including, but not limited to, area, dimensions, ease- ments, encroachments, or location of boundaries. It is not a part of, nor does it modify, the commitment or policy to which it is attached. The Company assumes NO LIABILITY for any matter related to this sketch. Reference should be made to an accurate survey for further information.