632 BELL ST.PDF10259
632 BELL ST
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
I 0c)?8-aR00,Q*7-()2Z0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR: Qf� -22tHAQ-2-
CRITICAL AREAS.: III U, DETERMINATION: E] Conditional Waiver F-1 Study Required YWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED: lb.lohl
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
MjCrO 6Y,121D) lgj�btjo:5- c9-tc-1k)
ggSc) Z�Q] 50 yl nktu,- M902-19�34c- AQ,�/O� 199 0+4 Ca r\p,L0cj
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #:
`Z) U - I&q - q�
SHORT PLAT FILE: L LOT: BLOCK:
SIDE SEWER AS BUILT DATED: tq- 7z-
SIDE SEWER PERMIT(S) #: RqM
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:K��\x) 9
aG4
U- qww 1�-1 UL�
-1 )7 t,-7" P V
LATEMP\DSTs\Fonns\Street File ChecklisLdoc
District
"I of Eftonds — Welt'Or De'019itment
TAP CARD
Readin nocD Date 0:3211 1q8
No.
N 05 6,'A
Meter ize Qll Tap Size
Mfgrs. No. )15271 trb 2 Stvle
Purchaser: 6 pj,410 � (",.-,-4 h,&4' 6pli-A
8erv. Add.
Lot No. Blk. No.
Add.
Residential:
Other:
Meter Location )tA cam�,� Qf �Zv
Service- Material:.. I
Pressure-lbs. Test
Date of Work 3_-Vf_q5
_rk For
eman"
Gua-r. Voucher No.
Proj. No:
Remarks: Rcr- i;�_ mz-k �skap 3-2,v--n
OUTGOING
I nclex—
Reg.
—Route
Bk.
—Stencil
Card —
INCOMING
I ndex—
Reg.
—Route
Bk.
CarL�_ j
ROUTING SLIP
.\,,4EW SERVICE INSTALLATION,_
ADDRESS:-&
DATE:
FOREMAN
DIALADIG#96120 1 92s,
P.U.D.
TELEPHONE
CABLE T.V.
GAS 1�31
CAW
STORM SEWER
OTHER
FUTURE SERVICE INSTL: YES
BORE: (1-U.T')
CREW
LOCK
DATE:_ INITIAL:
<JUNLQCK__)
DATE: INITIAL:
METER SHOP
10
ACCOUNT NUMBER:
SUPPLIER:
FOREMAN
----------
TREATMENT PLANT
B L T
FOREMAN
INITIAL: DATE:
UTILITY
BILLING
TAP CARD
METER SHEET
APPLICATION/
DISPATCH
I I (b
I
t.22:�_a
'41
CITY OF EDMONbs
CONSTRUCTION PERMIT APPLICATION
370533
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onfreov Ac-na-foOoe ma. m's dowicawk; Mal! Ire
's co�dcl and that I am I" aw'w. (w t.'* Cut/ ATTEn' , 1OU APPLICATION APPROVAL
avew to C=
=Dt -in city W-4 T" 9205cation �jr not 8 pefrmot unt'l
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ed mr_eo�,. no cj,som .,if De amarfed w. -"va�cm of me LAtfo, -.t &vw Dy L-0 Stedog Omam 0, ?-Wftr
cce�. a- r:we s..re of viAsr.,nc*on nrwinc ravio't-ems comm"!3a. Orpar. and to" we Poo. W4 mceia a
8c*rvw*(*ed wt pro"Ided.
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tr jS U,%%A%VqX -.0 USE 04 O:Cu&f A OWLMT40 CO ST
Lp%-M A FMAL V4ftr_7YO-'4 "AS 619M W409 144CO 4004 771-0220 CWGINAL - Fee YELLOw - lmmftv j
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APPROVED BY PLANNING
STREET P".
APR - !L"97
PERMIT COU!
RECEIVED
9
City of Edmonds
Critical Areas Checklist
The Critical Areas CheckJist contained on
this forna is to be filled out by any person
preparing a Development Permit , I
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 inventonies, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
JUN 14 1996
CQMMW4jTY SEK 1. 1"
and submit it to the City. The City will
review the checklist, make a precursory site
visit, and make adetermination 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
or plot plan for individual lots of the parcel
with,enough detail that City staff can find
and identify the subject parcel(s). in
addition, the applicant shall include
other.per6nent inform2tion (e.g. site
plan, topography map, etc.) or studies in
conjunction with this Checklist to assist
staff in completing their pr6liminary
assessmentof the site.
I have completed the attached Critical Area Checklist and attest that -the answers provided are
facitial, to the best of my knowledge (fill out the, approphate column below).
Owner I Applicant:
'U2
,5
Name
Street Address
A, /2
0
C it , State, ZIP
y Phone
Signature
Date
Applicant Representative:
Na rne
Street Address
Seq-ff/p )m-114 ?�>Ies '_�7-?Jz(7
City, State, ZIP Phone
ire
Signature Date
Critical Areas Checklist
Site Information (soilo_wgraphy/hy.drology/vegetatio*
I. Site Address/Location: �� 5Z '64e r/f
2. Property Tax Account Number: ?01�1—, 1) —aal
�7 61K -
3. Approximate Site Size (acres or square feet): I?tl 21
4. Is this site currently developed? yes; _ no.
If yes; how is site developed? Q�2z
5. Describe the general site topography- Check all that apply.
F1 at: less than 5-*feet elevation change over entire site.
C� -A - 9to __ � W
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 I 0-feet over a
horizontal distance of less than 33-feet).
-Other (please describe):
6. Site contains areas of year-round standing water- Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. I Depth:
What season(s) of the year?,
8. Site is in the floodway /4/0 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: fbrested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only ---
I Site is Zoned? _fl� R 4--
2. kS mapped soil type(i)?
3.- Wetland inventory or C.A. mp indicates wetland present on site? I &I
_ I kL
4;.'-. :-,Critical Areas inventory or C.A. map indicates Critical Area on site? VZ�
'Site within designated earth subsidence landslide hazard area?
'.�'ite d signated on the Environmentally Sensitive Areas Map?, po
6. 1 esi
DETERNTINATION
"'STUDY REQUIRED
Z'�WAIVER*
Revie*wed by:
Rev 0 1/04/94
COND17HONAL WAIVER
i i E6te
'M
APPLICATION
for
The City of Edmonds SEI)E SEWER PERAHT EASEMENT No . ..........................................
NEW CONSTRUCTION E] REPAIRS 0
114-03000
John W. Conley
OWNER-------------------------------------------------------------------------------------------------------------- CONTRACTOR -------------------------------------------------------------------------------------------------- PERMIT No . ................
ADDRESS ....... 6..3.2 .... B e..1.1 .... S.t ................................................................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
.9
ENE FE
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer'1972
Approved:
DATE................................................ By ......................................................................
PLANNING DATA
SITE ADDRESS: DATE:
ZONING PLAN CHK#: ADB#
PROJECT DESCRIPTION: LT Ac"l-n F04"-!:�z
SETBACKS:
Required Setbacks:
I
Front: /< Left Side: Right Side: (0 Rear:
46
Actual Setbacks:
Front: Left Side: ZO Riqht Side: /0 Rear:
CORNERLOT (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED NO (Y/N)
LOT COVERAGE: V �-
Maximum Allowed: Actual:
BUILDING HEIGHT: I CIO F
Maximum Allowed: 44- f57 A�,c 4f! 0'� Actual Height: 7.
C - a - tz
Datum Point: I vc-, Datum Elevation: /&S.
SUBDIVISION / LOT LINE ADJUSTMENT: LAP
CRITICAL AREAS #:
SEPA DETERMINATION: //f -7
r
LOT AREA: 7i5t 0
DENSITY ALLOWED I ' ( S-cc::' UNITS ALLOWED 5— PROPOSED 57
BONDING REQUIRED (ys/no) V2!� (for what?) �~5efy
OTHER:
Plan Review By:
i
CITY OF EDMONDS
8 9 6 1 9
Ad dress of Construction:
Property Legal Description (Inclu-de all easements)':
owner and/or. Contractor:
State License No.
El Single Family
Multi -Family: (No. of Units
El Commercial
0 Public
90 D,4Y,5
S1.0E SEWER PERM17
8 9 5
PERMIT
7 ED�MoNjDS
Th 2n�
TREATRAPwr n,
T
Building Permit No.
Invasion'Into City Right-ot-WayX No' El Yes.'
RW Construction Pe rrn it N o.---
Cross other Private Property No .0'Yes
Attach legal description an d copy of recorded easement
a
I certif� that I aVe read and shall q�Kly with all city requirements
I as.,inj 4-tke back of the.�PKAit Card.
Date.
'CALLDIAL-A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
FOR"INSPECTION CALLqZI.320,2, PUBLIC WORKS DEPT.
77
Permit Fee: sued By
Trunk Charge-A��, Q(9 Date Issued:
Assessment Fee:. Receipt'No.: 10997,
13,
Lid No.:
Partial Inspection.: 0 Date Init ial
Comments
Reason Rejected: Date -Initial
Final Inspection Approved: Date lnitial]�-_�
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revisqd 3,!90
t
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS F-1 LID NO . .................. . ASMT. NO. - ................
OWNER................................................................................................ CONTRACTOR .............................. ..................................................... PERMIT NO.
JOB ADDRESS 4>.3-a .......... I 3.r- Lt ........ t7r . ..........................
LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
............................................ .................. ......... ......... EDMOrNDS ---------- — ----------------------- * --------------------
TREATMENT PLANT
NAMEOF ADDITION ... .......................... ....... - .............. ............... ................................. .............
�— 4 Ila'
�—Wq , 41ell C 16 To a r4cit-
14 Fqc ?Vc CASr' 11-M
Reducer
Approved:
0-
PWW-0001-11175 (REV.11/78) DATE .31ti.9t ......................... By 9 ....................... ...........
Water Service Drawing
The City of Edmonds
EASEMENT NO . ......................
NEW CONSTRUCTION REPAIRS LID NO . .................. . ASMT. NO...... .............
OWNER............................................................................................ ... CONTRACTOR ............................ ............................ ..... .......... PERMIT HO.97054�;�
JOB ADDRESS ..�t32,..Stv . .................................................. - LEGAL DESCRIPTION: LOT. NC .. ................................ .... BLOCK NO . ...................................
z
P
0
.d
d
PM14-0001-11175 (REV.', 1/78)
NAMEOF ADDITION ................. ........................ ................. ........................................... ..............
Approved:
D A T E ... ............... s ................ By 6-14a-4 --- ------------------
7Y
2 lah 4kver%ue Worth, F n 98020
"Y CxF N4c>wr:>s I
phone! C206)775-0564
Fax phone: (206)776-S746
x6 July, 19.98
WurnbOy Or PR908 ln.ludLi�& Co�er shoot:
]Pr-oirn:
L.yle C:hrtsmun
lEngineeving specialist
lEngineeiring 1Wvision
Phone: (425) 771-0220
Fm� phone: (425) 771-0221
lr.�
For yorar ra-io— I;Lcply.ASAJP Please can%ment
IZM. 632 MMIL]r_ S-X 40C)l%MUP 3F*AkXAJKZ11qC_-
]Brad: 4,
7rhe perrnit application you si Lbrnirted was far the Installaticipr% of a fence -with no mention of revised
parking. -As such. the pormait, -was reviewed for foxico irstallatiarx and revised lamdscaping only. Mad you
included revised parking. itwouldhave beem rautod:for review. Since the revised parking layout is
inmonsistant with the layout on the approved civil drawings, you will need to have the City- P_ngineer
review and sign a revised parking drawing.
May I suggest you subrnit a lottery and drawing -to the �kcting City lEngineer, rDoon Fiene P.M., Bor his rcvio-o-v
and signature. Ifand -until hm signs the revised drawing(s), the instullectio= of" any parking layout, other
tlmftn what was originally approved, will be done at your own risk and subject to rernoval.
IFYQU have any cluestioxx& please call rrxc at 425-771-0220 ext 324,
TRANSMISSION REPORT
TH IS DOCUM'ENT(REDU,CED SAMPLE ABOVE)
AW
T 9031`-�" N
** COUNT
# 0
*** SEND ***
NO
-
R MOTE STATION I.D.
I
START TIME
DURATION
I
#PAGES
I
COMMENT
1
94257-765746
7-16-98 5:36PM
0,50"
0
OP66/ OK
TOTAL 0:00'50" 0
XEROX TELECOPIER 7020
CITY OF EDMONDS 121 Fifth Avenue North, Edmonds, Washington 98020
............
FAX COVER SHEET
To:
Brad Butterfield
Butterfield Design Gp
Phone: (206)775-0564
Fax phone: (206)776-5746
CC:
Date: 16 July, 1998
Number of pages including cover sheet:
From:
Lyle Chrisman
Engineering -Specialist
Engineering Division
Phone: (425) 771-0220
Fax phone: (425) 771-0221
RENURKS: E) Urgent 0 For your review N Reply ASAP [E Please comment
RE: 632 BELL ST CONDO PARKING
Brad:
The permit application you submitted was for the installation of a fence with no mention of revised
parking. As such, the permit was reviewed for fence installation and revised landscaping only. Had you
included revised parking, it would have been routed for review. Since the revised parking layout is
inconsistant with the layout on the approved civil drawings, you will need to have the City Engineer
review and sign a revised parking drawing.
May I suggest you submit a letter and drawing to the Acting City Engineer, Don Fiene P.E., for his review
and signature. If and until he signs the revised drawing(s), the installation of any parking layout, other
than what was originally approved, will be done at your own risk and subject to removal.
If you have any questions please call me at 425-771-0220 ext 324.
c:,
y of Edmonp'
.
RIGHT-OF-WAY CONSTRUCTION,
PERMIT 99-
Permit Number.
Issue Date:
A. Address or Vicinity of Construction: 632 Bell 'Street
B. Ty
pe of Work (be specific): S i d e W k 1,;:'c u r b & gwtit*er in 'city
rigbt--of way @ drive' entrance.
C� Contractor: Grarn -rongtruction Contact: Greg Mummy
Mailing Address: 1506 .10th Place North Phone: (425) :771-.342,0
,State License #: GRAMCS 1 09 QJ9 Liability Insurance: Bond: $
D., Building Permit # (if applicable): . c) 7 o 5 3 3 Side Sewer Permit # (if applicable):. -N/A
E.: Commercial E]. Subdivision, 0 City Project E] Utiiity'(PUD GTE, WNG, CABLE WA
TER
u Multi -Family! Single Family Other
INSPECTOR: INSPECTOR:
. . .......
F- Pavement or Concrete Cut: 11 Yes nNo G- Si7eofCut: x T4-, MqrVt-'t
A 1D'Dlr T A XTrr r1r1-%
INDEAINITY.- Applicant understands and by his signature to this application to hold the City of Edmonds harmlesifrom injuries, damages, or.claims ofany,
kin4l-or description whatsoever, fireseen or unforeseen, that may be made against the C . ity of Edmonds, or any of its, departments or
e I mployees, including ornot limited to the defense of any legal proceedings including defense. costs and attorneyfees by reason of granting.this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TIOVANDACCEPTANCE OF THk�WORK. ESTIAfA TED RESTORA TION FEES WILL BE HELD UNTII THE FINAL STREET PA TCH IS. CO . MPLETED
BYCITYFORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Two sets of construction drawings of proposed work re4uired with permit applicati . on.
A 24 hournotidie is required for inspection. Please call the Engineering Division, 711-0220.'
W ork and
in qrial.i§"io,'-b6,inspected during progress and,at.cdmpletion.
Restoration is to be in nc&'dance with City Codes.- -
Street shall, be,kept clean at alriiiiies.
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 Patc6��'with- asphalt or City appro',ved 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,c of the permit will be
opy
available on site at a times for inspection purpQses.
54 �nature-
Sig Date..
(Contr r.Agen-tjl-- 7
CALL MAU A-D RIOR TO BEGINNING� WORK
FOR CITY USE ONLY
APPROVED BY- -% � � - Py
IF F —F -9i-
TIME AUTHORIZED: VOID AFTER DAYS
SPECIAL CONDITIONS: eh 1A I I
RIGHT OF WAY FEE: �(),
DISRUPTION FEEIFUND I 11: 1--,—
RESTORATION
RECEIPT NO.:
M07A
J I VJ— eL tMA. Ao le?
ISSUED BY:
NO WORK. SHALL BEGIN PRIOR: TO'PERM
SUANCE,
Eng.-Div 1997