635 ELM PL.PDFiiiiiiiiiiiiii
11162
635 ELM PL
ADDRESS: ��Lm lade
TAX ACCOUNT/PARCEL #: 0 D 7 3c/e
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver 0 Study Required F1 Waiver
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID
SHORT PLAT FILE:
LOT:
IBLOCK:
SIDE SEWER AS BUILT DATED: fr, 95;
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
FA
I
x
ui
cc
w
co
STREET FILE
CITY OF EDMONDS
QVIC CANI(A ICA10"OS. WA-%.�GlOft 960N
5111-GLE FAMILY BUL T I PLE CO RC I AL
,,�NGINEERIN6 PUBLIC WORKS
PR-OJECT RE V I E V
CHECK LIST
PROJECT NAME CONTACT NA!'lE & TELEPHONE NUMBER
ADDRESS 4, 3 1-1114 rl--)
ACCESS SLOP[ AND VEHICLE ACCESS
DRAINAGE PLAN
STREET FILE
LEW DESCRIPTION VERIFICATION
QUIT CLAIM/DCDICATIONS
CASEMENT - PUBLIC/PRIVATE
CALCULATE SEWER CONNECTION IF NO LI D 0
STREET PAYING REQUIRED
CURB AND GUTTER REQUIRED
.SIDEWALK REQUIRED 4? el 1)61-tr
j
CURB CUT FOR DRIVEWAY,REQUIRED
RIGM7-OF-WAY CONSTRUCTION PERMIT REQUIRED
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED
Q
OTHER SI(,NIkG RE UIRID
TIAL DATC c(mENTs
nc
A/
r;e,
?
I aet- v '014
(ADDITIONAL COMMENTS ON
CXI',Tlti(- WATER MAIII SIZE Ouimpic
WATER MAIN REQUIRCO
SERVICE LI.%E REQUIRED
11YORAUT SIZE EXISTING
HYDRMIT R(qUIRED PER FIRE CL)DE
SIZE
CROSS CONNECTION DiSPECTION
WATER flf 'ED
Ip
T CHA rf REQU DATE
REVIEW BY
d� _ CADOITIOILAL COWZHTS ON I
SAJNIIARY SEWER DWING NUMBER FILE WIBER
SIDE SEWER AVAILABILITY SMITAAY SEWER C6111ECTIOII FEE RIOUIRED
OPEN DITCH EXIST111r,
REQUIkED
D A T E : // —B�
MEMO TO: Building Division
Planning Department
FROIM: Engineering Division
Pu bl i c Wo rk s De pa r tine n t
SUBJECT: Al 1), Z'
After review of the subject Building Permit application, vie have the following
comments:
1. Connection to City water system required.
2. Connection to Ci ty san i tary sewer sys tem requ i red
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 manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
CITY OF EbKWDS
ZONEj2 UUMBER
-CONSTRUCTION
PERMIT APPLICATION
B
ADDR ESS
NAME (OR NAME OF BUSINESS)
W
z
0
LEGAL DESCRIPTION CHECK
0
LID NO.
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
CITY
TELEPH5NE NUMBER
P_AVy\n_r_S1
175-ZO_��_
EXISTING REO . UIRED DEDICATION
PROPOSE
Uj
W
z
W
<
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 0
ADDRESS
SEE ENGINEERING MEMO DATED—
SEE PIW DEPT. REVIEW CHECK LIST DATED
CITY
TELEPHONE NUMBER
_n
L? 6c�(
REMjARKS
N E
RumKiar.'A
cc
(0)
a:
F-
z
0
-
ADDRESS
-7
METER SIZE
BUILDING SUPPLY SIZE
RE UNITS
ir
W
CITY
TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
I �\ 0 - ME - �_A*l
CITYLICENSE
_ �9
UMBER
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
Ace N7
z
Legal Description of Property - include all easemer(ts
(show below or attach four copies)
SHORELINE#'
-4--
L 7- 7-
CL
0
(D.
W
z
z
(L
VARIANCE OR CU
PLANNING REVIEVY BY
DAT
YARDS
FRONT QD E (JREAR
LOT CO RA
VE _6��
REMARKS
NEW RESIDENTIAL PLUMBING
ADD/ALTER NON-RESIDENTIA MECHANICAL
0 REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
El
CHECKED BY
TYPE OF CONSTRUCTION CODE
HEIGHT
DEMOLISH OR FILL I— x _FT)
z
0
r_
PRE -MOVE INSP.1
COMPLIANCE INSP. S wo 10ML
-7
SPECIAL INSPECTOR
REQUIRED
0 YES C! NO
AREA
JOCCUPANCY
GROUP
OCCUPANT
LOAD
SIDE SEWER WATER LINE El
REMARKS
ElLL ,
Cc
U
0
W
D
NUMBER OF STORIES
�UMREROF
a
Uvvt:LLINU
00
0
2_
UNI I ti
NATURE OF WORK TO BE DONE (ATTAC PLOTPLA
L
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
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
w
Uj
Ir
i
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officia Is
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
ko w
�ji
t
K
EEL L EA�
PukIc NIQ R
_S7E L L r k p tl.,- c JVR .5',E k,
L C) P L AJ
/V D AIC
ROW W-19-
�R. OF- tIWI
V,114 S E C. 2
7AI. R, ZE., WA4
D A4 0 Al L:) S " [-V.,Q.
E
I -
SEL L EA�
-S' r- L 1- 4: k
Puk,c /-/,Q SE R
p UR c /-/.19 !74 1E,
P L A? AJ
14
C) A"I E 1- --4 /V 2) A/ 0 A4 E S JTAJ C
07- - 2f-
R. o F- " W
V�4" - S E C. 2 --T, 7-.
7 ov � % R, .3 t-- -, W
D A4 0 41,V -9,, Wlq. I
M
m
-n
F=
m
AT
0 5 ---.2 2 2 c h I- r-
'RECEIVED
CITY of EDMP*DS
S E P E R M I T
For Inspection Call 771-3202
7MIT NO.
puttft WOM
Address of Construction:
El
Property Legal on (Include
all easements):
LOA 2-2� A- CV
I —�
-V1k1;'DM0N S WA�
Owner and/or Builder:
Contractor & License No:
L14
-d'
00
C�
Ln
Single Family Residence ?.I-
Mul ti-Family
(No.
of
Units
Commercial
(No.
of
fixture Units
Invasion into City Right -of -Way: No_ D�- Yes (If'Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Prope rty: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE R�AD//T/HE ITEMS,�ED ON THE.BACK
I Z&-'rtify thatUIXaXe,/�ead and shal I comply P6 t�4
with the items lis&-e'd' on the back.
Permit Fee: 3Q, 00
Trunk Charge: —CZ1S-.C)0
Assessment Fee:
Partial Inspection:
Issued By: &4ddlco
Date Issued: 1
Receipt No.: 2,
Comments
Final Inspection Approved: 44-25 /. e!
Date Initip
/Arsp. 6!J
Rejected:
Reason
** PERMIT MUST BE POSTED ON JOB SITE **
Date Initial
-9a--te -T—nitial
Wh.ite Copy - File Green Copy - Inspector
Buff Copy - Applican 10
The City of Edmonds
Side Sewer Drawing
q-
EASEMENT NO - ------------- --------------------- I .........
W
NEW CO STRUCTIO JK REPAIRS E] LID NO - ------------------ ASMT. NO - --------- --------
OV.7NER 140-t-Ac-* ------- IIISIC— ------------- CONTRACTOR -------- S-A-M -------------------------------- -------------------- PERMIT NO.7Z.B.-I....
JOB ADDRESS ---- (0- Z 5 ------- F-- L t A. - -.'PLAC4F — -------------- LEGAL DESCRIPTION: LOT NO. 22 L ---------------- ....... BLOCK NO. VIA EDMONDS WAY
TRUNK- -L i ',74 L - - -
.................... ------------ PIAT ..... ........................ ...........................
J�
z
PWW-0001-1 1/75 (REVA 1/78)
NAME OF ADDITION --------------------------------------------------------------
63 -5 E L M-PLptc F-
115
fop
4-4�
C.O.CAP
I' bp.
9
0
Approved:
... .........
DATE �* I .... By rLO, I ............ ------- 10-6-
it4SP.B3 T.HAMWV4
it
� 8 9 0 . 1 9 '�� - "
STREET FILE
CITY OF EDMONDS
250 - 51h AVE N. -EDMONDS. WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works o Planning 9 Parks and Recreation * Engineering
August 4, 1988
M. H. Gregerson
635 Elm Place
Edmonds, WA 98020
Dear Mr. Gregerson:
LARRY S. NAUGHTEN
MAYOR
Per your letter from Timber Jack regarding the removal of the cherry
trees on Elm between 6th and 7th. We request that YOU replace
one-on-one with rhododendrons five -gallon container size.
Should you have any questions, please call Duane Bowman at 771--3202.
extension 254.
Si ncerely,
Babb, R. Mills
Public Works Superintendent
BM/ 11.1-
c c : Duane Bowman
PETER E. HAHN
DtRECTOR
GREGERSO/TXTLMK41
e Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
f-
ORDERNO. /I
PURCHASE ORDER
6748
*7
�Qf A, A
TO SHIP TO 7 7S
ADDRESS
ADDRESS
CITY CITY
REQ.NO FOR DATE REQUIRED ITERMS HOW SHIP DATE
QUANTITY
ORDERED I RECEIVED PLEASE SUPPLY ITEMS LISTED BELOW
2
3
ry-.4— 0'�,XA
4
5
2--j—'r :5 7A-1 jou as j 4A-J
6
7
8
61
9
ATTENTION: BOBBY MILLS JaIx
29..1988
10
Public Works Department
200 Dayton, Edmonds, Wa
11
12
1 talked with you the day you visited with Mrs. Ca1hro
who
livet
next
13
door and regarding some scrub brush on Elm between
6th & Zh.
We
were
14
to pay for the removal and replace with something (qual
or
better.
As
15
vnij can see by this estimate from Jon there are ablut
ten
scrub
charry
16
hiiqhpq- we would replace with spyeral rhadendran-41ants
aLang
he fence
17
of Elm Place and on your street side facing North-West
and
befr
e the ta�
18
fir tree. This is and area of about 20 feet and II-ve
attarhed
a picture;,-
19
showing the bushes in question. Kindly let me know
of yur_��;ion
in
.20
writing so I can give to Jon of Timber Jack. Many
thanks.
'21
M N
2
635 Elm Place GREGERSON
Edmonds. WA QAnqn Elm Place
10 1
o OUR ORDER NUMBER MUST APPEAR ON ALL IN-
V 0 7,u.1
VOICES, PACKAGES, ETC.
'P
PLEASE NOTIFY US IMMEDIATELY IF YOU ARE UN -
A BLe TO
BLE TO SHIP COMPLETE ORDER BY DATE SPECIFIED
Afflonds. WA VOUZI
COPIES OF YOUR INVOICE WITH ORIGINAL BILL OF LADING
I PURCHASING AGENT
I H 14 6 REMFOM
ORIGINAL
J -
ORDER NO
PURCHASE ORDER
6748
TO SHIP TO
ADDRESS �Ov-al ADDRESS
z
CITY CITY
DATE REQUW9 TERMS 7
REQ.NO. FOR NOW SHIP DATE
age =1
moon
Y, iII e_l�_
2
'3
j
6
7
-lee,
41 A
8
9
ATTENTION': BOIRRY MILIS j
�ly 2-Q,-
llc)8,,-"
Public Works Department
10
-Dayton, Edmond-s,-'of-q
12
1 talked with you the day you.. visJ� ted with Mirs. Cal
hro who
lives
next
13
door and regardi�i,&_qome scrub brush on Elm between
6th Fe.
#
L. I Ile
were Z'_
14
to Day for the removal and replace with something (qual
or
bettTr.
As
IS
you can see by this estimate from jon there are abut
ten
crub,_Q�
16
'hll=hjerl_ WP Would rApInep with spvprnl rhndpndrnn
a
I on a.
�p rpne-e i.,
fen
17
of Elm Place and on your street side facing North-
rest and
-the
befrpe
the tall
18
fir tree. Thds is and area of about 20 feet and I
ve _a�lttavhed
a
picture.,`.
19
showing the buslles P�uestion. Kindly let me kmoir
of vurldecision
in
.20
writing so I can give to Jon of Timber Jack. Many
j__arks.
21
M. H. GREGERSON
fias Elm P'aee M
Edmonds, WA 98020
:22-
#
gg
PLEASE SEND COPIES OF YOUR INVOICE Wil ORIGINAL BILL OF LADING
-OUR ORDER NUMBER MUST APPEAR ON ALL IN-.
VOICES, PACKAGES, ETC
7 7.
�PLEASE NOTIFY -USIMMEDIATELY IF YOU ARE UN-
�MLE TO SHIP COMPLETE ORDER BY DATE SPECIFIED
f
PURCHASING AGEN't
IN 14 6 FEDFOM
ORIGINAi