637 MAPLE ST.PDFiiiiiiiiiiiiii,
12142
637 MAPLE ST
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: 1 119 //340 Q,7& 097 00
BUILDING PERMIT (NEW STRUCTURE): Za6�—OZ66
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: Pr) —,Ool-1 - DETERMINATION: E] Conditional Waiver Ej Study Requiredxwaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: 3/1,4105-
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
HIM
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
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0 CITY OF EDMONDS SIDE SEWER AS
ADDRESS 637 Maple St HOMEOWNER
CONTRACTOR Torgerson Const. SCALE NTS
DATE DRAWN PERMIT
At 1890 6/20/2005 By Nima M.Moghaddam NO. 10034
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CONTRACTOR
SCALE
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at. 1890
DATE
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DRAWN
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PERMIT
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WRAP TRENCH ENTIRELY WITH
FILTER CLOTH
REVISIONS STANDARD DETAIL
DOWN SPOUT INFILTRATION SYSTEM
DATE 7/24/01 SCALE NTS DWG MD. E5.2
03/18/2005 12:47 FAX 4252e42,355
March 16, 2005
Torgerson Construction Company
906 — 7th Avenue South
Edmonds, Washington 98020
Attention: Mr. Paul Torgerson
RECEIVF-D
2)02/004
MAR 18 2005
BUILDING DEPARTMENT
CITY OF EDMONDS
lEarth
ES-021
Earth Solutions NW LLC
Subj ect: Downspout Infiltration
Proposed Single Family Residence
637 Maple Street
Edmonds, Washington
Reference: King CounTY Surface Water Design Manual
Table 4� 5. 1. A
Infiltrafion Rates For Roof Downspouts
Dear Mr. Torgerson:
Geotechnical Engineei-s
Cenlesims
Fnvironmental Sdentists
Cunstruction Monituring
In accordance with your request, an Earth Solutions NW (ESNW) representative visited the
subject property on March 11, 2005 to observe a series of excavations in the vicinity of the
proposed downspout infiltration system. The purpose of our services was to characterize soil
conditions at the location of the proposed downspout infiltration system, and to provide
geotechnical design reconunendations for design of the infiltration. system,
/Subsurface Conditions wd Infiltration Raig
Based on the subsurface conditions observed at the excavation sites, the property is generally
underlain by relatively clean sand and gravel soils. The geologic map of the area idamfifies
Advance Outwash Sands in the vicinity of the site. Based on our observation of the excavation
sites, the soils throughout the inflItration area can be characterized as medium sand, per the
referenced Table 4.5.1 A of the King County Surface Water Design Manual.
In addition to our observation of the excavation sites, a Falling Head Percolation test was
performed within the footprint of the proposed infiltration area. Following the four hour soalcing
period, three cycles of testing resulted in infiltration rates of approximately thirteen (13) inebes
per hour.
, Recommendations
Based on our observations and testing, in our opinion, downspout'infiltralion at the site is
feasible. At this time we understand the infiltration system will be located in the northwest
portions of the building lot. To determine the recommended length of trench necessary to
accommodate the impervious roof areas, the following assumptions were made:
2603 1 �,lsr P1. NE a ReCIMM)LI, WA 98052 - (425) 254-3300 - rAX (421ii M4-21355
e5rREFT FILE
31
021/10/20(15 12 40 FA� 4252E42955
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Torgerson Construction Company
March 16,2005
Roof Area
Soil Texture Class
Maximum Infiltration Rate
4,000 Square Feet
Medium Sand
8.27 inches per hour
ES-021
Page 2
Based on the above design assumptions, and the example calculations provided on Page 4.5.1-2
of the King County Surface Water Design Manual, we have calculaied that one -hundred twenty
(120) feet of trench will be -aecessmy for the proposed residential development The total
amount of lineal footage for the trench can be achieved using two trenches, if necessary. Ile
tmnch constwtion should follow the details provided on Figure 4.5.1A of the King County
Surface Water Design Manual. Our calculations of the trench length are attached to this letter.
We trust these recommendations meet the geotechnical submittal requirements for the proposed
downspout infiltration system. If you have any questions, or if additional information is
requircd� please call.
Sincerely,
Earth Solutions NW
A.
0
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Raymond A. Coglas, P.'E.
Principal
Attachment: Trench Length Calculation
Earth Solutions NW
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Critical Areas Checklist
Site.Information (soils/ topography/ hydrology/vegetation)
1. Site Address/Location: (WY7
2. Property Tax Account Number: 00,q ��q -zo ej (O(D z-,? oo
roximate Site Size (acres or square feet): 1,05-0
3. App '
4.. Is this site currently developed? I yes; — no.
If yes; how is site developed? ;5 1 g(OL F- A- /v
5. Describe the general site topography. Check all that apply.
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
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: �J Approx. Depth:
7. Site contains areas of seasonal standing water: - �J 0 Approx. Depth:.
What season(s) of the year?
8. Site is in the floodway P 0 floodplain 14J C of a water course.
9. Site contains a creek or an area where water flows across the giounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is primarily: forested ;rneadow ;,shrubs mixed
-------------
urban landscaped (lawn, shrubs etc)
1 11. Obvious wetland is present on site: 6 n
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned? (0
I SCS mapped soil type(s)? JALD LA r— P,
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Site within designated earth subsidence landslide hazard area?
DETERMINATION
STUDY REQUIRED WAJIVER
Reviewed bv- -�;ULA C� V-41—
Critical Areas Checklist.doc/4.22.2003
of E DAf
04,
"iACity of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
4C.
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 c�mplete the Checklist. should be easily
availab le from observations- of the site or data available at
City gall (Critical areas inventories, maps, or soil
surveys).
Date Received:
City Receipt
Critical Areas File #:
Critical Areas Checklist Fee:. $135.00
Date Mailed to Applicant:,,
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
pr . ecursory 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 conj unction 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,. indemnify, defend and hold the City of Edmonds harmless from -any and all damages, including reasonable
attorney's fees, arising from any action or mifraction 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 inforrnation and exhibits herewith submitted are true and correct- to the best of my
knowledge and that I am authorizettQfile this application on the behalf of the owner as listed,below.
SIGNATURE OF APPLICANVAGENT 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 inspectio d ti attendant to tb
.!n_!�d pos n As app�c-�tion.
SIGNATURE 010WNEk DATE
Owner/Applicant: Applicant Representative:
6 L o R I A Q: i?j F_ "PAO L- -r&40f VZ�d
Name Name
6S7 7 /xve-S
Street Address Street Address
]E�VAOO. b S 4 go 2-6 F_1C> InONbs W A
City State Zip City State Zip
Telephone: 14 V_ - 711 - z4 320
Email address (optional):
Telephone: W4� — (0 19 -
Email Address (optional):,
Critical Areas Checklist.doc/4.22.2003
0
PLANNING DATA
NAME: 6 1 ar,.4 P r .'e, bt DATE: 3/14/05
SITE ADDRESS: (a 3 7 4' 4g te si- , —PLAN CHK#: 05-0,27
PROJECT DESCRIPTION: Are+./ < a,0 le - d�.% t 061- = 140 790
a 5
REDUCED SITE PLAN PROVIDED?:
MAP PAGE: Z-03 CORNER LOT: (Yes FLAG LOT: CYes
ZONING:- CRITICAL AREAS DETERMINATIONM 4-CF5
Ll Study Required:
ullw'aiver
LJ Conditional Waiver
SEPA DETERMINATION:
LJ Fee
L3 Checklist
LlAPO list w/ notarized form VA
L1 (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
SETBACKS:
Required Setbacks:
Street: Zo' Left Side: Right Side: 5_' Rear: 1 S'
Actual Setbacks:
Street: - 2 -V Left Side: Right Side: Rear: /(P'-
Street map checked for additional setback required? (:(e:R No / DNA) ma,4 r4i 14.
13 DETACHED STRUCTURES: Ivor& � j"'
LIROCKERIES: 10 -6- �u I - 2 . q , - v.
Ll FENCEsrrRELLISES:
U BAY WINDOWS / PROJECTING MODULATION:
LJ STAIRS/ DECKS: Ard-t
PARKING: Required: 2- Actual:
LOTAREA: (00VA
140 ')- 50 1, 1- 2,, 7- -; 2t 4 1
`� 3 5-. 1 (, 7, =!> 3 5,z
BUILDING HEIGHT:
Datum Point: .4zipx- 49r(- �, 'OL4 Datum Elevation: too,
9 5.1 A Maximum Allowed: -7- S' (I ji -4 Z) Actual Height: 2-5, (119.0
A.D.U. CREATED?: (No / Yes) K-,h4.n hOk - o 5 - 3
PI&A "t 1. re - ( ADW �A gPE:a 0='
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / )
OTHER:
Plan Review By:
New13PPIanningDataForm.D0C
APPLICATION
for
The City of Edmonds SIDE SEWER PERAHT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS
9 ................................... CONTRACTOR ....................................................................................... .......... PERMIT No . ......................
OWNER .... ....... 5.-
ADDRESS ...... 6.131 ...... M ) ..... 6 ............................ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAME OF ADDITION ...........
7�64e d en
Approved:
DATE................................................ By ...............
A
CITY OFED'MCINDS GARY HAAKENS01'
121 5TH AVENUE NORTH - EDMONDS, WA 98020 * (425) �11 -0220 FAX (425) 771-0221 MAYOI,
Website: wwwci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
loc. is()," Planning Building Engineering
February 17, 2006
Paul Torgerson
Torgerson Construction
906 Seventh Avenue South
Edmonds,'WA 98020
IS 'two.'4'
I tfEET FILE
RE: 637 Maple Street — Request for Driveway Slope to Exceed 20%
Dear Paul,
This letter is in response to your letter dated December 13, 2005, and the December 2, 2005
meeting in our office, to discuss the driveway slope issue at the above address and to make a
determination on your request. In addition, thisis a follow-up to our verbal approval to allow a
small triangular portion (southwest comer) of the driveway to exceed the maximum slope
allowed by the code because of the grade of the alley and other physical restraints.
After inspecting the site, we determined -that only the west half of the driveway at the subject
address does exceed 14%; however, there is a rectangular portion, located at the southwest
comer of the driveway, that not only excee�ds the required 14%, but also exceeds the maximum
allowed of 20%. Based on the slope of the alley, which is approximately 16%, it is evident that
it will be impossible to bring that rectangular portionl of the driveway into compliance without
significant reconstruction of the alley and foundation of the newly built residence.
Because there is just a small part of the driveway that will exceed the limits established in
Chapter 18-80.0604D of the Edmonds Community Development Code, we do not feel public
health, safety and general welfare will be affected if that portion were to remain. Therefore, your
request for the driveway slope waiver is approved for that r6ctangular southwest comer portion
of the driveway to remain over 20% and the northwest portion of the driveway to be brought
below or to 20% as shown in the sketch submitted with your request.
Sincerely,
r
JAIME HAWKINS
Engineering Technician H
J
SAENGRTRIVATE DEVELOMENT PROJECT�CoRRESPONDENCE\Driveway Waivm\637 Maple St dw rneW.00,
Incorporated August 11, 1890
C ;_4 f-: 4... Ll — I.:— — — T
77
777;7 W� A
C . IS9
10,034
city 0, f Edm' onds PE.111 10:
PERMIT EXPIRES
SIDE SEWER PERMIT
Address of Construction: A\`-1 LtD.#
Property Tax Account Parcel No. 6043 4 ZQ!5! C 0 00
Attach copies of all access and utility easements '"077erified'and Approved b
Owner and/or Contractor: 7kn�VZ �o �� �t Sortj (fc:.Dr-3 Sr:
Contractor License TeR6 Ve'. 1-3 (o ?A- Building Permit
E��`Single Family
F� Multi -Family (No. of Units
0 Commercial, (No. of Units
E] Public
I Itivasion int . o City *Right -of Way: M Ye's No
*RW Construction Permit #
Cross other "Private Property� E] Yes 0 No
,*.*Attach legal description and copy of recorded easement.
Owner/Contractor cd)7/0 57—
Owner or contr�ctorlsilknature and acknowledgement statement: Date
By signing for this permit I certify that I have read the City's public handout entitled.
ide Sewer Specification§, and shall*comply with all City requirements outlined therein.
9 CALL DIAL -A. -DIG (1-800742,V5555) BEFORE ANY EXCAVATION 2'
W FOR INSPECTION CALL'425-771-0220 extensio
24 HOUR"NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
FOR OFFICE USE ONLY
. .............. ........ . . . . ...... . ... ....
Issued by:
Permit Fee $ —Repair Fee $
Trunk Charge $ 20- Date Issued: AM/ 711-7-!;"
Assessment Fee $ Receipt No: . /,�(/o
City Permit. Surcharge Fee t5.00' Total Fees Paid 679
NOTE: IF J08 SITE IS NOT READY FOR, INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
I NO Date! Initial:
Job Site Ready YES
Par . tial Inspection: AUPd r--r 14jaV— b d le 0- eL- Pate: Ias-ln itial:.j,�j
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: nitial: As -built to Street File:
1,� PERMIT MUST BE POSTED ON JOB SITE t�
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L-,temp;bldg;forms;sspermitjlg4/00
.1 EDk_
Inserta
Tee
CITY OF EDMONDS SIDE SEWER AS -BUILT
ADDRESS 637 Maple St HOMEOWNER
CONTRACTOR B & M Contractors SCALE NTS
DATE DRAWN PERMIT
6/20/2005 BY Nima M.Moghaddam NO. 10034
44 C. 18913
CITY OF -EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning.- Building - Engineering
February 17, 2006
Paul Torgerson
Torgerson Construction
906 Seventh Avenue South
Edmonds., WA 98020
GARY HAAKENSON
MAYOR
STREET'FILE
RE: W3_7A�:ap Stieef— Request for Driveway Slope to Exceed 20%
__ -Je- - _ et�
Dear Paul,
This letter is in response to your letter dated December 13, 2005, and the December 2, 2005
meeting in our office, to discuss the driveway slope issue at the, above address and to Imike a
determination on your request. In addition, this is a follow-up to our verbal approval to allow a
small triangular portion (southwest comer) of -the driveway to exceed the maximum slope
allowed by the code because of the grade of the alley and other physical restraints.
After inspecting the site, we determined that only the west half of the driveway at the subject
address does exceed 14%; however, there is a rectangular portion, located at the southwest
comer of the driveway, that not only exceeds the required 14%,_but also exceeds the maximum
allowed of 20%. Based on the slope of the alley, which is approximately 16%, it is evident that
it will be impossible to bring that rectangular portion of the driveway into compliance without
significant reconstruction of the alley and foundation of the newly built residence.
Because there is just a small part of the driveway that will exceed the limits established in
Chapter 18.80.0604D of the Edmonds Community Development Code, we do not feel public
health, safety and general welfare will be affected if that portion were to remain. Therefore, your
request for the driveway slope waiver is approved for that rectangular southwest comer portion
of the driveway to remain over 20% and the northwest portion of the driveway to be brought
below or to 20% as shown in the sketch submitted with your request.
Sincerely,
JAIMEE HAWIUNS
Engineering Technician 11
SAENGWRIVATE DEVELOMENT PROJECTSCORR�SPONDENCEMdveway Waivers\637 Maple St dw nwm.doc
" Incorporated August 11, 1890 0
RECEIVEC
DEC 14 2005
ENGINEERING DIVISION
TORGERSON CONSTRUCTION
..... ...... --
7th-Ave-.- S .....................................................................................................................
Edmonds, WA 98020
425-776-1090
206-618-2548
December 13, 2005
City of Edmonds
Engineering Department
121 5" Ave. N.
Edmonds, WA
Re: Driveway slope 637 Maple Street, Edmonds
Dear Sirs:
-DWIX�4s-Aflq
The driveway for the above residence is accessed from the North side of the
building, off of the alley. Due to the topography of the alley, the Northwest
comer of the driveway exceeded 20% grade. I propose to drop the Northwest
comer (10' x I V) so that is does not exceed the 20% grade. There will be a
small portion of the Southwest comer that will still exceed 20%, please see
attachment.
Sincerely,
T0.4 T" 4tk�
Paul Torgerson
too qq,lq
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'FLOOR
ALL EXPOSED SURFACES TO
10 BE COVERED WITHIN 2 DAYS
TC.,jApoRAijy CONSTRUCTION
E�JTRMNCE RE -CORED
APPROVED AS NOTED
IV By ENGINEERING
Date:
----------
oo�
sTrit "r FILE ry)ARf-
mEwt I
JAN 2 8 2005 I-INF,/
PERMIT COUNTER
City of Edmondq
R?GHT-OF-WAY CONSTRUCTION
8 9 0 - 1 9 C) -
PERMIT Permit Number.
Issue Date:
A. Address or Vicinity of ConstruWon: - 637 Maple St. (9409321)
B. Type of Work (be specific): Tnqtall Npw gpry1r-p
C. Contractor: Washington Natural Contact:
Gas Company Fnonk R&xan
Mailing Address: 815 Mercer St. Seattle, WA Phone: 224-2278
State License #: Liability Insurance: _ Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. E] Commercial E] Subdivision El City Project Rg Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family [J Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut Yes G. Size of Cut: x H. Chargq_$
APPLICANT TO READ :Ag)IGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to 4 e City ofEdmondg harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen that may be' inst the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including dejen� s�" t., and attorney fees by reason ofgranting this permit.
p
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION E WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROASE19 FOR ISSUANCE TO-T"AP�4ANT.
Construction drawing 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.
IQ - 4 - e., - Y �
All street cut ditches shall be patched with asphalt.or City approved material prior to the end of thFworking day;
NO EXCEPTIONS.
Ihaue read the aboue statements and understand the permit requirements and thepink copy of thepermit willbe
auailable on site at all ti inspectiqn purposes.
Signature: Date: FAbruary 7, 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT' -
TIME AUTHORIZED: VOID AFTER ye.4
Ll-bAYS_ DISRUPTION FEE./FUND,11h,
SPECIAL CONDITIONS: AIA RESTORATION -FEE:,
PERMIT FEE:.
9
TOTAL FEE: � $31o, &_/4/0
COMMENTS: RECEIPT FEE:
DATE: ISS�QED BY:,
NO WORK SHALL BiEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
Was). iton
Naturil Gw-�
Addendum to City of Edmonds
Right 76f -Way
Permit Applicaiion
-.Submitted by: Pt:�TCHELL S.-LANKFORD
Engineering Ai de
Washington Natural Gas
'5246
# .' -521-:
I
WNG to window
Water main depth
4-1-n-k-noWyl N4c7r
1- 11 gas nain
Uc) Cu-.Iq�
Key: -w- water
-g- gas
-ss- sewer
-,E)- water hydrant
0 water valve
815 Mercer St. (P.O. Box 1869), Stank. WA 9SI 11 (206) 622-6767
REGARDING: 637 Maple Street
(address)
R E C 0 R D 0 F C 0 N T A C T S
NAME PHONE NO
DATE
9 .1 COMMENTS ACTION TAKEN
ADDRESS of CALLER
INITIALS
5/l/74
Gloria Schonhoff Certified Letter No. 406153 sent Letter received.
TE
requiring hook-up within 60 days..
5/3/74
Scheduled dye test for 5/6/74 @ 10 a.m.
TE
5/6/74
D,1.0.S
TE
6/5/74
Certified Letter No. 406456 sent Letter received.
TE
rescinding letter....
It
LTA
ILA
- j
z4 "T 7 ,
SEMDER, .11 6wr f 'er side
PLEASE,�FURNISH�-SERVICE(S),.,IPDICATED �1
Ad d'-t a;id']V�' Jle�!
7, d d 'r
a SS
how, 0 L�
V
q-rede 'Vered 0 id re
-RECEIRV
ei�:eiyedl ihe �nitmbered,a' rficlg�- 4e"scribdid.befow
REGISTERED:.NO.:.**- -
NATURE OR'NA u be d ih)
,ME OF ADD Wa - Y�s
CERTIFIED. NO.-`
ATU .q�:ADDR S E 'fF,ANY"
IN,1RJREO'--NO-
4.i
.,.DATE.!'[)ELIVERED,::.':.'*-',-�. HOW WHE 2, DELIVERED7.�(OkizTif TeL
te
3. 17.
Y7"
14,;
. f7LEAS E�' FURNISt 4
(Aildit&'O
-.,-Show address:
where defiv666_
IZ d, f
z
CERTIFIED" NZ.
INSURE)*'.NO 7--`
DATE DELIVERLD,
�7
7 �7
RECEIPT FOR CERTIFIED MAIL-30�
(plus
postage
Co
SEN T T 0
)10.4 C7br,'eL_
POSTMARK
OR DATE
STREET AAD NO.
P.O., STATE AND ZI CODE
Q0
,9z-dtPfqclk
V
CD
:OPTIONAL SERVICES FOR ADDITIONAL FEES
i,)
5x
RETURN 1: Shows to whom and date delivered
With delivery to addressee only
RECEIPT Shows date delivered
is
65�
35#
2. to whom, and where
Q 3
S ERVICES With delivery to addressee onl-
4
DELIVER TO ADDRESSEE, ONLY ............ ---- --
506
SPECIAL DELIVERY (extra fee required) ......................... .. . .....
PS Form NO INSURANCE COVERAGE PROVIDED—
3800
(See other side
Apr. 1971 NOT FOR INTERNATIONAL MAIL
GPO: 1970 0-397-451
0
S) 13i' . 76,
RVICQ INDICAtIff
-for. '6be servi
na 6"�3�'s r�quiied t , h
it er
__TPSs_e,_
7r�',
Ln-
he numbered 'cirfiihi-dej
..,RVA—TURE OR10M XORRES!
CD
R " S
S ATURE -'A U U K t b'b
IGN OF.
HQW4WAERE QE�lyl��P. ty�!yjf-iequiifejd'.dnd include ZIP Eoac) d
J, 77-
RECEIPT FOR CERTIFIEP MAIL-30� (plu§,pesUge
103-01000
A El�'i
SCHONHOFF, GLORIA R.. 0
637 MAPLE ST.
EDMONDS, WASHINGTON
98020�
OPTIONAL SERVICES FOR ADDITIONAL E
RETURN I - Shows to whom and date delivered ... ........ 154
Wi�h delivery to addressee only . .... ...... 650
RECEIPTS. ��' .2. Shows to whom, date and whe!re delivered .. 350
SERVICE With delivery to addressee.only .... ...... 850
DELIVER TO ADDRESSEE ONLY ...................................... 506
SPECIAL DELIVERY (extra fee required) ................. ....... . ........ .
PS Form NO INSURANCE COVERAGE 'PROVIDED—' (See other side
Apr. 1971 3800 NOT FOR INTERNATIONAL MAIL GPO; 1070 0-397-4M
6
CITY CLERK
CITY OF EDMONDS CONFORMED COPY
121 STH AVENUE NO. 200504270556 1 PG
EDMONDS, WA 98020
04-27-2005 12:52pm $19-00
SNOHOMISH COUNTY5 WASHINGTON
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: VV\ 1�7 i51.
Edmonds, Washington
Legal Description: QZV 6EE . . 1) -&) 0-
AssessWs Parcel Nqmber:Me4 -ZC) q (Q () Z7 0 (D
OfRlvne�5" 0/7z-/
I have read the . relluanents for accessory dwelling units -contained In Chapter 20.21- of
the Edmonds Community Development Code,and understand that an Accessory
Dwelling Unit, including a. second kitchen, Is prohibited until after'so Accessory
Dwelling.Unit permit has been approved by the* City of Edmonds.
I also understand that approval of
an Accessory Dwelling Volt permit is subject to
compliance with Identirled criteria, to public comment, and neither this statement nor
the Issuance of a building permit shall act to limit the discretion
of the City In'the review.
of any application for an Accesso ' Dwelling Unit p it.
ry
Property Owner Signature: 7, am.
Date:
-STATE OF WASHINGTON)
COUNTY OF -SNOHOMISH)
14-
I certify that I kn6w.br have satisfactory evidence that 10e4' -&- lorle-6-e-
signed this,instrument and acknowledge it to be his/her free afid voluntary act for the uses and
purposes mentioned in this instr'ument.
Notary's,PLekS ,O,s must be smudged. Dated.:. 42 Z�Fh
_Oat,
Signature of.
Notary Public -
(p
Residing at:
�A
My Appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOP,
MAR 3 1 2005
EDMONDS CITY CLERK
STREET FILE
CITY CLERK
CITY OF EDMONDS CONFORMED COPY
121 5TH AVENUE NO. 200504270556 1 PG
EDMONDS, WA 98020 04-27-2005 12:52pm $19-00
SNOHOMISH COUNTY, WASHINGTON
STATEMENT ON ACCESSORY DWELLING UNITS
VV\ A is� 7.
Property Address:
Edmonds, Washington
[I M-1 rff#A1K1J9JAff0_ M
- ffi-11 I I F11 �.," -
Assessor's Parcel Number: Me4 'S <,f �U (4 �Q U'L. U C)
.../7z-/
0
I have read the requiremen or accessory dwelling units 'contained In Chapter 20.21- of
the Edmonds Community Development Code and understand that an Accessory
Dwelling Unit, Including a second kitchen, Is prohibited until after an Accessory
Dwelling,Unit permit has been approved.by the City of Edmonds.
I also understand that approval of an Accessory Dwelling Vult permit is subject to
compliance with Ideutifled criteria, to public commen.4,and neither this statement nor
the Issuance of a building permit shall act to limit the discretion of the City In the review.
of any application for an Accessory' Dwelling Unit
Property Owner Signature:
1) a t e: LJ, (�? , 2o, o .
,STATE OF WASHINGTON)
COUNTY OF SNOHOMISH)
I certify that I knowor have satisfactory.evidence that -e
Le-k
signed this -instrument and acktiowl6dge it to be his/her free and, voluntary act for the uses and
Purposes mentioned in this instr�ment.
Notaryt s 4 RLe kl';! a 41s must be smudged. Dated: —12 lql"*!T-
NA
Signature of.
ot
N ary Public�
P
Residing at:
0
6,
My Appointment
X
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THF, SNOHOMISH COUNTY AUDITOR.
MAR 13 1 2005
EDMONDS CITTCLERK
ATE RECEIVED
FPERMIT
f7_j U0
EXPIRES
ICITY OF EDMONDS
PgRMIT
NUMBER
L
CONSTRUCTION PERMIT APRUCATION
JOB SUITEIAPT#
ADDRESS
2�
OWNER NAMEINAME OF BUSIPS
GLORIA- R I e'k3 E
PLAT NAME/SUBDIViSION NO. 1_0� NO.
LID NO.
0: MAILING ADDRESS
LID FEE
E3
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Pem, Required 13
S..t U.. Pemit Required 93
CITY zip
TELEPHONE
EXISTING PROPOSED
Inspection koquired 13
13
0 S wA 980z 61
EbmA
125 72el q-3940
REQUIRED DEDICATION FT
Sidewalk Required
underground E3
1
Wiring required E3
'NAME
METER SIZE LINE
SIZE
NO. OF FIXTURES
PRV REQUIRED
�. 3 - ".,
3 Ad
F. 23 i
YES13 NO
3
0:
ADDRESS
REMARKS"
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CO TROL/DRAINAGE
LU
30
x cir Ajz,.
241
z
I C tq cno (/-'Zgo51 C N
CITY 21P
TELEPHONE
It. L
NAME
(01E cor.
CBL#
$ 1 � I
7rj Ajt4 N 06\ L
-SO
I .
GINEE RING REVIEWED DATE
x ADDRESS
I . qo(o A
U
42
FIRE REVIEWED BY DATE
W
CITY ZIP
TELEPHONE
2:
0
U elbmolot.�:s VJA q8ozo
-2c* (w8l;-SW8
U.
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REQ'D
SEPA
-TT—ATE LICENSE NUMBER EXPIRATION DATE
D BY
Tnq,�rF-C- 13(c,00. 04
13 YES sKol
COMPLETED
I EXEMPT
V
CA#
ZONE
SIGN AREA
HEIGHT
PJPROPERTY TAX ACCOUNT PARCEL NO.
ogq,34/?_09?(Voz700
WAIVER
ALLOWED. PROPOSED
ALLOWED PROPOSED
STUDY [3
Atli
7,57-
NEW
51 RESIDENTIAL
(1PL U M B �l
LOT C
REQUIRED SETBACKS (FT) PROPOSED
FRONT
SETBACKS (FT.)
L/Ft SIDE REAR
ALLOWEDO=SED
FRONT SIDE REAR
0
ADDITION
COMMERCIAL
COMPLIANCE OR
El
357,7.
1 35f,
7-0 iq- -
3
MIXED USE
CHANGE OF USE
z
REMODEL
M MULTIFAMILY
SIGN
PARKING
REO'D PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
.
2- I
z
L .0 4
FENCE
REPAIR GRADING CYDS X FT.)
_51=
REMARKS
DEMOLISH TANK- OTHER
GARAGE RETAINING WALL o F:RE SPRINKLER
El
z CARPORT ROCKERY F RE ALARM
r- '(TYP�E OF USE, BUSINESS OR ACTIVITY X N:
TYPE OF qONSTRUCTION
CODE
03 1
OCCUPANT
GROUP
P_
w NUMBER
0 OF
NUMBER OF
DWELLING
I
SPECIAL INSPECTION
CONSULTANT
OCCUPANT
03
0 STORIES 3�'
UNITS
REQUIRED
I E��- C
LOAD
DESCRIBE WORK TO BEPONE Mil� .
REMARKS
z
GEOTECH REPORT
BY:
STRUCTURAL DESIGN
BY:
MJZ-� J. ATf AT MJ3
1, d-M, -
-601,
VALUATION
94 (Illaln 1z, s r
Description
FEE
Description
FEE
Plan Check
Ntf -7 State
Surcharge
'�o
HEAT SOURCE-7
LOT SLOPE'/.-
VESTED DATE
T
Building Permit
City
Surcharge
CHECK NO:
o
Plumbing
Base
Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY.ONLY. ANY CONSTRUCTION ON THE PUBIC
�Grading
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
M_
Engr. Review.
I PERMIT APPLICATION: SEE ECDC 119.00.005(A)(5)
uj
CL PERMIT LIMIT: SEE ECDC 19 ' 00,005(A)(6) P,
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
2A)
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan
Qhk. Deposit
J7LP
Lu IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
_j
a 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt
#
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL'NOT BE
D TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
LandscapeInsp.
Total
Amt. Due
q;00
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
;0-
Recording Fee
Receipt
#
'zj# 0
I HEREBY ACKNOWLEDGE THAT I HAVE READ �HIS APPLICATION; THAT THE INFORMATION
1.�
I
APPLICATION
APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE owpir.R, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This applicatiog, is not a permit until,signed by the
@S�her�'Reputy:
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or and Fees are paid, and
IN VIOLATION, OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt is acknowledged in space provided.
WORKMEN'S COMPENSATgrN§�RANCE AND RCW 18:27.
FFI S SIGNAT E DATE
(OWNER OR ENT
DATI SIG�E
.(425)
nkV1_0
AM
771 -0*220
EDBY - I
11
—
ATTENTION
EXT. 1333
71
) 'k
;�, ;1 lei.
1
IT IS UNLAWFUL TO'USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL FILE- YELLOW - INSJ1ECTO1!
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.
— — . _ . .
— — . - . . .... — '. .;! PINK - 01 GOLD -ASSESSOR