643 EDMONDS WAY.PDF11054
643 EDMONDS WAY
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITEM RM FLE
STATUS: ISSUED
Pern-fit Number: ENG20080016
Job Address: 643 EDMONDS WAY, EDMONDS
APPLICANT CONTRACTOR
JOHN DENT EL JOHN DENT EL
643 EDMONDS WAY 643 EDMONDS WAY
EDMONDS, WA 98020
EDMONDS, WA 98020
360-8 15-0669
LICENSE #: EXP:
JOB DESCRIPTION
N' PAIR N I PROPOSE TO REUSE LATERAL LIDNUMBER.
N I INDER PUMP F-N—] PROPOSE TO REUSE SIDE SEWER
4" SIDE SEWER, CONNECT TO EXISTING LATERAL IN EASEMENT. ABATE SEPTIC TANK.
EASEMENT INFORMATION
N 7PROJECT CROSSES OTHER PRIVATE PROPERTY
IVERJIFICATIONOF RECORDED EASEMENTS COMPLETE
9610170218 - Easement for ingress, egress & utilities.
ENG20080016
Expiration Date: 4/22/2009
INDEKNITY. The Applicant has signed an application which states helshe holds the City ofEdnionds harmlessfroin ityuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
CALL DIALA-DIG (1-800424-5555) BEFOREANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HO UR NOTIC E REQ UIRED FO R ALL INSPECTION REQ UESTIS
THIS APPLICATION IS NOT A PERNT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACE PROVIDED.
.,n Printed: Tuesday. ADril 22. 20(
RELEASED BY
DA
F-1 FtLECOPY INSPECTORCOPY F-] APPLICANT COPY
1�
STATUS: ISSUED
ENG20080016
SEPTIC TANK MUST BE PROFESSIONALLY ABATED PRIOR TO ENGINEERING FINAL. AN INVOICE FROM THE
ABATEMENT COMPANY MUST BE PROVIDED.
Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements.
A 6" cleanout with 12" locking cast iron lamphole cover is required at the property line.
Maintain 10'separation between the sanitary side sewer and the water service line.
INSPECTIONS
E-Septic Abatement Inspection
E-Sanitary Side Sewer Inspection
&Engineering Final
PARTIALfNSPECTION DATE: INITIAL: NOTES:
PA RTIA L INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
0 2 2 5 10
Hill's SePtic Service
11230 51st Ave NE -
Mantsville, WA 98271
(360) 659-3689 STREU FILE
(425) 334-9789
-1 F. PT,
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NAME:
ADDRESS:
CITY, S �A-g E., D P
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RECFIVED BY:
Q RMFCM18 2007 ORIGINAL SL320S
HILL'S SNOHOMISH COUNTY & SMOKEY POINT
SEPTIC TANK SERVICE
11230 51st Avenue NE -Marysville, WA98271
(360) 659-3689 - (425) 334-9798
Name:
Address: Date:
Your Septic Tank Size Is: 300 Gal. 500 Gal. 750 Gal. 900 Gal. 1000 Gal.
Bacteria Good Slow
Inlet Baffle: Go�'d_--- �_,Bad Condition o
Middle Baffle:
Good Bad 4pridition of Electrical Connections: Good Bad
Outlet Baffle: Good
Con IftwofAlarm: Good—; Bad—; None
Drain Field Appears Slow Not Working
Evidence of Eff I.uent Surfacing In Yard: Yes No
Your Septic Tank should be pumped out again In: YR(s) Date:
House Is: - Occupied Comments:
Unoccupied No. of People
- _L �'
NOTE: Put this up on a wall (utility room, garage, or back of cupboard door) for future reference.
Thank You,
Jim Bc
CONDITIONS OF THIS SYSTEM ARE AS I SEE IT ON THE DATE LISTED ABOVE, Spohornisq,06'unty'Permit #20
AND DOES NOT GUARANTEE THE FUTURE OPERATION OF THIS SYSTEM. Island Cpdnty Permit #9
HILL'S SNOHOMISH COUNTY & SMOKEY POINT
SEPTIC TANK SERVICE
11230 51 st Avenue NE - Marysville, WA 98271
Name: (360) 659-3689 - (425) 334-9798
y
Address: Date:
Your Septic Tank Size Is: 300 Gal. 500 Gal. 750 Gal. 900 Gal. kl_; 1000 Gal.
Bacteria
G d
00
Slow
Inlet Baffle:
ood
Good
Bad
Condition q jRump----
Middle Baffle:
Good
Bad
on Ition of Electrical Connections: Good Bad
Outlet Baffle:
00
Good
ad
Conditto Alarm: Good Bad None
Drain Field Appear s
Slow
Not Working
Evidence of Effluent Surfacing in Yard: Yes
No
Your Septic Tank should be pumped out again In: YR(s) Date:
House Is: Occupied Comments: e-?x;;67 :7 os
Unoccupied No. of People
" 'i".
NOTE: Put this up on a wall (utility room, garage, or back of cupboard door) for future reference.
Thank U
Yo I '/
Jim Boerserna.
CONDITIONS OF THIS SYSTEM ARE AS I SEE IT ON THE DATE LISTED ABOVE, SnohomishObunty Permit #20
AND DOES NOT GUARANTEE THE FUTURE OPERATION OF THIS SYSTEM. Island Cpdnty Permit #9
MANHO
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CLEAN OUT (C/O)
4" SDR 35 PVC
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NOTICE: NO WARRANTY OF ACCURACY. The information shown on the attached map was compiled for use by the City of Edmonds, its employees and consultants.
The City of Edmonds does not warrant the accuracy of anything set forth on the map. Any person or entity requesting a copy should conduct an independent inquiry
regarding the information shown on the map, including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may
not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be liable for the information given on this map, nor for any oral
representation provided based upon said map.
, 0 F E-Djo,_
CITY OF EDMONDS SIDE SEWER AS -BUILT
ADDRESS: PERMIT
643 EDMONDS WAY No- ENG20080016
CONTRACTOR: HOMEOWNER: S ALE:
I JOHN DENTEL I NTS
PECTED BY: DATE DRAWN: DRAWN BY:
4/28/08 _7E. SIBREL 6/26/08 B. SHIU
DATEINSPECTED: I I
PLANNING DATA STREET�T �Lk
SINGLE FAMILY RESIDENTIAL
Name:
Site Address:
q Odmon S WO TO-, 7 70 _S? 5"D 03 0660
Date:
Plan Check #
6q
Project Description:
Reduced Site Plan Provided: NO)
Zoning:
Mao Page:
Corner Lot: (YES Do_
Lot: (YES
Critical Areas Determination 9: 0A ! �!�"3S
Study Required
134vaiver
SEPA Determination:
Exempt
Needed (for over 500 c tubic yards of grading)
0 Fee [J_ Checklist 0 APO List with notarized form
Required S�?tbacks
Street: Z
Side:
Side.
R
Actual Setbacks
Street:
Side: -7
Side.-
r:
El Detached Structures:
Rockeries:
El Fences[Trellises:
El Bay Windows/Projecting Modulation:
Stairs/Deck:
Height
DatumPoint: cx,-�4,n oel AovSe_
aturn Elevation: /00
Maximum Height Allowed: L( L-1
Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area: 75
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: c- Lo --L- 72- 2- -4- 7-0 Z -7 4
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
A Ir COMMe(715
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Plan Review By -
POW" Data Form 04 -11 -06.doc
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DEVELOPMENT SERVICES
COUNTER
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Zone 5-6 corner
Setback AMu.-red
Actual
Front 5 7-0 7-0,-
Sides w /C-
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Rear /\I
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City of Edmonds
Site Classification
Page 1 of 2
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Worksheet RECEIVED
JUN 20 2012 7C.
The project's Site Classification will dictate the specific stormwater maunvauge"m"ent
requirements applicable to your site. Completing this worksheet will help determine the amount of
regulated impervious sur . face and whether your project falls into the classification of a Small Site
(Category I or Category 2), or a Minor Site. Please reference the Glossary (pp. 10- 10, Figures D and
E, (pp. 8-9), and Examples (pp. 11 - 12), to assist with completion of this worksheet.
1) Is Permeable Pavement' Proposed For Use on this Site?
Refer to Starmwater Supplement Chapter 5.1 El Yes
If YES, the subject area is to be considered impervious for initial site classification purposes. Include total
permeable pavement area in the calculation of Non -Regulated, Reolaced and/or New impervious surface
areas in the table below.
2) Determine the Amount and Type of Existing & Proposed Impervious Surface for the Site
Refer to Stormwater Supplement Chapter 2 and Fig. C
71
Line L Identify'the Non -Regulated Impervious Surface Area.
Line 2: Identify the Replaced Impervious Surface Area,dividing the total between Exemp and Regulate ; either or both
may be zero. Note: For project classification purposes, Replaced Impervious may only be considered exempt
under certain conditions. Refer to the Glossary and Figure D. CO
Line 3: Identify the New Impervious Surface Area for your project. All impervious areas created post -July 7, 1977 or --J
f
after the date of annexation into the City are regulated & should be included in this total unless they can be
categorized separately as a Replaced -Regulated area. :10
Line. 4: Enter the sum of the total Replaced-Replate plus the total New impervious areas.
Line 5: Identify the total area currently mitigated by an existing city -approved stormwater management system.
Line 6: Enter the sum of the value in Line 4 less the value in Line 5 to identify the total Regulated.area in which
stormwater controls have not yet been applied.
n
Line 7: Identify the total area proposed to be mitigated through the use of Low Impact Development Techniques.
Line 8: Identify the total area proposed to be mitigated through conventional Stormwa ter Management Techniques.
Provide a copy of the following table on the drainage plan sheet for the proposed project
Line
Type
Area (square feet)
1.
Non -Regulated
Exempt
Regulated
2.
Replaced
01.
X
3.
New (Post 1977) 4 4 4 4 44 4 4 4
+
.......... . ................... ... ... .
Total Regulated Impervious Area
Q_�77 -7'
4.
Mitigation required if in exces s of 200
A
5.
Total Area NUtigated by Existing Stormwater Management System(s)
6.
Regulated Area Not Yet Mitigated
7
Area Proposed to be Mitigated. by Low Impact Development Techniques
Area Proposed to be Mitigated through Conventional SWM Techniques
(e.g. porous asphalt, porous concrete, paver blocks, concrete open celled paving grids, or plastic lattices filled with turf or stone)
Revised on 310512012
E72-SWAI Erosion—Control-03.05.12
Page 5 of 12
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STREET FILE
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APR 2a
ENG'NEERING DIVIS10iV
ROAD EASEMENT MAINTENANCE AGREEMENT
We, the undersigned owners of 639, 641, 643, 645, and 647,
Edmonds way (legals attached) do hereby covenant and agree for
ourselves, heirs, successors, and assignee's for the mutual benefit
of all signators of this agreement together with their heirs,
successors and assignee's to grant an ingress, egress and utility
easement and further agree to a common maintenance agreement of
the following described property:
PARCEL A: An easement for private driveway, together with utilities
leading from Edmonds Way and covering the following described strip
of land: begining at the N.E. corner of the N.E. 1/4 of the S.W.
1/4 of the S.W. 1/4 of section 25, township 27 north range 3 east
W.H.; thence north 88 degrees 321 07" west along north line thereof
a distance of 516.90 feet to the Northeasterly line of Edmonds Way
thence south 39 degrees 051 east along said road for 413.3 feet to
the point of begining; thence north 50 degrees 551 east 150 feet;
thence South 39 degrees 051 east for 22 feet; thence south So
degrees 55, west 150 feet to the northeasterly line of Edmonds Way;
thence northwesterly along said line for 21 feet to the point of
begining.
PARCEL B:together with an easement for a private driveway and
utilities over, under and through the following described property,
to wit: That portion of the northeast 1/4 of the southwest 1/4 of
the southwest 1/4 of section 25 township 27 north, range 3 east
W.M., Snohomish county, Washington, described as follows:
Commencing at the northeast corner of said subdivision and
running thence north So degrees 321 0711 west along the northerly
line 214.22 feet; thence south 39 degrees 051 east parallel with
the margin of state Highway 104 (Edmonds Way)102.32 feet to the
point of begining; thence continuing south 39 degrees 05# east 135
feet; thence south 50 degrees 55# west 80 feet; thence north 39
degrees 050 west 114.27 feet; thence north So degrees 550 east
67.75 feet; thence north 8 degrees 371 west 24.16 feet more or less
to the point of begining.
AND FURTHER,
1. That the purpose of said easement is for ingress, egress,
and utilities and the construction, use and maintenance
X thereof.
to 2. That the maintenance costs of this road easement described
U1 Cn PI
W C by this declaration shall be borne in equal shares by the
ir z
U) < easement; or
owners of all lots served or adjoining said
0 their heirs, assigns, or successors.
Ul C-11
3. That this private road will be subject to an utilities
easement in favor of the grantor or his successors and of
any; electric, telephone, television cable, gas, water, or
sewer compapy, public or private, or their permitters or
assigns to install, construct, operate, maintain, alter,
OLYWIPIC 111011".., -
WATER & SEWER WSFI'Ki
23725 Eftonds V-j',ty 961017 2 18 VOL. 3223PA0139
Edmonds, WA 98026 0
774-7769
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and repair their respective utilities, together with the
right of ingress and egress for said purpose.
4. That this private road described by this declaration
whether it remains private or becomes a dedicated county
or city road, there is the additional right to make all
necessary slopes for cuts and fills; and the right to
continue to drain said roads and ways over and across any
lot or lots where the water might take a natural course
upon reasonable grading pursuant to improvement for
dedication of the road shown herein.
S. This easement shall run with the land and shall be
binding an all parties having or acquiring any right,
title or interest in the land described herein or any
part thereof.
IN WITNESS WHEREOF, Grantors have executed this instrument an
the date(s) executed below.
Thomot-4ane s e
�K,B. Zevenbergen
Dav evenbergen Stacier, 41,
1. tep ens Joleng-m Tri
n
'David L. Cummi gs 4% Mril,�c —mum ami g&Zs
Monte Clouston, President
western commercial Dev. Corp.
STATE OF WASHINGTON
COUNTY OF SNOHOMISH 7)?a A 11(ld,
jo/uz 6V," a09-17
On this day personally appeared before me Dwlb /' d F)IN6S
to me known to be the individuals described in and who executed the
within and foregoing instrument, and acknowledged that they signed
the same as their free and voluntary act and deed, for the uses and
purposes therein mentioned.
Given 9M—r ihy-hand and official seal this /0�damy of
1996.
y pub c in and for the
�p
f W;..�:j
te of Waqoington, residi
ta ng
t
OLYMPIC ME!,"
WATER & SEW -n C-ISTMC I
23725 Edmonds Way %% WASO" -
EdMonds, WA 98096 vot. 3223.FAGE0140
174-7769 9610170218
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TAX ACCOUNT NUMBER:252703-3-0156-0002
96 OCT 1.1.7 - AM 1.11 .11
AUDITOR
IMPERVIOUS AREA SHOHOMISII COUNTY. WASHJ
HOUSE FOOTPRINT 1556 SO. FEET DEPUTY
qR?TH FRONT WALK 5Z SO. FEET
DRIV."Ay 382 SO. FEET MAXIMLM
TOTAL: 2000 50, FEET
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LEGAL OESCR:PTIONI
BEGINING AT THE HE CORNER OF THE 14C 1/4
IF THE SW 1/4 OF THE SW 1 '4 OF SECTION 25
TOWNSHIP 27.N. R3E, W,M.;/THENCE NORTH
88 DEG 32'07* WEST ALONG THE NORTH LINE
OF SAID SUBDIVISION 214.22' ; THENCE SOUTH 39 DEC,
05' EAST 20Z.33'; THENCE NORTH 50 DEC 55'
EAST 109-62' MORE OR LESS TO EAST LINE OF SAID
SUBDIVISION; THENCE NORTHERLY ALONG EAST LINE OF SAID 00 V)
SUBDIV:S:ON 82.64 FEET. MORE OR LESS TO THE POINT
OF BEG N NO
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NOTE: LOT ELEVA710;4 CHANCES LESS THAN I FOOT OVERALL
NO 5' CONTOURS SHOWN
OVILD114G HEIGHT 23' 4 3/4-
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2'DEEP w/ TRACER
CONCRETE DRIVEWAY
r-111-77-7711777711\
[6-4--71
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LINE
EE
STREET FILE
WATER METER
NOTICE: NO WARRANTY OF ACCURACY. The information shown on the attached map was compiled for use by the City of Edmonds, its employees and
consultants. The City of Edmonds does not warrant the accuracy of anything set forth on the map. Any person or entity requesting a copy should conduct an
independent inquiry regarding the information shown on the map, including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or
may not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be liable for the information
given on this map, nor for any oral representation provided based upon said map.
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CITY OF EDMONDS WATERLINE AS -BUILT
ADDRESSi PERMIT
643 EDMONDS WAY No- BLD20070863
CONTRACTOR: HOMEOWNER: SCALE:
I JOHN DENTEL I NTS
DATE INSPECTED: INSPECTED BY: DATE DRAWN: DRAWN BY1
4/28/08 1 E. SIBREL 1 6/26/08 B. SHIU