655 ALDER ST.PDF10066
655 ALDER ST
0 &
ADDRESS: �a,6�5
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
()Ll-
CRITICAL AREAS 7:[ DETERMINATION: E] Conditional Waiver 0 Study Required Waiver
DISCRETIONARY PERMIT #'S:-Lu q0 -
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
LID #:
LOT: 7, ?- - Z 27 BLOCK: (16
LATEMP\DSrs\Fonns\Street File Checklist.doc
0 . 1 0
CA FILE NO.
Criffical Areas Checklist
Site Information (soils/topography/hydrplogy/vegetaflon)
1. SiteAddress,"cation:
0 0 0
lEii4erty Tax Account Number: q:2) 14
2.
3. App roximate Site Size (acres or square feet): J74? Fr
4. Is this site currently developed? -!L'_yes; no.
If yes; how is site developed? 41106iL-F— P-P--eotPFAJCE-
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on.*p.generally less than 15% (a vertical rise of 10-feet over a
horizontal diitapce of 66-feet).
Hilly: slopes present on site of tnore, 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 contain areas of year-round standing water: )VQ Approx. Depth:
.7. Site contains areas- of seasonal standing water: Aj 0 ;Approx. Depth:
What season(s) of the year?.
8. Site is in the floodway A)0 lain At 0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? A) 0 Flows are seasonal? AJO .(What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc) I.-
11. Obvious wetland is present on site.- 140
RevOlM,04
---a
City of Edm(iii&
:..c C'
Critica[Areas- he'kfist
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 amble
City staff to determine whether any
potential Critical Areas are or may be
present on the subject property. The
inforrimfion needed to complete the.
Checklist should be easily available fgam
observations of the site or data available at
City Hall (Critical Areas inventories, maps,
or soil. surveys).
An applicant, or histher representative,! '. �!:"
must fill out the checklist, sign and date it,
RECEIVED
JUL 2 2 1994
COMMUNIry SERVICM8
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.
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 pertinent infonnation (eg. tite
plan, topography map, etc.) or studies in
conjunction with this Cheddist to assist
staff in co6ipleting their prdixninary
a ;sment of the'site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual to the best of my knowledge (fill out the appropriate column below).
Owner / A@pHeanic
r
l.PA\/F,', -rAM� -W""4
Nam
Applicant.Representative:
OzIsTito k4AN'50NI
Nam
6a A4__0eW_ %�
(er7r7 7 -_7Y0 9
Shed Addrm Stred Ad&&km
V-,ip M r,> k) V S - WA 41020
C State, ZIP Phone
*g"'n�aWre Date
e,()tAOMQS LAJ 41f0Z C)
city, state, ZIP Phone
Signabue Date
APPLICATION
The City of Edmonds for EASEMENT NO - --------------------------------------------
SIDE SEWER PERMIT
105-03300 NEW CONSTRUCTION M REPAIRS M LID NO. .— -------------- ASMT. NO. � ------------
OWNER --------------- Cliat.Qu.Xartia ............................................... CONTRACTOR ----------------------------------------- .......................................... PERMIT NO - --------------------
JOB ADDRESS ..... 6.5-S.-Ald-er.--Stree-t ------------------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
.. . .. ..... - --.- ----------- --
------------------------------------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
DYE TESTED ON SEIVER - March 4., 1976
By Jim Jensen
Approved:
DATE............................................ By ........... ................................................
11/75
121 5TH AVENUE NORTH - EDMONDSWA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE*
STATUS: ISSUED ENG20090077
S11)E SEWER PERMIT (I -Single Family)
Permit Number: ENG20090077 Expiation Date: 5/20/2009
Job Address: 655 ALDER ST, EDMONDS
APPLICANT CONTRACTOR
DIANE M HOWE ROTO ROOTER PLUMBERS
655 ALDER ST
EDMONDS, WA 98020 EVERETT, WA
206-391-2889
LICENSE 4: ROTORSCI 22BR EXP: 4 /1/2 010
Y
N
JOB DFSCRIPTION
IREPAIR !T- PROPOSE TO REUSE LATERAL UD NLTMBER:
] GRINDER PUMP PROPOSE TO REUSE SIDE SEW ER FN7] DRA INA GE
ADD CLEAN OUT
EAS EMENVIANFORiNIATION
Nd
PROJECT CROSSES OTHER PRIVATE PROPERTY
N
VERIFICATION OF RECORDED EASEMENTS COMPLETE
INDEMNITY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessfrom injuries,
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
afforni?yfees by reason ofgranting this permit.
CALL DIAL -A -DIG (1 -800424-5555) BEFORE ANY EXCAVATION
CALL FOR INS PECTION (425) 771-0220 EXT. 1326
24 HO UR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
PLICATION IS NOT A PERNIITUNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN
SPACEPROVIDED.
/—\ Z—�\ t" I Printed: Fridav, Fet
RELEA
F� FILE COPY INSPECTORCOPY F-� APPLICANT COPY
41 , , i
STATUS: ISSUED
ENG20090077
• 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 19 separation between the sanitary side sewer and the water service line.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City fight -of -way per City standards that is
caused by or occurs during the pen-nitted project.
0 ESanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:
PARTIAL INSPECTION DATE: INITIAL: NOTES:
FINAL INSPECTION APPROVED DATE: INITIAL:
a
S-MEET FILE
CITY OP
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (1206)
DEPARTMENT OF PUBLIC WORKS
March 16, 1981
Dear Resident:
HARvE H. HARRISON
MAYOR
On February 17, 1981, the Edmonds City Council passed
Resolution 488 for construction, reconstruction and repair
of deteriorated sidewalks. A Public hearing will be held
in the Council Chambers at the Civic Center on April 21,1981
at 7:30 P.M,,,-, You are, invited to attend-,t.hJ_�,3 he,1ar:.i.n9_�fo,r_
- '0 , I .. .- ... 1p
'p'a'ir" —3
discussing re
abutting your--property--;-Th6 imor'ovement of §idewalks in
need of repair at the expense of the abutti
ng propertv
owner is provided bv City Ordinance, Chapter 7.20 and.''
Revised Code of Waskington, Chapter 35.68.
The areas needing repair have been marked in pai'nt on
the sidewalk adjoining your property. Reconstruction and
repair of these sidewalks must be completed on or before
September 1, 1981. In the event improvements are not
completed within the above specified time, the City will
perform and complete the improvements at the expense of 'the
abutting property owner.
This action is' in response to many citizen requests
and pedestrian falling accidents which have been increasing
in recent years as a result of sidewalk deterioration and
increased pedestrian traffic.
Sincerely,
FRED F. HERZBERG
Director of Public Works