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6611 172ND PL SW.PDF1111111 983 6611 172ND PL SW ADD GUTTERS/DowNspouTs AND SPLAsHiBLocKs _L±E f 6 �� -rC /4 L CS A = 4-;l *- Sl wl. 4 3 GIZADc pri 1- .3 7- c o v A � qi�7 S�Z F, F A�, 5,q. r-T. APPROVED AS NOTED -7 2, ING INEERING V-) -1 — r< V0.0 E; 2& CW— r-1 TRE jt,oj� LAAjE UA+( owm ts q(o 4ZLemp- -7 -Z p/. APPROVED BY PLANNING C— p CI'R-e ��-7-7) I 'Cl ------ e-,-tO# 1 fW K� V] S�A f: Fil rr. Cq Lc_S i5A � 5-rJ AJ C, 5 L--D G - PA Z 4-�F ��A<A66- � 576 s-.f. 70o C-x 1p Tr; p r- o p 0�,-C ,,, Az � Vrv/pf Ll � 15,0 5 C,4 L C.' r c eMA Tl 4 *-J J ZCE:jve:o E rlr% 7 2Cu"j IPMENTsERVICE CTR, I S Ty OF EDMONDS 102- -4 is qp It o� -P . vs +W6 OA* aA& le+ Me, PW t�P vvt Witt a)A" WS A&J,�fiulcd M&Ss 0 PLANNING DATA NAME: li)Tx-Le��— SITE ADDRESS: U LP ( PROJECT DESCRIPTIO REDUCED SITE PLAN PROVIDED?<�o) MAP PAGE: L40 S CORNER LOT: (Yes �_41 �dW CHK#: 0 LjLk 0 13q- Y4 , e FLAG LOT: (Yes o ZONING: CRITICAL AREAS DETERMINATION #:.q(2(— Study Required: Waiver Conditional Waiver SEPA DETERMINATION: Ll Fee Ll Checklist Ll APO list wl notarized form U (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Balling or) 114 Exempt SETBACKS: Required Setbacks: Street- a-5 Left Side:_ 1 0 Right Side: Rear: �L Actual Setbacks Street: Left Side: I - Right Side: (0 =Aear: aFS Street map checked for additional setback required? (Yes No JtRAJ)) DETACHED STRUCTURES: ROCKERIES: FENCES/TRELLISES: UBAY WINDOWS / PROJECTING MODULATION: L3 STAIRS/ DECKS: PARKING: Required: 2— Actual: 2-- LOT AREA: I Z 1 2­1 -;-� -1= X 0 �� LOT COVERAGE Calculations: t-Vx,)6r15; Ictil BUILDING HEIGHT: Datum Point: ISLALY G-T DatumElevation: Maximum Allowed: 15' — I ual Height: A.D.U. CREATED?: QLY—G-Si SUBDIVISION: H-1 LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: ff—eslf� OTHER: Plan Review B "t -= XL4 8-1 Iq NewBPPIanningDataForm-D0C 1// DA ZoneA S.E. 1/4, SEC. 8 T27N.9 RA E.W.M. 41 a, '��70 kr C� N Prw 04C 9 Avoc t 17001 /70 77005 '5117011 1700 1 - - i z L��, 7015 r7ol q G I I I — - — IMP 11I)a f4 7017 17010 17015 -7,1 102 17071v S. W, 170 'o 17026 M 0, �o 408 I Z5 17/02 /03 — 171/1 I:x - a -1-31 17110 J7110 -,j 17)07 \9 I 5. w 92 117 17120 LC\ 17/1 1 /257 )7/25 1w 172NO ([30 1 1 7214 7zio I�200 Z�, v NQ tt 172 17. 6. / NQ 30 1-73Z4- 173 AP ST ;z C14 1731Z 7 3% 1 3 f7311 73vf I.W 17 D off 73 I TS1 A F PL. \0 \,o 17 A T" ST. S.W 1,7 174-08 17401 - - 17 4,Z. 17416 1140 cr, 74C, '7.' 7 lu 17417 1741c 7,� 7. -1. 4 42.. 1,(424 74 A 1'09M A '5 1-2+15 20 174tr 74 '7 1 — — -------- 17432 17,1 V . toO MOORE 174-15 7 744,, I'7SOZ7 ScHoo 1743 7 17604 7 (174 -7�r 1-7S 3 1751? 17 17510 "'00 3 17 175, 1751 N 7530 75-T3 Z Q 17 -700 17605 176 08 17.6164 176 176,14 7 5 176/ 17(&13 17616 1761 — I 17(,?X r7bZ3 LU 1711S 176ZZ -j 17621 ;;;7 "4 jS! T-TIZ - 176 1769-5 76 Z? 17&?e 3� ['?1 .5 33 17(630 ItZ 1-763 19 17�3,, 1-7 7C4 /7704 1 633 -7 17703 177.S -770(o' I — — t _ I 1 70& N 1-7 7r 7 e � -n 11 Ln 11-11 77'. '�) j7710 Iko — 17707 17713 71 46 cm I -� r m 17713 z 17715 1.1 /77/7 177/9 11719 11724 177 7w PL S.W. '771g 7. 177E4 Ln -- Z* 17 /7727 1772& (9 17727 177?_q 17 7ZF 1780 4L, 0 (780/ '711C,11 178C 3 v 17805 % 17806 17 179 - F rm 17g PL. %D 17815 178261 \14, 65i�� 1'7P "o NO 17A24 1-7q 2 A I 78 16 17PCI I 7gr C TARY 1783 31 4K to. ;Z % I'7q 14 P, 17 t=0 L \0 180 !11 t,7931 -L -y ej; o/ em \4 NO \0 t-W 0� 180711,M51. Z). W. /80711 5 T I%oi\ v -,Azi , a P"Q ,, - - : a ;�F— - . Is PLANNING DATA NAME:__7 SITE ADDRESS: 1-72-kid PDAITSE: W '7 /-7 ZONING: PLAN CH K#: -7 PROJECT DESCRIPTION: CORNER LOT Yes/No) FLAG LOT es/No) &),n (-72�Pj :5>'W* 1-72 -St,,V SETBACKS:, Required Setbacks - Front: '757'Left Side:_/0 Right Side:- Re r: Actual Setbacks: / Front: '?>�j Left Side: Right Side: Rearr: Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED— Y/N) LOT COVERAGE: ey.- A ur �jax AuVal-_ BUILDING HEIGHT: Maximum Allowed: 37 ----- Aettral Height: Datum Point —Datum Elevation: A.D.U. CREATED?: SUBDIVISION: CRITICAL AR . EAS #: vv-A t V&_,,� SEPA DETERMINATION: LOT AREA: OTHER: Plan Review By: c.ffilesVermidAplandaLdoc 1-72- t-c/ S-TIM67- S, I I-C -7 -Z '2 Pt 5-0 - 5C,4 L05 AlipHOVED BY PLANNING L- /,or# zo , CA FILE NO. QC1 - 7& '11 Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 2. 3. Site Address/Location: Property Tax Account Number: Approximate Site Size (acres oi 4. Is this site currently developed? yes; _ no. If yes; how is site developed? 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 I 0-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: V ,j2 Approx. Depth: 7. Site contains areas of seasonal standing water: gJ 0 _; Approx. Depth: What season(s) of the year? 8. Site is in the floodway )U floodplain Avo of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? A -A) Flows are seasonal? — 410 (What time of year? 10. Site is.primarily: forested AJO meadow — ;shrubs ;mixed urban landscaped (lawn,shrubs etc) �/4�,J. 11. Obvious wetland is present on site: ------- IF G Staff Use: --------- . ...... -.,Or she i zoned. ... .. I s ^ca_chk.doc; Rev 10/03/97 City of Edmonds. RECEIVED OCT *L' 9,—:, RECEIVED 0U., DEVELOPMENT SE"I'Lo DEVELOPMENT SERVICES CTR 8WO OF CRITICAL AREAS CHECKLIST 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 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 inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, 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. , 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 conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant:, Name '60,11 14-z 'Jels f—z&v Street Address tvjq, 21W L 4� city §tate I Zip Tele Signatdre Date cxeception\janakaddoc Applicant Representative: Name Street Address City State Zip Telephone Signature Date (over) C. is November 23, 1999 Fred Tuttle 6611 172 nd pl. S.W. CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering Edmonds, WA 98026. - Subject: Determination regarding Critical Areas Checklist # 99-291 Dear Applicant: BARBARA FAHEY MAYOR Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. .......... sw ............. .............. ........... ................ IMPORTANTINFORMATION.TO.BE: ....................... ............ .. .................. .... ......... ....... ................................................. ................ PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY, The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. Mo. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL .40 PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board Thank you. Sharla Graham Planning Secretary C:lReception\Jana\CRLTR.doc Incorporated August 11, 1890 Sister City - Hekinan, Japan APPLICATION The City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO . .................. OWNER .... . .... ------ .. . ....................................... CONTRACTOR ------- - -------------- PERMIT NO. .. ... ----- -------------- 'U-Z- JOB ADDRESS ------- FL ---- --- - ------------ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------ N,T AN ff�- ��. A ��T�rY��T is A A C--- == c-- = r.7 ........................ ............................................................. X............ By ... . ... ................ I ............ /1", YUY6� PERMIT A TTY '-"0 01 N05.1­- F WATEX-SEWER DEPARTMENT 'z, t,6a0,t,`, 7',5-2525, for side 's�wer' lnsijections� BEFORE covering,��any- pofttbV of 'the c6ristructiont ri-.2� Sat.* Sun., or: 6� tio �lnspectfon,,wlll be provided! mithi hours�after requsL NU�Z oliday lnspqc nsi X,D ]k9S LO 17:�j ........... ..................................................... CAT[ONI�Of �CONSTRUCTI ON ....... ............. j ................ PRQPERTY'LEdAIL`� .......... --�.2 . . ......... -4- _64 . . ................... .......................................... ............... ............. . ................................ I ....................................................................... ...... ................................................... .................................................. 1, MR­ALN /OR- BUILDER .......................................... .......... ............... ...... ........ ....... 7_: ......... ..... . ........... ...... ...... ................ .......... .......... CONTR CTOR XAME",& AMDRES,'; J1, '19 for..re"paii and/br,:connectl6n of a side sewer to the, city­sanitary',sewer Permission Is granteil;��.':� ........... sy­�-�im in acco�daifice,,with -City of Edmonds ordinances. A-r-rAIT1611' �S,, C�VLLED'� I TO,X H&;)FOLLOWING: No. I —The, owfi�ri�iof,tbe�.�pr6perty may obtain a permit. to construct sewer Inside property,'Ilne� . A licensed Side. Sewer Contractor- must -be:employed toiconstruct ',side�isewer,'Jn-sti�et aim, Do,Lnoteco,�er any,portion of sewer before It -has been- Insp6cted.. NOTEIV6. 2—,.A,ll work'�pqrformied�Aw,�'city right-of-way requires,'an Invasion, of RJght-of-Way Permit obtaJn-able'from the City Engineers- office. �NO'TE'�No*,.'; 3LObtai�f.il,,in'4 formation � regarding, �Ord Inance 1-1.1 . 6:030,and Regulations- g�vern Ing, side, sewers whenl,you,get permit., Top, of'", s d6w r 4Wt have`at,ieast'30, inches line, and, 12,'fnbhes inside"pr . operty A . In . e: minimum.!gra I A . e. of 2%. No:,bends,. I I n, grade I sewe, m, coverage at' property sharper than lk;�will'�be,perrnitted� NOTE' No. 5--Tienches, 1_n`!s`tre­e&'must"be- water . settled and' surface of'street resto're6' to original condition. Contractors shall. be responsible for fath I ire due to, improper work which, -rhay- develop within one. year of'completion., NOTE No. r� it. Is ul'alawful to,alter or do,any other work than Is, provided� for in the permit, or, to do any work on the.: maJn sewer or -its. appurtenances :except 1to in- sert thel�plpe intol.'the wye. DISAPPROVED, Date...-..'� .................................. By ....... ......... Date ... ........... 4� ....... By ................ Date ......... 17 ........ ...... By ........ ........ 'APPROVED I) B L ..................... .......................... ........ ...... ............... ...... .......... ........... .............. ...... .................... I .............................. .......................................................... ....... ........... ....................... ...................................... . ....................................................... ........................... .................... ............. ...................................................... ......... ]�O_ T'H' Perm it:`Copies MUST Be Signed By Owner 'of Firm Perf orm ing,- Construction PRIOR to Regues.t For Inspection;. --------------- ­ hereby- certify that -the side sewer installation constructed under, this permit Z_Nn (owner ' of �co ra �`Fl,.; �Pef.r,��in struction)'.— ",.%�wslnstalled in,accordance with. all governing ordinances, of the, City of% Edmonds.. Datedtthis.' .......... ...... .......... day-, of, .................. ...... ...... ......... 1,19... Check BEFORE, you, dig for: Water. E]. IG-As Ej, Telephon&,[], Power E]� Sewer E]. Otfier� 0, % ..The City of Edmonds APPLICATION for SIDE SEWER PERMIT EASEMENT NO - -------------------------- ----------------- NEW CONSTRUCTION E] REPAIRS F1 LID NO - ------------------ ASMT. NO . .................. OWNER ------ /�/ ..... 7--# ............ ,e � //— JOB ADDRESS ---- 4 --------------------------- .-P-9 ----------------------- SW ------------- CONTRACTOR 0-41114 661P ........ # LEGAL DESCRIPTION: LOT NO - ------------- 5. 1p- /P c ........... PERMIT NO. �2— ------------------------ BLOCK NO - ------------------------------------ 0 w .................................................................................................................................................................. NAME OF ADDITION 7- # :g - ------- �Z.A .......................... .......................... Approved: DATE............................................ By ................................................... j-j7�W Permit No: no. cm (.a City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: f A. Address or Vicinity of Construction: P. Type of Work (be specific C. Contractor: Mailing Address: 'k. L.) X) State License #:_10L_�l M F P-1 Q 77 L- b..a.At.L D. Building Permit# (if applicable): lai - 0 Contact: IJI (be-Q, Phone: <-- -77? r-- 3 t 2- & Liability Insurance: \4 Bond: $ No e,,� Side Sewer Permit # (if applicable): to o +,� E.- F1 Commercial El Subdivision City Project EUC (PUD, VERIZON, PSE, AT& T, OVWD) Multi-Farrkily Single Family El Other INSPECTOR: L_ F. PAVEMENT CUT: El YES S&NO CONCRETE CUT: [I YES LyJ NO G. SIZE OF CUT X INDEMNITY. Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, foreiseen or unforeseen, that may be made against the City of Edmonds or any of its departments or employees, including but not limited to. the defense of any legal proceedings including defense costs and attorneyfees by reason ofgranting.this permit. THE CONTRACTOR, 11 SPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLL099NG THE FINAL - ­,-INSPECTION'ANDANCEANCE OF THE WORK ESTIMATED RESTORATION FEES wiLL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME 4 DEBIT OR CREDIT W1LL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Traffic control and public safety shall be in accordance with.City regulations as required by the City Engineer. Every flagger must be trained as requited by (WAC) 296-155-305 and must have certification verifying completion of the required training in their possession. Restoration is to be in accordance with Ci ty codes,,iAll,street-cutArench work shall be patched with asphalt or City - approved material prior to the end of the workday — NO EXCEPTIONS. Three seti of construction drawings of proposed work are required with the permit application. IiEGINNING WORK CALL DIA.L-A-DIG (1-800-424-5555) PRIOR -TO I HA VE READ THE ABO I VE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THA T I MUST MAKE THE PINK COPY OF THE PERMIT A VAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS Signature., "s -Date: 2, 2-7 0 1-, (Contractor or Agent) FOR CITY USE ONLY Approved by: Time Authorized: Void After 8LP tg�kya: Special Conditions: LAP6, viAia*4m 4u%Tjrt, Right-of-way Fee: K) wkft� Disruption Fee/Fund Ill: Restoration Fee: Total fee:' Receipt No: Issued by: _ UPON COMPLETION OF PERMITTED WORK9 AN ENGINEERING FINAL INSPECTION IS REQUIRED PER CHAPTER 18.00 OF THE EDMONDS COMMUNITY DEVELOPMENT CODE (Phone 425-771-0220, Ext. 13 FINAL APPROVAL OF PERMITTED WORK: DAIE. Inspector's Signature For insDection see Engineering Inspection Information handout. M N El rel ta Kea W N tm I I E MIL161101 DAMy Documents\Forms\Engnrng\ROWperm�it_.doc I ...'rit Address. Lecial r)escriptior STREET FILE BUILDINIG PERMIT REVIEW - F�]GINFUTIr, 017PART1.41714T CPECK LIST leviewer's nti al s 1. Septi.c Tank System npsi(in Approved-_ 14 2. Sanitary Sevier Availahilityytis Slit. _o f Dvin. mo.AOS) -Project: Side Sevier Availability: 3.. Any Sanitary Sewer'Connection Fees. 4. Site Drainage Checked _QF3 5. Storm Sevier Avai'lahility:)rJ2F5 Sht. ___J_of Dwq. No.—A—O��� Project:B,A, P Roadside D itch (Dtj T Di�znitMo_ 1-12,ND 6. Grading'& Final Contours CW ?1-A+J 7. Sidpvialks (Site Inspection shows condition of Pxistinn vialks"as follows): VOL S.. 'M. I V - V 8. Curbs 9. Curb Cuts 10. Underground 1,lirinq Qt Street Linfitina 1 T. Street Riqht-of-waY A RldQ. Spthacks:P/IAI Sht. of Dwq. No. 7 of nfficial Street Map. 12. Existing Utility Easements MIR! .1.3. Access Ea sements 14. . I -later Mains A Fire Hydrants (Indicate Size !-later Main) 15. Bonds forSite 14ork 16. Special Requirements listed in memo to Bldg. nept. 1 7. Commercial A Apt. Requirempnts form,comnleted 18. Drawings stamped & notations made 19. Site Inspection made on 20. All items filled in on nldq. Permit Ap.plicat.ion 21. Lot included in Subdivision (List an* special requirements): y MtqMo 3/9/76