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6812 157TH PL SW.PDF1111.111111 812. 6812 157TH PL SW I IS4 cyl CC, Cl L^NDING7 �1�-TINGi V) 'D E C, P-'- 2-01X 10 ComRT YAK12 IT 44) '41 -3 lzs -D F, I V E RECEIVED WA"*-( APR - 12003 PERMIT COUNTER Lo 2- 0 LAT I W. Tl f�Mf-M ENT v W)4,y AppFjoVED By PLMNINU L4 REET FILE TKOFE�J?,-Ty OWHeP2,: J,=-D17H Wf-=MlT--->0W TRO-pf,�n Pm'D9lEe,6,- (-o%12- -PLACF, 5,\t\/ F-DmoN V� I \Np� q ft 2o/ LOTC1 City of Edmonds Development Services Department Planning Division Phone: Fax: 425.771.0221 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 anv notential. Critic Areas are nr Date Received: t41110 City Receipt#: Critical Areas File #: Critical Areas Checklist Fee: $45.00 Date Mailed to A pplicant: 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 precursory site visit and make a determination of the subsequent steps necessary to complete a development permit application. 9 1 may be, present on the subject property. The information Please submit a vicinity map, along with the'signed copy needed to complete the Checklist should be easily of this form to assist City staff in finding and locating the available from observations of th a. specific piece of property described on this form In ps addition, the applicant shall include other pertinent ? information (e.g. site plan, topography map, etc.) or =MW irumll studies in.conjUnction with this Checklist to assistant staff Pic. in completing their preliminary assessment of the site. APPUCAION 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 Editionds harmless from any and all damages, including reasonable attomey's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information famished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this ap lication on the behalf of the owner as listed below. SIGNATURE oF APPLicANT/AGENT DATE ZiE Property Owner's Authorization By my signature, I cer* that I have authorized the above ApplicantlAgent 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 inspection and posting attendant to this application. SIGNATURE OF OWNER DATE Owner/Applicant; ��-77 Name,,:. Sly city State zip Telephone- L opt I' Email address optional): .0plicant.Representative: a -, 1 74 .1 'A Jk' Name Sumt Address city State zip Telephone:, Email Address (optional): Critical Areas Checklist.&O. 192001 Critical Areas Checklist CA File N rot: 03-3 Site Information (soils/ topography/hyclrology/vegetation) S-X ef�a2We,-, 1. Site Address/Location: Z�a ZZI- 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? Zyes; no. If yes; how is site developed? L!� /46 C 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). w H illy: slopes present on site of more than 15% and less than 3076, a vertical rise of 10-feet over a horizontal distance of 3 "I � M., t - Of Steep: grades of greater than 30% distance of less than 33-feet). aqOther (please describe): 6. Site contains areas of year-round standing water: 412 Approx. Depth: 7. Site contains areas of seasonal standing water: 4,&7 ;Approx. Depth: What season(s) of the year? 8. Site is in the floodway '44 floodplain 4S of a watercourse.. 9. Site contains a creek or an area, where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? 10. Site is primarily: forested d ;shrubs mixed urban landscaped (lawnshmrubs etc) 11. Obvious wetland is present on site: Critical Areas CheddisLdoc/3.19-2001 lqr 00 CITY o,f EDMONDS SIDE SEWER P E R M I T For Inspection . Call tlr-EET FILE PERMIT NO. 07659 �?o 7/-1 LYNNWOOD. LtNE Addres-t of Construction: Property Legal Description (Include all ease�ents): Owner and/or Builder: Contractor & 'License No: Singl:e Family Residence F-9QUYURD Multi -Family (No. of Units Commercial (No. of fixture Units PUBLIC WORKS Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One-Call�-Center (1-800-424-5555) before any excavation.) Cross other Private Property: No Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK /�-T7�e 'f at I have read and shall comply Oate" Ii,Vthiey/ltems listed on the back. Permit Fee: Issued By: Trunk Charge: Date Issued: As sessment Fee: Receipt No.: ta (.05 3 Partial Inspection: �Comments Date Initial Final InspectionApproved: 3-19 7 Date Initial Rejected: son —5-a—te Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Buff Copy - Applicant NOTICE: No warranty of accuracy. The information shown on the attached map(s) 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 these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), 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 map(s), nor for any one representation provided based upon said map(s). The City of Edmonds Side Sewer Drawing EASEMENT NO - ----------- -------- ----------------------- me;A.D. C-db4N. NEW CONSTRUCTION REPAIRS LID NO. 2,10 ------ - ASMT. NO - -------- --------- OWNER _ ................................ .... ------------------------------------------------ --- CONTRACTOR lJl4lYF—R5Aj ------ L�NJKD ----- CQt4r=.r� ----------- PERMIT NO. 765-9 -rlA WOOD LINE JOB ADDRESS 15-7-0-1 ------ 70- -------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. --- - ------ -W- ........................................................................................... ------------------------------------------------------- I ----------- - NAMEOF ADDITION ------------------------------------------------ ----------------- ----------------------------------------- PWW-0001 -11/75 (REV. 11/78) 3.5,Dp. A?lc.a.wvc c.a.CAP I,bp Approved: DATEA14k19-1987 ------ By.,� 0 - fop oil ECEIVE 1973 CITY OF EDMONDS tegr.gept. ENGINEERING DEPARTMENT 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: .... Prideaux Const. ................................................................... . ..... .......................................................... For installation at: (street address) ............ . c47.70./ .. ...... /2 td. Addition or Subdivision .... N. 264' of Wk of Tract 21 Meadowdale Beach.. Lot ................ Block ................ ................................... �: ........................ .................. ............... Type of Building: New .... ?� ..... Existing ......... ... Single family residence .......... X ... Number of bedrooms ........... 3.110 Other: (specify type or use) .............................................................................................. .................... — .................................... BuilderPrideaux Const. 2125 Oak Road Lvnnwood . ............................................................................. ......... Address ................................... . ................... ­ ................. . ..... Charles D-. Lundy 6225 67th Ave WE Ma ypmille Wash. Designer ... ...... .................... ............ .................. .................. Address ................................................ ......................... Soil Log Hole No. 1 ..... I ...... 0.!'-.48_'.'..Brown ... sa-ndy. loam ................................................................................................................................... ...................................................................... same as # 1 SoilLog Hole No. 2....., ................................................................ I ....................................................................................... Elevation of Water Table, if encountered. (Distance from ground_ surface) ....... APPe ................................................. Corrections to control surface water if needed ..................... .... n.one .......................... .......................................................... Specify if any removing or grading of topsoil in field area ................ no.ne ................ ......................... .................... Percolation: Test Hole No. 1 —Average Rate ....... 3 ..... ....................... (Fall in ininutes/inch-bottom 6" test hole) 3 Test Hole No. 2—Average Rate.. ...................................................... (Fall in minutes/inch-bottom 6" test hole) 3 Test Hole No. 3—Average Rate ................................. .. ........... .... _(F 11 minutes/inch-bottoni 6" test hole). -- - Average percolation rate on which to base drain field design 3 ------------- . Date Taken.... Dec.. 10,1973 ........... ....... Septic tank requirements based on present rules and regulations: Septic Tank Size ....... ..... gallons. Amount of Square F . eet .. of .. Disposal Field 3001)0/"" Dec. 26,1973 Signature — Designer-4 A ------- ....... _; ..... ...... Date ........... I .............. ...................... DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date).. ......... cpv.... .. ........... ..................... Permit Number ............... ............ Pce -M - . . ........... e ... ... ... ...... 10 . .... ............................... 4 -_ T.Y. 4 1 e . .. ................ . ..... ..... ............ . . .... ................................................. C-1 AV, �C-- LP oll 5D 01. TeSr '13 N4 r_- Tz,) fEQ- Ullf2fe�.-'I;i��,,�,Jlf-<- L 4 0 P, '13 N4 r_- Tz,) fEQ- Ullf2fe�.-'I;i��,,�,Jlf-<- L 4 0 P, /b STREET FILE July 29, 1987 MEMO TO: Ilerie Larson Utility Billing FROM: Diane Cunningham Asst. Permit Coordinator VIA: Harold Reeves 14'— Building Official SUBJECT: ADDRESS CHANGE FOR 15701 70th Ave. W. Due to recent subdivisions the address 15701 70th Ave. W. has been changed to - S--W. c68-1,2-1-57-th--Pl - - If you need any further information please call me at ext. 257. Thanks. FILE July 29, 1987 MEMO TO: Ilerie Larson Utility Billing FROM: Diane Cunningham Asst. Permit Coordinator VIA: Harold Reeves ttl- Building Official SUBJECT: ADDRESS CHANGE FOR c1-570­.1--7-O-tfi--A—v--e.---w� Due to recent subdivisions the address 15701 70th Ave. W. has been changed to 6812 157th PI S.W. If you need any further information please call me at ext. 257. Thanks. CA FileNo. 0:3-3 Critical Areas- Checklist Site Information (soils/ topography/hydrologry/ egetation)- 1. Site Address/ Location: sw 2. Property Tax Account Number: 3. Approximate -Site Size (acres or square feet): 00PV 4. Is this site currently developed? Zyes; no. I 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 6n site of more than 15% and less than 30�, ( a vertical rise of 10-feet over a horizont�l distanc'e'of 3 v rv-1 ZWK d lu Steep: grades of greater than 30% prXIM-0 (bwa 0 distance of less than 33-feet). Other (please descr'ibe): XUA I icicU VU I Ut 6. Site conta:insareas of year-round standing water: Z2 12 Approx. Depth: 7. Site contains areas of seasonal standing water: Zj z!2 Approx. Depth: What season(s) of the year? 8. Site is in the floodway '224 floodplain S of a water course.. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? 224n - Flows are seasonalT (What time of yea"r? 10. Site is primarily: forested meakdpw� shrubs mixed urban landscaped (lawnshrubs etc) 11. Obvious wetla�d is'present on site: Critical Areas Checkii-st.doc/3.1.9.2001 - V. 1 0 7 City of Edmonds Development Services Department Planning Division6 Phone: 42�-771.0220 Fax: 425.771..0.221 .Date Received: 4-1111 () 1--) City Receipt <52/ 7,;�- Critical Areas File #: Critical AOeas Checklist Fee: $45.00 'Date Mailed to Applicant: The Critical Areas Checklist contained on this form isto A property owner, or his/her, authorized representative, be filled out by any person preparing a Development' must fill out. the checklist; sign and d . ate it, and1submit it Permit Application for the City of Edmonds prior to to,the City. The City will review the checklist, make a his/her submittal of the application to the City. precursory site visit, and make a determination of the The purpose of the Checklist is to enable City staff to subsequent steps necessary to complete a development determine whether any potential Critical Areas are,- or- permit application. I may be, present on the subject property. The information Please submit a vicinity map, along with the signed copy needed to complete the Checklist should. be easily of this form to assist City'staff in finding and loc'ating the available from observations of th si available-q— specific piece of property described on this 'form. In UM ps . I addition, the applicant shall include other pertinent Pm -information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff completing their preliminary assessment of the site. APPUCAION PIC# 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 Edifionds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information fumished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this ap lication on the behalf of the owner as listed below. , M p '117-1 SIGNATURE OF APPLWANVAGENTK5.,�, �flr-�' 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 inspection and posting attendant to this application. SIGNATURE OF OWNER DATE. PLEASE PRINT CLEARLY 0 ne . W W52�5..RePresentati*e: Name,-., Name ftr6i, v. ddress Street Address J city State Zip city State Zip Telephone - Email address optional): Telephone: Email �Address (optional): - Critical Areas Checklist.doc/3.19.2001 INTER -OFFICE COMMU,,,�ICATIONS TO, Harry #,,itcutt i.; . ii .7, FFFILE, 'Building officisel U . FORM 41 - LITTLE'S DATE Deceuber 17 FROM Bill Mims Engineering SUBJECT: Building Permit Application 15�01 70th W. This department will not approve the subject permit until a septic tan]-, installation perTnit has been applied for and approved. SEWAGE DISPOSAL `-�ERMIT Septic Tank ... ........... gals. C I T Y 0 F E D M 0 N Now ..... ................... Disp. Field....,3-M ...... __sq. ft. Department of Public Work";) K Ic3 72 Other.............. ... ................. Name ....... P11 7. ........... ............ is hereby authorized to install/ repair sewage disposal system at ............ - ----------- ............................................................................................... Date issued on-.. ...... . . 3 -j.,2 ..... �7 ................................ Permit expires one' year from date of issue DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City ENGWRRINGsDWRTMENT City of Edmond% Signature of Installer ............. ................ . .. ..... . .... ....... ...... D t, ..................... 505 Bell Street Edmonds,\O, 98020 Approved IR Disapproved E] D a t �,,APQ I L ....... Remarks: ......... ............... ...................................................................... ........................................................................ .. ................................ SANITARIANOR DESIGNER ................................................................................................ Date .......................................................... This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed.