6826 160TH ST SW.PDF851
6826 160TH ST SW
I
CITY OF EDMONDS
FOR INSPECTION CALL 00 L", .0
PUBLIC WORKS DEPARTMENT Permit
-7-75-2-52-5 Ext. UzO Issue Date
SIDE SEWER PERMIT 1-7 J - 3 C1111 j 9
PEP -MIT MUST BE POSTED ON JOB SITE
1�AEWMWMWMWA 4, 7 -
7
7
77 WOOD LINE
1. Address �770;7sstruction / "
I;z:r 8 Fj 0 L=
2. Property Legal Description (include all, easements)
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder J00 F 6 Focrw A�61S - ou) k) E_�
5. Contractor & License No.
6. Invasion into City Right -of -Way: Nox Yes (If Yes Right -*of -
way Construction Permit Required - Call Dial Dig before
excavation) . 1-800-424-5555
7. Cross other private property: Yes Nox Easement required -
attach legal description and county easement number.
READ THE FOLLOWT,.NG AND SIGN:
04
P4
4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
CQ construct side sewers in the public' right-of-way.
0
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
C. Commercial establishment requires a minimum of a six inch (6")
P4
:E: side sewer line.
0 d. Side sewers may not be installed closer than thirty inches.(30")
to any structure.
0
e. Side sewer lines must be laid at a minimum grade, of 2% (1.15
0 and maximum grade of 100% (450). 0
f. No turn in side sswer greater than 45 (1/8,bend) is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connected
to side sewer system.
- h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 100' along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only.Z Two (2) working
days notice required.
-5-ep7- ley
DATE:
I cert:�fy,that I have read
and shall comply with the above
PERMIT FEE: DISAPPROVED BY: Date:
Date:
CONNECTION FEE:
94 APPROVED By &_9k_Date--Y-24.,94-
0 V
PERMIT MUST BE POSTED ON JOB SITE * 'LISP. St3 �.nZ�LA
—L)
f —3f -:::-TO -:-�6 - 0�2-6-5--
MEADOWDALE BEA
0217 85 T L A ]q—,D
ECHELBARGER P T
BLK 000 D-02 -
BI-D*G
69 - 16 — 160TH S W
EDAbNd'c '
NI/2 OF �% 125FT OF
E 430FT OF TR 46
T
S8020
LESS N lC2FT THOF
& N 47.75FT OF W
125FT OF S1/2 OF E
430FT ALSC UNDIV
1/4 TNT IN IN .30FT
CF N1/2 OF E 460FT
2
I OF TR 46
�1! 5131-000-046-030A 18315E-77 21 MEADCWDALE BEACH 0217 85 T LAND
PIONEER FIRST FED SAV BLK 000 D-03 -
BLDG
GOODRICH F K 01-5-1007921 N 102FT OF 6 125FT CF N1/2 OF E 430FT T07
12: 4111 200TH S W OF TR 46
LYNNWOOI) WA 98036
5131-00' -046-0403
`CK h -- 68045-64 MEADOWDALE 2EACH 0217 85 T LAND
LINGE J#% BLK 000 D-04 - BLDG
6970 160TH SW W 160FT OF N1/2 OF E 620FT LT 46 AN TOT
EDMGNIDS i WA'-- 98020 UNDIV 1/4 INT IN W 30FT OF E 460FT
OF SD "1112 SUBJ ESE PUD
5 131 -000 - 046-0 50 2 2- 19-81 ME.ADOWD4LE BEA�H 0217 85 T LAND
HARDY 00,NALD L
BLK 000 D-0-4
BLDG
5511 168TH S W
W 150FT OF E 305FT TR 46 LESS N 208FT TOT
LYNNWOCD W,�
98036 & S 15F"r, OF E 155FT THCF SUBJ ESE PUD
--------- ---- - -
..... .....
5131-000-046-0601 190916-80
GEORG A M E.4. Dewo "LE BEArH 0217 85 LA N 0
1-601S JOHN F BLK COO'�0-06 BLDG
6826 -6-0 1;' �iS W
L)MU S 100FT OF N 208FT OF li 150FT OF E 305—FT- TOT
-D-
�j 0 M �CJND S, W A .98020 OF TR 46
0217 T LAND
.,WDALE 2EAl-H 8r,
PIONEER FIR ' ST FED SAV BLK 000 U-07 BLDG
CORNELSEN GENE L 01-5101C710-5 N 108FT OF � 150FT CF E 305FT OF TR T &T
S W 4 - 6.
LYNNWUC0 WA 9-3036
5131-000::'-046-0509 71214-64 M E A 0 .0 Wfb-A-L'101� -,�kZFf-
.NDERc',0P-1 ANOREW 2 BLK 000 0-08
'206 FRE'i-3t-JT AVE N E 1555FT MIL OF TR 46 LESS 15FT THCF
L E--,--
w
0217 85 T L VID
T 0 -1
-p�
City of Edmon'
TMT FILE
z<777"� RIGHT-OF"WAY CONSM 4
8.90
a
I P*, �MIT
Permit Number. qA 7/-
Issue Date: // - C2 - 9
A. Address or Vicinity �f Construction: 6826 160th SW
B. Type of Work (be specific): P 1 ace add J t J ona 1 2 pa J r aer J a 1 drA
(SEE ATTACHED SHEET)
C. Contractor: GTE NORTHWEST INCORPORATED Contact: Sr. Enqr: �Iike Hupf 206/356-4052
Mailing Address: 2403 W. Casing, RD. Phonehrmit Coord: Rose Brown 206/356-4027
st,teLicense#. Everett, WA- Y8204 Liability Insurance: Bond: $
D. Buildiink Permit # (if applicable): Side Sewer Permit # (if applicable):
F1 Commercial E] Subdivision El City Project K] Utility (PUD,(EDWNG, CABLE, WATER)
F] Multi -Family [:1 Single Family Other GTE W.O.# 2850-5POOlAT-34 242110
INSPECTOR: INSPECTOR: 4e4;k'4
F. Pavement or Concrete Cut: Yes No G. Size of Cut:
-H—Chargq�._$
APPLICANT TO READ ANUSIGN
the City of Edmonds harmless from injuries damages or
INDEMNITY. Applicant understands and by his signature to this application, agrees h-661W
claims of any kind or description whatsoever, foreseen or unforeseen, that may be Qvie agq&' the City of Edmonds,�or an,4'��. itside �-;tments or
y
employees, including or not limited to the defense of any legal proceedings including defense cbsts and attorney fees by reasonofT , n
kx� / _
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 FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Cons1ruction drawing of -proposed work required with permit application.
A 24 hour notice is require'if 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.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
availab4e on site at all tiMesfor inspection purposes.
10-5-94
Signature.)--L Date:
o . ntracto or Agent)
01peratilo'ns Supv. - OSP Engr.
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED VOID AFTER Li 1�- DAYS
SPECIAL CONDITIONS:
COMMENTS:
-2
RIGHT OF WAY DEPOSIT -1Q C-21 (-LC-1
DISRUPTION FEE/FUND Ill:
RESTORATION FEE:
PERMIT FEE:
TOTAL FEE 4
RECEIPT FEE:
DATE:
ISSUED BY:
f NO WORK SHALL BEGIN PRIOR TO PERMIT 19SUANCE Engrg. I)iv. 1991
FIELD INSPECTION NOTES
Comments:
I Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Fowne
W,oFC6C-JD NOW
AnDMOWAi.,, -2. FAIE
AIMAL DQj�P'
EXIST4-- ?A- I t ASJ?_A L
(,Po Lc�
00
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 st ub 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 - ----------------------
NEW CONSTRUCTION REPAIRS
LID NO. -Z.J-0 ------ - ASMT. NO - ------------------
OWNER -,aC>-Vkjq F
----------
-
OP 0,._ ....................
CONTRACTOR ----- CWWVA� --------------------------------------------------------
I... PERMIT NO.
JOB ADDRESS --- -------------
-01.-
A-G-Q ----- S- W.
-------------------------------------
LEGAL DESCRIPTION: LOT NO - --------------------------------------
BLOCK NO.
IIt -z-z'
L
r
L -32�
F
It
31 1
,4`c/�, -r0%,qPe
---------------------------- -------------------- ------------------------------------------------------------------------------------- --------------
r- -
NAME OF ADDITION --------------------------------- LYNNWOOD LIN
!-11ni - -----
T
W.
3(. 1 a0l< �01
Approved:
PWW-0001 -11/75 (REV. 11/78) DATE ...
-- - ------------ By
11
PROJECT ADDRESS OWNERS:
MARIANNE DAN FEHRENBACHER
6826 160TH ST SW
EDMONDS, 96026
425- 742-6950 HOME
TAX No: 5131-000-046-0601
ti "ai%Ls sis(*— lv)o.ol
LEGAL'.
THE S 100 FT OF N 208 FT OF W 150 FT OF
E 305 FT OF TRACT 46 MEADOWDALE BEACH
VOL 5 P& 38 SNOH. CTY.
TO& W EASEMENT FOR ROAD OVER WEST
15 FT OF E 170 FT OF SAID TRACT 46, EXCEPT
N 208 FT THEREOF AND OVER S 15 FT OF
E 155 FT FO SAID TRACT 46.
APPRO ED AS NOTED —
HEW
F A7fP Rr V
-19
CRITICAL AREA CHECKLIST:
APPROVED # 97 - 214
GRADING: NONE
ZONE: RS-12
HEATSOURCE: GAS F/A
LOT SIZE: 15,000 SQ FT
LOT COVERAGE *.
EXISTING: 1710. SQ FT
N
v
"'A
%A
T
ID?, tv
11/3/97
PROPOSED: 2277.75 SQ FT 15.8%
RECEIVED
I U L 10 2000
L-EVELOPMENT SERVICES CTR.
C:TY CF EDMONDS
I M®RE
SITIE
tfAlo Zo I --o ?A
FILE
PLANNING DATA
NAME:- FE �k KEN 1��AC,14F_9,
SITE ADDRESS: GS2-G IGOT44 SESMIDATE: .7- 2_S-oo,
ZONING: P15 - I E —PLAN CHK#:- Po - 9-c36
PROJECT DESCRIPTION: ADDMOt,4 -ro sv�-P,.
CORNERLOT NQ, —(Yes/No) FLAG LOT (Yes/No)
SETBACKS:
Required Setbacks:
Front: 101 Left Side: 10 Right Side: 161 . Rear:
Actual Setbacks:
Front:_'2X Left Side: '910t Right Side: 161 Rear: 1W601
Street map checked for additional setback required? (Yes/No)
1-7 0
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
W57 4V Its
Maximum Allowed: S-7
BUILDING HEIGHT: NA-��P_
Maximum Allowed: D5 z 0121. 1_�; Actual Height:
DatumPoint: 10o,01 Datum Elevation:
'NN
A.D.U. CREATED?: h1o, . .
SUBDIVISION: t� o
CRITICAL AREAS
SEPA DETERMINATION:
LOT AREA: ()()o
OTHER:
Plan Review By:
132- 'E30
I . 7,-2-9
2-6 1
t 7, Lf�o
c,.Tt1es\perrniAAp1w&Ldoc
CA FILE NO.
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 6826 16oth St. S.W. Edmonds 98026
2. Property Tax Account Number: 5131-000-046-0601
3. Approximate Site Size (acres or square feet): 524.14.
4. Is this site currently developed? X yes;_ no.
If yes; how is site developed? Single family dwelling �v �P- C�J��
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
X 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: N/A Approx. Depth:
7. Site contains areas of seasonal standing water: NIA Approx. Depth:
What season(s) of the year?
8. Site is in the floodway N / A floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? N/A Flows are seasonal? _ (What time of year? Y
10. Site is primarily: forested meadow X
_; shrubs mixed
urban landscaped (lawn,shrubs etc) X
11. Obvious wetland is present on site: N/A
'For City Staff
Use Only
1. Site is Zoned?
2 .:-:..-:..:::;SCS'mapped soil type(s)? filde/��,V-IJ ()4,;
I ;.WiWand' inventory or C. A. map indicates wetland present on site?
:4..' Critical Areas inventory or C.A. map indicates Critical Area on site?
Site within designated earth subsidence landslide hazard area?, NO
6. .:Site designated on the EnvironmentAy Sensitive Areas Map? 0".- i�yll"
DETERMINATION
QUIRED CONDITIONAL WAIVER
STUDY RE
WAIVER
Reviewed by: ZJ�SC-J 10-ATtZA-C-77 111;1-1'7
Planner /. 6ate
Rev 0 1/04194
V 9 0 . I om
City of Edmonds
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.
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 information (e.g. site
plan, topography map, etc.) or studies in
corgunction with this Checklist to assist
staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
flactual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Daniel & Marianne Fehrenbacher
Name
6826 16oth St. S.W.
Street Address
Edmonds, WA 98026 (425) 742-6950
S te, ZIP Phone
k
Applicant Representative:
�Rk-2TLNJ [-� A- AJ �J
Nam
AL-T)65-VZ1- 5-C
Street Address
'�,Q A 0 k) Q 6 UO2-0,
City, State, ZIP Phone
VV
Signature Date
C
'I? C. 1 sc)13
Kristin Hanson
652 Alder Street
Edmonds, WA 98020
Subject:
Dear Applicant:
CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning/Building - Parks and Recreation e Engineering * Wastewater Treatment Plant
November 4, 1997
Determination regarding Critical Areas Checklist # 97-214
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.
IMPORTANT INFORMAT(Ok. TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOUMAYN EED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
00, You must submit a copv of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL _41111110
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.
cc: Daniel & Marianne Fehrenbacher
Enc: Determination
* Architectural Design Board
C: Reception\Jana\CRLTR.doc
Thank you.
Diane Cunningham
Planning Secretary
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
Jul-25-00 02:58P Mar-ianne Fehrenbacher 2063246508 P.02
UilLITY'EASEMENT
IN CONSIDERA'i-t� of benefits to accrue*to the grAitrors herein,
the undersigned. John F. Georgtodis and LaDean J. Georgeadis
hereby grant to the CITY OF EDMONDS. a Municipal Corporation. a perma-
nent easement for the Installation, operation and 3iaintenence of a
sanitary sewer over, across, through, and below the folloving described
property; and the further right to remove trees, bushes, undergrowth
:rid other obstructions interfering with the location, construction 8 nd
a iDt triance of as id ut ili ty or - ut i t I es . together with the ri ght of
access to the easement at any time or the stated purposes.
The easement and right-of-way hereby granted is located in the
(D County of Snohomish, State of Washington, and Is more particularly de-
K\ ecr'ibed as follows. -
A ten foot strip of land that is 5.00 feet an each side of
the sanitary @ever an it now exists or an located In the
future. Within the following described property:
Parcel A! The South 100 feet of the North 208 feet of
the Went 150 feet of the East 305 feet of Tract 46, Plat
of Heado " dal:flleac�, according to the plat thereof recorded
In Volume 5 P I a sl page 38, records of the Auditor of
the County of Snohomish, State of Washington.
Parcel Z: A con -exclusive easement over the West 15 feet
of the East 170 feet of Tract 46. Flat of Meadowdals Beach,
according to the plat thereof recorded in Volume 5 of Plats�
page 38, records of the Auditor of the County of Snohomish,
State of Washington. EXCEPT the North 208 feet thereof.
Parcel C: A non-exclusive casement over the South 15 feet
of the East 155 feet of Tract 46, Plat of Meadowdele Beach,
according to the plat thereof recorded in Volume 5 of Plats,
page 38. records of the Auditor of the County of Snohomish,
State of Washington. EXCEPT ROAD. All situate in the
County of Snohomish, State of Washington.
TOGETHER WITH a temporary 10 foot construction easement
over the aforementioned property. Said construction ease-
ment will end upon completion of the construction of the
sanitary sewer, or January 1, 1985, whichever comec first.
THE CITY agrees to restore to oubgtantially the original con-
dttion such Improvements as are disturbed during the construction,
maintenance and repair of said utility or utilities; provided the
grantors, their heirs, or ansigna shall not construct any permanent
structneE";!�y'e z & upon, or within the permanent easement.
Ld 6:bAWV this day of l9e. i
0
C:�
0
C,,j
STATE af VA.�$�5NGTON)
COUNTY F KGHO H I S It
Gib i.,"d personally appeired before me
y
7 -ALe%f -de-
a n'd -, , . �- r —to me known to be theVindividual (s)
'executed the within and foregoing instrument, and
the same as
ac,�knovItd$ecr'lh�:i signed
f r'e r- act and deWd. for thr uses and purpogcr therein
�mebtlbned
19 HAND AND OFFICLAL SEAL THIS , -Zf-- DAY OF
Nt-v -'.)ALE!5 TAX
REQUIRW
8306 23 0 �_S,
2 4 1983
of WasV ngton residing ac MIKE �%Lllfl.
V94 wsi 2806
Jul-25-00 02:58P Marianne Fehrenbacher 2063246508 �P.03
NO EXCISE TAX
WnCE Of JOINT MUNMNANCE A=E�M PE:Oulptn
DEC 3 i985
PS.&A
-'Z� -C,
C5 Notice is hereby given t�-t a private roadway presently odsts over the
follotAng portion of lm-4:
EAsoment over the West 15 feet of the East 170 feet and
V-4 the South 15 feet of the Fast 155 feet of Tract 46,
UON Mearbwdale Beach.
05
Ibis private roa&my is used by right, of Mwmhip or eAsanent for in-
gress am! egresg by PArrels Of Immi e'escribed as follows:
O.r
PArce) A Rhnscm The North 10H fect Of the West 150 feet I
Dist 305 feet of TrAct 46, Meadot-dale Beach,
Parcel B G-oTgeadl s The South 100 feet of the North 208 feet of the W. 150 ft.of Lhe
Dsc 305 feet of Tract 46, Meadowdale Beach.
Page 3b, rc-cords uf
both accnrdJrig to plat thereof recorded In Volive 5 of Flats,
Srnha7dsh County, WashJngton-
Tv present o6Ters of these parcels hereby agree to share in the cost
of mainterww-ce on said private roadway, including all nnterials and
ble ar-d usable
labor as Troy reasonably be required to rmintain 8 sta
surface for irgress m-d egress. This Agreesv-mt shall "-.: a corwenant
rurrarg with the land md shall be binding upon the parties I Ifto,
rs, their heirs, succe.5-ors, and assign�f
C21 sigrwd�-
I eadi
Lr) r
7he West 150 ferl ol th-1. Fas
03
P4� C
gead,
r
Y)3 fet:L, ktxuept Geo
LADean Geo
thereof; EWLher wiEh the )f'
fe( m J, 'L
South 15 fe,�t of the -zsE ILX� M. Jn -1
0 Ecet of Tract. 415, meAciLAo-UJc
(-) I I L.�' =--Jq �allL
LL), Bench. EllaIne . J v1sLY11
.1-0 C=
VF�TE a U�lj
co -sty -4 'C
M,Ttha N. 1-4a
OU Lh.0 guy &ppwtd We" mt,
10 b, tht RPIU"dU.1 dtmylbrd 4 and wbe amwwuld L6r widUe "J 1.rWt-1A6 Iriviuml. md Acka0vutrt
tht P�' U k Im ad vftlubufY 94 mmd 6-d- 1- tk PjV*O"
C P4.. bbod a CA av 9121
�. - I :� I 1� , a -) ko�
Af#
65.120
VOL 1936116108GOA
-- — ----------
Jul-25-00 02:58P Marianne Fehrenbacher 2063246508 P.04
WESTERN TITLE COMPANY OF
ALTA Commitment, Page
order No. 0180298
In the event this transaction fails to close and this Commitment is
cancelled, a fee will be charged to comply with the State Insurance Code
and the filed Schedule of this Company.
03/01/94
r)H/kj
CC: Hallmark Escrow
THANK YOU FOR YOUR ORDER
IF WE MAY BE OF FURTNER ASSISTASCF, PLEASE GIVE US A CALL
PROJECT ADDRESS / OWNERS:
MARIANNE& DAN FEHRENBACHER
6826 160TH ST SW
EDMONDS, 98026
425- 742-6950 HOME
TAX No: 5131-000-046-0601
k vie
Ld 15e)
LEGAL:
THE S 100 FT OF N 208 FT OF W 150 FT OF
E 305 FT OF TRACT 46 MEADOWDALE BEACH
VOL 5 P6 38 SNOH. CTY.
T06 W EASEMENT FOR ROAD OVER WEST
15 FT OF E 170 FT OF SAID TRACT 46, EXCEPT
N 208 FT THEREOF AND OVER S 15 FT OF
E 155 FT FO SAID TRACT 46.
4:/
_0
CRITICAL AREA CHECKLIST:
APPROVED # 97 - 214 11/3/97
GRADING: NONE
ZONE: RS-12
HEATSOURCE: GAS F/A
LOT SIZE: 15,000 SQ FT
LOT COVERAGE:
EXISTING: 1710. SQFT
"n
10
10
RECEIVED
FEB - 5 2001
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
FT FILE
SITIE
i U to Z-0
'DATE RECEIVED
X�
ES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER,'- C) I 1,:S7
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
ADDRESS
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVI SION NO. LOT NO. LID NO.
MAILING ADDRESS
6826 l-60th St. S.W.
CITY ZIP TELEPHONE
Edmonds 98026. (425) 742-61?50
NAME
Hansen Design
ADDRESS
CITY ZIP ELEPHONE
98 0 1
Edmond..s 02 Oi25) 774-712
NAME
cc ADDRESS
R
21223 E. Lost Lhke Road
CITY Z
z IP
TELEPHONE
0
Snohomish 9 P 2 cl 6
2 5, ) 4,"' 9 P 114
STATE LICENSE NUMBER
EXPIRATION DATE
CHEWEC
QUICKCCO05MG
1/02
PROPERTY TAX ACCOUNT PARCEL 70.
U
OL 5131-0oo-o46-o6ol
9L
NEW RESIDENTIAL
PLUMBING I MECH
ADDITION COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL C3 APARTMENT
SIGN
REPAIR GRADING FENCE X
CYDS (
DEMOLISH TANK
0
OTHER
z 0 GARAGE C3 RETAINING WALL
CARPORT ROCKERY C3 RENEWAL
F_ (TYPE OF USE. BUSINES:rTWi-V41 EXPLAIN:
S
NUMBER
NUMBER OF
CRITICAL W a I v e d
M OF
o STORIES 2 (1 d
DWELLING
UNITS
AREAS
[NUMBER 97-214
DESCRIBE WORK TO BE DONE
-
Remodel -kitchen; 'r_eM)aC4e
Remove wall betwee.nt.w9._kf,ed rooms
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP. Approved 0
RW Pirrntt Required 0
Street Use Pernik Req'd 0
EXISTING - PROPOSED
Inspection Required 0
Sidewalk Required 0
REQUIRED DEDICATION- FT
Underground
Wiring required 0
METER SIZE
LINE,S
NO. OF FIXTURES
PRV REQUIRED
YES 13 NO 13
'2
REMARKS
W
z
z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
a
z
W
ENGINEERING REVIEWED/DATE
FIRE REVIEWED BY DATE
LE
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
BY
REO'D
POSTED
0 YES 0 NO
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
EXP I
I
I
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
z
z
PARKING
LOT AREA
I PLANNING REVIEWED BY DATE
REO'D I PROVIDED
FT)
CHECKEDBY D
OCCUPANR
I CEh GRO
SPECIAL INSPECTOR JAREA OCCUPANT
REQUIRED C] YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 5
PLAN CHECK FEE
eEAT SOrA GLAZING % %LOT SLOPli)
a Ir a
F
BUILDING
as p
PLAN CIMCK NO: VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
B E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS,.DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
GRADING/FILL
SEPARATE PERMISSION.
t
a
STATE SURCHARGE
cc PERMIT APPLICATION: 180 DAYS
LU
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPEbTION FEE
ui ;APPLICANT.
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CIT� OF
_j '
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSRfiGWf@1tfEE
M ALL CLAIMS FOR DAMAGES OF WHATEVER, NATURE, ARISING DIRECTLY OR INDIRECTLY
4
10
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
a
_j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING YO
FOR INSPEC-h
WORKMEN'3SXAMOPEW,ATION INSURANCE AND RCW 18.27.
SIGNATUOE (OWNER 05AGENT) DATE SIGNED1.
(425)
�1
771-0220
ATTEOTIOW-�
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE.UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF.00CUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
5/98
VALUATION I FEE
'��o
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid. and
receipt is acknowledged in space provided.
2 OF IALS SIGNATURE DAT
1� 0
1 ja,- Pk.,-*6
RELEASED BY DATE
_jV�.Ar 06_� al '
AL - FILE - YELLOW - INSPECTOR
PINK - OWNER - GOLD - ASSESSOR
YPATE RECEIVED
T-1 0-M-) PERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS- ZONE 4 '/7 NUMBER (7-17TS
JOB SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS 4�.
. CqZ�(f
OWNER NAM E/NAME-ef-Or NESS I �� C� �; .[ sees
H A �, I A �) H t'� A F7F_ H F1 F N) DA C Hf.�Z___ PLAT NAM E/SUBDIVI SION NO. LOT NO. LID NO.
MAILING ADDRESS I LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TIESCP Approved
RW Permit Required
Street Use Permit Req'd
CITY TELEPHONE EXISTING — PROPOSED Inspecton squired
ZIP Sidewa:k RRequired
(�- I REQUIRED DEDICATION FT 1 Underground
212
6) 1 Wiring required
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
A YES 0 N
I O—A
ADDRESS REMARKS
OWN E R/CONTFACTI[RES PONSI BLE FOR EROSION CONTROUDRAINAGE
-/2
- -�Axll,, )(,A -
CITY ZIP TELEPHONE V_, 10 (ffl,—Tnft,�
F__ W "1 624) T-14 -7'-" "l,
NAME
VIMED/DATE
A bT it-
)AESS
E
Zia TEL%� FIRE REVIEWED BY DATE
STAIE LICENSE NUMB R
!dW
.j PROPERTY TAX ACCOUNT PARCEL NO. WI
ILI C7) 17 0 4
NEW
R ENTIA
ADDITION
0 COMM AL
n
REMODEL
APARTMENT
[]
REPAIR
Ej GRADING CYDS
DEMOLISH
TANK
%A GARAGE
RETAINING WALL
CARPORT
ROCKERY
r- (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
E
L)
-
Uj NUMBER
NUMBER OF
OF
DWELLING
o STORIES
UNITS
s
DESCRIBE WORK TO BE DONE
A20
I AJ ) I K' ) D I) NJ EF N t
P UMBING / MECH
COMPLIANCE OR
CHANGE OF SE
C]
SIGN
FENCE
( X
OTHER
RENEWA%j
C G S
R
S
C
S
N UM
UM I
a
z
z
z
W
E
U.
1.
R 'A N CE 0
VARIANCE OR C1\
VA
SIIOM%6WJMR ADB#
INSPECTION
Y
RE%'NO
I PBOND
OSTED
J
YES
S E P A
SEPA A VIE
SiEPA R E E
P
MPL T 0
M TE
COMPLETE M
CO L
LE E
SIG ARE
OWED PROPOSED
NC
HEIGHT
ALLOWED PROPOSED
�Vl,
EXP
EXP
L 0 A
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLO P
FRONT SIDE REAR
FRONT UPSIDE REAR
2-
z
z
PARKINT
LOT AREA
PL�71�)NG R VIEWED.,BY DATE
14
0.
P OVI
REO'D PROVIDED
7 2
FT)
7
MARKS
M R
S
HEAT SOURPE GLAZING % LOT SLOPE
< -s%
A'5 F/A 'PLI,
PLA 'CHECK NO- VESTED DATEi
THIS PERMIT AUTHORIZES ONLY TH& WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERT)"ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION. 11 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS ST�kRTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE'INFORMATION
*APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS�AqSIGNS AND SUCCESORS
IN INTEREST, AGREES TO �NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE'PROVISION.-
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFQ� ATION
GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHC %E
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN , DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND ACW 18.27.
SIGN�TURE ER OR(rENT) DATE SIGNED
(OW�
A17ENTION
IT IS UNLAWFUL TO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL
XND APPROVAL OR A,CERTIFI-
A FINAL INSPECTION HAS BEEN MADE
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98 ! !
CHECKdQjjY I TYPE OF CONSTRUCTION I CODE I OCCUPANT
SPECIAL INSPECTOR AREA IQ N_*,t(�,C)(��', OCCUPANT
REQUIRED C] YES, .11LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION
VALUATION I FEE
PLAN CHECK FEE -,.
PLUMBING
GRADING/FILL
,STATE SURCHARGE
ENG. REVIEW FEES
ENG. INSPECTION FEE
LANGSeAPWG' 0 k.A
INS.9,S&TIONIFEE
PLAN CHECK DEPOSIT
RECEIPT, btr;r"
AMOUNT DUE
FlEffTOTAL
APPLICATION APPROVAL
This application is not a permit until signed by the
CALL Building Official or his/her Deputy: and Fees are paid. and
FOR INSPECTION receipt is acknowledged in space provided.
OFFI'�IALS SIGNATURE DATE
(425)
,77 1 Iv 1/14 n-44-
/�E�EAkEl BY DAT E
T
EXT1333
771-0221
ORIGINAL FILE YELLOW - INSPECTOR
FAX PINK - OWNER GOLD - ASSESSOR
j
V ED
A _14if a +
CITY OF EDMONDS
SINGLE FAMILY ADDITION /REMODEL COVER SHEET
ac. 1%9'�
Directions: Applicants are to complete the Information In the WHITE BOXES ONLY (Shaded boxes are for City use only).
This cover sheet must accompany each building permit application for a single-family residential addition/remodel project.
PLAN CHECK #
�APPLICANT"5'
DATE RECEIVED
S:1 0
PROJECT ADDRESS (e3f�-2_(o jk-
PROPERTY TAX ACCOUNT PARCEL # r
()in C)%
DESCRIPTION OF WORK
0 W N E R
CONTACTPERSON PHONE
P H 0 N E
E-MAIL FAX
MAILING ADDRESS
Fa FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS
W-j- 11 1-1
BY SIGNING THIS STATEMENT I UNDERSTAND'THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO
COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I
UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT
MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY
DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED.
SIGNATURE `1 T �ftAt 0-ILAk, /-'I k Jtjj[_ #LLfjLEA_ DATE
ZONING INFORMATION
ZONE LOT'AREA
2,
N,U,MBER,6F DWELLING UNITS EXISTING DEMOLISHED PROPOSED
Di§60ETiONARY-APPRdyALS, CA Determination SUBDIVISION CU
VARIANCE SHORELINE SEPA Expires OTHER
LOT COVERAGE INFORMATION
EXISTING SF
PROPOSED SF
TOTAL SF
%
HEIGHT CALCULATION INFORMATION
DATUM
A 8
C D
AVE-1
MAX
ACTUAL
SETBACK INFORMATION
:REQUIRED FRONT
SIDE
SIDE
REAR.
FRONT
SIDE.
SIDE
REAR
CNR . LO T NO
YES
FLAG LOT El YES
El NO ST. QEDIC,
El YES []NO FT.
ADU STATEMENT REQUIRED
YES NO
RECORDING #
.STAFF COMMENTS:
DRIVEWAY SLOPE % RADING CYDS EASEMENTS
EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SQ.FT
EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT.
PROPOSED NEW NET IMPERVIOUS SURFACE SO.FT.
BUILDING. CONSTkUCTIOk'INOORMATION -7
CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS
DESIG.N CRITERIA WIND EXPOSURE B WIND SPEED 80 MPH SEISMIC ZONE 3
Floor Live Load Roof Snow/Live Load
Floor Dead Load Roof Dead Load
NUMBER OF STORIES BASEMENTS
LOT SLOPE % SOILS REPORT PROVIDEE
FLOOR AREA (Measured to face of exterior wall)
Existing Proposed Total
Living Space
Garage -
Carport e"_ _r-= - — -
Deck/Cov. Porch
Other -
Balcony Live Load
Balcony Dead Load
FLOOD ZONE
ElYES
11 NO
(City Use OnLy_j
Ceiling Insulation Window U-Value
Wall Insulation
Floor, 1.nsuIation_,:,A�G1aazIng %
Door U-Va�ue
Slab, Insulation
.EnergY: 0 Prescriptive [I Targe't 0 Systems
Whole House Ventilation System I RMA O'Yes' 0 No
Any request for modification, variance or other administrative deviation (herinafter "variance') must be specifically called out
and identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a
variance has not been specifically identified, requested and considered by the appropriate city offical in accordance with the
appropriate provision of city code or state law does not approve any items not to code specification.
BUILDING REVIEW & APPROVAL
CONDI TIONS OF APPROVAL:
DATE .219 In I
L:\temp\building\forms\Add-rvw.vsd -- 7/00