6916 176TH ST SW.PDF111111111111
1145
6916 176TH ST SW
ADDRESS:
TAX ACCOUN T/PARCEL NUMBER: 00 501 OCO Is4 0 3
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:-WYLDIO� - DETERMINATION: r] Conditional Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (
PLANNING DATA CHECKLIST DA'
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DA:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
Study Required YLWaiver
X
LATEMPOS'PsTomis\Street File Checklist.doc
176th Street SW
DTAUM PT +100'
Top of SS Drain Inlet
CD
A
104'.
106'
44'— 0"
C
>
t .
C)
0
C)
C)
-C OC)
00
(D
26'-0"
106'
104'
C
D
24'-0"
. ..... ... . .... ..
...... ---- ------------ ---- '.
79.00'
rwg_ Plo - t P1
Nofrm Scale: V = 20"
Thad Fray jo%b�,-
6916 17-84-h-St Sw
Parcel #
16'-0"
IMPERVIOUS AREA
Exist Roof Outline= 1,566 sf.
Existing Patio= 384 sf.
Proposed Covered Patio= 256 sf.
Additional Patio Area = 45 sf.
LOT COVERAGE= 2,475 sf.
LOT AREA= 7,742 sf.
SLOPE=- 4%
HEIGHT CALCS
A = +104'
E3 = + 106'
C = +106'
D = +104'
AVE GRADE= 105'
ACTUAL= 117.5'
MAXIMUM= 130'
STREET FILE
APPROVED AS NOTED
REVISION
FEB i I 2u8
BUILDING DEPARTMENT
CITY OF EDMONDS
7
-8-
21.PVIIROV��- Y t FOR
ERNG, D DP
BY EROSIONGr"AffhaL A;,. AINAGE
7 6 t h S t r e e t
DTAUM PT +100'
To of SS Drain InI
Ic ;j
In
Q)
Zone -S Corner
Setbacks Reqwed -A'
79.00'
(a) 1, ERSOWNSKOUT3
r
IN
44'-0"'.
AtWft
0
C�
00
1
26'-0"
104'
D
-7-9.6-o-'
Front W1 14, 1-6 1
Sides F_I,-5 WWTH
Rear
Other
Hei
ENV)
Plot Plan OVT45
Scale: 1" = 20'
Sw
106'
106'
1 - C
24'-0"
Thad Fray
6916 178th St SW
Parcel # 001/31000 /5'403
16'-0"
11111'el —
Aw"MMEET FILE
0� MI 1v
IMPERVIOUS AREA
Exist Roof Outline=
Existing Driveway-- S7-AS7�-
Existing Patio= ]5t4rsf-
Proposed Covered Patio=Z57G!
LOT COVERAGE= 2-,A�04-
LOT AREA= '7,74Z S�-
LOT SLOPE= 4%
HEIGHT CALCS
A = +104'
B = +106'
C = +106'
D = +104'
AVE GRADE= 105'
ACTUAL= 117.5'
MAXIMUM= 130'
-19 =1-0
3:4
OCT 18 2006
BUILDING DEPARTMENT
CITY OF EDMONDS
PLANNING DATA STREETFILE
Name: -T vi a OL,,, r-y ol!�.
Date: JJ-0J,?.,C>0(p
SiteAddress: (0011(o 1-:�(pTH 5-freft9\Al
Plan Check #: BLD-2006- It
Project Description: NitW WvP,*t6L.,p0rC,4A--,
Reduced Site Plan Provided: (@) NO)
�Zoning: FL 5
Map Page: 4-0 +
I Corner Lot: (6) NO)
Flag Lot: (YES
Critical Areas Determination #: C, F-A- - I- o 0 (P - C)
Study Required
Waiver
SEPA Determination:
0 Exempt 0 &1 r A c(f vi 0 pyof o 4>-e
El Needed (Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
Re Setbacks
Street:
Side:
Side:
Res siyele+
11-0 -TW N)
ActualSietbackst-rt,Nsw>
Street-
(9 (\At) 2-t
Side:
Side:
(f ,
Reer
N
El Detached Structures:
El Rockeries:
Fences[Trellises: ?VJ OW VI ID VI �i Ci V1
El Bay Windows/Projecting Modulation:
El Stairs/Deck:
Parking Required: 2,
Parking Provided: N
LotArea: +01 X VeVJ
Lot Coverage: 6
LotCoverage ()-Itac. pov-
Calculations: + -t- -z 4
Datum Point: Tor 1) KOL t1v%L
Datum Elevation:
Maximum Height: j17 1D I
Actual Height: 2-9
ADU Created: (YES / 119
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES / 0)
Other
a vi oe)(e ti 0 9 1 D 14 (P
VIOLV?-C, WL"t k00+1 F*-,V A�11�11CC7470y"
A '- 1,0+
10(o . 10 (2radc
10(f
P1 ID&+ 1,>7 D Ie v4ti 0,V1
Plan Review By: g-,t;w aa�
#P20
CA File No:.( ah *Cj
Critical Areas Checklist �5
Site Information (soils/ topography/ hydrology/vegetation)
1.. Site Address/ Location: _(A I (--v- (7 ->7-. S
2. Property TaxAccount Number: 005n 1800 t540,3
3. Approximate Site Size (acres or square feet): Ar-P-f--s
4. Is this site currently developed? Zyes; no.
If yes; how Lis. site developed? 5
5. Describe the general site topography. Check all that apply.
1/�' Flat less than 5-feet elevation'diange over entire site.
genetallyless-tharic-45%, (a vertical -rise-., of, 10.-fe6t �,over..�a horizontal
Hi*-.' slopespresent *on site of more than 15% and less than' 30% (a vertical rise of 10-feet
over. a hcofizontal 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 coh �are as ofy-ear-rou nd: standing water:
Approx..Depth.:
7. Site contains areas of seasonal standing water: KID AppFox. Depth:
VVhat season(s) of -the year?
8. Site is in the floodway Nt) floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows.are year-round?
Ki o Flows are seasonal? (What time of year?
10. Site is primarily: forested' ;'me'adow shrubs mixed
urban landscaped Oawn, shrubs etc)
11. Obvious weila�r\41-s-
\ present. on site -
For City Staff Use Only
1. Plan Check Number, if applicable? 7, 0 0 (0
2. Site is Zoned? F-61 — 9y,
3. SCS mapped soil type(s)? AcURYWODd LkYoan Layid (AVV1121g;Y, p be�, 6,
4. Critical Areas inventory or C.A. map indicates Critical Area on site?. NOVIC, o,5 V1 0 W A, -
5. Site within designated earth subsidence landslide hazard area? I�PWICMVI� offi CA OLI 6,oau
Yy� AV-v -1H nal det ewvyi � yA a-h m
DETERMINATION
STUDY REQUIRED WAIVER
Reviewedbr. GIV10"'Cou.Ag".. Date: 101--W'kDO(P
,4C. 1%9'*,
0 #P20
City. of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical,Areas Checklist contained on this form i's 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 any potential Critical Areas are, or
may be, present on the subject property. The information
�Jie,eded-:-W,comple Jhe��Chqqklist-shbuld �be,edsily-:r�
f
--.--available rom-obs&vati6ns-bf.the,.*siti...6t..-&td avAilable-at-
City Hall (Critical areas -inventories, , maps, . or soil
surveys)'.
0
DateReceived:
City Receipt#:
Critical Areas File #: CAA 2Wt)(4-1E�
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
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.
Please.submit a vicinity map, along with the signed copy
6f,.tliis';fb wassist City.- stAff:'i fimidi i-g-and -locaiting.the
specific 0iec_6_*._'6f --p'r'o-p"ei--t'y---*''d6s6rit)�6d :o*'n- ihis--_f6rm.- lit -
addition', "the 4p_plicafit,-:shall -include- 'other pertinent
information (e.g, site plan, topography map, etc.) or
studiesixi cohjunctibn with this Checklist to assistant staff
in completing their prelin-finary assessment of the site.
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 I of Edmonds harmless from. any and all damages, including reasonable
attorney's fees, arising from any, action or ififi-action based in whole or part upon false, misleading, inaccurate or.
incomplete information furnishe . d6y the applicant, his/hedits agents or employ ees.
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 application on the behalf of the owner as listed below. -
SIGNATURE OF APPLicANT/AGENT
DATE �
Property Owner's Authorization
By my signature, I cer* 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 pos�n&eftten4At1tkd ris application.
SIGNATURE OF OWNER
Owner/Applicant:
Name
1C,
.17
Street Address
City State ''Zip
Telephone:
Email address (optional):
D AT I,
Applicant �tepresentative:
,Name
Street Address
city State zip
Telephbne:r ' I t ''.. I . . .
Email Address (optional):
CITY OF EDMONDS W rmit No. 7 2
STREET FILE qre
PUBLI� \�/ORKS DEPARTMENT Issue Date :7,/
f
-RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicin I ty of Construct lon
6916 176 -St SW Plat Number 159-
0 Owner: Washington Natural GaG Co
Name
805 156 AV NE
Mailing Address
. 3ollevue, Washingoan 98007
city, State, Zip Code
0 Contractor: Qg__ A- A?,wol-y'a
Name
9 Permit Issued To:
,002
0 Type of Work to be Done: InGtall New Serv�cn
0 Work in Conneetion With:
El Sub or Plat R Single Family
El Comml. / Ind. El Apt. Condo.
0 Pavement Cut: El Yes El No
Mailing Address State License Number
City, State, Zip Code Teleph-bne'Number
U
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B. APPLICANT TO READ AND SIGN
>1
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
J4� from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of i * t's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
0
U
44 Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
0
0
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be'in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Cod e. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this per t,st be )availableta/ih urposes at all times.
V, 10/12/79
Signature- Date -
Owner or Azen't
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By -
Time Authorized: Vold after —days
Special Conditions:
Ammendments:
Permit Fee:
Security Deposit:
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X
i
* * NO WORK TO BEGIN PRIOR TO- PERMIT ISSUANCE * *
Eng. Div. December 1978
FIELD INSPECTION NPES (Fund'111 - Route conv to Street Dent.
Comments:
Diagram:
Contractor called for inspection Yes
(21 �0
By: Date:
,Ajork DisaTDproved By: —Date: 1
Work Approved By: -Date:
Inspector:
Ena. Div. December 1978
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 MEU FILE
APPLICATION
for
SIDDE SEWER PERNaT
NEW CONSTRUCTION U_,-- REPAIRS E]
4
OVs7NER ...... .................
C
ADDRESS AOkX�; ............... 121,�w ............ ..................
0
EASEMENT No . .....
LYNN NAJYT /-/
CONTRACTOR --14Z . .................... PERMIT No�
LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ......................
-5.. 'Al! 5 � � ...................................... .....................
NAME OF ADDITION ....... 1,a7l Z
Approved:
DATE: ......... .
..................................
n
ALI
J�'
CITY OF EDMONDS
61VIC CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Call FRospeW 0-1167 when work
Is ready for inspection. (No inspec'-
tions Saturday, Sunday or holidays.)- N2
3568
ADDRESS ........................................................................................................................................................................................................
6 916 - 176th Street S.W.
OWNER ....... P.alri.ck --- Mckri.d.e ............ : .................................. CONTRACTOR ... We.st.e.r.n ... S.ewe.r ..........................................
.. .... .. .. .... ..... .. .... .. .. ..... .... .. .. .. .. ....... ..
Pern-tission is granted .......... F-ebruary ... 16 ...... 19.1Q., for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application oil Me and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer In street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 Inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade sharper than 1/s will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. S—It is unlawful to alter or do any other work than is provided for In the permit, or to do any work on the main sewer or its appur-
tenances except to insert the pipe Into the wye.