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7009 156TH ST SW.PDF1.1 lill lill 787 7009 156TH ST SW STREET ADDRESS FILE CITY OF EDMONDS BARBARA FAHEY MAYOR 7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 -'FAX (206) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION �C's t . 1 8 9 �J July 22,1997 CERTIFIED FINAL NOTICE TIM THOMAS 7009 156th ST. S.W. Edmonds, WA 98026 Subject: Backflow Prevention Assembly Testing - Account #302410 On June 2, 1997, you were notified by letter that your backflow prevention assembly was due for annual testing. On July 1, 1997, the second notice was sent which stated that you had 15 days to take care of this matter. Failure to comply, according to the City of Edmonds Ordinance Chapter 7.20 and Washington State codes WAC 246-290-490, water service to your premises will be discontinued if test results are not sent to me within 20 days from the date of this letter. Should you have any questions or concerns, please contact me at 771-0235, extension 644. Sincerely, `7, Linda McMurphy Water Quality Control wordaWwateffnal * Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan COPY CITY OF EDMONDS BARBARA FAHEY MAYOR 7110-210TH ST.S.W. 0 EDMONDS, WA 98026 * (206) 771-0235 - FAX (206) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION -C-S t . 18 9 \-) June 2, 1997 Tim Thomas 7009 156th St. S.W. Edmonds, WA 98026/j Account #3024 10 SUBJECT: BACKFLOW PREVENTION ASSEMBLY TESTING Our records show the backflow prevention assembly(s) in your water supply system is due for annual testing as required by state code WAC 246-290-490. Please have the testing performed by a person holding a certificate of competency as a Backflow Assembly Tester, issued by the state department of social and health services (telephone 1-800-525-2536). if your assembly(s) fails its test, please have the necessary repairs made. Upon completion of a satisfactory test, have the certified tester fill out the enclosed test and maintenance report (see attached form) and return it to this office within thirty days from receipt of this letter. Additional information relative to this matter may be obtained by contacting me at 771- 0235, extension 644 between 7:30 AM and 4:30 PM Monday thru Friday. Sincerely, Linda McMurphy Water Quality Control Specialist Enclosures BKFL 1 ST.WPS e Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan A . I COPY CITY OF EDMONDS BARBARA FAHEY MAYOR 7110-21 OTH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION li�'St. 1squ July 1, 1997 Tim Thomas 7009 156th St. S.W. Edmonds, WA 98026 Account#302410 SECOND NOTICES A previous letter was mailed to you requiring testing of existing �backflow prevention assembly(s) installed in your water system. Our records show that to date, the necessary inspection test report has not been received. In order that such assemblies continue to operate properly in protecting water quality, they must be tested and serviced when required. Accordingly, you are required to have your assembly(s) tested within 30 days from the date of the first letter. The tester must complete the enclosed inspection test report(s) and return them to our office. If the required test report(s) are not received within 15 days of this letter, water service to the premises may be discontinued as provided in the city of Edmonds ordinance Chapter 7.20 and WAC 246-290-490. Additional information relative to this matter may be obtained by contacting me at 771-0235, extension 644. Please disregard this notice if you have already submitted your test result form(s). Sincerely, p Linda McMu Water Quality Control specialist Enclosures BKFL2ND.WPS * Incorporated August 11, 1890 9 Sister Cities International — Hekinan, Japan CITY OF EDMONDS VNEW ADDITION RETIREMENT ASSET INFORMATION SHEET STREET FILE ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION 19 A� 4 DEBT NO zu�/ ��ep PURCHASE ORDER NO. PURCHASE ORDER DATE COST 0 PROJECT NUMBER PROJECT COMPLETION DATEO-/-;?-O/ COST ,-�,�4 /- -7/ B.A.R.S. ACCOUNT NO. 6LI) - o /e/ ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY /DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTR REFERENCE a-,l VERIFIED BY PROCESSED BATCH NO. DATE kAp INITIAL DEPARTMENT FILE -:11 00 CD cr_ CITY of EDMONDS SIDE SEWER P E R M I T For Inspection Call 771-3202 STREET FILE PERMIT NO. Address of Construction: 0 09 V GO Property Legal Description (Include all easements): Owner and/or Builder: Contractor & License NO: Single Family Residence Multi -Family (No. of Units -U�/- �o N� ryl OA10 61/111,0 1 � , LYNNWOOD) LlJiE� Commercial (No. of fixture Units 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.) PLE4SE RFzAD T�E IAEMS LISTED ON THE BACK I certify t�at I —have read and shall comply Dafte with theitems listed on the back. Permit Fee: le,_ Issued By: Trunk Charge: Date Issued: Assessment Fee: Receipt.No.: Partial Inspection: Comments Date Initial Final Inspection Approved: Date Initial Rejected: Reason —b-a—te Initial ** PERMIT MUST BE POSTED ON JOB SITE ** Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant 11 S! e Sewer Drawina The City of Edmonds EASEMENT NO. - ----------------------- ----------------- NEW CONSTRUCTION X REPAIRS F� LID NO - ------------------ ASMT. NO - ------------------ '?::PL V a0vot, � . r L't V3 OWNER -.16 ... ................................... ---------------------------------------------- CONTRACTOR -------- -- \ --------------------------- --------------------- PERMIT NO. Q-TIA-1 (6 OB ADDRESS .. TQL�-'� ------- �--S --- - ----------- A\� ---- ----------- - --- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------- ---------------------- Cko CA '-,. —10 I cX'?.u.e- �sr� 4- "(20 wqf- fbcf-2 103 PWW-0001-11/75 (REV.11/78) ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION ----------------------------------------------------------------------------------------------------------------------- �lu �-- 0,1\ AA. Approved: DATE7=33-.37 ------------ B E�� -7coq STREET MLE DETERMINATION OF NONSIGNIFICANCE Description of proposal Single Family Residence I!,roponent Mike Srobby -772-47nq Location of proposal , in.cluding street address, if any 7906 207th Pl. SW, Edmonds, WA 98020 Lead agency City of Edmonds Planninq Division 'FILE # 09 /-70 a 3 0 The lead agency for this proposal has determined that it does not have a prob- able significant adverse impact on the environment. An' environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist. and other information on file with the lead agency. This information is avail'able to the public on request. There is -no comment period for thi's DNS. Th i s DNS ts i s sued under 197-11 -340(2) ; the I ead agency wi 11 not act on this proposal for 15 days from the date below. Comments must be submitted by _CAp_ril_1O,_1987� Responsible official Position/title Code Enforcement Technician Phone XIM87. 771-3202 Address 2qfl Fifth Aypnijp N*nrth, Fdmnnde,_ WA 9802n Date Mar�h 26. 1QA7 Signature 2�j7 You may appeal this determination of nonsi gnificance to James Driscoll..Hearing Examiner at 250 Fifth Avenue N., Edmonds, WA 98020 no later than April 20, 1987 by''filing aft_�Rpeal in writing You should be prepared to make specific factual objections. Contact Lp.igh Francis ---to read or ask about the procedures for SEPA appeals. xx There is no agency appeal. ENVIRONMENTAL CHECKLIST .4, �'. Purposc or Chccki)51: The State Environmental Policy Act ($EPA), chapter 43.21C RCW. requires all governmental apencics to consider the environmental impacts of a proposal b,-forc making decisions. An environmental impact statement (EIS) must be prepared for all propmals with probable significant adverse imp3CLS on the quality of the cnx,ironmcnt. The purpose of this checklist is to provide information to help you and the agency Identify impacts from your proposal (and to reduce or avoid impacts from thc'proposal, if it can be done) and to help the agency decide \A,,hcthcr an EIS is required. Instructions for Applicants: This environmental checklist asks you to describe some basic information about your proposal. Governmental agen- cies use this checklist to determine whether the environmental Impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly. with the most precise information known, or give the best de- scription you can. You must answer each question accurately and careful]y, to the best of your knowledge. In most cases, you should be able to answer the questions from your own o . bservations or project plans without the need to hire experts. If you really do not know the answer, or if a auestion does not aoDIV to your proposal, write "do not know" or "does not ap- ply". Complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations. such as zoning., shoreline, and landmark designa tions. Answer these questions if you can. If you have problems, the governmental ag-encies can assist you. The checklist questions ap�lv to all r')a-.TS of your proDosal, even if vou plan to do tl�em over a period of time or on different parcels of land. Attach any addl-lonal infor—maLlon that will help describe your proposal or its -nvironmenLal effects. The aQency to which you submit this checkiisi may ask you to expiain your answers or provide additional in- formation reasonably related to cv..-r-nininz if there rnay be signincant. acvc,-se impact. Use oi'chcck!is,, for nonproject ProPosals: Complete this checklist for ncnprojec� proposals. dhouah qucsJons may be answered DITION, complete the SUPPLEMENTAL SPEET FOR N'ON11ROJECT ACTIONS (part D). For nonproject actions, the rcFercr.ces In the c.�eck-llisz to the Nvords "project," "applicant should be read as "proposal," "proposer.' and "a�rif'evzd pograp . hic area, resoectivelv. A.BACKGROUND 1. N`ame of proposed project. if applica1_--);-_.- 2. Name of applicant: WIK.6- S<-066)1 3. Address and phone number oC applicant and contact person: J LJ 6- PI" 0 -7 2 e 9 2 0 (PA)� 'k11V C. 0 f'rfz_S 0!v 4. Date checklist prepared: 5. Agency requesting checklist: ci 0 r';4 S 6. Proposed timing or schedule (including phasing, if applicable): s7Ae-4 Aff.,L 6A,40 Y "does not apply." IN AD - and "property or site" 7. Do you have any plans for future addiLlons, expansion, or further activity related to or connected with this proposal? If ycs, explain. p.1 r) 8. List any environmental information you knm% about that has been prepared. or will 'this propo'sal. I— I be prepared, directly related to 9. Do you know whether applications are pending for governmental approvals of other proposals direct)), affecting the pToperty covered by your proposal? If yes, explain. NO I M List any government 'approvals or permits that will be needed for your proposal, if known. ?�11 6 ;11/ E Setback adjustment A-3-87 approved 2/26/87 . for reduction in rear yard setback from 25 to 15 feet. Building permit -required 11. Give brief, COMDlete description of your proposal. including the proposed uses and the size of the project and site. There are several questions later in this checkl;sL that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include' additional specific infor- mation on project description.) 5 7"0 Y S,;1v,5C6 12. Location of the proposal. Give suricient. Infor-mattion for a person to understand the precise location of your pro- posed project, Including a s! rter. add,-ess, i[ an%. and section. twxrishio. and ran2e, if known. If a proposal �vould occur over a rang., or area, provide !he ra;,.2e or bounda.-ics or : he site(s". �rovlde a legal description, site plan, vicinity map, and topographic map. Nr reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this c"hecklist. ,)I 7oig /S-err 15"t'i TO BE COMPLETED BY APPLICANT EVALUATION FOR B. ENVIRONMENTAL ELEMENTS AGENCY USE ONLY I . Earth a. General description of the site (circle one) (S)rolling, hilly, steep slopes, mountainous, other b. What is the steepest slope on the site (approximate percent slope)? -2- TO BE CONII,I,I:Tl-l) BY APPLICANT c. What general types of soils arc found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification or agricultural soils, specify them and note any prime farmland. SA `0 IL I/ 0'V TV P & d. Arc there surface indications or history of unstable soils in the immediate vicinity? If so, describe. ,j 0 c. Describe the purpose, type, and approximate quantities of anv filling or erading pro- posed. Indicate source of Fifi. ",go S 0 5-f-vv o f. Could erosion occur �,s-a result of clearing, construction. or use" If so. generally describe. /V 0 About what percent of the site will be covered with impervious suriaces after proiect construction (for example. asphalt or buildings)" -7 3 ' ' . . Zo rVALUATION I. -Olt AGENCY usr: ONLY h. Proposed measures to reduce or control erosion. or othe7 im:)ucts to the earth. if any: J-, A 5 S. .0", t J�c P g-- A temporary and permanent storm water and erosion control plan will be required by the City of Edmonds Engineering Division 2. Air prior to issuance of a building permit. Measures to control erosion can include a. What types of e rmssions to the air would result from the proposai (i.e.. dust. automobile. hay bal es and. fi lter cl oth odors. industrial wood smoke) during construction and Whel-I the pru'= i any, oencraliv describe and give approximate quantities If �riown. i is completed*' If fences. Some dust may be generated during site development. Impacts from any dust would be temporaryand insofficient to warrant mitigating measures. b. Are there any off -site sources of emissions or odor that may affect vou I r proposal" if so, generally clescAe. 1V 0 c. Proposed measures to reduce or control emissions or Other impacts to air, if ariv: -3- TO BF COMPLETED It% APPLICANT 3. Water a. Surface: 1) Is there an), surface water body on or in the immediate vicinity of the site (including vcar-round and seasonal streams, saliwaicr, lakes, ponds, wcilands)? If yes, describe type and provide names. If appropriate, state what stream or river it nows into. 2) \Vill the pr ject require any work over, in, or adjacent to (within 200 feet) the described 0.1 J waters? If yes, please describe and attach available plans. A) 3) Estimate the amount or rill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. In- dicate the source of fill material. tv Ir, 4) Will the proposal require surface water withdrawals or diversions? Give general de- scription, purpose, and approximate quantities if known. .410 5) Does tht proposal lie within a 100-year floodplain? If so, notc location on the site plan. A/ C 6) Does the proposal Involve any discharges of waste materials to surface waters! If so, describe the type of waste and anticipated volume of discharge. b. Ground: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description. purpose, and approximate quantities If known. sic s _J S jo rzl 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals . . .; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. f'/J N/ 6 EVALUATION FOR AGENC)' USE ONLY -4- TO.BE COMPLETED [IN' AITLICANT EVALUATION FOR AGENCY USE ONLY c. Water Runoff (including storm water): 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water now into other v.-aters? If so, describe. 0 G-j 6 IL 4� 0 < :Ztj 12:"/Z ir,.4--�JL),V - T r- r- /V C- Storm Water sources -Will primarily be a result of increased impervious surfaces. 2) Could waste materials enter ground or surface waters? If so, generally describe. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: A sto.rm water collection system will be required by the Edmonds Engineeri'ng Division with approval of the building'p6rmit. This permanent system must identify.how water wiWb,6-collected and how 4. Plants it will be dispersed. a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other everareen tre-.: Fir, cedar, pine, other shrulis arass pasture crop or grain — wet soil plants: cattail, buttercup, bullrush, skunk cabba2e, other — water plants: water lily, eelgrass, milfoll, other — other types of vegetation b. What kind and amount of vegetation will be removed or altered? The site will be cleared for construction of the residence. c. List threatened or endangered species known to be on or near the site. None d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: L7sr- 0 C- FI(Z- TF-6- C 5. Animals a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, songbirds, other: ......... mammals: deer. bear, elk. beaver, other: ........... fish: bass, salmon, trout, herring, shellfish, other: ........................ **.** b. List any threatened or endangered species known to be on or near the site. none -5- TO BE COMPLETIA) BY APPLIC,10,T EVALUATION 1:()I, AGENCY USI- ()Nl,%- c. Is the site part of a mir 'on route? If so, explain. Trail d. Proposed measures to preserve or enhance wildlife, if any: Landscaping for the completed residence is expected to provide some habitat for wildlife. 6. Enerev and Natural Resources b. a. What kinds of cnerg' ic, natural gas, oil, wood stove, solar) will be used to meet y (clectri the completed project's energy needs? Describe whether it will be used for heating, manu- facturinn, etc. 6-A� I t< Electricity b. Would your project affect the potential use of solar energy by adjacent properties' If so. 1 0 generally describe. JV 0 C. What kinds of energy conservation features are included in the plans of this proposal" List other proposed measures to reduce or control energy impacts, if any- C- tZ A-. 0 ., W � ti 0 il Residencemust meet current state energy -requirements.. 7. Environmental Health a. Are there any environment.al health hazards, including exposure to toxic chemicals, risk of Fire and explosion, spill. or hazardous waste, that could Z� occ'ur as a result'of this DroDosal" If so, describe. �V C) I . 1) Describe special emergency services that might be required. 01A 2) Proposed measures to reduce or control environmental health hazards, if anv: 1.4 /V9 b. Noise 1) What t)'Pes Of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? During construction, noise raise..current noise levels are.a. 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi- cate what hours noise would come from the site. /%/ 6 ;,/ f- from equipment may in the immediate -6- TO BE COMPLETED BY APPLICANT 3) Proposed measures to reduce or control noise impacts, if any: 8. Land and Shoreline Use a. What is the current use of �hc site and adjacent properties? S') ivo ZZ- F 1q-t- - k-Y b. Has the site been uscd*for agriculture? If so, describe. c. Describe any structures on the site. d. Will any structures be demolished'? If so, what" e. What is the current zoning classification of the site" < EVALUATION FOR AGENCY USE ONLY Temporary construction noise will cease upon project completion. Site is currently undeveloped. F. What is the current comprehensive plan designation of the site? a. Single family residential iz. If applicable, what is the current shoreline master program designation of the site? h. Has any part of the site been classified as an "environmenEaliv sensitive" area'! If so specify. Tti, S L 0 1 S j,�i Ari A(ZiFA, 'o�= o ?,, 77A i- L) A /--e-At < i . Approximately how many people would reside or work in the completed project? The City of Edmonds Environmentall Sensitive Areas map identifies j. Approximately how many people would the completed project displace'! the site as a "slope environment" k. Proposed measures to avoid or reduce displacement impacts. if any: 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: —7— 1*0 BL COMPLETED B) APPLICANT 9. Housino EVALUATIO.�� FOR AGENCY USE ONLY a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low-income housing. One residence; middle income b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housinp. c. Proposed measures to reduce or control housing impacts, if any: 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas: what is the principal exterior building mate rial(s) proposed? _S" b. What views in the immediate viciriltv would be altered or obstructed? /%J 0 " 5- - c. Proposed measures to reduce or control aesthetic impacts, if any: .�14y ?� e) r� 6- CA. SC A, P 11. Light and Clare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? Lights from the reside . nce will be a new source on the property. b. Could licyht or olare from the finished project be a safety hazard or interfere with views? No c. What existing off —site sources of light or glare may affect your proposal? d. Proposed measures to reduce or control light and -]are impacts, if any: Lights will be those of a standard residence. 12. Recreadon a. What designated and informal recreational opportunities are in the immediate vicinity? f, " /6— b. Would the proposed project displace any existing recreational uses? ir so, describe. rV 0 M TO BE COMPLETED BY APPLICANT c. Proposed measures to reduce or control impacts on recreation, including recreation op- portunities to be provided by the project or ap' licant, if any: p /A 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known to be on or next to the site? If so, generally describe. b. Generally des*cribe any L-ndmarks or evidence of historic, archaeolo2ical. scientific, or CUIEUr-21 Imporzance known to be on or next EO the site. C. P700OSCd M_-aSUrCS to rCdUCZ Or Control Imoac[s. it' ariv: !,J L 1—*. Transportation a. lderitiFv oubiic szretts and hi2h%vays se-,virI2 the site. and describe proposed access to the _X! s li"2 strdt' SVsZe7M. Show on site okns. if anv. EVALUATION FOR AGENCY USE ONLY 70th Ave. W is the main road serving the site. b. Is site curreri�lv served by public cransit'� If not. what Is the approximate distance to the transit SLOO: Public transit is availa*ble within one mile.of the sit: C. L N How mariv par'-ing spaces vould the completed project have? Ho%v many would the proicc-, t!iminate? ::3 Parking for three vehicles will be available in d. W;il the procosal rcuuire any new roads or SLr=S99rMqrrb,em�pActi; &qsrin�hE�gs Tprp vehi cl es wi 11 be r available on the driveway iZI-C�:'S. rIL)E Inc!udlnu drive-.%,uvs` It' so. uenerally describe (Indicate whether public or pr, ate). f\1 apron. e. Will tht: project use (or occur in the immediate vicinity of) %vaLer. rail. or air transporta- tion" If so. generally describe. C. How many vehicular trips per day %vould be gencrated by the completed project'! If known. indic:,ce %vhcn peak volumes %vuuld occur. Approximatellylo trips per day. 0 TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY g. Proposed measures to reduce or control transportation impacts. if any: 15. Public Services a. Would the project result in an increased need for public services (for example: fire pro- tection, police protection, health care, schools, other)? If so. gencrally describe. b. Proposed measures to reduce or control direct impacts on public services, if any. 16. Utilities. a. r tilities cuzzemily available at the sit clectrici natural szas-,� �\vatcrt(:re:r �se s,;r _ctricl septic system, oth� ice(Sp �on �h e b. Dtscribe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity \A.,hich might 0 — be needed. U -k At, (A S /11 jO C-)(' <- )A/, P�,q IF.' C. SIGNATURE The above answers are true and c PI to the best of my knovvled2e. I understand that on t m Wp ec's, the lead aoency is lvi alke its d i ion. Signature: ...... ............................................ Date Submitted: .......................................................... _10— ST p PRWB A . 7 A,_ WA PLANN G BUILD FIRE 'n. ////// ///////// T�; Wo M�WSETP.ha ADJ. T USE',PElMT. W"I 11 lift// /MM 711111 RNMENTAL FMIUMS1 7TF17Tff '(ori�sit "w" 77777/// W/W/ EET 777777777 77TI=, j)ESCRiP`TICi4llVF:RIFICATICN 7 "44 ,11CLP,5�/DEDIC�TIONS 77T= UBrjc'/PkrA 7= N . 0 �ID# Zojj�ft,�'L,WER -CQ\*MCTICN Ip LID# 717TFI ,T�963DIVISICN REQUIREMOM IM 77TF7 77T////// =;-OF-WAY CONS�1�L&fCWPERMIT RFf-)D 7M7T/W 7TTIT7 Mr, 7.4 ROVEmam , R=. MR PUBLIC IMP 77777 777TR/// VER FIELD 0 FECKED 71777TP7 R =1 7777 7 Tfrff 7 —77 n Tfnr77rg7 ORO Ip 'm 2 ta- -.I 1////// 4 5 6 7 8 9 OR I t: � I i got i2� 1w, A '" , 151 161 i7i 6!1 !W 1 2 'W' f 4.; min nnTVF.WAY'RBM 21 SWN TTr/7 -/T77T77T 22 IM SIGNING RELb 7 7 T1W 7 7 TTITIW 23 -7, -RT/77 'q ,p 24 -�y- r.Th Fim m�TW�SIZE /////7777777777T// 77TrMll //////// 2! --------------- y 77TTT97 7Trf7Tff / 21 OW '777 2- �Z'LM SIZE 7177T777 17111111 7Trfllll 7777T YDRANP � RITJ 7777T77 UIRED. 777.7u 7r/77777 777TT17TR 2! YD 7TWU7 RAMP SIZE EXISTING 2 3 3 77/ 77777777T 77T77 7TT/77 3 EXIST 77TT/77 7777TFT —'777Tff T 7 1 , lr/�� r7777T/ 7 j /1/7Ac-� PH14 ItIIV6. CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) 5,,f o6g2v MAILING ADDRE SS ', `07 7.0 04 C t��M a /' -.0 -5,, TELEPHONENUMBER 776 V70 7A—ME /V <; 6-1 ADDRESS 51/ 0 su/ CITY TELEPHONE NUMBER -7- -71 F 1?.��? � 4AME ,-,- ve 6 C o r Pei I�q ADDRESS A -7 -26 OJ - CITY F=PtONE NUMBER ^10 -S, 7 STATE LICENSE NUMBER P-T 1-6gal Description of Property - include all easements (show below or attach four copies) ,,5 -0 &V -os--1:47-0 -1/ CIO)- e /,,t, o or-) W 9 P, 4 4 Av. NEW RESIDENTIAL PLUMBING El 'ANICAL E -FT) Pz --`1- F. L RE V- NUMBE FF, ca 0 NATURE USE I-' PERMIT ZONE NUMBER JOB ADDRESS EGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING-246.0.--- REQUIRED DEDICATION PROPOSED RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED t/ STREET USE PERMIT REQUIRED El SEE ENGINEERING MEMO DATED REMARKS METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS REMARKS SIGN AREA ALLOWED PROPOSED ENV. REVIEW COMPLETE EXEMPT ADB NO. SHORELINE# VARIANCE OR CU PLANNING REVIEW BY DATE --�Cj YARDS - i 2,- FRONT 7-b SIDE( 0 REAR THEIGHT LOT COVERAGE REMARKS CHECKED BY TYPE OF CONSTRUCTION T ODE EIGHT SPECIAL INSPECTOR REQUIRED CA NO 0 YES AREA OCCUPANCY GROUP OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC �'JICY INSPECTION REQUIRM VALUA I IVN I 1C. PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGWILL Any construction on the public domain (curbs, Sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Applicailon" 160'Days ENERGY CODE Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and successors In interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of -1-f—mr nnfiir� aricinn Hirantiv nr indirontiv frnm thp i.qsuance MEMO TO: Building Division FROM: Engineering Division SUBJECT: '7oo(? After review of the subject building permit applica tion, we have the following comments: 1) Connection to City water system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work.on City property. 4) Driveway slope not to exceed 14%. 5) Back water.yalve required if downstairs plumbing is below elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff And erosion on site and may not impact neig�boring properties in any way. 8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and 10:00 a.m. to 6:00 p.m. on weekends and holidays. rg I PE FRI M I USE ZONE NUMBER CITY OF EDIVIONDS 87' CONSTRUCTION PERMIT APPLICATION JOB NAME fOR ME OF BUSINESS) N ADDRESS _Z) J")_ LEGAL DESCRIPTION CHECKI SUBDIVISION NO. W MAILING ADDRESS z c) 0 0 CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING —_ REQUIRED DEDICATION PROPOSED NAME ir RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 1.1 STREET USE PERMIT REQUIRED 0 7 Lu ADDRESS z SEE ENGINEERING MEMO DATED cc CITY TELEPHONE NUMBER REMARKS 19-7 NJME' D Al Vk1.1 5 ir AD9R3 METER SIZE UILDING SUPPLY SIZE FIXTURE UNITS D cc cc TELEPHQNE NU BER LU z_/, 1.7 40 \ ) -1 _�� 1�� :> I - ��> 1;) -7 6, REMARKS 3: 0 _�T_(E LltEOSE NUMBER SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT Legal Description of Property - Include all easements (show below or attach four copies) SHORELINE# z LL co VARIANCE OR CU' PLANNING REVIEW BY DATE cc AlKe SCj6d'L_,1 LU 7HEIGH. LOT COVERAGE 0 YARDS T Z 0 SIDE REAR Z, Uj FRONT _j REMARKS N EW El RESIDENTIAL PLUMBING 4 ADDIALTER COMMERCIAL MECHANICAL REPAIR 0 RETAINING WALL E] SIGN CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT 'OR FILL (_x FT) DEMOLISH UZI EXCAVATE FENCE PRE -MOVE INSPJ swim SPECIAL INSPECTOR JAREA 0 CUPANCY OCCUPANT REMODEL COMPLIANCE INSP. EDPOOL REQUIRED GCROUV LOAD 0 YES WOOD STOVE/ E] INSERT APT.BLDG RENEWAL 'REMARKS 0 z z 0 "'D MI N W, 44 10A e. W 8 UMBER OF STORIES, NUMBER OF 0 DWELLING co , [UNITS 0 NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) C/ C ALe VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE i6RCHARGE Perm - It Applicition. i 86 Dayi ENERGY CODE Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and (n successors in interest, agrees to indemnify, defend and hold 'u0i harmless the City of Edmonds, Washington, its officials, j 51 employees, and agents from any and all claims for damages of x ... — f— tho icQ�,nnna STANDARD DRAINAGE PLAN CATCH 5A514: a. M)-5 IS30tok TjkCt4CW LrrNr--rH U70UAL b4 > .............................. ...... . .......... UVjx ,'�FEK,r P%P2. ME E w/ 4"LOW. LE-:GS Llz'vx-L C.kp SYSTEM CROSS-SECTION .1 . MIRAff I scox rl,�O "P,/F=1 C=L TO 65 a L A-, E C WA,,��4tfD f,0— K TF,E�Cg COVER G PLAN E k 4 oiAm F—=RF P TRENCH CROSS-SECTION it F .cF.vVF.1D APR - 3 1987 KRMIT COUNTER INFILTRATION SYSTEM PAGE I OF 2 for location 7,00 9 plan by phone date V-3L-,�Z NOTES 1. Call Engineering Oivision (771-3202) Jor prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at le!st twice per year). 1 8 7 CITY OF EDIVIONos 9z,ol 9,940 — -1 rje,� ravr�m a lio 07 a I?o ol 77-- -10 A-7.14 loq4,D L 60 w;ze_- re � 15(o T� eA AvEP-A&E, Het(iqr ft. 5� 51-10 t- 51-94 1 51,40 -t- el M4 kl(i �h' AcTON, fkowfi -;�I&o 4 f9ee ii'tMA-ar �� - Zf4 . -�. I --� e6-156� -RGV LA?4E, FOCTIA(t LZAOI�v ZCOF =f4,-7TO 4ppj-�o\OM