7018 157TH ST SW.PDFiiiiiiiiii
817
7018 157TH ST SW
77
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 , (425) 771-0220 , FAX (425) 771-0221
Website: wwwci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning* Building- Engineering
C. 89,11
January 31, 2003
Snohomish County Assessors Office
3000 Rockefeller Ave M/S 510
Everett, WA 98201
Re.: ADDRESS CORRECTION
GARY HAAKENSON
MAYOR
STREET FIE
This letter is to request an address change due to an error made when the address
was originally assigned. The current owner's name is Mitte.
The incorrect address is 7jp8 157th St SW, - Edmonds WA
The correct addresT!%s`_ Is-' - "
St SW, Edmond - WA
Please make this change ASAP and send the owner some confirmation that it has
been done. Thank you very much for your assistance and prompt attention in this
matter.
Sin I
Lara Palmatier
Development Services Division
City of Edmonds
425.771.0220 p
425-771.0221 f
Cc: Edmonds Fire Department
Edmonds Police Department
Mr. and Mrs. Mitte
Incorporated August 11, 1890
WHOM,%
FEB ;; 5 '1998
mis"Aalm,
"C
7.1
. �. . --. -.1. - .
090-199-
STREET FM� I-
City qf Edmonds
Critical Areas Checklist
The Critical Arm Checklist contained on
this form;is to be filledout by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a developmentpermit
to the City.
The purpose of the Checklist is to enable
City staff to d"newhetherlmy potential
Critical Azeas am or may be present on the
subject property. �Ffie information needed to'
complete the Checklist should be easily
available ftorn 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. -Me City will reviewl'
the checklist, make a precursory site visit,
and m a on of the subsequent
steps to complete a development
pCrInitapplication.
Mrith a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can f ind and identify the - subject
parod(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction 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
factual, to the best of my knowledge (fill out the appropriate column below).
Owner Applicant: Applicant Representative:
/Ao z Z.,141
Name =e
h1,6 7/f
Title
— 16 Z 3e 7 2 Ix/
Street Address 7�zZ - 966-5-
City, State, ZIP Phone
Title
Street Address
City, State, ZIP Phone
Signature Date
Signature/ Date
Critical Areas Checklist
Site Information
5
Project Name: Permit Number. 1:3
15-7ttltV
//-J/x,-?4Site Location: -701 _ Property Tax Account Number
Approximate Site Size (acres or square feet): -/0
.4 70 0
Have you filled out a Critical Areas Checklist for a proJect on this site before?
141a
General Site Conditions
'*V
1. Has the site been cleared or logged? �VO Date of most recent action: 46
Soils /Topography
--'2. In the Snohomish County Soil Survib�, what is the mapped soil type(s)?
3. Describe the general site topography. Check all that apply.
Flat: less'than 5 feet elevation change over entiri e* site.
Rollinir. slo, es on site generally less than 15% (a vertical rise of 10 feet ovcr a
P
horizontal distance of 66 feet.)
jffllly-. slopes present on site of more than 15% and less d= 300/a ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water A10
5. Site contains areas of seasonal standing water. — 412 2 Approx. Depth:
6. Site is in the-flo'odway floodplain A/d of a water course.
7. Site contains a creek r an I area where water flows across the grounds surface?
. are year-round? All� Flows are seasonal? A/0
I VED
JON 2 4 199-22
-ft f: c - - , �' ':.-
-W ZiL .0
PERMIT C6-u"NTEA
,MIT COUNTER
X10 flows
8. Site is primarily-. forested meadow ;shrubs mixed
9. Obvious wetland is present. on site: A/0
,,-10. Wetland inventory or map indicates wetland present on site:
,,q 1. Critical Areas inventory or map indicates any Critical Area on site:
For City Use Only
50--1-
-�tl-e e-5
EET F ILE -PROJECT REVIEW CHECKLIST
ST R
PROJECT NAME:- /06
PROJECT ADDR ESS:76/,!�, - x �_7 m,,?7-:�z
PLAN CHECK #: 6o 7 9-'
RECEIPT DATE: (�j —07 V —?92
. .. ...
REVIEWED
BY: (Initial/Date)
PLAN.
WATER
COMMENTS., 7 1.1"
FIRE
BLDG.
SEWER STREET
Set4acks/Variance/Setback Adjustment
Conditional Use Permit
g
2
ADB Requirements
Other Zoning Requirements
0
. .......... ON.
. . . . . . . . . .
4
Underground Wiring Required
................... ......... ......
Lot Slope 15%
i�:- ga
...... ...
SEPA Environmental Checklist/Hydraulics Permit
.7
Tree Cutting Plan
8
Plat/Subdivision Requirements
9
Legal Description Verification
Ims
10'
Quit Claim/Street Dedications
Easements - Public/Private
MM!
MOM
:iAZ'.
Engineering Storm Drain Review Fee
3:
Engineering 2.2 Inspection Fee
A-4
Drainage Plan (On -Site)
. ......
. .. . . .........
Setback - Top of Bank, Stream, Water Courses
- - --------
-16
Setback - Storm Drain Line
. . . . . . . . 4::X
. . . .. . . . . .
17:
Open Ditch - Existing
;;Kr Z.
9
18
Culvert Required
. . . . . ....... ...
Culvert Size
. .. .
........ ...
..........
Le
20
Shotilder Drainage/Shale Open Runoff
Catch Basin Required
..............
22'.
Driveway Slope & Vehicle Access
. . . . . . . .
M
Sidewalk Required
Curb & Gutter Required
Curb Cut For Driveway Required
/A)
26
Street Paving Required
137
Right -Of -Way Construction Permit Required
2 . 8
Street Name Sign Required
29
Other Signing Required
Bond Required For Public Improvements
�31
FEMA Map Check/Water Table
. . . . . . . . . . . . . . . . . .
Side Sewer Availability
-_X....
33'
Calculate Sewer Connection Fee If No- LID #
. ........ .
. I . . . . . . . . . . . . . . . . . .
�,34
Create Street File
Existing Water Main Size
. . . . . . . . . . . . - - - - - - - - -
A15A)
Water Meter Size
Service Line Size
3/411
38:
Water Meter Charge Required
Hydrant Required
40:
Hydrant Size Existing
t
Fire Line Charge Required - Sprinkler
Street Cut
........
.....
-7 z'
4
Miscellaneous
r
U3�
44
11 Reviewed By:
FIRE
PLANNING
ENGINEERING RZALIBUG RKS
PUB-IfG
R E C 0 R D 6F C 0 N T A C T S
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
1 RW PERMIT # DATE ISSUED RECEIPT I
9
29
10
30
11
31
12
32
13
PAID $ RECEIPT # DATE
33
SS PERkIT # DATE ISSUED RECEIPT #
14-
PAID $ RECEiPT # DATE
34
35
36
17
37
METER SIZE PAID $ DATE RECEIPT #
18
38
19
39
20
40
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STREET FILE
Critical Areas Checklist
Site Informati -on !:r
1:3
Project Name: Permit Number. 00 t) t
701�
Location: Zil �'icl2od Property Tax Account Number
Approximate Site Size (acres or square feet): ;�W
4700
Have you filled out a Critical Areas Checidist for a project on this site before? A/b
General Site Conditions
1. Has the site been cleared or logged? IVO Date of most recent action: 61AIIWObv�-1
Soils / Topography Alkcrw' PrJ V�-�
co-""'P�VN z A0 1b --7r> 5(0yp�
----2. In the Snohomish County Soil Survey, what is the mapped soil qpe(s)?
3. 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.)
_11illy. slopes present on site of more t1m 15% and less d= 30% ( a vertical rise
of 10 feet of horizontal distance.)
—Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water: _/0
5. Site contains areas of seasonal standing water: M0 —.Approx. Depth:
6. Site is in the floodway /VO floodplain of a water course.
7. Site contains a creek gr an area where water flows across the grounds surface? Itlo flows
are year-round? w Flows are seasonal? A�
8. Site is primarily: forested meadow shrubs — ;mixed -2�1ee-5
9. Obvious wetland is present. on site: A/0
,-'10. Wetland inventory ormap.indicates wetland present on site:
,,-q 1. Critical Areas inventory or map indicates any Critical Area on site:
For City Use Qnly
V WAIVER: Critical areas study is not required.
�_-A - q 4. -76 /f9
Determination Number Reviewer Q� 12*1 _7
Planner J "'C).te.
Rey 3127/92
ago 19'%'r3
City of Edmonds
Critical Areas Checklist
The Critical Awn Checklist contained on
this form:is to be ffiled, out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittd of a developmentpermit
to the City.
The purpose of the Checklist is to enable
city staff to d"ne whether any potential
Critical Areas are or may be present on the
subject property. ;Ae information needed. to
complete the Ched1dist should be easily
available ftom observations of the site or
data ' available at City Hall (Critical Areas
inventories, maps, or soil surveys). -
An applicant, or his/her representative, must
fin out the checklist, sign and date it, and
submit it to the City. Ile City will review-944
the checklist, make a precursory site visit,
and a on of the subsequent
steps necessary to complete a development
permit application-
Mrith a signed copy of this form, the
applicant should also submit a vicinity map
,of the parcel with enough detail that City
-staff can find and identify the -subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction 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
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Name
Title
- /6 Z 36? 7 Axz�- lx/
Street Address 7�12-9665_
C-65217-�7 o
101,�
City, State, ZIP Phone
Signature
Applicant Representative:
._; " -// __ -Y / _>
"'91<1< 710 Z Z "/1
M6e
Title
Street Address
" � I- —
rr-
City, State, ZIP Phone
Date Signature Date
47
15WOR7- 9ZIODIVISIOH
CITY CL
CMIC CEN ;vlk
W MMONDS. WA 8020
KEH7 FAYU FiR 8,
Rae. -7-RAO.-r Z;!,Al9rd4D0WbA4r AeAd-y SUPPA-CAWN71AL
AV SW !-,114 S&C-47, 7-97//.. R-fC WA4
co,rf-p ;VA SHIHLIro"
DIVISION OF THIS PR6PERTY IS SUBJECT TO THE CONDITIONS
FO(14D IN CITY OF EDMONDS SHORT SUBDIVISION FILE IS-2646 d9A' Ze 24
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STREk
T FILE
RECEIVED
CITY OF EDMONDS SIDE SEWER PERMIT
J '992,
9 0 19" PUBLIC WORKS DEpT. PERMIT N2 034 2 2
Address of Construction:
r7o A..
Property Legal Description (Include all easements):
7 —,4
x W�- —,S /,
Owner -and/or Contractor: V a
State License No.. V(/C-S-ry-�,z 0-, 9, 7 Building Permit No. Z- )o 5
M/Single Family
0 Multi -Family (No. of Units—)
Commercial
El Public
I I nvasion into City Right-of-Way:3/Nlo 11 Yes
RW Construction Permit No.
Cross other Private Property: 2"No El Yes
Attach legal description and copy of recorded easement
I certify that I have read an�shall comply with all city requirements
as indicated on the back of the Permit Card.
Date
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
FOR INSPECTION CAL
Permit Fe
Trunk Charge:— C-1? 15 1 nT6
Assessment Fee:
Lid No.:
OFFICE USE ONLT.L,
PUBLIC WORKSPEPT.
P290
Issued By
Date Issued -
Receipt No -
Partial Inspection: Date —initial
Comments
Reason Rejected:
Final Inspection Approved
--Date Initial
ar (�I, 4tg f, 14 a 0
Date Initial 7
**-PERMIT MUST BE POSTEDON JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
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 accuracv 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 - ------------------------------- ------------
NEW CONSTRUCTION V REPAIRS R LID NO . .................. . ASMT. NO - ------------------
OWNER ------------------------------------------------------------------------------------------------ CONTRACTOR ------------ -------------------------------------------------- ................ PERMIT NO. L� -- - -2-
---- ---- ---
JOB ADDRESS .. 14
- -- - ------------------------------------ ............... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
......................................................................... -----------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
011) LINF
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Approved:
PWW-0001-1 1/75 (REV.1 1178) DATE !6:7�;Z .......... By --------------------------------
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PROJECT REVIEW CHECKLIST
PROJECT NAME:,
PROJECT ADDRESS:761cs--l�,i7-7m-�s7--,-�:,zt�
PLAN CHECK #: 63 7 R
RECEIPT DATE: &) -0? (/ -?,R
EVIEW
D B :
i a a
n t
ie)
PLAN.
WATER
COMMENTS
FIRE
BLDG.
SEWERISTREE
T
ENG.
Setbacks/Variance/Setback Adjustment
M.
Conditional Use Permit
ADB Requirements
..............
Other Zoning Requirements
. . .
- - - - - - - - - - - - - - - - - - - -
. . . . . . .
Underground Wiring Required
. . . . . . . . . . . . ....... ......
eyl
Lot Slope IS%
6
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
Plat/Subdivision Requirements
. . . . . . . . . .
9
Legal Description Verification
. . . . . . . . . . .
10
Quit Claim/Street Dedications
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---
Easements - Public/Private
...........
Engineering Storm Drain Review Fee
- - - - - - - - - - -
113
Engineering 2.2 Inspection Fee
. . . . . . . . . . .
WWft
- 14 -
Drainage Plan (On -Site)
. . ...... ...
Setback - Top of Bank, Stream, Water Courses
. . . . . . . . . . . . ......... . . . . . . . .
Setback - Storm Drain Line
:17.
Open Ditch - Existing
Culvert Required
Culvert Size
. . . . . . . . . .
Shoulder Drainage/Shale Open Runoff
21
Catch Basin Required
Driveway Slope & Vehicle Access
. . . . . . . . . . . . . . . 0"Im
Sidewalk Required
Curb & Gutter Required
. . . . . . ..... . . . . .
-25.
Curb Cut For Driveway Required
A)
Street Paving Required
27
Rilight-Of-Way Construction Permit Required
. . . . . . . . . . . .
28
Street Name Sign Required
.......... . . . . . . . . . . . . . . . . . . .
all
10 a
Other Signing Required
mz
on.
.......... .
-30-
Bond Required For Public Improvements
3 1
FEMA Map Check/Water Table
Side Sewer Availability
Calculate Sewer Connection Fee If No- LID #
. . . . . . . . . . . . . . . . .
-34
Create Street File
.....................
.35:
Existing Water Main Size
Water Meter Size
37
Service Line Size
. . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . .
-88
Water Meter Charge Required
..... .................
Hydrant Required
4 0
Hydrant Size Existing
41
Fire Line Charge Required - Sprinkler
Street Cut
-777
-7-z'
48
IMiscellaneous
Reviewed By:
FIRE
PLANNING
ENGINhQIW REAUBHYgbRKS
STREET U. . .'� A:,;.' a - L
JUN
PUM L
, nut(s orpT.
PERART APPLICATION REQLMIEMENTS
TO: Permit Coordinator, Building Division
FROM: Lyle Chrismain, Engineering Inspector
OWNER: LkL44� PLAN cK # o�>-7.9
ADDRESS: :Jpi,9> 1 c--7 A-ST_ 15-J-4 DATE: dl 12-11 -q2.
After review of the subject permit application, the following requirements musthe met.
1. Construction hours are: WE19KDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOLIDAYS ..... 10:00 A.M.-6:00 P.M.
-12. A separate RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/Owner is responsible for containing all temporary runoff and erosion conirolon site. (ECDC 18.30.030d)
5. NO WORK SHALL BE DONE H=IN15 FEET OF STREAMS OR 10 FEhTFROMANY CLOSED DRAINAGE FACIL-
17T BUILDERIOWNER IS REPSONSIBLE FOR 1DEN77F17NG COND17TONS ONTREDRAR7NG (ECDC1&30.50G)
6 FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES, FOUNDATION DRAINS, AND
CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter, and sidewalk adjacent to the property. If an intersection is involved a
handicap ramp may be required. Contractor shall meet with the City Engineering Staff to determine the extent of repair prior to
issuance of the permit. (ECDC 18.90)
9. Driveway slope shall not exceed 14 % without a waiver. Every attempt should be made to keep the slope below 14
Waiver granted to %. (ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit is required. (ECDC
18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING.
(ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.30)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC18.10)
16. Connection to the City sanitary system is required. A separate permit is required.
LID# 2�'k� —Fees paid: Yes t�� No Charge� '5V �— (ECDC 18. 10)
17. Underground wiring is required on all new construction; and for additions, alterations, and repairs that exceed 50% of the total
assessed value of the structure. (ECDC 18.05.010)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU_
PANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
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STANDARD DRAINAGE DETENTION SYSTEM
,(-�IV e< WO RKSHEET
OWNER /Va Y':�, CALC]aY--
-z 7016 1:5-7'�3
ADDRESS PHONE: 7- -2
Z) h4v DATE:
7 Iq
"'DESIGN DATA*****
IMPERVIOUS AREA4e PIPE DIA PIPE LG ORIFICE
DETENTION PIPIE LENGTH WASHED ' GRAVEL
OUTFLOW TRSNCH, MIN K)- LONG
TOP AND 4 PERF PIPE TO BE LEVEL
RIM ELEV- I*MIN COVER GrMIN SPACE
2'MAX COVER RN ELEV- FROM
CONTROL
L 'OUTLET
4'Q MIN T 'PERF PIPE W/CAPS
SLOPE 4" 0 PIPE hQN,
ORIFICE RUNOFF SPREADER
OUTLET
INV ELE W'Frl? "rCH INV ELEV
4
SA SIN CONTROL CATCH
BASIN
'NZXG*DEEP, 4'-6'OUARRY SPALLS
SYSTEMr CROSS SECTION x2*x3" DEEP, 3/4'CRUSHED ROCK
. '0 oo�
TR
FROM CONTROL
OUTLET
L
RIPRAP OUTLET
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STREET FILE-
VQ1
FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM
NOTES:
1. Call Engineering Division (771-0220) for a tightline and detention system inspection Z7
before backfilling and for final inspections. APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on private property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
out and removed from the catch basins to allow proper operation. The outlet control orifice DATE
must be kent ooen at all times-
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KINGfOUNTY T26N 21 , ( . 4 o r=
lilm low li PAM
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number:? -3 -a 00,
Issue Date:
A. Address or Vicinity of Constructl�n:70\b � c��37TII c�zN\)Q
B Type of Work (be specific):-T2r—'�LVk kQ P'L') wsVNA_
9 0 - 1 9 F NQA L R I IE S,
C. Contractor: CQU�,A'� 'tact:
tA2\)()M on
Mailing Address: a\(J1\b 9 -Phone:
StateLicense#: EDM0406,WN Liability Insurance: Bond: $
� I
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. T1 Commercial El Subdivision F-1 City Project '�� Utility (PUD, GTE, WNG, CABLE, WATER)
F1 Multi -Family ;8� Single Family F1 Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: -Wes Xo� 0. Size of Cut: x H. C*harge $
C7
APPLICANT TO READ AN I N
INDEMNITY. Applicant understands and by his signature to this application, agrees to ho teheCiiyofEditiondshat-nilessftominjiities,daniages,or
claims of any kind or description whatsoever, foreseen or unforeen, that may be made ajainst-the it
,y of Edmonds, or any of s,dep
it Rrtmenf is ��eniploy-
ost.s �J;neyfees by reason of gran'tingfthis peyt7ni—t
ees, including or not limited to the defense of any legal proceedings including defense c' Ift,
THE CON7RA CTOR IS RESPONSIBLE FOR WORKMANSHIP A ND MA TERIA LS FOR A-P-ERIOD OF ONE YEA R FOLLO WING TILE �JN�L INSPEC77ON
'� Jkt � _ LETED BY
AND ACCEPTANCE OF THE WORK ES77MATED RESTORA77ON FEES WILL BE AE�L -HE FINAL STREET PAW WCOMP
CITYFORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department -
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. 771-0,220
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 work , ing day;
NO EXCEPTIONS.
I have read the above statements and understand the permit requirements and the pink copy of the permit will be available
on site at al
Signature:����� t.'�C; f-1 Date: V 9'2��
(Contractor or t�nt) G-7 0, -1 QL 6
CALL DIAIA-DIG PRIOR TO BEGINNING WORK
. ..... .... . ..... .... ...... ...... . .......... - ..... ...... .......
. ... ... . .. ....
. ... .. . .. .. .... S 0.1 ......
FOR CITY U E NLY .. .... . ... ..............
.......... ...
. ..........
. . . ..... X.3
... ... .. . ... . .. ...
.....RIGHT.QF.WAY.: DEPOSIT.,
............ ... .. ... ... ... .. ... ......
. .... ..... ..... . .......
-TIM E AUTHORIZEW VOIDAFTER:.:.40:, ......... .
DAYS: DISRUPTION: FEE/FUND:: I IT.
. . . . .. ......
. ........ ..
.... .......... - ... ..... ..... .. ..... . . -
.. ... ......
. . ..... ....... ..
........ .. ... ..
.. ... ...... .... ...... ... ..
. . ....... .............. ... .. ..
.... ... ... I .........
.... ... ............. . .... . ...
.... .. .... ..........
. . . ... .. ..... ....
PERMIT. F
........ ......
.... ... ... . . .... .. . .... . -
. .. . ... .. ...... ... .... .... - .... ...........
. ..... ......... ... . .... .
. ..... .. ...
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
1476
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV. 7/87
LOCATION-70\E) c3l� AREA
-POLE NO. -!SWI/4 S 5 T2-7 R 9 _DATE W.O. NO.
REASON FOR WORK 7��- 1 P- -\ '-- �,C I �' ENGINEER OWG. No. ' C�;qqq t) I
L'-��SDA IN MQ\�Cl:-, DRAFTER U.G. NO.
V
SCALE
DATE WORK COMPLETED APPROVED DATE PRINTED
r %Jr%LrA^1'4
IFEES REQ'D u(
PRIMARY OVERHEAD
0 RESIDENTIAL
0 COMMERCIAL
LEOJ
SECONDARY OVERHEAD
BASIC FEE S
os s
METER/CONV. POLE
PRIMARY UNDERGROUND
0 RESIDENTIAL
0 COMMERCIAL
BASIC FEE S
LEU#
YES 0 NO
ENVIRONMENIAL ANALYSIS
0 EXEMPT 0 NOT EXEMPT
PARA. 18 ITEM C
O.H. U.G. COND. KV
ADD CKT. FT. PH
REM CKT. FT. PH
NET CKT. FT.
O.H. U.G. COND.
ADD
REM
NET
PERMITS
0 TREE TRIM
0 STATE
0 COUNTY
0 CITYt-DY\�)VZS
KV
CKT. FT. PH
CKT. FT. PH
CKT. FT.
(DATE GRANTED)
I os
0
SECONDARY UNDERGROUND -
EASEMENTS
BASIC FEE S_q��,cp
0 REOUIRED NOT REOUIRED
/os /=s-
UNDERGROUND PLAT
DATE RELEASED
BASIC FEE S
t FT. 0 S
FOREIGN CONTACTS
0 GTNW JPN#
STREET LIGHTING
0 CATV JPN#
t FT. 0 S
0 JOINT TRENCH GTNW & CATV--
WORK IN RIGHT OF WAY
0 JOINT BORE GTNW & CATV
0 PRIMARY
0
0 SECONADARY
POLE STENCILING
I FT. 0 S
FROM TO
MISCELLANEOUS FEES
TAKE OFF POLE
VAULT S
PRE-CONSTR. REQUIREMENTS
PERMIT $
0 TREE TRIM 0 PUD LOCATOR
XBACKHOE 0 FLAGGING
X ONE CALL DATE____
TO TA L D U E S -CfJ'
INDEX
POLES
PLAT
DATE PAID
LOGS
m
U-MAP
RECEIPT# _
XFMR
C-MAP
NEW SVCE APPLICATION#
LOCATION MAP PAGE
SUBSTATION
CIRCUIT NO. PHASE
.s x
f-T�,
P"(-Q, (Z)ss iRz
E7
L- V\j
-70-22 -70*)
c/c, ro
cl. 6w
1701 C) aco\
L
'r, I -_p
uti 1 ity
pole
^.s i de
BOUNDARY & TOPOGRAPHIC SURVEY 'FOR CYNTHIA
stub
157th St. SeWe
gravel drive
93.72
Meadowdale Beach Supl. Plat
Bearings based on the
proper'-ty copneps as f ound.
Job no. 9123
3-20-91
Sheet I of I
D. R�
f WA
ks17679
ound Pebap
95.88
house
94.34
Ll
�j
M �j
found pipe L9
93.24
top
9.31
74
U)
V4
gr-ass
9a. 45
gr-tavel drive
97.91
80.36 found Pebap
S 69058'04"W 99.29
brez
99. E
5
18" f, i p
p
100. 72&
18" a I der%�-�
( (9 1
100. 70'-�
z
0
�j
0
0
Sop ,I
�j
0
1211pi e
1�
102. 1 9
6" eda
102.7
V�op
1 7;
Wx0oft
meyr i n ebart
890 59'52"E
82.27,
house
100.63
house
100.79
NOYES
to 70th Ave. W.
Legal Description
Lot 8,. Short Plat No.
9001160122, Snohomish
County, Washington.
Legend
e found r,*ebar
0 Pound p i pe
Field tpaver-se methods used.
Equipment used Pop measuring:
Lietz SDM3E 5 second theodolite
and electronic distance measuring
unit, standard pr,-ism and calibrated
chain, HP 110 portable plus PC used
in the field as a data collectop
and Pop calculations. Map dr--awn
Prom calculations using:
MTI software, HP 150 PC, and HP
Draftpro Plotter,-.
COLUMBIA LAND SURVEYING & ENGINEERING
6605 - 228th S.W. PHONE: 776-3935
MOUNTLAKE TERRACE,, WAO 98043
SURVEYOR'S CERTIFICATE
This map correctly represents a survey'
made by me or under my direction in
conformance with the requirements o-P*
the Survey Recording Act.
ce" if i ca 1767 -701 '15
#
RECORDER' I CATLE
D rER )F"- A T
Filed for- record t i EDja s
'F'C
L
1990, at U �:� -5
-------- ---- r
t
on page t
--------- -i _ COUNTER
OERMIT COUNTER
�M
-------------------
Mgr-.
LA0
SP S-69-78
NE 1/4, SW 1/4 5-27-
ECEIVEJ)
",\,\JUN 2 4 1992
P6MIT COUNTER
S-TREE-T FILE
stub
S w
gr
x
95.88
3uPI - Plat
the
is found.
house
rf */ 7 7 / / /
94.80),
A
94.34
0.36
ti 09-58'04"W
1-1,e TA ACO,
r
'r
14. .1,450
L3. /00. 70 2 6 �qsz
MIJ r
7/ PER 'OuWER /
found rebar
99.29
4 Ve< 10,2. IAI 18" r 1 r
1 0. 720'
10
Z-
\0
18"al der
100. 7&---,
bush
gr-ass
x
100.02
98.45
0
c
LO
c
p519
00.00
F w 12't P
top br%eak x 102.
99.31 99.67
eda
10
2. 7?�) -7
fo,
(�qtop
.10
-"44
n. I? ns
WAS
0 found Pipe, 2 9 S 8905 "E meyrr i ng
2 eba,
93.24 8P27
679 98. 3�
III TFL. Y�VJ7
4/
SP S—G9-76
r IF. ZVI q
F�q
00
CITY OF EDMONDS'
NE
ZONE
Z 0
PERMIT
CONSTRUCTION PERMIT APPLICATION
NUMBER
9 20 11`2
J OB
JOB
D RE
ADDRESS qn
+1
ITE/A
OWNER NANIE/NAME OF BUSINtSS
_14�71
LEGAL I
LEGAL DESGRIPTION.CHECK
SUBDIVISION NO.
LID -NO.
MAILING ADDRESS
JAD
PUBLIC RIGHT OF
WAY PER OFFICIAL STREET MAP.
TESCP Approved 0
CITY zip
TELEPHONE NUMBER
41,, -7 1)
EXISTING
REQUIRED DEDICATION
RW'Permit Required 0
Street Use Permit Req'd 0
5�
P op USED
!nspection Required 0
NAME
Sidewalk Required 0
METIER SIZE
LINE SIZE
NO. OF FIXTURES
I I
PRV REQUIRED
YES 13 NO 13
ADDREbs
CITY
ZIP
TELEPHONE NUMBER
NAME
ADDRESS
_J
7,4 Iffo SrS M
CITY
ZIP
TELEPHONE NUMBER
STATE
LICIENSE NUV6ER
EXPIRATION DATE
c&cjsc;�iopA
- I -q-r,.7
Legal Description o.f Property - include all easegitghtsZV f
:i Property
Tax Account
o.�-q
Parcel No.
nob
i
NEW
RESIDENTIAL
PLUMBINGfMECH
A
COMPL ANCE OR
ADDITION
COMMERCIAL
CHANGE OF USE
REMODEL
APT. BLDG.
SIGN
GRADING
FENCE
REPAIR
— CYDS.
( x
DEMOLISH
WOODSTOVE
SWIM POOL
INSERT
HOT TUB/SPA
FGARAGE
]CARPORT
F-1 RETAINING WALL/
L_J ROCKERY
RENEWAL
Z
0— (TYPE OF -USE. BUSINESS OR ACTIVITY) EXPLAIN: -
FE
NUMBER
�UMBER'131`
W
0 OF
DWELLING
C�rrICAL
JAREAS 11,1_
CO STORIES
0
UNITS
NUMBEti.4
DESCRIBE WORK
TO BE DONE (ATTACH PLOT PLAN)
MEMO DATED
VARIANCE OR CU ADB 0 SHORELINE #
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE I EXEMPT ALLOW ED PROPOSED ALLOWED I PROPOSED
E
LOT COVERAGE
REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT
ALLOWED I PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR
BY
TYPE OF
SPECIAL INSPECTOR AREA ' I OCCUPANT
REQUIRED YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
FINAL INSPECTION REOUIRED
VALUATION FEE
CAN- % I W 'I
PLAN CHECK FEE
BUILDING
qq
-755
HEAT SOURCE:
GLAZING
'XI.
OQ
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers.work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
A <_0
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE.
u)
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
5
employees, and agents from any and all claims for damages of
a:
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
0
nor limit in any way the City's ability to enforce any'ordinance
. . 11
-TOTAL A MOUNT DUE
provision.
I hereby acknowledge that I'have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPRbVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed'6�jhe Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Dep6ty;.an.d fees are paid, and receipt is
tion Insurance aria RCW 18.27.
1 NSPECTION
ac' nowledged in space provided.
IGNATURE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
CITY OF
EDMONDS
OFFI`04AL�S`sir DATE
.,,NATUklf
ATTENT46N
CALL FOR
INSPECTION.
R B
qVEAkE /DATE_ I'
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
PINK � Owner GOLD — Assessor,
I ff& ii