7026 210TH ST SW.PDFiiiiiiii lill
2664
7026 21 OTH ST SW
RECEIVED..—.
APR 17 1995
PERMff CWNTER
City of Edmonds
Critical 'Areas * C
he c*klist
"CM Oitical Areas ChodWmCoaWned an
dfis fonn is to be filled " by =y pawn
=W* it to the aw. � Onm aty WHI
Preparing a Dm&"uW %U
review ft dodIffig, maim I Pre6ursmy site
vm
- Re.�uWmalmadetenniumfionof
k: the
Application for die City of Edn'ionds F or. steps neciesmy to complete a'
to hiS11= Subafittil
Permit to the City-
k;
ption.
-The puspose of dwateckrui is to cwbk
vyrimth;i �CQPY Of dds . forra. the
city staff to dammimi a1iiany
POtentW Cdfical Areas am or may be
r" bmfividuA lots of the parcel
PrCS= an the subject
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-igIVIIii , -
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or soil surveys).--., hedTist te:g�
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Site la(grmation. (Sdidshopogmphy/hyd
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Side Address/Locati= 2e) -,7_ 6 &1, c�
2. X6�� Tax -Account Number- CU C) Gz, (5 c�)
3. Approximate Site Size (acres or square feet):
4. Is this site curready developer.
_,&_ycg _
If yes; how is sitejmdopep
5- Describe the general ske topogtaphy. Check all dm apply.
Flat: less than 5-feet elevation duW ever entire site.
ROU'W slopes On Ske 9mcrAy 1= thm 15% (a vatical vise Of 10-feetover a
horizontal &Mace of 66-fe4
PCCSCM OR sitc Of MOM than 15% MW less Ou 30% a vaCKA am
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f 10 bet avw a hocboaW dt
StOeX zrades aftreamw than 30% MUM 00 ske (a vafical em of 10-feetover a
hmb*aW &==,Of ten thu 334mo.
(Ptease
6. Sft' contain of year4ound viater.
. ': : �- - .
7. Site contain awn Ofseasond suaft "am Appm- Deptic
ftai season(s) of die yen?
S. Ski is i0*610
of a waw wume-
9.. S911A contain a a9ek Oran am V&= WSW now ac= ghe gmm& wr&X7
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MEMORANDUM
DATE: February 17, 1995
TO: Jeannine Graf, Building Official
FROM: Ann Bullis, Code Enforcement Officer Qg---
RE: Addition of living unit in storage building at 7026 210th Street S.W.
The subject property is located in a CG zone and is designated as Commercial Highrise
on the Comprehensive Plan Map.
BUILDINC
FEB 171995
ECDC Chapter 16.60.010C (CG Zoning Regulations) prohibits a residential use located
within the first or second story of any structure, in areas designated Commercial Highrise
on the Comprehensive Plan Map. Therefore, the living unit must be removed as it is not
allowed by code.
PUBLIC DISCLOSURE REQUEST
DATE OF REQUEST:
NAME: /U r_� lz�_> I kc_uf 1_/ I
ADDRESS:
J'L!�Aa QA tj
PHONE: 2 06 517
DOCUMENTS REQUESTED:
mWO.WWANEW-YA
_ at_ �
Signature
(Staff Use Only) (0 - 5 COPIES FREE)
1. Non-profit organization @ . 10 per page:
Charge:
2. General public @ .25 per page:
Charge:
DOCUMENTS PROVIDED:
/)5 4 c,/ 5—
f ile:.ord \ data% disc lo s,
pages @ . 10 per page = $
pages @ .25 per page = $
TOTAL = S
1Z 61
Date:
Mailed:
Pick-up:_,� —217 — 5��_ -
MPORTAlUTME13SA E,
FOR
OATE A.M.
—TIME—& P.M.
M.
OF
PHONE
AREA CuuE= NUMBER
U FAX EXTENSION
,C) MOBILE
'AREA OOE NUMBER- TIME To CALL
..,TE,LEPHONED �'PLE.ASE:CALL
T
ELEPHON
AREA
OOE
ED) H PL ASE CAL�
EE OU WILL CALL AGA
CAMEJO SEE YOU WILL CALL AGAIN
W T T S Y
ANTS, TO SEE Y RUSH
U
T ;' Y WIL L X To Y
RETURNED Y R CALL WILL FAX TO YOU
M M S
ES GE
SIGNEID
TORE T FORM 74600 100% RECYCLE
UTF-10 IN U.S.A. 0
ME
PUBLIC DISCLOSURE REQUEST
DATE OF REQUEST:
NAME:
ADDRESS: 7 6,26.42 - r7,?ln _27- �,c ( x �
PHONE: - C2 n co - i q / - C) �Le i��—
DOCUMENTS REQUESTED:
iml, P Ai�i
M�A, WIN. 21
I NO
Signature
(Staff Use Only) (0 - 5 COPIES FREE)
1. Non-profit organization @ . 10 per page:
Charge:
2. General public @ .25 per page:
Charge:
DOCUMENTS PROVIDED:
file: -ord\ data\ :isc los,
pages @ . 10 per page = $
pages @ .25 per page = $
TOTAL = S
Date:
Mailed:
Pick-up:
M E T R 0 S C A N P R 0 P E R T Y P R'O F I L E
Snohomish County
.>>> OWNERSHIP INFORMATION <<<
Parcel Number :5669 006 001 04 03 RTSQ:04E-27N-20-SW
Bldg Id Number:1
Record*Type :PLATTED Development Type:RES
Owner/Taxpayer:DERUSHA HOWARD R
CoOwner
Site Address :7026 210TH ST SW EDMONDS 98026
Mail Address :7026 1/2 210TH.ST SW EDMONDS WA 98026
Phone Owner: Tenant:
.>>> SALES AND LOAN INFORMATION <<<
Recording Date:08/00/79 Loan Amount
Auditors Fee Lender
Sale Price :$59,950 Loan'Type
-Deed Type :WARRANTY Interest Rate:
Owned Vesting Type
>>> ASSESSMENT AND TAX INFORMATION <<<
Land :$80,400 Levy Code :00217
Structure :$81,900 1994 Taxes. :$1,830.66
Total :$162,300 Senior Tax
% Improved :50 School Dist :015
Excise Number:14738 Exemption :T
----------------
>>> PROPERTY DESCRIPTION <<<
Easement
Census :Tract 515.00 Block 3 MapGrid:455 B6
Neighborhood Code.:500
Zoning :CG
Zoning Rest
Actual Use
Building Name
Land Use :11101 RES,SGL FAMILY RES,DETACHED,1 UNIT
Subdivision/Plat :SEATTLE HEIGHTS DIV 4
Legal :BLK 006 D-04 - LOT 1 LESS E 283 FT
:THOF & LOT 2 LESS E 208 FT THOF
Vol :9 Page:11
Profile -Page 1 of 2
The Information Provided Is Deemed Reliable, But Is Not Guaranteed.
CITY OF EDMONDS
ISTRUCTICN PERMIT APPLICATION
);R tAME OF �DUSIN :SS)
ADLIRESS
ELEPHONENU;�—,,El,
s '77 X 01.2 2
"1P 7 140
TELLPHONE NUMBER
77 7 2-'?
I TELEPHONE NUMBER
�;ENSE NUMBER CITY LICENSE NUM[3(-Fi
escription of Property - include all easements
elow or attach four Copies) Lot r�c
;2 -P -3 rAE'tef a-,Y.t (C"I
p 7' 1-4 C Xat� ;Z C) 0o
1,V 1/0/
P? //) ',ec0kd1C---6 sw,,40.
W RESIDENTIAL PLUMBING
D/ALTER NON-RESIDENTIAL MECHANICAL
RAIR RETAINING WALL SIGN
MOLISH EXCAVATE I FE . NCE . FT
OR FILL
PRE-MOVL- INSPY SvI?,,I
E SEWER WATER LINE
TSTO�TF—S NUMRF- R UF
UWtLLINU
UNI I b
WORK TO BE DONE JATTACH PLOT PLANI
yt.
USE r'EIIMII
ZONE NUM61--n
JOB
A L) D R E �1
At,- C- T3 I I—'T 1-0- r-q—c— LIV (40
PUBLIC HIGIii (j; WAY 111'Ii 0FI--K-,jAL SIREF1 MAP.
(:x1ST1(-jC- 4(" ricou"11-DUEDICA110N
RIGHT oF WAY cow;rpucnot� ,r-jjMjt F4F0t),jjj:()
STHEET USE PErwil F4L(.)UjjjI,[)
'Fr FN(,IP4Ff:Fj1r4(; MEMO DAIF,() 0
,',I:F P1W DEPT
'��LMAHKS'
�74 1 r, (-/ . 2
SIZE
MEIER BUILDING "W"PLY 'FIXTUAt AITS
REM
SIGN ARFA ENV. REVIEW 5�ADB NO.
ALLOWED D COMPLETE EXEMFT
"jo LINE �,
�OA
VARIANCE OR CU --FLANNING RE-VjW
YARDS
LO
RON I
NMARK SIDF REAR
rCHECKED fjY Ty"L 01- ("O"4s;
U, L HEIGHT
0,7
'9 f5 2
-777:77= , — 35"MAy-
SPMAL (),"C") PA NCY
RVOUIRED OCCU131ANT
YES LOAD
F- A
IR.AJL PEr, ICI&O
�)r� C-3r)
V A L 0 A I to,-4
VL
/+7
i C A'.,
w
w
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'm1t Covers work to DO dono nn nrwai., r�k,, �
M E T R 0
S C A N P R 0 P E R T
Y P R 0 F I L E
Snohomish County
Parcel Number:5669
006 001 04
>>> PROPERTY CHARACTERISTICS <<<
Bedrooms :3
1st Floor SqFt:1,544
Lot Acres
Bath Full:1
2nd Floor SqFt:
Lot SqFt
Bath 3/4 :
3rd Floor SqFt:
Year Built :1942
Bath 1/2 :
4th Floor SqFt:
Eff YearBlt:1964
BathTotal:1.00
AboveGrnd SqFt:1,544
Bldg Type
Flooring :CRPT\VINYL
Bsmnt Fin SqFt:
Roof Type :WD SHAKE
Fireplace:1
Bsmnt UnFin SFf
Roof Shape :PITCHED
Heat Type:BASEBRD
Bsmnt Total SF:
Siding :SIDING
Garage :DETACHED
Loft SqFt
Foundation :CONCRETE
Units :1
Building SqFt :1,544
Constructn :
Sauna
Deck SqFt
Bldg Grade :AVG
Spa
Patio SqFt
Bldg Cond :AVG
Stories :1
Porch SqFt
Bsmnt Type :
Garage SqFt :528
Bsmnt Grade:
BUILT INS
UTILITIES
...........
...........
Range/Oven:
Elect Svc :POLE
Hood/Fan :YES
Water Src :PUBLIC
Dishwasher:YES
Sewer Type:SEWER
Vacuum
Microwave
Grbge Disp:
Intercom :
OTHER
INFORMATION
----------------------
.................
. ...... ....
-Type:
Elevator
Waterfront
Fire Sprinklers
Waterfront Qlty:
Street Surface
:BLACKTOP
Lowlands
Street Access
:YES
Tidelands
Sidewalk
Topography
Ground Cover
:CLEARED
Topography Prob:
Right to Farm
View Quality
Right to Forest
Profile -Page 2 of 2
The Information Provided Is Deemed Reliable, But Is Not Guaranteed.
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3147
Civic Ceinter Edm6hds,,W�shi.ngton 98.020- 5, LICENSE -
NUMBER .44_ P97
City Cierk, Ph6ne 775-2525..
CIO
H & R SHEET METAL INC
7026 210TH sT sy
EDMONDS WA 98026
INSTRUCTIONS:
TYPE OF BUSINESS
ANNUALFEE
• Please advise if license will not be
(A) HOME OCCUPATION
renewed. New license required if
$IF .00
business changes address or ownership.
BUSINESS WITH 1 - 3
• All items must be completed.
EMPLOYEES
$20400
Sign and return renewal with fee.
(B) APARTMENT HOUSE
$20,400
• Renewals received after February 15
BUSINESS WITH 4 - 9
El (C)
must pay penalty in addition to fee.
EMPLOYEES
$22,00
BUSINESS WITH 10
(D) OR MORE EMPLOYEES
$75 , 00
BUSINESS LICENSE RENEWAL — REVIEW INFOF
NAME OF FIRM
1-1 & R SHEET METAL INC
BUS. ADDRESS NO, STREET
7026 210TH
ST SW
98026
MAILING ADDRESS NO.
STREET OR P.O. BOX
CITY
7026 210TIA
ST Sw
EDMONDS
(S) SOLE PROPRIETORSHIP
LAST NAME
DI-_*-*:RU,S1AA HOWARD
HOME ADDRESS BLDG. # STREET
7026 210TH
HOME PHONE #
( 206) 774-0722
FIRST
6
ST Sw
DATE OF BIRTH CITY OF BIRTH
RENEWAL
AFTER FEB. 15
$ 7.50
$10.00
$10*00
77�
FOR CITY USE ONLY
CLASS I '�FAF�, Ll FF. D
DAT�,IIR
r4
EIPT NU
FEE PAID
PENALTY PAID
$1 t. 00
$37 * 50
ON BELOW, MAKE CORRECTIONS
BUSINESS PHONE # NO. OF EMP, WA STATE TAX I.D. #
77141-07122 1 600262801
SUITE NO. NATURE OF BUSINESS
H*V.A.C.
STATE ZIP SOUARE FOOTAGE
WA 98026 1100
M.I.
APT NO. CITY
EDMONQa
STATE ZIP
WA 98026
SOCIAL SECURITY NUMBER
554--36--3431
(P) PARTNERSHIP
p LAS1 NAME FIRST
A
R
T HOME ADDRESS BLDG. STREET APT. NO. CI STATE ZIP
N
E
R HOMEPHONE# DATE OF BIRTH CITY OF BIR,
STATE CIAL SECURITY NUMBER
0)
P LAST NAME FIRST M.I.
A
R
T HOME ADDRESS BLDG. # STREET AP C I Y STATE ZIP
N
E
R HOME PHONE # DATE OF BIRTH TTY0F.uglTH.,
STATE SOCIAL SECURITY NUMBER
(2)(
(C) CORPORATION
NAME OF CORPORATION P ONE NUMBER
H
CORPORATE MAILING ADDRESS FEDERAL TAX I.D. NUMBER
CORPORATE OFFICERS TITLE DATE OF BIRTH
0 0/00/00
F
F
E 0/00/00
R
S
0/00/00
EMERGENCY NOTIFICATION NAME PHONE NUMBER
FOR PREMISE ACCESS (1) MCCUI LOUGF1 1_11NTIA 206 )543 1910
IN EMERGENCY (2) COHN LOU 0(� ) �du 5pg a
APPLICANT'S BUSINESS
SIGNATURE X TITLE DATE
ION
�.USI NESS LICE NSEAPPLICAT.
:)NDS
CITY of EDM(
Civic Cer 7 ILICENSE-
8 0 67"�3'413
-2
city c/erk �,Zp�6ne-.7175:
NUMBER
5?.5
INSTRUCTIONS:
TYPE OF BUSINESS
ANNUALIFEE
PENALTY FOR
RENEWAL'-
• Please advise if license will not
9JA)
HOME OCCUPATION
AFTER FEB. 15
be renewed. New license required if
$15*00
S 7,50
business changes address or ownership.
El (B)
BUSINESS WITH 1 - 3
• All items must be completed.
EMPLOYEES
$20#00
$ 10,00
Sign and return application with fee.
(B)
APARTMENT HOUSE
$20,00
$ 10,00
• Renewals received after February 15
El (C)
BUSINE . SS WITH 4 - 9
must pay penalty in addition to fee.
EMPLOYEES
$22*00
IS 11,00
• NEW BUSINESSES applying after
July 3 1, pay 1/ 2 fee.
(D)
BUSINESS WITH 10
OR MORE EMPLOYEES
$75*00
$ 37.50
NEW APPLICATION
RENEWAL
CHANGE
DELETE
ISSUE CORRECTED LICENSE
LICEN§,E APPLICATION AND CHANGES TO LICENSE RENEWAL
NAME OF FI
B" IZZ
NI*P. AA STATE TAX I.D,
j&f4N,ji STREET
10
SUITE NO. I NATUR OF BUSIN
STREET OR P.O. BOX CITY
STAT
a,
SQzR&&n
%4.�) SOLE PRgEQIETORSHIP OWNERSHIP
FIRST
LA§D-< 4_
R-
M 1.
HOME ADDRESS BLDG. STREET APT NO CITY
STATE ZIP
HOME PHONE)#
dAl 13
.YqY NL.IPV
-3 (0
(P) PARTNERSHIP
P LAST NAME FIRST
A
M I
R
T HOME ADDRESS BLDG STREET APT NO CITY
N
STATE ZIP
E
R HOME PHONE DATE OF BIRTH CITY OF BIRTH
STATE
SOCIAL SECURITY NUMBER
p LAST NAME FIRST
A
mi.
R
T I IOME ADDRESS BLDG STREET APT NO CITY
N
STATE ZIP
E
R HOME PHONE), DATE OF BIRTH CITY OF BIRTH
2
STATE
SOCIAL SECURITY NUMBER
(U) CORPORATION
NAME OF CORPORATION
PHONE NUMBER
CORPORATE MAILING ADDRESS
FEDERAL TAX I D. NUMBER
0 CORPORATE OFFICERS TITLE
F
DATE OF BIRTH
F
I
c
E
R
S
NAME
EMERGENCY NOTIFICATION
P14ONE NUMBER
FOR PREMISE ACCESS
IN EMERGENCY (2)
I LICENSE RENEWAL - REVIEW INFORMATION BELOW, PRINT CHANGES IN APPLICATION SECTION ABOVE
NAME OF FIRM H & R 9iEET METAL INC
BUSINESS ADDRESS 7024 210TH
MAIUNG ADDRESS 7024 210TH
0 (S) OWNERS NAME DERLr" HOWAU
w HOME ADDRESS
N 7024 21ON
E PARTNER I NAME
R HOME ADDRESS
s
H PARTNER 2 NAME
I
P HOME ADDRESS
CORPORA11ON NAME
CORPORATE MAILING ADDRESS
CORPORATE OFFICER I
CORPORATE OFFICER 2
CORPORATE OFFICER 3
EMERGENCY NOTIFICATION (1) MCCLLLOU(*4 LINDA
BUSINESS PHONE 774--O-M NUMBER OF EMPLOYEE'
ST SW NATURE OF BUSINESS
ST SW EDMONIIS WA 9W26
DATE OF BIRTH 0617931) CITY OF BIRTH OAI(L."
ST SW EDIMONM WA 98026
DATE OF BIRTH CITY OF BIRTH
DATE OF BIRTH CITY OF BIRTH
PHONE NUMBER
PHONE 206 543-1910 111 COHN LOU
I WA STATE TA v I D � 60262NI
FABRICATION INSTALL
SQUARE FOOTAGE 1,100
STATE CA SOCIAL S NO 554-36-3431
HOME PHONE 206-774-0-M
STATE SOCIAL S NO,
HOME PHONE
STATE SOCIAL S NO
HOME PHONE
FEDERAL TAX I.D. NO.
DATE OF BIRTH 0/00/00
DATEOFBIRTII 0/00/00
DATE OF BIRTH O/W/W
PHONE
r
S-5 Z 000AP
APPLICANT'S LLkj
BUSINESS
.,Ir,NIATI IPP Y TITI-F nATF
FOR CITY USE ONLY
FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE AND
STAFF REVIEW: SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST
UTILITY BILLING
0 APPROVE 0 DISAPPROVE DATE SIGNATURE
COMMENTS:
PLANNING DEPARTMENT DATE LAND U . SE CODE ZON , IN . G CO 6E'
El APPROVE 0 DISAPPROVE SIGNATURE F 77 El
CONDITIONAL USE PERMIT
COMMENTS:
BUILDING DEPARTMENT DATE Building , E]Hotel/Motel
OAPPROVE El DISAPPROVE I M Permit I El Apt. Bldg. (A)
0 UINP%j U F-
CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS)
COMMENTS:
FIRE DEPARTMENT
0 APPROVE El DISAPPROVE
COMMENTS:
DATE
SIGNATURE
0 Office Bldg.
(0)
Occupancy
0 Restaurant
(R)
Group
0 Hosp/Nurs Home
(H)
0 School
(S)
U.F.I.R.
PLEASE RETURN TO CITY CLERK
CITY of EDMON DS
IBUSINE$ I.CENSEAPPLICATION -D
�,r,,* Eclm�h ',`�ashi'�
C
ivic; ent uutr
�,'NIJMB
C4Y -C16rk 'Phone,77,6�-2525
v,
ER
INSTRUCTIONS: PENALTY FOR
400m- AF%NEF%1'W
Please advise if licensb will no, (A) HOME OCCUPATION
be renewed. New license required if $20. 00
business changes address or ownership. B) BUSINESS WITH 1 - 3 E�-
it � EMPLOYEES
cy;�
LICENSE EFF. DATE
D 11
4
RECEIPT NOOEII�R
FEE PAID
;�Z)
& r72
. /v ,
* AII items must be completed.
$20.00
Sign and return application with fee.
r
APARTMENT HOUSE
EW APPLICATION
?�RENE
0 Renewals received after February 15
$22400
$ 11400
4,L
W�j
must pay penalty in addition to fee.
E] (C)
BUSINESS WITH 4 - 9
EMPLOYEES
CHANGE
I
$75,00
$ 37.50
DELETE
I
e NEW BUSINESSES applying afte r
[] (D)
BUSINESS WITH 10
ISSUE CORRECTED LICENSE
July 3 1, pay 1/ 2 fee.
OR MORE EMPLOYEES
LIQENSE APPLICATION AND CHANGES TO LICENSE RENEWAL
BUSINI�;;r4 NO, 7 EMP. 2% WA SITATE TAX I.D. 0
7
'�7'm Z(%.2 Pot
ESS NO. SUITE'NO. N' ATUPE OF JFU PE SS
STRE� ti
jo lc� QV4
6GD�'E-- NP STATE ZIP ARE F!DO AGE
Ofa
SO
40 - )
SAT OR P.; Qj 6
w17 ?dp:
(s) SOLE 0'�'A'RIE-TORSHIP OWNERSHIP
E
'Ne MI
WrLDG, APT, NO. CITY
KlIrl- ST�vo t'�
HO OF Eq
7 7 q 0 7 Z Z mx. -Q
F-1 (P) PARTNERSHIP
Z9000 z- C!
'fqRR�UrER.,
_3 qj
P LAST NAME FIRST MI,
A
R
T HOME ADDRESS BLDG. STREET APT. NO CITY STATE ZIP
N
E
IR
(1) HOME PHONE DATE OF BIRTH CITY OF BIRTH STATE SOCIAL SECURITY NUMBER
P LAST NAME FIRST M'I.
A
R
T HOME ADDRESS BLDG, 0 STREET APT NO. CITY STATE ZIP
N
E
R
(2) HOME PHONE 4 DATE OF BIRTH CITY OF BIRTH STATE SOCIAL SECURITY NUMBER
F] (C) CORPORATION
NAME 71nN PHONE NUMBER
(2V6 ) 27 qo,
COLP
.QRATE MAILI&ADT�SS FEDERAL TAX I.D. NUMBER
-f 6 2- -.7--
0 COR TE,�OLFFICERS Le TITLE DATE F
F j _i.'
F 0�� . ;?- /-)I'- 0'�'OWC _ _ , Z� _ ? �3 Z_
c
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R
s
EMERGENCY NOTIFICATION
NAME
(1) 117
C-4 4
PI'Z0NF'g1IE -4
FOR PREMISEACCESS
'�
IN EMERGENCY
(2)
ddo
LICENSE RENEWAL - REVIEW INFORMATION BELOW, PRINT CHANGES IN APPLICATION SECTION ABOVE
NAME OF FIRM
BUSINESS PHONE NUMBER OF EMPLOYEES
WA STATE TAX I D
BUSINESS ADDRESS
NATURE OF BUSINESS
MAILING ADDRESS
SQUARE FOOTAGE
1](S) OWNER'S NAME
DATE OF BIRTH CITY OF BIRTH
STATE
SOCIAL S. NO.
0
w HOME ADDRESS
HOME PHONE
N [:3 (P) PARTNER I NAME
E
DATE OF BIRTH CITY OF BIRTH
STATE
SOCIAL S. NO,
R HOME ADDRESS
s
HOMEPHONE
H PARTNER 2 NAME
DATE OF BIRTH CITY OF BIRTH
STATE
SOCIAL S NO.
I HOME ADDRESS
P
HOME PHONE
EJ(C) CORPORATION NAME
PHONE NUMBER
CORPORATE MAIUNG ADDRESS
FEDERAL TAX I.D
NO,
CORPORATE OFFICER I
DATE OF BIRTH
CORPORATE OFFICER 2
DATE OF BIRTH
CORPORATE OFFICER 3
DATE OF BIRTH
EMERGENCY NOTIFICATION (1)
PHONE J2)
PHONE
APPLICANT'S
SIGNATURE X Z/,5:� a
00
BUSINESS
tco__
IYJ
—Li
TITLE
DATE 1011(f
FOR CITY USE ONLY
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE AND
SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST
UTILITY BILLING
SIGNAT
DATE
APPROVE CI DISAPPROVE URE
COMMENTS:
PLANNING DEPARTMENT DATE LAND USE CODE ZONING CODE
APPROVE 0 DISAPPROVE SlGNATURE e�2'13,tt2zlv,
CONDITIONAL USE PERMIT
COMMENTS:
BUILDING DEPARTMENT
DATE
'21
Building 13 Hotel/ Motel
APPROVE DISAPPROVE SIGNATURE
Permit 0 Apt. Bldg.
(A)
0 Office Bldg.
(0)
FITICAPACITY: (NO. UNITS, APTS., OFFICES, SEATS,4EDS,
STUDqaTS)'
Occupancy El Restaurant
(R)
Group 0 Hosp/Nurs Home
(H)
COMMENTS:
r 1 0 School
(S)
U
FIRE DEPARTMENT DATE A-2 U.F.I.R.
APPROVE El DISAPPROVE SIGNATURE Q
COMMENTS:
POLICE DEPARTMENT DATE 0
�fAPPROVE 0 DISAPPROVE SIGNATURE La�L-
COMMENTS:
P1 F=A-ql= PFTI IPM TO r1TV rl FPW
CITY OF EDMONDS
CIVIC CENTER - EDMONDS, WA 98020 - (2061775-2525
8 --mmmm-- C�
go - 19
B
'October 14, 1993
H & R Sheet Metal
7026 1/2 2 1 Oth St. SW
Edmonds, WA 98026
Re: H & R Sheet Metal. -
It has been brOLI(,Tllt to our attention that you may be operating a busines *
1 11 S
at the above Edmonds address. However, our records indicate that no City
of Edmonds business license has been Issued. The Ednionds City Code
requires that a business license be obtained prior to commencing any business
_1
in whole or in part from real property located within the City of Edmonds.
I ilding, 505
Please apply for a business license at the City Hall Exective But I
Bell Strreet, Edmonds, Washington. If your business is no longer in operation,
please advise rne.
Please repond to this letter by October 22, 19931. You may call me at the above
telephone number if you have any questions. Thank you for giving this your
immediate attentions.
Sincerely,
Vivienne My ers
Business License Clerk
encl
cc -John Westfall
k
LAURA M. HALL
MAYOR
Incorporated AL19LISt 11, 1890
DATE / c It z / cl
SUBJECT
ADDRESS:
CONCERNS/
HAZARDS
FOLLOW-UP
CITY OF EDMONDS
FIRE PREVENTION
FILE MEMO/HAZARD FORM
REPORTED BY
OF -7 7q - cl -7 z 2--
7026'*12- 7 ;S�
V, i v i 4-J.,
-bo Yo-L) Hqyt
I A/ r— or.-i Tvtt�T,�'
-rffHAti TH�6
SIGNED
SIGNED
t4
�r_CIYV OF EDMONDS RECEIVED
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT J U'L 2 4 1991
Z
0
U
CZ
0
A. e Owner: Snohomish Cnunf-y PITT) Nn- I B. 9 Contractor:
Name
P-0- Rnx 1107
Mailing Address
Ryarpttf WA 9R20A
City State Zip
Permit No.
Issue Date ::7 - �2
Name
Mailing Address
City State Zip
T.nrren Paf nbAf t 347-41ril
Project Ong. ftAWM*hfflftx Telephone Number
C. * Address or Vicinity of Construction: 7026 -2-10-t--h- -ST- _SW
Type of Work to be Done: Repiac;@ exlsting i�aie with -;a fi-3-b-i-re iamdergrnound
takeoff Dole.
D. 0 Work in Connection With: 0 Sub or Plat 0 Single Family 0 City Projects
El Commercial 0 Multifamily 0 utility
E. 0 Pavement Cut: El Y [0 N F. 0 Size of Cut: - X
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature, to this application, agrees to hold the City of Edmonds
harmless from any injuriesi damages, or claims of any kind or desicription whatsoever, forseenbr unforseen, that may a
be made against the City of Edmonds, or any, of its d bartmei)t r �Pe 19yfes, including or not limited to the defense
of any legal proceedings including defense costs, co2costs, ant p, rney f�es by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WO]kKMANSHIP 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.
• A 24 hour notice is required for inspection; Please call Engind'erifig: 771-3202 STREET FLE
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in, accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
I
Signatur Date: 7/11/91
rrm Owner oreontractor
This P rm t Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: W -
Time Authorized: Void after I JEAR days.
Special Conditions: RegAcE F,11,57w(A PDLE-
WI-f MEN R�LE_ V40:T TO 1ffXC-91EQ_
PERMIT FEE:
Restoration Fee:
Receipt No.:
Fund I I I Fee:
14RI(aymi7l OP OL0 PoLF_ Street Cut Dimensions: x
RELEASED BY: Date INSPECTED BY Date
NO WORK TO.BEGIN PRIOR TO PERMIT ISSUANCE
I I Eng. Div. March 1989
.A .
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 11 YES El NO
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
Date:
Eng. Div. July 1985
e
147E
PUBLIC UTlILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV. 7/51
LOCATION - -7 0 ? (o ZlQ_r4 ST SW OZ)0- COL)QTY AREA
POLE NO. '5W 1/4 S 2-0 T Z-7 R 4 DATE
-7 — ?S - 9 W.O. NO. 2-C)
&_rC_J4ET7_ DWG. NO. 092--70-7
REASON FOR WORK RERLAKIE F T-uizE: LA_G ENGINEERL
TAKEOFF POL-E FOR, WOWARD STA,,,Jsp�uP& DRAFTER
LP U. G. NO.
SCALE v- ?- 00
CON r)O,C-:;
DATE WORK COMPLETED
FOREMAN
APPROVED DATE PRINTED
I
ENVIRONMENTAL ANALYSIS
0 EXEMPT 0 NOT EXEMPT
PARA. 18 ITEM C
FEES REQ'D oyEs ;KNO
SUBSTATION 5 P ERA N UF
CIRCUIT NO. ( o88— PHASE
PRIMARY OVERHEAD
0 RESIDENTIAL
0 COMMERCIAL
LEO#
O.H. U.G. COND.
ADD CKT. FT. H
REM CKT. PH
o S
NET 9 er FT.
O.H. U.G. CO KV
XCKT.
SECONDARY OVERHEAD
BASIC FEE S
ADD FT. PH
o S
REM CKT. FT. PH
CKT. FT.
METER/CONV. POLE
PERMITS (DATE GRANTED)
0 TREE TRIM
0 STATE
$COUN TY - Cz t_WoQb-,
PRIMARY UNDERGROUND
0 RESIDENTIAL
0 COMMERCIAL BASIC FEE
LEU#
0 CITY
s
0
EASEMENTS
0 REQUIRED %NOT REQUIRED
SECONDARY UNDERGROUND
BASIC FEE S
/o$ /=$-
UNDERGROUND PLAT
BASIC FEE S
1. FT. 0 S
STREET LIGHTING
FT. 0 s
DATE RELEASED
FOREIGN CONTACTS
$ GTNW JPN#
IX CATV JPN#
0 JOINT TRENCH GTNW & CATV
WORK IN RIGHT OF WAY
0 JOINT BORE GTNW & CATV
0 PRIMARY
0
POLE STENCILING
FROM TO
0 SECONADARY
- tFT.OS_ /=S__
MISCELLANEOUS FEES
TAKE OFF POLE
VAULT S
PRE-CONSTR. REOUIREMENTS
PERMIT $
0 TREE TRIM 0 PUD LOCATOR
ElBACKHOE 11 �LAGGIING
ONE CALL DATE
INDEX
POLES
PLAT
TOTAL DUE $
L�OGS
I IU-
MAPI
I
DATE PAID
RECEIPT#
XFMR
I C-MAPI
I
LOCATION MAP PAGE ci�? A
NEW SVCE APPLICATION#
fA
\�2/ RE -MOVE SO t�VA XFMK
U I S-r- R - I "15 (o X,
Smpj-rOP -TO GTE
SET 45'P r.00,-(3'EAS7�
I N <z-,T, P T P 4 *- 1 5 P
HAN(:; '��o KVA XFrAP-
01<-T;# P,
SE-IRL #
3116
N[ 7
M E M 0 R A N D U M
October 11, 1988
TO: Rich Schipanski, Code Enforcement
FROM: Leigh Francis, Associate Planner
SUBJECT: Violations at DeRusha Property, 7AQZ,&4�21,Oth SW
4 14,
On June 5, 1985, the ADB approved construction of a storage building on
the property at the address noted above. The ADB-approved plans
indicated a gravel parking lot, perimeter parking lot landscaping, and
several parking spaces. The ADB conditioned the approval on the
Applicant cleaning up the property, and the Engineering Division called
for the first 20 feet of the driveway to be paved.
The building has been completed for S�ome time now, and the Building
Division has not given it a final occupancy permit. it is therefore in
violation of the Uniform Building Code. In addition, the property was
never cleaned up. It is not clear from a field inspection whether the
driveway paving was installed. From the field inspection, it is clear
that outdoor storage of appliances (referigerators) is occurring on the
property. A conditional use permit for outdoor storage is required for
this.
Please look into this matter,and follow up on it. The ADB minutes and
a copy of the application are attached. Please give me copies of your
correspondence on this matter for the file. Thariks.
I
OF EDMONDS 7
USE PERMIT
ZONE
5scage
CITY
NUMBER
CONSTRUCTION PERMIT APPLICATION
joe %_V UITE-APT #
s
ADDRESS _102.6 Z/O
OWNER NAME NA E OFI�;INESS
.57---5W I
Awlj/ d
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO
LiD NO
a:
W
z
MAILING ADDRESS
—101lo T.514/
0
PUBLIC RIGHT OF WAY PER OFFICIAL STREE MAP
TESCP Approved 0
EXISTING — REOUIRED DEDICATION
RW Permit Required 0
Street Use Permit Req'd 0
CIT ZIP
qffD z&
tLtPHONE NUMBER
-7 -7 V 722,
PROPOSED
Inspection Required [3
Sidewalk Required 0
W
NAME
LINE SIZE
NO. OF FIXTURES
PRV REOUIRED
l`_
W
YES 0 NOD
ADDRESS
!E
REMARKS
U
Z
CITY ZI -7
PHONE NUMBER
C5
Z
NAME
ADDRESS
ENGINEERING MEMO DATED REVIEWED BY
0
L)
cc
CITY ZIP
TELEPHONE NUMBER
FIRE MEMO DATED REVIEWED BY
uj
Z
1
0
—
%
�1
STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA
SEPA REVIEW
ADS NO
ALLOWED PROPOSED
COMPLETE EXEM�,T
4,11-5
Legal Description Property - include all easements
of
SHORELINE N
Z
P:
—
EXP
LL
cr
VARIANCE OR CU
PLANNI,�FIMEW BY
PATE
W
SETBACKS — FEET
HEIGHT LOT
COVERAGE
Z
FRONT SIDE REAR
I
Z
Z
f
Property
—
REMARKS
or
Tax Account
'Parcel I-
No.
0 PLUMBING
� E RESIDENTIAL
E� <omMERCIAL MECHANICAL
AIDITION
APT. BLDG.
0
REMODEL SIGN
CHECKED BY
TYPE O�UONSTRUCTION
I ;9_�&
CODE
I
OCCUPANT
GRO�92 n
&? 4--
GRADING FENCE
1:1 REPAIR E] — CYOS. I x _FT)
WOODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
1:1
PECIAL INSPECTOR
REOUIRED
AREA
OCCUPANT
LOAD
E3 YES
/X
GARAGE RETAINING WALL/
RENEWAL
REMARKS
CARPORT ROCKERY
PROGRESS INSPECTIONS PER. UBC 305
�TYP �DF USE. BUSINESS OR ACTIVITY) E P IN:
Comili 49W 1$,5*
NUMBER
OF
NUMBER OF
DWELLING 'ytj
CRITICAL
AREAS
INUMBER
W
0
M
0
STORIES
UNITS
DE ISE WORK TO BE DONE (ATTACH PL P.AN)
FINAL INSPECTION REQUIRED
A" 2--ld de
---
VALUATION
FEE
PLAN CHECK FEE
BUILDING
/000
HEAT SOURCE:
GLAZING
%
PLUMBING
Plan Che k No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
pplermit
Limit: 1 Year - Provided Work Is Started Within 180 Days .
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant. on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify. defend and hold
'Wn
harmless the City of Edmonds, Washington, its officials,
i
employees, and agents from any and all claims for damages of
cr
<
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
nor limit In any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
1 hereby acknowledge that I have read this application; that the
ATTENTION APPLICATION APPROVAL
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 THIS PERMIT This application is not a permit until
state laws regulating construction; and in doing the work authoriz- AUTHORIZES
THE signed by the Building Official or his/her
ed thereby, no person will be employed in violation of the Labor ONLY
WORK NOTED Deputy; and fees are paid. and receipt is
Code of the State of Washington relating to Workmen' Com ensa-
ion -Insurance and RCW18.27. - F INSPECTION acknowledged in space provided.
ACONI TDATE SNED DEPARTMENT
4— 0 TURE
_-1. J, DATE
Z_. Z,
CITY OF
A,
16
EDMONDS
NELE - AS
CALLIFOR DATE
ATTENTION INSPECTION
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 Li
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owner GOLD — Assessor
1 0 0
PLANNING/BUILDING FINAL APPROVAL FORM
MEMO TO: BUILDING DIVISION, JEANNINE L. GRAF
s
FROM: PLANNING DIVISION, BftUtE—fTltKE
PROJE CT.: SkR-4k— /�UILPW6
ADDRESS: -7 0 2,6 2-1 o- SF 5 h/
V3-c�)<-
PERMIT: -32-2- ADB#
F-1 PERMIT APPROVED FOR FINAL
rvll PERMIT NOT APPROVED FOR FINAL
41 -
REQUIREMENTS:
0
ot
77
AMY G
Alf 7
71mle ew
14�6ofrd 1.*2eAtislo
7 -7q-a7-Z I
/X-t '06o"o/
ol-p Ile- 04,44
Ej'
BRUCE FINKE
CITY OF EDMONOS
250 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
COMMUNITY SERVICES
December 12, 1986
Mr. Howard DeRusha
24111 89th Place West
Edmonds, Washington 98020
RE: 7026 210th Street Southwest
Permit #850322
LARRY S. NAUGHTEN
MAYOR
As a reminder to our letter dated October 30, 1986, the
following items must be completed prior to issuance
of the Certificate of Occupancy:
1. A general clean-up of the site is required;
PETER E. HAHN
DIRECTOR
-Z,-,e c,,-
2. The existing garage must be.painted to match
/ Iff7
the existing sheet metal shop.
Please contact Bruce Finke in the Planning Department
for inspection. If the work will not be completed
within the next 30 days please provide the Building
Division with a schedule of work.
Thank you,
Wfaeanninre L.
Permit Coordinator
JLG: amm
PUBLIC WORKS 0 PLANNING PARKS AND RECREATION ENGINEERING
. 0
CITY OF EDMONDS
250 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
COMMUNITY SERVICES
December 12, 1986
Mr. Howard DeRusha
24111 89th Place West
Edmonds, Washington 98020
RE: 7026 210th Street Southwest
Permit #850322
LARRY S. NAUGHTEN
MAYOR
As a reminder to our letter dated October 30, 1986, the
following items must be completed prior to issuance
of the Certificate of Occupancy:
1. A general clean-up of the site is required;
PETER E. HAHN
DIRECTOR
2. The existing garage must be -painted to match
�%�7 / Iff7
the existing sheet metal shop.
Please contact Bruce Finke in the Planning Department
for inspection. If the work will not be completed
within the next 30 days please provide the Building
Division with a schedule of work.
Thank you,
e eannlne
annine L f
Permit Coordinator
JLG: amm
PUBLIC WORKS 0 PLANNING PARKS AND RECREATION ENGINEERING
CITY OF EDMONDS
250 51h AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
COMMUNITY SERVICES
October 30, 1986
Mr. Howard R. DeRusha
24111 89th Place West
Edmonds, Washington 98020
RE: 7026 210th Street Southwest
Storage Building
Permit #850322
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The following requirements.must be completed prior to issuance
of the Certificate of Occupancy:
PLANNING DEPARTMENT
1. A general clean-up of the site is required;
2. The existing garage should be painted.to match the
.existing sheet metal shop.
If you have any questions please call Bruce Finke in the
Planning Division at 771-3202. Notify Mr. Finke when the work
is complete and ready for inspection.
Thank you,
?Jeannine L. Graf
Permit Coordinator
JLG: pmm
PUBLIC WORKS 0 PLANNING 0 PARKS AND RECREATION 0 ENGINEERING
COMMUNITY SERVICES DEPARTMENT CITY OF EDMONDS
BUILDING DIVISION
DATE: A) 114
TO: FIRE DEPARTMENT
ENGINEERING DIVISION
ve"I"PLANNING DIVISION --411U"
SUBJECT: --DOIJASNA S1000C 1AWWA,4 W21. Z1t01%rsW
PERMIT: 4ro-3,Z2. APS #
Please review and advise any outstanding requirements on
the above permit, in order that they may be given final
approval and a Certificate of Occupancy issued.
APC5
A
6L
T(/
Hal Reeves
Building Official
HR: j lg
BUILDING
SEP 3 0 1986
pi/s�ussion
X r
r. ink gave t e st f repor
J
Mr. R., C. a ma 5198 71 h A W. was present
M . Bi h ask d the A lica t to co ent n the stor ge hed in
c
r ar to wher the torage sheds uld b on oth f oo s. h
pp cant stat d ere is; a stora e shed n e cent r with
ivider in it. ey will no be etween a indows.
Action
V @9ARP MEMBAR I�ER
N_M��ED\ SECOYDEV�BY BO,"D BE RS ONS��T �A
ADB-tV85, �L�A PRQ-VED AS \� �BTTEDX,,��ON CRMR�B N S
�DU A�
ADB-43-85 NEW STORAGE BUILDING (HOWARD DERUSHA)
Final approval of site plan and elevations for proposed
storage building at 7026-210th Street S.W. (CG)
....... ...
S'taII-Rep�t,. The applicant proposes to construct a 28'x4O, steel
storage building in the southeast corner of the subject
property. The applicant is open to suggestions from the
ADB on the color. A folder showing possible colors will
be shown at the meeting.
The -number of off-street parking spaces shown on the
plan is more than ample for the storage building and
houses.
The amount of parking will need to be examined again
when plans for the future sheet metal shop are submitted
for review and the number of employees is definitely
known.
No additional landscaping is proposed.
Engineering Department Requirements
1. The parking lot may be gravel but the driveway
must be paved 20 feet back from 210th St. SW.
2. A utility plan is required.
3. Underground wiring is required to the new building.
Staff Findings
The Staff finds the following:
1. Comprehensive Plan
The subject proposal is consistent with the
Comprehensive Plan and other adopted City policies.
ADB Meeting of 6/5/85
Page 18
2. Zoning Ordinance
The subject proposal meets the requirements
of the Zoning Ordinance.
3. Criteria
The subject proposal satisfies the criteria
and purposes of Chapter 20.10 of the City of
Edmonds Community Development Code.
Discussion
Mr. Finke gave the staff report.
Mr. Howard DeRusha, owner, 24111 89th Place W. Edmonds, was present.
Board member Birch mentioned that this site should be cleaned up
if it is going to be used as commercial property. He stated
several items such as berry bushes, run down fence, one building
painted two-tone in color, etc. City Attorney Snyder was asked to
verify regulations to the Code pertaining to general "clean-up".
Mr. Snyder stated that site treatment includes grading and
general clean-up of vegetation.
Action
BOARD MEMBER BIRCH MOVED, SECONDED BY BOARD MEMBER BECK, TO APPROVE
ADB-43-85 TO INCLUDE PAINTING EXISTING GARAGE TO MATCH PROPOSED
SHEET METAL SHOP, CLEAN-UP VEGETATION IN GRAVELED AREAS FOR THE
PARKING.
ADB--44,-'85 NEW 12 UNIT APARTMENT LMONTE CLOUSTON)
nal app val of site plan,el_evatio and --landscape
plan lo proposed 12,�unniit apartm n at 1115 '4'� Ave. S.
1 Z)
i t
an
apa �e v
tm
t 1
n
0'
t
Staff t . A sit
1. Nprt(/U^'r f Site The site is unde lope with
_L0
a
ffiostly ��shh d grass covering the s' e.
it slopes h about 10% to the wes The
su� s
'te meas s
u es IQ2.091 x 150.1 or 1 E14
2. Surrour
.kding Pr02erty -,,Multi71'amily residences
are o� three sides of e with 4th Ave. S
to th west.
ADB Meeting of 6/5/85
PAGE 19
-4ity of EdmonCj
INTER -OFFICE CORRESPONDENCE
TO B(,2 FROM 6�Z2� A DATE L'Z
/0
SUBJECT V�J44, 70D.(z)
4-0
BUILDING
JUN 3 0 1986
COMMUNITY SERVICES DEPARTMENT CITY OF EDMONDS
BUILDING DIVISION
DATE: toI16 If 6
TO: FIRE DEPARTMENT
E]NGINEERING DIVISION
PLANNING DIVISION
SUBJECT: jDt R-UStjo+ SIOMW &1W W( .
PERMIT: grip 3-Z2- �E02.16 2 10"t
Please review and advise any outstanding requirements on
the above permit, in order that they may be given final
approval and a Certificate of Occupancy issued.
3-4
JUN
Hal Reeves
Building Official
HR: j lg
FILE #,-
DATE
SITE PLAN
CITY OF EDMONDS
APPLICATION
to the
ARCHITECTURAL DESIGN BOARD
01,,TNER/REPRESENTATIVE 1PIk
BUILDING PLANS (3).: ELEVATIONS
LANDSCAPE PLAN
ENVIRONMENTAL DATA RECEIPT #
SIGN EXHIBITS FEE RECPT #
PLAN MODIFICATIONS TO FILE NUMBER:
HEARINC, DATE
PHONE- 77 !Z 0 7 a 2
ADDRESS ly "-d P/,
ZIP CODE ?PO�>_O
ARCHITECT/DESIGNER 5a"r,
PROPERTY ADDRESS Z2�,�) - ,71Zj'W �', 0
LEGAL DESCRIPTION
e
iVi S i C,14 A10
PLANS SUBMITTED FOR APPROVAL:
6 -1h 42 1-1,74 '16 4e4- (f 01 P ee,
1i" ;.C4=-z_j 5 C.4 j'qChC1V\(V
1. Building Plans - Preliminary Final —
Site Plan Landscape Plar
2. Sign Elevations Site Plan
3. Modification of previous approval
EXISTING USE OF PROPERT
DESCRIPTION OF PROPOSAL
Landscape Plan
PHONE 4cc'u
ZONING
Co';47-y , 4e)
Elevations L__�
-J, i
HIS
APPROXIMATE DATE WORK WILL BEGIN ON PROJECT
ESTIMATED TIME FOR COMPLETION OF WORK
I
0/y
RELEASE/HOLD HARMLESS AGREEMENT: The undersigned applicant, his heirs and assigns, in
consideration for the City processing the application agrees to release. indemnify, defend and
hold the City of Edmonds harmless from any and all damages and/or claims for damages,
including reasonable attorneys; fees, arising from any action or inaction of the Citv whenever
such action or inaction is based in whole or in part upon false, misleading or incomplete
information furnished by the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY: The undersigned applicant grants his, her or its per-
mission for public officials and the staff of the City of Edmonds to enter the subject
property for the purpose of inspection and posting attendant to this application.
Az
(Signature of Applicant)
�..Pos.j Sit.
IFA , � -
VO
E A Zi N
811
4. dd.
r 10q�'45 38'
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QUALITY ROOFING AND SIDIN
from Champion Metal.
QUESTIONS COMMONLY ASKED ABOUT STEEL ROOFING AND SIDING:
1. What is a galvanized sheet9
it is a steel band with a zinc coating applied to both sides.
2. What is a colored sheet9
It is also a steel band with zinc coating, but with color applied to both sides.
3. What does high tensile mean?
High tensile refers to the strength of the sheet,*as the sheet gets softer they are called low tensile of lockforming
sheets.
4. Are there different thicknesses of galvanized and colored sheets available?
Many different thicknesses are I available. Champion Metal produces four different metal thicknesses—' .015",
.0165", .0180" and.021 " nominal thicknesses.
Champion Metal sheets are guaranteed not to run undelrdecirnal thickness by more thari.001 "and they wi I I average over
our product lines, the stated decimal thickness.
Before your building is constructed, here are some important facts you should know:
1. Zinc coating
All of our steel sheets, colored or plain galvanized, have G90 zinc coating which is a nominal 1.25 oz. per square foot
of pure zinc. Othersheets may have G60 which is 3.3% less zinc and therefore33% less life since the thickness of the
coating determines the life of the sheet.
2. Thickness of the steel before color coating
All of our colored steel sheets are full decimal thickness before coating. Others may include thickness of paint to
bring them up to specifications. This could be as much as 10% less thickness of base sheet.
3. Strength of the sheet.
All sheets produced byChampion Metal are A.S.T.M. A446, eitherGrade D or E. This is a50,OOO pound minimum yield
for Grade D or 80,000 pound for Grade E.
4. Color coating
In most cases, our sheets have a nominal.001 paint on the outside and.0005 on the reverse side. Other sheets may
have much less paint, therefore limiting its life.
IN SUMMARY, THERE ARE AT LEAST FOUR QUALITY CONSIDERATIONS:
1. ZINC COATING: Champion Metal uses G90.
2. THICKNESS OF SHEET. Champion Metal uses .015, .0165,.018, and.021.
3. STRENGTH OF SHEET: Champion. Metal uses 50,000 minimum yield (.018 and.021) and 80,000 minimum yield (.015
and.0165)
4. COLOR COATING: Champion Metal uses .001 "paint on the outside and .0005 "on the reverse side.
Champion Metal produces a sheet with the longest life of any sheet available and strength that can be as much as60%
stronger than other manufacturers? sheets. We believe that we are the most quality -oriented company producing sheets
today and ai�6 pleased.to offer such a fine product.
Please tee your contractors or dealers for further details.
CROSS SECTION OF A GALVANIZED PAINTED SHEET
Zinc 01a fing
Tempered Steel Chemically Cleaned
Zind G6�iind
ion Not to Scale Spec ifications subject to change without notice.
CITY OF EDMONDS
FOR INSPECTION CALL
PUBLIC WORKS DEPARTMENT Permit
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date
jL*,,PERMIT MUST BE POSTED ON JOB SITE
1. Address 0 f onstruction
2. Property Legal Description (include all. easements),-f-/a -7e�
If- _oo'
3.
Single Family
Residence Multi -Family
No. of Units
Commercial
4.
owner and/or
Builder
C") 4- -)el
'_�17 65_,�
VIA BALLINGER
5.
Contractor &
License No.
ji
OFT STATION
6.
Invasion into
City Right -of -Way
No X Yes
(-If Yes Right-of-
way Construction
Permit Required
Call Dial
Dig (342-5344) before
excavation).
E-4 7. Cross other private property: Yes No X Easement required -
rr
attach legal description and county easement n�WRIEET FUE
0 READ THE FOLLOWING AND SIGN:
04
a. Property owners must obtain a permit to install side sewers on
>I their property. A licensed side sewer contractor must be employed to
construct side sewers in the public right-of-way.
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 s8wer 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. Two (2) working
days notice required.
DATE:
I certify tha�t I have read
and shall cQ/Mply With the above
bw
E:
PERMIT FE
CONNECTION FEE:
PE
DISAPPROVED BY: Date:
�B Date:_j
APPROVED Date:
r
T
T BE POSTED ON JOB SITE *
Side Sewer Drawing
The City of Edmonds EASEMENT NO . ...................... .......... -- .......
NEW CONSTRUCTION [-] REIIAIRS,2-' LID NO. ASMT. NO . ..................
OWNER ... ................................................... CONTRACTOR
7,34
.............. PERMIT NO . . ....... .........
JOB ADDRESS .... 71P-44P ............. 41.0 ...... . ....... ..... LEGAL DESCRIPTION: LOT NO. — .......... e..4 ........... BLOCK NO . ....................................
......................... ........................................................................................................................................
NAME OF ADDITION 7!!3 --------
--- - -------------------
ff VIA BALLINGER
LIF
T STATION
A
x x , '45
9.i <-
< /00
37
Approved:
PWW-0001-11/75 (REV. 11/78) DATE ..... ........... .