705 CASPERS ST.PDF11111111111111
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705 CASPERS ST
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TAX ACCOUNT/PARCEL NUMBER: 7-2 b 5�)Z CID QZ1 �ai 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR: AD�A (93 OY27 0 V�
CRITICAL AREAS119 — I DETERMINATION: F1 Conditional Waiver 0 Study Required Wwaiver
DISCRETIONARY PERMIT #'S: 2S-71
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
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PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED
SEWER LID FEE $: LID
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DA
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Critical Areas Checklist' T FILE
Site Information
Project Name: -Z �C Py- Permit Number:
SiteLocation: 2er 1�7, Property Tax Account Number: Q VP 4P3c;)
Approximate Site Size (acres or square feet): / 2,vo �j S
Have you filled out a Critical Areas Checklist for a project on this site before? .IV I C)
General Site Conditions
1. Has the site been cleared or logged? AJ 0 Date of most recent action: —
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site topography. Check all that apply.
:X- -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.)
Hilly: slopes present on site of more than 15% and less than 30% a vertical rise
of 10 feet of horizontal distanc* e.)
- Steep: grades of greAter than 30% present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round'standing water: Aj 0
5. Site contains areas of seasonal standing water /*V6 Approx. Depth:
6. Site is in the floodway 0 floodplainL Q of a water course.
AL
7. Site contains a creek or an area where water flowsacross the grounds surface? A,/Oflows
.are year-round? /%/_C�Flows are seasonal? )%-/ 6
8. Site is primarily: forested ; meadow
9. Obvious wetland is present on Site-
-2 - �p 76
; shrubs ;mixed C e, A ,-- �
10. Wetland inventory or map indicates wetland present on site: IV e)
11. Critical Areas inventory or map indicates any Critical Area on site:
For City Use Only
Rev M27/92
9q
City of Edmonds
Critical Areas Checklist
Ile Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development permit
to the City.
The purpose of the Checklist is to enable
City staff to determine whether any potential
Critical Areas are or may be present on the
subject property� The information needed to
complete the Checklist should be easily
available from observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
An Vplicant� or his/her representative, must
fill out the checklist, sign and date it, and
submit it to the City. The City will review
the checklist, make a precursory site visit,
and make a determination of the subsequent
steps necessary to complete a development
Permit application.
With a signed copy of this form, the
applicant should also Submit a vicinity map
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:
Narne ----------
-.10, 1 . '-, / -0 . ,'
Title -
Street Address
City. State, ZIP Phone
Signature Date
Applicant Representative:
Name
Z.
Title
Street Address
City, State, ZIP Phone
Signature 12—
Date
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No . ..........................................
NEW CONSTRUCTION 0 REPAIRS 0
115-o5600
OWNER ...... Mark West.lin 'TOR .................................................................................................. PERMIT No . ......................
................................. .......... g ......................................................... CONTRAC
ADDRESS........ 7.0-5 .... Q -------------------------------------------------------
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LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION ....................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
CITY OF EDMONDS Permit No.
��'COMMUNITY SERVICES DEPARTMENT NO C-V
RIGHT-6F-WAY CONSTRUCTION PERMIT Issue Date
A. 9 Owner: Washington Natural Gas Company B. e Contractor:
Na Name
'ffff Mercer street
Mailing Address
N%TaAddress WA 98111
City State Zip City State Zip
State License Number Telephone Number
C. 705 Caspers Street
9 Address or Vicinity of Construction:
Type of Work to be Done: Install New Service
D. 0 Work in Connection With: D Sub or Plat 0 Single Family El City Projects
0 Comrnercial 0 Multifamily KI Utility
E. 0 Pavement Cut: 1Z Y 0 N F. 0 Size of Cut: 2 X 7�4� @ Gas..
APPLICANT TO READ AND'SIGN
INDEMNITY: Applicant understands and by his signat t) this, a, ' plicatJon, agrees -to hold the City of Edmonds
harmless from any injuries, damages, or claims of any 'e'sc ', t�-',Qhatsoever�fors�enor-uKprs"een, that may
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be made against the City of Edmonds, or any of its departments 0 1 employ.eesi,including or not limited to the defense
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of any legal proceedings including defense costs, court costs, a;nd tt6brney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
1�
YEAR FOLLOWING THE FINAL INSPECTION AND4-CC I EPTANCi OF-iHE 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
I
processed for issuance to the applicant.
9 clo
S. e A 24 hour notice is required for inspection; Please call Engineering: 771-3202
9 Work is to be inspected during progress and at completionj� ��j
9 Restoration to be in accordance with City Code.
9 Street to be kept clean at all times.
N
0 Traffic Control to be in accordance With City regulations.
N * All streei-cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
F "derstand the above and that this permit must be available at the job site for inspection purposes,at'all times.
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Signature: M6M",441 Date: September 7, 1990
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: PERMIT FEE:
Z Time Authorized: Void after_.4,'nL days. Restoration Fee:
0
Special Conditions: Receipt No.:
Fund I I I Fee:
Street Cut Dimensions:
46
U RELEASED BYA-4 -Date 9 -k INSPECTED BY
0
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. March 1989
4
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P. W.:
Work Disapproved By:
FINAL APPROVAL BY:
0 YES
Date:
Date:
El NO
Eng. Div. July 1985
Addendum to:
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City of Edmonds
Permit Application
Engineering Aide : Kerry Walsh
Washington Natural Gas
622-6767 x 2588
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APPROVED BY PLANNING
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PERMIT COUNZER
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STREET. FILE
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address:
Legal Description if r- 7 J'
SCU 0�4 /
6 7, S' v - A/ / 7 7. 5 ' al,
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I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the
Edmonds Community Development Code and understand that an accessory dwelling unit,
including a second kitchen, Is prohibited for two years after occupancy by the current owner is
granted and until after a conditional use permit has been approved by the City of Edmonds
Hearing Examiner.
I also understand that approval of a conditional use permit is subject to a 'public hearing, and
neither this statement nor,the Issuance of a building permit shall act to limit the discretion of
the City review In the review of any application for a conditional use permit
Property Owner Name
Date �� /,,:z V A� -
STATE OF WASHINGTON
COUNTY OF SNOHOMISH
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I certify that I know or have satisfactory evidence that J/Y,4 IM 41��
si . gned this Instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Dated C�
Signature of
Notary Public
Title
My appointment
Expires: _ / /- /-
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY
AUDITOR
AMUSMDOC