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7111 MEADOWDALE BEACH RD (2).PDFIIIIIIIIIIIIII 14388 7111 MEADOWDALE BEACH RD STREET FILE CITY OF EDMONDS USE PERMIT a410 ZONE 3 NUMBER 3 CONSTRUCTION PERMIT APPLICATION Joe SUITE/APT ADDRESS OWNER NAME/NAME OF BUSINESS -Pic / If, LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. ZMAILING ADDRESS �� I1-e C,I v �/t �� 4 nC--� •1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REOUIRED DEDICATION PROPOSED TESCP Approved ❑ RW Permil Required ❑ Street We Permit Req'd O Inspection Required ❑ Sidewalk Required ❑ O 2 ITY ZIP F ^ / �' U TELEPHONE NUMBER �� / / NAME ' REMARKS u¢i z u w ADDRESS z - - < CITY ZIP TELEPHONE NUMBER NAME ..,, ,,�, .� `,� !�.. / l._, .,, ENCINEERINGMELIOOATED .: REVIEW BY 1 , d: ADDRESS METER SIZE BUILDING SUPPLY SIZE NO. OF FIXTURES CITY ZIP TELEPHONE NUMBER w oz REMARKS ; J STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPA REVIEW ADS NO. ALLOWED PROPOSED COMPLETE EXEMPT Legal Description of Property - Include all easements I SHORELINES z 0 EXP U¢ W VARIANCE OR CU PLANNING REVIEW BY DATE ' SETBACKS — FEET HEIGHT LOT COVERAGE _ < FRONT S1DE REAR z w Property TaI Account �REMARKS Parcel N. a+ NEW RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL REMODEL APT. BLDG. SIGN CHECKED BY TYPE OF CONSTRUCTION CODE L� HEIGHT ❑Q GRADING D FENCE REPAIR CYDS. L_x_Ft) W.�STQVE-. r -r }-.•. ISWIM POOL '. I DEMOLISH O INSE HOT TUB/SPA CARPORT ROCKERY GARAGE RETAIO WALL/ O RENEWAL (TYPE OFUSE. BUSINESS oRACTry r P CIALI SPECTOR'. REOUIRED DYES AREA OC GROUP A CY"— — PA OCCUNT LOAD MARKS - zITv)FxPLA1N: PROGRESS INSPECTIONS PER UBC 305 9 � a NUMBER NUMBER OF CRITICAL O OF DWELLING AREAS o STORIES. UNITS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE / BUILDING HEAT SOURCE: GLAZING D/D PLUMBING Plan Check No. MECHANICAL This Permit cover$ work to be done on private property ONLY. GRADINGIFILL Any construction.on the public domain (curbs, sidewplke, driveways, marquees, etC.) will require separate permission. STATE SURCHARGE Permit Application:180 Days Permit Ulmit:'1 Year • Provided Work Is -Started Within 180`Day$ STORM DRAINAGE FEE "Applicant, on behalf of his Or.her spouse, heirs, assigns and ENO. INSPECTION FEE successors in Interest, agrees tO indemnify, defend and hold xharmless the City of Edmonds, . Washington, its officials, employees, and agents from any and all claims for damages of < whatever nature, arising directly or Indirectly from the issuance = of this permit. Issuance of this permit shall not be deemed to ° modify, waive or reduce any requirement of any city ordinance i nor limit In any way the City's ability to enforce any ordinance provision." =: ^ / PLAN CHECK DEPOSIT 5� /73 TOTAL AMOUNT DUE 1 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 APPROVAL authorized agent of the owner. 1 agree to comply with city and stale laws regulating construction; and in doing the work authoriz• ad thereby, no person will be employed In violation of the Labor Code of the State of Washington relating to Workmen's Compensa• ti n In r nce. THIS PERMIT This application Is not a permit until AUTHORIZES ONLY THE signed by the Building Official or his/her WORK NOTED Deputy; and fees are paid, and receipt Is INSPECTION acknowledged In space provided. SIGNATURE (OWNER OR AGENT) - OAT SIGNED DEPARTMENT •• CITY OF OFFICIAL'S SIGNATU DATE EDMONDS ATTENTION CALL FO RELEAS 'DATE INSPECTION 1—AL 3 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 .... Critical Areas. Checklist STR.EETALE Site Information Project Name: '�LcJ c c. yv? Permit Number / Site Location:?///i�;��wr/„/,o �roperty Tax Account Number. Approximate Site Size (acres or square feet): 60 7— Have you filled out a Critical Areas Checklist for a project on this site before? General Site Conditions- 1. Has the site been cleared or logged? Date of most recent action: o Soils / Topographyit 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? P 17— u •J 3. Describe the general site topography. (heck 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.) Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10 feet of horizontal distance.) Steep: grades of greAter than 30% present on site. Comments c dd J. �N 1 v w Y Hydrology/Vegetation 4. Site contains areas of year-round standing water_ P 5. Site contains areas of seasonal standing water. /U Q Approx. Depth: 6. Site is in the floodway M0 floodplain of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? _,L> 0 flows are year-round? . _,AL-0 Flows are seasonal? c� 8. Site is primarily forested J,/ U : meadow 0 U ;shrubs - Q ; mixed Al O . 9. Obvious wetland is present on site: evy 10. Wetland inventory or map indicates wetland present on site: 41 O 11. Critical Areas inventory or map indicates any Critical Area on site: + Wf71W i or.CitylJse-Only City of Edmonds Critical Areas C'h'ec* . kl�st The (critical Areas Checkist 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 snbjec t PmPaty_ The information needed to complete the Checidist should be, easily available from observations of the site or data available at City Hail (Critical Areas inventories, neaps, or soil surveys) - RECEIVED j U % 15 1993 PERMIT COUNTER An applicant, or his/her representative, mast fill out the checklist, sign and date it, and submit it to the City. The City will review the checkist, make a precursory site visit, and make a detumination of the subsequent steps necessary to complete a development permit application. With a signed copy of this foam, the applicant should also submit a vicinity map of the parcel with enough detail drat City staff can find and identify the subject. parccl(s)- In addition, the applicant is encouraged to include any other pertinent information or sttidies 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: t/ Name Title Applicant Representative: Name Title Street Address Street Address Uty, State, ZIP Phone City, State, ZIP Phone Signature '/ I ate Signature Date - � �� *| ur � ' �j�| that � /lm` ' f Tract |24. Plat of Neadowdo|e 8eaoh,'accord|ng'fo plait fh�ren' recorded in � '- ,-- - . Volume 5 of ]P|mts, Page 38, records of sald,County,, described as fo||ows: 3eginninq at the � southwest corner of -said Tract 134; thence North 33*}2�23"Wesf along east line of CounfyRoad . ]'47 feet to the true polnf mf bmg|nn|ng of this descr�pfion;'fhence continue north 33'12/23'/ ^ ..west along aosf line of County Rood 87 feet; thence at right angles to said County Road in a ` norfhees�sriy �|re�fion �UO foa�� thence soufh ��!2`2�n east 87 feet; thence southwesterly in o straight line to the point of beginning. - SCALE |' = 30.00 feet ` February 131968 ' - ` ^ ~ IV \ � \ v, � I • CITY OF EDMONDS r Call PRoapect 8-1107 when work CIVIC CENTER— WATER -SEWER DEPARTMENT is ready for inspection. (No Inspec- 3 4 2 tlons Saturday, Sunday or holidays.) SIDE SEWER. PERMIT - XYZYXVV&HGIHfKRXHH 7111 MEADOWDALE ROACH ROAD • ADDRESS -----------------------------------------------------------------------------------------------------------------------------------------------.- 1'LU�9YNG OWNER ------------ PAT_UUA..A.---HQWIEEy------------------------------- CONTRACTOR.--- ............................................ Permission is granted ---------------- 19..79., for .---------------.------- days to REPAIR or CONNECT a side sewer with City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—Tbe owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. , NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted. NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for _ failure due to improper work which may develop within one year of completion. NOTE No. 5—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appur- tenances except to insert the pipe Into the wye. Jl The City of Edmonds APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS ❑ ®(--ogaoo [rUutO - Cic� EASEMENT No . ...................... L[0 At/( OWNER - ........... 1-C./. ,�.........#..... ,1!/./.... .. ........... CONTRACTOR .... �,.// �/ L �� L .�`�i �-•-. U�......�lC.!-�.................... PERMIT N � �..._ ...,... ADDRESS' ...,.��L......1.-.-!. L �. ��./ L_.�r`__ ..../-.�../ �/%�.../� C�J LEGAL DESCRIPTI/ON: LOT No ............................................... BLOCK No............................................. NAME OF ADDITION .......... uj • Lu Lu 3..f6.m • I' •0 �r h� M V •.114 V) S / T 0 C T 13 1 =�F 11 J Approved: f R e DATE ............. �!"............ By -- ---- .:J._. ---- _�-..��•