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7119 157TH ST SW (7).PDF822 7119 157TH ST SW t 4.5 4A / 0 TAX ACCOUNT/PARCEL BUILDING PERMIT (NEW STRUCTURE): 1'?=!51 I- COVENANTS(RECORDED) CRITICAL AREAS:— �DETERMINATION: ❑ Conditional Waiver F1 Study Required NWaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA' PARKING AGREEMENTS DA EASEMENT(S) RECORDED FOR:("t 8 /ggSS- PLANNING DATA CHECKLIST DATED:_ 10,5105 SCALED PLOT PLAN DATED: l D 13 * 05 SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: �11/9 & SIDE SEWER PERMITS) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: LID #: LOT: 42 BLOCK: &-33 C,9 LATEMP\DST'sTorms\Street File Checklist.doc � r USE PERMIT C ZONE UMBER (" tYBIIILD.ING::DEP'A'RTMIENT'' Applicant Fill -jaN-lfjl'l�F Insida.eayy Lines JAODBDPERa1T'APPLICATION RESS I t. ` 771r! ;jOR NAME OF BUSINESS) 1 _ + SUBDIVISION NO. PLAT NAM1lE ASS L':i'n CI I! MAY NO. _ ( �� pa'j MAILING ADD CSS ��• �� � I } } � I, 2 n O 7/ PUBLIC RIGHT OF WAY PER ORDINANCE NO. 1 CITY ELEPHONE NUMBER 3o ,k EXISTING RIGHT OF WAY .;., 7cq 3U Z y PROPOSED RIGHT OF WAY NAME O e� N ? I -v DEFICIENCY OF RIGHT OF WAY 1( L U ISYES ONO a i STREET/UTILITY WORK REQUIRED 011 iPERMIT FOR WORK IN PUBLIC R/W YES ❑NO �? U TELEPHONE NUMBER E CITY UNDERGROUND WIRING REQUIRED OYES ��eNO U I Q CONNECTION TO SANITARY SEWER OYES NINO s 7 NAM E//�� / SEPTIC TANK PERMIT REQUIRED 7F YES NO L - [l^/y �I �✓f/:/�� SEPTIC TANK PERMIT NO. O ADDRESS I ��� P. SEE MEMO DATED �1� < REMARKS I C CI Y TELEPHONE NUMBER -. U q E LICENSE NUM CI LIC`ENN'S N DER CHECK O By METER. IZE UILDING SUPPLY SIZE } - Legal Description of Property (Show Belcw or Attach Four Copies) rr W I W ($ F •I � I ,f REMA K < ' z t� 12ES5 V fL� QECou L ► 101� o �.:.. i j h , SIGN AREA ENV. REVIEW ADS NO. ' `6 ALLOWED PROPOSED COMPLETE EXEM Pf I � U � ' o -� REMARKS t �PiZESSVRc Q'sbuL.A"ToR W {ZzrGO. j VARIANCE OR CU PLANNING REVIEW BY DATE t 1 jYARDS LOT COVERAGE , OK as -/FRONT I O'SIDE � � RF.A 1 � H RESIDENTIAL NEW I NO NRES DENTIAL V ti SIGN FIRE ZONE TYPE 0=C0; CONSTRUCTION Co. 1973 3o'mAx -- ! P 3 ❑ ADD RETAINING CIA -INSPECTOR AREA OCCUPANCY OCCUPANT I GROUP LOAD t` ❑ DEMOLISH ❑ W ALLTA REQUIRED i p ALTER EXCAVATE FENCE ❑ YES NO 111 r ❑ OR FILL I-� X_FT) PLAN CHECKED By THIS SITE IS LOCATLD IN THE CiTV ' 4 OF EDh10NDS. LOCAL SALES TAX PRE -MOVE OPOIM SHOULD BE CODED 31.04. ' ❑ REPAIR O INSP. POOL ,I j REMARKS f Ir NUMBER OF STORIES NUMBER OF �� i7 _ DWELLING r`� W UNITS 'x NATURE OF WORK TO BE DONE 1f3 ciCr fF ^ TI�Etl-M1�1L INS:7tslTtoN PEI'Z 1-8 a - a - 0 PLAN CHECK FEE VALUATION FEE = PROPO(SEED. USE L W Sr�F7r_E F sttr. �ES/OC.>Cf s Tr } ! A.. F PLOT PLAN INDICATE BUILDING SETBAGI(S' BUILDING 31 /�Q 2 13 O t ABUTTING STREETS) 1 5 yVj 2�i PLUMBING I � o u y od 13 It _ MECHANICAL rJ 0 - 2 N FENCE Z • ��• C` N D SIGN D ` RETAINING WALL 0U I I u CWIMM ING POOL ` 7 1I r t88 I I hereby acknow•led a that I have read this application; that the in• TOTAL AMOUNT DUE ' 1 i ? formation given is cc t; and that 1 am the owner, or the duty author- : ized agent of the owne I agree to comply with city and slate laws regu- ATTENTION APPLICATION, APPROVAL t { lating construction; and in doing the work authorized thereby• no person } willbe employed in violation of the Labor Code of the State of Washington THIS PERMIT This application is not a permit - relating to Workmen's Compensation Insurance. AUTHORIZES until signed by the Building Official or 1 NOTE: Permit Limit one YeCr(Except DEMOLITIONS and FILL ONLY THE his Deputy; and leer are paid, and PERMITS without conditional use permit, which shall he completed in 90 WORK NOT"D receipt is acknowledged in space pro- i I days; MOVED-1 IN BUILDINGS shall be completed in six months.) INSPECTION vlded' SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT DIRECTOR'S SIGNATURE r 'i I � CITY OF IU ,,a ll�Q•2 I 1 r1 EDMONDS DATE This Partnit covers work to be done on prives pr arty ONLY. 775-2525 S J ! I % 8 Any construction on the public domain (eurbi, sidav4alks, driveways, marquees, etc.) will require' separate permission. ORIGINAL •- File YELLOW -- Inspector ATTENTION t PINK — Owner GOLD — +1c;essor IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE' UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306. ' —T-7 -- -_ J 70.97' 0 < S 2' f-46 4 6 "_ .98, .298 300 0 Zone 6.17-1 corper N OFla .Setbacks Required Actual '0 11.1p M044� Rom- Gthep No Ltt—A ,APPROVED. BY PLANING RECEQED OCT 0 3 2005 I - BUILDINGPEPT. 10' jBACK SYE PL4N S� Io011lp" 11,160=r-00 III JOB NAME: Vv . . LOT FL,41N s SHEET No. \UA Y--1 cl� 0 M'277 1 PLANNING DATAST'd NAME:JtAtX41P11C1 K.O -rh4 P-Y1e f G1 DATE: pGt'Dbec OF , Z005' SITE ADDRESS:IIGI I rj 4j'YeQj�- t.�y�/ PLAN CHK#: p5 •ei S8 PROJECT DESCRIPTION:` C101 12.9 6atAAr& fe4f' of dccl', tv e�(IStYI�g _deli% INi SoN 100 I�Iv(A�-e. (vw 5t-airS 1v REDUCED SITE PLAN PROVIDED?: Yes No) MAP PAGE: 130t CORNER LOT: (Yes / No) FLAG LOT: (9 No) ZONING: R•5-I oL CRITICAL AREAS DETERMINATION #: GA WOO` • 010-f- ❑ Study Required: Waiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee - ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) Exempt SETBACKS: ` l,/I''�/VI• Y! '�� G{9 I Of a. I J J d 1 5 q L k-5. a p P J y J Re d Setbacks: 5 E W _ Street: b - �,Qt eft•Si e: I D t t Si e: Q I � 1 Actual Setbacks: l�► 4-v) f i �b ) 1 Street: �%0 6e4Side:_I I I RigW Side:_ Rear:_' Street map checked for additional setback required? (Yes I No I n ❑ DETACHED STRUCTURES: (IOVI ei Cj VW V,-A Oy% (1 j {Ti 171 aM ® ROCKERIES: Q�XI " V I 15 C1 k p W A ❑ FENCESITRELLISES: h0VIC. Cj hOWV1 OV) h j i'G. D j iW ❑ BAY WINDOWS I PROJECTING MODULATION: hit, eVNWVI 6Y1 �1 �I Gl/til . ® STAIRS / ECKS PARKING: Required: 2 Actual: \ 'L LOT AREA: I �P S•ZOO��•• I3( ) --� a5�• = +-+ LOT COVE Calculations: 1,01 • .(SOD rDX 0t (A2V_-C1r4 We BUILDING HEIGHT- / Oatum Point: r Datum Elevation: L Maximum Allowed: Z 5 -FeZ-f' Actual Height: e—7- 5 feel A_D.U_ CREATED?: No Yes SUBDIVISION: 5-2004 INhhOrt 6UbdiV151aV1 i LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: {Yes No) OTHER: V 1 ul at ion) • r Plan Review By: 11 NewBPPlanningDataForin.DOC Critical Areas Checklist cAFile No: 4q-Ic)'I Site Information (soils/topography/hydrology/vegetation) a 1. Site Address/Location: 2. Property Tax Account Number: DO 3. Approximate Site Size (acres or square feet): - s 4. Is this site currently developed? A yes; no. �CY►e�r� �.....� If yes; how is site developed? ©Q- Y-NW SO- OY\ E ct! 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. PERMIT COUNTER 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 over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 7. Site contains areas of seasonal standing water: 'K-"(b ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway EiO floodplain L of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? �b Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs Y_; mixed urban landscaped (lawn, shrubs etc) 11. Obvious wetland is present on site: For City Staff Use Only 1. Plan Check Number, if applicable? 2. Site is Zoned? K - f 0-� 3. SCS mapped soil type(s)? ( W e K a, T e q o �. - A-td2��.►�va (� Gl�a v2 �l �( S log,"\ Cd- l 5% '5 T-W e W- �je.-wao d E IV, eferl wVe0 4. Critic l Areas inventory or C.A. map indicates Critical Area on site? l f erp V UA(-(VLQ 510rs Stagej tv1'Y 5. Site within design ted earth spbsidence landslide haz rd area? . S'-ITe 1 ) Seven. ( .h v ft A, h 7v Tk i45 i h-- dN A-, (-e0 6-5 L if area vn��/ C v�/P.. i lC v riuK f w � c � art tQviewp u� �j ti.�►1� a1d vr."�ETEINt TI1�N� i^c Q Sv jPci Si►�, STUDY E RED X WAIVER Reviewed bv: 0R. ; VA/ / natp. �24-n `% CS Critical Areas Checklist.dod4.22.2003 °f ED`" y Cit ofEdmonds o Development Services Department Planning Division Phone: 425.771.0220 41C. t g90 Fax: 425.771.0221... . The 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 the application 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). Date Receive d: Kl 3/ 6h City Receipt #: 2 4 (e8'& Critical Areas File #: Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: A property owner, or his/her authorized 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. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its, heirs, and assigns, in considerationon the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify'that the information "and exhibits herewithsubmitted are'true and correct to the best of my knowledge and that I am authorized to file is applicati theikehalf of the. owner as listed below. 1 SIGNATURE OF APPLICANT/AGENT DATE Property Owner's Authorization By my signature, I certify that I have .authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to t}is application. Owner/Applicant: Name 47 Street Address City State Zip Telephone: Email address (optional): DATE -7-' Ap licant Representative: )-q&- NaWe Street Address Cit �-y� 6 State Zip Telephone:. d Email Address (optional): Critical Areas Checklist.doc/4:22.2003 LOT DRf�1NAG� 1714 78011.11 4 / r i / ft= p',. •Q � Ire ptt1 .� — l ^rr i PATIO 0 / 3 BEDROOM °l. RESIDENCE I y� I EXISTING I TRAILER TO BE REMOVED CITY O 'P. W. DEPT. EXAMINED BY REMARKS 0 W O EDMONDS NGINEERING IV.. DATE_S. _ P 4r NW COR. TR. 21 OWNER Frank C. Hr.Mnney 124 N. 49th Seattle, 11A Phone: Home 783-3O . Work 344-7297 DESIGNER Reid, Middleton 6 Assoc. 324 Main St. jEdnonds, WA 98020 ADDRESS OF PROPERTY` 7117 S.W. 157th,St. Edmonds, WA 93020 LEGAL DESCRIPTION =� See attached PERCOLATION DATA P-1 15 min in J� P-2 1 i .1 m in, i n P-3 6.67 min/in r o_ P-4 5.0 min/in Date Taken: 3/14/78 Design Perc Rate 10 mWi % yr`0 DESIGN DATA ip 10 'a M) Install .5 l .f. 0)% 24" wide laterals or �, ✓ 494 sq. ft.. 18" trench depth Install 1,000-gal., septic tank (two-com- partment) 9� \ice Y 1 DRA114FIELD DESIGN FOR _ FRANK C. McKENNEY. EDMONDS. WASHINGTON t �t j�CCc�, �%%ICc�Clo�c � Tr44GC1t1�C4, 7�tG. ENGINEERS SURVEYORS • PLANNERS �: DEB. R.R.S. DATE 3/ 17 78 FILE NO. ; • ... r_.f�r DR- R.R.S. F.0. GH ISCA►.I ... N 00016'00*E 20.00' LU r W 00 _o v a� tN au r�CITY of EDM DS REGEiVED S E SEWER PERMIT For Inspection Call 771-3202 , JtL 19 1985PERMIT N04 07347 I - 15 7 . S' `�J' PUBLIC W.ORkS Address of C ruction: 1 1 8' rm} S `� Property Legal Description (Include all easements): Single Family Residence Multi -Family (No. of Units ) Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No Yes (If Yes,. Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No Yes (If Yes, easement required, attach legal description and county easement number.) PLEA E READ THE ITEMS LISTED ON THE BACK I certify at I have read an shall comply Date with the items listed on the,back. s Permit Fee: 30.00 Trunk Charge: Assessment Fee: Partial Inspection: Issued By: Date Issued: Receipt No.: 1410 Comments Date Initial Final Inspection Approved: -19- _A04i Date Ini 'al Rejected: t Reason Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Buff Copy - Applicant 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 accuracy 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 . ............................ ............... IV) eAb CIO N tA - 'k, NEW CONSTRUCTION ❑ REPAIRS [7_ LID NO. 110 ...... ASMT. NO.. ............. OWNER .-MO-M . ......... D.G-F—(Y\N-N.A .............................. CONTRACTOR - ----------------- ------------------------------------------------------------------ PERMIT NO. '754.7- T" JOB ADDRESS k-B --------- - 60 . ......... S-T, Ml— LEGAL DESCRIPTION: LOT NO. ....... -------------------- BLOCK NO. 51-33 .................. ------------------------------ ----------- ......... -- - --------- ----- z NAME OF ADDITION ---------------------- 0 ---- OP --------------------------- ------- ------------------------------------------------ ---- ;0 t 65. Ci 4! 72' VL 1.5 DP lip z To A* 46' 44' 27' fa P. V. C. 4'DP 4"TEE ic* Approved: PWW-0001-11/75 EV.1. /78 I DATE des ----- ByA . ................ V st. Sl� 14 S 4W _q7r rt, Dc"ll r-,.� �.. ..r� '��:1r r:� �: F .r:,. � .fir. r.:4 t,Y.`-t;�' >.;�s•' - 'tr ir. -Nv d"t ........... . . . . . . . . . . A _. " 4Nrti a —CA Xn' sm, M., ;g IT- ,x! `4-���}+'" . k ��.`,a�r ����� 's �••. .�t4• ,r`ta+�V '�'' � '' •"�%. � i% �\ r S ....- i .. R`r�. J�, _�_ MaP t 96 �— WWAMMIPIES� WISIORKSMIMP ps-lx Lt,� 7,7 N: UP 40 ; QiZ M lai X 1 2 &� 4's 11 is • I � 890 CITY OF EDMONDS 7110 - 210TH ST. SW • EDMONDS, WA 98026 • (206) 771-0235 • FAX (206) 744-6047 n► COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION 24, 1995 Mr. John P. Dempsey 7119 - 157th St. SW Edmonds, WA 98026 Dear Mr. Dempsey: LAURA M. HALL MAYOR Enclosed you will find a new updated easement for your review. Please look it over and sign as soon as possible. Return to me at: Attn: Ron Holland City of Edmonds Public Works Division 7110 - 210th .St. SW Edmonds, WA 98026 Once I receive the Utility Easement papers, it will be reviewed by Council and then if approved, this will allow us the authority to install the new water main piping. Should you have any questions or concerns, please call me at 771-0235, extension 649. Sincerely, j 1,1E �t Ron Holland Water/Sewer Supervisor RH/lk Attachment wordata\wateAdempsey • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan UTILITY EASEMENT 157th St. S.W. Waterline Easement IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned, and hereby grant to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement for the installation, operation, and maintenance of utility lines, to include sanitary sewer and water, under., through, and below the following described property. Trees and bushes in existence at the date of execution of this easement shall not be removed or altered during construction. The City reserves the right to remove any construction interfering with the maintenance of said utility after installed, together with the right to access to the easement at any time for the maintenance of said utilities. No .structures will be allowed to be constructed within the easement area. The easement and right-of-way hereby granted is located in the County of Snohomish, State of Washington, and is more particularly described as follows: That portion of Tract 22, Meadowdale Beach Supplemental Plat, as per plat recorded in Volume 5 of Plats on page 42, records of Snohomish County, described as follows: Beginning at a point on the North line of said Tract 22, 301.02 feet West of the Northeast corner thereof, the North line of said Tract 22 bears North 89 57' West, said point being the Northeast corner of lands owned by Helen Gragg and Elizabeth Coghlan; thence South 1 12' East along the East line of the Helen Gragg and Elizabeth Coghlan property 311.27 feet to the Southeast corner thereof; thence South 89 40' West along the South line of said Gragg-Coghlan property 20.0 feet to the true point of beginning; thence South 89 40' West 127.35 feet; thence North 0 26' East 20.0 feet; thence North 89 40' East 126.84 feet; thence South 1 12' East 20 feet to the true point of beginning. TOGETHER with the most easterly 20.0 feet of the south 20.0 feet of the following described property: Beginning at the Northwest corner of said Tract 22; thence South 01 01'01" West along the West line of said Tract 22, 191.6 feet to the Southwest corner of a Tract conveyed to Grace V. Ferral by Statutory Warranty Deed recorded September 7, 1972, under Snohomish County Auditor's File No. 2262461, the true point of beginning; thence continuing South 01 01'01" West along the West line of said Tract 22 for 122 feet to the Northwest corner of a tract conveyed to Hugh E. Gardner and Edith J. Gardner by Statutory Warranty Deed recorded January 5, 1971, under Snohomish County Auditor's File No. 2179355; thence.North 89 40'00" East along the North line of said Gardner Tract 205 feet; thence North 00 16'00" East 20 feet; thence South 89 40'01" West 20 feet; thence North 00 16'00" East 101.36 feet, more or less, along the West line and Northerly projection thereof, of a tract conveyed to Clarence A. Bates, a single man, by Statutory Warranty Deed recorded July 5, 1973 under Snohomish County Auditor's File No. 2303059 to the Southerly line of that certain private access road, 20 feet in width, described in deed filed for record under Snohomish County Auditor's File No.'s 1288464 to 1288468, inclusive; thence North 89 40'00" West 183 feet, more or less, along the South line of said Ferrell Tract to the true point of beginning. THE CITY agrees to restore to substantially the original condition such improvements as are disturbed during the construction, maintenance and repair of said utility or utilities; provided the grantors, their heirs, or assigns shall not construct any permanent structure over, upon, or within the permanent easement. DATED this day of , 199_ STATE OF WASHINGTON ) ss COUNTY OF SNOHOMISH ) On this day personally appeared before me and to me known to be the individual (s) described in and who executed the within and foregoing instrument,' and acknowledged that signed the same as free and voluntary act and deed, for the uses and purposes therein mentioned. UNDER MY HAND AND OFFICIAL SEAL THIS 199_ rl'b i f7l DAY OF NOTARY PUBLIC in and for the State of Washington residing at: WATER 157.DOC . .._.r`: nn...,,�,:e�'-5,-!'�-!:{ri-'�,....n�-�..-.,r�.rr, �:`-. .•�....f�T•,.�M��;.rW4".,� :v �° .�f�-a ;r--, �`�.. y. �; - - '' Citxgf.,Edmond AY CON T . N RIGHT -OF-WAY S R CTIO i. .:. PERMIT Num b "o, 0 8�� 90 19� A. Address or Vicinity of Construction: Permit er. Issue Pate: 7119 157 St SW (9411524) B. Type of work (be specific): Install 1'k" PE IP Main in 157 ST SW from' 1871W center a6hytment to 3071W centermmnnument & 70 Av. C. Contractor: Washingman Natural Gas Company Mailing Address: 815 MercersSt, Seattle WA State License #: 8 9 D. Building Permit # (if applicable): Contact: Frank Swan Phone: 224-2278 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project x❑ Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes ®No G. Size of Cut: H. Charge $ APPLICANT TO READ AJaakai N INDEMNITY: Applicant understands and by his signature to this application, agrees to hy of Edmonds harmle5 inl s; damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be madhl City of Edmonds, or any of i sKepartments or employees, including or not limited to the defense of any legal proceedings including defense cosndtg; nii attorney fees by reason of granting phis permit. -,Ire THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A�P,ERIOD OF ONE YEAR FOLLOWING ��THE FINAL INSPECTION ACCEPTANCE F THE WORK. ESTIMA TED RA LL BE HELD UNTIL T FINAL S.TR ET /S CO/PLETED B�' C/T }' FORCES, AOT WHICH 1ME A DEBIT OR CREDOT W//LLOBF ROC'ES�F`D FOR ISS[%ANCE !O THFt�PPLrILF'ANT. PATCH Construction drawing of Oroposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. 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 working day; NO EXCEPTIONS. Ihave read the above statements and understand the permit requirements and thepink copyof thepermit will be available on site at a lLtirfie-s for i sp ctton purposes. Signature: Date: Ooaber 3, 1994 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY �T�P APPROVED BY: 4_ RIGHT OF WAY DEPOSIT 066 d TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND 111: SPECIAL CONDITIONS: COMMENTS: DATE: RESTORATION FEE: — PERMIT FEE: TOTAL FEE: — RECEIPT FEE: ISSUED BY''� NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 I %" PE CAP FI F_L17 1 01 PE 3' PAST FIF_LE 156 ST 5W FI E LD LOC. PE ELI )° e t'lt �t 110 . J Lr. WV dD 25' GD 1 • M L N � O • 50. R/w j� l �n SQUEEZE 9- BUTT FUSE IB7'W 1 -7O AV fin/ 4-'N PL I I' S OR 4' N PL NOTES: EDMONDS 1.) FIELD LOCATE ALLUTILITIES CALL 1-800-424-5555 48 HOURS BEFORE DIGGING INSTALL .LOCAL--NG WIRE 01fLR ALL PE DIRECT BURIAL PIPE 3.) INSTALL A ONE POUND ANODE FOR EVERY 1000' OF LOCATING WIRE 4.) SURVEY IS NOT REQUIRED 5.) MAINTAIN A MINIMUM OF 5' HORIZONTAL AND A 7' VERTICAL CLEARANCE FROM ALL CITY UTILITIES AND APPURTENANCES CUTS ANTICIPATED 8.) COMPLETE EXPOSED PIPE CONDITION REPORT WNG FORM 1563.13 (D-1) 5 2 _I%4 X _9_0P E ELL- 60- 25 4 2_ I %" PE Cti P 52 (030 3 I. I%"A_I!9- PE TEE 7&-230 2 441' hW4 -_AuGE_0E7-Ec�7- w►RE- 95-g4-0 I 4.4:1 � I %4-" S P R -1 l PE P/ Pc 70-170 I TEKA QUANT. UEscnwl ION STOCK NO. BILL OF MATERIAL PERMITS: EbMo!Np5 1!4 SEC: gW 5-27-4- PLAT: 15 7.70 OP MAP: 156 , (,S AREA: 21 —7 TAX CODE: Washington SEO. matuea-1 s A`Alhlw)gtmF.ncrgyCnn-parW D.G.R: 10-5-'1+ 1;4 ' SR -II PE 1 P MAI N EXT. TO: 15-7 12 -1 1 AV W. DWN: p. \VUBj3EN S `J l9 Rq— IR — _ RR NO. DESCRIPTION _C_HKD'.._ JOB 91-1 192—+ Cv DRAWING'�-Gty I ,.— AP('; �i• lrfr= ... .0 1� I l �� L 0' STREET FILE CITY OF EDMONDS LARRY S. NAUGHTEN 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 MAYOR COMMUNITY SERVICES: PETER E. HAHN Public Works • Planning • Parks and Recreation • Engineering DIRECTOR **PLEASE NOTE: THIS _IS A_CORRECTION-TO A -PREVIOUS ADDRESS CHANGE 1 May 31, 1991 Michael Gillie 7118 - 156th St. SW Edmonds, WA 98026 RE: Address Change In response to your request, the address of 7118 156th Street SW,has been changed to 7119 157th Street SW. The City will notify all applicable City departments of this address change; it will be your responsibility to notify all others including the Post Office. The Post Office has guaranteed postal service of up to one year on the old address. Thank you, Sharon F. Nolan Permit Coordinator cc: Fire & Police Street Files / Address Files,/ Public Works Utility Billing 0 Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan Oil FILE TREET CITY OF EDMONDS LARRY S. NAUGHTEN 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 MAYOR COMMUNITY SERVICES: PETER E. HAHN j Public Works • Planning • Parks and Recreation • Engineering DIRECTOR 8g0-lg May 29, 1991 Michael Gillie 7118 - 156th St. SW Edmonds, WA 98026 RE: Address Change In response to your request, the address of 7118 156th Street SW has been changed to 7121 157th Street SW. The City will notify all applicable City departments of this address change; it will be your responsibility to notify all others including the Post Office. The Post Office has guaranteed postal service of up to one year on the old address. Thank you, Sharon F. Nolan Permit Coordinator cc: Fire & Police Street Files-" Address Files Public Works Utility Billing • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan ' • ' CHESTIER R. BENNETT ATTORNEYS AT LAW 400 DAYTON, SUITE A STREET EDMONDS, WASHINGTON 98020 FILE 776-0139 CHESTER R. BENNETT PETER W. BENNETT City of Edmonds Building Department Edmonds Civic Center Edmonds, Wa 98020 Attention: Janine Dear Janine: July 25, 1986 STREET FILE In re: Request for Access to City of Edmonds Building Department file for residence at 7g11-9 - 157th SW, Edmonds, Wa. BUILDING J U L 2 8 1986 Greg Wilson and I represent Mr. Garth Oltman who recently purchased a home at 7117 - 157th SW in Edmonds. That home was previously owned by Mr. Hubert Bowman. Mr. Oltman is having certain problems with that home and in order for us to properly and thoroughly investigate his potential claims, I need to see the original Building Department file on that home. I request that I be allowed to see this file and make necessary copies of pertinent information. Please advise me when I may see this file. Thank you. Very truly yours, p w / - b:wbh l� Peter W. Bennett ccMr. Greg Wilson CITY OF EDMONDS PUBLIC DEPARTMENTxryEN,G.I NEER I *41VISION P P I T('ATI MeJ i:no RTf;uT-nr:C64VQrn�JCTDIIrTTnrl DDDMTT THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES Applicant to Complete Parts A and B A, Permit to be issued to: Space/Time, Inc. For Work at :(address or vicinity) 157th Street S.W. at 70th Avenue W. ype of Work to be done: Construct gravel roadway on Public Right of Way (attach drawing when applicable) Time Required -- Start: June 1, 1978 Finish: June 5, 1978 Owner: Space/Time, Inc. Name 13654 N.E. 16th Street Mailing Address Bellevue, Washington 98005 (206) 746-0870 City State Zip Telephone Number Contractor: Space/Time, Inc. 223-01 SP-AC-ET-*244C6 Name State License Number 13654 N.E. 16th Street Mailing Address Bellevue, Wa. 98005 .(206) 746-0870 City State Zip Telephone Number ** NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE ** B, INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will'be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is subject to inspection and restoration in accordance with City Code. A 24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220. I understand that this permit must be available at the job site for inspection purposes at all times. Signature: Date: Z AW_ Owner or Age C, TO BE COMPLETED BY ISSUING :AGENCY: Date Issued: _Permit No.: 7 f 3 Fee: Security Bond: Time Authorized:] APPROVED BY Date: S,3 qp STREET FILE* s� tL a ",:: '.2 ..�o ... ' ! yerl �14 /�7 t dL-J I � N N STREET FILE SEATTL.E-FIRST NATION4L BANK LELAND H. HENDERSON Vice President Nn �Z52 1�� IV1f May 29, 1978 BELLEVUE BRANCH RECEIVED MAY' 31 1978 Public VVo(ks UePi- Mr. William J. Nims ) I I6-7144 STD City of Edmonds Civic Center ` v'/� 250-5th Avenue North spptG� lilrng ) )MCI Edmonds, Washington 98020 Dear Mr. Nims: RE: Edmonds File S-57--66 Developer - Space/Time, Inc. Savings Account No. 0601022918 With reference to the above identified matter, this will certify that this institution has a savings account for the above referenced developer for the subdivision so identified. In consideration of the permitted development of the property, and in lieu of a performance bond, this institution hereby agrees that it will freeze the follow- ing sum of money for the required improvements -pending written authorization by the City of Edmonds. Improvements required per City codes and requirements established by the City Engineer, City Planner, Planning Commission and City Council. TOTAL ....... $2,000 The total sum just indicated will be withheld by this institution from any disbursements of any kind until written authorization has been received by the institution from the City of Edmonds to release the sum of money indi- cated by the written authorization from the City. The design, location, materials and other specifications for the indicated improvements are those required by the City of Edmonds as'appear in the above referenced Edmonds file. 10555 N E EIGHTH i P. 0. BOX 907 i BELLEVUE, V&',V3HINGT0N 981109 / TEI EPI-IQNE (206) 58.9 6267 J/LFF/RSTNA7IDNAL U,7NK !� Mr. William J. Nims 2 May 29, 1978 In the event the developer fails to complete the indicated improvements within 12 months, the City of Edmonds may demand that the improvements be installed or completed immediately to City standards and the balance of the frozen funds be utilized for said installation or completion of improvements.. It is expressly agreed that any funds maintained in this account shall be'released to the City of Edmonds upon demand made by said City. Sincerely, RECFIVFn MAY 31 1978 eland H. Henderson Public works wept. Vice President LHH/ch Agreed_to Approved;—� STREET FILE DATE: MEMO TO: Building.Division Community Development Department FROM: Engineering Division Public Works Department �1 SUBJECT: 'i - . S i w • �VI� K �N 1J After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is the responsibility of the contractor. (2) The contractor is required to keep the abutting streets clean- ed ot dirt and debris caused by the construction. (3) A "Right -of -Way Construction Permit" is required, from the Engineering Division of Public Works, for any work within the Public Right -of -gray or public easement. 4) Driveway slope not to exceed 140. GCS . =► = �;. _ 491 = IV PIV 5/77 PO WORKS DLrtiK �,•,�� �..� BUILDING PERMIT REVIEW _..�`. i 4 �wwwww Street Right -of -Way Existing -j 0 3 D READ N Access Easements Existing READ ;y Utility Easement Existing READ Lot per Subdivision Plat Assessor Map< 1N" 4- C" C- Site Plan Checked for Accuracy IS/-7 Underground Wiring Reqd. 0 Check Accuracy of Legal Description Gam- rj Environmentally Sensitive Area Environmental Checklist Reqd. Flood Hazard Zone Shoreline Management Area Slope, Soil, Vegetation Stream, Creek, Drainage Basin Existing Zoning Per Code Amenities Design Board Approval Reqd. Q 0—M ADg # --- Approval Board of Adjustment Approval Reqd. Review By: '� rMr=s•n _ A : Date: ;7 Cj '7C� X Existing Water Main Size Z"G,•f�v =xzaszxX�r�srx�r K Water Main Reqd. k)A Service Line Reqd. Hydrant Size Existing A.)A Hydrant Reqd. Per Fire Code — - Size 4 Detector Check Meter Reqd. Np qCross Connection Inspection A,)D Fire Department Comments Water deter Charge Reqd. t Review by : — Date: - da'��B Septic Tai c Design Approvec —•�s ate: I Septic Tank Permit Reqd. Y f Permit No. - Sanitary Sewer Availability Proj Drawing No. Side Sewer Availability File No. — Sanitary Sewer Connection Fee Reqd. — Review By: 12jil�:./� Date: 0 STREET FILE DATE: MEMO TO: Building Division Community Development Department FROM: Engineering Division Public Works Department SUBJECT: After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is the responsibility of the contractor. 2) The contractor is required to keep the.abutting streets clean- ed ot dirt and debris caused by the construction. (3) A "Right -of. -Way Construction Permit" is required, from the Engineering Division of Public Works, for any work within the Public Right -of -Way or public easement. slope not to exceed 14%. ,(4) Driveway 01 W. ; i -C-4 � =�-1 P; b- a K!- PW 5/77 PUBLIC [,bRKS bEPAR'IM0JT CHECKLIST BUILDING PERMIT REVIEW Date -71 t'-15A TA Sj` S- .*j Address Street Right -of -Way. Existing 3 I3 '' REQD Access..Easements.. Existing z . REQD` .� , 4 .. ,Utility Easement Existing REQD Lot per Subdivision Plat Assessor Map��/ 4--� Site., Plan, Checked for `Adduracy Underground Wiring Reqd. O Check Accuracy of -'Legal Description Environmentally'Sensitive Area Environmental Checklist Reqd. Flood Hazard Zone Q Shoreline Management Area .,Slope, Soil, Vegetation N� Stream, Creek, Drainage Basin Q Existing Zoning Per Code Amenities Design Board Approval Reqd. ADB # Approval Board of Adjustment Approval Reqd. Review By: �UA�" Date: %5-1<N Existing slater Main Size 7 " 6,*t-y, Water Main Reqd. A, A Service Line Reqd. Hydrant Size Existing A)A- Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. AAp Cross Connection Inspection A W Fire Department Comments Water Meter Char e Regd. 3SDeo w� Review by: u Septic Tank Permit Reqd. Sanitary Sewer Availability - Drawing No. Side Sewer Availability Date: Date: IWI It Permit No. - • Proj . File No. Sanitary Sewer Connection Fee Reqd. Review By: Date: Open Ditch ExistingReqd. ti Culvert Reqd. .� /� -�� Sized c :Catch Basin Regd. Jr�e Indicate on S o Shoulder drainage mi.ntai_n collection on s�aale open rLnioff,L F+ rf tll-Ulole re d. �(lfiup Indicate on Site Soil Conditions and Ground Water field CheelcecI - 0 Re"'iew by� Date •l�v ��� Street Paving Reqd. I�cj' '�j PAN l N441 22 H Curb and Gutter Reqd. , W Sidewalk Reqd. 1 w Curb Cut for Driveway Reqd., 1 � c4 Right -of -Way -Construction Permit Reqd. H Bond Reqd. for Public Inprovement's: Y �� Street Name Sign Reqd. Other Signing.Regd �4 0 Pre Perndt Site Inspection made on z BY: SM- ,'ER E-+ U W WfL WATER V ►-+ z H STREET ENGINEERING Plan - C 90 ^a XL Special Requirements listed in h % to Comntu�ity Developr�nt Department, � Building Division BY Date o All items filled in''on Building Permit Application BY Date a' Drawings Stanmed and Notations IIade w BY Date Approved by Public Works Departs-a7t Revised: 7_v 10-1977 CITY OF EDMONDS :ENGINEERING DEPARTMENT 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to:-:.....Frank:_Mc!<e.n:neY....................... For installation at: (street address).... 7.1.:1.7....... -15:7t.h... S..W..y,...Edmonds.,..WA.............................................................. Addition or Subdivision ...... (see... ............... Lot .... 22....... Block ................ Ptn Meadowdale Beach Supplemental Plat Type of Building: New ----- X..... Existing .......... Single family residence X . Number of bedrooms 3 *. ... Other: (specify type or use) ....................................... . .... ....................................... Builder.................. .......... ....................................._............ Address.. ..................---- Designer. Reid , .Middleton & Assoc. Address _ 324 _Main.-S.t.. ,.. Edmonds.,. -WA .- ..... Soil Log Hole No. 1------0"-48" Gravelly sandy. loam; 48" Cemen.ted . s i l t.y...coars.e...sand... . ..................................................... (hardpan)............................ Soil Log Hole No. 2------0"-34".._._Gravel-l.Y.._sand.Y---1-oam.;._.34"--36`.'.....CI-ayey...5a-nd...w/.mo.tt.l.es...@... 341' deg,th.............................................. Elevation of Water Table, if encountered. (Distance from ground surface) ....N,one encounte.red............... Corrections to control surface water if needed....... Not ... needed ........................ ............................................................ Specify if any removing or grading of topsoil in field area... Do not. remove existing topsoil .(on l.y._.... 1 ..yht. egu i.pmen-t..-to.,_be._.used__.t_o.._i.ps.ta.l..l...dra.inf..i.e.l.d�. .. Percolation: 1 1 . 1 min/ i n Fall in minutes inch -bottom 6" test hole Test Hole No. 1 —Average Rate .................................... ( /' ) 6....6.7 m i n/ i n ..... Fall in minutes inch -bottom 6" test hole Test Hole No. 2 —Average Rate ................................ ( /� ) Test Hole No. 3—Average Rate.. 5 .. 0 m i_n/ i n (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design 10 .m i.n/ i.n... ....... .. Date Taken ... .3/..1.4/-78-.. Septic tank requirements based on present rules and regulations: Septic Tank Size..... i..,.000� .gallons. Amount of Square Feet of Disposal Field ........ 4. 4 7 Signature — Designers:�J �.�ti-...... ............ ----- C(� . l Date .._ 3/.20/78 DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued ( date) ...... 4 V ' �j.."" l .Z;..� ..... _ Permit Number.... ...¢' -... . Remarks :............ ..... ..............................................................................................................._.................................---------....:...................................... o IG • aQ ssc.� Fwr,4 r� BVILDIN• OEPApoiwit FiilFRIVS so" NUM/tin.kdl HNvv Lillm�� A�l1CATION ��NAM (Ow NAM OF su11NE11) � 1 lA/ NAMAIUNO ME AiYatiC ITY 1 `f77 owaLd L M S041 au ,� � SLEPNONE NUMSE 4 F ogd L qw - w ood 31 U Lea coin Wad 4 aa3 -p(-P, -O - 143 ITTTM t 4aij o;DT 11 or Attwh Pow r NO ►IISLIC MIUHT O/' WAY PaR ORDINANC& NO a%Ia11Nu RIuNT Or WAV— O *AV-15 ►N OPOSaa NIUMT Or ,-- DSrICISNCV or RIGHT OP WAYNo STREST'UTILITV WORK Nrau1R01D. PERMIT POOR WOPWIN ►uel-IC OR/Mi �YLf `. NO UNOSRGROUNo WINING REQUIRED .YSf I�NO CONNECTION TO fANITANY /1M1[R (.]YES o PEPTIC TANK PERMIT R[Ou1Rto OYES ONo SE►TIC TANK PERMIT NO. /1E MEMO OATED 45 6 C V f #I, i IG -1 U i ie 516 NLAIVUL. SIGN AREA ENV. REVIEW ,,Ari1a MO. ALLOWED PROPOSED COMPLETr Eseas" N I I N Pas .-- rz- VARIANCE OR CU PLANNING MCVI[W SY DATE LOT COVERAG! V ARM S f10[ Sa Nth �wEN OENTIAL LPN[ ►ORONTAS yyft of `C/ON[TRUCTION COO[ % (� HEIGHT �Ot� MONW.0ESIDENTIAL ❑ SIGN J v N E AAO El DEMOLISH RETAINING WALL CiAL IN C:TOR REOu1RED AREA OCCUPANCY , /_ nO GROUI1, .?—' OOCUPAII LOAO ❑ 1O VH a ALTtw a on FILLTE �; ENCE X—/T') DES K :O I L1•ATVEO IN THE CITY SALES TAX OF EOMONOS. LOCAL watrwlw Poo -MOVE D rocs SHOULD BE CODED 31.04. INSP. RS7MARKS lurs"Wo OF STOWsits NUM1[R or LAT DRJ /► t OFO (�t1 4 WP44. Psyt DWELLING I UNITS IATulat OI MIOwK TO SE oON[ �. _�„�q�_ p ( V LR'y� A D ya PLAN CHECK F[[ VALUATION fag 4V _ O — su1Lo1NG _ q 31 6�� IF — wwTTINo sTwc[Tfl ..-------_. s PLUMSING-- 6 MECHANICAL FENCE -'-- SIGN — RETAINING WALL WIMMING POOL 1 herby adtrowkd;e that I have read this application; that the in. TOTAL AMOUNT DUE 1 formation given is correct; and that I am the owner, or the duly author - i agree to comply with city and state taws regu• APPLICATION APPROVAL ad spot of the OVA,-dr. ,god ,sting construction; m%3 in doing the work authorized thereby, no person THIS PERMIT in vi Astlon of the Labor Code of the State of Washington This application is not a pe unit will be employed relating to Workrl'1 Compensation Insurance. AUTHORIZES m until signed by the Building Official or his Deputy; and fees are paid. and NOTls Ptlw90 L" QN YOW(F.xcept DEMOLITIONS and FILL. ONLY THE which shall be completed in 90 WORK NOTED receipt is acknowledged in spece pro PERMITS without c..nditional use permit, days, MOVED -IN BUILDINGS shall be completed in six months.) INSPECTION DATE 11GNE0 DEPARTMENT' vided. OIR[CTOR PION f1GNA U WNE OR AGEN..TTI i %,�i %�/�,s 0- rV CITY O a EDMOND y IA rt��1�i.LL� oNLr. 4 �7 Th+. ItirlRit cowswoAt to bedorw on P:lYiiitOpMtY 775-2525 (awbsI.Calks, drivewiws, doinisif r j My Owwww "- on Hsa punk Rasr"No. eta.) Win rpulre ssp/rats permission. ORIGINAL - File YELLOW - inspector ATTENTION USE OR OCCUPY A BUILDING OR STRUCTURE PINK - Owner GOLD - Assessor IT IS UNLAWFUL TC A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 306. UNTIL A CERTIFICATE Of OCCUPANCY HAS BEEN GRANTED. UBC 304, 1 o:•/a t • ��b24Z �M�a.w+w�wMmm«m N . Ol�. a r► P �Ih-�t • � �..� ,► ;:.a •.� ,1� �� m dt 4' di oil c 0.19 14 a IVA, �JY DE Pt ENGINEERING 78o2- 4? pry. UEMARKS Civic Center Edm onds, Washington 98020.E Telephone (200) APPLICATION FOR A SEWAGE DISPOSAL SYSTEM-"LWy (Submit 3 Copia) P*10* to be hKod to: ... nn................................................................................................ FW hVINUM1100 at: (street address) Addition or SubdivWaft o W.4.4.1. ...... * .......... Block ................ Type of Building: Now. ..xx., Existing ....... .... Single family residence ..... XX ...... Number of b@drooms_ ­3­1 ...... odd (sp" IM or UN) ...................................... Builder ...................... .......... ...................... .... . ................. ..... Des*w . .......................... Address .... 324 ... Mah...Sit.r.ea too - Admonds.,.. SOU Lot Hole No. I .... Lpqgq .; - .. ............ . . ... LOW ............................. ............................................................................................................................................................. SOU LAC Hole No. 2 ...... 9".7.11..2.1 ....... TPriqtl; ..... 1;117:3.01'..v ry ... G.r.4y.olly ... $.4Y).4.Y.A9.*R . ... ... ... 9. ........................ . ......................................................................... ........................................ .............................................................. Elevation of Water Tablo, it encountered. (Distance from ground surface) ...... N/A . . ............................................................. Corrections to control surface water It needed ................................................................ X/A ............................................ . ....................... I ............................................................................................................................................ ................................... SPodfY it any 1*movft or grading of topsoil in field area . ........... . ........................................ ....................................... I .............................................................. I ......................................... pe. atloon: Test Hole No. I — Average Rate ........... nj.j.n ........... ... ..... (Fall In minutes/inch-bottom 611 tes*.,. bole) Tee Hole No. 2 —Average Rate ......... n I n ...... *"** ..... ­ .... * ...... (Fall in minutes/inch-bottom 6" too bole) Tog Hole No. 3 —Average Rate ................ .. 1. n1 I n. . ... ..................... (Fall in minutes/inch-bottom 6" test bole), Average percolation rate cn which to base drain field design .............II , m(n/.j n ........... Date Takto ... AP Septic lank requirements based on present rules and regulations: Septic Tank Size .... 1.000 ............ gallons. Amount of Square Feet of D 4 ,� tI Signature — Designer .... f ...... ........ ......... Date ... lt- —.- - - - - l/001� ......... DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) ......... ......... ................ ................ Pennit Number . ..... Remarks: "L,JV T)Ff IMONGS • 7802�1 W. DEPr, 'ENGINEERING OW. 4? tYffAMIf1L R Civic Center Edmonds, EMAH g Edmonds, Washington pSOZO Telephc+ne (ZOe) 1 010C I of Me City 6nthoof Wh . Afft"TM FOR A SEWAGE DISPOSAL SYSTEM�RMi�-----�.�,�� (Submit 3 Copies) Ptfm* to be issued to: ................................................................................................ FWisutalkd= at: (street address).................................................................................................................................... Addition or subdivision ......8RA.10 Lot ................ Mock ................ Type of Building: Now... xx .. Existing .......... Single family residence ..... xx...... Number of bedrooms ..... 3 .. ...... Odw(specify type or use)................................................................................................................................................... Builder...................................................................................Address............................................................................. Dmtjoe: ...........................Address....324..Ma.t.n...Si.ceat....Edmonds....Yash........ Soil frog Hots No. i ....Pi!1.... !-1�!'..Grave l I.Y..s!1pdY.. QlmTQD.'f9 ..1..i...l� :'.3�1.'.:.....GKIlXA1.1Y.. . ;.f? it; R......................................................................................................................................................................................... . Soil Leg Hole No. 2 ......p!�_ Z��....T9T`go!.1.►.....:�z.'.'.' '..'.. �4CY... G.f.11Y.411.1.Y:.SAl14Y... 6011F............ ............:... ........................................................................................................................................................................................................ Elevation of Water Tablo, if encountered. (Distance from ground surface) ......... N/A ...................... I............................ Corrections to control surface water if needed................................................................N/.A............................................ ....................................................................................................................................................................................................... SpeeBy K any removing or grading of topsoil in field area.........................................t4/A................................................... _..................................................................................................................................................................................................... Percolation: Test Hole No. t — Average Rate ...........1.r.6 mi n� i n....................(Fall in minutes/inch-bottom 6" tes>. bole) Test Hole No. 2 — Average Rate ....... 5.6 ml n./ i n.....................(Fall in minutes/inch-bottom 6" teat hole) Test Hole No. 3 — Average Rate ...................3.�.2. min/ t n....................(Fall in minutes/inch-bottom 6" test bole) Average percolation rate en which to base drain field design.............k..!!!i..rtL.l.cl.,.......... Date Takan... AP..r0.P.1976 Septic tank requirements based on present rules and regulations: Septic Tank Size ....1, 000............ gallons. Amount of Square Feet of 4 f t Signature -- Designer .... Date ........ DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) ............................. ............ Permit Number .......%.,�......�'�%... Remarks: .......................................................... .......................................................................................... :.............................. f. 0 60-46 o - 10 ei GO A,IMI,, b / i � � � • few MINT AWIwit Fill ItUN f �, NU MeI N- �_,.�+4' �IIAiION Intikk H"vv Lino ig) nwsai tD/t «AM or rtJ SINEa'i ""` hie K?Ra S% / / fw/ tL V ►'" d �W 01 �1 41. Zjvoivt'slnw Na rAT #41AM9 AsraSa+i air: No ✓ {wrh4 �� � 1 L� �'Y• ` V ~ ° , PttlPt_1/.: NI""T OT WAV PRO ONUINANCSI NO -77 % I tf `/ tIII of W A V ��.�.. PNUP47taU N14oMT 00' WAVE ;1o w a L 0�1 � 5Qh Ul PIL16NG V UP N4404T OF WAY („t/ A att♦1 -....- S7Ftai UYII tTY WORK Rr OU1Ra t) gitlaffi PINMIT FOR WORK IN PUNIi lf. R!W �Yaffi :NO GtTY +•/V [LtPNON[ "WMrtw UNQ[R4ROUNu WINING REQUIRED �VKffi t 'NO V 4 IS 4ah,� CONNscT1aF1 TO SANITANv Sswan VES sn* i 11 NA SEPTIC YANK PERMIT Rs6U1RsD NO A 1 Rt4 tvs viI SEPTIC TANK PERMIT I SEE MEMO GATED NN ©Q 37 « N c REMARKS v * It '13 P / 11 W x du CHECK V p Qlp*M MhOIN SSI or Attwh Four Copies c M RC` (emu tAiDAb f 16N AREA ENV. REVIEW apr NO. -- - A1IAWCO Ntprns[O COMPI.ETK axowr REMARKS VARIANCE On GU PLANNING REVIEW rY DATE VARY% LOT GO/gV[wA6E �'y FRONT SIDE Z GAS 2 "GW {'Z9 oerlo[NTIAL ®LINE NETRUCTION COOS HEIGHT IWN-R611DENTIAI a 616N °V • N 1 i 73 30$Mi Pw °""- AILtIO Q DEMOLISH p WALL NIN6 RECWtlwWOR AI ` 8o OCGIMA«Gr_ ANT IO 6ROyUI�S,,L�rL tAAD L ALTER EXCAVATE /[NC[ Y[E NO® Ow FILL 1 X_PT1 N - ry H 1 1 L ATED IN THE CITY OF EDMONDS. LOCAL SALES TAX wcrAlw rwE MOVE POOMiSHOULD BE COOED 3f.04. ❑ l«rr. tw nF rTtDw/er NUMrER OF ^ � 0Qo 1 / Y DWELLING ' LOT DiLAlQP42iI Pew UNITS S KATIAIar or WORK To rc DONE TAF � p (IJ�sU L T1OIJ �g r r 0 PLAN CHECK FEK VALUATION rag _ E •T/ E Y K SUII_OINO �v� t1 A;UTTI«6 STw[ETS) - Zlo PLUMOING r MECHANICAL raNCE It SIGN wSTAINING WALL O U WIMMING POOL I ietaby aeltaowledge that I have read this application; that the in TOTAL AMOUNT DUE Z e formation gi en is CoiI and that I am the owner, or the duly author- i"davfflt of the owne1% t agree to comply with city and state laws regu- ATTENTION APPLICATION APPROVAL iati»pt Construction; ma3 In doing the work authorized thereby, no person wdlbe employed in violation of the Labor COde of the State of Washington THIS PERMIT This application is not a permit rViating to Workmiri I Compensation Insurance. AUTHORIZES until signed by the Building Official Or �q QM Y�(E'xccpt D1I OLITIONS and I ILL ONLV THE his Deputy; and fees are paid, and NiMRAIII,S without c. nditinnal use permit, which shall be completed in 90 WORK NOTED receipt is acknowiedged in space pro- fs It OVEPiN Bt'ILVINGS shall be completed in six months,) INffi►ECTION vided. ,i16ryA gI A+ WNER Ow AGENT GATE 610NIKD DEPARTMENT - DIRIrCTOR f161°!A/:}! y CITY 01" 4L 7 rOMONDS DAtt Tt�I tsarmw aeows WOrb to be done On P•ivate pp obwty ONLY. 775-2525A" 061emeweI so the public d resin (aurin; tlldwrelks, drivawsys, y wars" aaa, OIL) Will "lufn sspwsa parmlielon. ORIGINAL t:iIt+ YELLOW Instepctor ATTENTION PINK - OvNnPl GOLD - Assessor IT IS UNLAWFUL TC USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE Of OCCUPANCY HAS BEEN GRAD. UBC 304, 306. rot#-7a