7126 208TH ST SW.PDFiiiiiiiiiiii
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CA FILE NO. 1
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation) ,"; At;�• A. y � r
1. Site Address/L.ocation: /.I Mpri� .S °r•; f
2. Property Tax Account Number: 3$() o6c) 00 b (
3, Approximate Site Size (acres or square feet): MdEIVED
4. Is this site currently developed? ,yes; no.
SEP 15 1995
If yes; how is site developed?_�fte- -
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-few).
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
e horizontal distance of less than 33 feet).
- Other (please describe):
6. Site contains areas of year-round standing water. ,I1 D ; Appr+ox..Depth:
7. Site contains areas of seasonal standing water. f-, ; Approx. Depth: `
What season(s) of the year?
8. Site is in the floodway h C= floodplain of a water course. _ -
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? r'\ d y; Flows are seasonal? (What time of year? )-
10. Site is primarily: forested ; meadow ; shrubs ; mixed ;
urban landscaped (lawn,shrubs etc)_ .
11. Obvious wetland is present on site: r N p
e
ye9 '2.i ivilF d' i71.t�:y ti�•^ _fir sn C, ''•V Ci�w i ,
r7 � as S..
y h J4
�C.—
City Of F.&Onds
G xifti al Areas
Checkli"Pt
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 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 applicant, or his/her representative,
must fill out the checklist, sign and date it,
t.
...
1 !�.F
♦ :l1 ! .. y. .
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
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
plan, topography map, etc.) or studies in
conjunction with this Checklist to assist
staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Name '
Street Address
Applicant Representative:
Name
Street Address
�d 01d':S ' -77?-6bZ 3
City, State, ZIP Phone City, State, ZIP Phone
Signature Date Signature Date
I
CA FILE NO. 95-r
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location:� l'1. � 2I�+-r St SO q_r Mpn� S
2. Property Tax Account Number: O DO + b 1
3.. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; _
RECEIVED
no. SEP 15 19%
If yes; how is site developed?jPERK
COMER
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
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. A D ; Approx. Depth:
7. Site contains areas of seasonal standing water. Ate_; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway j_ floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? h d Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ;meadow —;shrubs ; mixed ;
urban landscaped (lawn,shrubs etc) _X .
11. Obvious wetland is present on site: 1r1 p
P-MOINv4
z� t
k' ��", a�''",,;t.'�.i�l,,D y�r3 ,ter . , s .�.`;; ryf;>��6��u�5,.C9 r"i�d'Fc •>� ;4`7� r' s-
^__ _ �,.� r�^'x�.�� �x� •xrr.A �, �` <- i
_ ...,.... � .. .. "l�-'.II.'..: L± .t.��i.. r.. � y r >�ji.,' "s''r,
pry
City, of I�gmonds _0
xGrritial Areas-C.hepkli
pt..
The Critical Areas Checklist contained one'" `" " �
4 l�
and submit it to the City. Thebty Twill
this form is to be,filled out by any person - �: f - C :review
the checklist, -make a precursory site
preparing a Development Permit `s` `
visit, and make a determination of the
Application for.,theCi ! of Edmonds .prior .1.4 .._ .
subsequent steps necessary to complete a
to his/her submittal of a development p ; :. ,,sf. ,
development permit application.
permit to the City.
With a signed copy of this form, the
The purpose of the Checklist is to enable
applicant should also submit a vicinity map
City staff to determine whether any :.---.:. -
or plot plan for individual lots of the parcel
potential Critical Areas are or may be
with enough detail that City staff can find
present on the subject -property:. The _ :_r:_ - _ nand identify the subject paroel(s). In
information needed to complete the.
addition, the applicant shall include,
Checklist should be easily availablifrom "
'other pertinent information (e.g. sine
observations of the site or data available at '. - :
plan, topography map, etc.) or studies in
City Hall (Critical Areas inventories, maps, __. _..
eoWunction with this Checklist to assit
or soil surveys). :. , _
stab in completing their preliminary
..
assessment of the site.
An applicant, or his/her representative, ,
must fill out the checklist, sign and date it,
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:
Nacre
121t2 X&
Street Address
Applicant Representative:
Name
Street Address
poofd S �� -77 Y-UZ3
City, State, ZIP Phone City, State, ZIP
Signature Date Signature ;
Phone
CITY OF EDMONDS Y
7110 - 210TH ST. SW • EDMONDS, WA 98026 • (206) 771-0235 • FAX (206) 744-6047
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
89p.194
September 7, 1995
Ms. Debbie Linder
7126 - 208th St. SW
Edmonds, WA 98026
Dear Ms. Linder:
LAURA M. HALL
MAYOR
I have received your request for credit on you sewer due to your recent problem
with your sanitary sewer.
am sorry to inform you that the City does not allow credits on the sewer billing.
This is a fixed rate to all residential customers. The cost is derived from the
Operation and Maintenance cost that is distributed to all customers. Therefore,
this cost must be allocated to all customers at the full bi-monthly rate.
Sincerely,
Ron �ol4lan
Water/Sewer Supervisor
RH/lk
word ata\sewer\linder • Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
Avg 3(, IQgS
CITY OF EDMONDS
PUB rIC WORKS DEPARTOI T FOR INSPECTION CALL permit
SIDE SEWER PERMIT 775-2525 Ext. 220 Issue Date
PERMIT MUST BE POSTED ON JOB SITE * qMrML
1. Address of Construction '7 t � W
2. Property Legal Description (include all easements)
3. Single Family Residence Multi -Family o!:oWUn'
Commercial
4. Owner and/or Builder L v "VN Ug^» 1j e CdJI st . 0-J, .�� _� � yr `z
5. Contractor & License No. I. ` N ttI W 5 C { N R
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation). .
7. Cross other private property: Yes No 44Easement required -
attach legal description and county easement number.
READ THE FOLLOWI.NG'AND SIGN:
a. Property owners must obtain a permit to install side sewers on
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")
side sewer line.
d. Side sewers may not be installed closer than thirty inches (30")
to any structure.
e. Side sewer lines must be laid at a minimum grade of 2% (1.15°)
and maximum grade of 100% (450).
f. No turn in side sewer greater than 45° (1/8 bend) is allowed
between cleanout. All 90 turns must be constructed of -a 450 (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 that'I have read
and shall comply with the above
PERMIT FEE:.3a �v
CONNECTION FEE:
,1. O
P' * PERMIT MI
DISAPPROVED By: Date:
By: Date: _
APPROVED By Date
T BE POSTED ON JOB SITE *
r
•
Side Sewer Drawing VIA BALLINGER
LIFT STATION
The City of Edmonds Side
NO.............................................
NEW CONSTRUCTION I REPAIRS so< LID NO. __- ASMT. NO ...................
OWNER .................................................... CONTRACTOR .L, 111?.l�c.?f�o � ................... PERMIT PERMIT NO. 4.e4-t3.
JOB ADDRESS ..... -- 4o - - -- --d-V-.•-� .................... LEGAL DESCRIPTION: LOT NO. ...................................... BLOCK NO. ....................................
..................................................................................................................................................................
NAMEOF ADDITION----------------•---•-•-•-----------............-•---•--..............-----------.........--•------...............-----
Approved:
PWW-0001-11175 (REV.11/78) DATE z G, •. ! ............. By -------------------- -----------
•
CITY OF E D M® N ®S HARVE H. HARRISON
MAYOR
200 DAYTON ST. • EDMONDS, WASHINGTON 98020 • (206) 771-3202
OFFICE OF THE CITY ENGINEER
December 21, 1981
Mr. Thomas J. Chambers
7126 208th St. S.W.
Edmonds, Wa. 98020
Dear Mr. Chambers:
sL- LE
SUBJECT: L.I.D. 206 - SANITARY SEWER CONNECTION
City of Edmonds records indicate that you are the owner
of property located in the College Place Area, and that the
sanitary sewer service is now available to your property.
Residents abutting this sewer main are required to be connected
per Edmonds City Code (18.10.010).
In consideration of the completion of the sewer system and
the aforementioned code, you are hereby advised that you should
make arrangements to make the necessary sewer connection within
sixty (60) days.
If you have any questions, please contact Jerry Saterlie
at 775-2525, extension 259. Permit and connection information
may be obtained at the Building Department, at 505 Bell Street.
Sincerely,
JAMES E. ADAMS, P.E.
City Engineer
JR: jky
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).
r.
OF EDMONDS
uSE PERMIT
ZONEF,Oz,
CITY
NUMBER
CONSTRUCTION PERMIT APPLICATION
'
J08 / �. SUITE:APT a
ADDRESS
OWN NAME NAME OF BUSINESS
rLEGAL
DESCRIPTION CHECK
SUBDIVISION NO.
LID NO
w
MAILING ADDRESS
i
�t �w
O
b k .! �• ✓
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved ❑
RW Permit Required ❑
CITY ZIP
TELEPHONE N�IMBER
•,
` �
-�1- (•' � �•'� ,.�•�
EXISTING REOU.IRED DEDICATION
Street Use Permit Req'd ❑
.
(,V: �' . •,
if/lfr'e
( G \.,f
Inspection Required ❑
PROPOSED
Sidewalk Required ❑ ¢
NAME
�„ ; •,. f , .,�`t -.. (
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED 3
YES ❑ NO ❑ O
w
ADDRESS
~�
_
`
REMARKS Z
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Lu
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CITY ZIP
TELEPHONE NUMBER
Z
Z
NAME,,-.
i
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ADDRESS }
r �,,�; �"" �� {
F—•
ENGINEERING MEMO DATED REVIEWED BY
O
CITY. ZIP
I TELEPHONE NUMBER
FIRE MEMO DATED REVIEWED BY w
o-i..l
I C.�;` �u. ..t
"
O
STATE LICENSE NUMBER EXPI TION DATE
SIGN .AREA
SEPA REVIEW
ADB NO.
0,/.
!� iLi f !��'
ALLOWED PROPOSED I
COMPLETE
Legal Description of Property - include all easements
I
(EXEMPT
,
^^'
VARIANCE OR`CU
PLANNING REVIEW BY
DATE
_ 7 r`
w
0
O ''•
SETBACKS — FEET
HEIGHT
LOT COVERAGE
?
O ' '
w
FRONT SIDE
REAR /
` ''u
a
Property
Tax Account
REMARKS
a
Parcel No. L iL- l
EINEW
x
PLUMBING
RESIDENTIAL
`AJ ADDITION
COMMERCIAL
MECHANICAL
,
REMODEL
APT. BLDG.
El SIGN
❑ GRADING FENCE
CHECKED BY
TYPE OF CONSTRUCTION
CODE
��/
OCCUPANT
GR P
REPAIR CYDS. (T_ x _FT)
_
SETOVE
:
DEMOLISH INSERT ` HOT TUBSPA
OR
OCCUPANT
REQUIRED YES
LOAD
F GARAGE RETAININGCARPORT ROCKERY WALL/ ❑ RENEWAL
REMARKS
O
PROGRESS INSPECTIONS
PER UBC 305
Z
0 (TYPE OF USE; BUSINESS oR Acnv TY) EXPLAIN:
Gela,r�
j J ' fi C,
NUMBER
NUMBER OF
CRITICAL
r
UJI
O OF
DWELLING
AREAS
NUMBER •ri` %
m STORIES UNITS ,�
O
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
.
2.4
, -, it D= ":flit "L"r` - ` -
FINAL INSPECTION
REQUIRED
t
VALUATION
FEE
PLAN CHECK FEE
Z
I
i !Q/ 4,i"i i ) 40 -o ;NG u'S: ai'�.•'•':''k'
BUILDING
HEA OURCE: GLAZING
/
PLUMBING
Plan Check No. w] j.+ 7 •ram
MECHANICAL
This Permit covers work to be done on private property ONLY..
GRADINGIFILL
Any construction on the public domain (curbs, sidewoiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
,�
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spous6, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
N
W harmless the City of Edmonds, Washingtori, its officials,
employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
PLAN CHECK DEPOSIT
of this permit. Issuance of this permit shall not be deemed to
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."
I 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
signed by the Building Official or his/her
ed thereby, no person will be employed in violation of the Labor
ONLY THE
is
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt
tion Insurance and RCW 18.27.
INSPECTION
acknowledged in space provided.
SIGN-ATTURE (OWNER OR AGENT( DATE SIGNED
DEPARTMENT
OFFI CIA ' fIG fsURZ DATE
l
CITY OF
1•-i !t `CJ
EDMONDS
CALL FOR
R E L E A S),Eb an f DATE
ATTENTION r
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
77" Ow20
l 1
OR{GINAL'— File YELLOW —Inspector
Li
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. /j
A
PINK — Owner GOLD — Assessor
110.11117