716 MAPLE ST.PDF11111111111111
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716 MAPLE ST
CITY OF EDMOND
PUBLIC WCM — ENGINEERING
ACTION REPORT
3393
SUSPENSE DATE:
Date: Time:
File #
Attachments:
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SUBJECT:
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REQUESTOR: NAME:
ADDRESS:
PHONE:
REQUEST.RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE 'i--
OTHER: r—,
RECEIVED BY:
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ACTION:
All Concerned Notified
Action Completed/File
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TO Harry Whitcutt
Building Officia]
FORM 41 - LITTLE'S
INTLOOFFICE COMMUN*TI1IS
DATE December 2, 1974
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FROM Bill Nims
Engineering Department
SUBJECT: Building Lot at 716 Maple Street
Sometime back, I referred a citizen complaint to your office re-
garding the site work on private property at the subject location.
The owner has cleared the site and created a drainage ditch which
flows from his property to the alley between Maple and Alder, then,
continues to flow onto property at 716 Maple St. I suggest that
the owner be notified of this situation so that he can make the
necessary corrections.
WJN:mjr
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BUILDING PERMIT (NEW
COVENANTS (RECORDED)
CRITICAL AREAS:— D5. TO DETERMINATION: ❑ Conditional Waiver ❑ Study Required aiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: Z D5
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: to BLOCK:
SIDE SEWER AS BUILT DATED: CLUGyl' �Z
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD. DATED:
OTHER:
LATEMP\DSTs\Fomis\.Street File Checklist.doc
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Critical Areas Checklist CA File N
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/ Location 1 to iV LG S-TT
2. Property Tax Account Number: 0 9 y n nZ; o 0
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? jZyes; no.
If yes; how is site developed?. S i 6� FFYvtit I LEE> i O Nst�L_E_
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: slopespresent on site .of -more than 15% and less than 305/6 (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: o Approx. Depth:,
7. Site contains areas of seasonal standing water: " N i7 ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water' course.
9. Site contains a creek or an area where water flows across the grounds surface? : Flows are year-round?
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:
For City Staff Use Only
1. Plan Check Number, if applicable? N oyI t kyl o wyL ,
2. Site is Zoned?. P-5 - co.
3. SCS mapped soil type(s)? (Pi .A 1 dtvwoo di Vylo AM I.-Unn d Lo" 14 8 -- 151/. Sl op e-s
4. Critical Areas inventory or C.A. map indicates Critical Area on site? ies - w y t an t ra , �'oV
AYy_•a. 'a0(10(,t-A+ P-c- GA- nna-P
5. Site within designated earth subsidence landslide hazard area? 1J 0 -
DETERMINATION
STUDY REQUIRED WAIVER
Reviewed bv: /a I A lA111✓t/ Date: 0 (0 / 0 3 / ?iD0
`°c. t 99�
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City o dmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
befilled 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 Half. (Critical areas inventories, maps, or soil
surveys).
Date Receive&S- -2 -7 '" c'S
City Receipt #: 7�19 2 tO c4ao
Critical Areas File #: GA- 2_00157. 0-+9
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,iri conjunction withthis Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs,' and assigns, in consideration on 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 herewith; submitted are, true and correct- to the "best of my
.. knowledge and .that 'I am authorized to a application on the behalf.of the owner as listed below.
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. ttendant to this application.
.-=
SIGNATURE ! F OWNEI; DATE
Owner/Applicant:
Name ,
`
. T�W
Street Address .
.t
EDwi 0�,AdS L"4Y-A- C-1 6-L J _
City State Zip
Telephone: �S -
Applicant Representative:. `
Name
Street Address
City State Zip
Telephone:
Email address (optional): Email Address (optional):
APPLICATION
The Cityof Edmonds for
SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION O REPAIRS
103-08400
OWNER..................D•-...R'......y�n....------------................................---............... CONTRACTOR.........------------...........-----------.....-----------------................................. PERMIT No.......................
ADDRESS .............. 716-Map-1-e... treet.................
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................... LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No.............................................
NAME OF ADDITION..............................................................
DYE TESTED ON SEWER
JULY, 1972
Approved:
DATE................................................ By
�'" �' d � IC MRKS DEPARI=. CHE� �JJ-Z % Date
, ,� .` ,`K �„; ..- BUILDING. PERMIT REVIEW s
Address
Street Right -of -Way Existing �'�'�f� REQD '� •
Access Easements Existing REQD 1
Utility Easement Existing REQD
Lot per Subdivision Plat Assessor. Ma \k
Site Plan Checked for Accuracy
Underground. Wiring Reqd.
Check Accuracy of Legal Description
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. ADB # Approval
Board of Adjustment Approval Reqd.
Review By: K3 LAN� Date:
ting Water Main Size
04 Service Line Reqd.
w Hydrant Size Existing
Hydrant Reqd. Per Fire Code
Detector Check Meter
3
Cross on Inspection
partment Conments
W er Meter Charge Reqd. _
Date:
Septic -rank uesigp t�pprovea
Septic Tank,Pezmit Re
Sanitary Sewer Availability _
Drawing No
w
3 Side Sewer Availability
w Sanitary Sewer Connection Fee
�= Review By: /
Size
liate:
Permit No.
Proj .
File
Date:
AMAAL
Open ch Existing Reqd.
Culvert Req Size
x Catch Basin Regd. Indic ite Plan
o Shoulder drainage maintain collec a e open rLnnoff
"' i•L•znhole re Indi on Site Plan
nditions and Ground Water :Field Checked
Review by Date
Street Pav qd.
E-�
Garb and Gutter Req .
'w Sidewalk Reqd.
,.w Curb Cut for aay Reqd.
c� -of-Way Construction Permit Reqd.
Bond Reqd. for Public Improvements
Street Name Sign Reqd.
Other Signing Reqd.
Q. Pre Permit Inspection made on
z
BY: SLIJER
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ENGIN EKING
Special Requirements listed in menb to Coni=ity Development Department,
Building Division ��
BY ts,) 0 MAT;;; /D Date
o All items filled in on Building Permit Application 22
BY Date
Drawings Starmed and Notations Made
BY
Date
Approved by Public Works Department
Revised: Iv 10-1977
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APPROVED AS NOTED 4;. -
BY ENGINE RING
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Date;
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BUILDING DEPARTMENT
CITY OF EDMONDS
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JNINN'dld Ag 03i10Uddti OWNER/CONTRACTOR IS RESPONSIBLE FOR
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