20030680.pdfDATE
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINSSS
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NAME
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STATVCENSE NUMBER EXPIRATION[ATE CHECVb
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)ROPERTY TAX ACCOUNT PARCEL NO
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PERMIT EXPIRES",
USE PERMIT
ZONE
NUMBER'
JOB
ADDRESS
SUITE/ 0
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IESCP Approved
MY P61WA R-116d
Street Use Perm,
EXISTING — PROPOSED
Inspection Required
sidewalk Required
REQUIRED DEDICATION— Fr
Undorwound
widno required El
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRY REQUIRED
I
YES13 NO 13
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION
CONTROLIDRAINAGE ____i
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COMPLIANCE OR
CHANGE OF USE
LOT COVERAGE REQUIRED SETBACKS (Ft) PROPOSED SET13ACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR
-------
REMODEL
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SIGN
PARKING LOT AREA I PLANNING REVIEWED BY E
ED 1_ 4Zx_1;1a
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REPAIR
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FENCE
( _ X _ FT)
FI-41-uCk -- 42W LA
EMARKS
DEMOLISH
TANK
OTHER
o GARAGE
CARPORT
RETAINING WALL
ROCKERY
E] FIRE SPRINKLER
FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED BY F ONSTRUCTION OCCUPANT
L� J.
ITY
#A,.— GROUP
NUMBER
OF
NUMBER OF
DWELLING
CRITICAL _ZP
AREAS Ogg—
14
SPECIAL INSPECTION JAREA OCCUPANT
LOAD
.STORIES
UNITS
NUMBER
REQUIRED [] YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REO'D
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VALUATION
Description FEE
Description FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
7;;7,
City Surcharge
PLAN CHECK NO: VESTED 13ATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONL% ANY CONSTRUCTION ON THE PUBLIC
Grading
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
15 PERMIT APPLICATION: 1150DAYS
ERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
AM
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk, Deposit
IN INTEREST. AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
X1
_
Recording Fee
Receipt # 22�
1 HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APP'ROVAL -
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building
Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE JASGR-00t3E OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
WORKMEN'S COMPEWSA-TI?
��CE AND RCW 18.27.
OFFICIALS SIGNATURE DATE
IG URE (OWARAR GE DATE SI NED
16, qr
1A19
"L;' 9
703
771-CI220
_'t�D3ATE
R E
ATTENTION
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
j , ORIGINAL -FILE YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
A."A
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HYDRAULIC PROJECT APPROVAL State of Washington
A A
Numay"I Department of Fish and Wildlife
Domt"Of RCW 77.55.100 - appeal pursuant to Chapter 34.05 RCW Region 4 Office
YNOW 16018 Mill Creek Boulevard
win Mill Creek, Washington 98012
DATE OF ISSUE: Jime 23. 2003 01A.-O LOG NUMBER: ST-F3171-03
OCR
At the request of, Jim Williams, on June 23, 2003, this Hydraulic Project Approval (HPA), which now supersedes all previous HPAs
for this project, is a time extension of the original HPA issued February 5, 2002.
Martin & Lourdes Schmitz
870 Northstream Lane
Edmonds, Washington 98020-2636
(206) 816-8411
PROJECT DESCRIPTION:
PROJECT LOCATION:
# WRIA WATER BODY
1 08.0008 North Stream Creek
AUTHORIZED AGENT OR CONTRACTOR
Williams Architects
ATTENTION: Jim Williams
307 Blanchard Street
Seattle, Washington 98121
(206) 448-4076
Rebuild failing retaining wall stones and weirs to protect residence.
870 Northstream Lane, Edmonds.
TRIBUTARY TO 1/4 SUL UQ TOWNSHIP RANGE COUNTY
Puget Sound 13 27 North 03 East Snohomish
NOTE: This project is proposed in a location where fish passage is not a concern.
I TIMING LIMITATIONS: The project may begin Immediately and shall be completed by November 30,2003.
2. Bank protection work shall be restricted to work necessary to protect the eroding bank.
3. Placement of bank protection material waterward of the ordinary high water line shall be restricted to the minimum
amount necessary to protect the toe of the bank.
4. The toe shall be installed to protect the integrity of bank protection mate rial.
5. Bank sloping shall be accomplished in a manner that avoids release of overburden material into the water.
Overburden material resulting from the project shall be deposited so it will not enter the water.
6. Bank protection material shall be clean, angular rock, and shall be installed to withstand I 00-year peak flows. River
gravels or other round cobbles shall not be used as exterior armor.
(not to exceed 0.2 feet) in
7. Bank protection material shall noti constrict the flow and cause any appreciable increase
-wide scour, and shall be aligned to cause the least
backwater elevation (calculated at the I 00-year flood) or channel
effect on the hydraulics of the stream.
8. Bank protection material shall be placed in a manner to avoid damage to existing vegetation.
9. The work shall be done in the dry or in isolation from the stream flow by the installation of a bypass flume or culvert,
or by pumping the stream flow around the work area.
10. Equipment used for this project may operate below the ordinary high water line, provided the drive mechanisms
(wheels, tracks, tires, etc.) shall not enter or operate below the ordinary high water line.
Pagel of3
IN,
. . . . . . . . . .
HYDRAULIC PROJECT APPROVAL State of Washington
Department of Fish and Wildlife
RCW 77.55.100 - appeal pursuant to Chapter 34.05 RCW Region 4 Oflice
16018 Mill Creek Boulevard
wouff Mill Creek, Washington 98012
DATE OF ISSUE: June 23. 2003 VAJO
LOG NUMBER: 5,T-F3171-03
11. Erosion control methods shall be used to prevent silt -laden water from entering the stream. These may include, but
are not limited to, straw bales, filter fabric, temporary sediment ponds, check dams of pea gravel -filled burlap bags or
other material, and/or immediate mulching of exposed areas.
12. If high flow conditions that may cause siltation are encountered during this project, work shall stop until the flow
subsides.
13. Extreme care shall be taken to ensure that no petroleum products, hydraulic fluid, fresh cement, sediments, sediment -
laden water, chemicals, or any other toxic or deleterious materials are allowed to enter or leach into the stream.
. SEPA: Exempt, no other non-exempt permits required.
APPLICATION ACCEPTED: February 4,2002 ENFORCEMENT OFFICER: Lambert 041 [P3]
Tony Oppermann (425) 379-2309 for Director
Area Habitat Biologist WDFW
This Hydraulic Project Approval (HPA) pertains only to the provisions of the Fisheries Code (RCW 77.55 - formerly
RCW 75.20). Additional authorization from other public agencies may be necessary for this project.
This HPA shall be available on the job site at all times and all its provisions followed by the permittee and operator(s)
performing the work.
. This HPA does not authorize trespass.
The person(s) to whom this HPA is issued may be held liable for any loss or damage to fish life or fish habitat which
results from failure to comply with the provisions of this HPA.
Failure to comply with the provisions of this Hydraulic Project Approval could result in a civil penalty of up to one
hundred dollars per day or a gross misdemeanor charge, possibly punishable by fine and/or imprisonment.
All HPAs issued pursuant to RCW 77.55.100 or 77.55.200 are subject to additional restrictions, conditions or revocation
if the Department of Fish and Wildlife determines that new biological or physical information indicates the need f6r such
action. The permittee has the right pursuant to Chapter �4.04 RCW to appeal such decisions. All HPAs issued pursuant
to RCW 77.55.110 may be modified by the Department of Fish and Wildlife due to.changed conditions after consultation
with the permittee: PROVIDED HOWEVER, that such modifications shall be subject to appeal to the Hydraulic Appeals
Board established in RCW 77.55.170.
Page 2 of 3
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0.
HYDRAULIC PROJECT APPROVAL State of Washington
RCW 77.55.100 - appeal pursuant to Chapter 34.05 RCW Department of Fbh and Wildlife
Region 4 Office
16018 Mill Creek Boulevard
Mill Creek, Washington 98012
DATE OF ISSUE: June 23. 2003 MICRO LOG NUMBER: ST-F3171-03
IF YOU WISH TO APPEAL A DENIAL OF OR CONDITIONS PROVIDED IN A HYDRAULIC PROJECT
APPROVAL, THERE ARE INFORMAL AND FORMAL APPEAL PROCESSES AVAILABLE.
A. INFORMAL APPEALS (WAC 220-110-340) OF DEPARTMENT ACTIONS TAKEN PURSUANT TO RCW
77.55.100, 77.55.110, 77.55.140, 77.55.190, 77.55.200, and 77.55.290:
A person who is aggrieved or adversely affected by the following Department actions may request an informal review
of.
rt HPA; or
(A) The denial or issuance of a HPA, or the conditions or provisions made pa of a
(B) An order imposing civil penalties.
It is recommended that an aggrieved party contact the Area Habitat Biologist and discuss the concerns. Most
or an
problems are resolved at this level, but if not, you may elevate your concerns to his/her supervisor. A request f
INFORMAL REVIEW shall be in WRITING to the Department of Fish and Wildlife, 600 Capitol Way North,
-days of the denial or
Olympia, Washington 98501-1091 and shall be RECEIVED by the Department within 30
-day time requirement may be stayed by the
issuance of a HPA or receipt of an order imposing civil penalties. The 30 d/ Ah
Department if negotiations are occurring between the aggrieved party and the Area Habitat Biologist an or his er
supervisor. The Habitat Protection Services Division Manager or his/her designee shall conduct a review and
recommend a decision to the Director or its designee. If you are not satisfied with the results of this informal appeal, a
formal appeal may be filed.
NT
B. FORMAL APPEALS (WAC 220-110-350) OF DEPARTMENT ACTIONS TAKEN PURSUA TO RCW
77.5 5. 100 OR 77.5 5.140:
A person who is aggrieved or adversely affected by the following Department actions may request an formal review
of.
(A) The denial or issuance of a HPA, or the conditions or provisions made part of a HPA;
(B) An order imposing civil penalties; or
or which an adjudicative proceeding is required under the Administrative
(C) Any 6ther "agency action" f
Procedure Act, Chapter 34.05 RCW.
e, 600 Capitol Way
A request for a FORMAL APPEAL shall be in WRITING to the Department of Fish and Wildlif
North, Olympia, Washington 98501-1091, shall be plainly labeled as "REQUEST FOR FORMAL APPEAL" and shall
be RECEIVED DURING OFFICE HOURS by the Department within 30-days of the Department action that is being
challenged. The time period for requesting a formal appeal is suspended during consideration of a timely informal
ormal appeal shall be within 30-days of the
appeal. If there has been an informal appeal, the deadline for requesting a f
date of the Department's written decision in response to the informal appeal.
C. FORMAL APPEALS OF DEPARTMENT ACTIONS TAKEN PURSUANT TO RCW 77.55.110,77.55.200,
77.55.230, or 77.55.290:
A person who is aggrieved or adversely affected by the denial or issuance of a HPA, or the conditions or provisions
made part of a HPA may request a formal appeal. The request for FORMAL APPEAL shall be in WRITING to the
SE, Building Two -
Hydraulic Appeals Board per WAC 259-04 at Environmental Hearings Office, 4224 Sixth Avenue
Rowe Six, Lacey, Washington 98504; telephone 360/459-6327.
OF ALL
D. FAILURE TO APPEAL WITHIN THE REQUIRED TIME PERIODS RESULTS IN FORFEITURE
APPEAL RIGHTS. IF THERE IS NO TIMELY REQUEST FOR AN APPEAL, THE DEPARTMENT ACTION
SHALL BE FINAL AND UNAPPEALABLE.,
Page 3 of 3
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PERMIT EXPIRES
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USE PERMIT
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CITY OF EDMONDS NUMBER ote
JOB SUITa
CONSTRUCTION PERMIT APPLICATION ADDRESS
ON OWNER NAMENAME OF BUSIN�SS
PLAT NAMEISUBDIVISION NO. LOT NO. LID NO.
VMLfNG ADDRIESS LID FEE S
TESCF Appmed
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Perrrift Required
20 N61V71 awy Street Uge Permit Wd
CITY ZIP TELEPHONE EXISTING — PROPOSED InspectsonRequired
Sidewalk Required
UndetWound
- 1A,91A920fi:&1(2 1&Z2 REQUIRED DEDICATION— FT Wiring required
NAM METER SIZE LINE S�� OF FIXTURES PRV REQUIRED
ES 13 NO 13
ADDRESS REMARKS
OWNER]CONTRACTOR RESPONSIBLE FOR EROSION CONTROL10RAINAGE
CITY ZIP ELEPHONE
2'Uj:k oww/gs ;24Z-
NAME CBL#
4WQ22PA1'eW Ay
f9obe? d4a tv/tv 6 ENGINE!EMNG REVIEf4ED BY FPATPI
ADDRESS
'98 70 2 4-95 es
FIRE REVIEWED BY DATE
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CITY ZIP TELEPHONE
___eWWAWbMHWW* INSPECTION BOND
STATWCENSE NUMBER EXPIRATION DATE RE POSTED
[3YES CW(NO
61)o
va(k SEPA REVIM —SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE E X E!T) ALLOWED PROPOSED ALLOW OSED
5
0 tt—) / 0
6;13 2, 60 9) EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SET8ACKS (Fr.)
NEW RESIDENTIAL [j PLUM13INGIMECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR SI DE REAR
COMPLIANCE OR
ADDITION COMMERCIAL 0 CHANCE OF USE
PARKING LOT AREA PLANNING REVIEWED BY TE
ED 44 a
REMODEL MULTIFAMILY SIGN =-�=
(7�a &_ 4212A SL_f
r,�
r7 GPf
REPAJR CYDS EMARKS
99 .4el G_ 0 FENCE X Fr)
6 1---) E
DEMOUSH 0 TANK 0 OTHER
201- Pr
02= 9002 VAi=_
[3 GARAGE RETAININGWALL F RE SPRINKLER
CARPORT ROCKERY FIRE ALARM 6.1:rT
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED BY TY NSTRUCTION OCCUPANT 0 !a
PY-L
j. GROUP
NUMBER NU BER OF CRITICAL
OF M EAS SPECIAL INSPECT ON JAREA OCCUPANT
DWELLING AR ci-iT") LOAD
STORIES NUMBER REQUIRED
DESCRIBE WORK TO BE DONE
PROGRESS INSPECTIONS PER UBC I GO/FINAL INSPECTION REaD
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Description FEE Description FEE z
V
Plan Check State Surcharge 0
__j 1 �5 1 M
HEAT SOURCE
GLA23NG %
LOT SLOPE %
Building Permit
too-
city Surcharge
PLAN CHECK NO:
VESTED DATE
Plumbing
Mechanical
THIS PEWIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUC71ION ON THE PUBILIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATEPERMISSION.
Engr. Review
PFRMITAPPILICATIONI: 160DAYS,
PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 1180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE 114FORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM - ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR;INDIRECTLY.
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF, THIS PERMIT SHALL NOT BE
Landscapeln'p.
Totall Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.�
Recording Fee
Receipt#
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAII
GIVEN IS CCRRECT� AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC-
CALL
This application Is not a parrnIt �!Nl signed by the
Building Official or his/her Deputy: and Foss are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE_LAIRM-MQ I E OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
recelpt Is acknovoledged in space provided.
WORKMEN'$ COMPEPSWO CE AND RCW 18.27.
OFFICIALS SIGNATURE DATE
IG RE R GE
DATE Slf-INED
9,
Vo 0. 3
771 -0220
Ills
SOME
RELE DATE
0
ATTENTION
M 1333
) %-/,/
UNTIL
�T '3
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
-_ I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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ORIGINAL - FILE - YELLOW - INSPECTOR
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