18502 85TH AVE W11111111111111
15422
18502 85TH AVE W
0 0
-kk A / - I �
ADDRESS
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE): [%�O�
COVENANTS (RECORDED)
CRITICAL AREAS: OS5/ DETERMINATION: n Conditional Waiver 0 Study Required Z/Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: 5-20 -05
SCALED PLOT PLAN DATED: Lo*
SEWER LID FEE $: LID #: 15Z
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:— �� 2 7 -10�
SIDE SEWER PERMFF(S) #:-2.&D
f
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
Me
WATER METER TAP CARD DA
OTHER:
LATEMP\DS'l7s\Fomis\Street File Checklist.doc
N FILE NUMBER
Btj1ILDlNG
"'BuildNig
Pemit Application
11cant M
Ty Ines
Ins'Idle"11'em"
T
PERMIT
NUMBER
I A 4
NAXZ.(GR NAbLE QF BUSINEHa)
JOB ADDRESS
4445 6
IDE YARD
SET BACK REAR YARD
1� -7 - W-ts
-7 X,
-r&j"�HONE NUMBLK
USE ZONE
hIAP NUMBER v CANT SITE
4
<(5
/ - -6) 0 NO
0 YES
0
BUILDING AREA
LOT AREA
VAFJANCIrWU—bLBER
z
A
Hl=HT
L BUILDING SETBACKS
NOTE:
TO EAVE IINES
T XPHONZ NUAIB'
REMA RKS
DRESS ).
t Permit PERbEIT NUXBER CHECK
0
..........
Re4uirtd
[3 YES NO 1
Z
11
CITY
ER
AF-tVI Cla-CKED BY
IMTER ;uz CE SIZE CLEA�NCE
z
I
2�!�ATX LICENSE NUMBER
CITY LICENSE NU`ABER
o
tc)
LOT
BLOCK TRACT
TYPE I VERIFI
PERC. TEST PER T
�krUMIIER
FIRE )F CONSTRUCTION STREET IMPROVED
0 YES NO
z
SPECIAL INSPECMR.RFQUIRED GROUP
JOCCUPANCY
0 YES
PLAN CHECKED BY
z
WORK TO BE DONK
NO. or ELDC8.
PERtBLOG.
TOTAL P11M
I
BUILDING
VA.LUATION
2
BUILDING PERMIT
FEE
16
0
—1-NUMHER OF STORIE*
DEMOLISH
NEW
3
PLUMBING
rK
AX)D
PERMIT rEE
4
HEAT & GAS LINE
PERMIT FEE
or
I=.
ALTER
RESIDENTIAL
REPAIR
NO',: -RESIDENTIAL
0
UNITS
5
DEMOLITION
PERMIT FEE
6
A.MOUNT DUE
I hereby acknowledge that I have read this applicallon; that the In- ATTENTION
APPLICATION APPROVAL
formation given is correct: and that I am the owner, or the duly author-
Ized agent of the owner. I Wee to comply with city and stale laws regtL- THIS *MR,',IIT
This application is not a perinit until
latiar censtrnctjon: and In doing the work r-uthorized thereby, no person AUTHOEUZES
signed by the Director of Building Inspec-
win be employed In violation of the Labor Code of the State of Washington ONLY THE
tion, or his deputy; and fees are paid, and
re!sjJ.-g to workmen's compensallon Insurance. WORK NOTED
receipt is acknowledged in space provided.
NOTE: PERMIT LIMJ*—ONE YEAR
DATE .91G*,,'I-;D INSPECTION
DEPARTMENT
CITY OF
DATE
EDMONDS
CK APFW-0VP;L1
pl.OT pX-*—q CHECK APPROVED rR a-ito-.
J
V
OWNER:
PATRICK S. BAKER
18502 85th AVE. W.
A
le N I PROPERTY LINE 163.5'
lk� OF 2
CD
I SETBACK
-b M A -L-07 7'
5,087 S.F. (35%) - — - *-�-1
ROOF OUTLINE: 3,390 S.F. -T HEIGHT LIMIT
PATIO/DECK: 360 S.F. 25'-0" CALC. RECTANGLE
DRIVEWAY: 1,337 S.F. I q
NEW IMPERVIOUS SURFACE
AREA = 548 S.F. (4% INCL
CARPORT W/ OVE41�G
AND NEW DRIVEWAY)
(E) IMPERVIOUS SURFACE
AREA = 4,539 S.F. (31%)
HEIGHT CALCS:
A +92.7'
B +94.3:
C +98.4
D +92.9'
AVE. GRADE +94.6'
ACTUAL = 112.3'
MAXIMUM = 119.6'
LOT COVERAGE:
2,752 S.F. (19%)
LOT AREk-
14,711 S.F.
TAX ACCT. PARCEL #:
00567800000700
LOT SLOPE:
6%
C,
C)
401-0"
�k u-T
W&f/
22'-0" 12'-0"
-T
JEXIS ING.,/ CARI
"GARAGE
DRIVEWAY NOTES:
(E) DRIVEWAY IS
2C.
CONCRETE THAT
I
GABLE El
NEW GAB LE E
4,
EXTENDS FROM
GARAGE TO STREET
+
HbU�It
COL
1jD U NS
AND COLUMNS
M
EDGE
X" /
N�,W/'DRIVE
-,-.(D'F.F./ /94.0"/
SE NOTES
OT S
NEW DRIVEWAY TO
BE CONCRETE TO
_) , 0
00
MATCH (E) - PROVIDE
A 1/20 EXPANSION
AnINT ANn nllqW
X IST
EXISTING
TRANSITION BETWEEN 6) D +92.9'
NEW AND (E) OUTLINE OF
NEW ROOF ABOVE
6
33'-0"
(+/-)
124.75'
OWNER/CONTRA 7 Op,
�' , IS RESPONSIBLE
APPROVED AS NOTED FOR EROSION AND DAMAGE
Y-F-NGINEERI
0 ur= I ---
Date: -76 IZ=I-
SITE PLAN.
SCALE: 1 "= 20'-0"
DRIVE
ED C +18.4-
J B MINOGUE AIA
11M&ndN"YftW
sAwwAtawigtonwim
SYMEET FILE
M =M10
'169'
P-*-
Baker Residence
Remodel
,-9 B +94.3'
Eft"Kft. wamwoon
R
C4
Nit
LOWEST FOOTING
ELEVATION =92.8'
CURB
Rjecel Iveo
jUt4 2 0 2005
DEVEWpjWE1VT SERVICFS,C:
C'Ty OF ED96W6,S Tn.
0�--DATUM POINT -
TOP OF STORM
DRAIN COVER
9EL+100.0'
85th Ave. GLANNIIING
APPRO -
Setbacks
Front
Sides
Rear
Other
iLdght
-To Comer Flag
Reguired Actual
59'
Site Plan
?15- 17, 7'
A.00
9
0
PLANNING DATA
NAME: pe'w'-Cv- S. BAW-.,- DATE:
SITE A RESS: 91FI- .4ve. t�/, PLAN CHK#: /.?I
PROJECT DESCRIPTION: -'orMt (2- +0 (,o/ ory P.,ne",
REDUCED SITE PLAN PROVIDED?:tffeAj / No)
kZ-77—
MAP PAGE: 3 5-5' CORNER LOT: FLAG LOT:
ZONING:_ R- - 10 - CRITICAL AREAS DETERMINATION M. 12-obs- - 42-
Ll Studv Reauired:
VJ Waiver
LJ Conditional Waiver
SEPA DETERMINATION:
L1 Fee
Ll Checklist
LJAPO list w/ notarized form
4-
Ll (Needed for 500 cubic yards of grading, Shoreline Area- site withitY200 ft. of Puget Sound or Lake Ballinger)
LJ�Exempt
SETBACKS:
Required Setbacks:
Street: 25' Left Side: 10' Right Side: /0' Rear: ?- o
Actual Setbacks:
Street: Z-5' LeftSide: ?,2-! RightSide: I C Rear: 59'
Street map checked for additional setback required? (YesjMoj/DNA)
El DETACHED STRUCTURES:
L3 ROCKERIES:
LJ FENCES/TRELLISES:
r-1
BAY WINDOWS / PROJECTING MODULATION: 001f,141 - M-�
I
USTAIRS / DECKS: 1%* "L � k*""'
PARKING: Required: 2- Actual:- 3
LOTAREA: 14 -711 0
2-752- 1-*-/,
I
19 17.
BUILDING HEIGHT:
Datum Point:- -1op ok 54vr,., ArA,t, W&s"atum Elevation: /00, 0
Maximum Allowed: 2s-, � 112-J) --Actual Height:
A.D.U. CREATEDNOWL/ �Yes Ckrp*-,� 1- -!4
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: LICes �/
Plan Review By:
NewBPP1anningDataForm.D0C
9 0
#P20 : 6 5-q Z.,
Critical Areas Checklist CA File No
Site Information (soils/ topography/ hydrology/ vegetatio�i)
1. Site Address/ Location: Z5-=?q Mye
2. Property Tax Account Number: c,.90,-5-6 Zg�� 2A2
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? L--yes; no.
If yes; how is site developed?_ 9 LE—r?— c,-T�fe-E M&t,,F- ZE00
5. Describe the general site topography. Check all'that apply.
flat.:, less than 5-feetelevation change over entire site.
15% �vertical'rise,of 10-feet,6v'
Rolling. 'slope's on., site igenerally cless', than ay er a, horizontal
distance of 66446et).
Hilly: slopes present on site.of more than 15% and less"than 30% (a vertical rise of 10-f6et
over. a- horizontal distance of 33 to 66-feet).
Steep: grades of greater- flmn'30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
-7 'Other'(please describe):
6. Site contains areas of year-round standing water: Approx.,Pepth..
7..., Sitecontain� areas of, seasonal standing waten-, ;: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.,", shrubs etc)
11. Obvious welfland is present on site:
------- —for City Staff Use OnI
y
1. Plan Check Number, if applicable?
2. Site is Zoned? P, 5
3. -SCS mapped soil type(s)? A i ktr w.-A Vr bAn I A-A 2- L .
4. Critical Areas inventory or C.A. map indicates Critical Area. on site? No (,�g-kuA,,. k mf,',
5. Site within designated earth subsidence landslidehazard area?
DETERMINATION
STUDY REQUIRED
Reviewed
WAIVER
-,;. 107
#P20
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
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 appli6ation 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
h 111
to. -complete: the: Checklist sho d be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Ll
Date Received: � A � � W 1 �'�)
City Receipt 5 � 5 j-e
Critical Areas File #: c62760-':�-_ 100�YQ
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:_-,e/-/44--6Z005
A property owner, or his/her authorized representative,
must fill out thelchecklist, 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.
Pl6ase submit a vicinity map, along with'the signed copy
this form to assist City staff 'in findipg . axid locifingthe
specific piece,�of property described on this form. In
addition the' applicant shall include other pertinent
ififo on: (e.g. site ' 'map, etc.) or
plan, Aopography'
studies in -conjunction with thisChecklist to assistant staff
in corripleting,their preliminary assessment,of the site.
'Me undersigned applicant and his/her/its heirs, and assigns,:in consideration on the processing pf the. application agrees
to release, indemnif�, defend arid hofd'the City.of Edmonds harmless from any and all damages-, including reasonable
attorney's fees, arisifig ft�6ni - any action or infraction -based -in whole or -part upon false, misleading, inaccurate or
incom
plete information furnished by.the4OPlicant� hidh��Ats agents or 'employees.
By. my signature, I certify. that.the "infoiniati6n and exhibits herewith, submitted. are true and. correct to, the, best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE oF APPLicANT/AGENT
Property OwnWs Authorization
By my signature, I cer* that I have authorized.the above Applicant/Agmt,!o 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 iif&posting attendant -to this4plication.
SIGNATURE OF OWNER
PLEASE PRINT CLEARLY
Ow%Lfflicant!
Name
25o -2�
Street Address
T�-vtiOND-S b-024,
city State Zip
Telephone:— V2-5- - 76
Applicant Representative:
Name
I Street Address
City State zip
Telephone:
Email address (optional): - Email Address (optional):
0
NOTICE:
Nowarr-anty ... OT a.c(..,u.l '.:d �,:Y'.*
The information'shown on the attached of
Map(s) was compiled for use by the City
Edmondsl its Employees and Consultants.
Th,e City of �Edm.onds does not - warrant the
accuracy of anything set for.th on these
rnap(�_). Any person or entity -requesting a
copy should conduct an independent
�ation shown on
inquiry regarding the inform
-t-Fe -map(s), including, but not limited to/
th . e lociation 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 -ity of Edmo'nds nor its
k-1
ernp-to-yee-s o-r office-rs -sh-a-11 be 1--i-a-b-IFe for the
i n on this ma p(s), nor for
information g ve
tation provided based
any one represen
upon said map(s).
APPLICATION
The City of Edmonds fwe for
SIDE SEWFA PERRM
MVw NEW CONSTRUCTION RWAIRS
Y
EASEMENT No.
Z . .............. PERMT No.
OWNER .............. �,5 ............. CONTRACTOR ...........
LEGAL DESCRIPTION: LOT No. BLOCK No . ...........................................
ADDRESS ----- .. 0-a ...................
NAME OF ADDITION .....
. . .......
IFM-
L
M
P0
7
� 0
1 -#-7-
or
5,3
Approved:
DATE 2
.... . I .... . ....... _ 13Y
STREET FILE
SEWAGE DISPOSAL P�&VIT
ni No . .....
Septic Ta k ........... gals. -41k� . .........
CITY OF EDMONDS
Department of Public Works
Disp. Field-- ...'sq.
Other... ......... ...................................
by authorized t
,,d ....... ............................. is *here o install/
Name.. --- --------_-_- i�
repair sewage disposal system at
a— ...... ................................................. ...........................
............... ......... 'If
Date issued on ... ........... ...... ...............
Permit expires one year from date of issue,
DO NOT COVER BEFORE APPROVED BY DESIGNER'OR SANITARIAN
I hereby certify this system was installed under my supervision and control and complies/ with all provisions of the City
of Edmonds Resolutions.
CT wiler ................ ........... Date .............. ------------------
gnaure . ............................ ................. 7
ApprovedDisapproved' F� Date ................................. ............................ By .............................. .......... ............ . ............................
Remarks: ---- .................................................................................... ............ ...................................................................................................
SANITARIANOR DESIGNER. ... I ................................ I ............. : ................................ ................ Date ..........................................................
This permit shall �e posted in a reasonably conspicuous I place on the job until inspection has been comp , leted.'
R
CITY OF EDMONDS STREET FILt:
UaJl PR"pect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for Inspection. (No Inspec-
S- IDE SEWER PERMIT tions Saturday, Sunday or holidays.) N2 1911160
ADDRESS .......................... 1.8.50.2 ... ..... 8.�-_tb ... &KqRqq ... Ke.$.t
............
OWNER ........... KK�! .... 519PA�AgX ................. : ................................. CONTRACTOR .......... ft:t M ... S.ewer
Perinission is granted ... TP�rW!U --- �7_ .......... 19 ... �81 for ........................ dLys'to REPAIR or CONNECT a side sewer
ivith City Sewers in accordance With application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Topof side sewer must have at least 30 Inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE No. 5—It is unlawful to alter or do any other work than Is provided for in the permit, or to do any work on the main sewer or its
tenances except to insert the pipe into the wye.
i
A
Z
40
so
CITY OF EDMONDS
DEPARTMENT OF PUBLIC WORKS
250 Fifth Avenue North, Edmonds, Washington
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: ........... Charles A. Hansen
............................................................. . ...........
For installation at: (street address) ...... V.A ................ ..........................................................................
Addition or Subdivision.. -'Sea view Forest
......... .......... ............... ........................... ......................... .... Lot ----- 7 ........ Block ------- 4 ......
X C3
Type of Building: New__?� ...... Existing ......... ... Single family residence ...... -- -_ Number of* bedrooms_ ........ ..............
Other:
,(specify type or use) ............ 7 ........................ .............................. .................. !� ....................... ................. ..............
Builder.. ..... PhRrli�.a --- kk ... 4..f�iapipn .................
.............................. Address-1R607._,el. t__� o.nd..
Designen. 40-1. .. 4n o ..... 4eptic ... Tvnl�. - �PIPVI.Cn$ ... Address....
lay
Soil Log Hole No. i ........ 0 .... ... �3V� --- Sand-y .. lo.am.; ... 3 6.. (f .. ... ............. . ... ................ ................ .....
...................................... ...................................................... .......................... .............................. ........ ................
Soil Log Hole No. 2-. ......... RA07 .... 1AMV .... ...... .................... ---------------------------
.. .. .. .... .... ...
........................... I— ....................................................................................... ............. ........... ............. ......................
Eleva tion of Water Table, if encountered. (Distance from ground surface) ........................ ........ I .................................
Corrections to control surface water if needed ...... ...........................................................
...................................................
Specify if any removing or grading of topsoil in field area ......................................................................................................
.................................................................................................................................................................................................
Percolation:
Test Hole No. I — Average. Rate .......... 5_ ....... ............... ..... . .. . (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2 — Average' Rate .......... 3 ......................... .................. (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 3 — Average Rate ------- 1.7 ...... .............. .............. ....... (Fall in minutes/inch-bottom 6" test -hole)
C
Average percolation rate on, which to base drain field design Date Tak�n....
Septic tank requirements based on present rules and regulations:
Septic Tank Size. ...... 0.0.0 ............ gallons.
Amoun / t of Square Feet of Disposal Field ...... 4 47 ...... . ..
Signature — Designer ..... llalll&�- .. ........... (g
------- ----- ------------------ Date ....... 11 --- --- ---
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit issued (date) ............ �/ ..................... Permit Number ...... lild .............................
Remarks: ... ... .. ... ... .. ...................... ....... ........................ .................................... ............... ..................
................................................................................................................... . .....................................................................................
ji TIM11. a
Harold Olsi on
rash*
Gal.. 112,
Lin. ft, t1raintAle
51 vylGe troncho
7 r>v, ft. rcP,,.uIp0,0
Per. E010
CIO T-0 c
e,.:' iclit lano
4� Dr!,In Lila
sernio : ill-20,
M.
QUM ...................... ...........
sm
9 09 7922 17926 17966'
os
17951
91,
9001
9213 7910 18004
1800 18003 1801 1� 8525
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18107 18108
9712
9* 712
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18206 v 18122 �o 1. t 3107 lf
18121
iz 18140
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9118 18214 18129 18210 18218 ND
I ND PL SW 8605
8721
18226 la224 18220 18215 1 8225
9206 18226 183W 18224 3-1 8704 8*628 8.616 18226
1 1 1 1 18229
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18229 < 18306 18301 1 &M 18311
8706 8621
81720
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18310
"o 18310
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9710 18327
18323
18306 8310 18320 18324 x —
lRql7 8615
3 18331
9105 1 SW5 E
9135 9125 8613 18330 1 a336 18339
184TH ST SW
184TH ST W
9134
18404 9010 9DQ7
j . 18407
CL 18400 18403 8808 184D4
18411
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w 18417
18406 18407
8:
18425 18427 — v !o w-
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18410 18409
T v 18506 T
8525 18502 18509 18502 M03 1 E
18508 18503 18514
LU
185TH PL SW 185TH ST Sw 8521 18522 > 1
8515 1M2 IE
18520
8517 8507 8413 9403 BC27 IE
18524
18 186TH ST Sw
18605
F, Seaview
8
w ter
18M615 ;s
186TH PL SW
ank 18610
187TH PL SW
18620 0
0911 18W5 18704\�'
18703
18722 187TH PL SW
lo o 18709 18711 18706 18705
w I I —
8915 710 18713
716 8957
Z 1871 j <> 18715 8617 18708 _j 18707 w T
a 8919 8709
18726 1 : - co 8717 8615 8609
186TH ST SW
-j 18808
m 18807 18802 188DI
1881 188D5
> 4
... 18815 18812 < IBB06
IM6 18817 18817 J
— 18820 18821 18815 18810 18807 8520 111823
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