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23027 HIGHWAY 99
23027 HWV 99 • TAX ACCOUNT/PARCEL BUILDING PERMIT (NEW STRUCTURE): 2003 05(-OC) COVENANTS (RECORDED) FOR: CRITICAL AREAS:— q -2,K2, DETERMINATION: ❑ Conditional Waiver ❑ Study Required eWaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: L25 '03 SCALED PLOT PLAN DATED: 15 �03 SEWER LID FEE $: LID #: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: fto GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: OTHER:loi'Vl tim ep LOT: BLOCK: LATEMP\DSTs\Fomis\Street File Checklist.doe < a I - % EMSTNB d FENCE : WWII fit CY elWVV OL9 Ai ti+JIg C i DagrNs sswwr, f i ■r rr.r!.�l�.inyfe+Kgiro+l�y,.<. ' � -... � ". ..._. .. .. ' I I I' E2RAPECANOPY - OCyO• •/ APO LA NEr M TCN - lei FAR TO TN E)GSrN6 F84GE N. i 1 . N• T5EMTTM0 !q4.'M S 00 f = AFM N T S AaEA ew �• ' Sm �, E ' q _ . .e F-mcHe°i < 2 ElSTN6 ssvwnLr qs."") -r g iqs� CLIM' LAlOSC/W!S SEE NOTE 4I ... .. _. — — -- — Si ralK OaNEMYY SV"ALK 7-v OMEWAY LXI%ITN�G SITE PLAN SHOWNING NEW ESPRESSO STAND 3 F se- i-,- *r-r.:�.;a-•r'�"t- ._§.. t ..�-. .,.��l.i.J'wr.�l .xl r. Z.i,, a: e`' .r .�. ..r;.y.!'s•. •-�.^•'--..�.. �:� rNi .: � - t'ti• � .!: P...i '4:....' E `:y..: k ,• �J.�.. 7 .' _.:4:. Fw •� Y DwtQ 91 G ` L."4.. .. tiamT Oh RZL _ TK•w .l y...•_ ?. `i ww � Y r PLANNING DATA New Commercial / Mulffamily Proiects SITE ADDRESS: 9 QQ ZONING: Q4P USE(S) PROPOSED: LLOWED?: LEGAL NONCONFORMING LAND USE TERM NATION ISSUED (Y�V CUP File:. To Allow What Uses?: �1 ADB FILE #: PARKING: Use: �_ No. Spaceiire Q X (floor area, # employees, etc.) = Use: ( No. Spaces Required: I X (fl or area, # employees, etc.) _ Use: No. Spaces Required: X (floor area, # employees, etc.) _ Use: No. Spaces Required: X (floor area, # employees, etc.) _ Total Required: 10 Actual Provided: SETBACKS: Required Setbacks: Front: - Left Si e: Ri t Si Rear: required? ��. (YesA% MAXIMUM FLOOR AREA: ►--/� Maximum Allowed: Actual: BUILDING HEIGHT: Maximum Allowed:_ Actual Height: Modulation Allowed?: Modulation Height: Datum Point: Datum Elevation: Elevator Penthouse > 3 feet over height limit? If so,VAR# -- L4 t�sz ...i-,�, ►�o�tS LANDSCAPING: J�_'eo Matches ADB approved: Bid Provided? Bond Amount (100% bid): CRITICAL AREAS #: SEPA DETERMINATION: '�(� Q A,,,, A SHORELINE REQUIRED?: Continued ... ax200 +UOL4 c, Z!)CuuL1 I:\I ibrary\^PlandatNewComm.doc DATE: Cfl O PLAN CHK#: C7 — 1-7 �. NAME OF BUILDING PERMIT APPLICANT: PROJECT DESCRIPTION: ►. p . ,, , ,� — -�-� n �., 1 1, ADB FILE OR DATE WAIVED: PLANS MATCH APPROVED PLAN: SUBDIVISION: LOT AGGREGATION REQUIRED?: 0 REDUCED. SITE PLAN (8.5X11) PROVIDED FOR STREET FILE? OTHER: 1 1 c-A vnG_ '>. _ , - cam-:.=.,... t_ n Plan Review By: C4 1 A1ibrary\^PIandatNewComm.doc 0 City of Edmonds RECEIVED OCT - 81999 —PFRmi-r COUNTER CRITICAL A REAS CHECKLIST 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, 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 assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest. that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Shiani. Investments LLC / Dennis Chinn Name P.O. Box 661 Street Address Medina, VA 98039 City State Zip (425) 455-4859 Telep Signature Dennis Chinn i0/<6- %rl I Date Applicant Representative: Dennis Chinn Name P.O. Box 661 Street Address Ana, WA 98039 City State Zip (425) 455-4859 Telephone Signature Dennis Chinn [0 /i� /1 .9 , Date lb c:recepdon%janakad.doc (over) CA FILE NO. I q- 2 0 Z Critical Areas Checklist --------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account Number: 5767-000-014-1202.1 5767-000-014-0709 3. Approximate Site Size (acres or square feet): _ 39,780 square feet 4. Is this site currently developed? X yes; no. If yes; how is site developed? 3,668 sq. ft. bldg. and partially paved used car lot 5. Describe the general site topography. Check all that apply. X 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: None ; Approx. Depth: N/A 7. Site contains areas of seasonal standing water: None ; Approx. Depth: N/A What. season(s) of the year? N/A 8. Site is in the floodway. No floodplain N/A of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? None Flows ufteasonal? N/A _ (What time of year? N/A 10. Site is primarily: forested _ : meadow ;shrubs _ : mixed urban landscaped (lawn,shrubs etc) asphalt paved .. .. ._ � . , •1r � � -._ ...r,... y,.�Nr.-„P: T.'c Nvp,.f...r .�.� .•-�� ..`.a Y.irJ l.... J•w.C� Y _ w,� .. `. 'nc, I S41 City of Edmonds SIDE SEWER PERMIT Address of Construction: A-W Property Tax Account Parcel No Attach copies of all access and,utility Owner and/or Contractor:_ Contractor License #: ,/V� bS G®�f 661,l ❑ Single Family ❑ Multi -Family (No. of Units Commercial (No. of Units ) ❑ Public PERMIT NO: 9 810 PERMIT EXPIRES /0 /� RZ Verified and Approved by LCi U ilding Permit # : eco? - a5lzo Invasion into City *Right -of Way: &Kes ❑ No *RW Construction Permit # ,7)_ 0 ',- Cross other **Private Property: ❑ Yes o **Attach legal description and copy of recorded easement. ►w er or contractor signature and acknowledgement°statement: y signing for this permit I certify that I have read th&'City's public handout entitled ide Sewer Specifications, and shall comply with all'City requirements outlined therein. 1(p Date 9 CALL DIAL -A -DIG (140042 5555) BEFORE ANY EXCAVATION R FOR INSPECTION CALL 425-771-0220 extension d,4Y= 24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REQUESTS FOR OFFICE USE ONLY. Permit Fee $ Repair Fee 'Issued By Trunk Charge L C Date Issu Assessment Fee $ City Permit Surcharge Fee s 5 -e(r Receipt N Total Feei NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED. Job Site Ready YES'NO Date: . Initial: Partiallnspection:WVV\4 Dater I00 Initial: Partial Inspection: Lov Date: Initial: FINAL INSPECTION APPROVED: Date: itial: '6- PERMIT MUST BE POSTED ON JOB SITE t� White Copy: File Green Copy: Inspector Buff Copy: Applicant to Street File: ❑ L;temp;bldgforms;sspermitjlg4/00 ' a M - 1 1 1 HWY 99 ESPRESSO STAND 1' S' 6' CO 12'/ 22 12' 10' 45 MLINE IS 3' DEEP 56' 4' CO 65' 22 CITY OF EDM❑NDS MAIN LINE (CONC.) \\7' CITY ❑F- EDM❑NDS SIDE SEWER AS -BUILT ADDRESS 23027 HWY 99 PERMIT NUMBER qS.Q+- ❑ME❑WNER HIGH FLYING ESPRESSO CONTRACTOR NELSON AND SONS DATE 2/10/04 DRAWNBY D, GILBERT FPERMIT EXPIRES SE PERMIT CITEDMONDS Z Y OF ONE ( NUMBER CONSTRUCTION PERMIT APPLICATION JOB 3 ©a ,qduqq SUITE/APT# ADDRESS ,cJ OWNER NAME AME OF BUSINESS �© o SAN—L %/pia�p�� �PLAT NAME/SUBDIVISION NO.LOT NO. LID NO.'MAILING ADD ESS L Y 6�Go 4, LID FEE $ /Ld TESCP Approved o ~/� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required [) ✓ J f'�/ Str at Uae Permit Req'd CCCIII EXISTING. PROPOSED InapecuenRequired p CITY ZIP TELEPHONE Sidewalk Required p REQUIRED DEDICATION FT Underground � oAMs 9�0 �, =7 ,�—?, � Wiring required o NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO 0 (J W REMARKS = U ADDRESS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME CBL# Al-, V �h� S�� pig / � ® /\ a� ENGINEERING REVIEWED BY rpi/J DA/TE7 ., ADDRESS C �� , o3 H FIRE REVIEWED BY DATE W CITY " • ZIP T;T ONE e k:,, (i STATE LICENSE NUMBER°-,11, P EXPIRATION DATE CHECKED BY VARIANCE OR CU SHjO�RELINEO/R�ADB# INSPECTION BOND D /ad —qYES ❑NO Is POSTED SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNTPARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSE u e Nor-4A'T I .-\, 6 / / EXP I 1 NEW ❑ RESIDENTIAL PLUMBING/MECH LOT COVERAGE REQUIRED SETBA S (FT) PROPOSED SETBACKS (FT.) ""�� ALLOWED PR POSED T FRONT E R FRONT SIDE R t7 ❑ ADDITION COMMERCIAL COLIANCE OR 1 1 r�l ❑ C GE OF USE 1 z ❑ REMODEL ❑ MULTIFAMILY ❑ RKINt LOT AREA P N ING REVIEWED BY D a SIGN R 'D VMFD GRADING FENCE ❑ REPAIR ❑ CYDS i �, (� X FT) ❑.DEMOLISH ❑ TANK, � 0-41tt z ❑GARAGE RETAINING WALL FRE SPRINKLER CARPORT ❑ ROCKERY ❑ FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: GROUP F. NSTRU TION C OCCUPANT CHECKED BY TYPE O ,�� �� Q ''NUMBER NUMBER OF t / CRITICAL OC O STORIES UNITS OF DWELLING NUMBER p� REQUIRED ❑ EISAREAS SPECIAL INSPECTON AREA 4 LOCADUPANT� DESCRIBE WORK TO BE DONE ` • d'�•77 REMARKS z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 9 !� /vim ji�l� 7" tNe t ti d✓ IPC�3��1fe M7 I'�4K1�t/ .�7 ,/ `a.S h VALUATION .� : $ll ..� Description FEE '° Description FLEE Plan Check State Surcharge L7 HEAT SOURCE GLAZING.% LOT SLOPE % e �r G Building Permit City Surcharge S 14 PIPLAN CHECK,/g: ESTED DATE in .� Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COMAS WORK TO It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading,,," SEPARATE PERMISSION. Engr. Review W PERMIT APPLICATION: 160 DAYS d PERMIT•,UMrP Y YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Erigr. Inspection ',SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ONa BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire' Review' Plan Chk. D1:pos' IN INTEREST, AQREES}TO INDEMNIFY, DEFEND A{�D HOLD HARMLESS THE CITY OF 2 EDMONDS. WASHI,(dGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection - Receipt # ALL CLAIMS FOR DAMAGES , OF WHATEVER NATURE, ARISING DIRECT4Y OR INDIRECTLY FROM THE ISSUANCE; OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE S DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp..; Total Amt. Due �/ O = NOR LIMIT IN ANY WAS' THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION - Recording Feef Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL 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, NOrOERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF'WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMP SATION INSURANCE AND RCW 18.27.- OFFICIALS SIGNATURE DATE SIG?(OWN AGENT) DATE SIGNED (425) .771-0220 R e $ � DATE ATTENTION Ific-11W EXT,1333 IT IS UNLAWFUL TO USE OR OCCUPY A INd OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE"'MAKING 5 COPIES GREEN -ACCOUNTING EXISTING BUII.UNG �+ E Z RIDE CANOPY QL• i 230211 s HIGHWAY (qq EDMONDS W AS1 INGTON mI CANOPY DISPLAY LOT EXISTING ASPHAI.1 ( GONT SEWER TO EZ RIDER SEWER \ ADD NE W COMBINED - Ate- TO,)4d yfi5 EXISTING DUMPSTER it RECYCLE BIN 2 Gyt2 l - GAT I t2ui,-jp-vT6 PP ff:4c pie I 7 - - __..I- - -- --- TRAFFICr-- A� ARROWS — NOTE *1 I SIDEWALK AND SPI.AMBLOr APPROVED AS NOTED BY ENGINEERING 94 �M EXISTNfi �O f LIGHT -- STD HG _ ASH. SALT AMP CURB j EXISTING LANDSCAPING W _ SIGN tea' SEE NOTE •3 ------- 222.74' PL. 4 M 19 FENCE J f— I 12' GLR. 95.16' �95.24' PRESS : O 18' SQUARE (pj !: PLANTERS TYP. O g5.33' �95.4q' •T 01 .}4N WALK wr.. BLDG.' OFFICIAL PERMIT NUM —W • NOTES: I I TRAFFIC ARROWS ARE TC WITH TRAFFIC APPROVED - OF EDMONDS : ea4vullN Z POWER TO BUILON6f Te=.b 3. LIXT��SG�PNG N THIS ARE BEEN APPROVED BY THE DATED 4/26/00 ROVED BY PLANW4173 I& GATE T-6" WATER SIDEWALK 1 DRIVEWAY METER DRIVEWAY • SPRESSO I a PARKING } � i-- N m SIDEWALK n.� FH. ASSUMED TOP / a / l PAINTED AGGES; EL. 100.00' 0401 WA LINES hl&AMV /0 a6 i/dci P.rAy �7d buiuwb E EXISITNG SITE PLAN SHOWING NEW ESPRESSO STAND SCALE: I' - 20' GENTERLNE HIGHWAY qq LOT LINE STAKES MUST BE IN PLACE AT TIME OF 4' WIDE FOG LINE +< F7- / 15 Ili t> f-rCE `L DATE. 151TF- PL_oA* 1-10• 03 HIGH FLYING ESF 3 31 : O3 Located on EZ Ride Lc 7:14: O� 2302Y Mwy 99 Edmonds, WA 98025 White tri bonded to — sla Ixl'dLC i j �� _ 8"White aluminum riveted letter edge PROVED By PLANNING � �70 24 guage aluminum backing attached to lap siding with 1 /4" x 1.5" lag bolts Customer will supply UL listed flourescent lamp fixtures for illumination. Z,8rtwork for proposed sign face RECEIVED JUN i 5 2004 PERMIT COUNTER Proposal for permit for: High Flying Espresso 23027 Hwy 99 - Lynnwood S7REET FILE a�a� lam, �9 STREET FILE 0 • 4-4L