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109 MAIN ST_Redacted11111111111111 11926 109 MAIN ST CITY OF EDMONDS Cl�� PUBLIC WC1RJ9 — EWINEERING ACTION REPORT n SUSPENSE DATE: Date:_ Time: �j •7��A"v File N Attachments: SUBJECT: NAM: / ((J�'C_ CA ADDRESS: PHONE: REQUEST RECEIVED BY: TELEPHCNE CONTACT IN OFFICE r--j OTHER: RECEIVED DnnTV Tn. N® 4026 =Yes �1Vo rriR-ild C Hal am am MEME ACTION: 161-6- ?C) P51 ® i -(- All Concerned Notified Action Completed/File CITY OF FDMONDS EXECUTIVE DEPARTMENT TO: Uj 0 QLU Z o SUSPENSE DATE: MAYOR As We Discussed Investigate and report Take Appropriate Action Prepare Letter/Memo for: My Signature Mayor's Signature — Previously Ref'd Status of Action? For Your Information Return to: MAYOR'S ADMIN. ASS'T. BUILDING OFFICIAL CHIEF of POLICE CITY CLERK CITY ENGINEER CITY PLANNER FINANCE DIRECTOR FIRE CHIEF PARKS & REC. DIRECTOR PUBLIC WORKS DIRECTOR COMMENTS: as v &a L'Y� LA 4� 1�t4 <- FROM: /�►�,,�/ DATE: (8/76 ) ADDRESS: Ix ma 61—• TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: — SCALED PLOT PLAN DATED: "I ? SEWER LID FEE LID SHORT PLAT FILE: LOT: BLOCK:: [.. SIDE SEWER AS BUILT DATED: SIDE SEWER PERMITS) #: �p g5 l SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: 11111 111� 1 !!11 11 111 10 �plswim lowffilm,11111110, 111111111M 1 01 j LATEMP\DSTs\Forms\Street File Checklist.doc CITY OF EDMONDS PUBLIC WORKS bEPAR'I�1T FOR INSPECTION CALL permit SLDE SEWER PERMIT 775-2525-Ext:322°0, r��1, Issue Date y PERMIT MUST BE POSTED ON JOB SITE * EDMONDS TREATMENT PL'AN.Ti 1. Address of Construction J /;A ; R cQ L'2 Property'Legal Description (include all easements) 3. Single Family Residence Multi -Family No. of Units (1 . Commercial U4. Owner and/or Builder CniQn/-LyuJ C,A) r2 L)C-r nn, 5. Contractor & License No. — ����� _ 4A., PH Invasion into City Right -of -Way: No Yes (ff Yes Right-of- way Construction Permit Required - Call Dial Dig (844k2=" 34'_4�) before excavation). 7. Cross other private property: Yes No zr Easement required - attach legal description and county easement number. READ THE FOLLOW.T.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 ihch (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% (1.150) and maximum grade of 100% (450) . k, f. No turn in side sewer greater than 45° (1/8.bend) is°allowed between cleanout. All 90 turns must be constructed of a 45 (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 :�'a-�.�. _ r' �I I certify that I have read,' and shall comply with the above -i PERMIT FEE: ©, 0o DISAPPROVED By: Date: ��.00 By: Date: CONNECTION FEE,: APPROVED By : Date : - S S-S 3 w * PERMIT MUST BE POSTED ON JOB SITE Vrl I yr [-•RIVIUNub PUBLIC WCIRK;.JE" 9TMENT �w WORK START NUMBER DATE AND TIME Adtl TE RECEIPT FOR CERTIFIED MAIL POSTMARK OR DATE SENT TO Harrison Mayor Harve I cy) STREnT,fI6 Nuns et Avenue �. LQ tit P.O., STATT E AND ZIP CODE 98020 r Edmonds, wvo �o OPTIONAL SERVICES FOR ADDITIONAL FEES F es RETURN 1. Shows to whom and date delivered .......... W-ith restricted delivery'..- - RECEIPT y• Shows to whom, date and where delivered With restricted delivery $ j SERVICES RESTRICTCD DELIVERY_...- .. ;_i 'I ® SPECIAL DELIVERY (extra fee required) (Sae other side) i Fom 3800 NO INSURANCE COVERAGE PROVIDED— _a 91_a5z PS r Jan.1978 NOT FOR INTERNATIONAL MAIL GPO 1e7 N16rml8l,l;lut 9 RETURNiRECEIPT RE(31STt3RED,INSURED ANDtCERT�IFI6D'A r} i; <$ ...L'' ...� �., i-:r:.� �� rtw r... },-. h fti,_._ .. 4_ _�_t '". • r :'�.:U' The City of Edmonds Side Sewer Drawing EASEMENT NO . .......................... IL ------------ - NEW CONSTRUCTION 2q REPAIRS ❑ LID NO- ------------- .... ASMT. NO - ------- I .......... OWNER ...... (Zat--4 a-T R U-CT.).QN. ........ CONTRACTOR -CORME-1-0-UP ... C-0-N-5-T ..................... PERMIT NO. .09-51- JOB ADDRESS ----- ....... ---------------------- LEGAL DESCRIPTION: LOT NO. --------------------------- BLOCK NO. -------------------------- .................................................................. -[TRED�op 5 E ATCqr0 W A X41P rIT7 A T-lnTrTnT-J ........................... MAIN ST. PWW-000 1 - 11/75 (R EV. 11/78) 0 0 Approved: DATE............................................ By-Y ---------------- .................... .22 {� P.O. Bog 674 , - �I II Edmonds, WA 98020 "Nothing in this permit approval process shaft be interpreted a- allowing or permitting the maintenance of any currently rlle�al, nonconforming or unperm.1w bwldu eltiydure or site oonditwn phich�s outside the scope of the pemut application, regardleec of whether such b structure or condition is shown on the site p� or drawing. such building, structure or — - - condition may be the subject of a separate — enforcement action." PARKING SPACES REO'D 'Y (o PARKING SPACES PROPOSED N %G BARRIER FREE PARKING SPACES i -f EGDG I+ - 50.010 . G. 7- CLUE �E. PAQas APPROVED BY PLgNNI G 3 07 ion=W,x STREET FILE -A1l.aru- :C-r� RECEIVED DEC 19 10M BUILDING DEPARTMENT CITY OF EDMONDS BUILDING FEB 201987 APPROVED By Date: v M d C 4rc# 8A:star - - FoR W4i-k wAy t_ERINti L -2-116187 /01 JViAIA -.!�-r-. T WA STREET FILI CITY OF EDMONDS TRAFFIC IMPACT ANALYSIS Name of Proposed Project: Owner/Applicant: 'I-�l�.,N (3 - Name I 0q VAAtN . Street/Mailing Address City State zip Telephone FEB 0 6 2007 WORK SHEET ®« CV Applicant Contact Person: Name 1 gg 3 5� Iei 19T PL Ne- Street/Mailing Address t&0,31oasjr City State zip Telephone: 4$S - 77 � Traffic Engineer who prepared the Traffic Impact Analysis: Firm Name Contact Name Telephone 1. PROJECT DESCRIPTION r y im�1.f�iNEERIN w^ U. �®��� a. Street address (if known): 1-0 VA A I Q b. Location: ("01 OAS Q a► G:PM O00D 5 (Attach a vicinity map and site plan) c. Specify existing land use: 'Ry43 \ NJ-VC5K d. Specify proposed type and size of development: _ >4 �J \ 1 i3-u 1 t-1)1 +*,y i�, r — CA&x\,�Jc- e. When will the project begin construction and when will it be completed? AT- PUTA I1550AAdc C f. Define proposed access locations: � 5 1 1 1Jr, /L/, /, T g.. Define proposed sight distance at site egress locations: � I-LI _k 1. � Page 1 • • 2. TRIP GENERATION a. Existing Site Trip Generation Table: Land Use Daily (ADT) PM Peak -Hour Trips IN OUT b. Proposed Project Trip Generation Table: Land Use Daily (ADT) PM Peak -Hour Trips IN OUT c. Net New Project Trip Generation Table: Land Use Daily (ADT) PM Peak -Hour Trips IN OUT d. State assumptions and methodology for internal, link -diverted or passby trips: Page 2 i � • 3. TRIP DISTRIBUTION Prepare and attach a graphic showing project trip distribution percentages and assignments. 4. SITE ACCESS ROADWAY/DRIVEWAYS AND SAFETY a. Have sight distance requirements at egress location been met per AASHTO requirements? b. Intersection Level of Service Analysis; • Existing Conditions LOS Delays • Year of Opening LOS Delays • Five Years Beyond Change of Land Use LOS . Delays (Intersections to be evaluated shall be determined by the City of Edmonds Traffic Engineer.) c. Describe channelization warrants: d. Vehicle Storage/Queuing Analysis (calculate 50% and 95 % queuing lengths): 50% • Existing Conditions • Year of Opening • Five Years Beyond Change of Land Use e. If appropriate, state stop sign and signal warrants: f. Summarize local accident history: (Attach striping plan.) 95% Page 3 5. TRAFFIC VOLUMES a. Describe existing ADT and peak -hour counts, including turning movements, on street adjacent to and directly impacted by the project. b. Describe the estimated ADT and peak -hour counts, including turning movements, the year the project is fully open (with and without project traffic). c. Describe the estimated ADT and peak -hour counts, including turning movements, five years after the project has been fully open (with and without project traffic). d. State annual background traffic growth factor and source: 6. LEVEL OF SERVICE ANALYSIS Summarize Level of Service Analysis below and attach supporting LOS analysis documentation. Provide the following documentation for each arterial street or arterial intersection impacted by ten or more peak - hour trips. Other City -planned developments must also be factored into the LOS calculations. Existing LOS: Existing Condition: Year of Opening LOS: With Project: Without Project: Page 4 Five Years After Opening LOS: With Project: Without Project: Note any assumptions/variations to standard analysis default values and justifications: 7. MITIGATION RECOMMENDATIONS State recommended measures and fees required to mitigate project specific traffic impacts. Traffic impact fee shall be calculated from the Edmonds Road Impact Fee Rate Study Table 4 (attached) and as identified in ECDC 18.82.120, except as otherwise provided for independent fee calculations in ECDC 18.82.130. < sq,.,g5 Lfl- 511•l4 SAENGMarrelKity ProjectATIA GuidelinesWraflrttpAnalyWork 9-04.doc Page 5 CITY OF EDMONDS CARRY S. NAUGHTEN MAYOR CIVIC CENTER • EDMONDS, WASHINGTON 98020 • (206) 775.2525 OFFICE OF THE MAYOR RECEIVED F E B IS 7984 February 14, 1984 PUBLIC WORKS Mrs. Cecile Ries Cafe de Paris 109 Main Street Edmonds, WA 98020 Dear Mrs. Ries: Your letter has been forwarded to our Public Works Director Bobby Mills. Feel free to contact me if you have a further need regard- ing planter boxes in the vicinity of your business. Yours truly, CITY OF EDMONDS Lar S. Naughten Mayor db cc: Public Works Director Bobby Mills 4+ •r to Flvv� m 0� I lua °Isoa.o -�96VED F E B 31984 Executive Offices RECEIVED E E B IS IgR4 PUBLIC WORKS CA c. ., en.,t��eti �'.�� �� �n.�r� cP,wda�. �,oCu.��l;�.su� �p n.a loo on `U,e bQoc�( �1a.vn ann l�w�.e- .�w pan n�,o�o 9 � YlA3 � x�� � l NO,.�� k�,.�.e.�'" bA. bones .,�ov-t 3 _ �wd 6el0W 1- w"d U ALL L, /ku" CQA-9— e� P�ta� bQXe� �A ..�le�: �I 6QoIV -E.A-lo 'S JA aw 0) -Al Ab uv 4e- �Oxe,,o snC�AACIIAZ �l Ull A111L, CITY OF EDMONDS ASSET INFORMATION SHEET © NEW • ❑ ADDITION ❑ RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION s It !2 V lG,f G. ! w r2 SERIAL NO. LOCATION DEPT. NO. I o4 we ,, lc- Yo *"PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE *PROJECT NUMBER Lv 3 .i SO L( ? PROJECT COMPLETION DATE An 13/ I 8,3 COST �? 3 1 s N<< oiY -3�5 as ,j - K- INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY L DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT _ • G.L. ENTRY REFERENCE DATE VERIFIED BY PROCESSED BATCH NO. _ INITIAL DEPARTMENT FILE ' INTER -OFFICE COMMUNICATIONS DATE October 10 To' -Engineering FROM Building KPIanning Fi re SUBJECT: Commercial/Office Bldg. @.109 Main Street Jean Branaa, Permit #830125 Please do a final inspection at the above project and return all comments to the Building Division by October 11, 1983. R E C E j VDU 0 C T 10 1983 ENGINEERING tj� 19 83 CITY OF EDMONDS PUBLIC WORKS DEPARTMENT{1 RIGHT - OF - WAY CONSTRUCTION PERMIT A. *Address or vicinity of Construction 109 Main St • Owner: Washington Natural Gas Co. Name 805 156th'A-rea R.E. Mailing Address Bellevue Wash. 98007 City, State, Zip Code • Contractor: Same as above Name Mailing Address City, State, Zip Code Wirt No. ,p LE Issue Date U • Permit Issued To: • Type of Work to be Done: Install 2" Alastie Pan maln P.A.D. 833-183 • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ Comml. / Ind. ❑ Apt. Condo. • Pavement Cut: ❑ Yes ❑ No State License Number Telephone Number * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * B. APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit', the, contractor is, responsible for workmanship. and, materials for a period of, one year following the final inspection and acceptance of,the restoration by the, Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. I understand that this permit mus f nspection purposes at all times. Signature: Date Owner or Agent 7-26-83 THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES CALLDIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: Time Authorized: Special Conditions: Ammcndments: oid after 36 days Permit Fee: Security Deposit: Receipt No.: Fund III Fee: Street Cut Dimensions X= r NO WORK TO BEGIN PRI.OR'TO-PE,RMITiSSUANCE Eng. Div. December 1978 FIELD INSPECTIO 4MOTES (Fund. 111 - !ToF ute conv to Street Dent. Comments: Diagram: Contractor called for inspection Yes No [Mork Disapproved By: Date: Bv: Date: [cork Approved By : ;� - " �,� ` Date . � Inspector: Ena. Div. December 1978 LTTY OF EDMONDS WNo. F13 A PUBLIC WORKS DEPARTMENT ""C r7T RLEssue IDate RIGHT - OF - WAY CONSTRUCTION PERMIT A. •Add pessor vicinity of C oonnstructction • Permit Issued To: P U D • Owner: --WW G 91N AA • Type of Work to be Done: � NC-"1A�W�Foff Name ALA-C- l/ � 4 \ did'51 E:�-tC., SINES ?' 1 0 �� 1 �� • Work in Connection With: Mailing Address ❑ Sub or Plat ❑ Single Family �Comml. / Ind. El Apt. Condo. City, State, Zip Code • Pavement Cut: ❑ Yes -*-No • Contractor: P �•�> Name Mailing Address �} State Lice e umber City, State, Zip Code Telephone Number NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE B. APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension-229. gOT I understand that this permit m st be available at ttee job site rikispection purposes at all times. Signature: Date Owner or Agent * * THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: Time Authorized: Void after Special Conditions: Ammendments: Permit Fee: Security Deposit: Receipt No.: Fund III Fee: Street Cut Dimensions * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 FIELD INSPECTICi'�T- TES (Fund 111 Bute cony to Street Dent. Comments: Diagram: Contractor called for inspection Yes / No, Mork Disapproved By: Hate: By: Date:__ Work .Approved By • �� Date . 7 Inspector: Ena. Div. December 1978 1018 moft UTILITY DISTRICT No 1 of Snohonil i Cp nty Colo Area' DATE _fdc,.At�ION 1 157 (0 a 3p W. O. NO. P_35 OILE. t4o'. 4 -'SZ6 T 2- ,VISION JOB NO. S FO ENGINEER ON, WORK U.G. FILE NO. An SCALE DRAFTER ES Auk r7- A*;Ir- A. 0 ts PERMIT R IRE MENAL ANALYSIS REQUIRE REQUIRED:", TYPE D CITREE TRIMMING OW TER PT ONOT EXEMPT INPIAL DIG IZSEWER ITEM PARA. DATE,- GRANTED WPUD LOCATOR `.GAS - jj-8ACK HC)f' O. H. DATE.RFLEASED 0HUG. CON D. KV FEES REQUIRED YE S40 m FOREIGNCONTACTS 'POLE, STENCILING ADD CKT PH. :FT. REMV. T. PH. �F Bar - TYPE GTNW NO. FROM, TO N V CKT. FT. DATE AMOUNT Z'SCATV NO•TAKE OFF POLE LOGS POSTED G.E. SUBSTATION F=P+AQY':�p CIRCU IT NC TRANSF CARDS C.E. DATE QRK!�OMPLET,61) Y FOREMAN WORK 8 POLE DEPT. DATE *PRINTED 40; V, T Q, 0 ft6- A, r PCAS ozR. L_ A.v F. ILI- N 4-m 44 7 FIL 0 AF: 4 IA� 3400 K vwv Av 1'7 _ \ Sr RVIV sr INST 4.,P-ISEP- .T9—E_t,JC.H (-Q:M; S. —N'LN 130P—E AL—LE-y 30" Y, 30" CONCRETE. HN"4DHOL—E 9ON C.0N.)TiWU0Uc_-,+" f2VC WITH -S'TEL 900 -ro �AkNCA-�OLE EDISPATCHER POSTED RUN Pk?,A40 0?-0 TOf+kNJPH0kE MAP PAGE Nc MEMO TO: Art Housler, Director Finance Department FROM: Superintendent of Public Works SUBJECT: BILLING FOR ADDITIONAL EXPENSE - STREET CUT SECURITY DEPOSIT - ORDINANCE #1935, R/W CONSTR. PERMTT DATE ISSUED: LOCATION OF WORK: SECURITY DEPOSIT AMO- UST: ©� RECEIPT NO. & DATE: COMPLETION DT. OF REPAIR: Please bill the below mentioned company for $61V to cover additional expenses incurred by the Street Division when accomp- lishing the subject work: The total of the Security Deposit including this billing will be $ to be deposited to Street Division Revenue Fund 111-000-000-393.00, under the above mentioned R/IJ Permit. 7003 14. • ' % ORDINANCE #1935- UTILITY CUT REPAIR, STREET DIVISION A Permit No. W15MQ) 4Q Issue Date Date Completed Date Received _ Date Processed' Type of Repair: Asphalt Roadway Conc. S/WaI k Conc. Curb Total Area Repair - _ Ft. X Ft., Total 3 i33 Sq.Yds./Ln.Ft. Total Cost Summary: �2_ Sq.Yds./Ln.Ft. Minimum Charge @ $ — `t3 Sq.Yds./Ln.Ft. Additional @ $� S = M i A). cA6ie6re Sq.Yds. Additional B^64• @ $ �� Yds. Additional Base Aggreate @ $ g_M' , $ `I bd Total Cost ...................... = $ Vz) 0 ,� Fund #111 Deposit Fee .......................................... = Total Reimbursement ............................................ 1= Total Additional Expense ............. = S1`il:r IVISION SUPEN NTENDENT This information is to be filed with original permit. COMMENTS: CITY OF EDMONDS PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A. •Address or vicinity of Construction P'l e� • Owner: `i A it/ (?,A,pe, A Name Mailing Address g City, State, Zip Code • Contractor:j5 ftOt� F�aji.-J'� �� n Name Mailing Address City, State, Zip Code Mmit No. Issue Date • Permit Issued To: � � %• -- �--. - _ ' �r.^ � y I'j b i.�'� : .3� fry, � ;, • . �'i '"� `' • Type of Work to be Done: • Work in Connection With: ub or Plat El Single Family Comml. / Ind. ❑ Apt. Condo. • Pavement Cut: ❑ Yes ❑ No 0 o A "�F C. ---eGrn PP, State License Number Telephone Number * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * B. APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension Q20% I understand that this permit ust be available at the jobsitefor inspection purposes at all times. Signature: �� C� «g%G. /'� -� ��i� Date 'Owner or Agent * * THIS; PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. issued`By.- Time Authorized: Void after days Special Conditions: p� cap ,'�<� �% - �' -a- n, Ammen/dments: r2`nc�C4� Permit Fee:�fJ a_ Security Deposit: Receipt No.: . Fund 111 Fee: Street Cut Dimensions X_ * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * * Eng. Div. December 1978 FIELD INSPECTION OTES (Fund 111 - Oute cony to Street Dept.) rnmmeani- a Diagram: Contractor called for inspection 'Mork Disapproved By: Date: Work Approved By: Yes No Bv: Date: Date: Inspector: Ena. Div. December 1978 0 I N CITY OF E®11/ ONDS 200 DAYTON ST. • EDMONDS, WASHINGTON 98020 • (206) 771.3202 DEPARTMENT OF PUBLIC WORKS CERTIFIED MAIL Mayor Harve Harrison 210 Sunset Ave. Edmonds, WA 98020' PROPERTY DESCRIPTION: Dear Resident: June 15, 1982 HARVE H. HARRISON MAYOR Lot 12, Blk. 12 (south 60 ft. of first .k of Lot 1-2)� C.i_ty_ of Edmonds, Plat 4344 Re: �09—Main�S_&. (Sandwich Shop) Edmonds, WA 918020 On February 1,7, 1981, the Edmonds City Council. passed Resolution 488 for construction, reconstruction,.and repair of deteriorated sidewalks. A leter dated March 16,,1981 was sent to residents that were required to repair the sidewalk.abutting their property. The improvement of si•d•ewalks in need of repair at the expense of the abutting property owner is provided by City. Ordinance, Chapter 7.20 and Revised Code of Washington,.,Chapter. 35.68. The areas needing repair have been marked iri paint on the I sidewalk adjoining your property. Reconstruction permits must be obtained.from the Building Department at 501 Bell Street within,3,0, days upon receipt of this certified.letter. The fee for,t,he sidewalk repair has been waived by the 'City of Edmonds. • In' the' event these improvements are not completed within ninety (190).,day,s; upon receipt of this certified letter, the City will employ 'a private contractor to perform the designated repairs and the City; will bill the abutting property owner. This action is in response to many citizen requests and pedestrian falling accidents which have been increasing in recent years as a result of sidewalk deterioration and increased pedestrian traffic. If you have any questions, please call Bobby Mills a`t 771-3202, ext. 289. Sincerely, JOHN B. MITCHELL Superintendent of Public,Works BM/ml: MEMO TO: Building Division Community Development Department FROM: Engineering; Division Public Works Department SUBJECT: /Oy AY11✓' Sr' After review of the subject Building, Permit application',,! Ye ' the following comments: w' 1. Connection to City water system required. 2. Connection to`City sanitary sewer system required. 3. RiPht of_-wav Permit required forany work on City pro 'er 4, Driveway slope not to exceed 14%, 5.''-Backwater valve required if dotansLair.s plumbing is below elevation of upstream manhole. 6. Water and sewer lines to he separated by 10 foot minimum 66- D.v&Is�o iAI Ca)JWerleAl WIrNr Ln MAD f�+ ✓nrid,x a ���� Signature r PUBLIC WORKS IEP C MIST D 1V nUILDl� riRl�[T REVIEW /�/ —(ad ess e 0 Street Right -of -Way Existing 6 o REQD v Access Easements Existing �%4 MQD H a Utility Easement Existing /✓ RFiQD w Lot Per Subdivision Platte cr Assessor w Site Plan Checked for Accuracy Z Underground Wiring Reqd. 0 Check Accuracy of Lea scriVtion Z Review by Date w Existing Water Main Size Water Main Required NIA Service Line Required ' Hydrant Size Existing_____,( ,�� rd Hydrant Reqd Per Fire Code A114 Size w Detector Check Meter Reqd. Cross Connection Inspection Al V e s Fire Department Conments 3 Water Meter Charge Reqd. Review by U Date Septic Tank Design Approved Dates/ Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability /7toS Proj. Drawing No. Es j2 -� File No. Side Sewer Availability w Sanitary Sewer Connection Fee Reqd. �- 3 Review by Date w `n Open Ditch Existing U /v Regd• Culvert Reqd. 4,0 Q. Size x Catch Basin Reqd. 10 y e— Indicate on Site Plan O Shoulder drainage maintain collection on Swale open runoff M Manhole reqd. Nd N.e—. Indicate on Site Plan Soil Conditions and Ground Water Field Checked Review by Date Revised: 1v10-1977 r� OCITH Z"D bufmuf rn OQvz�� ZZf���O�N m�UmZ � Umo�i�o �qmp�mO�m UZ �o VII m �p�,o� �a 12�,LlE—=*,� AD_ B-28_81 DAN GANFIELD Memo t Ao to --A ri 1 29 1981 building permit. Also,.'a new easement.shall-be required for the relocation of city utilities bisecting site. ADB-25-81 CITY OF EDMONDS/DICK BESELIN - Dayton End Park at west en o ay on treet. (Cp1". The -Engineering Department has no comments at this time. They have been and shall be involved in ,the construction and inspection of these modifications -to Dayton Street, should they be approved. ADB�1' ROBEkT GORMAN .,8024 196th Street S.W. (RM-2,4)' The parking layout .is..satisfacto wing utilties/storm/sanitary,systems--and'any required neasementslan oshal be required prior to issuance of buildingshall wiring be required. A as -built drawing for lll systemsUshallrbenrequireshall prior to occupancy of units. All requirements of S-19-78 must be met in conjunction with this development. Access is subject to approval by the Fire Marshall. ADBADB--_ 1 HOWARD JOHNSON 524 and.531'.Maple Street. (RM-1.5) Engineering recommends a modification to the parking layout from five stalls accessing from the alley to four stalls, with two tandem stalls accessing off of Maple Street. The alley adjacent to the site must be paved to match existing pavement to the west. A development plan for alley, retaining walls and drainage -system shall be required prior to issuance of building permits and as-builts for all utilities installed on -site required prior to occupancy. Underground wiring will be required. ADB-27-8 EAN BRANAA - 109 Main Street (BC) The parking layout is satisfactory.. Engineering shall requried gravel parking lot -be paved in conjunction with the development. - 21104 70th'.Avenue West (CG) that the Applicant shall be required to sign a support of future L.I:D.'.form for future development of the streets, curb, gutter and sidewalk in the vicinity in -lieu of posting of a bond. Other requirements are that the applicant must submit a development plan showing water/sewer/drainage systems prior to issuance of permit plus as-builts of these systems prior to occupancy. The rockery must be designed by a licensed professional civil engineer. The parking layout is satisfactory. Underground wiring is required. Also, a conditional use permit is required if more than 500 cubic yardsof.fill will be brought into the site. o COMMENTS FOR 8/60ADM MEETING July Page 21 ' 1980 ADB-59-80 - Leonard A. Hammer' . t Review of site, elevations and landscaping for four ten -unit apartment buildings at 7722 196th St. S.W. (RMIi) Drainage plan required in conjunction with Building Permit. Underground wiring required. Parking layout is generally acceptable. The Engineering and Fire Departments are currently working on a slight redesign in the parking lot at the "S" turn to allow for fire truck access to the rear buildings. ADB-60-90 - City of Edmonds Review of fence for screening fishing pier parking lot at northwest corner of Railroad Avenue and Dayton Street (CW) "FILE THIS PfL GETHER DATE PAGE —______ OF —0 ADB-62-80 - dN�;ZSM4ZTHe`�' DT. This item has been requested as a result of complaints by the 3 residents along the waterfront. The screen shall create no traffic, site distance, or safety problems and has the approval of the residents. Jerry Hager Review of sign for Scuba Scoop at -A. 0,9 Main, 'St. This sign has adec.juatc` clear,rnce for pedestrian passage and shall not project into the vehicular travelled way. A street use permit authorized by the City CoUncil will be required. Chester Bennett Review of site, elevations, and landscaping at 402 Dayton Street.(BC) Engineering Division shall require that the curb cut on 4th Ave. S. be removed and that no sight obstructions are allowed (ie. fence, shrubs) where the parking area exits on to Dayton Street. Also, 27 feet is the required width for three parking stalls. Plans are to back on to Dayton Street from the park- ing lot. Given the limited options of the site, the on -street parking problems in the vicinity and the small amount of traffic that will be leaving this site, we do not oppose this design. DS:jky 0 CITY OF EDMONDS APPLICATION to the ARCHITECTURAL DESIGN BOARD DATE '% FILE 4{ SITE PLAN BUILDING PLANS (3): ELEVATIONS LANDSCAPE PLAN ENVIRONMENTAL DATA Receipt # SIGN EXHIBITS (3) PLAN MODIFICATIONS TO FILE NUMBER: HEARING DATE 0 — �- '"3,�O PHONE i "?&, " , ADDRESS ! ? f"� fj f> x /C; yj L y/LJ �4fil7f> c1 ZIP CODE CONTACT PERSON �' / 11� �.� �,% /�� �� PHONE jJ'/,� S ZIP CODE ADDRESS � ,'� �� -- �. U 2 �— S . tJ , � c� Il'l G` /�%c1� � ARCHITECT CDESi�:GN_�E \ .,J l=L P& f-�� CY L %� PHONE 2'2/ PROPERTY ADDRESS /O'j •-- M A L C�/17 <_' /t)c� j' ZONING e'! v/,/I-C, 'ec LEGAL DESCRIPTION 11 PLANS SUBMITTED FOR APPROVAL: 1. Building Plans — Preliminary Final Site Plan Landscape Plan Elevations 2. Sign Elevations__ Site Plan Landscape Plan 3. Modification of previous approval EXISTING USE OF PROPERTY PA d 6(` H /Jr / I DESCRIPTION OF PROPOSAL f1� L /0 APPROXIMATE DATE WORK WILL BEGIN ON PROJECT Q�► /� //�� i%A L ESTIMATED TIME FOR COMPLETION OF WORK % i�% �(✓ I (we) hereby certify to the best of my (our) knowledge, that the statements and information contained herein are, in all respects, true and correct. (Signature o'f1'Applicant, 12/78 RECEIVED J U L 2 41980 Dlr. Of Public Works so u p ` \ SANdIA►CH a F4AAPI k IT 2 2 TO C(;y OF i.l mmos Rv a s RECE ' ED JUL 4 Dir. Of Public Works C,TT0 Tx GO,/ / J /v/pl�7 7 CITY of EDMONDS BUSS LICENSE APPLICATION Oro LICENSE NO. � - ❑bic center • Edmonds, Washington 9B0 ri"r j a Pi r 1 = cur Clerk Phone 775-2525 �{ Y o.r" t� Rt' ANNUAL FEES PENALTY AFTER FEB. 15 V ❑ HOME OCCUPATION NSTRUCTIONS: All items must be completed or application will not be ac cepted. Sign and return application with lee. Renewals received $10.00 (A) ADDITIONAL $5.00 ❑ [SMALL BUSINESS $15.00 (B) ADDITIONAL $7.50 ❑ ❑ Business with 10 or more employees ADDITIONAL $25.00 ❑ $50.DD (C) after February 15 must pay NEW APPI penally in addition to fee. ❑ RENEWAL NEW BUSINESSES AFTER ❑ CHANGE JULY 31, 112 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) ❑ DELETE OIAS&481YEAR LI I E F 0AE REASO, LIC. NO. SPEC. RECEI NO, DATE PAID PRINT IN Wc. sox Fen ISSUE OF COO nEC IEO FEE PAIO PENALTY PAID LICENCE WIID 'LC'AGTION. MAILING ADDRESS /C' � 127,IVA o5-L. BUSINESS PHONE OF BUSINESS tlU51NE55 AUDHESS /��O r/7%/4�H S7-. INDIVIDUAL PARTNERSHIP CORPORATION �- cs�] (S) o (P) o P EMERGENCY NOTIFICATION: It) NAME & TELEPHONE E✓[-i Irn/ yLrrPNOdt50N ��/ -��" (PLEASE LIST TWO) (2) NAME &TELEPHONE 1%28 S/%EZ 2Y�Ai 77G- E I7/ WASHINGTON STATE TAX NO(O Vd — A6y APPLICANT'S SIGNATURE (u'�,7 _LP DO NOT WRITE BELOW THIS LINE (� STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT DATE 13 — i R LAND USE CODE ZONING CODE QS, APPROVE ❑ DISAPPROVE SIGNATURE CONDITIONAL USE PERMIT COMMENTS O 1 m BUILDING DEPARTMENT l Buildin DATE L ❑ APPROVE ❑ DISAPPROVE g ❑ Apt. Bldg. SIGNATURE Permit ❑ Apt Bldg. (L) (A) ® ❑ Office Bldg. (0) COMMENTS: Occupancy ❑ Restaurant (R) Group ❑ HosplNurs Home ® CAPACITY: (NO. UNITS, ARTS., OFFICES, SEATS, BEDS, STUDENTS) ❑ School ' (H) IS) FIRE DEPARTMENT DATE U.F.I.R. AYAPPROVE ❑ DISAPPROVE SIGNATURE ® O® COMMENTS: VC'E DEPARTMENT _ /^ —d"� APPROVE ❑ DISAPPROVE DATE SIGNATURE L COMMENTS: PUBLIC WORKS DEPARTMENT LL,,11 \� ❑"APPROVE ❑ DISAPPROVE DATE y G Ov SIGNATURE PLEASE RETURN TO CITY CI FRK DATE: kC) 11-78 MEMO TO: Building Division Community Development Department FROM: Engineering Division Public Works Department SUBJECT: FINAL INSPECTION PROJECT: . koct t'' & APPROVED NOT APPROVED r� Q Engineering Division BY: Water Division ON Sewer Division BY: Lo COMMUNITY DEVELOPMENT DEPARTMENT Building Division DATE:. TO: PUBLIC WORKS DEPT.� PLANNING DIVISION SUBJECT: % I h�A.r N S F. O C i 111978 Dir. Of Public Works Please review and advise any outstanding requirements on above, in order that they may be given final approval and a Certificate of Occupancy issued. Harry M. Whitcurt Building Official HMW/ae BUSINE LICENSE APPLICATION�1z� �I'JREERSE APPLEAC NO WY OF EDMONDSSIDE DATE' / 250 5TH AVENUE NORTH EDMONDS, WASH. 98020 APPLICATIONFOR: TEL€pHONEB(?P}22$,.5?SIP� NEW LIC LICENSE 4Mq LEI BUS. RENEW YEPR �; OFFICIAL USE DNIY 1. PRINT APPLICABLE LICENSE CLASS, FEE AND PENALTY PAID IN ANNUAL FEE BOX AT RIGHT. PENALTY DUE ON RENEWALS RECEIVED BY CITY CLERK AFTER FEBRUARY 15. 2, NEW EUSUNIM: COMPLETE ALL LICENSE APPLICATION BOXES. LIC. RENEWAL: REVIEW LICENSE INFORMATION BELOW. PRINT CORRECTIONS AND ADDITIONS AT RIGHT. 3. SIGN AND RETURN APPLICATION WITH FEE (AND PENALTY). 4. LICENSE WILL BE MAILED TO YOU UNLESS YOU ARE NOTIFIED LICENSE RENEWAL -'r REVIEW BELOW INFORMATION. PRINT CHANGES AT RIGHT. TYPE BUS. CLASS FEE PENALTY HOME A $10.00 $ 5.DO SMALL B 15.00 7.50 'GENERAL C 50.00 25.00 TYPE ORGANIZATION IF BUSINESS IS TYPE CAPACITY C HOTEL/MOTEL L NR OF ALfl]MEmNITS 0 C - CORPORATION APT BLDG. A NR OR ARTS 0 L " LTD. PART OFFICE BLDG. 0 NR OF OFFICES P PARTNERSHIP F RESTAURANT R NR OF SEATS j S�SOLE OWNER HOSP./NUBS. HOME H NR OF BEDS SCHOOL - S NR OF STUDENTS B FMFRGFNCY NOTIFICATION NAME AREA TELEPHONE U) CO OFFICIAL USE ONLY U:F.Cq. CODE BLDG. PERMIT - OCCUq I C.U. PERMIT . -LAND USE I ZONING - LICENSE LA NEW BUS LB RENEWAL LC CHANGE LO-DELETE CLASS YEAR I LIC. EFFEC. DATE REAM LIC. NO. SM 1 flECEIPT NO. DATE PAID PRINT'MISI)LAI' IN SPEC. BDt FOP IBBUf Dl FEE PALOYd� PENALTY PAID CECTto LICENSE wrtti. Tc ACTIax SOCIAL SECURITY NUMBER S / 33 IDENTIFICATION ENTER APPLICABLE TYPES AND A. BUSINESS ADDRESS o MBE REEi APT. NO. LIUtINbt 9LDE NUMBER $TApIE/E•TA APT. NO. Y IA�TE� YT I I I CITY p� STAITEI /ZIIP�COVE�/� (IN EVENT OF FIRE. BURGLARY, LAIIiT T I MlI EPH, Aj LAST NAME, FIRST NRML MEA CD TELEPHONE CONOEUSE CITY CLERK'S APPLICANT' SIGNATURE SIGNATURE APPROVEDDISAPPROVED DATE BUS. TITLE AM CC D0i76) RETURN TO CITY CLE DATE N June 29, 1978 MEMO TO: Amenities Design Board FROM: Leif R. Larson Director of Public Works SUBJECT: DRAINAGE RETENTION TO REDUCE STORM WATER RUN-OFF Referring to the ADB Minutes of June 7th, page 4 (attached hereto), Mr. Christofferson requested information on reducing storm water run-off. In' June, 1977, the City Council passed Ordinance 1924 requiring on -site retention systems where possible to reduce the run-off and to control water quality. Along with the ordinance was a reference to a manual prepared under the Area -wide Waste Manage- ment Planning Study in Snohomish County. The manual lists procedures and methods for storm water management. Among the many methods which a developer can use to meet the reduction in run-off is the use of porous asphalt pavement. This method has many advantages such as reducing run-off, enhancing groundwater supply eliminating the need for storm sewers, and better pavement due to increased skid resistance and elimination of puddles, etc. Disadvantages include special maintenance to keep the pores open and higher construction cost due to the special nature of the asphalt mix. This method has not been used extensively as there have been other retention systems more easily and economically constructed. Another factor to consider in the.analysis of storm water is the question as to whether the water.should be retained on the par- ticular site being developed. Some soil conditions will not permit this retention. Also, the site may be located in the area of a regional retention facility or adjacent to a large body of water able to accept the run-off directly without negative impact. Each site has certain characteristics that must be analyzed to determine the best storm water management practice. Each site requiring a drainage plan per the Ordinance is reviewed by the Engineering Division of the Public Works Department prior to obtaining a building permit. The City thus has effective control over the volume of run-off and quality of the water entering the storm and natural drainage systems. SIGHED RHA/LRL:ej Attachment 2 ti -�- ss ate G.E. I 7ate min: -Sec. ate r� N ADB-56-78 HARBOR CONSTRUCTION COMPANY - Review for screening of make-up air fan on roof at 131 2nd Ave. S. (BC) This item was not heard as no representative of the applicant was present. ADB-57-78 HARVE HARRISON - Review of ice cream stand/remodel at 109 Main St. (BC) Mrs. Block said there was a revision to the drawings after the packets had been mailed. She said this was a remodel of an existing building. It will have a deck to the west. Two parking spaces are required which are provided on the rear of the site adjacent to the alley. A memorandum from the Engineering Department indicated approval of the gravel parking area until storm sewers are installed there. Cedar channel siding will be used. There will be awnings and a double posted sign will be attached to the deck area. Landscaping was shown on the drawing. The applicant said the sign was not designed as yet. Mr. Christofferson questioned whether the Engineering Department was firm on their requirement to asphalt the parking area eventually. He said he would like to see more use of gravelled surfaces or of porous asphalt so not so much water goes into the sewer system. Mrs. Block responded that that was the type of suggestion which could come from the ADB for a possible change in the Code. Regarding exterior lighting, the applicant did not feel there would be need of it because there will be so much glass used and interior lighting. Mr. Selvidge said he would like to see a better landscape plan. He asked what kind of flowers would be used. The applicant indicated geraniums and other similar. flowers. He said it will be only a 2' wide flower bed so it will be too small for shrubbery. Chairman Wight felt flowers would be more suitable for that area. He suggested that the shrubs indicated should be 18"- 24" in size. The applicant said he was thinking in terms of rhododendrons. He indicated there will be litter containers on the deck and garbage cans behind the fence at the back of the deck. MR. SPANFELNER MOVED, SECONDED BY MR. CHRISTOF- FERSON, TO APPROVE ADB-57-78 AS SUBMITTED, -NOT TO INCLUDE THE SIGN. MR. CHRISTOFFERSON THEN MOVED, SECONDED BY MR. SPANFELNER, THAT THE ENGINEERING DEPARTMENT INVESTIGATE THE FEASIBILITY OF A CODE APIENDMENT TO REQUIRE THE USE OF POROUS ASPHALT OR SIMILAR MATERIALS FOR PARKING AREAS TO PROVIDE ON -SITE DRAINAGE AND REDUCE RUN-OFF TO THE SEWER SYSTEM, AND THAT THE ENGINEERING DEPARTMENT REPORT ITS FINDINGS TO THE ADB. MOTION CARRIED. ADB-58-78 J:E. SIGN DESIGN =~Sign review of sign for existing business of Cee & Dee Meats at 10014 Edmonds Way (BN) Mr. Bickle indicated this is repainting of the existing sign. It will be 3' high by 32' long and meets Code requirements. 11R. CHRISTOFFERSON MOVED, SECONDED BY 11R. SELVIDGE, TO APPROVE ADB-58-78. MOTION CARRIED. ADB-59-78 TIRE DISTRIBUTORS - Sign review for Tire Center at 7711 Lake Ballinger Way BC This item was not heard as no representative of the applicant was present. ADB-60-78 JACK KOSTELYK - (James A. Anderson - Owner) - Landscape and elevation review of 18-unit apartnents at 20822 76th Ave. W. (RML) (Revision of ADB-8-77) Mr. Bickle indicated the plan was lacking one parking stall and any approval would have to be based on granting of a variance for that AMENITIES DESIGN BOARD Page 4 - June 7, 1978 ADB-56-78 HARBOR CONSTRUCTION COMPANY - Review for screening of make-up air fan on roof at 131 2nd Ave. S. •(BC) This item was not heard as no representative of the applicant was present. ADB-57-78 HARVE HARRISON - Review of ice cream stand/remodel at 109 Main St. (BC) Mrs. Block said there was a revision to the drawings'after the packets had been mailed. She said this was a remodel of an existing building. It will have a deck to the west. Two parking spaces are required which are provided on the rear of the site adjacentto the alley. gravele or ndum from the Engineering Department indicated approval area until storm sewers are installed there. Cedar channel siding will be used. There will be awnings and a double posted sign will be attached to the deck area. Landscaping was shown on the drawing. The nt said the sign was not designed as yet. Mr. Christofferson questioned whether the Engineering Department was Hfirm onhtheir requirement ireike ent to asphalt the parking area eventually. use of gravelled surfaces or of porous asphalt so not so much water goes into the sewer system. Mrs. Block responded that that was the type of suggestion which could come from the ADB for a possible change in the Code. Regarding exterior lighting, the applicant did not feel there would be need of it because there will be so much glass used and interior lighting. Mr. Selvidge said he would like to see a better landscape plan. He asked what kind of flowers would be used. The applicant indicated geraniums and other similar flowers. He aid it will b only a 2' wide flower bed so it will be too small for sh bbery. Wight felt flowers .would be more suitable for that area. He suggested ica that the shrubs indicated should be 18"- 24" in size. The ap, said he was thinking in terms of rhododendrons. He indicated there, will be litter containers on the deck and garbage cans ehinMRthCHRISTOF- at the back of the deck. MR. SPANFELNER MOVED, SECONDED BY FERSON, TO APPROVE ADB-57-78 AS SUBMITTED, NOT TO INCLUDE THE SIGN. MOTION CARRIED. MR. CHRISTOFFERSON THEN MOVED, SECONDED BY MR. SPANFELNER, THAT THE ENGINEERING DEPARTMENT INVESTIGATE THE FEASIBILITY OF A CODE AMENDMENT TO REQUIRE THE USE OF POROUS ASPHALT OR SIMILAR MATERIALS FOR PART: AREAS TO AND THAT THOEVENGINEERING DEPARTMENTNREPORTCITSUFINDINGOS TO THEWER SYSTEM, ADB .MOTION CARRIED. ADB-58-78 J.E. SIGN DESIGN - Sign review of sign for existing business of Cee & Dee Meats at 10014 Edmonds flay (BN) Mr. Bickle indicated this is repainting of the existing sign. It will be 3'MOVED,hSECONDEDigh by 2BY1ong anmeetMR. SELVIDGE, TOdAPPROVErADBnR 58-781�MOTIONTOFFESON CARRIED. ADB-59-78 TIRE DISTRIBUTORS - Sign review for Tire Center at 7711 Lake Ballinger Way BC This item was not heard as no representative of the applicant was present, ADB-60-78 JACK KOSTELYK - (James A. Anderson - Owner).- Landscape and elevation review of 18-unit apartments at 20822 76th Ave.. W. (kML) (Revision of ADB-8-77) Mr. Bickle indicated the plan was lacking one parking stall and any approval would have to be based on. granting of a variance for that AMENITIES DESIGN BOARD Page 4 - June 7, 1978 L7 ft DATF: U��� June 8, 1978 MEMO TO: Building Division Community Development Department FROM: Engineering Division Public Works Department SUBJECT: 109 MAIN ST. COMMERCIAL REMODELf,-ICE CREAM STAND After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure with respect to utI Ides, streets, property Ines and driveway grades is the responsibility of the contractor. 2) The contractor is required tokeep the abutting streets clean- ed of dirt and debrl*-s caused by the construction. (3) A "Right -of -Way Construction Permit" is required, from the Engineering Division of Public Works, for any work withinthe Public Right -of -Way or public easement. _(4) Driveway.slope not to exceed 14%. (5) Parking area to be crushed rock per memo dated June 6, 1978, pending City installing drainage in main Street. PW 5/77 June 6, 1978 MEMO TO: John LaTourelle Director of Community Development Dept. FROM: Leif R. Larson Director of Public Works SUBJECT: ADB-57-78 109 MAIN STREET COMMERCIAL REMODEL FOR ICE CREAM STAND Per a meeting with applicant this date, we recommend approval of the subject application. The existing building is connected to sanitary sewer and the existing electrical.service is in accordance with City code. The City will be installing a storm sewer system, in the public right-of-way, adjacent to the site. We recommend approval of a gravel parking area on a temporary basis until the storm system is available. This memo supersedes Engineering Staff Review dated May 30, 1978, signed by W. J. Nims. LRL: ej 'A in. Sec. Date ►�„,` j m SrANO IC 14ORKS DEPATM4ENr M 1 MKL Date B1 1 1 PERMIT 1 _ Street Right -of -Way Existing Access Easements Existing Utility Easement Existing _ Lot per Subdivision Site Plan Checked for Accuracy ® REQD REQD REQD Plat Assessor Map Underground Wiring Reqd. Check Accuracy of Legal Description Environmentally Sensitive Area Environmental Checklist Reqd. Flood Hazard.Zone U Shoreline Management Area A ,Slope, Soil, Vegetation Stream, Creek, Drainage Basin I j o 'Existing Zoning Per Code C C� Amenities Design Board Approval Regd. _ADB # Approval Board of Adjust�AppWval Reqd. n T Existing Water Main Size iz-"c-= Water Main Reqd. Q ON rr_ Service Line Reqd. 5141 Hydrant Size Existingy 4/ Hydrant-Reqd. Per Fire Code Size Detector Check Meter Reqd. AJO Cross Connection Inspection A-10 Fire Department Cmments Water Meter Char..ge Reqd. -tom- tLla 19F�- 4s1i vq Review by: Kw„ Date: 0 7 7 9 te: Septic Tank Pen -nit Reqd. wit Permit No. Sanitary Sewer Availability Proj. Drawing No. File No. Side Sewer Availability Sanitary Sewer Connection Fee Reqd. Review By: WV Date: 477 78 XK.K. a� N T.,�,c itch Existing Regd. t Reqd. Size Basin Reqd. Indicate on Site Plan er drainage nk�i.nta 1 collection on Swale open runoff e regd.Indicate on Site Plan onditions and Gro d Water Field Checked hK I1;te Street Paving.Reqd. E� Curb and Gutter Reqd. w Sidewalk Reqd. w Curb Cut for Driveway Reqd. c� Right -of -Way Construction Permit Reqd. E, Bond Reqd. for Public Improvements Street Name Sign Reqd. Other Signing Regd. Q Pre Permit. Site Inspection made on a BY: SEWER - U w w WATER a V) ~' z STREET H ENGINETRING Special Requirements listed in meft� to Comim"Mity Development Department, Building Division BY. Date o All items .filled in on Building Permit Application a BY Date a' Draw-ings Stamped and Notations Made . w BY Date Approved by Public Works Deparrm-it Revised: lv 10-1977 h June 6, 1978 MEMO TO: John LaTourelle Director of Community Development Dept. FROM: Leif R. Larson .Director of Public Works SUBJECT: ADB-57-78 109 MAIN STREET COMMERCIAL REMODEL FOR ICE CREAM STAND Per a meeting with applicant this date, we recommend approval of the subject application. The existing building is connected to sanitary sewer and the existing electrical service is in accordance with City code. The City will be installing a storm sewer system, in the public right-of-way, adjacent to the site. We recommend approval of a gravel parking area on a temporary basis until the storm system is available. This memo supersedes Engineering Staff Review dated May 30, 1978, signed by W. J. Nims. LRL : e j jo hlb in. .Sec. Date 0 Z FA x w w Z H c� Z w 0 4IC [ARKS DEPAR'R1 UN CHECK&& _Date BUILDING PERMIT REVIEW o d�1� 6 6 e_�.:•. Address Street Right -of -Way Existing l60 D REQD N•A-- . Access Easements Existing (r)t' REQD Utility Easement Existing REQD Lot per Subdivision Plat Assessor ��5 p Site Plan Checked for Accuracy , "7 Underground Wiring Reqd. Check Accuracy of, Legal ,D Environmentally Sensitive Environmental Checklist R Flood Hazard Zone N A, Shoreline Management Area Slope, Soil, Vegetation N •A-. Stream, Creek, Drainage Basin NA. Existing Zoning Per Code Amenities Design Board Approval Regd. a Q ADB # - Approval_ Board. -.. ► tr��I� Review By: f " 1, Date: Existing Water Main Size /2, " e,z Water Main Reqd. ,tJfl Service Line Reqd. 3/�j �,�c� s fi AJ: Hydrant Size Existing Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. A-1fl Cross Connection Inspection �t%© Fire Department Comments Water Meter Choi e Reqd. Review by: r Date: tic Tank Design Approved 11iV Date: Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Gl�q� Proj . Drawing No. -�� File No. Side Sewer Availability ate Sanitary Sewer Connection Fee Reqd. + Review By: _zt` Date: x 0'0 00 Open'Ditch Existing Reqd. H Culvert Regd., Size P� Catch Basin Reqd. Indicate on. Site Plan o Shoulder clrainaf e nkni.ntain collection on swale open runoff H ?Laiiliol re d►, q Indicate on Site Plan Soil Conditions and Ground Water Field Checked RevicnA' by -7 D:, t Street -,Paving Reqd. h/& H Curb and Cutter Reqd. w Sidewalk Regd.�i', W 4 Curb Cutafor Driveway Reqd. .n, P4 Right -of -Way Construction Permit Regd." H Bond Reqd. for Public Improvements Street Name Sign Reqd.' UO Other Signing Reqd.+, Pre Pen -Lit Site Inspection made on 447M l BY: SEfJER H w w ' WATER. _ H �_- STREET H rX' ENGINEERING. R'? I V Special Requirements listed in mum to Comrnmity Development Department, 6 Building Division BY N 0 Date o All items filled in on Building Permit Application �/ � BY �j (� Date a' Drawings Stamped and Notations Made w BYDate Approved by Public l,lorks Departimzt Revised: Iv 10-1977 -,- ..;� 4�q9 rpm a CITY OF EDMONDS FOR SEPTIC TANK APPROVAL. NAME George B. Palge_ _ _ _ -.-• ADDRESS 109 Blain St, s_Edmonds ADDRESS OF PROPOSED BUILDING- •�y�_oe x zA srelk LEGAL DESCRIPTION: LOT # __. BLOCK.44 TYPE OF USE: Re s ide nt is 1 NO. OF BEDROOMS. 3 SIZE OF LOT 1. Is site. well drained: _ Yes 20 Located so surface water will not accumulate or run over top of ground?_ Yes _- 3. Heavy slopes? No. 4. Will much grading or filling be. required?... 5. Test Hole .Yes.' . Give depths to: 4 ft. WATER _ No PACKED CLAY _-..___,_#p....._.. SAND.—_YAsi GRAVEL v-�: 6. Percolation Rate: Time in Minutes Inches -of Fall Dyke _ r TESTS MADE BY: NAMEWilkison .._.._ ADDRESS..._. 23706 West 84. DATE .. _ 8 : 2 - 1958 7 0 Cj_`,y of F-dnonrI3 Requir-ar.aents S alM e as Sijoli-7ish Covnt�-,,r D?T)P.rtment of Health cation_ Test and _Soil Log.In-structions Appraisal of . soil `and water conditions to determine suitability for septic tankdisDo8al of CT.'\TRAL INFOPMATION The absorption capacity of soils in: i�rhidh drainfields are.proposed must be determined before a septiC, tankpermit may be granted by the- Department; -Pf,; Health. In Edmonds. and Snoh=-Ish C o.untv,:, ermerience .shows z- that soils'. even in a limit ed, area, :p are ri,-,�t.s-dfficie.-,tl.y-uniform ::to predict, without I inVesti-. gation,, their absorptinn and percola. 140- .1 characteristics. The responsitLility,,,.. rests with the . owner a:,.,id/or builder f or - investigating soil. and water condi- tioris at proposed*biuildih?-Y:sites. and.fordesigningandi3:1-,qta_1lingITaA5eWage disposal,,. system! that -'0_11 opera t,e"successfully over aporiod..tf: years -;.wit out;- ' creating -a -pu6116L hoalth.:-,probllem `for aa the community,br ��nsance ;condition to the usersa &thoir',neigh.b� n rs", ,o The evaluation of ­`Soil,: conditions for -.the'T disposal -of : sewage l.requires , ledge of _prin_:1ci1P1-e,q,off' septic, tank operations and the: biological -action-.in volved in making the liquid wastes innocuous.' Therefore, it will,igpu ally be,. advisable for the oiiner end/or builder to seek experienced help in conducting the investigations and designing the system; A number prof, es siofta-1 sanit"i d ar7 engineers : in this .area have: experience i,n:�indiVidual'.�sewiaged-Lsp.0sa problems sand Ar6',cc'm'pe`6er+j'to and. design,_,adequate systems.., -In , provd. deic.sorvi, o;es: of,thi:i.: nature': REQTJIT-tZEENTTS Soil Log: A,.log 'of the boils' i,rIich, 'i-)ill .-show soil types encountered in the drainfi.eld and at least two feet below the level of the tile lines. The log must d6§crIDe sci type: .and depth of each type.`, '.Clas.sifid ation -may -si be in general- 'terms -':such: d8 io6s . Tsand c ement ed sand., L s Andy -silt lt,, gilt clay, 0 ck, etc . ' �pan r 110 P Soil logs must b e made` f t IN- o r. more test holes' located in re'res'ontative parts ' of the drai,-Lf ield area,and must be separated by at least 20 feet-. The size ofhole is relat-,*-vel,r'ul.ilim�-,-)ort,or.-Ill., but should be of sufficient diameter - for the observer to obtain representative samples from the soil profile and determine color, texture;* structure, and in addition; elevation of water - table if it is encountered. Requirements for approval includes a minimum depth in the draihfieldkOf 3' feet of per.-.ieable::"S'-oi11;,ovc---1,y'-inc- any L­�permeable layer or overlying the ground water -table, or the elevrat-'I_on of ground water during the' wet season. Form #18 (1) ..Page two Percolation Test: 1- Number and location of.tests: Three or more tests shall be made in sep- arate test holes spaced uniformly over. the proposed drainfield..site._ 2- Type of test hole::'Dig or bore the.holes with horizontal dimensions.of, from 4'-to 12 nches,-and vertical sides, to the depth of the proposed;absorp tion drench: "Holes may be bored with, a 4-inch auger i.f •desired. 3- Preparation of .the test hole: Carefully scratch the bottom and sides.of. the hole with a knife blade -or sharp -pointed instrument, in order to remove',; any smeared soil surfaces and to provide a ,natural, soil, interface into_,whih; . water may percolate. Remove all loose material from the hole. Add ,2<.: ndhes of course washed sand or fine gravel to . protect 'the bottom from scouring and sediment 4-'Saturation and swelling of the,soil:, Fill the hole with clear water to. a minimum depth of12 inches .over the gravel._ Keep water in the hole., -by., refilling if necessary; for.at least 4 hours and preferably overnight. .;If soil,.other'tha.n loose sand°had'a dry appearance when hole was initially dug,'soil must,be allowed to swell overnight after the soaking ,period to `. permit it to approach the.. condition it will be in when system is operating.` If soil was.initially wet to.saturation proceed as in Item 5 after the `4 hours of soaking. 5- Percolation rate measurement: A. 'After saturating .the -soil and permitting it to swell, adjust depth,of. . water in the test hole to 6 inches over the gravel. From a fixed reference•= - point ; measure the drop in -water. level over a 30 minute,period, refilling, .6 inches' over the gravel ifs necessary. This drop in,- 30 minutes is . used to;- calculate the percolation rate (.time required in -minutes for wat.er;,to fall SPECIAL NOTE:- It may not be necessary. -to perform percolation.tests on each' lot in the subdivision. See Subdivision Report. Percolation Rate and Required -Absorption Area. For. Single Family Dwellings. Percolation Rate (Time Lineal feet of_ 4 irich,'t4ib in•minutes for water to using trench.with.width of fall one inch) .2 feet . . 150 minimum 175 rr 190 r� 225 n 250 rr 265 rr 285 375 Soil Unsuitable Form 18 (2) APPLICATION for The City Of Edmonds SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . .......................................... 112-03900 OWNER.......... ai.1.... nn---Tavern----------------------------------•.. ...................... CONTRACTOR....................................................... PERMIT No. . ADDRESS ......1.09 ... Main ... S.t................................................ ...................... LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No............................................. 4 NAME OF ADDITION .............................. Dye Tested On Sewer 1972 Approved: DATE--••--•-•--• ................................... By..-----.............................................................. ":+..e= 1:: —. ..i71,. 7,1 z" LJf--- NuE � IZ" cONc. L_L_F-E Y (tttp of (fb onb DEPARTMENT OF BUILDINGS - ]of PER International Building Code Section 110 'Idi At: 109 Main St,'' —76'ui ina Permit #: 2006-1391 Occupancy established by this certificate: Dwelling Units: N/A B struction: VB No. Stories: 2 Basement: N/A Maxirrium Occupant L 3 (Per 16C 1004) Room.capacity.' �Igps, w)4-W�*q' Jrb ' dl,-,�4hust- remain posted at all times. Owner of Building: Jean-Rene�B'r-a-naii.1i:-P'atisi;=Paift"'n-h"fp,-�'- -Ad'dirbss/Tehaht Space: 109 Main St THE 2nd Floor Office -.-H'A"'S*"�'B"EEN.,iNsOttTti5-.ANd'APO,'R"OV"ED AS COMPLYING WITH THE REQUIREMENTS OF THE 2003 EDITION OF THE INTERNATIONAL BUILDIN'G,C"66E AS ADOPTEDBYTHE CtTY,FOR-T­H-E''G-ROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE PROPOSED OCCUPANCY I!ki!'$SIFIED. Issued this I -October, 2007 CHIEF UILDING OFFICIAL BY: This certificate shall be posted in a conspicuous public area and shall not be removed, mutilated or obscured and shall b - aineclin legible condition at all times. Any change of occupancy or use requires a building permit and a new Certificate of Occupancy issued by the City of Edmonds Building Official. 7 _. DATE: MEMO T0: Building; Division Corununity Development Department- FROM Engineering Division Public Works Department SUBJECT: /Ov�r- After review of the subject Building Permit application, we have the following comments: 1. Connection to City water system required 2. 'Connection to City sanitary sewer system required. I 3. RiIht-of-way Permit required for ,any work on City property 4. Drivewayslope not to exceed 14%. S. Backwater vnlve required if downsLair.► plumbing; is below elevation of upstream manhole. 6. Water and sewer lines to he separated by 10 foot minimum A OE_-VQv6-0 Al C0CV0AJcrcon/ 60/ sc ez'!op/yiE/y'r, PUBLIC WORKS DEPARTMENT ALIST �V d dwl�—Lm U Imo, BUILDING PEIMT REVIEW 0 �/Y/vy (address)e Street Right -of -Way Existing 6 o REQD Access Easements Existing a-0 . Utility Easement Existi READ w Lot Per Subdivision Plat Assessor Map.S- w Site Plan Checked for Accuracy Underground Wiring Reqd. as Check Accuracy of Lea Descri tion Z Review by Date w Existing Water Main Size i �C Water Main Required Service Line Required 46 Hydrant Size Existing 4-1 Hydrant Reqd Per Fire Code IIA Size w Detector Check Meter Reqd. Cross Connection Inspection e Fire Department Comments Water Meter Charge Regd. Review by Date Septic Tank Design Approved Date Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability X Proj. Drawing No. ES j2 - a File No. Side Sewer Availability o: w Sanitary Sewer Connection Fee Reqd. -*&I- 3 Review by �2 e,/ Date w Open Ditch Existing d• Culvert Reqd. ,yO a, 2 Size e4 Catch Basin Reqd. ,r/o e— Indicate on Site Plan O Shoulder drainage maintain collection on swale open runoff `n Manhole- regd. Iva �r�-e---. Indicate on Site Plan Soil Conditions and Ground Water Field Checked Review by . ' Dsate G-�f a 'ET H�� A F F I D A V I T STATE OF WASHINGTON ) ss. County of Snohomish ) JM. S E. ADAMS, duly sworn upon oath, states: / O 9 Mom- / K-) S i I am a professional engineer and engineer for the City of Edmonds. On April 28, 1981 the building at 109 Main Street, Edmonds, Washington upon the hereinafter particularly described property: East 60 feet of Lot 12, Block 12, Plat of Edmonds. Commonly known as 109 Main Street, Edmonds, Washington. was Dye tested and found to connect into the 15" Sewer Main on Sunset Avenue. The sewer lateral enters the sewer main North of Man Hole #6. The diagram attached hereto and made a part hereof by reference represents the actual location of the sewer lines. Said property is serviced by a sewer line within 30 feet of the described property. (JAMES E. ADAMS SUBSCRIBED AND SWORN to before me this May, 1981. % r" day of fiARY PUBLIC in and fl6r the St e f Washington, residing at 6 USE �ERMIT CITY OF EDMONDS ZONE UMBER Y CONSTRUCTION PERMIT APPLICATION JOB ADDRESS NAME (OR NAME OF SINESS) I//SJPAIJAA LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. w 2I MAILING ADDRESS o ��0 1, AV PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. 40 CITY TEL PHONE NUMBER �.. EXISTING REQUIRED DEDICATION 10 PROPOSED _L� (�{/ O Z NA RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑ w W STREET USE PERMIT REQUIRED CI Z A DRESS � x U 2� s SEE ENGINEERING MEMO DATEDcc L7 w SEE PIW DEPT. REVIEW CHECK LIST DATED CITY TELEPHONE NUMBER C1776-�-nf( REMARKS NAME ADDRESS METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS v cr w CITY TELEPHONE NUMBER Z 0 REMARKS 3 U STATE LICENSE NUMBER CITY LICENSE NUMBER SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT Legal Description of Property • Include all easements (show below or attach four copies) SHORELINE # z O ' OF�� / ? ! I U VARIANCE OR CU PLANNING REVIEW BY DATE / � W O W2 •� YARDS LOT COVERAGE w FRONT SIDE REAR z ji Z ��/ ��"L`i)MONoS LJ NEW F-1RESIDENTIAL " PLUMBING ADDIALTER 17771._11 1.1.6 NON-RESIDENTIAL MECHANICAL REPAIR RETAINING WALL SIGN FENCE a DEMOLISH1:1 ORCFI LTE (( x-F7) PRE -MOVE INSPJ SWIM COMPLIANCE INSP. POOL SIDE SEWER WATER LINE NUMBER OF STORIES NUMBEROF DWELLING UNITS NATURE OF WORK TO BE DONE fATTAr�H PLOT PLAN) °E i CHECKED BY TYPE OF CONSTRUCTION C SPECIAL INSPECTOR AREA I OCCUR REQUIRED GROUP ❑ YES 1 1 NO PLAN CHECK FEE BUILDING PLUMBING MAI A/ ST. I MECHANICAL This Permit covers work to be done on private property ONLY. iGRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and o successors in interest, agrees to Indemnify, defend and hold J harmless the City of Edmonds, Washington, Its officials, x employees, and agents from any and all claims for damages of iwhatever nature, arising directly or indirectly from the Issuance ! of this permit. Issuance of this permit shall not be deemed to 0 waive or reduce any requirement of any city ordinance 0modify,, x 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 information given Is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and ; THIS PERMIT state laws regulating construction; and in doing the work authoriz• j AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa• WORK NOTED tl n InsuranC . j INSPECTION S R OR AGENT) DA SIGNED DEPARTMENT _'- CITY OF THIS SITE IS LOCATED IN THE CITY EDMONDS OF EDMONDS. LOCAL SALES TAX 775.2525 ATTENTION SHOULD BE CODED 31.04. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102.78 VALUATION FEE H OCCUPANT LOAD APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his . Deputy; and fees are {paid, and receipt is acknowledged In space provided. OFFICIAL'S SIGNATURE DATE ORIGINAL — File YELLOW — Inspector' PINK — Owner GOLD — Assessor ■.n on onno - r �a • tomune.. w.. mww':� { fit. FL. Cgwc SLA'3:- - _ _ •- _� PPE UN� . �( • •i, ' . �, •.'�• _ r;: VA 30C.Z. DRAW sa pre ,OND&2 WAck j c ,� ice•. i^ .`��� i r 4. /. • 314, Quv4 t -. TSCL is 00, Lo PLAN • .Y- �� ,lam. 'r C. r.�./♦� 1 ;PAZ r 7 IN • - ., ,. •,t .. r. ,:ice' ,ei • i ,r• - - t .x 1 '' -h 31 J�V•,�� '.a/`jT,���- ,��► i,�/J/�► •. �Yi.��r/47-r��r����.§I�^: �.},I R4IJ,4* PUBLIC WORKS DEPARTME BUILDING PERMIT REVI 06 BUILDING ADDRESS 9 Mott"" BLDG. DEPT. SUSPENSE DATE )UTE: 0 OFFICE ADMIN. =— PUBLIC WAKS OG IN CITY ENGINEER (check) W ❑ Access Slope and Vehicle Access Mrainage Plan A??r?vJ as ��ed L'L ❑ Street File ❑Legal Description o ❑ Quit Claim ❑ Easement ❑ Calculate Sewer Connection WATER/SEWER DIVISION ❑ Determine Meter Size Complete Building Permit Review DNSTREET DIVISION 13Complete Building Permit Review ❑ OFFICE ADMAN. — LOG OUT TO BLDG. DEPT. INITIAL Single Family. Multiple Commercial DATE CD/BUILDING PERMIT APPLICATION (COMPLETE) f 8/ 13TCOPIES OF SITE -PLAN l 2 COPIES OF FIRE PROTECTION PLAN (PREVIOUSLY REVIEWED BY FIRE DEPT.) 910b COP ES,QFDRAI AGF PLAN WITH CAL ULATIONS MBi�DySUDIVI,SWIION tP I5 GREATER TITAN 2,000 SO. FT. IMPERMEABLE SURFACE ❑ LESS THAN 2,000 SQ. FT. ❑ ❑ ECK ZONING REQUIREMENTS (SETBACKS) 6�;1*11COPY OF ENGINEERING CHECK LIST Ids 11 COPY OF PUBLIC 14ORKS MEMO 7�S ❑ MULTIPLE OR P�iERCIAL YES (OATTACH COPY OF ADB APPROVAL INCL. ALL DRAi.TINGS) NO ❑ _� SUBDIVISION — YES❑ NAME DATED RECORDED >WMBER NO (ATTACH COPY OF REQUIRE"�NTS) VECK SEWER DRAWING AND ATTACH COPY DEDICATION REQUIRED — YES ❑ (OBTAIN QUIT CIAIPI) NO CITY CODE ) D5 L..� DOES CITY HAVE EASEMENT ON PROPERTY YES ❑ TTACH COPIES OF DRAWINGS) b$ NO Q� CHECK LEGAL ACCESS — INGRES UTILIT S� YES YES �f NO ❑ NO ❑ Q HAS SEWER ASSESSMENT BEEN PAID YES 0 L.I.D. NO. PLAT NO. :> SUBDIVISION NO. IF MULTIPLE: ❑ IF COMMERCIAL: INCLUDE NUMBER OF UNITS INCLUDE NUMBER OF FIXTURE UNITS • PUBLIC WORKS DEPARTMEN r- -�,,� ! Single Family �. BUILDING PERMIT REVI S Multiple i Commercial BUILDING ADDRESS 'BLDG'.'DEPT. SUSPENSE DATE INITIAL DATE UTE: 0 OFFICE ADMIN. — PUBLIC WO S OG IN CITY ENGINEER (check) ❑ Access Slope and Vehicle Access Xprainage Plan A??romJ as vw*J _ Street File ❑ Legal Description Quit Claim ❑ Easement Calculate Sewer Connection WATER/SEWER DIVISION ❑ Determine Meter Size ❑ Complete Building Permit Review STREET DIVISION ❑ Complete Building Permit Review []OFFICE ADMIN. — LOG OUT TO BLDG, DEPT. Mimi=Mm�se����ess®e�a��o���®�s�����a�a���o��■®�o���_■®a®ems (-BUILDING PERMIT APPLICATION (COMPLETE) OTCOPIES OF SITE PLAN el 13 2 COPIES OF FIRE PROTECTION PLAN (PREVIOUSLY REVIEWED BY FIRE DEPT.) COP ES,PFFDRAZ�AGL� PLAN J ITH CAL ULATIONS b �&ILA�yy i"ISHA'SDIV GREATER TITAN 2,000 SO. FT. IMPERMEABLE SURFACE ❑ LESS THAN 2,000 SO. FT, ❑ Q ECK ZONING REQUIREMENTS (SETBACKS) COPY OF EIIGINEERIIIG CHECK LIST /S 1 COPY OF PUBLIC WORKS MEMO �s MULTIPLE OR MMERCIAL YES OR COPY OF ADB APPROVAL INCL. ALL DRAT•TINGS) NO ❑ -- J S 13 SUBDIVISION — YESE3 NAME DATED RECORDED ,ZMBER NO (.ATTACH COPY OF RF NIR1 1ENTS) ® ECK SEWER DRAWING AND ATTACH COPY IS DEDICATION REQUIRED — YES❑ (OBTAIN QUIT CODE CIAIH)CITY �S NO ) DOES CITY HAVE EASEMENT ON PROPERTY !'YES[] TTACH COPIES OF DRAWINGS) b5 NO CHECKI'LEGAL ACCESS = INGRES UTILIT S YES YES _ �f n NO ❑ NO ❑ 13 HAS, -SEWER ASSESSMENT BEEN PAID •�i,�°' F?"PLAT NO i UtDIVISION1 NO. CT IFMULTIPLE. 'INCLUDE NUMBER OF UNITS IF:aCOMMERCIAL: INCLUDE NUMBER OF FIXTURE UNITS Y -G. S< -TC 4.. (140-T - OWTS AlU tO sc yy ISO PL � rT 7 "'i_4 ps R 7777 'Y 51 �rl-76 t,"WRov, 'a L,.7 I "KI A qp S � U 1 -l! -� �! S T ZONE��=� SETERACKS: NONIT N. 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