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1016 GLEN ST.PDFIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11406 1016 GLEN ST r ST" ?_toe � 1 RECEIVED C K 1T1aAL... JiRk:�- 1)1i�MIPWTIW .�OW .._F1 ,;;� 22 2013 IA L L-. W �`�' rEW C E- CCSPA f -f P9jC--,SS; ()R r , T&EAT�.I1 OEVELOPMENT SERVICES - COUNTER A ',� 7M City 1 Edmonds Building Department APPROVED r PLAN *_ r: ()H, JOB ., CITY OF EDMONDS BUILDING . DEPARTMENT WORK ADDRESS _Y-25ll9 64ell OWNER C,�Lic, APPROVED DATE: 8.2 i3 BLDG. OFFICIAL PERMIT NUMBER -9-LD2o/3_670 l RECEIVED ',.... • . JUN 0 9 a995:; PERMIT COUNTER m o �z iO7�Nm�rn ♦=ra'm X. N of PLANNING DATA SITE ADDRESS: /19169 OL121 5'�, DATE: d S ZONING: K5 -% PLAN CHK#: !?S —97— PROJECT DESCRIPTION: l(�) X 2 SETBACKS: Required Setbacks: Front:4,0 Left Side: S Right Side:_5 Rear: IS Actual Setbacks: , Front:/Left Side: Right Side: �Rear: / 5- CORNER LOT J�f� LEGAL NONCONFORMING LAND USE DETERMINATION, ISSUED LOT COVERAGE: Maximum Allowed: Z.b Actual: BUILDING HEIGHT: Maximum Allowed: 15 Actual Height: /2 SUBDIVISION: CRITICAL AREAS #: "/ G SEPA DETERMINATIO LOT AREA: 0-I 4l -Z5 OTHER: Plan Review By: RECEIVED-. Critical Areas Checklist MAY 2 2 1992 Site Information PERMIT COUNTER Project Name: Permit Number: Site Location: I Property Tax Account Number. ' S Go 00 2- v a 3 Q Q Approximate Site Size (acres or square feet): 2 Have you filled out a Critical Areas Checklist for a project on this site before? General Site Conditions ND 1. Has the site been cleared or logged? 12 o Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? i 3. Describe the general site topography. Check all that apply. S' r t7 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 305,16 ( a vertical rise of 10 feet of horizontal distance.) Steep: grades of greater than 30% present on site. Comments Hydrology/Vegetation 4.. Site contains areas of year-round standing water: �^ 5. Site contains areas of seasonal standing water. n Approx. Depth: 6. Site is in the floodway floodplain of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? flows are year-round? Flows are seasonal? 8. Site is primarily: forested ; meadow ; shrubs ; mixed 9. Obvious wetland is present on site: � 10. Wetland inventory or map indicates wetland present on site: ✓, 11. Critical Areas inventory or map indicates any Critical Area on site: fl. 0. e9a-199 City of Edmonds Critical Areas 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. Vrith a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject pareel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: kZ r SIT4 1<!l Name Title N Zvi 6 6- Street Address City, State, ZIP z f �.\ Phone Applicant Representative: Street Address / City, State, PP \ Phone Signature `z Date Signature Date CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS 14u R r S,''AR l< MAILING ADDRESS jut ( GLC ST n Cl i CITY p ZIP TELEPHONE NUMBER C6Mr��ijOS jZ'u1u-7-7y-o;Ll -i � VAME ADDRESS NUMBER NAME NGf.JC ADDRESS CITY ZIP TELEPHONE NUMBER STATE LICENSE NUMBER EXPIRATION DATE Legal Description of Property - include all easements 7.Z Tax Aecounl SSGo-U v Parcel No. NEW RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL OREMODEL 1:1APT. BLDG. SIGN OREPAIR O GRADING O FE( NCE CYDS. K-FT) El DEMOLISH O OOOSINSERT O SWIM POOL TUB/SPA GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: I- eslVLij ci NUMBER OF I NUMBER OF DWELLING I CRITICAL JAREAS C4i Z74 STORIES UNITS NUMBER DESCRIBE WORV TO BE DONE IATTACH PLOT PLAN) . A T)otj A-" %,VJA-, w ZONE �b PERMIT g4�S>3b NUMBER JOB SUITErJ ADDRESS I C9 / L G L L- A j S(, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP APProved ❑ EXISTING REQUIRED DEDICATION RW Permit Required ❑ Street Uae Permit Req'd ❑ PROPOSED Inepeclion Required ❑ Sidewalk Required ❑ METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I YES ❑ NO ❑ ENGINEERING MEMO DATED REVIEWED BY FIRE MEMO DATED REVIEWED BY w SIGN AREA ALLOWED PROPOSED A 4 SEPA REVIEW COMPLETE EXEMPT � E%P AOQ� p N (rij' SHOR I e VARIANCE OR I INN VIEW BY / 0qE FRONTSETBASIDECKS_ FEET REAR I ` J GMT LOT A� 5 C vE A�GEE Z ARK Vlw� nYpvCl,IVn nc� OCCUPANT REQUIRED CIYES LOAD MARKS PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED PLAN CHECK FEE HE SOURCE: GLAZING BUILDING / A 1 FA D/d V PLUMBING Plan Check No. /7 MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewPiks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE r SO Permit Application:180 Days Permit Limit: 1 Year • Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE H successors in interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, i employees, and agents from any and all claims for damages of = whatever nature, arising directly or indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed t0 PLAN CHECK DEPOSIT c i modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to any ordinance pD enforce _TOTAL AMOUNT DUE JV2 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 APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT slate laws regulating construction; and in doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is do Insurance an RC 18.27. INSPECTION acknowledged in space provided. SIG TU IOWNER O A E TI 1_ DATE Si NED DEPARTMENT LA„J.an -a Ok,,, 7, CITY OF OTURE DATE F C l' SIG A EDMONDS -� ATTENTION CALL FOR INSPECTION DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE l UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR _ 0220 �� l ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Ov.,er GOLD — Assessor Q.11-rY OF EDv*,,',--,'NL--%13 9ZI-1 77 7Z WSEC 1994 BUlLDlf,',,!-,.J', EFFECTIVE WORK may h/j.✓dow 4-ml-94 • ADDRES-0 ZO-I& 6 "A m cz� ZONE SETBACKS: FRONT SIDE BEAR OTHER THE HEICHT CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS K(-"R7- STA(2 MAILING ADDRESS fo�c� G6, CITY n ZIP TELEPHONE NUMBER NAME ADDRESS 1 - 3 3 I (, ,`..C_ I �. CITY ZIP TELEPHONE NUMBER � c? Syrs. NAMEO CITY STATE LICENSE NUMBER EXPIRATION DATE ascription of Property - include all Basements T- 3. 13(.cle "I ilI 1—y P—k Property Tax Account ��LU'UCJ�-UGr3 0c)o-1 Parcel No. O NEW ® RESIDENTIAL PLUMBING ADDITION COMMERCIAL O MECHANICAL OREMODEL APT. BLDG. El SIGN O GRADING ❑ FENCE REPAIR CYDS. x__FT) DEMOLISH ❑ WOODSIN TOVE ❑ SWIMPOOL HOT TUB/SPA GARAGE r7 WALL/ CARPORT ROCKERYG ❑ RENEWAL (TYPE O fF . BLZSINESIVITY&Aft NUMBER OF STORIES NUMBER OF DWELUNG ' UNITS DESCRIBEWORK TO BE DONE (ATTACHPLOT PLAN) C(1 U •'�16--� � )7G r Co ..Tc �o i..... r�'� r USEPERMIT / Q ZONE /_ NUMBER�Q�J�.I JOB �b�� ADDRESS G PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ RW Permit Required -❑ EXISTING REQUIRED DEDICATION Street Use Permit Read ❑ PROPOSED Inspection Required ❑ Sidewalk Required ❑ REVIEW BY BUILDING SUPPLY SIZE ALLOWED PROPOSED COMPLETE JEXEMPT _SHORELINE a EXP VARIANCE OR CU I /P INNING REVIEW BY DATE �171 IQ C SETBACKS —FEET HE LOT'77C,�OlV�ERAGE FRONT SIDE ✓ I PEA S / p� REMARKS CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT 88 zl�s SPECIAL INSPECTOR [AREAk I OCCUPANCY OCCUPANT REQUIRED ❑ 7 GROUP 2 LOAD VES 7 J '91EMARKS PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED PLAN CHECK FEE BUILDING HEAT SOURCE: U �`. ILL U t a e. ( GLAZING % PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewPlks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: i Year • Provided Work Is Started Within 180 Days STORM DRAINAGE FEE ;'Applicant, on behalf Of his or her spouse, heirs, assigns and ENG. INSPECTION FEE successors in interest, agrees;t0-indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any-endall claims for damages of PLAN CHECK DEPOSIT awhetever-mllm, arising directly or indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE 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 state laws regulating construction; and in doing the work authoriz- ed thereby, no person will be employed in violation of the Labor Code of the State of•Washington relating to Workmen's Compensa- THIS PERMIT AUTHORIZES ONLY THE WORK NOTED II n Insuiance. 11 I INSPECTION SIG ATU [OWNER OR IGEN DATE SIGNED DEPARTMENT CITY OF EDMONDS AT ENTION CALL FOR INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 U APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. ! � � yqe — ELEAS DIY: DATE ORIGINAL — File YELLOW — Inspector PINK — Owrer GOLD — Assessor A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. rozd7 City of Edmonds S"M-iEET R L E RIORATM WAY CONSTRUCTION J A N 2 4 1992ERMITo. 0<ti n ' /' Permit Number: —o / ENGINEERING %P ti,�� I pM" ,A' Issue Date: A. Address or Vicinity of Construction: 1016 Glen Street B. Type of Work (be specific): Install New Service C. Contractor: Washington Natural Gas Company Mailing Address: 815 Mercer Street, State License #: Seattle, WA 98111 D. Building Permit # (if applicable): Contact: Frank Swan Phone: 224-2278 Liability Insurance: pond: $ Side Sewer Permit # (if applicable): E. T❑ Commercial ❑ Subdivision ❑ City Project IM Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: + � i� V J F. Pavement or Concrete Cut : ® Yes []No (2) G. Size of Cut: 2 x 4 H. Charge $ 1 @ Water ,1 To Crops_ APPLICANT TO READ AND SIGN- k - � Z INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeen, tharmay be made agai%srthezCity`Iq%Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings includin dejeiue costs, and attorneyfees by reason of granting this permit. X I a p THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA RtA FORA PERIOD OF O YEAR FOLLOWING THE FINAL /NSPECTTON AND ACCEPTANCE OF THE WORK. ES77MA7ED RESTORATION FEES WILL.BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO TH APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3-202. Work is to be inspected duffing progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand,the permit requirements and the pink copy of the permit will be available on site at all times for inspection purposes. Signature: Date: January 15, 1992 (Contractor o/ Agent y CALL DIAI,A-DIG PRIOR TO BEGINNING WORK IN PRIOR Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund III - Route copy to Street Dey.) r `Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: \ Date: FINAL APPROVAL BY: Date: Eng. Div. July 1983 `e Washington Natural Gas A VVWvKjtcn 5-W G-pany � Mco C l,W e�- IIIIVJTJ Wa un Addendum to City of Edmonds Right of Way Permit Application Submitted by: Kerry Walsh Engineering Aide Washington Natural Gas 622-6767 x2761 pager 969-1686 zD I ju P 0A- /� �� 815 Mercer St. (P.O. Box 1869), Seattle, WA 98111 (206) 622-6767 Side Sewer Drawing The city Of EYimondB EASEMENT NO. -_-.--_..__------------------------------ z18-n4,1s0 NEW CONSTRUCTION [IREPAIRS ❑ LID NO- ------------------ ASMT. NO. ------------------ OWNER------- ED--- PARSONS ------------------------------------------------------------ CONTRACTOR-----------------------------------------------------------------------•-•-------- PERMIT NO. ----•---•----------- JOB ADDRESS------1.0-1.6---GLEN---STREET-------------------------- LEGAL DESCRIPTION: LOT NO. ----------- -------------------------- BLOCK NO. ...... .--------------------------- uj .j LL. i� uj ..................I......................................... ----------------------------------------------------------------------------------- ------------------- NAMEOF ADDITION----------------------------------------------------------------------------------------------------------------------- DYE TESTED ON SEWER Approved: PW4Ml-»ns (REV.tiuia) DATE -------------------------------------------- BY•----------------------------------------------------------- / /o/ 31I4133HIS cal _.�ilErriLl��M'!!'ilr�CJ�..'"''�f��i1►���11►.�""�!�W.i►�