1029 8TH AVE S.PDFIIIIIIIIIIII
8659
1029 8TH AVE S
The City of Edmonds Side Sewer Drawing EASEMENT NO. - .........................................
107-06200 NEW CONSTRUCTION ❑ REPAIRS E LID NO . . ................ ASMT. NO . .. ......... .....
OWNER .... -13ARBARA --- SARGENT ----------------------------------------------- CONTRACTOR ................................................................... ................ PERMIT NO. ------------------
JOB ADDRESS -------- 102-9 ... 3-T-H --- AV--E ...... S .................................... LEGAL DESCRIPTION: LOT NO - ----------------------------------- - BLOCK NO. ------------------------------------
..................................................................................................................................................................
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
4
n
DYE TESTED OF SEWER
Approved:
PWW-0001 -11175 (REV. 11/78) DATE ............................... ........ -- By - ----------------------------------------------- ----------
4,,"1(""���'o''Y�""g���t�' '' °'y��i°3r'� ��.#�' k•S� �. P• ay, l��'�`i1x'� '�"h'1t' b.• i ta'���"t�A'r'3-�6'��}:tia,���`'i%blw'A1?�.i�'�F'��'� *-'t'^r.�C..�v.'kK
City of Edmonds
F-WAY CONSTRUCTION
STRE
PERMIT Permit Number.
1. Issue Date:
A. Address or Vicinity of Construction: 1029 8 AV S (9412625 )
18
9p C B. Type of Work (be specific): Install New Service Y
-19
C. Contractor: Washington Natural, Gas Company Contact: Frank Swan
Mailing Addres#15 Mercer St. , Seattle, WA Phone: 224-2278
State. License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable):
.-
Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR: INSPECTOR: kmt,; -U�m
F. Pavement or Concrete Cut: ® Yes []No G. Size of Cut: 2 (2 x 4) H. Charge $
1 @ tie—in & 1 Over water
APPLICANT TO READ AND��SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to ho[d/IGity'of Edmonds harmle a fj omnj iea,°da j ges, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made agatnst the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including dt�o se costs, and attorney fees by reason of granting this permit.
A
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEI S"IWI�L BE HELD UNTIL THE FINALSTREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE 7O THE AMILICANT.
Construction drawing of proposed work required with permit application.
A 24 ur notice is required for inspection; Please call the Engineering Division, 771-0220.
Wor -XI
material is to be inspected during 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 thelwprking day;
NO EXCEPTIONS.
I have read the above statemen and understand the permit requirements and the pink copy of thepermit will be
available on site atti es for ins oses.
Signature: unto- Maech 11. 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED,BY: 1�.��1 RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER 1A 3b DAYS DISRUPTION FEE/FUND 111: ,
SPECIAL CONDITIONS: ►`/ a' ' 'RESTORATION FEE: '
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments•
Diagram
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
❑ YES
Date:
Date:
❑ NO
Addendum to Cit of Edmonds ,
" ;. ;�: :� ,i i ,:.: •+ Ri of Way
Permit Application • "•,eYs'i'r,, 4 :t;N Submitted by: MITCHELL S. LANKFORD
,�;Yr;.-r.,s,_ Engineering Aide
Washington Natural Gas
-521=5246 '
T1E-1A J
w T"7-1
- '
t,
WNG to window -
Water main depth Key:
-w- water
• -g- gas
2 " gas main -ss- sewer
$ water hydrant
0 -water valve
815 Marco St. (P.O. BOX 1869). Seattle. WA 98111 (206) 622-6767
USE PERMIT
CITY OF EDMOND E - NUMBER 940
CONSTRUCTION PERMIT A C oa
OWNER NAME NAME
`O7F� BUSINESS DDRE S
l _ n L-U1 TP S IEGAL DESCRIPTION CHECK SUBDIVISION NO LID NO Y
AILINU AUUHt JJ [3'
O U / v C'
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED
TESCP Approved ❑
RW Permit Required ❑
Street Use Permit Pep 0 ❑
Inspection Required ❑
Sidewalk Required ❑
iTY 1 21P
Cam- a t S
TELEPHONE NUMBER
b 3 7
WE ((�� �p ..'�' r�'f
,� PAS l p/y ,5 1 1 V C�Cj�v \ ()
METER 2E1/
3
LINE 7jZE
/
NO.OF FIXTURES
PRV REQUIRED
YES NO❑
REMARKS
�j�/��vlf S//(
rV ZIP
Vi�AJ Sir, i lc �, i%Z�v
,MF
TELEPHONE NUM!B R
1uE 659-�71-
.
ird� ii:M'/ r!„% 7.'irS.•i /r',rr✓
DATED //,�
STATELICENSENUMBER 11 c'�� -1 EXPIRATION DATE
S\`S 1 3 ( �J 4 2C/ 3
SIGN AREA
ALLOWEDPOSED
SEPAREVIEW
COMPLETE EXEMPT
A�
Legal Description of Property - include all easements
SH�EXP
1
VARIANCE OR CU
C
NI VIEW BY
I
I
SETBACK —FEET HEIGHT
FRONT SIDE REAR
LOT OVE A(
C/
Property ^
Tax Account �' 9 oD Z 00 8--• Q0O
Parcel No.
REMARKS
NEW RESIDENTIAL LJ PLUMBING
®ADDITION COMMERCIAL ^� MECHANICAL
O,REMOD�L/ APT. BLDG. LJ SIGN
GRADING FENCE
REPAIR CY03. I x_FT)
SWIM POOL
OLISH INSERT HO
GtK TOVE
�BRAGE
ROCKERY RENEWAL
" L) - 1 OK �•
G
CHECKED BY
TYPE�F CONSTRUCTION
COO
GR
ECIAL INSPECTOR
EOUI YES
AREA
A/612by
O�OEMWOODS
LO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
(TYPE OFUV. BUSINESS OR ACTIVITY) EXPLAIN:
"56co�/d ►r
q�ya�s,eedd,, /Af 1,K I, p
(/{"ILL. �/` 1 I6E'Gc( er nQOF
NUMBER
STORIES
"NUMILERF
CRITICAL
AREAS
NUMBER
DESCRIBE WO99K TO BE DONE (ATTACH PLOT PLAN)
(+TT-aI, Cg m,, 6 rAT t ( ?-AL
FINAL INSPECTION REQUIRED
(� A7 -Tt/
A0 3o Gera c Q-G(// GLU `% AIC /Aar r/L(
'' V/1WATION.
a, FEE
Lak)/ 4bo J C •
/P ' �- �
PUN CHECK FEE
BUILDING
HEART SOURCE:
(,/1 _e
OLAZIN J�
/ fit
..: %
PLUMBING 1,
'l
B 7
BY
Plan Check No
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINOIFILL
Any Construction on the public domain (Curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
D
—
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
3�
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENO. INSPECTION FEE
3(�
N successors in interest, agrees to indemnify, defend and hold
W harmless the City of Edmonds, Washington, its officials,
i employees, and agents from any and all claims for damages of
i whatever nature, arising directly or Indirectly from the Issuance
= of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
° modify, waive or reduce any requirement of any city ordinance
$
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
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with City and
state laws regulating construction; and in doing the work authoriz•
THIS PERMIT
AUTHORIZES
This application is not a permit until
ad 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 rate g to Workmen's Compensa•
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance and RCW 18.27—
INSPECTION
acknowledged in space provided.
51GNA RE IOWNER ENTI /
DEPARTMENT
JDAT"IGNto
Z ZZ
CITY OF
OF I 'S SI ATURE DATE
/lj
EDMONDS
f�-
ATTENTION
CALL FOR
INSPECTION IIT
RELEA / DATE
IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
NT UIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
s■ ORIGINAL — Fit,- YELLOW — Inspector
771 0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK - Owner GOLD — Assessor
2
a
STREET FILE
PLANNING DATA
SITE ADDRESS: 1021 9�`,4p—= S. DATE:
ZONING: PERMIT#:
PROJECT DESCRIPTIO
SETBACKS:
Required Setbacks:
Front: 20 Left Side:_Right Side: 5 Rear: IS
Actual Setbacks:
Front: 3 Left Side: _Right Side:Rear:
FLOOR AREA: 126
LOT COVERAGE:
Maximum Allowed y (3 D Actual: 1 P)S4
BUILDING HEIGHT: / 1�'`'�j�
Maximum Allowed: Actual Height:
f I1b.25 `
SUBDIVISION: _a -o'-
CRITICAL AREAS #: 93 "2�Y
SEPA DETERMINATION:
LOT AR
OTHER: IfA) — 2 3 2 1 1
W.
ca
t 1 -
2-0
.. .... ... ..
IV 0 e REC:EIVED
DEC 3 0 1993
PEAMIT COUNTER
-0u,vg V /- e u-) -S i Tc- --P L t\i
CA)
C
417
C/)
-n
m
rF
Se 4f-. i Fvor
fe F7'
4*0
io d cl 41-f4ir s r-r
&e ct.,9-NL Floor 7 20 �Fr
4y r
5 900 0
i
STREET FILE
MAX. 126546833
RIGHT ELEVA►TM3N +t01s4683
I/W a Y-0'
RECEIVED
DEC 2 2 �.;. •�
PERMIT COUNTED
CU1S6— 0
I UAL * 1tb.:Rf
�aO!!Ep AS NOTED
S` Rr.- E T FILE
NtrM ATTIC VW& MVW MR =A . PET
ntm &WA IF V= DIM= #MA
ve IN 31*'Ml I/2 IN CUNKM In 'Rm-
CA FILE NO. 2/9-9.3' /�
STREET FILE Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
.I Site Address/Location: I U.yL f� V ef -=
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? dyes; no.
If yes; how is site developed? fG9D�arw. b (� Y
5. Describe the general site topography. Check all that apply.
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:') ; Approx. Depth:
7. Site contains areas of seasonal standing water: &6) ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface?flows are year-
round? A& Flows are seasonal? (What time of year? )
10. Site is primarily: forester! ; meadow ; shrubs ; mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
-------:For City. Staff -Use Only'--=-----_---
L L. Site is Zoned? =
2 SCS ma soil t ? ..
PPS Yf�is)
3. Wetland inventory or C.A. map indicates wetland present on site?
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5: Site within designated earth subsidence landslide hazard area?
6 . Site designated on the Environmentally Sensitive Areas Map?
DETERMPINgpO
..UDY;REQ.UIRED CONDITIONAL WAIVER
_WAIVER
.Reviewed by:: —�
anner D t
Rev 09/19/93
-Yg0 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,
RECEIVED
OCT 08 1993
PERMIT GAUNTER
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
(' ccd06(fJ. 1061QS
Name
Street Address c
Eal t,1 < S ;?)V-(r
City, State, ZIP Phone
1,17
oil
Signature Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature
Date
10
STREET FILE
CITY OF E D M®N ® S LARRY S. NAUGHTEN
250 - 5th AVE. N. • EDMONDS, WASHINGTON 98020 • (206) 771.3202 MAYOR
OFFICE OF THE CITY ENGINEER
April 18, 1984
Charlotte Williams
523 - 6th Ave. S.
Edmonds, WA 98020
Dear Ms. Williams:
-We-,have looked at the alley behind your property at J929 =
(8th Ave._S...'The alley has never been officially opened and is
`-not maintained by the City.
If you wish to use the alley or open it for public use, there
are several ways to accomplish this. I recommend that we meet on
site to discuss the problem.
Please call either Bobby Mills or me at 771-3202 to arrange
a meeting.
JEA/st
cc: Bobby Mills
Supt. of Public Works
Sincerely,
'a �zco
JAMES E. ADAMS, P.E. S 7
City Engineer
t.
CITY OF
EDMONDS
PUBLIC WORKS
DEPARTMENT
TO:
SUSPENSE DATE:
LU
Q
LLJ
0
?
0
SUPERINTENDENT
Investigateand Report
OFFICE ADMINISTRATOR
Take Appropriate
Action
BUILDINGS & GROUNDS DIV. SUPERVISOR
Prepare
EQUIPMENT RENTAL DIV. SUPERVISOR
letter/memo
for my signature
STREET DIVISION SUPERVISOR
For Information
WATER/SEWER DIVISION SUPERVISOR
Previously Ref'd
TREATMENT PLANT DIV. SUPERVISOR
Status of Action?
Return to:
WORK ORDER COORDINATOR
COMMENTS:
ff
—/,o
FR
DATE:
3 g
4 9-
5' 10
ACT ION:'
All Concerned Notified
Action Compl'eted%File `
ti F
_..s.-v ....ate (�..~'' ? .. � 1 t �F._ �'• • �
-�' 7 b Z
'-OSL
�z �57 I
z-os�h
2-OloU qo4
_I n 4
L�� 5
FIR
�vnjMiMM`�j�^�M►►�NN
NNNtiNNN
LAUREL
ST.
W . .. 7
AN /L`LA�—
io
'r` ~L•-AURE'L- W
2-01
g3� 55) 9276 ts-6,F61—
—--------t--FI=f===
z-0+7 I 11G� Z ota �12
�1(o
I IZq'� 2-0")
1.OZ•���t�(0
I 1(69 1%�
{o io 1�73fi- � ior
io
�t�lo o,Io-� I z 01 I2
►�G�--