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1033 SPRAGUE ST.PDF11111111111111 13233 1033 S P RAG U E ST • • old TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS :�()' DISCRETIONARY PERMIT #' DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR:_ PERMITS (OTHER): /Z / n' DETERMINATION: ❑Conditional Waiver ❑ Study RequiredpryVaiver PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DA L:\TEMP\DSTs\Forms\Street File Checklist.doc • • OFA&o q9 _ 4 s Critical Areas Checklist ----------- 7-------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: /0 3 3 pram, 2. Property Tax Account Number: L{ 3 q -Z — Q2 9 D 3. Approximate Site Size (acres or square feet): IYSS00 g���- 4. Is this site currently developed? iC yes; no. SUN 3 0 1993 If yes; how is site developed? 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: Approx. Depth: What season(s) of the year? 8. Site is in the floodway tor, floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? 'H a Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed urban landscaped (lawn,shrubs etc) �c 11. Obvious wetland is present on site: .------------ - ------------------ -------------------- For City. Staff Use Only -- ---- ------ .1. Site is Zoned? 2. SCS mapped soil type(s)? k, gt&.r-w a - tArbw, 1 afd r' ` A $ ` I S°r, y te0-i 3. Wetland inventory or C.A. map indicates wetland present on site? 1�1� 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? hb :DETERMINATION STUDY REQUIRED CQNDITIONAL WAIVER WAIVER :1ZevieWed by: Planner : Date ^ce chk.doc; Rev 10/03/97 00 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). F � g 1 1 1998 p1.�,ivice�tr� DEPI- An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant:r0`-(p"`� '' 3��� Name (-2-,q (Y UV� Q , 5 Street Address I-gnrc f czA a`97-6 City State Zip Telephone Sign e Date Applicant Representative: Name Street Address City State Telephone Signature Date Zip c:recepdon\jana\cacl.doc (over) 0 0 Oo. Q9 -- 4 s Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: lO 3 3 `7,® ��n Lc 2. Property Tax Account Number: �{ 3 y 2- Oq 3 — 02 3. Approximate Site Size (acres or square feet): -YS'60 4. Is this site currently developed? X' yes; no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. c 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: ; Approx. Depth: What season(s) of the year? 8. , Site is in the floodway (1a floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? 1`I a Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed urban landscaped (lawn,shrubs etc) I)c 11. Obvious wetland is present on site:d For City Staff Use Only-------- UA ---------- -- - I. Site is Zoned? .2. 'SCS mapped soil type(s)? G A&rwT-A 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? 1�66 .5. Site within designated earth subsidence landslide hazard area? 4. Site designated on the Environmentally Sensitive. Areas Map? Nfl DETERMINATION STUDY RE.QUIRED,: CONDITIONAL WAIVER `WAIVER :Reviewed by:� 17 -Planner:: ...Date "ca_chk.doc; Rev 10/03/97 City of Edmonds "W,W 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). FE6 1 1 1998 PLAitlNIN DEPI- An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete. a development permit application. - Please submit a vicinity map along with the signed copy of this form to assist` City staff in finding and locating the specific piece of property described on this form:In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: O Tac_ �'"�' _lyr Name 0, 5F Street Address City State Zip .qV�-7� 1-3�30 Telephone Sign e . Date Applicant Representative: Name Street Address City State Zip Telephone Signature , Date c:recepdon\jana\cacl.doc (over) , CITY OF ELJi ONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning/Building • Parks and Recreation Engineering • Wastewater Treatment Plant February 17, 1998 Jack R. Shull - 13431 Meridian Drive S.E. Everett, WA 98208 Subject: Determination regarding Critical Areas Checklist # 98-45 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. _. ......... _ ....... _. .. ...... IMPORTANT INFORMATION TO BE NOTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY. The `DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Eric: Determination *Architectural Design Board C:ReceptionUana\C R LTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Sharla.Graham Acting Planning Secretary 40 0 Incorporated August 11, 1890 100 �Ie_, PLANNING DATA NAME: SITE ADDRESS: �a DATE: ZONING: �i�,L/� 'PLAN CHK#: ,C _2&Z CORNER LOT AZ (Yes/No) FLAG LOT /(j (Yes/No) SETBACKS: Required Setbacks: Front:_MLeft Side: S Right Side: Rear: Actual Setbacks: Front: 00 Left Sider Right Side: Rear: Z Street map checked for additional setback required?. (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: Maximum Allowed: ���7�Actual: BUILDING HEIGHT: Maximum Allowed: L Actual Height: O Datum Point: Datum Elevation: A.D.U. CREATED?: SUBDIVISION: CRITICAL AREAS #: 17�� SEPA DETERMINATION: LOT AREA: 970 OTHER: Plan Review By: c: vura�pernui�-y�wwu4uuu ATY ;1. JUN 3 0 199� N 11o" PA 61 w � C ASp N _ 4:1tP. J FU,y,�, AL t, of LO,9 3v.. VDT Mr-, 21 �;�Jo �il�'1� 4vU1JI- r-1 WPC• P � Ro5—Ov, to AV = M<5:p. V - - K N 3 lUl IS 9 8 t,w4u.h otmom "� -rlp 2-ti ugowiq CLU4 WLST /itwo-- am %Ykcf. (Asvvml} 01 evw&) w LJ5 Lo OAX2 AL-L '2,9 130, � LQ,,AN4j C;l TY ar- 50H oN pe, vow H E. 2 CvL40n-/ Ke; - zQfJ I 0.66 5cv 89p.19ci .-..^r.�,m+s�4q..,.: �''v"�nww,iY.-,�-cy„'Nr�'`'4�'e+hA _.' �,.�...Nrne;..�'•,'�,/1-tale„.n•-A�n..�,��,:;...�,�:-r .h�.aN�,�.,.r�l . T�{ City of F mo . . RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. - 3 Issue Date: h _ " q A. Address or Vicinity of Construction: 1033 Spraglip St (9615522) B. Type of Work (be specific): Install Service C. Contractor: Washington Natural Gas Mailing Address: 1122 75 St SW Everett State License #: 98203 D. Building Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ Multi -Family ❑ Single Family INSPECTOR: Contact: Phone: 356-7500 ext 7596 Liability Insurance: Bond: $ Side Sewer'Permit # (if applicable): ❑ City Project K] Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Other INSPECTOR: tA J. F. Pavement or Concrete Cut : ® Yes ❑No G. Size of Cut: ,o; Z x H. charge $ y APPLICANT TO READ AND INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City o%Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made,ggainst the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defen a coel§, and attorney fees by reason of grgn#hg this permit. 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 FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and 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 the working day; NO EXCEPTIONS. ry¢. I have read the above statements and understand the permit requirements and the pink copy of the permit,will be available on site at a times for inspe tion purposes. Signature: &/_ �11� && t) Date: 6-14-96 (Co&W/ ntra. for or Ag CALL DIAL -A -DIG PRIOR TO BEGINNING WORK J FOR CITY USE ONLY APPROVED BY: �N ` RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER A Vn-3D DAYS DISRUPTION FEE/FUND 111: '"a^ SPECIAL CONDITIONS: n% RESTORATION. FEE: PERMIT FEE: ) FJ TOTAL FEE: COMMENTS: RECEIPT FEE: — DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO:PERMIT ISSUANCE Eng. Div. 1994 ..._. ,. - .. e a - ... t. . ... .. � ., . . �.i-,.. .. ., i. � . . . � . A Vftdih AVmo*gbnEr*rgvCa►mv Addendum to: City of Edmonds Right of Way Permit Application Oil ; Submitted by: Mariamne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 Key: -W- Water Watermain depth ��� -G- Gas -SS- Sever 2 Water hydrant " gas main p Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 w WclSf0NOM, INaknrkw AV onEr*wGompaN ,I I: Vatermain depth ker-3,"Z, 2 gas main Addendum to: City of Edmonds Bight of Vay Permit Application Submitted by: Mariamne Kingsbury Engineering Aide Vashington Natural Gas #356-7500 X7596 ') 0-3 q(-C 1 C Z I l t Key: -W- Water -G- Gas -SS- Sever .e. Water hydrant p Water valve Washington Natural Gas Company 1122 75t1 "Street S.W., Everett, Washington 98203, (206) 355-3331 - USE PERMIT CITY OF EDMONDS ZONE- NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESSLSUITE/APT# OWNER NAME/NAME OF BUSINESS 4 / wJA(,�I f y1d �rP�y� 5 �iA� 1 LEGAL DESCRIPTION CHECK SUBDIVISIJDN NO. LID NO. w MAILING ADDRESS Z O to � PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ CITY ZIP TELEPHONE NUMBER RW Permit Required ` aac S �pa0 - _7� ^ EXISTING REOUIREO DEDICATION street Use Permit Req'd t� PROPOSED Inspection Required NapNAME Sidewalk Required 54woe_ S wet,,. METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED w ADDRESS - YES ❑ NO ❑ 3 •dam REMARKS z 05 CITY ! `ZIP TELEPHONE NUMBER + 14119111Ct'-621LY W . Z &G-00- ., 802.0 2 - UaPAW 49 F09T1�04` kLulSc-Wr— j'�it�.r�5�1r�x:& W o NAME t Gr• W� ¢ ADDRESS O `/. U) _ AV+ ENGINEERING MEMO DATED REVIEWED BY U G1 V"'G.1"{ aJ�' i ¢ CITY ZIP TELEPHONE NUMBER cc o P'G� © , ^6 pw`� ^� i I FIRE MEMO DATED REVIEWED BY W U STATE LICENSE NUMBER EXPIRATION DATE I2, Ga, S S' (k L, UA& It IV VARIANCE OR CU ADS N SHORELINE II Legal Description of Property - include all easements SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED \/ a EXP X N Q r f LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ui ALLOWED PROPOSED FRONT SIDE REAR FRONT L/Fl SIDE REAR O Z Property 43 L4 w _ Tax Account 1'mod r1L_I 1 P � � Ci �, � � rL0„T AREA , ,,.- N REVIEW BY AT a Parcel No. V� i5 REMARKS / NEW RESID5NTIAL PLUMBING/MECH COMPLIANCE OR .ADDITION COMMERCIAL CHANGE OF USE REMODEL . APT C BLDG. SIGN GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION COD OCCUP ElREPAIR CYDS. ( x_FT) GROU DEMOLISH WOODSTOVE, Q SWIM POOL SPECIAL INSPECTOR AREA OCCUPANT INSERT HOT TUB/SPA REQUIRED LOAD GARAGE RETAINING WALL/ YES CARPORT ROCKERY RENEWAL REMARKS O (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 108 Z 0 J w NUMBER NUMBER OF CRITICAL 41 Iv� O OF •� DWELLING AREAS to STORIES ! UNITS EEE NUMBER NNN fffJJJ .7 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) " -K f `j'� � FINAL INSPECTION REQUIRED (� VALUATION FEE PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING 10 f % PLUMBING Plan Check No: MECHANICAL This Permit covers4ork'to be done on private prooerty ONLY. GRADING/FILL Any construction on the public domain (curbs , sidowelks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: 1 Year - Provided Work Is Started Within 180 Days Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE u, �99uccessors in interest, agrees to indemnify, defend and hold W harmless the City of Edmonds; Washington, its officials, s employees, and agents from any and all claims for damages of i whatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT ` of this permit. issuance of this permit shall not be deemed to vp 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 ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or " e"duly authorized agent of'the owner. i agree to comply with city and THIS PERMIT state 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 tion Insurance aria RCW 18.27. INSPECTION acknowledged, in space provided. SI ATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT OFF CI L'S SIGNATURE DATE CITY OF EDMONDS 711kIM CALL FOR RELEASED 8-7/ATE ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ��� Owwo_h7 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 11 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC , SECTION 109 for /',1 PINK — Owner GOLD — Assessor