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1045 3RD AVE S.PDF111111111111 4932 1045 3RD AVE S i TAX ACCOUNT/PARCEL NUMBER: 0052�()w c2()D30 BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS: Q DETERMINATION: ❑ Conditional Waiver ❑ Study Required aiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: 6-i SCALED PLOT PLAN DA SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: LATEMP\DSTs\Forms\.Sftmt File Checklist.doc 1G 0 F E l),V . u CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS,WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: ISSUED BLD20060652 BUILDING ' Permit Number: BLD20060652 Expiration Date: 6/13/2007 Project Address: 1045 3RD AVE S, EDMONDS Parcel No: 00582000200303 PAUL C R DONNA MAE SORENSEN DONALD CORWIN CHERMAK CONSTRUCTION 1045 3RD AVE S EDMONDS, WA 98020 206-719-5751 CARPORT VALUATION: S12342.00 LICENSE #: chermcil IOnn EXP:8/3/2007 PERMIT TYPE: Residential PERMIT GROUP: 14 - Carport GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: VB RETAINING WALL ROCKERY: N OCCUPANT GROUP: U OCCUPANT LOAD: FENCE: N ( 0 X 0 FT.) CODE: 03 OTHER: N------- OTFIER DESC: ZONE: RS-6 OF STORIES: 0 VESTED DATE: rUMBER UMBER OF DWELLING UNITS: 0 F,XISTIING AREA BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 PROPOSEDAREA BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK- 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTFIER: 651 FRONTCACK SIDESETBACK REARSETBACK REQUIRED: (W) 20 PROPOSED: 47 REQUIRED: (N/S) 5 PROPOSED: REQUIRED: (E) 15 PROPOSED: 62 30/T8" 1-IEIGHT ALLOWED:25 PROPOSED:21.6 SETBACK NOTES: 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATINGCONSTRUCTION ANDIN DOINGTHE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OFTHE STATE OF WASHINGTON RELATINGTO WORKMEN'S COMPENSATION INSURANCE AND RCN1' 18:27, IS PP►3t'7+TION (SNOT A PERMIT UNTIL SIGNED BY TFIE BUILDING OFFICIAL OR HISIHER DEPUTY AND ALL FEESARE PAID. SignatureDate f Released By b. - ATTENTION IT IS UNLA W'FUL 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. UB009! IBC 10,'IRCI 10. EIARCHIVE = APPLICANT = ASSESSOR = OTHER 0 M BLD20060652 CONDUIONS Right of Way permit shall be required if the entire driveway is repaved. Any request for the modification, variance or other administrative deviation (hereinafler "variance") must be specifically called out and identified. Approval of any plat or plan containing provisions which do not comply with City code and for which a variance has not been specifically identified, request and considered by the appropriate City official in accordance with the appropriate provision of City code or State law does not approve any items not to code specification. Sound/Noise originating fromtemporary construction sites as a result of constriction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of7:00amto 6:00pmon weekdays and 10:00amand 6:00pmon Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activites must comply with the noise limits of Chapter 5.30. unless a variance has been granted pursuant to FCC 5.30.120. INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) BUILDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FIRE(425) 771-0215 1 PUBLIC WORKS 425 771-0235 PRE-TREA1M'0J'gT 425 672-5755 1 RECYCLING 425 275-4801 • F-Erosion Control/Mobilization • &Engineering Final • B-Foundation Wall • B-Framing • B-Building Final #P20 Critical Areas Checklist ca F'lerr°: -fie Site Information (soils/topography/hydrology/vegetation) 1.; .. Site Address/Location: 1&7.gf— 2: Property Tax Account Number: coo�Oco026v 3. Approximate Site Size (acres or square feet):/ U-e� 4. Is this' site. currently developed? X yes; no. If yes; how is.site developed?. _ Qr, 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) 4 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 3�0°,6 present on site ,(a vertical rise of 10-feet over a horizontal distance;ofless than 33-feet). . L' Other (please describe): %/-6. Site contains areas of year-round standing.water:.:- Approx Depth F T. ; : Site,contains. areas of.seasonat=standing water: ; Approx. Depth: What season(s)'of'the year. ' / 8. Site is in• the floodway ' ` : floodplain . of a water course:: 141q,9. Site contains a creek. or an area where water flows across the grounds surface? Flows are year-round? Flows,are seasonal? (What time ofyear? ) 10. Site is i!!i iT : forested _ ; meadow ; ;shrubs ; mixed urban landscaped (lawn, shrubs etc 11. Obvious wetland is present on site: For City. Staff Use Only 1. Plan Check Number, if applicable? 2. Site is Zoned? �Z. g -- (o .• . 3. SCS mapped soil type(s)? W el 2U a ro► V-01 u 6 G1 n d U 10046 4. Critical Areas inventory or C.A. map indicates Critical Area, on'site? - N 0 S. Site within designated earth subsidence landslide hazard area? N 0 DETERMINATION STUDY REQUIRED Reviewed bv: CI I`V1 GI C M (A'r. WAIVER ate: 0 5 / 2 (01 1-0 0 (0 #P20 City. okdmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 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 the application 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'fi-om observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys); Date Received: City Receipt #: % Critical Areas File #: 2 00 lP — 0 0 cP 1 Critical Areas Checklist Fee: 35.00 Date Mailed to Applicant: ane'�i4 A property owner, or his/her authorized representative, must fill out the checklist, sign and date it,, and submit it . to the City. The City will review the chec.khst,.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. (eg site plan; ­ map, etc.) or studies in conjunction'with'ihis``;Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing ,of. the ,application agrees to release, indemnify; ,defend and hold the City.of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information fiunish4by•the applicant,.his/her/its agents or, employees: By. my signature, I certify that the information and exhibits herewith submitted are true and 'correct to the best of my knowledge and that I am authorized to a this application on the behalf of the owner as listed below.. SIGNATURE OF APPLICANT/AGENT DATE Property. Owner's Authorization: By my signature, I certify that I. have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for.the public officials and the of the City of Edmonds to enter the subject property for the purposes of inspection and p69ftattenddrit to this a ication. SIGNATURE OF OWNER DATE U r/ pp cahP. Applicant Representative: Name. Name 779 Street Address �j Street Address City ` State ,y Zip City . State Zip Telephone: " 7 a 1b1 / %% c2iP dl�)- Email address (optional): Telephone:l�C� Email Address (optional): PLANNING DATA SINGLE FAMILY RESIDENTIAL 11 STREET FILE Name: t Date: 5Za�Z/0--G Site Address: 10g,5_ Plan Check #: Project Description: Cocve u,, -a, 55� �' c�.,-(�ec� ��ta-c.�►ec� �o -4 e- Reduced Site Plan Provided: YES / NO) Zoning: _ Map Page: I5'a Corner Lot: (YES /0 Flag Lot: (YES /a Critical Areas Determination #: C A-CXo -00C1 ❑ Study Required Waiver SEPA Determination: Exe4,., 0 Exempt ❑ Needed (for 500 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger) - A11A ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks Street: aOz Side: 5-1 Side: Cs Si Rear: E (S/ Actual Setbacks is To Car oak Street: z Side:(,) z Side: S 8 �i Rear: �. ❑ Detached Structures: Alov\e s\rioLor\ o.\ p`�g• FEE Rockeries: E>ct'Zk, %v _q ElFences/Trellises: Q s`rf, �a.xtS . Sow Bay Windows/Projecting Modulation: Facs�� ' ,d ocr eX4'Aevers over ksk a Pam , a' oA� sta/ Stairs Deck: E,><isi anot S' *Cv tied, Shown o., Oan8. S�a.� roct�C140or On Buildin Height Datum Point: -To Datum Elevation: + 1(Do� Maximum Height Allowed: a5 i Actual Height 1. I ° C He;oJ } Other e r Parking Required: Parking Provided: + Lot Area: <3o Maximum Lot Coverage: 35% Proposed: Lot Coverage Calculations: E"'`n�qq �Oj"'S�' �'^cAtd,- c'"a'1e'ier = 1-a34•94► Ne,a Gr�`f o � 5 c a ce = 506.54► Rear flec�t�i Si'�ucsa ADU Created: (YES/ ®0 Subdivision: Legal Nonconforming Land Use Determination Issued: (YES AD Comments �S �n wA8e- Plan Review By: Planning Data Form 2-7-06.doc APPLICATION != The City of Edmonds FILE for SIDE SEWER PERMIT EASEMENT NO . ................... NEW CONSTRUCTION REPAIRS ❑ LID NO....................ASMT. NO........-----...... OWNER ✓ --�la/dE i�------W.......S COW CONTRACTOR C��NN PERMIT NO. -�Cn JOB ADDRESS © - -. ......v� --•-•------------- LEGAL DESCRIPTION: LOT. NO. ....--- BLOCK NO. ----•-----------------------•---------------•-----......-•-------- AT A AXE llT: A TITITTTn NT -----------••-------- BY - -- ------------ ti�s• - -- t 0 CITY OF EDMONDS SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of the constr.1.12. Inspection will be provided within 24 hours after requst. NO Sat. Sun., or holiday inspections.)' ADDRESS LOCATION OF CONSTRUCTION.--... ...... ....... . ------------ PROPERTY LEGAL DESCRIPTION........... ------ ------------------------------------------ * ------------------------ ------------------------------ .............................................. .... .......... . .................................................................................... . .............. . ................................................... ........................... ...... ......................................................... OWNER AND/OR BUILDER ........... ---- --- .... ........... ... .J ------_-----­ .............................. 'm .RACTOR'S NAME & ADDRESS --_----------------_---- 4<�_kAA,_ ir .. ( ........ r .............. . .............................. . ... ....................................................... Permission Is granted ------ .... .. L................................... 1971��r repair and/or connection of a side sewer to the city sanitary sewer sy stems In accordance with City of Edmonds ordinances. CiNTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office., NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No bends in grade . sharper than % will be permitted. NOTE No. 5---Trenches in street must be water settled and, surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVEDE] Date..._ ................................... By-----......---- Date --------- -- -------------- By ----------------- Date ............... ................... . By -----_-------- APPROVED T,( Date... 7 7 .. . ...... ;--v -- - ---------------------------- BY..._..... ---------- * ..... " ... . .. . ....................................................................................... Remarks: ....... . ...... . .......................... . .. . .......................................................... . ....................................... ................................................................... ........................... ................................ . ................... .................................................................... . .................................. . ............................................. ......... BOTH e ft y Own of Firm Performing Construction PRIOR To Request For Inspection pies MUS Signed B ... . . ............ ........ ­---------- ... hereby certify that the side sewer installation constructed under this permit a Twner of Contracting n,( erfGr in o ' n) m nstrue gOV or So installed in accordance with a governi ordi ces of the City of Edmonds. Datedthis ---------------------------- day of ................................................................. 19......... Check BEFORE you dig for: Water E], Gas p, Telephone E], Power E], Sewer E], Other L jl.­L;.- A 1. v­*Tp, W ff �4--; 1 1, " , " JA � .4•4:;y, J!: r UAL;, REAL ESTATE 1978 TAB STATEMENT MAKE REMITTANCES PAYABLE TO: SNOHOMISH COUNTY RETURH ORR GRNAL (COPY CONLY TREA.SURER P.O. BOX 568 • EVERETT, WA 98206 CODE I,v Y MARKET VALUE RATE LAND BUILDINGS J2.1 YOUR - TAX DOLLARS GO TO THE FOLLOWING: SCHOOLS. �STATE t COUNTY CITY OR ROAD'LIB. IIII DISTRICT HOSPITAL WATER CFw II-,). 'It I NAME AND ADDRESS V ;, I 60 NOTICE: SENIOR CITIZENS AND DISABLED PERSONS If you own a residence or mobile home, are 62 years or older, or retired because of disability, and hove an income of S8000 or less (after excluding one-third social security, railroad, or Federal civil (service retirement sncome), you may be 'entitled to a property tax exemption. For application forms and further information, contact the Snohomish County Assessor,, 3rd Floor -Administration Bldg., Everett, Phone 259-9433. - I TOTAL GENERAL A A SPECIAL 31 1 1 .? !. 'j I e- i I . )d SCHOOL DISTRICT PORT DISTRICT OTHER DIKE NODRAIN R FOREST FIRE . E77 No. LEGAL DESCRIPTION r F r 11: 7 'PLEA :'4AXPAYER­- SE'PRINT OWCHANGE OF AD6iRESS NAME CITY STATE ZIP -CODE_ DUE APRIL 30- 1 ST HALF DUE TO AVOID FULL TAX PLUS DATES OCT. 31.2ND HALF DUE TO AVOID INTEREST TAX UNDER S10.00 TO BE PAID IN FULL. 0 NUMBER EACCOUNT N U M E-, z 1978 1978 FULL TAX 0- LESS EXEMPTION, IF ANY J* CHECK Box TO I INDICATE FULL OR 9 HALF PAYMENT 7 8 0"TITEWOR, T 4 . .., DELINQUENAXJNlM14 - u "i"IM1.971 'SU 'M 41XF,0 � TAX, JEC-"-T41Xs,0 =ECL0SURW--- ;j b Ack: L , (Vt It Initials Date Prepared By +J'NILSON JONES COMPANY G72,07 GREEN 7203 BUFFApproved By MADE IN U.S.A. i. 2( 2' Z 2: 2� 2E 2E 2? 2E 29 3C 31 32 33 34 3s 3s 37 33 39 1.0 g � , I' �� of -- --- — —.--- cx 'ice N i ! 2'i+� O p�- �i op rl t. acl-- •-- •-----19 ._ �/ ;�, _.—ate- -----•—• _.__. 889 I cZ 8 � pi t4 30 ►..new. - tLDS OLYMPIC INC. + � LYNNWOOD OFFICE SEATTL'E OFFICE P.O. BOX 180 OPERATING OLYMPIC PAVING 3400 STONE WAY N. sots S.W. WOHEATING OILS • ASPHALT P632-p450AVING SEATTLE, WA 98103 LY n8-3124 O312a, WA 98036 HEATING 8� AIR CONDITIONING . � O � � 3 � PROPOSAL SUBMITTED TO Ward Crow PHONE 1737 LAY7March 84 STREET ADDRESS: 1045 3rd South IIIIO JOB LO 1045 3rd South CITY, STATE, ZIP Edmonds, Wash. asphalt repairs. Driveway So �D u-� � �¢- O T Pi i r ri sy /�r!yCw—So (/7iF/Yrti dil GRi C>! r0, /y �� Xf,�l!/ /CVD/ O jr dIrruQ.e(� �J J LL y .oav G ii !.t! dr ' J STREET FILE ALL PRICES PLUS TAX A late payment charge may be made on any past due balance, which the law calls a "FINANCE CHARGE", and it.is computed at a monthly rate of 11/e% (ANNUAL AUTHORIZED SIGNATUR4 PERCENTAGE RATE OF EIGHTEEN PERCENT). It is agreed that in case suit is Instituted to collect amount due on this contract or any portion thereof, reason- THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACC TED able attorneys fees and court costs may be added to this contract. WITHIN 30 DAYS Permits, If required, will be the owner's responsibility. We shall not be liable for damage to or breakage of septic tanks, underground pipes, and or conduits not visible from the surface of the ground nor for any damage to approaches (Including sidewalks) from the street to. the property line. We cannot be responsible for sub grade failures or settling of subgrade material which was not installed under the above agreement. Soil sterilization (weed killer), If Included in contract, will be applied at rates specified by manufacturer. Olds Olympic Inc. will not be responsible for any subse- quent growths of horsetail weed, morning glory, deep rooted ferns, or perennials, which have not reached maturity prior to application. All material Is guaranteed as specified. All work to be completed In a workman -like manner according to standard practices. Olds Olympic Inc. accepts no responsibility for any work other than that specifically described above. Any additions to or alterations of the above work will De executed only ul5on written orders and may become an additional charge. All agreements are contingent on strikes, accidents, delays of carriers, and other delays unavoidable or beyond our control. ACCEPTANCE —YOUR SIGNATURE ON ONE COPY, RETURNED TO US; WILL MAKE THIS A LEGAL CONTRACT PENDING ACCEPTABLE, _-- /'t / CREDIT. APPROVAL. CEPTANCE BY _________ DATE TACOMA (206) 922-3003 ENS SEATTLE 206 ` ( 1 682-7 591 - INC PORTLAND (503) 288-7473 ANCHORAGE (907) 274-6507 J .Pink Duct Wrap . Duct Board .Duct Liner • Valveflex . Flexible. Duct THINK PINK! REVISION OF APPLICATM DATED NOVEMBER 9, 1970 for REINNCO CONSTRUCTION. CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to:.... TAFFOR- - HANSEL 4F For installation at: (street address) _:--=.193.1...3rd..Ave.... ..Edm_ond5.,_W_ash_in_qton..... 98020...................... Addition or Subdivision..Addition... to__.Edmonds,_ So-,60.,00'.--of..W 135.,00_'_ Lot.. ... --------- Block...2.-So. Pk. Type of Building: New. --- X----- Existing.-.--------- Single family residence ------ X........ Number of bedrooms ------- 3................. Other: (specify type or use)---------------------- ..................... - -- _.......... -----------------........................................................... Builder... STAFFOR_ - HANSEL Address.P.._ 0... Box 1337 - Lynnwood, Wash 98036 C. R. Lyon Engineer -Sanitary -------- -------------- --------------------- Designer. W..HITACRE... ENGINEERS ---- INC -------------------------------- Address.P•...0-.-.-Box-,-187-..---Lynnwood-,--Washington 9803C Soil Log Hole No. l--- ..40".--loose.--- redish_s----with some -gravel...-. ... .......... _ ............... --------------------------------------------------------------------------------------------------- -- ------ -- ------------------ ...---.....................-----..........-----..... Soil Log Hole No. 2.... .........................................0" loose redi sh oxidized zed sd -------- -----------._-.....---------------...................... .................................... No-.---3... 38"__ 1_oese---1 i_ght-- fine_ re.010.. S.d...--------------------...----------------------------- Elevation of Water Table, if encountered. Distance from round surface None ( g ) .............................. Corrections to control surface water if needed.............................................................None -----------------------------------------............................................................... ....... ....... I ---------------------....--------..............................----...................................................... Specify if any removing or grading /of topsoil in field area. -Remove no top soil from drain fiel d area. ................................................................ Add 8" to 10" of soil from the foundation excavation to the drain field area. ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Percolation: Test Hole No. 1 —Average `Rate.-5Ao.I........ (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate.. T. 2.............................................. (Fall in minutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate_ M ........................ ------ (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design 6...7..min/.i.n ... ........ ... Date Taken.!.0/.10L70.. Septic tank requirements .based on present rules and regulations: Septic Tank Size ----- 9QQ--------- ...... gallons. Amount of Square Feet of 'sposal field-.330-_.. Signature —Design - . --- - -..... Date. MdrCh...l 7.e.:-1971. - DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date)..At R/I--.'B 1.97>............................Permit Number .......... ­­ . �� n------------------------- Remarks: !TT.% ..... ....'�t...�---...... l!.......... Q� ...................................................................................................... .. .......----------------...--------------------.....---------......---.....----...----------- a STREET FILE SEWAGE -'DISPOSAL PERMIT . 'Septic Tank ....... lam. ------- gals. No. .:5 CITY OF EDMONDS Disp. Field ........�.0....... sq. ft. Department of Public Works Other------------------------------------ ------ Name -----'t--',' f��-- `% _ .-:-� .: ............................................... . --- ....-..... ... ' .is hereby authorized to install/ re .r sewage disposal system at Date issued on -'f -= .._.... i-_=---•--- — ---- - - ./......... Permit expires one year from date of issue DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City of Edmonds Resolutions. Signature of . Installer ............................................................................ •-••-----.....----....---- Date .................................. ApprovedDisapproved � Date----------------P------------------------• By �--------...---------------...----.....--------------------.......-- Remarks----- ------------------------------------•------....--••----------------....--------........----------•---....--••----.........--•------------................----------------......-----•---------------------- SANITARIANOR DESIGNER ------------------------------------------------------------------------------------------------ Date ................... .----•--------------------------------. This permit shall be posted in a reasonably conspicuous place on the job until inspection has been completed. I C;Q ia 9 I ►� fee,, a �31 - Or'T'O'A vim. A .01 z —f " TH,A.P�OT PLAN j3,0,--SEPTIC 5Y�TE -A 1-5 1:3 CJ e Z. ,' 7 At A C�- A T ' PLAN E 4001VII'llf WHITACRE ENGINEERS, INC. CIVIL AND SANITARY, ENGINEER 19910 88th West EDMONDS, WASHINGTON 98020 DETAIL SPECIFICATIONS SEPTIC TANK SEWAGE DISPOSAL SYSTEM 1. Discrepancies between detail specifications and drawing notes shall be goverened by drawing notes; c��Y a � �No�✓ DS .. 2. Septic tank shall meet the minimum ea ent specifications for construction.and shall be sized as noted on the drawings. 3. Drain Field: Tiler .. ,. a. diameter minimumb. AS"ooe:Minimum = 2" per 100' , Maximum = 6" per 100' C. Open joints" 3/8" and covered with asphalt paper 4. Gravel. a. ;/6ze 1" to 3" washed bminimum of washed, gravel under tile and 2" minimum of „ washed gravel over ti le C. gravel within 24" of septic tank or distributionboxd.Gravel �VNo shallLbe covered with light untreated paper before backfilling 5. Trench: / y W6 , VAY a- Minimum width: 24" with flat bottom (see drawing for trench width) ; Grade boards, securely staked to trench bottom, for all open joing the lines. ' c. Soil cover over gravel. Minimum 12" Maximum 24" " ,mod'..41-=-O' minimum center to center spacing. (see drawing) }" ,4. Septic tank and distribution box shall be connected withat least 1 piece of 4" bell tile. Distribution box shall have 1 piece of 4" bell tile following -it',*, for each line of the 6. Line from house shall be kept as high as possible and -laid on 2% grade. �7 . Paving , Do not place impervious surfacing over any part of sewage disposal system, " Plant.grass and small shrubs only: Tank Cleaning: 'Y Check septic tank at leat every two years to see if sludge and seum need removing, if solids overflow into trenches the soil will become clogged. !.t Charles R. Lyon - Sanitary Engineer i Soil. LOGS MUST �� Te PT'N • �� � OF 4' ggtoai �aT1�oM of P,¢o�Dl� od I_S , ,,�d �� ►Nt6NA91��o�i t 3 - Tim sys Tit Mvs t 6e� /o A&M WAICT 4-- Al 3` wloer raC�/+CI�� Ge7✓�r�F Af- F_t e_ZD —if If -s s -Fl. Yj;f *oft Goc�Y6D , CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) Permit to be issued to: ....... fienn-co----- O.Oo/1st.................. ......_.. .......... For installation at: (street address) ---- 1031. 3---Ave Addition or Subdivision.. 9.. Park Addition To --Edmonds___[$_, Q.00'__of W.1 .66 3 Block. 2 Type of Building: New... .... XX Existing ............ Single family residence .... XX....... Number of bedrooms......*4.... 1. Other: (specify type or use ----------------- ....................... ----------------------------...-----------------------------------------------------......................... Builder. Rennco..-.Const.----------------------------------------------------ddress--- H . 988A Designer .... C...R....Lyon..Eng.i.ne.er..i.ng................................ Address... P..O...Rox.J87.-,...Lynnydod,.. Was.h........I........ Soil Log Hole No. 1..40-'. -loose---radish---sand. with some gravel.......................................... --------------------------------------------------------------------------------------------------- - -------- ------------------------------------------------------------------------------ Soil Log Hole No. 240" Loose redi sh oxidized sand ----------- ------- ------------------------------------------------------------------------------------------------ No.3 38" Loose - light--fine---redi sh-- san Elevation of Water Table, if encountered. (Distance from ground /irface) ---None.......................................................... Corrections to control surface water if needed ......N0"..... .... ..., /- .......................................................................................... ---------------------------------------------------------------------------------------------------- -----------------................................------....................:.---------......------ Specify if any removing or grading of topsoil in field) rea..Add..8...to...10"...o.f...soil...from..the...foundati-on.. a- xcava-tiGn...to..the--drain.--fi-el.d--a. ............... Percolation: Test Hole No. 1 —Average Rate ....... ...... ............................. .. (Fall in ininutes/inch-bottom 6" test hole) Test Hole No. 2—Average Rate ......72..................*------------.....-----(Fall in minutes/inch-bottom 6" test hole) Test Hole No. 3 —Average R"fe........ $...Q.................. ................... (Fall in minutes/inch-bottom 6" test hole) Average percolation rate on whi to base drain field design 6.7 rnln/ inch Date Taken ..10/10/7Q Septic tank requirements base on present rules and regulations: Septic Tank Size ...... 9.0.............gallons. Amount of Square eet ,of osal ield........... ..... _.... Signature — Design ........................ Date. DO NOT WRI BELOW THIS LINE (To be completed by Issuing Agency) Permit issued (date) ...................... .............................. .........Permit Number............................................. Remarks ,.;�i 4i',-r aa": ra +'v.• a . ;rr r �' t�/'�/��I � � .' Fa ` i ' ,+ f 31 �. , wY f, N •at'. 1449 rf�., t. -;40"-/,3 Y '+� 4 .. 'ri i'' , ,-� �� L"'v''' O , � - , p•-.t' ' .. M,..�.,,r. � ��, � � d�y/. .li/� /'I! ,�Y'���� .. '.i Q�:'A^.■"� ' a !•.. �. � r- ` + ' � A ,GIG! ' � � , •, ; M� � • � 4 t h'DI/4 V�i+ • , lip AA lip -40 Ila T­ PLAN 1 , t��.�.)�•e �jp/ %$Zf Zc b!jeo h • f R C. R. LYON ENGINEERING CIVIL AND SANITARY ENGINEER 19910 88th WEST' LUMONDS, WASHINGTON DETAIL SPECIFICATIONS SEPTIC TANK SEWAGE DISPOSAL SYSTEM 1. Discrepancies between detail specifications and drawing notes shall be governed by drawing notes; 2. Septic tank shall meet the minimum County Health Department specifications for construction and shall be sized as noted on the drawings. 3. Drain Field: Tile: a. 4" diameter minimum b. Slope: Minimum = 2" per 100' Maximum - 6" per 100' c. Open joints" 3/8" and covered with asphalt paper 4. Gravel: a. Size 1" to 3" washed b. 6" minimum of washed gravel under the and 2" minimum of washed gravel over tile. C. No gravel within 24" of septic tank or distribution box d. Gravel shall be covered with light untreated paper before backfillinq 5. Trench: 6 3N a. Minimum width--.- ` with flat bottom (see drawing for trench width) b. Grade boards, securely staked to trench bottom, for all open Joing tile lines. c. Soil cover over qravel. Minimum 12" Maximum 24" d. e. 6" - 0" minimum center to center spacinq. (see drawing) Septic tank and distribution box shall be connected with at least 1 piece of 4" bell tile. f. Distribution box shall have 1 piece of 4" bell tile following it, for each line of tile. 6. Line from house shall be kept as high as possible and laid on 2% grade. 7. flaying: Do not place impervious surfacing over any part of sewage disposal system. Plant grass and small shrubs only. 8. Tank Cleaning: Check septic tank at least every two years to see if sludge and scum need removinq, if solids overflow into trenches the soil will become clogged. ,5 20 2, 22 23 24 26 26 27 2.8 29 30 31 32 33 34 35 36 37 39 e.0 i Initials Bate --- Prepared By ; Approved By WILSON JONES COMPANY s7203 GREEN 7203 DUFF MADE IN U.S.A. 1 2 3 i ! ! I I - -- - ! 11 i' H i t I y5 3 a A0 S F+ ' I l i I ILI I �� II I Ii I II I � I 'I I I II I ! i I i 1 III I ii I I i 004 i I I it C"016111 'A ! II IF i - 08/18/2004 07:06 AN NIGhuck Contractors, Inc. Job # 106130383 May 13, 2004 Sheet 1 of 2 Rob Inglis a 5' TYP BO OMNEU2A0oN DEVICE SPACING hwH 1APER TANGENT 5Mo 40 8o 35145 30 60 23/30 20 40 _ 9 itioo�` signs and spacing to conform MUTCD and City of Edmonds Tr c Control specs. 2. Chonnelizing devices are 28" traffic cones. 4. Al signs are 48" x 48" 810 unless otherwise specified. 5. Alert affected residents. I 6. 1 Flogger will control alternating single lane traffic. t �t IBLACKTOP ASPHALT I •• y a CO) • i I O r.� IONE LANE ROAD AHEAD I ROAD too wear I ANEW ILEGEND • 28" TRAFFIC CONE ® WORK AREA TRAFFIC FLOW Q164... le;//1�sgenams2lmapslGas�Plat\TIF1Q164065 _TIF] u • Di oSABtl 179'S T 1, O�S 244'$Sin ! 99g 1"o G Ot 5/8`389'S 9 -- 1994 3 SIB 43n9A s- i N ............... ................................ ..................................... I,l's 0 42' 5/80269'S 0 . a4 r� 3 � t •au 14 d O • Q. ,04 s ♦ r � i ter 634NS e 1" o vt �F 1 R PL. v ........... ­,T!, IV Ar OF -WAY CONSTRUCTION PERMIT Permit No:2 Issue Date: A. Address or Vicinity of Construction: I OHS 01 AV C 3 B. Type of Work (be specific): IN� OJ �6.1, I Lsvx ,a -AV 1v\'D �L I () cp I �o R _z, - . . d C. Contiactor: �UA i\ Contact: S"AJ, L IQ Mail ingAddress: 13330 j� Okk (,ALJA-.) Phone: 0 3) 7, State License #:—PL LQ_ H C S U f pl V4 Liability Insurance: Bond: $ D. Building Permit# (if applicable):' Side Sewer Permit # (if al5plicable): '0; E. ❑ Commercial ❑ Subdivision,..-- ❑ City Project El EUC (PtJD, VER'IZON, PSE, AT& T, OVWD) ❑ Multi -Family Single Family ❑ Other INSPECTOR: -4 F. PAVEMENT CUT: [3,fES El NO G. SIZE OF -CUT x CONCRETE CUT: El YES El NO `he/she ld' th E6fbWd§ 'har`m'le'ss"fir`6m­1 INDEMNITY. Applicant unde�stands by his/her signatureTto this-app'llh ­ hold's e ty cation injuries, damages or claims ,of any kind or description whatsoever, foreseenor unforeseen, that may be made against the'City of Edmonds or any of its departments dr,employees, including. but not limited to the defense:of any legal proceedings. including defense costs and attorney fees by reason of granting 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 97LL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE 'TO. THE -APPLICANT. * Traffic control and public safety shall be in accordance with City regulations as. required by the City Engineer. Every flagger Must be trained. as required I by (WAC) 296-155-305 and must have certification verifying completion of the d' requiretraining in their possession. 1 . * Restorati6n 'is to be in accordance with City codes. All street -cut trench work shall be"p"a"t"ched with asphalt or City - approved material prior to the end of the workday — NO EXCEPTIONS. * Three sets'Zf construction drawings of proposed work are required with the permit application. CALL DIAL -A -DIG- (1-800-424-5555) PRIOR TO BEGINNING WORK IHAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUST MAKE THE PINK COPY OF THE PERMIT VAILABLE ONS[TE AT ALL TIMES FOR INSPECTIONS' SinatureLic Date: C g: (Contractor or Agent) FO CITY 1 A USE ONLY Approved Right-of-way Fee: byl. Time Anthorizedi/Void After.,4 AQr.jc_4 2,ra'K 2 (00 st Disruption Fee/Fund 111: Special i Condtions: br1%r0Jz6C fee: r 0 � R. rr "4 1 —1 - 40 a, • A, to 1) /Q� LCX?S7/NG c0f-g-D Total Fee: It 7�. jo 0 FQr_x_( Aig. Receipt No: n _Z) '�7 44 71 e_'t� ry (,-)F, S9,vcy.6s /,,r/ n er A .ued h Cr4 /1 77-t-F At 1U, 0Z W/-(-OIA/ Fop, th15"Pi r 13E,FC,k46 ANO Afff;!: e, .67-AP-T A tvb 6/q 1)' 0 JC UPON COMPLETION OF PERMITTED WORK, ANT\NGINEERING'FINAL ' INSPECTION ISREQUIRED PER CHAPTER,18.00- OF THE EDMONDS, COMMUNITY DEVELOPMENT CODE JP one 4.25-771­0220, Ext. 1326) FINAL APPROVAL OF PERMITTED WORK. DATE:cJ-2--e55 Inspector's Signature FQr'inspection requirements see Engineering Inspection Information handout. NO WOIZK SHALL 13EGIN PRIOIZ TO PE11ZMlT ISSUANCE DAMy Documents\Forms\Engnmg\ROWpermit_.doc DATE RECEIVED w - i CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION esom O NAME/NAME BUSIN.E8S < MAlLINO AD� E33 f`J CIT1! "; ZIP TELEPHONE r 1 0Ifo�o 7 s- CITY / ZIP CBL # NAME - - ADDRESS OnY Zlp TELEPHONE EXPIRATION STATE LICENSE NUMBER PROPERTY TAX ❑ NEW ADDITION REMODEL ❑ REPAIR ❑ DEMOLISH GARAGE ❑ CARPORT ° (TYPE OF USE, YL RESIDENTIAL ❑ COMMERCIAL ❑ MULTIFAMILY ❑ GRADING CYOS ❑ TANK RETAINING WALL ❑ ROCKERY +.AR ACTNTTY) EXPLAIN: NUMBER O NUMBER DWELLING OF UNITS STORIES DESCRIBE WORK TO BE DONE I ' PERMIT EXPIRES - USE PERMIT zoNE Q� NUMBER JOB Sul% ADDRESS /OC/�"/�dJ)�' t PLAT NAME/SUBDIVISION NO. LOT. LID N O. LID FEE $ RIGHT OF WAY PER OFFICIAL STREET MAP � eW ROO PUBLIC V EXISTING PROPOSED sW::4 q4.d REQUIRED DEDICATION Fr in Wg METER SIZE LINE SIZE NO. OF FIXTURES P V QUIRED NO 0 YES REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE 111 BOND VARIANCE7CU SHORELI770 INSPE CTION POSTED :D BY SEPA REVIEWSIGN AREAHEIGHT COMPLETE EXEMPT ALLOWED PROPOSEDD I PROPOSED PLUMBING / MECH ❑ COMPLIANCE OR CHANGE OF USE ❑ SIGN ❑ FENCE X FT) ❑ OTHER FIRE SPRINKLER ❑ FIRE ALARM CRITICAL AREAS NUMBER :wr LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS ( ALLOWED PROPOSED FRONT SIDE REAR, FRONT LIR SIDE REAR ; PARKING LOT AREA PLANNING REVIEWED BY DATE REO'D I PROVIDED Al .DOle 1� TS UCTION OCCUPA NIn CHECKED BYGROUP 'OCCUPANT SPECIAL INSPECLOAD REQUIRED REMARKS ataeGRESS INSPECTIONS PER UBC loo/FINAL INSPECTION REG'D_ „A 'k VAUJATION . 1w7�' t Y:, Description FEE Description FEE { 34 Plan Check State Surcharge `G HEAT SOURCE GLAZING % LOT SLOPE % Building Permit 5u city Surcharge ,. . VESTED DATE Plumbing a PLAN CHECK NO: 7 Mechanical THIS PERYITAUTHORIZES ONLY THE WORK NOTED- THIS PERMIT COVERS WORK TO THE PU13UC OHL% ANY CONSTRUE Grading . BE DONE ON PRIVATE PROPERTY DOYAIN (CURBS. 81DEWAlJC�, DRIVEWAYS. NWM ) WILL REQUIRE jt i a .;Tat 7 S ARATE PERMISSION. Engr. Review 1tt''3 ;i;�?ac��: PERYITAPPLICATION: 180 DAYS UYrT. t YEAR -PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection ^ �. a PEr1YR SEE BACK OF PINK PERMIT FOR MORE INFORMATION Plan Cihk: Deposit ' 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EMPLOYEES, AND AGENTS FROM ANY AND Fire Review Fife InSpBCtiOn Receipt # EDMONDS. WASHINGTON. ITS OFFICIALS, ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY OF THIS PERMIT: ISSUANCE OF THIS PERMIT SHALL NOT BEn Landscape Insp. Total Amt.Due FROM THE IggUANCE DEEMED TO MODIFY, WANE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE ABILITY TO ENFORCE ANY ORDINANCE,PROVISION " ipt # /D Receyl� NOR LIMIT IN ANY WAY THE CITY'8 Recording Fee _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION OWNER, THE DULY AUTHORIZED AGENT APPLICATION APPROVAL This application is not a permit until signed by the GIVEN IS CORRECT; AND THAT I AM THE C- STATE THE OWNER. I AGREE TO COMPLY WITH CRY AND STATE LAWS REGULATING EMPLOYED IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED:: TO CALL ,Busding 011k W or his/her Deputy: and Fees are paid, a reoelpt is acknowledged in space provided. FOR INSPECTION TION; AND IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING INSURANCE AND RCW 18.27. OFFIC IGNAT RE y, DATE 1 WKMENB COMPENSATION q SIGNED Y C42J) / (/�—/ 81G D r,J `O 771-0220 E D DATE Off 1333 LL U L ATTE T N OR OCCUPY A BUILDING OR STRUCTURE UNTIL Q GC IT IS UNLAWFUL TO USE A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL OWNER •, GOLD-ASSESSORR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 GREEN ACCOUNTING I ARE MAKING 5 COPIES PRESS HARD -YOU LOT COVERAGE BREAKDOWN Existing Building; 1239.93 Sq.Ft. 1. Includes, Northwest Soffit From Residence To Front Columns. 2. Includes, South, Southwest, & Southeast Cant'd Upper Floor New Carport; 506.5 Sq.Ft. 1. Excludes, Cant'd Upper Floor Previously Calculated. Front Porch w/ Stairs; 57 Sq.Ft. Rear Deck w/ Stairs; 184 Sq.Fi. II I II I I I I + 106f +106e I + 100f Holm +100e ... .. 135' Loi; #3 �_ • 5 Side Setback 0L-K # .------------- - --- - = - = -- - -- r-- --- + 102f 15xl5�lnq I p I I I + 102e Covered porch I 27 5F I I i II s I � �xlslnq i remove i5xis-blnq j Wader Me r Locaflo rop At -I' Y rlveway Under proposed New +102 5f I I I i I �5x PC i +102 5e 5' N I ALL EXPOSED SURFACES T I fl I RS. Od. i BE COVERED WITHIN 2 DAY � . ON lIrlvewac/ I N N I oncr�e ,I ( • pemaln o S1 I 0 2% Slope_ 5 ' Slde Se�6ack - + 100f 02 +100e Pole ... - .72,. . � asonrc/ Landscape petal"Inq Wall rxistlnq 5n11t - +103f +103e - II 48-657 II Donald Corwin O LIVING EASY nj POB 1451 � Edmonds, WA 00 98020-1451 206-719-5751. LivingEasy.Net "Dreams • Reality p �0 r� p �HU /J � x U rd a� �ZH �a w 04 In In 25,/5'__1 -5e 25'-6"+103e (2? ex15tlnq Garage 24' /1 i EROSION LA, +106e 1- 1VL.L +102e I a M �xl5�lnq I � 12eck Above f Flo C Blow I; i lZg5F aPONSIBLE FOR 4D DRAINAGE + 106f +106e �XIS�Inq � /11 1 IIVV U'v 1.10 INUI L✓ 181� ENGIN EKING Zone CornerA FIagj&p Setbacks Reauir 7 Ac_ t_ Front ; — , a Sides Rear (E� -- ---- r Other 146wit IeA,A -C w-r- -�O heGJ is Ma5onrq Landscape l2e&a1n1nq Wall + 108f + 108e TABLE OF CONTENTS 115 Site Plan/Project Notes 2/5 Foundation/Roof Plan 3/5 Main Floor/Upper Floor Plan 4/5 Elevations/Sections 515 As-Builts/Details HEIGHT CALCULATIONS (A) +102' (B) + 102' (C) +106' (D) +102.5' +412.5' Total /4 . + 1036: Average Grade +128 `' = Maximum + 124.69' = Actual ING DESIGNER QRTMD PROFESSIONAL BUILD , A�aV3 lz�5 C;5w,*,q-5 x