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1060 SPRUCE ST.PDFiiiiiiii iiiiii 13302 1060 SPRUCE ST 6 - 0 ADDRESS: N (� (� n Smell r -01 TAX ACCOUNTMARCEL NUMBER: d7 © 3 2 5 C-20.1 0 2. S O CO BUILDING PERMIT (NEW STRUCTURE): COVENANTS(RECORDED)FOR: CRITICAL AREAS:- 201) L9 -O I 0 (P DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver O DISCRETIONARY PERMIT #'S: ?L% 19I 3 00009 - 3 39 3 ( 3 �0, i' IC,& 62—LQf) DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: %I Z5 I C) � D SEWER LID FEE $: LID #: SHORT PLAT FILE: S i q & 6 - O / LOT: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S).#: GEOTECH REPORT DATED: STREET USE I ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: `` 2 OTHER: Kota C I wl 3- V� J) 1 4� h 1�7a �s D•.�e s� BLOCK: LATEMP\DSTs\Fomis\Street File Checklist.doe #P20 City. of Edmonds 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 from observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys). Date Received: 1 ZQ City Receipt #: Critical Areas File #: �;tcXCXG -c>LCG Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: 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 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 forma In addition, the applicant, shall include other pertinent :information .(e.g. site plan, topography map, etc.) or studies in conjunction with this 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 furnished by 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 file this a plication on the behalf of the owner as listed. below. SIGNATURE OF APPLICANT/AGENT DATE Z 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 staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attgdant to this application. SIGNATURE OF PLEASE PRINT CLEARLY Owner/Applic ant: Name Street Apddres City State Zip Telephone: #) 771-- Zb� DATE Applicant Representative: . Name Street Address City State Zip Telephone: Email address (optional): lf-rt Zr{e�e,� Ili Email Address (optional): #P20 Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/ Location: 1666 itt C e- !�2L CA File No: o2Ct' G -OICXo 2. Property Tax Account Number: a O 3a S CX� �00 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? X_ yes; no. If yes; how is, site developed? VI D ut� C; 5. Describe the general site topography. Check all that apply. / Flat: less than 5-feet elevation change over entire site. VI"' / 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 floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of _year? ). 10. Site is primarily: 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? NoVIe, A 1VP, V - 2. Site is Zoned? 5 $ 3. SCS mapped soil type(s)? 6 ( a 1 ckrwoo d toyloAm land tow p I ty 7-- FS •/• SI v p is 4. Critical Areas inventory or C.A. map indicates Critical Area on site? -�; I i q t 16111 Q l m q F. but 4101 aVld dOC4 Vtot mrxA dc-h* i.i '6v1 pf s, Gvmcal avt"a /ae0h,1 5. Site within designated earth subsidence landslide hazard area? N 0 - DETERMINATION STUDY REQUIRED x WAIVER Reviewed by: G 1 V1 a/ (,�CLI Date: 0 81 d + 1 1100 6/ PLANNING DATA STREETFILE Name: 9+ev4e, viahyen Date: 0 $ • I ! • 200(o Site Address: 10 (p 0 5 p r IA C.C. 5tY4,�e+ Plan Check #: BLD-2006- 0 9 2,3 Project Description: i so, IP aoldf o-ri (new 104ttvi I ctOSe-} off' sped MV" Reduced Site Plan Provided: ( ES NO) TZoning: g Map Page: t 5� Corner Lot: E / NO) Flag Lot: (YES / VO Critical Areas Determination #: v0o(o+ 0[0(e ❑ Study Required Q Waiver SEPA Determination: O%eM K Exempt 0 ,grading prvposved ❑ Needed (for sites with 500 cubic yards of grading or within 200 feet of Puget Sound or Lake Ballinger. Requires: 1 Fee, 2 Environmental Checklist, and 3 APO List with notarized form). Re uired Setbacks Street: IV Side- .57 Side: 5 Rears St-rC-C - y, s.• Actual Setbacks MO 5 F12- Street: 5 O Side: ,y 0 Side: ,L 0 ® Detached Structur�ees: e,$% Fj p0 V-r C4 Lk%r+- y -Coy., S W ed ❑ Rockeries: hOAC„ r V%VWv% ❑ Fences/Trellises: y►ovw- �Pkvwvl ❑ Bay Windows/Projecting Modulation: 11 Stairs/Deck: YM,Lt,4'8,p Parking Required: 2, Parking Provided: Lot Area: 4 a Get. 5) Lot Coverage: �'eF11' l b 9 V P fi new add 1�5 to + eX r sV►tid 15b Lot Coverage Calculations: 4. e4de /P Ufidh �-1 9 24Z3 ex•c,�n✓�-�urh !1?l Bui/din Height Datum Point: to ah VJp 1e (G1P r1A 4e Datum Elevation: 1 b b i 00 Maximum Height: 2. t"j Iy/�, p �.� Actual Height: 2.+. 0 (p (13 2, .10) ADU Created: (YES / O) Subdivision: / Legal Nonconforming Land Use Determination Issued: (YES / O) ex" CPV1Gd V ex . SPor+- C.ou rt t C * Ck-6 Other A; to4•2'+ 1D, lots -No 432.1} =4 10g,D�2.5 Avtw49�& 610 d?, G. l01&2.3 t 2 t✓10�� 10 is. y.1 133. 0 `{' Z5 K G.x NLI'g h+ Plan Review By: guts &� f'�..,,'.�!•4r 'L""l.�}- „r,..a�•t �.„r: ,�-r..,'x..n..tvy',, rn•.• .:;.��:ri-�n'�7 �ti.iY,..,.--,.Hr�l�rv^nvf'v'"uV+.r,�,.....4wHf'�'^�r+rNSeM �'r�.ty�.' ." 1 ..• y . t � ,.1::: i•: City of Edmond RIGHT -OF -WAS' CONSTRUCTION PERMIT Permit Number: % _ 03-3 Issue Date: A. Address or Vicinity of Construction: 1060 Spruce St. (9308280) } 1 O B. Type of Work (be specific): Install New Service 890 19� C. Contractor: Washington Nat1.Gas Co. Contact: Mailing Address815 Mercer St. Seattle, Wn Phone: 224-2278 State License #: 98111 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer. Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project J&Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ .Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes Z[No G. Size of Cut: x H. Charge $ APPLICANT TO READ SIGN 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, that may be made agaihsi,the City of Edmonds, or any of its deparTmenu or employ ees, including or not limited to the defense of any legal proceedings including defense costs,` and attorney fees by reason of granting this peimit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A'PERIOD OF ONE YEAR FOLLO WING THE FINI INSPECTION AND ACCEPTANCE OF THE WORK. ES77MA7ED RESTORA77ON FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME 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 Department Work is to be inspected during progress and at completion. 1-0 220 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 pernrlif requirements and the pink copy of the permit will be available on site at all times for inspection purposes. " � J , � 7 � Signature: �W"Date: Feb. 10, 1993 (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK L FOR CITY USE ONLY APPROVED BY:. - RIGHT OF WAY DIME AUTHORIZED VOID AFTER::t— DAYS:: DISRUPTIONF1 WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NO'1- S (Fuqnl I I I - Route copy to Street Dept 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 11 Addendum to City of Edmonds Right of Way Permit Application -- Submitted by: 6LIu A `A C b Ill �,-\G�S Engineering Aide Washington Natural Gas S? I = ice- tiSti N[:6 0 c WNG to window ater main depth unknown 2 " gas main K-0 cj,� -w- water -g- gas -ss- sewer $ water hydrant O water valve 915 Macs St. (P.O. Box 1869), SUMk, WA 98111 (206) 622-6767 APPLICATION for The City of Edmonds SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS EASEMENT No ........................................... 110-02300 OWNER......--.-..Ri c...ard..E:.. ROSS------------------------------••---•----•---.......--•---. CONTRACTOR ...............•--•--......................---.............---•--....................•........... PERMIT No....................... ADDRESS ......... I.0.6.0..Spruce--..r►........................................................... LEGAL DESCRIPTION: LOT No. -----•--...----..................... ......... BLOCK No............................................. • NAME OF ADDITION Dye Tested On Sewer 1972 Approved: DATE................................................ By 70 -7C IZEM oVC� U S� Ta?SOIL R�nov c� pop 41av V�1 P� " ,�.M � y.� � -1-�+c5 ?e,� C t tY t� cevYjp trl-b�. ac. Eli 5T pppS����b����CP•Y' I Lo�o � " 65 � o Ids b o' ADD GUTTERS/DOWNSP UTS 01 i�9 "A 'fo Ut 5T{ Ito syST M b--Y-IS T PaT-i 3�e 70 _ _ Fl2op Ga _ P24P MOO � 3 3 �. ' (oL' P�ZvP D121vG 6vv 0 m Ft �,��- - -j'oTnL I NI P �nUs nir�r�nn�Y�R/�Y613� c RESPORSI OR ioX ito St,l iLGA�t< 37l 4 EROSIONCONTROL AND D If�m ia4 �� SHIED -Tv 1 ALL •�• v-t,,.0 CE 'V To h 1a�32�L A 10 1,a BE COVEFED WlTif#j q� G -IO2'� " (c — 4 lol 6 >3a D Io(.� I I ell lit E IQZ (� .ICI l��. _�Y .IVt_... i-�]�-"�•.'I'O�JE % To PIS �- /kCr U I_ O o f SAS ) 12� o . j e/ APPROVED BY PLANNIN _ � ab' Ao o z v 1 `� I ov 15�7P�—ACC F�a�l I Ct- TU u204il •li 031 Jg.� !' J l h� /� \ I K'u 51T�� "�•� d��<_.c:` � I I c-�,t E-G1aiEt� zo nil %'-Tl Ic�r.--0--speLX6 ST �flMoN�s 2703ZSoolc>45c7aRESUB —M STREET FILE i>w Y ODEPARTMENT S Zone R' ✓ —,,,_ 6 Corner ✓ Flamm Set_._ backs R uir d Actual Front 141 E 215 15 / 58 Sides T 5 37/7.5 Rear Other Height f; M M M ryy '� 5✓r t. •� 4- .}- a- + tTl i� L N• - v j� �! � 4•� y5� 1 �'� v� v� o •-� 10 745 � N •- in i"1 othing in this permit approval process,,s. be. i terpreted as allowing or permitting the N11 maintenance of any currently existing illegal, nonconforming or unpermitted building, structure or site condition which is outaide the scope of the permit application, regardless of whether such building, structure or condition is shown on the site plan or drawing. Such building, structure or condition may be the subject of a separate enforcement action." C/) N -- --- z � a J CL 'C-b ;> .I- C: Lq N Y .1 r) (� L' x < 5T- i a-1 L i I i w {4:N C pproveb Fort ON' L- Cf) M M I rn > )< �Tl V� —:7 4— + -4 —4 > .7 m f v 7 < 74(1) Z l� 7A 2 V irl 4, H - \A . T\ "A 141 14' 1 + Z-' m xIt N F kkw"O F kkw"O z 00 MM > V)M z —4 M x M vi Y- > 4 V) > V1 its 4., -:U F1 0 thin n this permit approvalprocess:,'�hall be g i process:, shall rpr i e eted as allowing or permitting the ' maintenance of any currently existing iNgal, nonconforming or unpermitted building, structure or site condition which is outside the scope of the pe rmit application, regardless of whether such building, structure or condition is shown on the site plan or drawing. Such building, structure or condition may be the subject of a separate enforcement action." C/) ... . ....... I I—M 4, > X 71 M"I 79 X 0 Lf 5 -( X-1 -0 11I PJ