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19223 OLYMPIC VIEW DR.PDF11111111111111 12613 19223 OLYMPIC VIEW DR I Ne ADDRESS: ` Z2 t TAX ACCOUNT/PARCEL NUMBER: " / B LA( onry �"O 2 BUILDING PERMIT (NEW STRUCTURE): /1/oT aVA111am COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: ❑Conditional Waiver .0 Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: f1,f�D�/fT SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: BSI SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: C `7 �J ZI SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: LATEMP\DSTs\Forms\Street File Checklist.doc Q= Z O U Lr w LL w Q� >0 J ?> O 06 W 00 oaf w Q >- Q o U) � 0 0 W0)0 Ix co , W w w L� 0 �04 N W O > cc) UQ a� G Q Oz N N 0 �W 0 z J W a U O U) U) w U U a uu U W z W 0 LpU Z Q J a W H Fn .or 0 • J 2 2 w a U w Z W U w z Z Q U) Z W Z Q F- z a 0 U- O 0 d 0 c z co D m w c� 0 U LL O F w LL U F- o z w CN � U W a w LL D N O w a 0 LO w ao z a U) 0 m M Y U w 0 z F- U) WZ 0 oQ Uo zz 90 0 0 LL Ww wz j0 U Z ON z Y a U 'O 0= WM z to F- z z Q �w g w0�� 0 1- (nO d �0 x X awlrLn Ct OZwv z Iw CL Now wZ - i f1 - IL O F- w Zo N bo M `-}� w0LL W F- O COV a ''W:` °tea L --- Crl- N > ''w J _ ->> _ p O'� a) p-0 [Y rn :', d oo co a" z LL 0 LL z_ � a' .'` U N a Z. w W,.. ce) 0 z •. U' D — — 0 � LL 0 II 0 z - } -- w vED= .;°• COwco LL �0 00(r w ao ocN.irncMD �w QZo Q 00 o o o o w II w ., W } U= m �F- II II II II am00 =m �OQ a Q w -)a F-W Ow0 w=J =aa » w F- F- w F- =U)a 00 aa� Te 10410 •'tf— L n) lapis [anloy paai aW s� %V sum jy aawo'l ,Y1 _ S11 auoZ V o C1�G 0 0 M (018 dO 2GiN30) 3/VAI / 3iDA OIdNA-10 — - PLANNING DATA NAME: DATE: tl l0 0 SITE ADDRESS: a1a1 Dl rQw PLAN CHK#• M-506 PROJECT DESCRIPTION: Sewti v r tr�a n REDUCED SITE PLAN PROVIDED?: e / No (oa.d !wvt ) l of MAP PAGE: CORNER LOT: es No FLAG LOT: es No ZONING: 1 7 CRITICAL AREAS DETERMINATION #: © ❑ Studv Reauired: Waiver ❑ Conditional Waiver 1/,., S lat-S t Sa i T: f v16 1 Q ft �te7 SEPA DETERMINATION: ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) AExempt SETBACKS: Required Setbacks: Street: 5 Left Side: L4 Right Side: Ld Rear: Actual Setbacks: / Street: I15 Left Side: ;L$ Right Side:_ [7 ear: qS Street map checked for additional setback required? Yes / No DN ❑ DETACHED STRUCTURES: ❑ ROCKERIES: O ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION: / ❑ STAIRS / DECKS: vwwi n ��ev i dics (1��IofJ - PARKING: Required: Actual: LOT AREA: 17 �MQ LOTCOVCalculations:HAUL*S o� Z/1 7Fl(o = °0 BUILDING HEIGHT: j 3/ `( 100 _ Datum Point: ` ly �o' �% %� Datum Elevation: i / Maximum ed: a`S Actual Height: a S A.D.U. CREATED? N / Yes SUBDIVISION: �-- LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: es No OTHER: Plan Review By. V `�f f (SccIC NewBPPlanningDataFormDOC Critical Areas Checklist CA.File N°. Site Information:(soils/topography/hydrology/vegetation) 1. Site Address/Location 19 2Z oz,�y ` t� (L EEO'{ G?a'./� 9 OZ._, 2. Pro er Tax Account Number: '' O O; O p tY L13��� � '� �� 2,:`° 3. Approximate Site Size (acres or square feet) 4. Is this: site currently.developed? )C yes, no: 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 . riseof 10 feet over a horizontal distance of 66-feet) , o o #, l� Hilly: slopes present on site of more than 15 � and less than 30 /o (a vertical rise of 10-feet T over a horizontal distance of 33,to.66-feet). ! Steep: grades of greater than 30% present on site (a vertical rise of140-feet over;:a horizontal distance of less than 33=feet). Other (please describe): 6. Site contains areas of year-round standing water: ' N0 Approx.;Depth fj 7. Site contains areas of seasonal standing'water: C , ; Approx.- Depth: What seasons) of the year? 8. Site is in the floodway .4�,)— 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. years ), i 10. Site is primarily: forested meadow: K shrubs, ` 'mixed X urban landscaped (lawn, shrubs etc) 11. Obvious wetland is present on site: For City Staff Use Only. 1. Plan Check Number, if ap lica 2. Site is Zoned? S' 3. SCS mapped soil type(s)? _T 4. Critical Areas inventory or C.A. map indicates Critical Area on site? ',ewt a 5. Site within designated earth subsidence landslide hazard area? ✓V O DETERMINATION Reviewed LED.:: ; .WAIVER Date: 0/ �7! �;-I. Cri: . Areas Checklist.doc/4.22.2003 Oty'l OA dinon&:'_Date Rece Developrent Se' ijcis Department ;City Planning Divtsion Criti6�j Are Phone: 1020 Critical A'rE Fax." 425 3.7-1.0221 ,.,,Ddte:;MaiIei Checkli-tUb d The Critical Areas Checklist contamed on thts form is to:, �4,,,property';,owher,= or his/her authorized !re presentative,., be . filled out by any person preparing a Developmentmust :fill .-out'the ch66kli'tisign r ' Permit Application for the City of Edmonds- prior to. the City' The "ciiy' I�ih eview�� th e:ch -6kli'st;Vmik6 & his/her submittal of the application to the City. precursory;,si e�yisi and make a,,4etermination th precursory I I I ' e�. :. zH .s� uent.-steps necessary to. comp ete a evelopment The purpose of the Checklist is to enable City staff to, determine whether any potential T application., Critical Areas are or J-f_ may be,, present on. the subject property. The information ..!"Pldue the signed copy along with e need d to- completi the Checklist should, -be- easily of this form to; assist!, City staff' M­ -.finding and 166ating the available from observations of the 'site*or data available I at ''d' nit)6&�onjiiis', =.c piece (if. property,, es4 f In. ones', maps, or S ;other uclude '.pertinent City � Hall (Critical areas' invent oil' on,-- 016- applicant. shall surveys). information. (e.g:. site%! plan, topography - iMaO, etc.) or stLidies.in conjunction -wfihi this Checklistlo assistant staff 41 M,:Lcomplet,ing their preliminary ass'es'§ment;of ihe'site. The undersigned applicant, and his/her/its heirs, and assigns Wvonsideiation on the processing ;ofthe, application. agrees to release, indemnify, defend and hold the City of Edmonds. harmless 'fr6m any and all damages,149 uI . i i' Y,:f`eas6fiable : ,. d j 41 attomey2s fees, arising from any action or infraction I basdd`i` whole or part upon fflse,, 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 arid,c6rr6ci to the best of my knowledge and that I am authorized to @e this application cn the behalf of the 'Owner as listed below.' SIGNATURE OF APPLICANT/AGENT MStc-t DATE Property Owner's Authorization By my signature, I certify thatJ have authorized the above Applicant/Agent to apply for the subject land use application, . . i ­,�, I. , , I . . r E;I , 1''. . . I and grant my permission for the public officials and the staff of ffie City. of Edmonds to enter the siibj&6tproperty "for the purposes of inspection and pos,#ng attendant to this application. SIGNATURE OF OWNER ;L ATE Owner/Applicant: Applicant Representative: Name Name Z_ 3 Street Address Street Address 0,C) Lo City State. Zip City . I State zip Telephone: 2 Telephone:. Email address (optional): Email Address (optional):-, V& IZ, __R-_-T_A- L coy Critical Critical Areals Checklist.doe/4.22.2003 �wrk� M r' i fi� ��`�+�Yn'�i'� �N'f�i��r4ili7".7d}:t}'.�"�S+�G^��hr.M}.��,;v,.;�.� � �' .Y,�d4`.:�'�rh�r'1'•��rrr CITY OF EDMONDS . RE T FILE !mit No. . -- 0 4 COMMUNITY SERVICES DEPARTMENT eA RIGHT -OF` -WAY CONSTRUCTION PERMIT �I � �� �( Issue Date 3 i�ii.AMAVA AF WAFAM �W � ii���i�i��i��.����������. A. • Owner: Washington Natural _Gas Company B. • Contractor: f TeMercer S tree t Name il' Address Mailing Address a'le WA. .98111 City State Zip City State Zip State License Number Telephone Number C. 0 Address or Vicinity of Construction: 19223 Olympic View Drive Type of Work to be Done: Emergency Repair of Leak Notified City of Edmonds December 31, 1990 D. • Work in Connection .With:.. ❑ Sub or Plat ❑ Single' Family ❑ City Projects ❑ Commercial ❑ Multifamily R)f Utility E. • Pavement Cut: ® Y N F. • Size of Cut: 2 X 4 (@ Driveway over: Gas. APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees . to hold the City of Edmonds harmless fiorim any injuries, damages, or claims of any kind_ or description whatsoever, forseen or unforseen, that may bemade against the City of Edmonds, or any of its departments or .employees, including or notlimited to the defense of any legal proceedings including defense costs, court 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 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. • A 24 hour -notice is required for inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times:. . • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I understand the above and that this permit must be available at the job site for inspection purposes at .all times. Signature: /ViE/v11� Date.December 31, 1990 Owner or Contractor , This Permit Must be Posted at the Job Site For. Inspection Purposes. Call DIAL -A -DIG Prior to Beginning Work y, APPROVED BY:: O Time Authorized: Void after X MARCH 1ays. , W Special Conditions: IQA U RELEASED BY: . QQ� Date 1 O w NO WORK TO. BEGIN PRIOR TO PERMIT ISSUANCE PERMIT FEE: Restoration Fee: Receipt .No.: Fund III Fee: Street Cut Dimensions: — INSPECTED BY Date Frig Div March 1989 . FIELD INSPECTION NO S �: (Fund III - Route copy to Street Dept.1 Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1 \ 9 � ° 0 ram. 90C)e 1984 - (o'07 1`�"-�e"232"5 � 19 8 4• '0 N 00 c9a4 N N 5/e'29o5 "' Q 1950 ig Z 3 2's .io 7 Ab ............. f�b N1965 4� d" 500 N IOA�j 471s �L,GD'M r 0 W 7 v a 7CD G. .o W (15 RD E UTI L ESMT ) /P 5•N RPtD 2"!06 ��8 F s •0 3 9525 9531~7o��f N m-.-^',*�.>> .ar+JF a•.e,�-v �t'iah-J?r 4+...,v�d.c"l:;ryel�'�iJ�`d.;,,,,f;,,`=+F,i/'•'�,r7��'"YrdiFd:.rS"n'y;++�1,jr�.;n+Fi.>YhivgsS$i.+Taa�'t'°T"ti+N�kNd'+��-'IMF"'v'`�i�d�*:rq•w,;a��LasY,.urr�?+,Yav-`hr.,:.q+,r,K",�mwvat=r,�'+¢4.4�,.rb•,t.,,Jv-•=..rortt z d U a a a r� O E_ O W E� U 0.1. O w CITY OF EDMONDS - STREET2 F� Fermit No. OP !J tJCOMMUNITY SERVICES DEPARTMENT Issue Date RIGHT-OF-WAY CONSTRUCTION PERMIT A. • Owner: NWashington Natural Gas Co B..• Contractor: 8�e 15 6 AV NE Mailing Address Bellevue$ WA 98007 City State Zip Same Name Mailing Address City State Zip 447-0700 fz ._ e��;� ,r+ State License Number Telephone Number • Address or Vicinity of Construction: • J' 1 19223 01 y=i Vi _w Dr Type of Work to be Done::' `+ Tnsi+a111 -a new eras Geryi r_e Z2cg Work in Connection With:. ❑ Sub or Plat ❑ Single Family ❑ City Projects ❑ Commercial. ❑ Multifamily iR Utility Pavement Cut: ❑ Y O N APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR, O OWING THE.FINAL-IINSP.ECTION.AND. ACCEP_TANCE,OF^THE�WORK;_--R Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed by City forces, at which time a debit or �creilit`will" be processed for issuance to the applicant. • A 24 hour notice is required for inspection; Please call Public Works: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; no exceptions. I understand the above and that this permit must be available at the job site for inspection purposes at all times. Signature: Date: 12 / 19 / 8 8 Owner or Contractor This Permit Must Be Posted at the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work ISSUED BY: C_/� ���"r / PERMIT FEE: too. 00 A Time Authorized: Void after t days. Special Conditions: Amendments: Security Deposit: Receipt No.: Fund 11.1 Fee: Street Cut Dimensions: X = NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div, July 1985 FIELD INSPECTION N ES (Fund III -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. J ul 00 31t, ST .�j g, Id. 0 00 ", 0 *lLb '16 a 0 ti 5 190 Pi Ol 0".Ai s VSTW 1p ru PAV Cam) 1A.,b , Is-r,s dNm (4 fq 1 8+ 1184. I q a e, co 5 1980 m /tn 97c,'S a .6 Igoe 204'- IY-V* 'A) IL R--.-'—U-T'fCESMT) 1__,tD � I 1 "All 2 3 Fr �41 8a3-- OL 93 7,Z \9 4JN Inq in m U4 4��lyFO FOREST ST DELL ELL D DR PE 1p 1p, es PAVj r O -567T STREET FILE z 0 o oz ro 4p 0 Dlymp�� �Pa/ (fir: co m 06 0 0 0 0 qq 0 0 3 0 I �!a'T• ASPHALT ASPHALT (A A-�El� I I I I I HEIGHT CALCS A=+ 102.88' orr%E, B=+ 105.92' car= FILE C=+ AVG GRADE= + 104.41 ' ACTUAL= SITE BENCHMARK MAXIMUM= + 129.4 1' 1-3/4" IRON PIPE UP 10' FROM GROUND ELEV 100.00' (ASSUMED) FF HOUSE ELEV• + 107.72 FF 0 ENTRANCE ... ..ELEV... AT GR 1 A Gw PACIFIC GEOMATIC SERVICES, INC. LAND SURVEYING &. MAPPING SERVICES LLB QUALITY SERVICE - CREATIVE SOLUTIONS O, o•.v i�•, O 6608 216TH STREET SW, STE. 304 MOUNTLAKE TERRACE, WA 98043 PHONE(425) 778-5620 FAX:(425) 775-2849 5 71 c% WEB: www.PacGeolnc.com ST6R�� AL PGS INC DRAWN BY: RWP CHECKED BY LUON BERISHA SCALE: NOT TO SCALE LOCATION: DATE: 07-``=12-04 19223 OLYMPIC VIEW DR. EDMONDS, WA 98020 JOB -NUMBER SHEET DESCRIPTION: 04-031 -01 1 F 1 HEIGHT CALC SURVEY RLe-L--jr. __ OCT 2 9 2004 PERMIT COUNTED CITY OF EDMONDS {- .... CIVIC CENTER — WATER -SEWER DEPARTMENT Cal PRospect 6-1107 when work Is ready' for Inspection. (No inspec- �� SIDESEWER PERMIT lions Saturday; Sunday or holidays.) 1� 0 278 ADDRESS ........... 19?.3-:-Olympic ... View.. Drive OWNER...............Mrs. Frank Pulford CONTRACTOR ...... owner ............................... ........ ................................................................... Permission is, granted .......... March 1 lg 68 , for ........................ days to REPAIR or CONNECT a side sewer --- with City Sewers in accordance with application on file and governing ordinances. ATTENTION 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. NO-- No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing aide sewers when you get permit. N, No. 3—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. 4—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. 5---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 appur- tenances except to insert the pipe Into the wye. 1