510 HOLLY DR.PDFiiiiiiiiiiiiii
11714
510 HOLLY DR
CITY OF EDMONDS
7110 - 210TH ST. SW - EDMONDS, WA 98026 * (206) 771-0235 FAX (206) 744-6047
COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION
.1890 C) lz�
April 11, 1995
Janice Barrett
51OHollyDrive
Edmonds, WA 98020
Dear Ms. Barrett:
LAURA M. HALL
MAYOR
I received your request for submital on the information the city had regarding your claim
with P.U.D ' 'on the plugged sewer. I have forwarded this information to Ward THG. I am
not sure which company is responsible as there was gas and power at the same elevation as
the sewer.
I will retain the original photos for city records and send copies, as I do not have negatives
because they were taken with a polaroid camera.
Sincerely,
�� mzc
Ron Holland
Water/Sewer Supervisor
RH/lk
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e Incorporated ALISUSt 11, 1890 0
Sister Cities International — Hekinan, Japan
Date:
MEMORANDUM
April 11,1995
To: Christopher S. Alberghini
Claims Adjuster
CSA/KTK
From: Ron Holland
Water/Sewer Supervisor
Subject: ' WARD - THG FILE #: 79050120CA
The city of Edmonds does have photos of the dig up and repair to. this claimants side
sewer showing P.U.D. and gas liens crossing the side sewer. I have enclosed photo
copies, but they are hard to see.
I will provide you access to the Polaroid pictures upon your request for review if you
cannot make out the photo copies provided. You may review these photos at 7110 -
210th St. SW in Edmonds. Our office hour are from 7:00 AM to 3:30 PM.
RH/lk
Attachment
wordata\sewer\79050120
-City of Edmonds cQ Public Works
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March 31, 1995
Everett Akau
City of Edmonds
Public Works Department
200 Dayton
Edmonds, Washington
Dear Mr. Akau,
;��ECEJIVED
APR U 6 1995
PUBLIC WORKS DEpj
On February 28 and March 1 you inspected our property at the
site of a ruptured sewer line which was caused by digging
when the PUD laid underground wiring conduits. Enclosed is a
copy of the PUD's response to my claim for reimbursement of
the $1011.21 1 paid for repair of the sewer line.
I phoned your office upon receipt of this letter from the
PUD, but I did not receive a call back from you. I am
writing you at this time with the request that you provide
information to the company handling this claim (Ward THG) of
your findings when you did inspect our ruptured sewer line.
Thank you for your attention to this matter.
Sincerely,
�Janice Barrett
510 Holly Drive
Edmonds, Washington 98020
771-066E
March 21, 1995
STEVEN & JANICE BARRETT
510 HOLLY DR
EDMONDS WA 98020
RE: Client
Snohomish County Claim #
Date/Loss
Ward-THG File #
Dear Mr. & Mrs. Barrett:
Ward-THG
Claims Adjusters and Administrators
19109 36th Avenue West - Suite 105
Lynnwood, Washington 9W-36
Telephone. (206) 77&8826
Facsimile.- (206) 771-6726
Snohomish County P.U.D.
D-6026-00
02.01.95
79050120 CA
As you know, we are the adjusting representatives handling the above captioned claim
on behalf of Snohomish County P.U.D.
This District crewmen who conducted the work allegedly near your sewer line do not
recall having hit such. We have been advis ' ed that both you and the City of Edmonds
have pictures showing Snohomish County P.U.D.'s conduit under the sewer. We would
appreciate it if you could either provide copies of these photographs or make then
available for our review.
We appreciate your cooperation in this matter and look forward to hearing from you in
the near future.
Sincerely,
Christopher S. Alberghini
Claims Adjuster
CSA/ktk
STREET FILE
City of Edmonds
Critical Areas Determination
Applicant: I Barrett Determination #: I CA-93-6
Project Name: I Barrett 2nd story add. Permit Number: F
Site Location: 1 510 Holly Dr Property Tax Acct #: 1 252703-2-079-00
Project Description
2nd story addition
Waiver Criteria (all criteria must be found to apply):
xx There will be no alteration of the'Critical Area or its required buffers;
xx The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
xx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xx The above findings are based on the following conditions of approval:
1. That any development, within 301 of the top of the streambank located to
the south of the property which would require any disturbance of soil,
would require another evaluation of the Critical Areas Checklist for
2. The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds Community elopment Code..
Z--el -95
Snhen F. Bullock A /'2�/ 111f /
Name 9 TV& u r e ha'te I
1. r.. � :t .
City of Edmonds
Critical -Ar'e'a's Checklist
ne Critical Areas Ched.Mist contained on
this form is to be filled out by any person
preparing a Development Permit . -
Application for the City of Edmonds prior
to histher submittal of a development permit
to the City.
The purpose of the CheMist is to enable
City staff to determinewhether any potential
Critical Areas sire or may be present on the
subject ilic information needed to
complete the Checklist should be easily
available ftom, 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� and
submit it to the City. The City will review
the cheeMbst, make a precursory site visk
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
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information 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:
Name
Xld eE0 WA),C,< <
Title
0 /�d
Street Address &
City, State, ZIP Phone
Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP Phone
Signature
Date
Critical Areas Checklist*
Site Information
Project Name: -ZJKAe-, 7— Permit Number.
Site Location: Property Tax Account Number.
Approximate Site Size (acres or square feet): -To - /,ro � -7-f-co
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions cJka,-,eW -e?,'�e �
1. Has the site been cleared or logged?, x-, 1*,e/e&;Date of most recent action:
J
Soils / Topography
2. In the Snohomish County . Soil Survey, what is the mapped soil type(s)?���W 14.� 67�-(
9 - If-
3. Describe the general site topography. Check all that apply.
D4 -Bat less than 5 feet elevation change over entire site. - -? -'R- `> d- s /CY a__-
-.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 of horizontal distance.)
Steep: grades of greater than 300/a present on site.
Comments
Hydrology/Vegetation
4. Site contains areas of year-round standing water A110
5. Site contains areas of seasonal standing water NO —Approx. Depth:
6. Site is in the floodway NJ floodplain /-,/0 of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? a flows
are, year-round? W Flows are seasonal? uz)
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STREET FILE
He-) L-L- Y
STREET FILE
APPLICATION
for
The City of Edmonds SEDE SEWER PERMIT
NEW CONSTRUCTION r-1 REPAIRS 0 EASEMENT No . ..........................................
104-05850
owNm............ E.dnionds ... Flo -ad --- Inc - ----------------------------------------------------- CONTRACTOR ..................................................................................... ------------ PERMIT No - ----------------------
,a
ADDRESS ........ 5.1-G.-Mal-Ty ---- Drive ----------------------------------------------------------- LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .......................................................................................................
0
0
DYE TESTED Oil SEWER
JULY, 1972
Approved:
DATE................................................ By ......................................................................
8 9 0 1 9 C5
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIY� 1-� - 041n
A. Address or Vicinity of Construction:
B. Type of Work (be specific):
Ferlu L rhunber:
Issue Date:
\A
Q ca\-,\ u
C Cl e\ �A�- rm�\ (yL'.
4��ZAQ 'Y %., P. Q - D
C. Contractor: �0�Ak' (QUQ k Contact:, �A
Mailing Address: 9\\O\b \AU \-( 9 ,1- Phone: (C::'-7 C)
State License #: $e�c-:�Ao Liability Insurance: Bond:$
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F-1 Commercial E] Subdivision El City Project E] Utility (PUD, GTE, WNG, CABLE, WATER)
-Multi-Family Single Family n Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut El Yes ANO G'. Size of Cut: x H. Charge$
APPLICANT. TO READ AND SIGN\
INDEMNITY. Applicant understands and by his signature to this application, agrees to holdf) I mon2isharmlr,-fffto rd ma8esloor
or mp Y_
nonds, or any '67fi�7Zfa% e
claims of any kind or description whatsoever, foreseen or unforeen, that maybe made against e
1�1 jc�io)r
ees-, including or not limited to the defense of any legal proceedings including defense costs, and attorneyfees by reason of granting this permit.
71,
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIPAND MATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE F114AL INSPEC77ON
AND ACCEPTANCE OF THE WORK ES77MA7EDRESTORA77ONFE . ES WILL BE H" 7AWL,,THE FINAL STREET PATCH 11 fp9ftETED BY
C[T`YFORCES,'AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with pennit application.
A 24 hour notice is required for inspection; Please call the Engineering Departrnefl'
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes. 771-0220
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 permit requirements and the pink copy of the permit will be available
on site at al
Date:
Signature:
(Contract . or or Ag lot
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FORCITY USE.ONLY .. .....
AMOYED, By,— . . .... . .....
.:..R1.GHT,QF WAI
TIME AUTHORIZED �'VOID.AFTER:.:.: :.DAYS,
DISRUPTIMF
SPECIAL. -CONDITIONS:,.-
..RESTORATION
........ ...
— ---- --- ........ . .. .. .. ...........
-PERMIT FEE::,: -
TOTAL FEE;.
.... .... . .. ... . ..
::.:eO..MMENTS.:.
.. ..... .... ........... DATE:
ISSUED BY:.
I
WORK SHALL BEGIN PRIOR TO PERMIT
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July M
tit
JUL 13,lTh
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STREET
FILE
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MEMORANDUM
CITY OF EDMONDS
PLANNING DIVISION
July 19, 1993
TO: PLAN CHECK FILE NUMBER 93-109
FROM: JOHN BISSELL AICP, ASSOCIATE PLANNER
SUBJECT: SEPA WAIVED FOR 510 HOLLY DR.
I have reviewed the application for and addition at 510 holly drive. The SEPA does not clearly show
that the subject property is environmentally sensitive. In addition the mapped stream is not present on
the sub ect property. The proposed addition would be approximately 90 feet from the bank of the
j
stream, and the project has been reviewed under the Critical Areas Ordnance for impacts to the nearby
stream. Therefore, we have determined that the subject proposal is exempt from SEPA review.
STREET FILE
USE
CITY OF EDMONDS ZONER PERMIT 93040,
NUMBER
CONSTRUCTION. PERMIT APPLICATION joB SUITE/APT #
OWNER NAME/NAME OF BUSINESS ADDRESS
I -In Z_ y
LEGAL DESCRIPTION CHECKI SUBDIVISION NO, LID NO.
cr
W MAILING ADDRESS
Z
01 r c PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved C3
CITY ZIP TELEPHONE NUM13ER RW Permit Required 13
EXISTING REOUIRED DEDICATION Street Use Permit Req'd 0
Ed J � � � / .- (,�) �, i
.ROPOSED Inspection Required 11
NAME Sidewalk Required 11
REMARKS
r4 Lu
Lu
uj ADDRESS e, 7_7�`:
IV Z
U tA tj d i'\ 1, � E ui
CC CITY ZIP TELEPHONE NUMBER
5.3
NAME
ENGINEERING MEMO DATED REVIEW BY
ADDRESS
0
SUPPLY SIZE NO. OF FIXTURES
U
CITY ZIP TELEPHONE NUMBE
uj
METER SIZE
I q I t c /V E
Z
0 111;P31 -35 REMARKS
STATE LICENSE NUMBEh EXPIRATION DATE
E V F3 3 al P H SIGN AREA SEPA REVIEW ADS NO.
... ALLOWED PROPOSED COMPLETE EXEMPT
Legal Description of Property - include all easements
SHORELINE#
Z % i
o V1 !;
EXP
VARIANCE OR PLANNIN�G IEW BY PATE
CU_`
LU
_j SETBACKS - FEET 11?�HT LOT COVERAG
FRONT :�� SIDE REAR Z
Lu Property
Tax Account REMARKS
Parcel No. -3
NEW RESIDENTIAL 2"PLUMBING
53 ADDITION E] COMMERCIAL -MECHANICAL
APT. BLDG. 6. W61Y,
REMODEL SIGN
GRADING FENCE CHECKED BY ITYPE OF CONSTRUCTION CODE HEIGHT
REPAIR — CYDS. L_ x _FT)
w6ODSTOVE : -
DEMOLISH' SWIM POOL SPECIAL INSPECTOR AREA I CUPANCY OCCUPANT
INSERT HOT TUB/SPA REOUIRED . GROUP LOAD
GARAGE RETAINING WALL/ El
C ROCKERY RENEWAL EMARKS 0
(TYPE OF USE, IUSINJSS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 3
M
,vt 1 el 1 2,, E) t,
NUMBER NUMBER OF CRITICAL
/
LLI L /1917/ WS11-C,
0 OF DWELLING AREAS a
M STORIES UNITS J— NUMBER
0
DESCRIBE WORK TO BE DONE (ATTACH FLUT FILAN)
A 5 on FINAL INSPECTION REOUIRED
VALUATION FEE
ex ra PLAN CHECK FEE
44 0 e W4 1A 16/4 5 �rM Yl A a0-, 3 y
HEAT SOURCE: GLAZING BUILDING
6, q PLUMBING
Plan Check No. -7 MECHANICAL
This Permit covers work to be done on private property ONLY. GRADINGIFILL
Any construction.on the public domain (curts, sidewelks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: .180 Days STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and IENGA�=T!E7111111111 r!jj ff
- 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
< whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
.j modify, waive or reduce any requirement of any city ordinance
0
I 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 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 NOTE.D Deputy; and fees are paid, and receipt is
Insurance. I NSPECTION acknowledged in space provided.
ATURE �WNE I R OR AW11- CATE SIGNED DEPARTMENT
OFF11CIALS SIGNkTURE DATE
CITY OF
EDMONDS
CALL FOR DATE
IT IS UtILAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION
ATTENTION,
L2 2
-UN FINAL INSPECTION H�S BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW -�Inspecto
TIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
A Tcl W
OHAPTER 3. PINK — Owner GOLD Assess6r,
107,q7
STATEMENT ON ACCESSORY DWELLING UNITS
0
Property Address: 510 Holly Drive, Edmonds, Washington 98020
Legal Description . 7.
STREET FILE
I have read the requirements'for accessory dwelling units contained in Chapter 20.21 of the.
Edmonds Community Development Code and understand that an accessory dwelling unit,
Including a second kitchen, Is prohibited for two years after occupancy by. the current owner is
granted and until after a conditional use permit has been approved by the City of Edmonds
Hearing Examiner.
I also understand that approval of a conditional use permit Is subject'to a public hearing, and
neither this statement nor the Issuance of a building permit shall act to limit the discretion of
the City review in the review of any application for a conditional use permit
Property Owner Name
Date
C= G"z
C.1
STATE OF WASHINGTON
C=)
COUNTY OF SNOHOMISH
6
v: LD
r? I certify that I know or have satisfactory evidence that -46NIcc
R15-
signed this instrument and acknowledge it to be his/her free and voluntary
act for the uses andr
purposes mentioned in this instrument.
Dated
'. Z.,*0k
Signature of
.Notary Public
Title -AQ-)-(VVz" PUSLIC 0-3:
My appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY
AUDITOR
AMUSMDOC
f
VOL, 2762PAGE1291
t9 V_ C, C I',
EXHIBIT A
A portion of the Northwest quarter of the Northwest quarter'of
Section 25, Township 27 North, Range 3 East, W.M., described as
follows:
Beginning at a point 99 feet South of the Northwest corner of the
Northwest quarter of said Section 25, Township 27 North, Range 3'
East, W.M.;
THENCE running East along the North line of said Northwest
qudrter 165 feet to a point which is the True Point of Beginning;"
THENCE continuing along the same line East 55 feet;
THENCE running South 174,feet;
THENCE running West 55 fe'e't;
THENCE running North 174 feet to the point of beginning;
EXCEPT the North 25-feet thereof conveyed.to the,city of Edmonds -
under Auditorls*Fiie Nos.'1109425 and 1111313.
(ALSO KNOWN AS Tract 2, Holly Drive Addition, an Unrecorded
plat.)
Situate in the County of Snohomish, State of Washington.
VOL. 2762PAGE1292
1 46
1476
PUBLIC UTILITY DISTRICT NO.1 OF SNOHOMISH COUNTY REV. 7/87
-T'
LOCATION S\C) Q 0 C I AREA
POLE NO. kl�N\J 1/4 s 2- ST 2-7 R DATE W. 0. N 0. 7
REASON FOR WORK ENGINEER DWG. NO.
RIZZ) T DRAFTER U. G. N 0.
DATE WORK COMPLETED -A� SCALE DATE PRINTED
[APPROVED I
FOREMAN
IFEES REQ'D WyEs
PRIMARY OVERHEAD
• RESIDENTIAL
• COMMERCIAL
LEO#
$
SECONDARY OVERHEAD
BASIC FEE
0$ 1 / =
METER/CONV. POLE s
PRIMARY UNDERGROUND
• RESIDENTIAL
• COMMERCIAL
BASIC FEE
LEU#
ENVIRONMENTAL ANALYSIS
ZI EXEMPT 0 NOT EXEMPT SUBSTATION
0 NO PARA. 18 1 TEM C
O.H. U.G. COND. KV CIRCUIT NO.
ADD CKT. FT. PH
REM CKT. FT. PH
NET CKT. FT.
SECONDARY UNDERGROUND
BASIC FEE
UNDERGROUND PLAT
BASIC FEE
FT. 0 $ /=
STREET LIGHTING
t FT. 0 $ $
WORK IN RIGHT OF WAY
0 PRIMARY
0 SECONADARY
tFT.OS_ /=S___
MISCELLANEOUS FELS
VAULT
PERMIT
C-1 TOTAL_D,UE
DATE PAID (--) - (- I --lD
RECEIPT# S-SFS
NEW SVCE APPLICATION#
O.H. U.G. COND. —KV
ADD CKT. FT. PH
REM CKT. FT. PH
NET CKT. FT.
PERMITS (DATE GRANTED)
• TREE TRIM
• STATE
• COUNTY
• CITY
0
EASEMENTS
0 REQUIRED 0 NOT REQUIRED
DATE RELEASED
FOREIGN CONTACTS
0 GTNW JPN#
0 CATV JPN#
• JOINT TRENCH GTNW &, CATV
• JOINT BORE GTNW & CATV
0
POLE STENCILING
FROM TO
TAKE OFF POLE
PRE—CONSTR. REQUIREMEN7
-E TRIM 0 PUD LOCATOR
ElBACKHOE 0 FLAGGING
El ONE CALL DATE
INDEX -1 POLES AT
LOGS U MAPI I
XFMR I C-MAPI I
LOCATION MAP PAGE9 S'� F- L5,
PHASE
Fo
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