1042 EDMONDS ST.PDF11111111111111
10936
1042 EDMONDS ST
ADDRESS: ( DQ 2 E (-)mod 3� K.G('.{
TAX ACCOUNT/PARCEL NUMBER: M`t� 2,04 I D L SQ
BUILDING PERMIT (NEW STRUCTURE): M54
COVENANTS (RECORDED)
CRITICAL AREAS : `Z`f �� , ! �IU`''� DETERMINATION: F] Conditional Waiver ,Study Required Na4aiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
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Im'summ'(sm M. I N, WO MIN -- - 0
PLANNING DATA CHECKLIST DATED: 7.21 1 C/9
SCALED PLOT PLAN DATED: T -2 1 - q q
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: 15 BLOCK:
SIDE SEWER AS BUILT DA'
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMP\DSTs\Forms\Street File Checklist.doc
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FC
EDMONDS STREET ��'1/p�OssCr9
PROPERTY LINE TYP 10.00,
DROP OF 10+ FEET
j_0_PQF S.LQP� — — TO STREET BELOW
SETBACK LINE WATER METER
N Il' 9" 10'-2" 13'-0-!!-r9'-0" Il'-O" 15'-2USED AS DATUM
LE ENTR ,t POINT/LEVEL SITE
PROPOSED
TOWER ENTRY
hX I I PORCH AND
0 ROOF TOP I UPPER DECK
DECK
Ae�6R of t71_,',ru9-baNa
�q x PROPOSED
UPPER FLOOR
ADDITION
a Nl
X DECK
t4C 7z-e_lZ 41g
DRIVEWAY
10.00'
UPPER EDMONDS STREET
43-42o - 4 oMAN
P �NNIN
=pa
Z/ 7 �goyo
PLANNING DATA
NAME: l �LAA �JI nnlaNf'
SITE ADDRESSLgZ - DATE: zl
lqr
ZONING: Jv� PLAN CHK#:
PROJECT DESCRIPTION:
CORNER LOT ND (Yes/No) FLAG LOTNA (Yes/No)
SETBACKS:
Required Setbacks:
Front: 2,0, Left Side: _Right Side: 5 Rear:
Actual Setbacks:
Front:. U Left Side: Right Side: Rei�-�(Yes/No)
Street map checked for additional setback required?
LEGAL NONCONFORMING LAND USE DETER fit`,$ ED (Y/N)
LOT COVERAGE: �Q 0
Maximum Allowed: b Actual:
BUILDING HEIGHT:
Maximum Allowed: 27 Actual Height: 2GJ
Datum Point: 42NdTA, Datum Elevation: /00
SUBDIVISION:
CRITICAL AREAS #: 1
SEPA DETERMINATION:
LOT AREA: -7 J d � I
OTHER:
Plan Review By:
cMile 1pern tA^p1aaau.doe
CA FILE NO. _) 4 44—
------------------C�►ical Areas Checklist
4p
---------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 0 �7ct kl 'l c`S wi f-�c
2. Property Tax Account Number: y 3q r3 - C y
3. Approximate Site Size (acres or square feet): 'J y 06
4. Is this site currently developed? ✓ yes; no.
If es; how is site developed? 5 rt �e'L1,
11LL
Y r � �t'�l �l1
5. Describe the general site topography. Check all that apply.
v' 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 301/o ( 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: ' -u ; Approx. Depth:
7. Site contains areas of seasonal standing water: ���;� ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway I.k D— floodplain ►'� _� of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? ,nL Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn,shrubs etc) v � � ` PY
IL Obvious wetland is present on site: u n CU
------------------- -------- -----------------------For City Staff Use Only--------------------
._ ........
1. Site is Zoned?
2; SCS mapped soil type(s)? �.�.
:3:. Wetland inventory or C.A. map indicates wetland present on site?
::.Critical:Areas inventory or.C.A: map indicates.Cr:itical Ar:ea:on site? ( :: ,
S. Site within designated earth subsidence landslide hazard area?
6. Site designated on the Environmentally Sensitive Areas Map?�1
....................................... .
DETERMINATION
Reviewed b
'u chkAoc; Rev I
City of Edmonds
RECEIVED
JUN 2 9 1999
DEVELOPMENT oFRvir�ac
' 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).
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:
v' i
Name
I("la '2c V-)cI
Street Address
0
City State Zip
ya5 - -71 2 - 0-S9-a
Telephone
Signature
ll,/i /0 q
Date
c:rcception\jana\cacl.doc
Applicant Representative:
Name
Street Address
D A ''l R OZ (o
City State Zip
Telephone
Signature o ,/
Date
(over)
�.o
C&E o._
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. ..Site Address/Location: w-,o .1 QS
2. Property Tax Account Number: 2 572-"2 _ p -A _ 1. O pp RECEIVED
3. Approximate Site Size (acres or square feet): i ac�-e-- NOV 2 1 1994
4. Is this site currently developed? dyes; no.
PERMIT COUNTER
If yes; how is site developed? 1 60 inn -e
5. Describe general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site general!yAess 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: >d D 4 a ; Approx. Depth:
7. Site contains areas of seasonal standing water: Qo Of ; 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? Nu N E�- Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ; shrubs ; mixed
urban landscaped (lawn,shrubs etc) V .
11. Obvious wetland is present on site: tj 0
Rav 01"1o3
f
•
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City' of Edmonds
=�Tl°�Crr�cal 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).
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). 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 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
Street Address
IF�L� "'. 0-s Lo A 0 ),o
City, State, ZIP Phone
—7 '? g-33 3-3
Signature Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature
Date
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
118-02000
OVPNER........... Rarsha1.l--- B.._...C_arte.r................................................... CONTRACTOR._.................................._..._..._._...................._.._........................... PERMIT No.......................
ADDRESS ....... IP42._.Edmonds.... St• ......................................................... LEGAL DESCRIPTION: LOT No............................................... BLOCK No.............................................
i
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NAMEOF ADDITION.........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By........................_.................................._..........
STREET FILE
PIMUC !'.701;1,5 Pf:"T. OTTI, LIST
LO 'Z
BUILMNIG PIT'IIT 1' T\,T!7,"
V6.
Street Pd1;ht-of-1;,'av Existinr TuinD N)(
Access Easements Existing
Utility Fascincim Existin- REDD
A
Lot Per Subdivision Plat Assessor '71.11)
Site P1.m (lied-16d for Accuracy
CD
I.ti(Icrarowid 'Nend. AC Aj,'-11 1 —
L:4 1-7
kovi-u-.r by Date
istill'o Water Sin
.':ain Cd
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Hy(Irnlit J'C"(IL14 :,d per I -lire Cz-'r JSi ze c'
Dotector Cliech "'Cl-'er Required
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(,I tic F it
C b.
Side 5m.!er Ava 4 Tab 4 1 i t
I ' . - 4� C"'er
Er Smlitary Colmec Fee PCquircc,
'C
—_Date
17
R\Muir
0 Culvert Rcouircd
Catch 15'a7zin Pcoui rcd
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soil conclition's
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ter Field Mocked
Si
I d icate oil !7i':c 111mi
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—Indicate on Si mi
—Rate
i
Street Pa '� ��; l:edui.rcci —_
(�ir1., and Cutter r.uirccl
Sicicl: all: 1"Couired.
Curb Cut for Ttrive,:a;� Required
1 i lit-o�.-..a.• Cons on Pcnni.t Rccsuired
E, Bo . �uire(I for Pul)lic Improvements
Street Nanc Sian Recli:ired
IOther Sinning Required_ —
I! Pre PCnillt . sr)ection made on
H �
~' ` I hater _
Street
H �
ii
Friglnecrin�__
H itII
Special Paj i.rcmcnts listed in memo to Building hcPartncnt
I;Nr Date.
A1.1. item., filled in on Building Peimit Application
Datc
Drm..ing,s Stuipcd. and ;rotations 71�
Date --
Approved 1)), Public Vbrks Popartrmnt
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STREET FILE
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