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10029 243RD PL SW
ADDRESS: /(OZ / - ;N8"! A 5N
TAX ACCOUNT/PARCEL NUMBER: D 0 , i�! q - Q� Q U 7 000 lIc
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS(RECORDED)FOR:
CRITICAL AREAS: Com/ -7- DETERMINATION: ❑ Conditional Waiver ❑ Study Required
..,_�Vaiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED
SCALED PLOT PLAN DA'
SEWER LID FEE
LID
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMITS) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSTs\Forms\Street File Checklist.doc
• PLANNING DATA
NAME:
SITE ADDRESS: �DATE:
DATE: �
CORNER LOT (Yes/No) FLAG LOT
(Yes/No)
SETBACKS:
Required Se backs•
Front: ` Left Side:—.&' Right Side:_Z�7_Rear: /
Actual Setbacks•
Front: 27 _Left Side:- l`Rlght Side:-:z /,a :
Street map checked for additional setback required? (Yes/No) Y (Y )
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE:
Maximum Allowed: 3�
Actual:_ 1 / /D If C-)
BUILDING HEIGHT:
Maximum Allowed:
& � Actual Height:��
Datum Point:—� Datum Elevation:— M
A.D.U. CREATED?:
SUBDIVISION: NI is
CRITICAL AREAS M.
SEPA DETERMINATION:
LOT AREA /0,
Plan Review
C%fi1"%P6"W rv= dw
TE RECEIVED16-1
w t PERMIT EXPIRES747
CITY OF EDMONDS
USE PERMIT
ZONE. P !B
a�
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
BUITE/Sl 1%
OWNER NAME/NAME OF BUSIN SS
PLAT NAME/SUBDIVISION NO.
LOT'00.
LID NO.
LID FEE $
MAILING ADDRESS
1007-� 2'kvv ` -n so
PUBLIC
TTE ApAp
RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING PROPOSED
P ruditpuy��-IFFS o
Street Use Penh Req'yVQ]
Inspection Requiredy/r* B
CITY ZIP
TELEPHONE
M_ "(� n ^^
1V/(//]� /Vj 1�•(//,� (—Al!(�/�//J(J�//)
� �'
.I
REQUIRED DEDICATION / A_ FT
Sidew►"J EI
Underground
Wbft re airedRequired la
WWgrequtred Ala EI
NAME
METER SIZE
LINE SIZE
NO.O FIXTURES
PRV REQUIRED
I
YES ❑ NO
ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE rC"S
�jVSP�nvnJl ,tea ' p
CITY ZIP. TELEPHONE
NAME ..V
-05 644 WCW .34/0 70rAL►
p ``4 I
ENGINEERING REVIEWED/DATE
iilN
ADDRESS
3 2.3 v�
FIRE REVIEWED BY
DATE
CITY ZIP
TELEPHONE
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION .
BOND
REQ'D
POSTEC
SEPA REVIEW
COMPLETE EXEMPT
EX�
SIGN AREA.
ALLOWED PROPOSED
HEIGHT
ALLPWE I PROPOSED
DROPE T CCOUNT PARCEL NO.
Gam— Cn �
❑ NEW
M AUDITION
�C
❑ REMODEL
I RESIDENTIAL
❑ COMMERCIAL
❑. APARTMENT
❑
❑
PLUMBING / ME
rCH
COMPLIANCE OR
CHANGE OF USE.
SIGN
FENCE
LOT COVERAGE
ALLOWED .. PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE,, REAR
�j %�
/ �' /
PROPOSED SETBACKS (Fr.)
FRONT. UR IDE REAR
L
/O J�
PARKING
REQ'D— I _PRO—VIDED
�"�"'�
LOT AREA P ING ED BY A
//// 1,9
GRADING
❑ REPAIR ❑ CYDS
❑ ( X FT)
❑ . DEMOLISH ❑ TANK
❑ OTHER
GARAGE ❑ ' RETAININROCKERYG WALL
❑ RENEWAL
Z CARPORT
O
F (TYP4 OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
o. -
U
0 . NUMBER !�JNUMBEROF
RI CAL
WELLING
AOF
AREAS
OSTORIES
NITS
NUMBER
DESCRIBE WORK TO BE DONE
w
R
rL
`--f
CHECKED BY ITYPEO!VCTION OCCUPAN I
GROUPR_�)
SPECIAL INSPECTOR 9�A9f / OCCUPANT .
REQUIRED ❑ YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 109/FINAL INSPECTION REO'D o
VALUATION FEE
PLAN CHECK FEE
S
HEAT SOURCE �% LOT SLOPE °
BUILDING
/T
t �lJ
PLAN HECK NO: STED DATE
PLUMBING
MECHANICAL
T COVERS WORK TO
THISBE DO 1 XfE T OVIZE$. ROPERTY ONL_YNLY THE K:A 1��1Y CONS R CTIO�II ON THE PUBLIC
i DOMAIN IDEWALKS, DRW1E AYS,+MARQUEES, ETC WILL REQUIRE "
J
GRADING/FILL
SEPA4TE p._ fU1R(SSION. J '
STATE SURCHARGE
W PERMIT;APPLICATION: 180 DAYS
.
a PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STAR WITHIN,, 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE IEI ORMATION
y 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
/yn
W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND'HOLD HARMLESS THE CITY OF
tl V 00
f EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGE T$RROM ANY AND
1
Q ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY
= FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
R EIPT n _
DEEMEDTOMODIFY,WAIVEORREDUCEANYREQUIREMENTOFANYCITYORDINANCE
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
TOTAL AMOUNT DUE
RECEIPT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT 1 AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION O THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided.
WORVEN'S CO ENSATION INSURANCE AND RCW 18.27.'
WN R OR AGENT) DATE IGNED
(425)
OFFICI NATU E
/DT
*ANTION
77,1'r0220
RELEASED BY p
EXT 333
FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL.
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
IGINAL FILE
CATE OF OCCUPANCY HAS BEEN'GRANTED. UBC SECTION 109
FAX
- YELLOW- INSPECTOR
o
PINK OWNER
` - • GOLD - ASSESSOR
5/98
RECFiv;rn
cn
ES-6 E1�P, CS b .. m
l �.
I_
4o8 So. FT. A®+Dv-r�C'A
_.
DR SWAY OPE IS REQ' ' 6(2„ SE
LES THAN 14%
as
i To 6E
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01�'3i�Tn11t r�iTnA•
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19
-qlW-OF-WAY CONSTRUCTION PERMIT
_ AND--INSPECTION-PEOUIRED
ENGINEERING.
APB , OAL AS NOTED
RECEIVED
MAR 10 2000
IMPERVIOUS SURFACE CALCULATIONS DEVELOPMENT
EVQTM N DES C�OOF ��o
Existing building pad: 908 sq. ft. (prior to 1977)
Afoposed Addition: 869.5 sq. ft.
Existing Driveway: 570 sq. ft. ( prior to 1977)
Proposed'Driveway:_ 432 sq. ft.
NOTE: Soil excavated from proposed addition to be -placed where existing driveway is,
therefore removing 570 sq. ft. of impervious -surface.
HIGHT CALCULATIONS
A = 101 ft., B = 102 ft., C = 102 ft., D = 100 ft.
Average grade = 101.25 ft.; Actual = 114 ft.; Maximum = 126.25 ft.
LOT COVERAGE
1,312 Sq. ft. (13%)
LOT AREA
10,183 Sq. ft.
TAX ACCOUNT PARCEL #
5549-000=027-0006
LEGAL DESCRIPTION
Lot 27, Richmond Park Homes, According to the Plat thereof, Recorded in Volume 13 of
Plats, Page 34 Records of Snohomish County, State of Washington.
ADDRESS
10029 — 243an Place S. W., Edmonds, WA 98020
SOIL CLASSIFICATION
Soil for this addition is Northwest Glacial Till with a layer of topsoil. Excavation of soil
will be moved and deposited where the existing driveway is now located. There will be
no export of soil from this site.
•
•
DRAINAGE PLAN
Water from roof will be collected into gutters and disbursed onto splash blocks at the
base of downspouts. The existing ground absorbs the water now from the existing
building and the existing crawlspace is dry. According to your counter personnel, no
drainage plan is required.
GRADING PLAN
Grading is less than 50 cubic yards. Topsoil removal: (.5)(18.5)(47) = 433.25 cubic feet,
Excavation for concrete footings and walls: (1.5)(2.5)(70.5) = 264.38 cubic feet.
433.25 + 264.38 = 697 cubic feet / 27 = 26 cubic yards of soil.
200D--i--I
•
•
•
CA FILE NO.
C&' I A Ch GI:
Ica reas ec Est �� .
L---------------------------------------------------��1--�=-�_`�LA �
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: l OoZ.cl _ 2.�13�" Pt✓. S.W.
2. Property Tax Account Number: 5'S L4 q- O 00 - b 2_ 7- 0 0 0 6
3. Approximate Site Size (acres or square feet): 10 l 8 3 L 7 8,
4. Is this site currently developed? X_ yes; no. pp
If yes; how is site developed? S 1 t4 &L E FA 1Nl % tr,-( I`Es A A E K\ C-E
5. Describe the general site topography. Check all that apply.
X 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 30% ( a vertical rise of
l0-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: t401,4 . ; Approx. Depth: -�
7. Site contains areas of seasonal standing water: I.iOtNE ; Approx. Depth: $
What seasor.(s) of the year?
8. Site is in the floodway IJ #N floodplain I, A of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? N) ! A Flows are seasonal? niION (What time of year? ).
10. Site is primarily: forested "0 ; meadow 00 ; shrubs Nc ; mixed NO
urban landscaped (lawn,shrubs etc) YES
11. Obvious wetland is present on site: tJ O
ED
CONDITIONALV1!AIVER
14
inner Date
^ca chk.doc; Rev 10/03/97
RECEIVED
�0700
City of Edmonds FEB 1 4 200o
DaELOPMENT S .
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:
LacZRY R.* KRksrcao B. LuWbe
Name
Street Address
EbmoMs WA q 8o Zo
City State Zip
404-S112.-4S3�
Telephone
Signature
Date
c:reception\jana\caddoc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
r�
Ih C.
February 22, 2000
CITY OF EDMONDS
121 5TH AVENUE NORTH • EDMONDS, WA 98020 - (425) 771-0220 • FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning • Building • Engineering
Lary R.& Kristen B. Lunde
10029 243`d Place S.W.
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist # 2000-17
Dear Applicant:
GARY HAAKENSON
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED. -
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL .40
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB" Land Use Applications
Any other development permit applications.
•Enc: Critical Areas Determination
Architectural Design Board
Thank you.
Sharla Graham
Planning Secretary
C:ReceptionUana\CR LTR.doc
Incorporated August 11, 1890
Sister City - Hekinan, Japan