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1004 7TH AVE S.PDFiiiiiiiiiiii 6927 1004 7TH AVE S PLANNING DATA NAME: VV I ✓1 DATE: 4ra2 - SITE ADDRESS: 1 450 - ?-{-h A✓ S PLAN CHK#: 02 - 3-q PROJECT DESCRIPTION: 'a REDUCED SITE PLAN PROVIDED? • Yes No MAP PAGE: I5"6 CORNER LOT: Yes No FLAG LOT: Yes No ZONING: ��— (PCRITICAL AREAS DETERMINATION M ❑ Study Required: Waiver ❑ Conditional Waiver 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) \ `E/cempt \ G �O 6 yps SETBACKS: 14- n f j"e' Required Setbacks: i meet Street: Left Side: �� Right Side: S •Beer - Actual Setbacks: / Street:_10Left Side: 5.5 Right Side: Rear: Street map checker for additional setback required? (Yes / No / DNA) ❑ DETACHED UCTURES�-�sCl�%7%l� ❑ ROCKE S: ❑ FE ES/TRELLISES: C/ AY WINDOWS / PROJECTING MODULATION: STAIRS / DECKS: G� / 1 ZS PARKING: Required: Actual: /1' LOT AREA: (0 goo 0 LOT COVE '� Oo 4 -1. 2Div �' — J� ej Calculations: � o Old �' O BUILDING HEIGHT: pp�__" Datum Point: nl M �s/M Datum Elevation: 3 Maximum Allowed: Actual Height: ��• / a % �% �.�� A.D.U. CREATED? No Yes SUBDIVISION: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: es / No OTHER: NewBPPfanningDataForm.DOC r `�[ b ' V� Critical Areas Ch ecklist -------------------------------------------------S IL 19-91 - Site Information (soils/topography/hydrology/vegetation) PERMIT COUNTER 1. Site Address/Location: 1004 _ PSV E 5 2. Property Tax Account Number: !Mk M pb1 00 r ............. ..:......... . DFGTER:MYNA'TfoN ^cs-chk.doe; Rev 10/03/97 City of Edmonds PEWT COUNTER 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: ' Name CiSzo lOL(D Street Address � W � Ckp,vzo City State Zip -Ci8 Date Applicant Representative: Name Street Address City State Zip Telephone Signature Date c:receptionlj analcac1.doc (over) ,05 a V ;N +.177� 2-- �a I, I ro +177.2 -Eart�'r. I I 2'/. SLOPE. 06 vi W.-PICOP. LINE 114.$2 +t73 � I o Y AREA EXISTING HOUSE 1,873 SQ. Fl SUMMARY: NEW MAIN FLOOR: 3.84 SQ. Fl DECK AREAS: 206 SQ. Fl _a CRAWL SPACE: 384 SQ. Fl ATTIC. AREA: 446 SQ. Fl U NOT- INCLX).b7T4C7 'G+175 I IMPERVIOUS SURFACE CALCS: NEW BLDG ADDN ROOF OUTLINE: 463.75 SF .EXISTING HOUSE (PRIOR 1977) a 2155 SF EXISTING DRIVEWAY - 240 SF ADD 'GUTTERS /DOWNSPOUT'S AND SPLASNBLOCKS 31 �} ...T Y COPY __ C.t►: � 'zap- 36 7N �Y�. 5. �c_a.->Z��iv��_ .� -- - A8auP. Cnk^09 - - RECEIVED OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DAMAGE JUL 10 2002 l� TAX ACCOUNT NUMBER: 00619400500162 LEGAL DESCRIPTION: YOST'S 1ST ADDITION TO EDMONDS, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOL. 8, OF PLATS, PAGE 6, RECORDS OF SNOHOMISH COUNTY, WASHINGTON; EXCEPT THE NORHT 5 FEET THEREOF CONVEYED TO THE CITY OF EDMONDS FOR ROAD PURPOSES BY DEED RECORDED UNDER AUDITOR'S FILE NUMBER 1623971; SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. STREET ADDRESS: 1004 7TH AVE. SO.,EDMONDS, WASHINGTON 98020 LOT SLOPE - 10% PERMIT COUNTER GRADING: LESS THAN 50 CUBIC YARDS LOT LOT AREA (114.82 X 60.09') - 6,900 SQ. FT. COV'G: ALLOWABLE LOT COVERAGE (35%) 2,415 SQ. FT. ACTUAL LOT COVERAGE 2,395 SQ. FT. ACTUAL LOT COVERAGE PERCENTAGE = 34.7 % HEIGHT CALC'S: 172.2'(A)+173.0'(B)+175.0'(C)+177.2'(D) AVG. GRADE = 174.35'; ACTUAL HEIGHT - 191.5', MAXIMUM - 199.35' DAMES R. IRW;, IN &` ASSOCIATES APPROVED AS NOTED ***ARCHITECT*** B��GI�ENER�� 8000 212TH S.W., EDMONDS, WA. 9802fkTe: _ '792sIn 9 (206) 542-9191, (206) 546-9681 FAX f I-0c. 189 Sigve Helleren 9510 190th Place SW Edmonds, WA 98020 Subject: Dear Applicant: CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works - Planning/Building - Parks and Recreation - Engineering - Wastewater Treatment Plant May 27, 1998 Determination regarding Critical Areas Checklist # 98-146 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. 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 PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Enc: Determination * Architectural Design Board C: Reception\Jana\C R LTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Sharla Graham Acting Planning Secretary • Incorporated August 11, 1890 - Sister Cities International — Hekinan, Japan OWNER/CONTRACTOR IS RESPONSIBLE i FOR EROSION CONTROL AN D)AMAGE TAX ACCOUNT NUMBER: 00619400SO0102 LEGAL DESCRIPTION: YOST'S 1 ST ADDITION TO EDMONDS, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOL. 8, OF PLATS, PAGE 6, RECORDS OF SNOHOMISH COUNTY, WASHINGTON; EXCEPT THE NORHT 5 FEET THEREOF CONVEYED TO THE CITY OF EDMONDS FOR ROAD PURPOSES BY DEED RECORDED UNDER AUDITOR'S FILE NUMBER 1623971; SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON. STREET ADDRESS: 1004 7TH AVE. SO.,EDMONDS, WASHINGTON 98020 AREA EXISTING HOUSE 1,873 SQ. Fl SUMMARY: NEW MAIN FLOOR: 384 SQ. Fl DECK AREAS: 206 SQ. Fl CRAWL SPACE: 384 SQ. Fl ATTIC. AREA: 446 SQ. Fl IMPERVIOUS SURFACE CALCS: NEW BLDG ADDN ROOF OUTLINE:463.75 SF ,.EXISTING HOUSE (PRIOR 1977) - 2155 SF EXISTING DRIVEWAY = 240 SF ADD GUTTERS/DOWNSPOUTS AND SPI.ASHBLOCKS S�R FF-7 FILE z. PERMIT COUNTER LOT SLOPE - 10% GRADING: LESS THAN 50 CUBIC YARDS LOT LOT AREA (114.82 X 60.09') a 6,900 SQ. FT. COV'G: ALLOWABLE LOT COVERAGE (35%) 2,415 SQ. FT. ACTUAL LOT COVERAGE 2,395 SQ. FT. ACTUAL LOT COVERAGE PERCENTAGE 34.7 % HEIGHT CALC'S: 172.2'(A)+173.0'(B)+175.0'(C)+177.2'(D) AVG. GRADE - 174.35'; ACTUAL HEIGHT - 191.5', MAXIMUM - 199.35' DAMES R. IRV�IN &ASSOCIATES APPROVED AS NOTED �Y ENGINE N INEEFJI{JG 8000 212TH S.W., EDMONDS, WA. 98026paie. ��_ (206) 542-9191, (206) 546-9681 FAX �$ g�- TREET FILE APPLICATION The Cityof Edmond for SIDE SEWER PERMIT NEW CONSTRUCTION E] REPAIRS 0 EASEMENT No ........................................... 106-08800 OWNER........ Glen --- MC...F..dl".1and.............................................................. CONTRACTOR........--------------.........--------...............................------..------------------- PERMIT No....................... ADDRESS ---- 1O0.4-..---Ah --- Avenue --- S- ------------------------------- LEGAL DESCRIPTION: LOT No. ........................................ ..... BLOCK No. ............................................ NAMEOF ADDITION......................................................................................................................................... 0 1] 4w DYE TESTED ON SEWER JULY, 1972 Approved: DATE................................................ By---.............---.............------------..--....------.........--- DATE PERMIT EXPIRES CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS CITY ZIP TELEPHONE UWAP5 4%102(v �� Z-9i�► NAME ADDRESS USE PERMIT ZONE 126(_Q_ NUMBERJOB G%�(/!/� " ADDRESS SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street Use Permit Req'd EXISTING PROPOSED Inspection RegWred Side anc Required REQUIRED DEDICATION FT UnderWo nd .I Wiring required METER SIZE I LINE SIZE I NO. OF FIXTURES I PJIV REQUIREI YES REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME �L� /,� ��,/ CBL# 0�16N C-CJ1V -- rENGINEERINGADDRESS CITY ZIP TELEPHONE /- STATE LICENSE NUMBER EXPIFrATION DATE C Y tibl,i!�rch lot k0 e i x03 PROPERTY TAX ACCOUNT PARCEL NO. Oa& l S ,moo 500 W7- ❑ NEW Kl RESIDENTIAL ISO PLUMBING / MECH 11�� "��COMPLIANCE ADDITION COMMERCIAL ❑ OR ❑ CHANGE OF USE ❑ REMODEL ❑ MULTIFAMILY ❑ SIGN ❑ REPAIR ❑ CYDS FENCE ❑ ( X FT) ❑ DEMOLISH ❑ TANK ❑ OTHER ❑GARAGE INING WALL ❑ FIRE SPRINKLER ❑ CAR ORT R CAKERY FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: �✓ ltilCsii LII✓ �X�l-L �tC��)C� NUMBER NUMBER OF ITICAL CRDWELLING AREAS /S '7 SOF TORIES NITS NUMBER DESCRIBE WORK TO BE DONE In HEAT SOURCE GLAZING %U OT.SLOPE % _T �sA.e> 20.8 PLAN CHEC NO: VESTED DATE -L- ,3 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. i j PERMIT APPLICATION: 180 DAYS PERMIT LIMIT/ YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION •APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND i 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 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE ! NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE 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 AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION' ME LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S P ATIQN INSURANCE AND RCW 18.27. DATE SIGNED -1- L 1 FIRE REVIEWED BY __1*7t?z102 DATE W VARIANCE OR CU SHORELINE OR ADS# I INSPECTION BOND RE0 POSTED -------' D--- YES O: SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED PROPOSED /ALLOWED EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR• t, PARKING LOT AREA PLANNING REVIEWED BY DATE 9 / , _ I PROVIDED v/ 17— CHECKED BY TYPE OF CONSTRUCTION CO OCCUPANT n GROUP `�//1 SPECIAL INSPECTION AREA j OCCUPANT REQUIRED ❑ ,YES a LOAD <10 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D $ 311 le33 [ I Description FEE Description FEE Plan Check .14100. State Surcharge Building Permit v City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection / Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscape Insp. Total Amt. Due Recording Fee Receipt # CALL FOR INSPECTION (425 ) 771 -0220 EXT 1333 APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. OF CIALS SIG NA RE D - a�� ( Rg&E#SED BY DATE 1110 e __ IT IS UMO WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL Ul A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE • YELLCNV-INSPE c CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING BRASS MON. 2" DOWN 824.72 toI.a 170.59 1329.92 828.401 15.47 1 N BRASS in I MON, 2" DOWN � 93 ^ j CENTERLINE PER TRACT o OMS N 89' 38' 09" E FD. MONUMENT IN CASE �� T OR AS NOTED F■✓ N 0 = SET REBAR AND CAP MARKED AREA: ' &4 N PLS 21364 OR AS SHOWN A 7463 SQ. FT. FD. REBAR AND CAP x b o MARKED LS 9891 z z 04 ¢ WATER VALVE 65.00 VIM adwrw FIRE HYDRANT ,,,,r,,,,..,.•�-' 1 = POWER POLE/ELEC, LINE N S 89' 38' 07" W t�= SANITARY SEWER MANHOLE N ^� (30) N ® WATER METER b t 10) (1Q) 3:: ® CATCH BASIN z Lo N b z 125.09 7. I � NIN ca b IB C 165.09 S 89' 37' 58" W DATUM: RIM OF SEWER MANHOLE AT INT, OF PINE AND 7th AVE. S. NOTE: PER CITY OF EDMONDS SURVEY ACCURACY MEETS OR EXCEEDS ELEV. = 178.11 WAC 332-130-090 FIELD EQUIPMENT SOKKIA SET3811 SURVEYED BY FIELD TRAVERSE BASIS OF BEARINGS PER PLAT OF YOST'S FIRST ADDITION TO EDMONDS BETWEEN FOUND MONUMENTS ON PINE STREET CONTOURS ARE 2.00 O STREET 165.09 C 1 ;4 Lo h�l N b z I F pt�f SCALE 1" = 20 -t,T,Y.4-4 vuopy BRASS "ON. 2" DOWN 824.72 tp W M II 170,59 329,92 '628.40 I 15.47 I'O�r_ Nf N BRASS MON. 2" DOWN 2.93 uo CENTERLINE PER TRACT N 89' 38' 09" E } 2 W = FDL.E MONUMENT IN N IN CASE �� b ' L •"' [�] ,n OR AS NOTED Mom' N 0 = SET REBAR AND CAP MARKED L'�C�i AREA: Z AREA: ' coNc N N PLS 21364 OR AS SHOWN o 7463 SQ. FT. 6900 SQ. FTLI " N - FD. REBAR AND CAP �j i• + 1�G.I D SWAY b MARKED LS 9891�"^ Z Z - WATER VALVE 65.00 60.09 �.1 I =FIRE HYDRANT FENC SCALE 1 = �0 1 \.mot � _...--- -��- = POWER POLE/ELEC. LINE I S 89' 38' 07" W i r N rc- 3 " = SANITARY. SEWER MANHOLE n I (30) N dto =WATER METER b (10) (10) 3: LET 2 N ' ® m CATCH BASIN Z 3 b Ln Z N (30) L41� b N � Z b L' 125.09 h z 125.09 .• N FIR Z STREET vCTJL 165.09 165.09 OIL OF c �:tiL;i:; S 89' 37' 58" W NOTE: SURVEY ACCURACY MEETS OR EXCEEDS WAC 332-130-090 FIELD EQUIPMENT SOKKIA SET3BII SURVEYED BY FIELD TRAVERSE DATUM: RIM OF SEWER MANHOLE AT INT. OF PINE AND 7th AVE. S. PER CITY OF EDMONDS ELEV. = 178.11 BASIS OF BEARINGS PER PLAT OF YOST'S FIRST ADDITION TO EDMONDS BETWEEN FOUND MONUMENTS ON. PINE STREET CONTOURS ARE 2.00 BRASS MON. 2" DOWN or fn rd I 824.72 1 170.59 . :o l 329.92� 1 '828 a01 15 47 1'0 MI N BRASS MON. N I � �.�.._ 2 DOWN Lo CENTERLINE PER TRACT 3 "Ai %J "a . L r.m FD. MONUMENT IN CASE Lo OR AS NOTED Ln N Q =SET REBAR AND CAP MARKED N N PLS 21364 OR AS SHOWN o N - FD, REBAR AND CAP S b MARKED LS 9891 z = WATER VALVE Iz = FIRE HYDRANT cn = POWER POLE/ELEC. LINE I N t� = Lo SANITARY SEWER MANHOLE n N (3Q) N m WATER METER b (1 o) (10) ® m CATCH BASIN z ,� �n N N b z 125.09 I •y. � NI.^. N O M b FIR z C 165.09 S 89' 37' 58" W DATUM: RIM OF SEWER MANHOLE AT INT. OF PINE AND 7th AVE. S. NOTE: PER CITY OF EDMONDS SURVEY ACCURACY MEETS OR EXCEEDS ELEV. = 178.11 WAC 332-130-090 FIELD EQUIPMENT SOKKIA SET3BII SURVEYED BY FIELD TRAVERSE N 89' 38' 09" E STREET 165.09 y: /�c,^1 V L / I~T 1 N N � b '� Lz N (30) N � z O M Wry -�-- 1 r�-1 •qo *der F� Yr . J�14 SCALE 1" = 20 I OCTLiz 112013 GIT'f OF cOM0'N-0S BASIS OF BEARINGS PER PLAT OF YOST'S FIRST ADDITION TO EDMONDS BETWEEN FOUND MONUMENTS ON PINE STREET CONTOURS ARE 2.00