1004 7TH AVE S (2).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
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M II 170,59 329,92 '628.40 I 15.47 I'O�r_
Nf
N BRASS MON.
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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
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"
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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