10205 244TH ST SW.PDFiiiiiiiiiiii4692
10205 244TH ST SW
ADDRESS: l o a� =Ei �/ 37—(-Y( J
TAX ACCOUNT/PARCEL NUMBERM,51Z (-CO CXl
BUILDING PERMIT (NEW STRUCTURE): 14
COVENANTS (RECORDED)
CRITICAL AREAS: cp1J1 -,5-I DETERMINATION: []Conditional Waiver ❑ Study Required kwaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
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 DA
L:\TEMMSTs\Forms\Street File Checklist.doc
ltical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: I U �.o � ' `� � `� s' I v
2. Property Tax Account Number: 9 7/ C' G c c c/ c c
3. Approximate Site Size (acres or square feet): / K a K r •� S•
E I .tip" t" t,.
4. Is this site currently developed? " yes; no. MAR 1 9 1996
If yes; how is site developed? f/ 10-' A> I � 4) ". N c l-- PERMIT COUNTER
5. Describe the general site topography. Check all that apply.
Vib! 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 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: Ai m r ; Approx. Depth:
7. Site contains areas of seasonal standing water: A/6-111,6 ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway by & floodplain iy of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year -
.round? /V C Flows are seasonal? /A/ c (What time of year? ).
10. Site is primarily: forested ,. meadow ; shrubs ; mixed ;
urban landscaped (lawn.shrubs etc) _t/
11. Obvious wetland is present on site: I; b
For City Staff Use Only ---•------- —
1. Site is Zoned? R J b
2. SCS mapped soil type(s)? AUev✓eaj �ytia�✓ �.cw1 (�X Z 8 !o
3. Wetland inventory or C.A. map indicates wetland present on site? e�f�
4. Critical Areas inventory or C.A. map indicates Critical Area on site? /14
5. Site within designated earth subsidence landslide hazard area? A10
6. Site designated on the Environmentally Sensitive Areas Map? 14-10
DETERA7INATION
STUDY REQUIRED CONDITIONAL WAIVER
WAIVER L/d/1,
Reviewed by: Z�143 ` Z
tanner Date
Rr OIfM4
n
City. of Edmonds
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.
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:
U1-)
Name
1 C. 411 L� � t v'
Street Address
l)l*,I(Dtii()s- L�`/ S`/a -gj8'-Y
City, State, ZIP f� �' c Phone
Signature Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature
Date
-890 19'c)v
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS. WA 98020 - (206) 779-0220 - FAX (2061771—o n1
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning . Parks and Recreation • Engineering
LETTER OF TRANSA=AL
Date_ March 28, 1996
To: A.A. Middleton
10205 244th SW
Edmonds, WA 98020
Subject- Critical Areas Checklist
Transmitting:
For your information. XX
As you requested:
For your file:
Comment and return:
Note attachments:
Comments: Please bring in a copy of the Critical
Areas Checklist when applying for a building
permit.
Planning Division
Diane Cunningham
Incorporated August I1, 1890
Sister Cities International — Hekinan, Japan
it cal Areas Checklist •
Site Information (sods/topography/hydrology/vegetation)
1. Site Address/Location: 1 G �e r — -)4'F t-v
2. Property Tax Account Number: S y 7/ G G c c c/ c
3. Approximate Site Size (acres or square feet): S•
4. Is this site currently developed? ✓' yes; no. MAR 1 9 1996
If yes; how is site developed? fi A-s- l' ` s i .a r- tv c r_-- PERMIT COUNTER
5. Describe the general site topography. Check all that apply.
1/ 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`Ye ( 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: NUF,,r-= ; Approx. Depth:
7. Site contains areas of seasonal standing water: Alb-1rr_- ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway h( d floodplain ry of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? /V o Flows are seasonal? N e (What time of year? ).
10. Site is primarily: forested meadow ; shrubs ; mixed ;
urban landscaped (lawn,shrubs etc) _✓
11. Obvious wetland is present on site: nr G
— D For City Staff Use Only
1. Site is Zoned? RS "
2. SCS mapped soil type(s)? ft-l�ev ✓ea� i'Y`ba�✓ �-av✓J `2o"r wleK Z --8 % Stole
3. Wetland inventory or C.A. map indicates wetland present on site? d/o
4. ,Critical Areas inventory or C.A. map indicates Critical Area on site? /14
5. Site within designated earth subsidence landslide hazard area? X10
6. Site designated on the Environmentally Sensitive Areas Map? /UO
DETERI%IfNATION
STUDY REQUIRE
t WAIVER 1 ,
Reviewed by:
tanner
Rev Olroa/9<
CONDITIONAL WAIVER
Date
0
•
City, of Edmonds
Critical Areas Chec klist
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 belo.w).
Owner / Applicant:
Name
Street Address
Fl) I,/ ':/'i/) T �' A ,S- -/a -'eI s-r
City, State, ZIP �1 a Phone
Signature Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature Date
CITY OF EDMONDS
ZONE PERMIT
NUMBER�1
CONSTRUCTION PERMIT APPLICATION
jog ADDRESS art ,�,+I� SUIT-#
�
OWNER NAME/NAME OF BUSINESS
I : t ) Pt
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
'
LID NO.
MAILING ADDRESS
1 r/ O cy r `ft%
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTINGREOUIRED DEDICATION
PROPOSED
TESCP Approved ❑
RW Permit Required ❑
Street Use Permit Req'd ❑
Inspection Required ❑
Sidewalk Required ❑
CITY ZIP
q �••
r r �� } `I tj� C
TELEPHONE NUMBER
�•.
�y ^3 -• a f
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
❑ YES NO ❑ 3
�
ADDRESS
REMARKS Z
cc
w
Z
CITY ZIP
TELEPHONE NUMBER
W
NAME
i 1. f - JA P/ S E
ADDRESS
ENGINEERING MEMO DATED REVIEWED BY
13 Lt Af r R v ` t+- ,A ��
IY
W,MBER
CITY ZIP
LEPH�,O�NE
FIRE MEMO DATED REVIEWED BY
/r\ „ 7 7 t J
O
STATE LICENSE NUMBER J_XXPIRATION DATE
` r
SIGN AREA
ALLOWED PROPOSED
SEPA REVIEW
COMPLETE
ADB NO.
Legal Description of Property - include all easements
SHORELINE M
JEXEMPT
EXP
VARIANCE OR CU
PLANNING REVIEW BY
DATE
SETBACKS — FEET
HEIGHT LOT
COVERAGE Z
FRONT SIDE REAR
Z
Z
Property
Tax Account G
Parcel No. ! `>7 1— G 0 4—+ O f 0003
REMARKS a
NEW LZ.IJ RESIDENTIAL PLUMBING
ADDITION COMMERCIAL MECHANICAL
REMODEL APT. BLDG. LJ SIGN
CHECKED BY
TYPE OF CONSTRUCTION
P r f/�
CODE
/
1
OCCUPANT
GRADING FENCE
REPAIR CYDS. ( x_FT)
DEMOLISH WOODSTOVE ❑ SWIM POOL
INSERT HOT TUB/SPA
GARAGE RETAINING WALL/
CARPORT 1:1ROCKERY El RENEWAL
J
SPECIAL INSPECTOR
REQUIRED
❑ YES
AREA
CCUPANT
LOAD
REMARKS t7
PROGRESS INSPECTIONS PER UBC 305 s
(TYPE OF USE, BUSINESS 0 ACTIVITY) EXPLAIN:
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
CRITICAL
AREAS _
NUMBER
DE RISE WORK TO BE DONE ATTACH PLOT PLAN)
a T •/1 114-. /r ECr
FINAL INSPECTION REQUIRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curls, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
N
successors in interest, agrees to indemnify,. defend and hold
w
harmless the City of Edmonds, Washington, its officials,
.m
employees, and agents from any and all claims for damages of
Cc
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
0
modify, waive or reduce any requirement of any city ordinance
xx
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
ATTENTION
APPLICATION APPROVAL
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
THIS PERMIT
This application is not a permit until
state laws regulating construction; and In doing the work authoriz•
AUTHORIZES
signed by the Building Official or his/her
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa•
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance and RCW 18.27.
INSPECTION
acknowledged in space provided.
SIGNATURE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
�`• �-- �. �^ r
CITY OF
OFFICI S TUR DATE
..r }
EDMONDS
/
1�
!1
CALL FOR
RELEASED BY: DATE
ATTENTION
ATI C
I V I
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
-
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
O�wo
11
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK — Owner GOLD — Assessor