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10208 242ND PL SW.PDFiiiiiiii lill4497 10208 242ND PL SW #P20 Critical Areas Checklist CA File No:r.!2_ Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/Location: f' — Z 4-2- N9 PL. SW 2. Property Tax Account Number: d 0 537-r00 000 SZ o0 3. Approximate Site Size (acres or square feet): 6. 3 6., AQ665 4. Is this site currently developed? yes; no. If yes; how is site developed? &2PtWU� —651644 LC ,Eifel_14-Y 5. Describe the general site topography. Check all that apply. 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: NO_, Approx. Depth: 7. Site contains areas of seasonal standing water: /lf o ; Approx. Depth: What season(s) of the year? 8. SiteJs in the.floodway _ O floodplain _ of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? 0 Flows are seasonal? M d (What time of year? ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed urban landscaped (lawn, shrubs etc) ✓ 11. Obvious wetland is present on site: N 0 For City Staff Use Only, 1. Plan Check 2. Site is Zoned? 3 4. , if applicable? SCS mapped soil.type(s)? Critical Areas inventory or C.A. map indicates Critical Area on site? l�iAr 5. Site within designated earth subsidence landslide hazard area? 4 /2 SITE DETERMINATION STUDY REQUIRED WAIVER Reviewed bv: Date: (( Revised on 9114110 P20 - Critical Areas Checklist Page 2 of ° #P20 OF EDP A� City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Iao 1890 Fax: 425.771.0221 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 the application 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). Date Received: 8/I It City Receipt #: Critical Areas File #:4 Q AD0\\nn CAI Critical Areas Checklist Fee: $156.00 Date Mailed to Applicant: A property owner, or his/her authorized 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 assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this application on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT '�i // C DATE �/.30 Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and postin attendant to this application. Owner/Applicant: moo, AJ S CN)ZOEDER, Name / 0 2- 0� -zyz ^'°EL Sw Street Address t7DAt o,✓6 3 City - State Zip Telephone: :;?� Co SY- Z " 07 3/ Email address (optional): Revised on 9114110 DATE Applicant Representative: Name 3.� �A-r��l Si d Street Address E't MaJDs Gt/A FPO 20 City State Zip Telephone: �i� Z-� 7%G - 73 73 Email Address (optional): -N776g. CoAl F-Z - r�trca as Checklist Page 1 of 2 re PLANNING DATA SINGLE FAMILY RESIDENTIAL STREET FILE Name: �— Site Address: /p 'Z(D g Z Z(✓ (� c� Date:_ Plan Check ff: Project Description: Reduced Site Plan Provided: / NO) (Zoning: PS-9 Map Paged Corner Lot: (YES / 10 Flag Lot: (YES / Critical Areas Determination J#: ❑ Study Required EJD,vaiver SEPA Determination: ,93-Exempt ❑ Needed (for over 500 cubic yards of grading) ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks St eft: Z J W J de: -7 S Sid7 � R r. / Actual Setbacks qo_ ord c Street: Z j r Side: f Side: 1 Z Rear: S T Detached Structures: S �. QC(% NC Co n - A f t cv-s '� e n c (o a C sC `�G a r,� s r` �✓ w ❑ Rockeries: ❑ Fences/Trellises: ❑ Bay Windows/Projecting Modulation: p1 % el Stairs/ . i Z �60 Vti (G J� Buildin Height Datum Point: w/V� Datum Elevation: O Q Maximum Height Allowed: 2 Z 6 b Actual Height: Other Parking Required: Z Parking Provided: 2 -1- Lot Area: Is6 g Maximum Lot Coverage: 35% Proposed: z p� Lot Coverage Calculations: Se Ck GKS ,L ���� i un :- 3 Z gCD ADU Created: (YES / O n /' Subdivision:Co �- Z_ /� / I C. M Gn 0 7q"w S Z Legal Nonconforming Land Use Determination Issued: (YES /14R� Comments N w - (a 1--75 rvC - loZ �p�. S' I -� (O( . 9( � Sw -jpl,5 Plan Review By: 61ztE: ((Z I I is Planning Data Form 04-tI-06.doc 1 Nothing in ttdc permit appmvw proccm siaalY be interpreted as allowing or pr Fretting ft mainnce tenaof any currenthy slim ,nonconforming or twpermitted building, or site condition which is outside the scope It�applic w'on, regardless of whither h ' structure or care mon is shown on 'APPR Y -D GY pUiGINEERIN I' site Ian or drawing. Such buildln� or condition may be the subject of a xpamLe enforcemeot action." xb D/kMM Comer rI .r.. Setbacks Pont R� it --71 Actual ..._."+ a j NISI fides , 7 S 7.5� 2S� _ �* 1z Other fiat t ; i Z� l 3. S 'ACP 452-1# �P, 77 KaVe,;C e46r ICIGZ 1Cff 2l%4 t7p VC-- W A`'f It 7& -�, r15 -�� L - 6 1 is EL. lot 15 I NORTH ly ! 1020E 242nd PLACE SJN E17MONV9 YNA C16020 PARCEL 00555000005200 LOT 52 RICHMONID PARK HOMES #t j i F A � t+ ji. # 11-6Q Waiver PRC�JEGT;u, 1/3/2012 SITE ADDRESS: 10208 242nd PLACE Skj ,j4ONDS W,A 98020 OMER NAME: JOAN 50HROF-DER `. I CURRENT ADDRESS: SAME A5 ABOVE. TELEPHONE: 206-542-0i31 CELL 2Q ,. .GaC)-3008 ,855E55OR'5 PARCEL No. 0055500000 O, ; ZONING: R5-S LEGAL DE5C: LOT 52, RICHMON17 PARK HOMES #2 S tP 2?, RANGE 03, SEG 36 aU,4RTER 5W t { t COUNTY: SNOHOMISH`:,, RISDIGTION: GIN OF EDMOND5 CONSTRUCTION TYPE: V - B ; ; ',` FANCY: R3 / U (GARXGE/CARPORT) PROJECT DESCRIPTION: ADD BEDROOM, CLOSET 12 34 BATH, ADD TO EX CONCRETE 5LAB } Hi; PROJEG?ti 14RE,4 5G2 FT HEIGHT LIMIT GAiL.GULA�TION LIVING SPACE NEW EXISTING TOTAL R1fi;�D?oTUM LOCATION: LID OF WATER METER FIRST FL 452 1552 2004 + s�i E4 IN RIGHT OF WAY �.' t�,?fTUM BA5E ELEVATION 100.00 ' A l ,E GRADE (SEE CALL) 101.51 LIV. 51F. TOTAL 452 1552 2004 M` ` 4!E : UM HEIGHT LIMIT IN FT 25.00 GARAGE 400 400 MS £k•; fJivi HEIGHT ELEVATION 126.81 DECK- 6'79 6i9 P ' !'..HEIGHT ELEV (NO CHANGE) 115.50 GCT! PORCH 126 126 NIA' ,:101."15, 5W EL 101.5, NE EL 102,515 EL 102 our BLDGS 200 200 TC1 a 407.25 / 4 = AVE GRADE ioiz125 M150. TOTAL 1405 1405 i 1F LOT COVERAGE 50 FT'fl, 7 'WSEG 2009 ZONE 1 - GHAiPTER 6 ,. LOT AREA 15,615 H t , k; 5;(STEM: EX. GAS FORGED AIR MAX PERCENT COVERAGE 35% R 6 PRESCRIPTIVE TABLE 6 - 1 OPTION 3 MAX COVERAGE AREA 5,466 VE 7ICAL GL. 0.50 MAX GL % N/A PROPOSED COVERAGE v -2 "i3E3- O `' � rfi� b GL 0.50 DOOR MIN U: 0.20 PROP05ED PERCENTAGE Z I� a 4=1-2 6 GI t INC � R-35 ADV VAULT R-55 LOT CALC NEW EXISTING TOTAL R-21 BELOW GR. R-21 TB r'C.IU51- 452 1552 2004 FL : t i l R-50 ISLAE3 EDGE R-10 2' GAZA.GE 400 400 i,s; rI'. Ifl;';GHAPTER 6 GLAZING CALCULATION DEGK > 12" HT :'i:�.� �j a H t ^i ",:,FLOOR AREA N/A PORCH 126 126 IF ,' ` ;PCJ ED GLAZED AREA N/A OUT B1.-065 200 200 uW :IUIIt' D ALLOWED / PROP05E7: N/A IMPERVIOUS SURP,AGE EXISTING PRE -M TOTAL EXISTING P05T -n TOTAL NEW P05T Ti TOTAL TOT -AL ARE EAVE5 ABOVE EARTH INCLUDED? 50 FT it 3568 F 200 C 532 P 4300 E NO rc P05T 77 PRE -M TOTAL 452 1 q52 2404 126 126 80 314 394 11i6 11-76 200 200 ASSREVI iCsf tS GENERAL a CONSTRUCTION ELECT a MEGHANk x l WINDOW d DOOR GABINEr d AFFWANCE t AS ANCHOR BOLT GI GALVANIZED IRON GAR COLD AIR RETURN LLI BA BOTTOM AWNING AG APPLIANCE GARAGE A$V ABOVE GLB GLU-LAM BEAM GFM CUBIC FT PER MINU., BS BOTTOM SURER AS ADJU57ABLE SHELF AD.! ADJACENT GNB GYPSUM NALL'BD CO GLEAN OUT GU5 CUSTOM SHAPE $ BASE CABINET SD BOARD HD HOLD DOWN ONV DONNVENT ; CV GA5EMENT (VENTING) BB BREAKFAST BAR BLK'G BLOCKING HDR HEADER EBB ELECT BASE BO RI; ji I OB DEAD BOLT BD 5A5E DRAWER $M BEAM HT HEIGHT E5M ELECT METER ;�4 ¢ IG' DBL DOUBLE, BH BA5E HIGH (NO DRAWER) CANT .CANTILEVER INT INTERIOR ESP ELECT 5ERVIGE P AJ l ;!. t DH DOUBLE HUNG EB EDGE BAND GB CARRIAGE BOLT LAM LAMINATE FNH ELECT WALL HEA T. ^' EAG EXT ALUMINUM GLAD FBP FIN15H BACK PANEL GDR CEDAR UN LINEAL FAP FRESH AIR PORT il: :,! fIj 'i EGR E5RE55 (MEET CODE) FEG FULL EXiEN510N 6UDE5 C-1 CEILING J015T MAX MAX,MUM FD FLOOR DRAIN ; i ; FAP FRESH AIR PORT FFP FIN FAGS PANEL CL CENTER LINE MB MACHINE BOLT FL FLUORE5GENT s; < : FD FRENCH DOOR FSP FIN SIDE PANEL GLR CLEAR MIN MINIMUM GFI GROUND. FAULT IN PTl GL GLA55 GD GARBAGE D15P05AL COM COMMON NIG NOT IN CONTRACT G5L GA5 SERVICE LIN s, ==:s:' HG HOLLOW GORE HG HOOD CABINET COMP GOMP051770N NTS NOT TO SCALE 3 GSM 6A5 SERVICE M ` al':. �' LAM LAMINATE HSP HANDSPRAY CONC.CONCRETE OA OVERALL HB HO5E BIB ', � ; I 'E' LOW 0 GLA55 COATING K5 KICKSPACE GONT CONTINUOUS OG ON CENTER HP HEAT PUMP 4' `'• ; f'. I{; O FIXED LAV BATHROOM HAND SINK DIAM DIAMETER PBO PROVIDED BY OWNER HNT HOT WATER TANK ;;. << : PIG PICTURE "NOON IS LAZY 5U5AN EL ELEVATION PL PROPERTY LINE HNT HOT WATER TANK 1::;. a 5DR 5LIDER MG MICROWAVE CABINET EX EXISTING PT FRE55URE TREATED LOV LON! VOLTAGE 1;; ` I ` : �. � I, 'Se SOLID GCRE MG MEDICINE GAS EXP EXPOSURE R!5 ROD d SHELF LPO LOCATE PER OWN :, ; ;.. , SD STORE DOOR OG OVEN CABINET EXT EXTERIOR RS ROUGH 5AN N C OGA OUTSIDE OMBUST! A,T'�, SGD SLIDING .6LA55 DOOR RB RANGE BA5E FID FILL IN DOOR SW 5HEARNALL OH OVERHEAD s: rI; ` f, i SH 51NGLE HUNG REF REFRIGERATOR FIN FIN15H TAG TONGUE 1 GROOVE PG PULL CHAIN i ,I Ii 1 . 5L 5KYLITE R05 ROU_ OUT 5HELVE5 FIN FILL IN WINDOW TK TIGHT KNOT SO 5MOKE DETECTOR' • TB THERMAL BREAK SS SINK SASE FJ FLOOR J015T TPL TOP PLATE 55L 5ANITARY SEWER L I �. ``,.! j: TOIL TRUE DIVIDED LITE TB TO BAR FL FLOOR LINE TN TO WEATHER TL TIGHT LINE ''t1 i' ; �i I. THR THRESHOLD TK TRIM KIT FOG FACE OF OG GONG- TYP TYPICAL'' UGL UNDER CABINET U '. €1: I T56 TEMPERED GLA55 TOT TILT OUT TRAY FOP FAGS OF POST VB VAPOR BARRIER UG UNDERGROUND •1 `' :. ' tt �> _�; ; T5L IJE TEMP 51LITE TP TOILET PAPER HOLDER FOS FAGS OF 5TU05 VG VERTICAL GRAIN VTO VENT TO OUT5IDE I rr � JTUL TEMP UPPER LITE UTL UTILITY FP FIREPLACE NI MOUGHT IRON N5L WATER 5ERVIGE LI i :N5 WEATHEtSTRIP N WALL CABINET FTG FOOTING NP WATER PROOF NSM WATER 5ERVICE M' fi X VENTING: (SLIDER) Y,G WALL CORNER CABINET 31 E. JA ULYELQP GIf d REET t �9 • c1; III.! z 0 = z a= 0 0 LLI p m Z � r ty T— O r N oQ Z v z Ju U _ a t0 �► 7- 7- z 0 x ul Q W � m �