10221 240TH PL SW.PDFiiiiiiiiiiii,4279
10221 240TH PL SW
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TAX ACCOUNT/PARCEL NUMBER: n65,55- OD O (DO v 7 (n O
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS(RECORDED)FOR:
CRITICAL AREAS :(/6 ' (/Q % DETERMINATION: []Conditional Waiver Study Required ❑ Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: _ (Z ( 2=:04�O
SEWER LID FEE $:
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S)
GEOTECH REPORT DA'
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA
LID
BLOCK:
L:\TEMP\DSTs\Forms\Street File Checklist.doc
Own
PLANNING DATA STREETFILE
Name:
Date: 0} • O (p • 200(p
Site Address: 10 �,, Z t Z, p "IN P 1 a GP,► SW
Plan Check #: BLD-2006-
Project Description: rJ add.l -HOY)
Reduced Site Plan Provided: 61ES NO)
Zoning:
Map Page: 0 0 3
Corner Lot: (YES / 0
Flag Lot: (YES / 10
Critical Areas Determination #: C, P-A . ?.-00(o • O O 4 9 --), 1<-r41A vi g Lo ft�.
® Study Required yf foy - Ot&ttd 517 242,00i/ (li•A* 092,•O(v O 90)
❑ Waiver
SEPA Determination: e,1C 2, MQt
® Exempt L 5d CAA b,, c y a:r_d 5 of gra cUrn g pYDP used.
❑ Needed (for sites with 500 cubic yards of grading or within 200 feet of Puget Sound or Lake
Ballinger. Requires: 1 Fee, 2 Environmental Checklist, and 3 APO List with notarized form).
Required Setbacks
Street: 2
Side: :V 15
T
Side:
Rear:
J�..`
Actual Setbacks
Street- g�J''t�1�tw
Side: n�N�
Side: 901 tv new
Rear: '�v re,..,
❑ Detached Structures:
❑ Rockeries: VIDylp, CJKOW L Oyl
❑ Fences/Trellises: yf+f, P( OLAAL-
❑ Bay Windows/Projecting Modulation:
❑ Stairs/Deck:
Parking Required:
Parking Provided:
Lot Area: 115 8 CD p g ve n
Lot Coverage: �}. •/•
1 �' eX• erFp. t- 3 2 q-
Lot Coverage Calculations:
a dct %*tf 01 = ti z'y z �'
Building Height
Datum Point: f-O P O-r- M. • •
Datum Elevation:
Maximum Height: Zro ' t'L S . DO
Actual Height:
ADU Created: (YES / Q ( "tq��t 51�,`,,,
Subdivision: P�j CM MAYy P arlt. tM VV%-e g ?•�
Legal Nonconforming Land Use Determination Issued: (YES NO
Other
A t 01q
g too 400 : + = t 0 D a VC4� 8 ra OL.
G lOn tzs
_
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Plan Review By: g,,r; ll aaGc'.6!!
OOPsTI�,,GTOF, IS HESPONSISLE FOR
^ 1 r�tN110L 1I11 DP f�OE
:one R- 6 - g .. .
etbac �R i�red
Front 2 5
Sides
Rear . N 15
Other
Height 12,6
a6
X APPROVED
r -ND FIai, N 0
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JUN 2 0 2006 ti�fl .z 40..T
TREET F
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SILE DEVELOPMENT SERVICES CTR. ...... ...... .. .... .. • .
CITY OF EDMONDS
4
0 0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
." . l a ,
STATUS: ISSUED Permit #: BLD200607371
BUILDING
Expiration Date: 8/2/2007�
' Project Address 10221 240TH PL SW,.EDMONDSi
Parcel No: 00555000003400
THOMASMOSELEY CHERMAK CONSTRUCTION INC CHERMAK CONSTRUCTION INC
10221 240TH PL SW 655 EDMONDS WAY 655 EDMONDS WAY
TOM MURRAY - CONTACT
EDMONDS, WA 98020 EDMONDS, WA 98020 EDMONDS, WA 98020
425-776-1367 425-776-1367
LICENSE #: CHEMCI I IONU EXP:8/3/2007
ADDITION 154SF FOR MASTER BATH AND WALK IN CLOSET
VALUATION: $14,230
PERMIT TYPE: Residential
PERMIT GROUP: 2 - Addition
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION: VB
RETAINING WALL ROCKERY: N
OCCUPANT GROUP: R3
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 2003
OTHER: N------- OTHER DESC:
ZONE: RS-8
NUMBER OF STORIES: l
VESTED DATE:
NUMBER OF DWELLING UNITS: I
BASEMENT:0 ISC FLOOR: 1744 2NDFLOOR: 0
BASEMENT:0 1ST FLOOR: 154 2NDFLOOR: 0
3RD FLOOR: 0 GARAGE 0 DECK 0 OTHER. 326
3RD FLOOR- 0 GARAGE,: 0 DECK: 0 OTHER 0
REQUIRED: 25 (S) PROPOSED: 83 TO NEW REQUIRED: 7.5 (E/W) PROPOSED: 12/90 REQUIRED: 15 (N) PROPOSED: 42 TO
TO NEW NEW
HEIGHT ALLOWED:25 PROPOSED:I 1.33 REQUIRED: PROPOSED:
SETBACK NOTES: MUST FOLLOW RECOMMENDATIONS OF GEOTECHNICAL REPORT.
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR I-IIS/I-IER DEPUTY AND AL4 FEES ARE PAID.
Signature Print Name Date
ed By
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL QVSPECTI HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IB 110/ IRCI 10.
ARCHIVE APPLICANT = ASSESSOR OTHER �\ PULL
STATUS: ISSUED BLD20060737
• REQUIRED SPECIAL INSPECTIONS FOR THIS PROJECT:
1) Excavation, grading, & site preparation
2) Soil bearing verification
3) Placement of fill & compaction
4) Subsurface drainage installation including footing drains.
5) Temporary and Final Erosion Control
6) General site monitoring during wet weather construction
7) Epoxy bolts
• Must follow recommendations ofgeotechnicalreport (Krazan & Associates, Inc. 05/22/2006).
• Maximum Height 25 feet. Measured from average elevation of undisturbed soil at comers of extended building rectangle.
Subject to field check by building department.
• Obtain Electrical Permit from State Department of Labor & Industries. 425-290-1309
• Submit all special inspection reports to the City Building Inspector on a weekly basis.
• Any request for the modification, variance or other administrative deviation (hereinafter "variance") must be specifically called
out and identified. Approval of any plat or plan containing provisions which do not comply with City code and for which a
variance has not been specifically identified, request and considered by the appropriate City official in accordance with the
appropriate provision of City code or State law does not approve any items not to code specification.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt from the noise limits
of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activites must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
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.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUILDING (425) 771-0220 EXT. 1333 1 INGINEERING (425) 771-0220 EXT. 1326 1 FIRE(425) 771-0215
PUBLIC WORKS 425 771-0235 1 PRE-TREATMENT 425 672-5755 1 RECYCLING 425 2754801
• E-Erosion Control/Mobilization
• F,Storm Tightline
• E-Engineering Final
• B-Setbacks
• B-Footings
• B-Foundation Wall
• B-First Floor Framing
• B-Plumb Rough In
• B-Exterior Sheathing
• B-Shear Nailing
• B-Height Verification
• B-Framing
• B-WallInsulation/Caulk
• B-F1oorIns ulation/Caulk
• B-Ceiling Insulation/Caulk
• B-SheetrockNail
• B-Plumbing Final
• B-Building Final
Critical Areas Checklist CA File No: tG_ 4 cl
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/Location: 1 U a -1 -2,/-c v S Vn/ Ed VW A q g o� U
2. Property Tax Account Number: 00 S SS U O O O U
3. Approximate Site Size (acres or square feet): 11'37 aCV e
4. Is this site currently developed? ✓ yes; no.
If yes; how is site developed? s : \ e (-Zk—
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): -Ftwfi w• rv) ff at 6&-c0
6. Site contains areas of year-round standing water: No . ; Approx. Depth:
7. Site contains areas of seasonal standing water: Q o . ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway 0 o floodplain 0 r) of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
00 Flows are seasonal? Oo (What time of year? — ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed ;
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site: 00
1,Ipxil- Met? iYI--�-CUh"L ' ti (001' GiW p� h to Al C yar 003
--------------------- --- ----------------------- For City Staff Use Only
1. Plan Check Number, if applicable? K 0 yif, (7V)0wyl
2. Site is Zoned? iL 5
3. SCS mapped soil type(s)? 5i Arld-e*V%(V0d UVloalrl WAyld (.oVYIP� 1f_$ 1-45'1' S0pe.S
c1vw0od t;Vtv4At aravellu _6arldu 1L)a r2 25-101' 61QR:95-
4. Critical Areas inventory or C.A. map indicates Critical Area on site? Ye S VQIGlf OYI tta Z a v 01
& Landsti d2 }tA2ard (ti (vo•I• yluQe,) i h b a &k• yard•
5. Site within designated earth subsidence landslide hazard area? N 0 .
0E '0
h o u s e ut +O P of ro-tee-f DETERMINATION
51 OQe-) X STUDY REQUIRED
Reviewed bv: ci i n a Co ui a-,
WAIVER
0+11 % l ti Dofo
Critical Areas Checklist.doc/2.17.2004
#P20
�pF ED�1
° City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
C. Is Z 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 inventone . , or soil
su ve s) =
Y,aU
Date Received: IWCX
City Receipt #:
Critical Areas File #: 2000 — 0 0 y-q
Critical Areas Checklist Fee: $135.00
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 DATE `411 3 I d
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 posting attendant to this application.
�-�n
SIGNATURE OF OWNER L . DATE 4) &AYce 1004,
Owner/Applicant:
ko,o, S E I\AoSe I
Name
Applicant Representative:
Che..•-.nlc C�,.St.�Ct•.�.. �T�M M�r��1.�
Name
t c�2 a l a4(0'" PI SW COSS- Fd ", O..d(s v✓C,�
Street Address Street Address
City
.- , N cAs WA 9 svao EcQ. ds WA ciiSDau
State
Telephone: -.),c) 6- SZt a- 18 3 6 8
Email address (optional):
Zip City State Zip
Telephone: It a S - -7 -7
Email Address (optional): ` 6- i G c kQ � M Qk . co ,
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location: 10221 2401h Place SW Tax Acct. Number: 00555000003400
Determination: Study Required Determination #: CA-2006-0049
Applicant: Tom Murray/Chermack Const. Owner: Thomas E. Moseley
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED (CA-2006-0049)
During review and inspection of the subject site, it was found that the site may contain or be
adjacent to critical areas, including Erosion Hazard Areas and Landslide Hazard Area pursuant
to Chapter 23.40 of the Edmonds Community Development Code (ECDC). There is an existing
single family house on the lot, and it is located at the top of a steep slope. The LIDAR map
indicates the slope is approximately 60 percent, which qualifies as a Landslide Hazard Area.
GENERAL CRITICAL AREAS REPORT REQUIREMENTS
Critical Areas Reports identify, classify and delineate any areas on or adjacent to the subject
property that may qualify as critical areas. They also assess these areas and identify any
potential impacts resulting from your specific development proposal. If a specific development
proposal results in an alteration to a critical area the critical areas report will also contain a
mitigation plan. You have the option of completing the portion of the study that classifies and
delineates the critical areas and waiting until you have a specific development proposal to
complete the study. You may also choose submit the entire study with your specific
development application.
• Please review the minimum report requirements for all types of Critical Areas which are
listed in ECDC 23.40.090.D. There are additional report requirements for different types of
critical areas (see below).
• Note that it is important for the report to be prepared by a qualified professional as defined
in the ordinance. There are options on how to complete a critical areas study and an
approved list of consultants that you may choose from. You may contact the Planning
Division for more information.
• General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110
through 23.40.140.
STUDY REQUIREMENT — EROSION HAZARD AREA
It appears that this property contains or is adjacent to an Erosion Hazard Area.
• Erosion Hazard areas include Alderwood and Everett series soils on slopes of 15 percent or
greater. among others.
• Landslide Hazard Areas are further defined in ECDC 23.80.020.A.
• In addition to the general requirements for Critical Areas reports referenced above, specific
Critical Area report requirements for Erosion Hazard Areas (which are one of the
Geologically Hazardous Areas) are provided in ECDC 23.80.050.
• Note that Stable Erosion Hazard Areas may have limited report requirements at the
director's discretion. At a minimum an erosion and sediment control plan prepared in
compliance with the requirements in ECDC Chapter 18.30 shall be required.
DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS
Development is restricted within an Erosion Hazard Area.
• Projects that will intrude into these areas will require a report by a licensed Geotechnical
Engineer or other qualified professional.
• Development standards are given in ECDC 23.80.060 and 23.80.070.
STUDY REQUIREMENT — LANDSLIDE HAZARD AREA
It appears that this property contains or is adjacent to a Landslide Hazard Area.
• A Landslide Hazard Area is any area with a slope of forty percent (40%) or steeper and with
a vertical relief of ten (10) or more feet (except areas composed of consolidated bedrock).
• Landslide Hazard Areas are further defined and illustrated in ECDC 23.80.020.B.
• In addition to the general requirements for Critical Areas reports referenced above, specific
Critical Area report requirements for Landslide Hazard Areas are provided in ECDC
23.80.050.
DEVELOPMENT PROPOSALS ASSOCIATED WITH LANDSLIDE HAZARD AREAS
Development is restricted within a Landslide Hazard Area and its buffer.
• Projects that will intrude into these areas will require a report by a licensed Geotechnical
Engineer.
• The criteria that are applied depend on the amount that the buffer is reduced.
• The buffer can be reduced to a minimum often (10) feet (with an additional 15' building
setback per ECDC 23.40.280) if a report is prepared that meets the standards listed in
ECDC 23.80.050). The alteration must also meet the requirements listed ECDC 23.80.060.
• In addition, proposals to reduce the buffer to less than ten (10) feet must comply with the
design standards listed in ECDC 23.80.070.A.3.
ALLOWED ACTIVITIES
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If
you have any questions about whether your proposed development qualifies as an allowed
activity, please contact a Planner for more information.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a
Planner for more information.
Pla
Name, Title u Signature
Date
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
2
OWNERICONTRACTOR IS RESPONSIBLE FOR
M^e n(11 CC IYR L AND DRAINAGE
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RECEIVE-C)����oDaa. l - o�-• JUN 2 0 2006 tiro I }q,.� .
DEVELOPMENT SERVICES CTR.
CITY OF EDINONOS
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).