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1023 GLEN ST.PDF1023 GLEN ST 0 • ADDRESS: 023 Gle ix a TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): l Qs�'U {wI - COVENANTS (RECORDED) FOR: CRITICAL AREAS:— O - ��� DETERMINATION: ❑ Conditional Waiver ❑ Study Required KWaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DA' EASEMENT(S) RECORDED PERMITS zoo2oftW) PLANNING DATA CHECKLIST DATED: ' 5.(p2 SCALED PLOT PLAN DATED: jJ' ''ZU ' SEWER LID FEE $: SHORT PLAT FILE: SIDE SEWER AS BUILT DATEED / 1 SIDE SEWER PERMIT(S) #: qb%4 GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: LOT: LID #: BLOCK: LATEMP\DS'CsTorms\Street File Checklist.doc ALLEY GUTTERS/DOWNS — — — — — TO CON19177 TO EXIST, ISYST. 80.92' `` EXIST. I I SHED EXIS''f� TBM CONC. ADD GUTTERS/DOWNS EL. 489.49 UT o PAD 2 AND SPLA%F&OCK9 .._._�. too 488 APPROVED ED BY RING EXISTING CONCRETE ► dam, Date: PAD 1 ...._...- - Lo _ cn N 492 ��. I A=4gj EX. DECK oc 41 I m �" t r----- --WOOD G) p 2) cn r �mmr"74� `i #1023 's 1 9,82' 10■1a b EXISTING RESIDENCE 494•-•~ - - — It FIRST FLOOR 1417 SF. T 7 6' D�AYLITE BSMT. 1481 SF. wr 496 _ ._... -r ,aV - ----�� r- .......... iTO 305 SF.; i 498 - -- :.. i n REQUIRED SETBACKS ! '� W � ZONE: RS-6 4 J 1 Lo FRONT YARD 20 FEET I M SIDE YARDS 5 FEET a I EXISTING REAR YARD 15 FEET & �I�C ASPH/CONC a POLE DRIVEWAY 500Z% 490 �i °emTo s , r II t f o � r EXISTING 492 GARAGE -If 383 SF. (NOW EL � ' 494 496 80.92' WATER METER 3 kITF ELEV. 498.00 CURB NORTH ? GLEN STREET PLOT PLAN ;' MAR 2002 0 2 STREET FILE BUILDING DEPT. • • PLANNING DATA NAMt: r-L..Yj i DATE: od/ b/a 2- SITE ADDRESS: (CZ-1) axe .. �." PLAN CHK#: Oa - O(o PROJECT DESCRIPTION: a REDUCED SITE PLAN PROVIDED?: e / No MAP PAGE: X51A CORNER LOT: Yes FLAG LOT: Yes ZONING: L5- (o CRITICAL AREAS DETERMINATION #: o a - ❑ 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) ® Exempt SETBACKS: Required Setbacks: Street: aO' Left Side: Le�, _.Right Side: 5 ' Rear: Actual Setbar,/ - I )k _2A . Street: ",� 4 _Left Side: I Right Side: 1 5 Rear: (o 0 Street map checked for additional setback required? (e / No / DNA) *' �iau< SH�il� ❑ DETACHED STRUCTURES: ❑ ROCKERIES: ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION: ❑ STAIRS / DECKS: PARKING: Required: a Actual:y LOT AREA: LOT COVE DF Calculations: Cc>c►DTI p -i- BUILDING HEIGFt - a,aa� i �= I $ to AvQ': Datum Poln64km !L o Datum Elevation: o O 4Qq Maximum Allowed: IQ ��J Actual Height: t A.D.U. CREATED : N / Yes SUBDIVISION: LEGAL NONCONFQRM — NO Toila USE DETERMINATION ISSUED: Ye No ,W�bI1,:vr Plan Review By:e_ (v�?C�,Q� ex465'c.. i24r_xX_,kV=1 NewBPP1anningDataForm.D0C Ocritical Areas Checklis CA File No: Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: /0,::?3 :5— 0/,J.05 2. Property Tax Account Number: _5-6-60 — Oq/ — 004 - 000.5' 3. Approximate Site Size (acres or square feet): ✓: . 4. Is this site currently developed? V yes; no. If yes; how is site developed? 51Al Ze 25—AIZU 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: Approx. Depth: 7. Site contains areas of seasonal standing water: _ fS%O ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway NO floodplain A10 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed urban landscaped (lawn,shrubs etc) ✓ 11. Obvious wetland is present on site: Md Z�j.: For City Staff Ilse Only „ 1 Plan Check 1-4u— m ;`if;appiicatile? 2 Site is Zoned? 3. SCS mapped.soilty.pe(s)?,.,!. oD V LAB( COM;M 4. Critical Areas=inventory or C A tap`indicates Grihcal i ea on site? ....' _ i 1 _ S _ _ 5 Site within designated earth subsidence landslide hazard' DETFRMINATION S Y EQ .WAIVER, Reviewed •- — . ;. ... e; �`"31 D at CU2 Critical Areas Checklist.doc/3.19.2001 °frr{E'"°� City of Pdmo,nds Development Services Department Planning Division Phone:.425.771.0220 ins g90 Fax: 425..771.0221 Date Received: O City Receipt Critical Areas File #: ,(riitical Areas,.Checklist Fee: $45.00 Date,Mailed to ADDlicant: The Critical Areas Checklist contained on this form is to, 4. A ,property., owner; -or his/her authorized representative, be filled`.out ; by any- person -preparing "a, Development-" 5 must fill'" otit-th6 Checklist, sign and date it, and submit it Permit Application for the City of Edmonds prior to.. to the City. The City will review the checklist, make a his/her submittal of the application to the City. precursory site visit, and make a determination of the subsen s t t t 1 t d 1 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). queeps necessary o comp e e a eve opment 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 inform and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to fi is application_n t) a li'ehaAf the owner as listed below. SIGNATURE OF APPLICANT/AGENT ,L� �c AU� DATE Property Owner's Authorizatigb By my signature, I certify that I ha a authorize he 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. SIGNATURE OF OWNER t�: - % `- DATE PRINTPLEASE A. Owner/Applicant: Z ,er � &/ ,;AfHl 1:* _11 Name 1029 CAL r ST Street Address ga�� . f�clf4-. 980.20 City State Zip Telephone:�) 64e0 " 02. / Email address (optional): Applicant,•Representative: e5 7 1/1stii Name -5!924 2�77-/ x-uZ�—. S. Street Address City. State Zip Telephone: Email Address (optional): Critical Areas Checklist.doc/3.19.2001 y a �y � �� �� }Lv"" �. �t. .yam_ .. ....J �+.r "Vie-`•" , ' PERMIT NO: ` 9654 City of Edmonds I�.. SIDE SEWER PERMIT • ' PERMIT EXPIRES 1,7 Address of Construction: 1 OZ3 6 Ltd�^^^ Property Tax Account Parcel No. Attach copies of all access and utility easement Owner and/or Contractor: Contractor License ,,Single Family ❑ Multi -Family (N . of Unit ❑ Commercial (No. f Units ❑ Public Verified and Approved by Invasion in �RW Const Cr s other •**At ch legal uilding Permit #; City *Right -of Way: on Permit # R ivate Prop tv: Owner or contractor signature Vnd ack wiedgeme t stateme By signing for this per I ce ify that have read t e City's ypuicraj ap id r Specifications, and Is hall coly ly with all City requirements �� 9 CAI. D�IA OR I�IV PECTI � and cop :r or 1 `V it th 55) BEFORE ANY 425-771-0220 extensio Assessment Fee $ Receipt No: City Permit Surcharge Fee $5.00 Total Fees Paid $ Yes XN o ❑ Yes f-% I'f recorded easement. V VATION 9 NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED. Job Site Ready YES NO Date: Initial: Partial Inspection: Date: Initial: Partial Inspection: Date: Initial: FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File: ❑ t PERMIT MUST BE POSTED ON JOB SITE '1� White Copy: File Green Copy: Inspector Buff Copy: Applicant L;temp;bldg;forms;ssperinitj lg4/00 APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTION ❑ REPAIRS ❑ 118-05200 OWNER.......... Teale...M....Re&l----------------------------------------------------------------- CONTRACTOR---------------------------........-----.............------.....-----............................. PERMIT No. ........... ........... ADDRESS ...... 1023.-G en_-St................................................................... LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No. ............................................ • • NAMEOF ADDITION......................................................................................................................................... Dye Tested On Sewer 1972 Approved: DATE................................................ By........................--............................................ Inc.1S90 February 1, 2002 CGARY HAAKEIVSON CITY OF EDMONDS MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.oi.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering RECEIVED F E B 19 2002 BUILDING DEPT. Harriet & Hisashi Fuji 1023 Glen St. Edmonds, WA 98020 Subject: Determination regarding Critical Areas Checklist: CA-02-23 Dear Applicant: 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 "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 APLICATIONS OR YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you, Planning Secretary c: George T. Nishi *Architectural Design Board D: mydocuments/spellman/CACLletter.doc L: temp/j ana/CACLletter.doc • Incorporated August 11, 1890 • Sister City - Hekinan, Japan 1 City Of dmondS Date Received: D Development Services Department City Receipt #: D Planning Division Critical Areas File #: Phone: 425.771.0220 : ` .. Cri ical Areas. Checklist Fee: $45.00 Fax: 425.771.0221 Date Mailed to ADDlicant: The Critical Areas Checklist contained on this forth 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). A property owner,. or his/her authorized representative, must fill oitt 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 fording 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 infor�*on and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to fi is application n tl e behajof the owner as listed below. SIGNATURE OF APPLICANT/AGENT L� /C%Gci�� i DATE Property Owner's Authorizatigb By my signature, I certify that I ha a authorize a 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. SIGNATURE OF OWNER DATE DATE PLEASE PRINT CLEARLY Owner/Applicant: Name /023 Street Address ;ga�IkA. '76 City State ' Zip Telephone: 1LI25 ) 640 - 093/ Email address (optional): Applicant Representative: Name �924 2W77Y x4Uo. S. Street Address :5 IZIA City State Zip Telephone:72/- 03,99' Email Address (optional): Critical Areas Checklist.doc/3.19.2001 Critical Areas Checklis* CAFile No: 0'�'�LY'' Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account Number: 00/ — Q( - 000.5' 3. Approximate Site Size (acres or square feet). /2+ 254 5: : 4. Is this site currently developed? V yes; no. If yes; how is site developed? S/it./aZe 6�S IJ-V A0951 �1, AIVID ?A�l� 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: Y40 ; Approx. Depth: 7. Site contains areas of seasonal standing water: A/0 Approx. Depth: What season(s) of the year? 8. Site is in the floodway No floodplain 1U0 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: d Critical Areas Checklist.doc/3.19.2001 I f 18X24S4 490 ." . ALLEY 80.92' - - ` EXIST. L# SHED �I EXIS'� CONC. o PAD 2 o 488 _..._ EXISTING ...... ......... �t CONCRETE d n PAD 1 Ln 492 I A=91 75- -- j 13=491 EX. DECK •..... r----- m -- WOOD--- , # 1023 i 9.82' o EXISTING RESIDENCE 115 494...... _ ......... FIRST FLOOR 1417 SF. DAYLITE BSMT. 1481 SF. I ' 17.6' 490 496 L_ i 1 D. TO % j 1 , • 30 DRYWELL _ D.S. TO 1 Sf I I i H 498 DRYWELL I C=4 7 - ---- D=497 REQUIRED SETBACKS ZONE: RS-6 J ;� EXISTING' # 492 Ln GARAGE ? FRONT YARD 20 FEET 383 SF. SIDE YARDS 5 FEET a I EXISTING (ROOF EL 507') 494 REAR YARD 15 FEET e UTIL�TI ASPH/CONC °� POLE DRIVEWAY 496 80.92' 500 WATER METER \ ®TOP ELEV. 498.00 CURB NORTH GLEN STREET 1? PLOT PLAN SCALE: 1 " = 20' CURB ' F GUTTERS/DOWNSPOUTS TO CONNECT TO EXIST. SYST. w ADD GUTTERS/DOWNSPOUTS AND SPLASHBLOCKS APPROVED (S %NOTED Date: TB M EL. 489.49 ZONE 22- L SETBACK'& FRONT 20' SIDE a REAR I S' OTHER HEIGHT HARRIET AND HISASHI FUJI 1023 GLEN STREET EDMONDS, WA. 98020-2948 (425) 640-0931 LEGAL DESCRIPTION LOT 4 IN BLOCK 1 OF RILEY PARK ACCORDING TO THE PLAT THEREOF RECODED IN VOLUME 14 OF PLATS, PAGE 78, RECORDS OF SNOHOMISH COUNTY, WASHINGTON. TAX ACCOUNT PARCEL NO. 5560-001-004-0005 ZONING SINGLE FAMILY RESIDENTIAL, ZONE RS-6 LOT COVERAGE LOT AREA (80.92' X 151.44') 12,254 SF. MAXIMUM LOT COVERAGE (35%) 4,289 SF. ACTUAL LOT COVERAGE (20.8%) EXISTING RESIDENCE 1,481 SF. EXISTING DECKS 335 EXISTING ENTRY PORCH 40 EXISTING GARAGE 383 PROPOSED ADDITION 305 TOTAL 2,544 SF. LOT SLOPE: 8% IMPERVIOUS SURFACE CALCS EXISTING RESIDENCE 1,481 SF. EXISTING ENTRY PORCH AND WALK 130 EXISTING GARAGE 383 EXISTING ASPH./CONC. DRIVEWAY 1,675 EXISTING CONCRETE PAD 1 930 EXISTING CONCRETE PAD 2 360 PROPOSED ADDITION 305 TOTAL 5,264 SF. .HEIGHT CALCS A = ELEV. 491' ACTUAL HEIGHT = ELEV. 511' B = ELEV. 491' MAXIMUM HEIGHT = 494' + 25' = ELEV. 519' C = ELEV. 497' D = ELEV. 497' AVERAGE GRADE = ELEV. 494' STRUCTURAL NOTES CODE: ALL MATERIALS, WORKMANSHIP, DESIGN, AND CONSTRUCTION SHALL COMPLY WITH THE UNIFORM BUILDING, PLUMBING; AND MECHANICAL CODES (CURRENT EDITION) AND TO ANY LOCAL SUPPLEMENTS. DESIGN LIVE LOADS FOR ADDITION: ROOF 25 PSF (SEISMIC ZONE 3) FLOOR 40 PSF SOIL PRESSURE 2000 PSF. WIND SPEED 80 MPH (EXPOSURE B) CONCRETE: 3000 PSI, 5" SLUMP, 5 1 /2 SACK CEMENT CONTENT PER CUBIC YARD. NAILING SCHEDULE: PER UBC TABLE 23-II-B-1. ENERGY =-CODE PROPOSED ADDITION - PRESCRIPTIVE REQUIREMENT APPROACH, CLIMATE ZONE 1 EXTERIOR WALL INSULATION R-19 CEILING (WITH ATTIC) INSULATION R-30 CEILING (VAULTED) INSULATION R-30 FLOOR INSULATION R-25 SLAB ON GRADE R-1.0 RC •I NEW WINDOWS U- .40 EXISTING HEATING SYSTEM: FORCED AIR (GAS FIRED) AFUE _ .80 UIING DEPT. 0 0 V. N w La oQ O � y Q . Do V5 p rn 00Q0 >0)0 z¢ ~ N L.1iwN J c.IB � =ry'd-r o U O N Q p ryw0)i.,JCIS! 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