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10708 NOTTINGHAM RD.PDF11111111111111 12414 1 1:P NOTTINGHAM RD 0 ADDRESS: le9'20,F 0777/? 6H,0-1'YI 4 TAX ACCOUNT/PARCEL #: QO 57/ 3 00 /0 / 4000 BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #'s): PLANNING DATA CHECKLIST DATED: �� Q SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: LATEMPOST'slFormsUana's Street File Checklist 5-14-08.doc S �#4 :• r Nor To SCAL.• 24 R. li$®YBCE RE®. gCpy p S •'� 'S�'.... K I`® llt��ir'��nT��9Y - IIZA/y:i 8� „o+o �x Esc 8°', o _-� NER/CONT ACTOR IS RESPONSIBLE R EROSION ONTROL AND DAMAGE =..too _ /�/ "' � �:a:�.g• �• i pr gas o 1 sv j GUTTERS/ OWNSPOUTS vy—,, i CONNECT TO EXIST SYST. - o S1, - - 117-1 J" 9 eK ji Lok- V• ' i3 pp all repair/ place all damage to i i,3vz c %�1 utilities frontage imp ovements in City i --n right -a ay per City standards that Is caused or occ during the permitted project. ^iy� Zone R g M Setbacks Require Actual To Aada/ .a,, s' p Front N SidesWX Z Rear s Other e I S' •✓ .t �1;�� l � �� 12 r-, Q4 CDe A u kG per.,&) xeias' 1/c %%mt-y o (Zoce:c �Y, cl�c�r 4 r c� � � By iENMNEERING ✓mil �.;,�- �. r � d- a wx Pa- ^ C- v � �� � � �- S -� �. � r �.�:d S •Z- ate: �/�d/�9 ooS713oca id O f� C )VED /b%23 iAeWPrRtLt, Gag 4 . �?Ozx�, JAa8203 DEVELOPMEWT SERVICES CTR. CITY OF EDMONDS PLANNING DATA SINGLE FAMILY RESIDENTIAL 11 STREET FILE Name: f Date: Site Address: Plan Check #: Project Description: a(Do Zg. i?}. a ,'�;o �a ,na;CN -e(C)or- c ck-A►t�. rooch. Reduced Site Plan Provided: dD NO) Zoning: _ Map Page: Corner Lot: (YES /� Flag Lot: (YES / O) Critical Areas Determination #: CRA192GCORl ❑ Study Required Waiver SEPA Determination: Ece.rn0c Exempt ❑ Needed (for over 500 cubic yards of grading) ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks Street: ash Side: • 5 Side: E S Rear: S 51 Actual Setbacks ; Street: Side: " • 5 SideCE IC Rear:,161 + �( Detached Structures: U6%Jneci s�ne a-4 3re"oc4se, s1,own on P\��. Nok ver%-Qe 1-('oC- ❑ Rockeries: None g�cwn, cor•.����.nce, WhV, ���c�c3, 1ne-p, e , a;,)ce_ n� ElFences/Trellises: o-P 1 �ee4-p���C�\ on. V ❑ Bay Windows/Projecting Modulation: None, ElStairs Deck: Buildin Hei ht Datum Point: htlA Datum Elevation: Maximum Height Allowed: / Actual Height: Other Parking Required: Parking Provided: Lot Area: Maximum Lot Coverage: 35% Propos a07. Lot Coverage Calculations: Ex,'s�. lioLn�= 158`/tb' Ex:s4. Sk,ed ISa i� P�oQo�ec/ `�'=1:°n=�°y`# ADU Created: (YES /(9 Subdivision: J�ner VIAka Legal Nonconforming Land Use Determin on Issued: (YES Comments 0= aCA Plan Review By: Planning Data Form D4-11-06 0 i 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: jo-hiy -2 %1-W'MoeA4A"V Name / 0,7 O op /V 0'7-T//VC7 Street Address 9 - 'e-OM a tt 0 tm'qyo Z o City, State; ZIP Phone Signature 51/.-4,C'�9(" Date Applicant Representative: 110TTZIIV6 yc?�T /Ntj PLC Name A /3(�)( L/?Z�i Street Address City, State, ZIP Phone Si at Date %11671413(- 1' 1 Ll �V. ALM Areas ChecklistL/1 Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: /o '70,F A10 i_T1A 6H/tM R0 2. Property Tax Account Number: 5 7 ( -3a G ( O � - G O 0 O -1 3. Approximate Site Size (acres or square feet): c% S� X / / O / 4. Is this site currently developed? _Oyes; no. If yes; how is site developed? PK- N e?q H i30 2 gza 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`Yo ( 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: A10 ; Approx. Depth: 7. Site contains areas of seasonal standing water: it./ © -;Approx. Depth: _ What season(s) of the year? 8. Site is in the floodway Al y floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? /U o 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: AZ 0 F r City Staff Use Only — I. Site is Zoned? � � - 2. SCS mapped soil type(s)? � I�BP�►6 �I�/'��, le_jc 3. Wetland inventory or C.A. map indicates wetland present on site? /LO 4. Critical Areas inventory or C.A. map indicates Critical Area on site? IVO 5.. Site within designated earth subsidence landslide hazard area? yy 6. Site designated on the Environmentally Sensitive Areas Map? DETERMINATION 'STUDY REQUIRED . / WAIVER Reviewed by: �.t - L Pladliier CONDITIONAL WAIVER 1("LTlI` Date Rev 01104/94 • • Page 2 of 2 Close Window http://web5. co. snohomish.wa.uslpropsys/asr-tr-propinglPropInfoO5-StructData. asp?parcel... 5/26/2009 • Page 1 of 2 Snohomishftfine Government Information & Services County4* Washington Structure Information Close Window General Description Parcel Number 00571300101600 (Rot) Structure Class Dwelling Structure Type l Story Year Built 1955 Exterior Features Foundation Conc or CB Exterior Brick & Wood ROOF Type: Gable Pitch Medium Cover Composition Interior Features Bedrooms 3 Full or 3/4 Baths 1 1/2 Baths 1 Heat Forced Hot Air - Elec Fireplace Masonry double fireplace Floor Area Floor 1 Base SF 1624 Finished SF 1624 Garage(s) & Carport(s) Carport SF 484 Other Features http://web5.co. snohomish.wa.uslpropsy s/asr-tr-propinglPropInfoO5-StructData. asp?parcel... 5/26/2009 CITY OF EDMONDS USE PERMIT ��� �a ZONE NUMBER CONSTRUCTION PERMIT .APPLICATION ADDRESS%-! ! , SUITE/APT# / / ; t � -."I-7 OWNER NAME/NAME OF BUSINESS ,Jo 1A %`I LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. w MAILING ADDRESS p /- n 1 (3 1 o 9 /\I V -T7 (n.i l:7 f•�/� �� � K �� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, EXISTING REQUIRED DEDICATION PROPOSED Inspection TESCP Approved O RW Permit Required 0 Street Use Permit Req'd O Required O Sidewalk Required E3 CITY ZIP G rJ C TELEPHONE NUMBER v� NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO 0 W _ U ADDRESS REMARKS Z CITY ZIP TELEPHONE NUMBER NAME �uTC /nil= 1/Ef17 /NCB L/-. C V. ADDRESSU %3 o x `, -72 8 (�/ „/� O 2 oC ENGINEERING MEMO DATED REVIEWED BY CITY _ ZIP '� CI /L/ (� v �v TELEPHONE NUMBER 7 (o (,/ 9. -? � IRE MEMO DATED REVIEWED BY Q STATE LICENSE NUMBER IRATI ATE "V _X L-L H + SSL S L ( D I .. U u SIGN AREA SEPA REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT Legal Description of Property - include all easements 2 a U to I EXP SHORELINE VARIANCE OR CU PLANNING REVIEW BY DATE W u,j SETBACKS — FEET FRONT SIDE REAR HEIGHT LOT COVERAGE _ g Property Tax Account . S ! r �0 O 10 ( Parcel Na NEW RESIDENTIAL El PLUMBING a ADDITION COMMERCIAL MECHANICAL REMODEL APT. BLDG. SIGN CHECKED BY TY/PE OF CONSTRUCTION CODE ( % OCCpC�U{PPANT / J 0 aGRADING ❑FENCE REPAIR CYDS. I x_FT) POOL DEMOLISH NSERTTOVE HOTTUBSPA GARAGE r7 RETAINING WALL/ CARPORT ROCKERY a RENEWAL (TYPE OF US , BuslNEsSn ACTIVITY) EXPLAIN: . 4 SPECIAL REQUIRED INSPECTORWOODSSWIM YES AREA PANT LOAD R MARKS PROGRESS INSPECTIONS PER UBC 305 z 9 NUMBER OF NUMBER OF DWELLING CRITICAL AREAS 0 STORIES UNITS NUMBER i DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED -T'Aty L 0V / 1 C G 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 (curbs, sidewalks, driveways, marquees, etc.) WIII require Separate permission. STATE SURCHARGE Permit Application:180 Days Permit Limit: 1Year -Provided Work Is Started Started Within 180 Days . DRAINAGE FEE "Applicant, on behalf of his Or her spouse, heirs, assigns and ENO, INSPECTION FEE N J successors in interest, agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, x s 0 o x employees, and agents from any and 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," PLAN CHECK DEPOSIT TOTAL AMOUNT DUE A� c1 ?, tj 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 ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her 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 Off; AGENT) DATE SIGNED DEPARTMENT CITY OF OFFICIA TUR DATE (�G EDMONDS �-% �l�. 7 CALL FOR RELEASED BY: DATE ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ��� Owwo UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR .. 11 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 1o2b7 .-If