1226 CORONADO PL S.PDF11111111111111
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1226 CORONADO
PL S
ADDRESS:
TAX ACCOUNTIPARCEL NUMBER: t oQ ZZ b 7 0 I 1 O O
BUILDING PERMIT (NEW STRUCTURE): 19 51 009 � 5��
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: �'✓ DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS(OTHER):19LD7.OZ-9 eAI°_. �q�$ Y `T� 55 bLkLP�nl `Z-ObI b U I I
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: rI Il � k I
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: t I BLOCK: 6
SIDE SEWER AS BUILT DATED: ,1 J4tt.
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMP\DSTs\Forms\Street File Checklist.doc
CA FILE NO,
*Critical Areas Checkle
Pima
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 1 ?7C- ad
2. Property Tax Account Number: (cOZZ ®o Z 611 CO O t-/
3. Approximate Site Size (acres or square feet): 4Fe,
4. Is this site currently developed? —QL yes; no.
If yes; how is site developed?
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%o 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: � 6 ;Approx. Depth:
7. Site contains areas of seasonal standing water: X16 ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway oo p am nurse.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? . 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:
--:-- . --- --
i. Site is Zoned?
DETERMINATION
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^ca chk.doc; Rev 10/03/97
•
Ayof 6DKyo City of Edmonds
Development Services Department
i��:viv •�4v?�d�:
Planning Division
Phone: 425:77 U6220 '
1�. t a9
o Fax:425.771.0221,
Critical Areas File #:g�—
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept:
City Receipt No: / 7 7 7 a
Date Mailed to Applicant:
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.
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 assist staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
Applicant Representative:
Y
f 22 Co C c> VL"G�a
Street Address Street 'Address
L? Ci(o Zo
City State Zip
clz�r — --337�
Telephone
Signature
C-: 6r
Date
At
City State Zip
.! Tele Ffone
Signature
Date
d:reception/jana/CACLHandout.doe Revised 4/10/2000
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
401-01300
OWNER........... 9!�... ....... ETt5t1"On......................••-•----............----.......----....... CONTRACTOR..........---------.................--....................----.................................... PERMIT No.......................
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ADDRESS 1226 Coronado Place ............. BLOCK No..................--.........................
...--•--........-- .................... LEGAL DESCRIPTION: LOT No...
NAMEOF ADDITION............................................••---........................................................................................
s
•
0
Dye Tested On Sewer 1972
Approved:
DATE............................................•... By................................--•---................................
-4,
ILDING PERMIT
ARPU H. BU �APP - CATIC
Permit limit,'one year....
QtvT )461§16S BuMing Depw"ert
is hereby Made for a permit to construct the following work, in accordance with the accom.
•
ipe ications. Two sets are submitted herewith for approval:
Off -St.
........ . .. . ...... . ..... Parking ---- --- ------------
................................. . ..................... . ..........
e fire
Const. type................ ....... Use zon
Aden..
....... . .. ....... . . Blk
...........
....................... . ......
............... Area ----------- -------- -- - ----- - - Septic tank-
r. sid - - - --------- 1. side ........ rear ------- - -- - ------ -------- - ---
4-/6 -,4
...................... . Address.....- .V ..... _.fit ...... ZPrel. No
Z_
Address. ---------- - ------ ----------------------- - -- - --- Tel. No...__..
Address-------------- - -- -----------...... . . . .... Tel. No...._......_.__.._. -
.. . . . ........ ......... .............................. ....... I ... . ...... . ...... . .
. ... ... ................. .................... ...
this
Wcorrect statement, and I agi-x to comply with all applicable Codes and Stats laws regulatingI I
o cs, r>at,.
Sl' d;Owner/Agent ....... C14 . . ..... Addr
itions� and to compliance theap,
0iWItY',4�1e & above work is herebY approved, subject to the above oDnd
:,.Proved�lans � and. ,specifications, tions, and Building Department notations thereon.
`
................ Permit fet..; .......... - Recd. by ......
&luation ..........
.......... . . .
Building Department, By ................... ....... . ....... . ................... Date .....
INSPECTION RECORD
Fdn, OK ............................................ Frame, OK ............................... .................... Final, OK...........:......................._...
This Pcrrr.i' does not cover Plumbing, S:wcr or Electrical installations.
!.•t� cry � .bog � -� — L;o'r 11 1U�-K �
-
DIVA 04 4
PERMIT NUMBER
RECEIVED
JUL a 9 2001
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
o1-X7
ZONE
SETBACKS:
FRONT 25
SIDE -7 z
REAR
OTHER Wl%2-- L&
HEIGHT 25'
I11=! L/.
Any request for 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, requested and considered
by the appropriate city official in accordance
With the appropriate provision of ci
state law does not app ove any items. notto code
ty code or
specification... _.. "
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