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16623 74TH PL W.PDFIIIIIIIIIIII 5959 16623 74TH PL W /� e. C c-,K- 9 - / 9 - C-d 1 City of Edmonds u 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. 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. The purpose of the Checklist is to enable City staff to Please submit a vicinity map along with the signed determine whether any potential -Critical Areas are, or-- copy -of this--form--to-.assist City staff in finding- and may be, present on the subject property. The locating the specific piece of property described on information needed to complete the Checklist should this form. In addition, the applicant shall include be easily available from observations of the site or other pertinent information (e.g., site plan, topography data available at City Hall (Critical Areas inventories, map, etc.) or studies in conjunction with this Checklist maps, or soil surveys). 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: . c �m►M Gl���� Name — Street Address �Moc��S City State Zip Telephone Signature Date Applicant Representative: 6VA E'_NA4N<-_ Low j f ^3 C Name c - 75 LAA OA I-c V► ta/, rokwt , Street Address 'ono o 24,(-v City State Zip �25 - 77Co--1_,�-,67 Telephone Signature Date cxeception\jana\caddoc (over) CA FILE NO. Ch -0LL14-0 ;► Critical Areas Checklist J"r---------------------------------------- ----------- ------- Site Information (soils/topography/hydrology/vegetation) -72J41) Pz%JE, 1n/, 1. Site Address/Location: to��i�j �7—'�'`--C,�- �i1101V - 2. Property Tax Account Number: I 0VV - lO S ` /�f{l.,D 5 3. Approximate Site Size (acres or square feet): 2-0, 7'70 T 4. Is this site currently developed? Zyes; no. If yes; how is site developed? S1 ?'-')el L E f -^-r &.,-- . Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. ]Z� 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: ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. a 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: DETERMINATION 9�02� ^ce chk.doc; Rev 10/03/97 CITY OF EDMONDS lid NEW • ❑ ADDITION ❑ RETIREMENT STREET ASSET INFORMATION SHEET FILE ASSET NO. ADDITION TO ASSET NO. DESCRIPTION 0,1 SERIAL NO. LOCATION ; DEPT. NO. **PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST *PROJECT NUMBER PROJECT COMPLETION DATE 6 2— COST (F3 - 33 B.A.R.S. ACCOUNT NO. �i!! - G� a/ '- 3 Cr 6 • ESTIMATED LIFE 2 5/ INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY 13 DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT _ • G.L. ENTRY REFERENCE DATE VERIFIED BY PROCESSED BATCH NO. •fi,p INITIAL UPl DEPARTMENT FILE APPLICATION STREET FILk CATIONfor The City of Edmonds SIDE SEWER PERMIT OWNER ... ....... / 74 � ........................ ADDRESS 6?-Z-3 ............ 74. V.- - 7 ...... / 7z.......W.. 0 I* NEW CONSTRUCTIONX REPAIRS E] tkj L EASEMENT No ............................ /'Q /"/ J � 6 V ............. CONTRACTOR -Ct4!S.C6 ....... .................... PERMIT ............ LEGAL DESCRIPTION: LOT No.....-........... BLOCK No. __............., NAMEOF ADDITION .......... ........... le ............................................................ . ........................... APPROVED OR 3 197U, -- �. - —Approved: - .......... DATE ................................................ By............ .................................. h;h PARCEL "A" w' The S 110.0' of the N 195.0' of the E 189.0' of that portion of:, ,• trl Tract 105 lying W of the E line of Tract 88, extended to the S line,of r �+ said Tract 105, Plat of Meadowdale Beach, records of Snohomish County,'': Washington.y • C1 F (i PARCEL "Bi/ V All of the E 200.0' of that portion of Tract 105, Plat of•Meadow- dale Beach, records of Snohomish County, Washington; lying W of the'E line of Tract 88 of said Plat extended to the S line of said Tract 105, LESS: the N 195.0' and LESS the S 20.0' thereof.E PARCEL "C" a� All of the N 195.0' of that portion of Tract 105, Plat of Meadow- P. dale Beach, records of Snohomish County, Washington W of the E line ,lying ' of Tract 88 of said Plat extended to the S lineof said.Tract 105, LESS the N 85.0' and LESS the E 189.0' and LESS the Westerly 10.0', as measured at right an g les �; of said tract, TOGETHER with all. of that portion'-, said Tract 105 lying W of the E line of said Tract 88, extended to tile f•t ,,of S Line of "said Tract 1.05, LESS the N 195.0' and LESS the E 200.0' and LESS ' the Westerly 10.0' , as measured at right angles, of said Tract, and LESS the S 20.0'-thereof. ^ �ri STREET 'F-U CITY OF E D M O N D S PUBIJ[C WORKS — ENGINEERING ACTION REPORT SUSPENSE DATE: V Date: Time: File # Attachments: Oyes I =No SUBJECT: REQUEST RECEIVED BY: TELEPHONE CONTACT IN OFFICE OTHER,: C= RECEIVED BY: ROUTE TO - NAME !NIT* DATE OPR NAME INIT. nhTF r IF 7 2 j#OPR 8 3 9 4 5 10 ACTION: OKI C 0 Z) 11 J3 r,4 L 0 6, All Concerned Notified LJ CITY- OFF EDMONDS Call PRoepect :6-1107 - when work CENTER WATER=SEWER DEPARTMENT Isyeady f6 i Inspectim (No'Inspec. "o tions Saturday; Sunday ,'i'O'14a,ys. - ) N_ l 3642 SIDE -SEWER -PERMIT 112 15 523... ................. _Iqlh. DDRESS .... ... JU4ge ... W.6st ................................... ------ ........... ....................................... s;..1Tikster ................ ............................... CONTRACTOR ..... --.-Cascade ......Cascade Sewers ..... i .................... ------- ............................. xiiiigsi6n is,.grEinted: r..................... . 19..W..79 for ....................... days to: REPAI[Wor RONNECT A side sewer zh 71 _6' iiY Sewers-, in accordance with Application on file and governing ordulances., "PENTION IS. CALLED T6 THE FOLLOWING: - TE No*,,-1—The owners of the property may obtain a permit to construct sewer inside property, line: A licensed:-Side must be employed to construct -side sewer In street aiea:., I)6�. ifol; cover any -portion of'sewer before, IthasbeenInspd " 6t6d. ., '.. TE No.%2—Obtain full. information regarding Ordinance 1I16;030 1. and: - Regulations - governing side,-se'wers wlfen . you get permit: W - o;3=,Top of side -sewer must have at least 30 Inches coverage*at`property line.and 12 Inches inside property line; -minimum grade I I of 2 `ben6 -in- grbde:sharper than Y� will be permitted. :W-No.-4— r nes In street must be water settled and surface of . ?,ce _h ­d f,. ■ 'h 3 -7 I CILa21N�, ��L� etfD 8E�Fb c��Fl c 30& Gi l.xlsS. HA y ...l ��54 HAW . -- 2.1-0 � APPROVED BY ENGINEERING L1LZw45:a1.=- Date: z✓20/o/ t Lor -&R.z H Zola 5C2 13 15 ;N�il�+-IT GdLGS a = 4 G b 433 ICI aXl � u r'1 = I �� •�1 S .. .. . Po r� �55 ICI D5IJ c 1E T4x Q0 151 I- 5 r-1 J.egal Dexription The South 130 feet of the East 189.0 feet of that portion of tract 105 of Meadowdele Beach, according to plat recorded in Volume 5 of Flats at page(s) 38, in Snohomish County, Washington, lying west of the east line of Tract 88 extetWed to the south line of Tract 105; except the south. 20 feet dmwf Si T uACK.S: FRONT — SIDE REAR c-ot'QP- LOf . OTHER HEIGHT ?.5 AP P VE B PLANNING PRFC,EEF lEE' D DEVELOPMENT SERWES CTR, CITY OF EDMi)NUS REVISIONS BY 0 m a o 3 .dm m m m�« w Y �a 1 vo. :f N Date Scale'�� Drawnt�T" JobGrAco 0015 . Sheet L Of Sheets 14 X 24 HUNTED ON NO. 1000N CL"APRINT 0 �B�rro�J S1rE PZAA) EC v FEB 14 2001 DEVELOI''ENT SERVICES CTR. CITY Or EDMONDS I .. . DATE RECEIVED0 PERMIT EXPIRES CITY OF EDMONDS ZONE r n PERMIT, V NUMBER iJU -0 J CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS rtLOTNO OWNER NAME/NAME OF BU NESS j�f� ��� �l ' ` PLAT NAME/SUBDIVISION N0. LID NO. LID FEE $ CC Z MAILING ADDRESS f /j __ ��� �j'� i ' �� %"_ rJ a�+'t— Vim. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 RW Permit Required C +/ `CJ (' EXISTING PROPOSED REQUIRED DEDICATION FT 0 Street Use Permit Req'd 0 Inspection Required p Sidewalk Required j 0 Underground CITY ZIP C� D +y TELEPHONE f �' 7 /� /�' b / �� (1� !l�" \i �i a( i// /f rt�{ Wiring required • NAME \l METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED "'�1 , �'\ YES O NO ❑ M w — ADDRESS 7 �/ l,�u� q (�6 \ t, �"1 "qti, /i lc REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Z O z CC CITY ZIP / �S ;TELEPHONE / `1 �,�/� 4-25,—� ej JC-7lr>>�✓u�✓ Can, to (_ NAME- C��T^ �i / V ENGINEERING J REVIEWED ATE ¢O ADDRESS DL'i D FIRE REVIEWED BY DATE w ax 0,N�o��S `�Z CITY l$ T E b -� 36� LL VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE BY • ��" \ �� `lJ �C ✓ +�� "" 2*CHECKED ,ll ❑ YESREQNO \ SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PR OSED a P T T ACCOUNT PARCEL NO. 1 l.J � 2� EW RESIDENTIAL LUMBIN / MEC LOT COVERAGE ALLOWED ROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT URSIDE REARCOMPLIANCEOFl!3 �:AUDITION ❑ COMMERCIAL ❑ /�/ 17 Ifei �� Inol �� I...Z U�1/ CHANGE OF USE • _REMODEL ❑ APARTMENT ❑ " SIGN z g a PARWING REQ'D PROVIDED LOT AREA PLA I REVI E �l) DATE ' / �( 1 2"Z4"y��' GRADING FENCE ❑ REPAIR ": CYDS �'' ❑ ( X FT) r!/ -i REMA "1❑� •' ` � 6 ' A ."I�� W) ❑ DEMOLISH TANK ❑ OTHER `• z GARAGE RETAININ ❑ CARPORT ❑ G WALL ❑ RENEWAL O H (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF O'N37TRUCTION CODE OCCUPANT ' IL v ` N GROUP �- NUMBER OF NUMBER OF DWELLING ( CRITICAL WVA512 AREAS / �y l�' SPECIAL INSPECTORJ/� REQUIRED ,� O I AREA ITl+ OCCUPANT 0' STORIES e•.- STORIES UNITS NUMBER �aG/' ❑ YES 66 µ r'. 7bla LOAD DESCRIBE WORK TO BE DONE V G.. Cotv�Tt2v� z 10 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D C7 o lj�DO­f' Amain '37Z 1 c N r7 F w Wn 166Z m L_ ( OVEN2E D (?e/kA A N (-) E tun i vj r� IG. 6 ST \ !U DCN- 70 � VALUATION . .'��C� FEE ZDT A S NCe "f PLAN CHECK FEE . JAEAT.SOURCE (;I A71NG % LOT SLOPE % �- •• BUILDING 11,0 PLAN CHECK NA: VESTED DATE. (j PLUMBING :_ In MECHANICAL ` 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. _ G9ADINGFFILL Y r SEPARATE PERMISSION:., . STATE'SURCHARGE W PERMIT APPLICATION: 180 DAYS a PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION-� y 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY,OF LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND, ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE,'ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE a = FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMEOTOMODIFY,WAIVEORREDUCEANYREQUIREMENTOFANYCITYORDINANCE RECEIPT PLAN CHECK DEPOSIT 1. j 1 jD -^ = NOR LIMIT IN ANY WAY THECITY'SABILITY TOENFORCE ANY ORDINANCE PROVISION.' J(,• RECEIP TOTAL AMOUNT DUE " ! / .• / ! 1� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF f i�+ APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is'acknowlodged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. SIGNATU (O ER A ENT) DATE SIGNED OFFI IALS SIGNATURE DATE (425),� - <.�` 771-0220 ATTENTION AEL ASEo Y DATE EXTi333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL U/ d-•._._. 771 -0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ORIGINAL- FILE YELLOW - INSPECTOR PINK - OWNER • GOLD -ASSESSOR 5/98 F en,y CITY OF EDMONDS SINGLE FAMILY ADDITION/REMODEL COVER SHEET "tic. 10" Directions: .Applicants are to complete the information in the WHITE BOXES ONLY (Shaded boxes are for City use only). This cover sheet must accompany each building permit application for a single-family residential addition/remodel project. -�:�PLAIN CHECK APPLICANT ���� ��� DATE RECEIVEDo°�''� PROJECT ADDRESS PROPERTY TAX ACCOUNT PARCEL # �/ S-1,e,2P DESCRIPTION OF WORK LJ-70yd OWNER A ?AM Cj 4S?ems PHONE CONTACT PERSON VEI-VtA ��jC,} PHONE 4ZS - 77b-175 67 E-MAIL FAX 4Z s - d% 74- MAILING ADDRESS 75-24D 0 :YM f lc- 1t:Lj D EVE %IT c cbma -D-5 FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO HI PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN OR 0 MAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED. SIGNATURE 7h, DATE 7-/ 3`(-)/ ZONING INFORMATION ENGINEERING INFORMATION DRIVEWAY SLOPE % -? RADING CYDS `© EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SO.FT. EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER 011 SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE D SQ.FT. (City Use Only SIDEWALK REO'D El YES NO DRAINAGE PLAN REQ'D YES NO LID# UNDERGROUND WIRING REQ'D YES NO STREET DEDICATION FT. STAFF COMMENTS: `BUILDING CONSTRUCTION INFORMATION TCODE EDITIONS _j 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS 'DESIGN CRITERIA -j WIND EXPOSURE B WIND SPEED 80 MPH Floor Live Load Roof Snow/Live Load LC ' Floor Dead Load Roof Dead Load j 5 NUMBER OF STORIES BASEMENTS LOT SLOPE % l 0 SEISMIC ZONE 3 Balcony Live Load 6,:7 Balcony Dead Load 1 v FLOOD ZONE U0 SOILS REPORT PROVIDED ❑ YES Lff NO FLOOR AREA (Measured to face of exterior wall) Proposed Total Living Space �EExiisstii�ng 67 T*6 3 Garage Carport �-o Deck/Cov. Porch Other (City Use O.30 nlyj Ceiling Insulation 2-2tO Window U-Valued Wall Insulation (L -191 Skylight U-Value Floor Insulation V_-10 -*A%lazing % Door U-Value .40 Slab Insulation Energy ❑ Prescriptive ,WTarget ❑ Systems Whole House Ventilation System Req'd XYes ❑ No Any request for modification, variance or other administrative deviation (herinafter "variance") must be specifically called out and identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically identified, requested and considered by the appropriate city offical in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. PERMIT ISSUANCE APPROVALS (City On A PLANNING REVIEW & APPROVAL DATE CONDITIONS OF APPROVAL: ENGINEERING. REVIEW & APPROVAL ��G���- DATE Y uiw� CONDITIONS OF APPROVAL: n BUILDING REVIEW & APPROVAL DATE CONDITIONS OF APPROVAL: T L:\temp\building\forms\Add-rvw.vsd -- 7/00 PvQc# �N q IMPt�Viaus Sup�ac� 3 5 IT FLd�j 5 11 I'1 = 20� of RECEIVED FEB 14 2001 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS AA. r RECEIVED FEB 14 2001 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS _g a �t APPROVED BY ENGINEERING Date: N 0 Dt�N N,ac.E ►, ro �l 3 51TE PLdI� 15 RECEIVED FEB 14 2001 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS F en,y CITY OF EDMONDS SINGLE FAMILY ADDITION/REMODEL COVER SHEET 'n Z. 1 %911' Directions: Applicants are to complete the information in the WHITE BOXES ONLY (Shaded boxes are for City use only). This cover sheet must accompany each building permit application for a single-family residential additionlremodel project. r r� PLAN' CHECK ti •• APPLICANT DATE'RECEIVE PROJECT ADDRESS ! /Dl � .-1 241 M j/_ l/; PROPERTY TAX ACCOUI DESCRIPTION OF WORK OWNER gji'Z��'t A ?AM PHONE CONTACT PERSON VS111A PHONE 42,>- - 77(6- 1 Zj � 7 E-MAIL FAX 4-27 15' - -771A_ MAILING ADDRESS 7S2 tG (} 1-<M p1 C- V (t-L j U WE 'AJ I rl� C Ei?l1'I0"D 0FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR *THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO HI PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN OR 0 MAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED. SIGNATURE DATE 7 I3-01 ZONING INFORMATION ZONE _�� &.6 LOT AREA NUMBER OF DWELLING UNITS ; EXISTING 1 DEMOLISHED PROPOSED DISCRETIONARY i4PPFtOVALS V CA� Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER L:\temp\building\forms\Add_rvw.vsd -- 7/00 ENGINEERING INFORMATION_ DRIVEWAY SLOP! 0RADING CYDS�(� EASEMENTS EXISTING IMPERVIOUb AREA CONSTRUCTED BEFORE 1977 SO.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE SO.FT. BUILDING CONSTRUCTION INFORMATION _. CODElDITIONS7__ 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS :DESIONCRITBRIA! WIND EXPOSURE B WIND SPEED 80 MPH SEISMIC ZONE 3 Floor Live Load Roof Snow/Live Load Z_ Balcony Live Load eg Floor Dead LoadRoof Dead Load (5 Balcony Dead Load I v NUMBER OF STORIES BASEMENTS I FLOOD ZONE U0 LOT SLOPE 9r. t� SOILS REPORT PROVIDED YES �NO FLOOR AREA (Measured to face of:exterior_wall) . ,Existing Proposed �Toottaall Living Space � 676 3yo Garage Carport �7?S(J ;�7/1_ Deck/Cov. Porch 3�iC �-� � 5(D Other (City Use Onlvl .3p Ceiling Insulation. Q—ZX7 Window U-Value ..:: Wall Insulation fL —!4 Skylight U-Value .�--- Floor Insulation -tAftlazing % z .Door U-Value Slab Insulation Enerav: 0 Prescriptive ,WTarge't ❑ Systems'' Whole House Ventilation System'Req'd Oryes 0 No Any request for modification, variance or other administrative deviation (herinafter "variance") must be specifically called out and identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically Identified, requested and considered by the appropriate city offical in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. 7PEkM1T88UANCE APPROVALS (City On R>rVIBW R APPROVAL 'ro ;' DATENS OF APPROVAL =`'4 �8 a Rao caTe IT 15D1 V14L 15rm 1 D OF P—) II �� APPROVED BY ENGINEERING Date: N I( 5 5 i 7"E PLbN I'1 = 201 o 15 RECEIVED FEB 14 2001 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS