17121 67TH AVE W.PDFiiiiiiiiiiii
5241
17121 67TH AVE W
85.00'
B.S.B.L.
r------------------------------
'9. 18, 48' 945'
M+3.0'
�4
+
EXIST. RESIDENCE
0
66'
Q+2.0-
L-- - - - - - - - - - - - - - - ----------------
- ---------------
48'
-
DATUM POINT -
WATER METER
85.00'
SCALE: 1"=20"-O"
IMPERVIOUS SURFACE CALCULATIONS
LOT SQUARE FOOTAGE: 10200 SQ FT
EXISTING:
EXISTING BUILDING PAD: 1782 SQ FT
EXISTING PATIO/WALK: 130 SQ FT
EXISTING DRIVEWAY: 448 SQ FT
99
OWA) &Zeeooa-546�
L?C# -
41SO1,99
_2
IN
I PLANNING
R9CEIVED
TOTAL IMPERVIOUS AREA:
COVERAGE
2360 SQ
FT
PLOT PLAN
APR 2 2 11999
PERCENTAGE:
23.1%
FOR
NEW ADDITION:
PROPOSED BUILDING PAD:
396
SQ
FT
BARRY THAR REVELOPMENT
SERVICES CTR-
CITY OF EDMONDS
PROPOSED PATIO:
TOTAL IMPERVIOUS AREA:
176
572
SQ
SQ
FT
FT
TAX LOT ID #
4197-000-002-0003
NEW/EXISTING:
TOTAL IMPERVIOUS AREA:
2932
SQ
FT
LEGAL DESCRIPTION:
COVERAGE PERCENTAGE:
28.7%
BLK 000, D-00,
LOT 2
HEIGHT CALCULATIONS
A= +2.2' AVERAGE GRADE +2.35'
B= +3.0' MAXIMUM HEIGHT +27.35'
C= +2.0' ACTUAL HEIGHT +16.95'
D= +2.2'
DOUBLE DD RANCH TRACTS
VOLUME 17, PAGE 52 OF PLATS
RECORDS, SNOHOMISH COUNTY. WA
. I
APPLICATION 111w
for
The City of EdmondS SME SEWER PERMIT
EASEMENT No
NEW CONSTRUCTION REPAIRS uc� Ic!>1
4.4
al L— N4< �ERMIT-No . ....................
OWNER -------------------------------------------------------------------------------------------------------------- CONTRACTORd . . ..............................................................................................
. ..... . ...... . . ..... . ...
ADDRESS .177.1..�Z-1 ............. ................................ .... ..... . ............
------ .................. LEGAL DESCRIPTION: LOT No . .............................................. BL4DCK No . .................... .. ...
0
0
-4
r=
NAME OF ADDITION ..... C72--PI ...... t ......... I ... A P� ..... ..............................
-4"-&eRN0
,4"W%M%
4.0 Wye T6
T-- lnWW2tlt-
L rn j r c
st; tp, ho u;, C.-
c-rm—,!y Wt eAst La
th I:- rc its C.-�-.
offl.
t
3(.0 t4 e. We
�TUQ& C-41
Femmt-T
44vX-'o
C:S7,r" e. %.e4
H
LA
a
2
t4%j
r
Approved:
3y ......
n -----------
cis 9-1
RECEIVED
City of Edmonds
APR 2 2 1999
12
CRITICAL AREAS CHECKM4FoNDEs'
The Critical Areas Checklist contained on this form is
to be filled out b� 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 atteIMTtyan CyloRyed are factual, to the
best of my knowledge (fill out the appropriate column below).
Own ant
9:ti�c 17�ao
Name 1-1/
/ 7L4 6-7�11 4�ty-- 1L)
Street Address
City State Zip
Applicant Representative:
Name
Street Address
city State Zip
Telephone
Signature
Date
(over)
creception\janakad.doc
CA FILE JV0.
Z
Cr itical Areas Checklist
-------------------------------- JVi 2-2-1000
Site Information (soils/topography/hydrology/vegetation)
I . Site Addre ss Lo cati 0 n.
17 lcl; IT� 4 ve.
2. Property Tax Account Number: Y 17 / LEV
3. Approximate Site Size (acres or sqvare feet):
1< yes; no.
4. Is this site currently developed?
If yes; how is site developed? I
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.t
Rolling: slopes on site -generally less than 15% (a vertical rise of I 0-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 3' )-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.
9. Site contains a Rm or an area where water flows across the grounds surface? Flows are year-
round? 4�2 7� 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:
CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH EDMONDS, WA 98020 (425) 771-0220 FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works - Planning/Building * Parks and Recreation Engineering Wastewater Treatment Plant
c..
August 3, 1998
Barry Tharp .
17121 67 th Avenue West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-197
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 Checklist "DETERMINATION" for your records.
.............
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS 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 APPLICATIONS 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.
Sharla Graham
Acting Planning Secretary
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
The City of Edmonds
APPLICATION dr
for
SIODE SEWER PERAUT
NEW CONSTRUCTIOW REPAIRS
OWNER ....... /Vje-1.4:7�n ........ A.- ................
. F, /2
ADDRESS ... ............... 0.7 ... 4, .....
... , ............
c� 2
EASEMENT No . ..........................................
Llo /q/
:;) - 71
CONTRACTOR .... C17W ..... ... . .....
LEGAL DESCRIPTION: LO . .................... . . . .................
T �50 ........ --- BIAD�CK No . ............................................
NAME OF ADDITION ........ ........ / ff ............
Approved:
DATE................................................ By ......................................................................
4ER' VE
SEW
`�CJIT
FF;:'lE
sk
W
AIP,, Nl.
kl
ru
he, ec.onstru
�Iiortio�� !oi' A
ZE FORE',',�PYer ng, n
nspec��l
6�1�107j; for'.' �tde,,;seweEl
,,,oikholid
C III
a
-'p -�e4rovlde�
ho�rs fter�,yeq�eWt'.z
............
.. ..........
46
elloe Ides
........... ..
�:67
. ............... ................................
evoN...: ... ................
S§i,j,i6 oNsinu-, ..... ...............
f llll"61�E .................
..........
7.,
Do R ..
oubl
D
itt Y 5L E-'% E S.G rV 0 N ... ............
...........
,)PROPE] G Affi' lb ............. ......
.......... ....................
..............
................. .............
....................
_'R .. ............
.141 ..........
......... ...... er
...... 7 .................. ......... I JAC ob" T**
......................
rm AND. Edmon
WE d'
OW, 6 7 t h.: .........
.. ...........
........... I__- .........
UbliSt
..................
itiLrypseWer.
l&ADDRESS .....................
I;,:C6N.TRACT0R'-S�' d
e
"conneC
�octb er7,� . ..... ....... lor repa�r andl4or
7-3
..................................
e�ofJ,EdmondS
it
Isy h.
CM'
:,A:',Il�ensed',Side, el:
7 -
DrTOI-THE�IFOLMWING t�fn,je,� �er�6 . I. foi constru . c Be
�f-jjjj6,�,propert�, nj�. ;o d'
.�k4* beforeAt :has,tbeeminspecte
r'o 1.�!The.'o�vnerMl -D :cover 'a-mitrobt6inable- frorn, the city Engineer,
1. , .": ,Ide,'Isiwer�-it,�,�treet,a�ea�.!, o,�. �ht.of_W&y,,pe
of-�vak,:�6q�ire.',�anl:,In,a�ion'.�� t permi e,
-ael -No,' ends; -'in,-:'9r'ad
Ig,s e s6%�ers;whimyoulgP
No -l—Allimor �Po itne;,�,Tni�l�
'6,.,630 tnsiitle�,prop`Iirtk,
id num�:gra
a�4�,R�g�j.[tions� ;gov,rrit�
.,N&E� it, jjngI,Ordln&6Ce: 14'.1
lb: :3'— li o-�erage.- . . at�,propertY�Mn !,and,
!obtmn,l�liiAnformatlon% r�g. e ...
NOTEI 11 have �at le-t 30-�jnc es. c . for. la6re,iilue, . to'! inipr:oper*
Contrac ors ��a�ll,be� respo n s
NOTE� No.14—,.], ;.wllPibe'i;Perjyjjtt`ed�, t t
harper�tham.,�q -restoredk: fo�,.orlglnall COlidition.
;et �n�'st`-.be- w-ater;,settledk. and surfaeet�of:s ree .. . I : . . 1 . . , . iirtenancesikexcePt, tc;,;tp
in,isire I ;.. ; : . -sewel!0r'It"aPP
.N�qTE;,No "S�—Trehches, a'r.,of,-CompI6tjon., j.. Ao :
hin, one* ye . , y� he ra.in, k�
. . .1 - t�. the�.permjf,j,or
work _,w.hI0,,may, (develOP'wi! ajj�, :other,, work,.�thf�� proyide�,& f0r� in
jo,;�ltenuor,ido,!.
NOTELNO., 16��It,IF;�,uniawjup�
into,
eerVAhe.,Pl0e ,the wye;,
4
%
By ........ .. Da e;
.Pjib.V,Eljl' D . ..........................
... ........
...........
.... ...............
.................
mp
... .......
........ .....
7
..............
..............
.................... ...............
t-�F&,Inspec ion...
.. ........ ..........
............. ...... .,Keques t
. .... .... .. RJOR Tot
......... ....... ........... f,.'yj�nj,:.Ip -khing'�Constr�4c�t'On` P
gned B.V ..,w
yner,p
lati ri,!�onArtidddi. -
sewer -instal 0
h b
e re Y
..... . struction, d
DS DE
Date...,
'By
A' -the- City /Edimon, s.,
P6rfrrrnlng:;Com
'o
MW
di. ...................
fJCo raCt W i
11 gbverning.,�or pancesiq,
daifee)
stalyedki maccor I.&Y,:0.
Dated�Aw' -------
7 -
sl 7 Telepf,009,
B -M
E
V-W5 , V
A
C.-I TY OF EDMOND'S
PUBLIC'WORKS EW31=Ile
ACTION REPORT
1638
SUSPENSE DATE.:;. .
Pat e
Time. AO�YU Fil
cox�s
No
iSUBJECT: 1,10t SC
117
...REQqESTOR.:
ADDRESS:
PHONE:
REQUEST RECEIVED BY:
-.-TELEPHONE
C NTAC'�_'_
0 T IWOFFICE'.'.�
-;��-OT�ER:
REC
EIVED BY:
ROUTE TO:
WON
0
IMMINE
M01—
Mwnm�==
A C f�N.._
All Concerned Notified,
Action.Completed/Fi-le'
CA FILE NO. q4j—j "� —1
Critical Areas Checklist
---------------- -------------------------------------- JV�
Site Information (soils/topography/hydrology/vegetation) 4 1998
1. Site Address[Location: 171(31' L,7r� 4ve M o CON
2. . Property Tax Account Number: - q1 TZ 06-V WcR rcf) -3
3. Approximate Site Size (acres or sq7e feet)- 61 !s6-r
4. Is this site currently developed? _yes; -T no
If yes; how is site developed? - !ar, I o-e
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 I 0-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 I of greater than 3 0% present on site (a vertical rise of I 0-feet'over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing wate r. Approx. Depth:
7. Site contains areas of seasonal st anding water: Approx. Depth:
What season(s) of the year?
I
8. Site is in the floodway floodplain of a water course.
9. Site contains a Rre-k 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 eadow shrubs mixed
urban landscaped (lawn,shrubs etc
11. Obvious wetland is present on site: AJ
City of Edmonds
"k-M.M.W 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).
Owne icant*
9:vl �Yldao
Name
Street Address
City State Zip
Applicant Representative:
Name
I /
Street Address
city State Zip
Telephone
Signature
Date
(over)
creceptlon\janakaddoc
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works - Planning/Building * Parks and Recreation - Engineering - Wastewater Treatment Plant
C
August 3, 1998
Barry Tharp
1712167 th Avenue West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-197
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 Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHfrffJL_S_T OR CRITICAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitte d 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 APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Enc: Determination
* Architectural Design Board
C:ReceptIonUana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Sharla Graham
Acting Planning Secretary
.0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
�J
CITY OF EDMONDS
USE
ZONE PERMfT
-9
CONSTRUCTION PERMIT APPLICATION
NUMBER
rF K) 11) 0 3 A 0
OWNEWAME/NAME OF BUSINESS
jog SUITE/APT
ADDRESS
I
#
LEGAL. DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
U)
LING ADDRESS
131di &' 74
CITY ZIP
'LEPHONENUMBER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
T6CP Approved a/
RW Permit Required 0
0
CIFFM),
W55/43
EXISTING REQUIRED DEDICATION
Street Use Permit Req'd 0
,;4
NAME
-
PROPOSE
inspection Required 0
Sidewalk Required C3
QV Aj��r
ADDRESS
METER SIZE
LINE SIZE
NO. OVIXTURES
PRV REQUIRED
YES 0 NO
REMARKS
<
CITY ZIP
TELEPHONE NUM185R
7:k"" ,--
Lu
Z
',-9 v0 1-),6) IWA r., 1v pec 77&,%/ le—er-,
NAME
Lawkylerr i4licdo�
146,e3
M
ADDRESS- . . , ... -74
3 () I s4. stJ
ENGIN;EER7�NG M 0 DATED REV
CITY ZIP TELEPHONE NUMBER
EW
a 67D BY
7
Z
q folk
-7q Q--a7
FIRE MEMO DATED REVIEWED BY
8
STTE
EXPIRA DATL
w
cc
a
.4114.
VARIANCE OR CU
ADS#
SHORELINE #
Legal
Descriptlori`61' Pr6perty - include all easemerits
0-
L �ogkla_
iNb �aAr_h —noc
SEPA REVIEW
C L E EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
02
XP
LOT COVERAGE
,.,ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
A
Z
=Unt
Parcel N 0-3
0. eve
LOT
/ U,
AREA
'101PLAr G way
.,!�,.nV'E
CQ
1-115, 0
r.-.:) 1-
Q
NEW
lug
Ja4 RESIDENTIAL
ECH
REMARKS
COMPLIANCE OR
ADDITION
COMMERCIAL
CHANGE OF USE
REMODEL
APT. BLDG.
SIGN
?RAf.INI FENCE
REPAIR
C CKED BY
TYPE OF CONSTRUCTION
CODE
OCCUPANT
GRO��:Z
Cy-.DS�,. —FT)
DEMOLISH WOODSTOVE SWIM POOL
INSERT HOTT UB/SPA
N
SPECIAL INSPECTOR JAMEA
REQUIRED
OCCUPANT
.
GARAGE RETAINING WALL/
CARPORT RENEWAL
C3 YES
LOAD
0
E
ROCKERY
(TYPE OF USE. BU?INESS OR ACTIVITY) EXWAIN:
MARKS
PROGRESS INSPECTIONS PER USC 108 Z
BER NUMBER 6F
NU
ICRITICAL WAIVeA
4V,11101,
irk.
0
0
OF
STORIES
D%'
DWELLING
UN
NITS
U 1--
AREAS
INUMBER 12 8 7
OESCRISJW TO BE DONE (ATTACH PLOT PLAN
,J1RK
M., god(_"
A— 114 r
FINAL INSPECTION
REQUIRED
0aA r /o se
VALUATION
PLAN CHECK FEE
HEAT SOURCE:
GLAZING
A0.2 %
BUILDING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGI.FILL
Any construction on the- public domain'(curbs, sidewpiks,
doy�waysi marquees, letq,) y�lll require se;�prate perml�ilorI4
STATE SUR6HARGE
Perkt.Appll�atlon: 180 Days!
Permit LImIV I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENO. INSPECTION FEE
successors In interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Was4ington, its officials,
.2
employees, and agents from any and all Claims for damages of
cc
<
x
whatever nature, arising directly or indirectly from the Issuance
X
a
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
0
modify, waive or reduce any requirementiof any city ordinance
x
nor limit In any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
I hereb C
I hereby acknowledge that I have read this application; that the
In 'Orma" on
information ' given Is correct; and that I. am the owner, or:th.0, duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply wit.hiqlty and;,
au ' orze d a
at ate laws re
state laws regu!apng.cpnstructlon; and4n doing the
THIS PERMIT
This
work authoriz-
d h by fJ
e t ore
Ed thereby, no pprsoh)will be emplo'yed In violation
AUTHORIZES
application Is not a permit until
of the Labor
ONLY THE
signed by the Building Official or his/her
Co 0 of t a
d h ___.
Code of.the State of Washington relating to Workmen's Compensa.
WORK NOTED
Deputy; and fees are paid, and receipt Is
n u ra
tio lvs_
tion Ia1—u_ri36q aria RCW 18.27.
INSPECTION
acknowledged in space provided.
SIGN to DAT17—SIG E D
DEPARTMENT
�0
CITY OF
OFFI I SIGirlt DATE
`�E
EDMONDS
.A
TT T I I
ION
CALL FOR
INSPECTION
_R_ELEWb BY. 91
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
C(�IGINAL --F'-il'e YELLOW — Ins�p Ctnr
771-0220 e L
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
SECTION 109
. ....... .....
PINK — Owner GOLD Assessor