17421 69TH PL W.PDF111111111111
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7421 69TH PL W
PLANNING DATA
NAMEA&Lum
SITE ADDRESS:-k-114al (AP PL.\iJ. DATE:
ZONING: R%- PLAN CHK#: C), - lsu-
PROJECT DESCRIPTION:— kop r4q j,-,3 'X15 2 X%W- cva
CORNERLOT YeAa4 FLAG LOT (Ye
S/ 0))
SETBACKS:
Required Setbacks:
Front: Q%) Left Side: -7 .5L'Riqht Side: -7. S' Rear: OV
Actual Setbacks:
Front: Left Side: Right Side: Rear: -1
Street map checked for additional setback required? 0)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED ()&
LOT COVERAGE:
Maximum Allowed: Actual: Gt�� '5a
1 :5 01 1 L4 6 'M� A, t -4 1 �R
BUILDING HEIGHT:
Maximum Allowed: ab ----_.Actual Height: LEQQ-)-Ty�prj c'�51
cAorqA CW I
Datum Point: T04 5r= U*44cs- ov PVeo -Datum Elevation: 100
A.D.U. CREATED?: r�0
SUBDIVISION: QuAggy-tA oggga
0
CRITICAL AREAS #:QA- c>c)-1 -in \jA,%y9p
SEPA DETERMINATION:
LOT AR
Plan Review By:
c,.Ti1es\perrniMp1mdaLdoc
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FT.. 10 � 20 30 40
5 1 TE FL AN o' A.rcFPTABLE TIGHTLINE
SCALE: I" a 20.00' MATERIAL
SDR 35
SCH 40
TAX ID NO- LOT ARE14
&3e2 000 004 00 OcJ -j,o&(oFgl9. pf�Nuun
FOOTING DRAINS NoJWNER: LOT COVERAGE
TO BE TIED INTO RT J LUIL50N 2141 50. FT. 23.5%
DETENTION SYSTE&'
51TE ADDRE55: LOT 5LOPE
11421 (oeTH PL. LU. EDMOND5
14 5, 6 1'
B=93'
r
--7 -----------
J
I EX16TING HOU5E w G14R E
.... ........... .................
............
. .........
............ ...............
EXISTI.T
DECK
............ ........... ............
::::::::::::::::NEW DRIVELU'Al
E --i
XISTI
............
OWNER/CONTRACTO RES ..........
EROSION CONTROL AND DRAINAG
pyDF
4 a. rbo 2'
IMPERVIOUS 6URFACE AREA
EXISTING 5UILDING FAD. 13e5 5cl. Ft. (CONST. IB-14)
EX15TING DRIVEWAY: 1400 sq. ft. (CON6T. I-J-14)
PROI=05ED GARAGE ADDITION. 14(o scl. ft.
GARAGE 15 OVER EX15TING DRIVEWAY AREA.
4VERAGE GRADE= 'B5.13'
ACTUAL (EX15TING) = 11(o.a'
MAXIMUM = 120.13'
R0,VED2,,BY-,:P.LANNlNG
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DATUM FT.
CENTER OF
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GUTTERS/DOWNSPOUTS
TO CONNECT TO EXIST- SyST---
APPROVED AS NOTED
BY ENGI EERING
Date:
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MAY 2 2 2001
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
if R E El" F I L E
City of Edmonds
Development Services Department
Planning Division -
Phone: 425.771.0220
Fax: 425.771.0221
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept: I k--0-1 — m-,=o
City Receipt No:, �GS-10
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 checidist, 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 subn-fit 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 th . e
best of my knowledge (fill out the appropriate column below).
PLEASE PRINT CLEARLY
Owner/Applicant:
Name
ng �-t Gl*,\ �k- -VJ
Street Address
iENM(�b5i
City State Zip
14 �JIIS
Telepho
Signature
// k A
Date RECEIVED
d:rwepWerWCACLMandwA.d= NOV `0 7 2C30
Applicant Representative:
Name
Street Address
city State zip
Telephone
Signature
Date
Revind 411MM
hMICI AMACKIT
CAFILENO. CA-00-115
Critical Areas Checklist
-------------------------- - -----------------------------------
Site Information (soils/topography/hydrol.ogy/Vegetation)
1. Site Address/Location:
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? YeS;_no.
If yes; how is site developed?
S. Describe the general site topography. Check all,that apply.
ZFlat: less than 5-feet elevation change over entire'site.
Rolling: slopes on site generally less than IS% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than IS% and less than 30% (a vertical rise of
I 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades 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 water: 40 Approx. Depth:
7. Site contains areas of seasonal standing water: PJ 0 Approx. Depth:
What season(s) of the year?
8. Site is in the'floodway PJQ floodplain : 00 of a w ater course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? —NO 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: r-J0
'0
"a
.44
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AN -AUK AW IWOM
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EMY ONIDS, �3,, IeIPERIMYjIT`-
DE S E\ W " /i E: R,
OF
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�rt 6m, r�"-
all .7,75, Z52 �:'iskie�i. 'ise'We 'specttorm'?ISFFORO !covering� an fl. Ahe
5, i6r., in i pp h Const�U99,1,1
N 0 �Sat
I T�s pe�c tj 0 ni. w I 111 b e t,p roy I d ed I w t h i n i �4'*, h o u rs! fa f t e r reciust., ISunI.or.'hoIId:ay, lnspi�ctlon&j
7
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W�.l--c4,-Ti,6Ni,.isi�6A.'LLFb)',T,01'THE�,,FOLLOWING�;"..'-
-NO�T-EIIN&,�—T.he*,,o�ineis�toil4ih'elipropert�).,r�ay,�,'o-�tain,.a, -permit, to,,conitruct;sek.er linsid6),properLty,'tline'.-,A,�licenmed(�Side,'Sewer,�,Contractor,,mustibe,,'Cmol6yedii6,�conEitruct,
V
D6,mot,co ei, s�ny,,'�portion,,of..',sewer,b6fore Ji �has1jbeen,lnspe6t6d,,:,.'., -
A 6rme 'd' c y� gh,
,�N.OTMJ�No.112', NllL4.ork!,peif jnf�'lt * Irl ermitk�obtaln-able��fr,6m�,the�(City*,,Engl'neer,�S'LOffice..'
�4'—'T&pflof,�sid-i�.,sewer.,m*ust,hbLvel,af:]'eas�"30� inches-'gcov.qragewat woperty., linei4ancft,12IAnches lnslde�)propeftyl line ;�,rnlnimum; igF0e)I.of-,'2 %::;-,No, Jbendsj 4n)jgfadei-,
er�Oaii; - willi,be,permittedl.,
15-L'�rrendhesi�i�Wstreei'�mu�t�ibe�weLt*er,�s6�tled,p�nd�i;urfa�ect�of�istr�eet,,regto�ed(.Ito��ori'giiiali-,cq?�dttio��.,,.,Contraoct,ors�;shall,��be: risponqiblei for,, f,i.Liluret(dueil�f6,),Iirilprol)ler-
Work :vihfcb,mak,,.devclop,'w Ithi n,�on c %year of �cofiipietfon..
ex�e�Vjto)d
�OTB�N' ((�—Jt�jsou j�'wfiiiiiit do"al terl�brlaollany �oth er".NKOrk A haxi, s,proyj d edt. for In'. it he�,,perffi J t� �lor 4of,doi !any,, work ion: ma:ln- :sewcr.,,or-;it34ELPPU anc�s��
-wye:.:",.
ate ........... ........... .. ........ �D .............
M�SATPROX)FeW _fE31_�)Dafe! ......... ....... I ............. �`,By .......... �'. _ID ............... ..... ..... .... .
teIIE6 a .......................... ........ ............................. ...........
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spects*p'n6�,,—',�--
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-hiit -ins�aif�tfoiii�c'6iist-ructedt,tind6r,,,t.hi-si'�permit-
. ..... he�6by- �6erfify�i s ew 6
ntract ;(rev'&rformini; cbns�rLiction,)'i,
ir
\wfInst9If6dUhqacc'&.da cei, If-&verhih ordfri i V
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ces lh&ICRY o
ai %
T
1.91
-,this.: ...... ............ . . .... day (of'.*...* . . ............ ........
.......... ............
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City of Edmonds
EET F&EHT-OF-WAY CONSTRUCTION,
PERMIT Permit Number:
Issue Dater'* 3-3o-W(
A. Address or Vicinity of Construction: - 17421 69 _P1 W (9411135)
--amm— C, B. Type of Work (be specific): Install New Service
9 0 9 C�
C. Contractor: Washington Natural Gas Compa Contact: Frank Swan
Mailing Address: 815 Mercer St. Seattle, WA Phone: 224-2278
StateLicense #: Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. E] Commercial E] Subdivision El City Project [N Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family 0 Single Family E] Other
t
INSPECTOR: INSPECTOR: "',4c,�K
Pavement or Concrete Cut 0 Yes :BNo G. Size of Cut: — x H. Chargq,$
APPLICANTJO READ A D S GN
INDEMNITY. Applicant understands and by his signature to this a I pplication, agrees tkthe City ofEdmonds har-Wf_-9n
io damages, or
f*,claims of any kind or description whatsoever, foreseen or unforeseen, that maybe m inst the City of Edmcrhxr�haiil f rtments or
employees, including or not limited to the defense of any legal proceedings including defents,06 c t and attorney feesLby reason ofgranting this permit.
7.4 1
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A"i�kRIOD OF ONE YEAR Fi5PLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FE S ILL BE HELD UNTIL THE FINAL STREET PATCH
0
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BI q079SET FOR ISSUANCE T�T[&A&�Xj4NT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during pr�o�'gress--a'-n-d'-dt-�6ffipletion.
Restoration is to be in accordance with City Ctodes.
Street shall be kept clean at all times. 1, � I
Traffic Control and Public Safety shall be in accordance with City, regulations as required by -the Of�9'4j-lneer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working ( day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit require%ents and thepink copyof thepermit will be
available on site at all t' 9-for inspection purposes.'
Signature: Date: March 21, 1994
(Contractor or Agent) -
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY -
TIME AUTHORIZED': VOID AFTER DAYS
SPECIAL CONDITIONS:
COMMENTS:
DATE:
RECEIPT. FEE:
ISSUED,BY: ;04z1__ "gch! �ewo
U,
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991
FIELD INSPECTION NOTES
� t
Cbm'ments:
Diaoraml:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
D YES El NO
Date:
Date:
vton
Av*ergcn&wwC*TP&v
Addendum to Citly of Edmonds
Right of Way
Permit Applicaiion
Submitted by: MITCHELL S.-LANKFORD
Engineering Aide
Washington Natural Gas
# -, .52*1 t5246
I
eg&
fA, WNG to window
Water 3main depth
gas riain
F. 9.
WU 41 , v.J
� g - . - -7 - -
Key:
-w-
water
-g-
gas
-ss-
sewer
-9-
water hydrant
C) -water
valve
J! h-, - ccr St. B
n x &=qk. ..Vt 0111; f 2X) 622-, -;67
ZA
0
APPLICATION
for
SEDE SEWER PERAHT
The City of Edmonds
Ij EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS
L—Q 4 (f4 �4
O'VVNE TF ........ PERMIT No. A
R .............................................................................................................. CONTRACTOR 17J.C.H ........... CONST.. ......................
ADDRESS ..... PL . .......... fS - ----- W .................... LEGAL DESCRIPTION: LOT No . ................. 4 ......................... BLOCK No . ............................................
...... .....
NAME OF ADDITION ... CL"ELP;RY C F) E-STF
.....................................................................................................................................
CEEP
Approved -
DATE ................ ... By.-
e
APPLICATION
for
The City of Edmonds
SIDE SEWER PERMT
EASEMENTNo . ..........................................
NEW CONSTRUCTION REPAIRS 0 41D )G4 q 7/-L)
7- /5 C I? &,E
OWNER ..6=11—f-,EX ....... A.0-13- .... .. T.:q ..... I.'/ ............................ CONTRACTOR .................................................................................................. PERMIT No.
ADDRESS ... LTL/ .... AJ .............. 6-61 ------ Pk: ------ 5-W ................. LEGAL DESCRIPTION: LOT No . ............. ---------------------------- BL()CK No . ............................................
NAME OF ADDITION .......... CZY..Y�..9..R-Y ........ E ...........................................................
10
0
p Fgq �,, q /-k p kPTF-K
Approved:
DATE................................................ By ......................................................................