18416 HIGH ST.PDFiiiiiiii lill 11
11503
18416 HIGH ST
ADDRESS:
TAXACCOUNT/PARCELM 005-(-otF&60100,2-00
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: [I Conditional Waiver
Wtudy Required jb�Vaiver
CRITICAL AREAS #: DETERMINATION: F] Conditional Waiver [] Study Required El Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
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 USEIENC ROACH MENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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PLANNING D ATA STREET7FI�'�]
SINGLE FAMILY RESIDENTIAL
Name: IV14 0 Date:
Site Address: 6 f1lan Check Zoo P6 Y_
Project Description.- �F/� (&vlo'chl
Reduced Site Plan Provided.- (0/ NO) Zoning:
Map Page: q
Corner Lot: (YES
Flag Lot: (YES
Critical Areas Determination ff:
MLStudy Required e
/1/0 5- A"Old W01,
M"Ci, 57,�
El Waiver At 'A - q. A 4— 1A
V4�r
SEPA Determination:
O-Exempt
El Needed (for over 500 cubic yards of grading)
El Fee D Checklist 0 APO List with notarized form
Reqaired -backs
StreeL-.
0
Actual Setbacks
Street: f _2q side:
39. _S-
�Reat
Detached Structures:
Rockeries:
Fences[Trellises:
El Bay Windows/Projecting Modulation:
Stairs/Deck:
t
Datum Point:
Daturn Elevation-. /00
Maximum Height Allowed:
it: la�.q (ZZ_Cr)
offier
Parking Required:
Parking Provided: "2_
Lot Area: 3 2
Maximum Lot Coverage: 35% Proposed: 0 /-0
Lot Coverage Calculations. -7 f Lj�
ADU Created: (YES 19)
Subdivision: -
Legal Nonconforming Land Use Determination Issued: (YES
Commetits
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Plan Review By:
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ATTENTrON IS th ...... for
th;' Ion 's gr1lated ........
----------------
City sewers.in accord.... - ' gy " -1d) 8 --------------- day ....... -APY-A.App .......... -----
NOT—P No. CALLE 1ppiz-oln on ....
I —The TO TRE POLLOWIEN file and govern,, ------ s to RUpAIR -------- --- -------
NOTE be rop',.yed of the pro, G: 9 Ordinances. Or CONN-VCT a side sewer
IVO. 2--Obtain . full , 0 Construct iy, fn:�y Obtain a
NOTP, de sewer in st�el`erniit to
NO. 3—Top of Sid ",formation. et area. DIn-struct
regarding 0 sewer
NOTZ No bend I sewer Ordiiian, 'mot cover inside
S In "oust have a e 11 an DrtionP,"Perty line.
azid Regulati(;,, sewer befor 'censed Side Seqv
Wenches t 1 .16.030
NO. 4— 11a4e aharl)er than east 3. -
N failure duln street I % Inches e it has been inspec cer
Water se d
e to iin Must be will be �,ei;McGverage at 9 side sewers t
OTZ No. I PrOlier work Wh, tiled and !tied. Property ]I . ne and "b!" y- get Pe,,,Iit.* Contractr
lems unlawful t CIA 12 inches inside
nees, exceptO alter 0 n3av develsurface Of
to in r d op wit., street rest Property line; in-
sert tho any Other work th n One Ored to ori,.
Pipe Into the wm an 13 PrOVIded Year of COMPletion. ins' c0ndjticn� Contra mi]mujm grade of
for '12 the perinit, or to do any work oil ctors shall be responsible for
the Ins"n sewer or its appur_
0
& 90 .19-9 -
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
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information 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:
Herman & Hendrika C.van Deursen
Name
orn e r s
Title
18416 lli�zh Street
Street Address
Edmonds, 'i'IA 98020 774-9138
�ity, State, �IP Phone
16 / 912
Signature Date
Applicant Representative:
Name
Title
Street Address
City, State, ZIP Phone
Signature
Date
Critical Areas Checklist
Site Information
Parcel D, a portiori of
Project Name: Tract6 1&2. Block 1. PermitNumber:
Seahiar3t
Site Location: 114: f'-1- -001-001-0102
�, St., ;gjFle 4_R_ Property Tax Account Number: 5 6 5 6
Approximate Site Size (U=wsquare feet): 14,900
Have you filled out a Critical Areas Checklist for a project on this site before? r n
General Site Conditions
1. Has the site been cleared or logged? ne-- k A R->, Date of most recent action:
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 13
3: 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 of horizontal distance.)
X Steep: grades of greater than 30% present on site.
Comments �.Iould -plan to build a rock wall
Hydrology/Vegetation
4. Site contains areas of year-round standing water: VL,--
5. Site contains areas of seasonal standing water: —Approx. Depth:
6. Site is in the floodway 'V\,4.-- floodplain---Uar--of a water course.
7. Site contains a creek or an area where water flows across the grounds surface?
are year-round? vw- Flows are seasonal? W-t—,
8. Site is primarily: forested ; meadow ;shrubs ; mixed X,
9. Obvious wetland is present on site: kA,,g-
10. Wetland inventory or map indicates wetland present on site: VUU-
11. Critical Areas inventory or map indicates any Critical Area on site:
For City Pse Only —
Determination Number'CA- qZ-2(,o Reviewer:.
Planner Date
Rey 3/27192
City of Edmonds
Critical Areas Determination
Applicant: Herman & Hendrika Van Determination #: CA-92-26
Deursen
Project Name: Permit Number:
Site Location: 1 18416 High St I Property Tax Acct #: 1 5656-001-001-0102 1
Project Description:
New Residence.
Waiver Criteria (all criteria must be found to apply):
xxx There will be no alteration of the Critical Area or its required buffers;
xxx The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
xxx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xxx The above findings are based on the following conditions of approval:
1. The slope on the west of the property is to be delineated by a topographical
survey and submitted to the Planning Division prior to the application for a
building permit.
2. No construction is to occur to the west of the top of the slope
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds Community Development Code.
Name �ature Date
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APPLICATION
for
The City of Edmonds SIDE SEIVER PMAHT EASEMENT No. �R-OjY*Y-6-37
NEW CONSTRUCTION REPAIRS
OWNER ..... ................................ CONTRACTOR ....... ...... J0,D14-0-e, .............................. --------------------- PERMIT No.
A,DDRESS''..,/YA/-,/4 ...... . --------- ........................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ..................... ......................
4
NAME OF ADDITION ....... Z4� ..... - -----------------------------------
, �135
.4N-
A 1
Az
co
A X
APPROVED
JUL 2 5 1968
Approved:
DATE -8-7276-18 ............. -- ----
By�-
ell,
vbbt4OAED
co
VOOO
'Rl
Cy
-------------
--- NO
---- --- - --------
jpr. C14k Ot Equicuf4a Fl, 1:!E -4�ZJ
Aim
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREET=F
_ 71LE]
Name:
Date: 3 /P4
Site Address: L(
Plan Check #:
Project Description: C., 2-
Reduced Site Plan Provided: NO)
Zoning:
Map Page:
Corner Lot: (YES /a
[Flag Lot: (YES kift
Critical Areas Deten-nination #: —C K A Zoc)'6C) I
49-49t��ecl S -�, J
Waiverv--OP---�
SEPA Determination:
Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacks
Street:
Side:
Side:
Rear:
Actual Setbacks
Street:
Side:
Side:
Rear: q S-
IM Detached Structures: I q 2-
0 Rockeries:
El Fences/Trellises:
El Bay Windows/Projecting Modulation:
El Stairs/Deck:
Height
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual He ight: I
Other
Parking Required:
Parking Provided:
Lot Area: 351000.
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: 5,� (q2-
ADU Created: (YES
Subdivision: VJJ-
Legal Nonconforming Land Use Determination Issued: (YES /EO)
Comments
Plan Review By:A- � 6
Planning Data Form 04-11-06.doc
City of Edmonds
Critical Area Notice of Decision
Applicant:
Property Owner:
Critical Area File #:
.11 vq
Permit Number:
GL-Da)H t (z, I
i Site Location:
sf.
Parcel Number:
1 2-0
Project Description:
ct, o .'e C— S. -
4
F� Conditional Waiver. No critical area report is required for the project described above.
I There will be no alteration of a Critical Area or its required buffer.
2. The proposal is an allowed activity pursuant to ECDC 23.40.220, 23.50.220, and/or
23.80.040.
3. The proposal is exempt pursuant to ECDC 23.40.230.
Erosion Hazard. Pro9ect is within erosion hazard area. Applicant must prepare an erosion and
sediment control plan in compliance with ECDC 18.30.
F-J Critical Area Report Required. The proposed project is within a critical area and/or a critical area
buffer and a critical area report is required. A critical area report has been submitted and evaluated
for compliance with the following criteria pursuant to ECDC 23.40.160:
I The proposal minimizes the impact on critical areas in accordance with ECDC 23.40.120,
Mitigation sequencing;
2. The proposal does not pose an unreasonable threat to the public health, safety, or welfare
on or off the development proposal site;
3. The proposal is consistent with the general purposes of this title and the public interest;
4. Any alterations permitted to the critical area are mitigated in accordance with ECDC
23.40.110, Mitigation requirements.
5. The proposal protects the critical area functions and values consistent with the best
available science and results in no net loss of critical functions and values; and
6. The proposal is consistent with other applicable regulations and standards.
;P
Unfavorable Critical Area Decision. The proposed project is not exempt or does not adequately
mitigate its impacts on critical areas and/or does not comply with the criteria in ECDC 23,40.160 and
the provisions of the City of Edmonds critical area regulations. See attached findings of
noncompliance.
Favorable Critica I Area Decision. The proposed project as described above and as shown on the
attached site plan meets or is exempt from the criteria in' ECDC 23.40.160, Review Criteria, and
complies with the applicable provisions of the City of Edmonds critical area regulations. Any
subsequent changes to the proposal shall void this decision pending re -review of the proposal.
Conditions. Criti cat Area specific condition(s) have been applied to the permit number referenced
above. See referenced permit nu berfor ecific ondition(s).
1�,/ /-7/
M
-7
Reviewer, Signature Date
Appeals: Any decision to approve, condition, or deny a development proposal or other activity based on the
requirements of critical area regulations may'be appealed according to, and as part of, the appeal procedure, if any,
for the permit or approval involved.
Revised 12/16/2010
-7
CITY 6F ED USE I PERN I
ZONE.� 5� . ..... Irt,
'I
NUIJ I 1; 11 L'5
CONSTRUCTION., PERMIT APPLICATION j
BUSINESS)
4 ME FIORNAME O—F
JOBVI
ADDRESS
MAILIN ADD ESr EGA DES&�—R�ip-TIOW-- N 19 1, LIP 6
0.
C11 Y
E L
EPHONE NUM8EA PUDL
Ic RIGHT OF WAY PER OFFIGIAL STPLET MAP.
NAME EXIS�ING
P REQUIRED DEDICATION_ q
ROPOSEL,
ADDRESS'
I I 111OF WAY CONSTRUCTION PERMIT REQUIRED I
STRE&USE PERMIT REQUIRED Ej,
T
CITY
SEE GINEERING MEMO DATE
T HONE NUMBER
It
N ME REMAR S
F.
T a I
DIN, b
TELEP URE UNITS
5LEP A
BER
STATE LICENSE NUMB' R TEMA
........ ....
to a, Is CrIptl f>
Sh; AV1111111JEJ&CSIGN AREA
ow f PrOP01ty,.InclUdeatl e8SOMents I Ace No
a, ach our copies) 4j" EMPT
PROP,
a oro-to fIR �ID` C T
N SHORELINEN
It"
V . ARI
OR CU
PLANNING REVIEW BY
I DA
E
A ARD
'��EIGHT LOT COVERA -- SE
FROI,l SI1L 10
REMARKS
RESIDENTIAL 0 PLUMBING
ITER El COMMERCIAL MECHANICAL
REPAIR
RETAINING WALL SIGN
EXCAVATE
D DEMOLISH FENCE FIECKE4P By
OR FILL (—.— i TY J DE HEIGHT
PR -1 FT)
REMODEL COE AOVE 'NSPI 1-7 S.. 1 .2v �j
PLIAN.E SP I I Po SPECIA INSPICTOr
' ED. 1p AREA p C,
k STO OL R 0 YES li, -CCUPAN OCCUPANT
S 0 APT. BLDG RENEWAL NO LOAD
El wO0,ND RTV GPO
NUMBER OF STORIES
NUMBE OF
R
DWELLING
UNITS Y,
F7 P7
NATURE 0" WORK TO 8 0 ���LAN)
Oil
r
1C)n
VAIIUATION
FEE
LAN CSE`CK FEE
aUIL.111
. .... . 4, 17
PLUMBIN It
MECHANI 'Al.
This Pert 1 .49.
bU d One On private proporty NLY. GRAD[ 4G�
Any construction On th Public domain (CU 0 ��"!L L
r IS, sidewalks,
q driveway - mal'Quees. etc".) Will requirp Separa e POrMISSIOn. STATE SU
Permit Application: 180 D B
Perry.it Limit: I Year - Provided Work Ls!L!Arted Within 18,1. EN-�RCY 0100DE
- Days
To 1,7., lb;haff ,, —11S 0, her Spouse, heirs, aSSI ns an
Successors In interest, agrees to indemnif
harmless the Cily of Edmonds, fen an I
y
y
Washing n, its ffic�als,,
employees, and agents from any and 11 1 5 . '.'. I
C I f r a a r;s of
of th;-; r f eiSSuince
a Permit. Issuance of thi
Whatever nature, arising directly Or ind'weclaly
S Permit shall I
r71 waive or reduce any res I ce-711! to P AN HECK DEPOSIT
1,ance.
limit in any way the City's ability to enforce any or'
C
qUirementlof cit
nor I
Provision." d ance
TOTAL AMOUNT DUE
I hereby acknowied 111 1 sv4 lead this application-, 1 1
information given 13 Corte t; and'that I am th t t e P23
C I agreo to C e owner, Or the duly ATTENTION
authorized agent of the owner. APPLICA�ION APPROVAL
State laws regulating con struction.- and In do., OM Ply with city and
I ng the work autho,l,-
ed thereby, no Person wl I be employed in violation of the Labor T.�U,�P' application Is not a pe-mil
de of the Star 6 � I Z'E'll This
DO �Y TIE signed by the Building
III nln,j��ce
n - WOJK NOTED Official Orunis
0 Of Washington relating 10 Workmen's Compensa 0 fit
AGENT) Deputy; and fees are paid, and receipt is
DATE SIG.ED INS�,ECT*N ack"Owledged In spice Provided.
RTMEIT
7 2,
V Cl OF OFFICIAL'S SIGNA RE
..... EDK�ONDS`
.1 .
ATTENTION 7 20 0 BY:
IT Is UNLAWFUL TO USF -�Z,; "I T
UNTIL A FINAL . OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION HAS BEEN MADE AND APPROVAL OR
A CER71FICATE OF OCCUPANCY HAS 13EEN GRANTED. UBC ORIGINAL Fit
CHAPTER 3. 0 YE �OVV — InGeCtor
!07 is I I -r �h
it PINY. — Owner G
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CITY OF EDMONDS
2 50 - 5th AVE N. - EDMONDS. WA 98020 * (206) 7 71-3202
COMMUNITY SERVICES:
Public Works * Planning e Parks and Recreation o Engineering
December 13, 1988
Tom Powell
18416 High St.
Edmonds, WA. 98020
SUBJECT: DRAINAGE EASEMENT
Dear Mr. Powell:
(9 IF
40�
LARRY S. NALIGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
Enclosed a the copy of the drainage plan for the proposed improvement
by the City. I am sorry about the delay in getting this plan to you.
Would you please take a few minutes to review this plan. After you are
familiar with it, please contact me so that we can prepare the easement.
Thank you for your assistance,in this matter.
Very truly yours,
V11M#
JERRY W. HAUTH, P.E.
Hydraulics Engineer
JWH/sdt
Enclosure
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71
OWNER/CONTRACTOR, RESPONSIBLE
FOR LOWNG ALL ON -SITE LMLITIES-
RELOCAnON/REVISION TO ANY LMUTIES
AY REQUIRE SEPARATE PERMIT
Applicant shall repair/replace all damage to
�cutilities or frontage improve * ments in City isad
rig ht-of-way per City standards that is caus
or occum during the permitted pro)ect.
L. 4E*
AT)Pllea6em CxPire- I e, V eOO44 rl�
OWNER/CONJ1',`--'ft 'TOR IS RESPONSIBLE
FOR EROSION t;0N TPO� min r iAr-
3RAIt. �2:
C�u Ir\-V�Fa4eeD L) rJ(9
et-:K-r-A-ZT- e4 CAda�-LC7
MEJGMT CALC
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Ls CORNER A 100' z
�0" MM. �AW OWa" IWO CORNER B 100, 114-
I I co 0
5MACK 10'
r-7—
�4- �011 rAVr
- CORNER C 101, LLJ II--
12" W GVMF" %Cz) CORNER D 101,
56 W OV'EaM 1 11 - I LU
2"
tl TOTAL 402' UJI U)
fz EXISTING DATUNt- �e �- z
;i DIVIDE x 4 4 < < —
rX. COVNeV PA110 GARAGE -1 fOP10F F-Z Uj z
I 'L. IN 11%. 1 M.K AVERAGE CORNER ELEV. 100. 5' C)
NC III-T'
SPL F00"N'r 12" �AW OVRFM CO�ER 15' MAX. HT 115.5' LU
Z OL
OWNG Dim -9 WIDEJ @100101 :3
1241-0116 " i I I ACTUAL HT. 113.5' z z
----------- 7
--------- - - -----------
0 Uj
jM0
UL
IMPEWIOLLf JURFACE
EXISTING
SINGLE EXISTING HOUSE -
FAMILY ROOF OUTLINE (1929 & 1962) 2979 sf
EXISTING DRIVE/WALK - 2804 sf
RESIDENC PROPOSED STUDIO -
NO OWM
ROOF OUTLINE 294.5 sf
91 A TOTAL 3397.5 sf
A L NS--e7 A LOT AREA 35,222 sf
---4— COVERAGE 9.6 %
k /0, LOT COVMGr-
Ivil UA %%
-1 EXISTING HOUSE 2979 sf
*-jk R \ PROPOSED STUDIO 192 sf
\L-_j "-j TOTAL 3171 sf
Zone -�torn�r—�Flag— LOT AREA 35,222 sf
\\Setbacks ecjujr�d Actualtk4 COVERAGE 9.0 %
Front C 75 jikpl VED 13""'00PLANNING
Sides W(S )10 V L <JIE15, � "
(I / 7,/)/
Rear W S T
tr =i �130 �! �10 PROPEIZTY 1AF0: other
AlAnnnn Height 13
NORMAN
CARLSTROM
ARCHITECT
<=:) -71 <=a :__->
EDMONDS
WAY #418
EDMONDS
WA 98020
(4- 2 5)
7 715— -1 399
Permit
fubmittal
4649
REGISTERED
ARCH11 Ecr
STA-Fii OPW a
M
M
1PLA Aw: Vv-#Vjv I
AOTE.- I Fr.AL- -qFAHIIR-4;T P1 AT OF RLK 001 D-00 - A PTN OF TR 2. 3 & 4 BLK 1 DAF - BEG AT I COR OF TR 4 THN78*04 OOW ALG N LN OF SO TR 21OFT
WORK IS A NEW FREESTANDING STUDIO TH S18*55 OOW 171.40FT TH S74*14 OOE 47.63FT TI'H N14*26 OOE 8.90FT TH S71*12 55E 45FT TH N18*47 05E 17.91FTTH S71*12 55E 53.73FT TH
PARKING QUANTITIES, BOTH IN GARAGE & OFF N18*47 05E 3FT TH S67*16 50E 75FT TO WLY MGN OF 94TH AVE W TH N14*26 OOE ALG SD WLY MGN 108.82FT TAP OF CRV TO R HAVG RAD OF
STREET ARE NOT AFFECTED BY THIS WORK 1395.40FT TH CONT ALG SD WLY MGN NELYALG ARI OF SD CRV THRU C/A OF 02*30 01 AN ARC DIST OF 60.89FT TO POB (PER CITY OF EDM LLA
PUD EASEMENT - AF#603605 *S-95-162 REC AF 95120700001)
SEWER EASEMENT - AF #20443837 E " MEERING
HOUSE BUILT 1929 OWNER: D. VANDERHEI & G. MCMAHON /- j
GARAGE ADDED 1962 18416 HIGH STREET (94th AVE. W.)
INTERIOR REMODEL 2008 EDMONDS, WA 98020 Date: 7//—
Vanl2erhei
/McMahon
Residence
18416 High St
Edmonds, WA
98020
RECEIVED
NOV 0 4 2014
OEVELOPMENT SERVICES
COUNTER
10/24/14
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