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20210 92ND AVE W
ADDRESS: r-;-)o alo ge'( ayt
TAX ACCOUNT/PARCEL NUMBER:— 00 0 ( p 00o 0 -1/
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:. �j I —
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: —
PERMITS (OTHER):
i
TION: E] Conditional Waiver F-� Study Required E] Waiver
PLANNING DATA CHECKLIST DATED: . 1ju jb�
SCALED PLOT PLAN DATED: �1 I I AC6, -I I ?,--,-
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA
LID
LOT:
r7 Ll
BLOCK:
ro, -
WIN WE "IM 11 144p-pl- I ��W-rm,
LATEMP\DS'l7s\Fonm\Strect File Checklist.doc
STREET FIE PLANNING DATA STREETF=ILE
SINGLE FAMILY RESIDENTIAL
Name:
Te_-W Me-4-2--yie-r-
Date:
Site Address: Q09io - ?2n,/ Ave-rCA e_W_e,4
Plan Check #: Q00G - 07313
Project Description: T,,S�W� _tl� I - %
Reduced Site Plan Provided: NO)
Zoning: 0
T"s — 11,'I
Map Page:
Corner Lot: (YES
Flag Lot: 0/ NO)
Critical Areas Determination #: (�,A - 199 7 -0:�� 0:?o& CQ09 !oQlo
:,A
Study Required -->- Propezey/ sp-& 'it. koc;�;e_j rvore- M J Ate_ _SA-eef
El waiver 56�� (neu;- +�P_ &-.,e4 prefer -Ay 4vereQ:,-re, 4,,dy ti�. rtak reg,�tred.
SEPA Determination: E>cE4v%pA-
Exempt
Needed (for 500 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger)
0 Fee 0 Checklist 0 APO List with notarized form
R Setbacks
S', A -(A/ ) 10 "
Side-
65) I r) /
Side:
(E) 10
.4m,
P
Side,
Actual sp�,/
(Ab
Side:
6S � -,� I
Side: W
I co!EO
El Detached Structures: /4o,,\e_ %�oLzc\ or%
Rockeries: Ex'us-Viin roc6er�, Aawn Ott
Fences/Trellises:
Bay Windows/Projecting Modulation:
AStairs/Deck: Acle—
Buildin Height
Datum Point:
Datum Elevation: t4A
Maximum Height Allowed:
Al/A
Actual Height:
N/A
Other
Parking Required: 2-
Parking Provided: No, C��_qgm
Lot Area:
Maximum Lot Coverage: 35% �4oposecl: Al (Z��v
0
Lot Coverage Calculations: )VZA
ADU Created: (YES /0
Subdivision: L q
AdoMo,
Legal Nonconforming Land Use Determination Issued: (YES /0
Comment5
re rv% 0,/ s�o w, on sAe_ ck,
HolArlp e.1 . OS-Z3
_N15 16 anky 4r- A-�e_ Pend.
Plan Review By: Planning Data Form 04-11-06.doc
I,---
FEMODEL PFUMOT
OWNER Joff & Tmosy Mleta a
22M 92rod Ave W, Bftorida� V&
090 4M 7�
ParoM: 98509MOM
LEGAL DESCRIPTION
Higgins addition div. no. 2 blk 000 d-80-Lot 4
subj to ESE PLJO 9 Gen Tel
Twn 27 Rng 03 Sac 24 Otr NE
K43ERAOLIS SLIFFACE CALCIS
Total Proposed Impervisous Area 8040 sf
Total Previous Impervisous AreEh 8195 sf
F Wil BLA.dk1QRoofQARm4822aftM
Eideft 07vared Pordr kit above - 1, ftg
Dtvmw.awsf
Bdeff=. 'ad &
com above
by
Proposed 44� 61
8=0=2,2
A Ac f JA
Proposed Addlib Garage arm, 87 of
A Owk- replace eAsUng ZE of , 184
Lot�=g bidg: 19%
Lo Acres - 20-VO SF
Lot 30pa: 8%
eL&DN3 HE33-ff CALOULATUNS
A +B + C+ D
M5+37101+388.0+376111-149
1489 / 4 - 31372& Average Gade
AcbjW R Rdgw. §ML
hilax Mfg HW^- 3073 + 25
Ba FF- 3585
let Fr- a"
NOTEM-
Bds*v Graftiltandacepe tD rarradn so Is
No rq'%
Mnlmel� row ftg an W e1de only
ND solficerd tmw WO be removed or
Fbattuno tooplashiblode(ealBal&MV
boof area Is ai red ftm or1g1nW - NOT ftnwwd
Map1swoad Park
D
Site
z
Ekhriondai
SITE LOCATION
1' 30'
0 10 20 30 60
EET FILE
4 0 d Roo Overhang-
'X 4"7
a are
-leak C)S_ A-Z6. -N�,s
n- Benchmark
8D
Tot of Mon
169 R EL 36M
18& L N 80 34 20 W!1 MW 7 -
278W
R
4
Existing Oriveway
6 If L E)ds*,q I'M Plaffuc WSW lire
2�,376' sf LLw spa I N w 11&17
ID
I - 6 \ �L_
4- j co
1 0 4- 1
1? / 4-
1 '10
(0)
CD
d wJe�-: I a 3:
C- M CL
— —
cc d) C3 Ll---- A
6>(9 spa CV)
w/Hordcov
4- (!D
6x2 Basin 2,555
>
< 0 W
Ex' k ry House CN
1021 sf '0
3>x(110 Tr u &10 1, 13 M,
aragG C*q CD
ond E)dstft G CD
1 -�/12395 sf
8T I Remodel 40x20 4 C14 CD
(D
72x4O (D N%
1 7- 6 <
=�3 _j >
APPRO111F.D AS NOTED C-
a_
.9 CD
N 85 33 48 W 1784V 1 BY�B�IiGJNEERING w (T) C-
3:
.... ...... CL
Cn
>
fill w
, I ; i " - Zone '1 0
Corner
w
setbacks AMpired —T:) Iroecc-A
Act I
4-
AA
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Side; - S to/ CD jt
6L0`0
At Ceo
WCO CD
>
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w
0
Oj
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C
W-6
V4
�e R EC E/1 V E D
0 00 11
SUB` RES' DEVELOPMENT SERVICES CTR.
lCIrf OF EDMONDS APPROVED BY PLANNING
JUL 2 5 2005 AUG 112006
BUILDING DEPARTMENT 13UILDING DEPARTMENT
CITY OF EDMONDS cl-Ty OF EDMONDS
0
()A� -6-73 3
Ao a,,,
Ago,/ pan-6
0 STREET FILE
JUL 2 5 2006 R E C E I V 9 D
BUILDING DEPARTMENT
Cf Ty OF EDMONDS J U N 2 0 2006
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
0 0
PLANNING DATA
NAME: Gtej_-:F Mee-It-7--yi-e-r DATE: Q_+-Q(p-'7,,,QQ5
SITE ADDRESS: 2,0 2,110 6jVYjc( AyfW PLAN CHK#: 06- 2,;5
PROJECT DESCRIPTION: Air�Mn&fA v arA6(A'-H0-Y1 r)4: Ar-P_
REDUCED SITE PLAN PROVIDED?.: &No) __J�' 11 A 17 III,= 30, 5ca It-,
MAPPAGE: 1-"5+ CORNER LOT: (YfLS_i& FLAG LOT: G)LNo)
ZONING:- P-S'l -4- -CRITICAL AREAS DETERMINATION #:, QA - t cici + - 0 LO_i-) o 2,0 9 j 0 2,09JOV a
Study Require& (NQP&5�) 5flAdLA r_0W91,r2C,- C-.,,
Ll Waive It �p 10 ?-r, yY� 61 1P 5 V1 OW6 rl 0
L] Conditional Waiver I a Yj cke:�v &.e, h a -I- a r 4 6L_V �r_ A
SEPA DETERMINATION: eX4P,,MPP 0-n e7ffc, — e)e"e'
13 Fee 0i oiz - 51 - L-L- +0 CAP
Ll Checklist
Ll APO list w/ notarized form
Ll(Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
,'Y'+-/
-A P YV Pt
SETBACKS: F-1 Q 0 10+- : E>iCk- 154e* 10 CA CI-::- 5 fyD M L
ReqWred Setbacks: O's (0
CN)44ee4 wwside: D' -
LQ�_ Side: 10' Re-ew 10
Act-u-arSetbacks:
Street: lb-6' L-elft Side: I 11V Right Side: 131 *W Reare CO-, C.
Street map checked for additional setback required? (Yes / No lj��A))
Ll DETACHED STRUCTURES: (3ara3C :102-10
r4ovic, 5h()WV1
ROCKERIES: 0
on 6 i f-P, P
FENCE S/TRE LLI SES: 'P'9 (!;b tie M��+s SA --++a CX5 - 0 LA t"t 2,15135
BAY WINDOWS / PROJECTING MODULATION: -b q 69& A /Or
STAIRS I DECKS: PC;tb S'C� 61 & 60 vlrTA e-(,-
PARKING: Requirecl: Actual: + _17 cckr CAr"a 5 le- lof a rZA_
LOTAREA: 3iN(c.,Vj
peor rp
�Cov_ 01 e cl s tA r\/CAJ ------------
�56 Of LOT COV GE:'
Calculations: 141'
A
1101 b t(01F BUILDING HEIGHT- bto.-+
16 Datum Point: Top Of MOV1. CI'Zlrl'cl DatumElevation: ��(09-0(19
C,OV"C0'r7A Maximum Allowed:-_ 7e 5, (397---Z-5) Actual Height: 1/7--05'
_5119A.D.U. CREATED?: &Yes) anez y-ittmem _c�,yoown.
14(o9 . 00
SUBDIVISION: 11(8!�), i ri 6 QLAch-hon d1i Y, 1* b114* 000 Cl- QQ I Q+ 4
LEGAL NONCONFORMING LAN I D USE DETERMINATION ISSUED: (Yes_ Qo
OTHER: AVe'rc'3e'
Plan Review By:
'�_j 3 E; — 3 0�f - 2_5 --
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0
OFILENO. C11-Ttt
Critical Areas Checklist
-------------------------------- L -----------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 2- Q 2J 0 JZ W
2. Property Tax Account Number: �q4� - 066-6 066 03 0(:26- 066 -o-Z Ow
3. Approximate Site Size (acres or square feet): Ye-, S
4. Is this site currentlydeveloped?>�_' yes; no.
If yes; how is site developed? OOLO, SF'P- CX�_S_jjvie_ riC i Ai a 4S4VW Cfi' alki
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site. OCT VZO
4 If j
Rolling: slopes on site generally less than 15% (a vertical rise of 10-fe AIWA er a 19.9?
horizontal distance*of 66-feet). DEPr
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).
L/ 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: t%J0VXf- ; Approx. Depth:
7. Site contains areas of seasonal standing water-: At- ; Approx. Depth:
What season(s) of the year?
8. Site is in.the floodway-hL-b floodplain �J 0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? I�D Flows are seasonal? 0 (What time of year?
10. Site is primarily: forested mead ;shrubs mixed
urban landscaped (la,,Vn,shrubs etc)
11. Obvious wetland is present on site: o t)
F Cit� taff -Use-Only'-"...
. or S
Zonea? 26 - t-2-
ite is
2... .:'SCS m�` e :so tv,�O.W -�:t Z
PP Y
DETERMINATION.
�7UDYREQUIRED C . ON . PqI ONAL:W R
AIV.E..
WAIVER
We
Revie d, b ...
�ca_chk.doc: Rev 02/11/97
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, sig
,n and date it, and submit it to the
City. The City will review the,checklist, make a
preoursory site visit, and Make a determ'ination' '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). I
Owner/Applicant:
Me+&O kme�' L-L-C.
Name
VJ W,
Street Address I
�3b+-k I WX - %012-
City State Zip
( Ll 2- 5� 9 2,1 - QG G 5
Telephone
Signature
Date
Applicant Representative:
C3 tA ' I celd& be s �q K G, /A Lip Pic,.
Name J I
-V�7,3-QL 46v�-- 60ulite-
Street Address
e�jcrb4— W A- 178zo 1 —
City State Zip
.6 Z59 - b-� 7 7
Telephone
62AA4"A,�
. 4) 1 =35 -
SignAture U
gh 8/11
Date
c:rece,pflon\jana\cac1.doc
1 0
0 (over)
0 FILE NO. U _Z��
Critical Areas Checklist
------------ -------------------------------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: __2 0 2J 0 92, " 0,�, 0/ -
2. Property Tax Account Number:
6
3. Approximate Site Size (acres or square feet): Ye-, S
4. Is this site currently developed?)�_ yes; no.
If yes; how is site developed?-ome SF9_ exts�i4!2� 6me- 5F4 IVN "kjs4ywcHj-,�-i
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site. OCT
Rolling: slopes on site generally less than 15 . % (a vertical rise of 10-feq%, er a
horizontal distance of 66-feet). URING i),Cpr
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),
V/ 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: 00VIf- ; Approx. Depth:
7. Site contains areas of seasonal standing water: N _OAL ; Approx. Depth: —
What season(s) of the year?
8. Site is in the floodway-t! 4 floodplain 0 D of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? Flows are seasonal? 0 (What time of year?
10. Site is primarily: forested meado shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: #,Jo vu�'
41; CriticalAreasinventor :ot.C.A.�iha -iiidic�.ti�siCriticiiIAt(�A.Oii,��ite?
P
.$jte W desi idetice1an�Jide:h .'ardat6T.
#h gh
ate subs
. ..... ....
66 .,$ite:.dei*,_-nited6ntheE ironinentall Sensitive Areas, Map
ny.. - Y
DETERMINATION
^ca_chk.doc; Rev 02/11/97
City of Edmonds
'kW CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
t o 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 makc 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 prelimina±y
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:
--- M e'�(_o
Name
199 1 b
Street Address
City State Zip
( Ll 2-15) 9 0.1 - QGG_5
Telephone
Signature
Date
Applicant Representative:
nta;(ceek bps i-qm G-viALIp g I KC,.
Name 'i I
zn-5-o_ _kL6v+
Street Address
vi
City State Zip
_(R.25) Z59 - b, �77
Telephone
az�t�
Signature 0 V
?I/ 8/1T
Date
c:reccption\jana\cac1,doc
(over)
0
PFILE NO. CIT_W-�
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 2_02-)Q 9 Z P1 c' 0 4_, VJ
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): (-Ye's
4. Is this site currently developed? k- yes; _ no.
If yes; how is site developed? 00e, SF'9- eX�'S�iV15� 60e- 5F4 In "nS4V,,'f7'6r1.1
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site. 0
Rolling: slopes on site generally less than 15% (a vertical rise of 10-fepwi, er a 199?
horizontal distance of 66-feet). "NING D'CPj'
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: 11J0Vkf- ; Approx. Depth:
7. Site contains areas of seasonal standing water: P'J 0 At--; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway-.N 6 floodplain 0 0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? )�Z) Flows are seasonal? N 0 (What time of year?
10. Site is primarily: forested meadov ;shrubs mixed
urban landscaped (lawn,shrubs etc) V--"
11. Obvious wetland is present on site: �j
For City Staff Use
:1. Site is Zonea? 17,5- tZ
2. SCS i.. -W
4pped.so Itype(s �
P. AbOw --vfZ42
.3. -:.-We an inventory or. CA, thap 1ndicates wetland present on site? A10
4; bificilAreas;
in.ventory pr.C.A,map indicates. CriticalArea on site?
. .. .... .. . ......
5,... Site wi-ffiih designated earth subsidence- landslide hazardarea?- 97...
�.6 ::Site.di0Signa.te4,.on the EnvironmentaU Sensitive Area Map? A0
Y ......
DETERMINATION
STUDY REQUI.RE'D
,Reviewed- b
Da
NanAer. ie
^CA_chk.doc; Rev 02/11/97
City,of Edmonds
'W,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).
Owner/Applicant:
me'�(-o -40MES., L-Lc'
Name 7
I 'al
Street Address
�3r')�Wl , W0'- --- CJ?0LZ—
City State Zip
(L12-5) 9 0.1 - QG( 6
Telephone
Signature
Date
Applicant Representative:
C3 W* 1 nc.,-
Name
zn-5 - cL 46o- no-iitte-
Street Address
e.NJtrb4- W A- 178& 1 -
City State Zip
( 42,6) Z59 - b7?7
Telephone
Signature
?h Oil
Date
c: recepti on\j an Mcac 1. doc
I 1 0
0 (over)
CA FILE NO.— -
Critical Areas Checklist (� 7 - �_'O -7
--------------------------------------------------------------
Site Information (soils/ topography/ hydrolo goy/ vegetation)
1. Site Address/ Location: 2- 0 2J 0
2. Property Tax Account Number: q �� - Odd-6 4 1 to$j��
3. Approximate Site Size (acres or sq�__ua�reeet��.JT (v "+ a- Cye_3
4. Is this site. currently developed? 1-�. yes; no.
If yes; how is site developed? 0 vie, 5 F9_ CX� S b V1 6 11� 5 FIC I
5. Describe the general site topography. Check all that apply.
v"� Flat: less than 5-feet elevation change over entire site. OCT '40
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feP,.W,,, er a 199?
horizontal distance of 66-feet). DeP7.
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).
L/ 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-h! 4 floodplain 0— 0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? �10 Flows are seasonal? N 0 (What time of year?
10. Site is primarily: forested mead shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: C) vie,
-For City Staff Use Only....
.1 Site is Zoned?
SCS ih'a:* 'ed 2
pp . spiLtype(sp. - SIP
1A
3. Metland inventory or. C.A. map indicates wedand present on site. /4-b
4i: Critical Areas iny. entory or C.A,,ffiap indicates Critical Area on site?
5;,. Site withih..desig �nited ea:ith Sub s-idence: 1ands11de'.'hazaY.d,Aiea7'*
& Site de'sig'nated on the EnvironmentaUy Sensitive Areas Map� . ..... . .
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
tity. 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:
M
Name
Street Address
�3t+_Wl I WX %Dl?—
City State Zip
L4 2-15) 9191 - QGG5
Telephone
Signature
Date
c:recotion\jana �.cacl.doc
Applicant Representative:
a 1A ce ki c,.
Name
2_7�2_-6 - o, Lo'k, Lt L
Street Address
city State Zip
2-59 - k�7
Telephone
Sianature U V
Date
(over)
Applicant
City of Edmonds
Critical Areas Determination
Metco Homes, L.L.C.
Determination #:
CA-97-208
CA-97-209
CA-97-210
Project Name: Permit Number:
Site Location: 20210 92nd Ave W. Property Tax Acct #: 6466-000-001-00
6466-000-002-00
6466-000-003-00
6466-000-004-00
Project Description
non -project specific
A site inspection has revealed a site developed with a single family residence. The site has a flat
portion near 92nd Avenue West, then slopes down steeply to the west. The site appears to
contains slopes that are greater than 40% with a vertical elevation gain of more than 20 feet.
Based on the above findings, it is determined that there is potentially a steep slope critical area on
or adjacent to the site. A Critical Areas Study is required to delineate the boundaries of this
potential critical areas, the buffers and setbacks. For the steep slopes, a licensed surveyor must
create a topographic map of the site which indicates all areas which slope 40% or more and have
a vertical gain of 20 feet or more within the 40% slopes. The map must also show the location of
the steep slope buffers and setbacks.
If the property owner wishes to apply for a specific development permit which they feel would
not impact the Critical Areas located on the site, they may submit their proposal to the Planning
Department for review. If the Planning Department finds that the proposed development permit
will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued on a
project by project basis.
(7TZD / / //
Mhn_Yissell, Senior Planner Da�e
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
k-L�_ Public Works - Planning/Building - Parks and Recreation o Engineering e Wastewater Treatment Plant
�� C. 1891)
November 19, 1997
Quilceda Design Group, Inc.
2723 -A Hoyt Avenue
Everett, WA 98201
Subject: Determination regarding Critical Areas Checklist# 97-207, 208, 209, 210
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.
I M PORTAN T INFORMATION TO BE N . .....
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MA Y NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
no, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINA TION WITH ALL -_41111111111
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
cc: Metco Homes, LLC.
Enc: Determination
*Architectural Design Board
C:Reception\Jana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Diane Cunningham
Planning Secretary
9 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
-"P A"LICATION
The City of Edmonds for
EASEMENT NO - -- --------------------------------------- -
SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS [7] LID NO ----------------- � A SrM _O. -- ----------
:jj.N
UT F hl bE b 15T' I L6
O'WNER .... PERMIT NO.
------------------------------------------------------------ ....................... CONTRACTOR ... ...... E. S--.L'-
qpld- el-,e - W.
CLA,S, 1-1...,re"
JOB ADDRESS ........................ ................ — ----- ........ LEGAL DESCRIPTION: LOT NO. -.- ...... --------------- BLOCK NO - ----- -------------------
)DITION -------- ED <_- � V:;,� k
----------------------------------------------------------------------------
�-c)-T ��l -Tc-:::,\tj F-=-/\c
DP -rr-� E�>t �-\T' �-A (�� f-5 (=�-F=
Lt-4 V==jL-E:C) 1401--
2-71(0
-42-2- FT C�)F W i=T :5LIS,� a�—a CN::-
Approved:
DATE .... ...... �;, ......... By ............ .
------------- * ----------
NOTICE:
N*0..War-ranty ... o - a.-c. c.-
The -inform ation'shown on the attached
map(s) Wa . S compiled for use by the City Of
Edmonds/ its Empl.oyees and Consultants.
Th,.e City of*Edm.onds does. not. warrant the
n these
accuracy of anything set for,th o . *
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding th*e info'rm-ation shown- or
._.__t_Fe -map(S)i including, but not limited to,
-er stub shown, Suc
the lotation of any sew
sewer stubs may or may not e.xist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
omp-1.0-yee-s o-r office-rs -shal] be 1--ja-b-1--e for iffie
information given on thi5 map(s), nor for
'ded based
any one representa.tion provi
upon'said map(s),
CITY OF EDMONDS SIDE SEWER PERMIT
WATER SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any Portion of the constru tion
0 tions)
(Inspection will be provided within 24 hours after requst. N Sat., Sun., or holiday inspece
-20Q16 -
r,
ADDRESS LOCATION OF CONSTRUCTION .....
............
PROPERTY LEGAL DESCRIPTION ...... . SE��_
.................................................................
..................... ............................ ; .............................
...........................
.................................................. . ...................................................
........................... ................................. ................................................ ......................................
---------------------------------------------------------------- OWNER D/OR UI ER. -
?AN IM IJ1,1 UAIN A H1 G G I 1�� S
SOL- Ak', i o P"a C k h 0 e --- ---------------- * ...... * -------------------------------
Ck MACTORIS NAME & ADDRESS .................................................. Servic-, 24.006 92;ad Ave.
---------------- t .................... ..............................
P................................. ...........................
erndssion is granted ......... J_-tobor 3., 74
';64�,_04__i4�i ------------------------ 19 ......... for repair and/or connection of a side sewer to the city sanitary sewer
s—�ezn in accordance with onds ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the Property may obtain. a Permit to construct sewer inside Property line. A licensed Side Sewer Contractor must be employed to construct
side sewer in street area. Do not cover any Portion of sewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtain -able from th e City Engineer's office.
NOTE No. 3--obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NO I TE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%. No hends in grade
sharper than 1/s will be Permitted.
NOTE No. 5—Trenches in street must b� water settfed'and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop.within one Year of completion.
NOTE No. 6—It is unlawful to alter, or . do -any o . the - i�� I work than is Provided for in the Permit, or to do any work on the main sewer Or its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED Ej Date, --- -------------------------- ----------- BY --------_----- Date ..............
............
------- -------- By- .............. Date ................ ................... 'BY ----------------
APPROVED Date ..... /V ...... 2�7 . .... !�K Z,
------------------------ Jay ... 411;12r . ... .. ... .. ....................................................
Remarks: ..............
.............. . ......... . .............................................................. . ...................................................... ....................................................
--------------- ..................................
.......... . ......... ---_-------------- ......................... I ............................ . .......... ................. ..... . .......................................................
BOTH Permit Copies YIST Be Signed By Owner of F rm Performing Construction PRIOR To Request For Inspection
I ........... ................................ .... herieby certify that the side sewer installation constructed un
(Owner of Contracting Firm Performing Construction) der this permit
was installed in.accordance with allgoverning ordinances of the City, of Edmonds.
7 V
Dated this .... 3 .................. day of ............... 10 ....... ..................................
V V Check BEFORE you dig for: Water [], Gas El, Telephone E], Power Ej, Sewer F], Other E] V N/
APPLICATION
t6e City of Edmonds for EASEMENT NO . ............................... ... -------
SIDE SEWER PERMIT
NEW CONSTRUCTION E] REPAIRS LID NO . .................. ASMT. NO - ------------------
....................... CONTRAC ..................................... .... —.
OWNER ZI-11111,#iV -------- /-i� ...... TOR -------------- PERMIT NO,jZt'�,-',�
JOB ADDRESS -.,?A 3-c C" 19,!�-c VV ' R.
e ---------- �D --------------- BLOCK NO - -------- ............. ........
----------------------------- - --------- — --------------------- LEGAL DESCRIPTION: LOT NO . ............. ---------
.............................. ........ ........... ---------------------------------------------------------------------------------
NAMEOF ADDITION ................................................... ...................................................................
Approved:
DATE ....
RECEIVED
0 C T 3 1974
1 1-
.................... By ------------------------------------------------------------
0
k 0
Lu
Lu
�19
MAKE REMITTANCES PAYABLE TO:
1973
7 . =v 0-7 a
ISH CO
SNOHOMISH COUNTY TREASURER REAL ESTATE TAX STATEMENT
WASH
EVERETT, WASHINGTON 98206 SNOHOMISH COUNTY, STATg OF WASHINGTON
OF ALL STATE. COUNTY, MUNICIPAL,
SCHOOL. AND ROAD TAXES.
T A X
L E V Y ASSESS E D VALUATI—v
CODE RATE LAND BUILDINGS TOTAL
7 n rl fl ? �lllr
YOUR TAX DOLLARS VALL BE DiSlRiBUTE� TO THE FOLLOWING TAX DISTRICTS:
--7— —
T SCHOOL DISTRICT
STATE COUNTY CITY OR ROAD/LIB.
7
7 7' 71 4 4
STRICT HOSPITAL WATER SEWER FOREST FIRE
GENERAL SPECIAL
PORT DISTRICT OTHER
DIKE NO. DRAIN
NO
NAME AND ADDRESS
S 7 C-.' 0 '; 2
LEGAL DESCRIPTION
'-.4ILL14M A
PUGET SCUND
I"CH Y DEPUT 5 AC TRS
q;;-3'k�t C,'%SCA0lE OR
BLK
9.13 0, L CT 31 T,'�-*rl
;iNY
0 T N T R 32 F. EX i-- P T N
N 0 S W A
0 R 3 1
L Y
t! X)
T
CE!ITAIN�
S 4,2
2.-- T
J t S C I T Y
0 F r— n- V1. C N
PLEASE PRINT CHANGE
NOTICE:
OF TAXPAYER
BELOW—�—
A.,T T P �Z 0- L A T H
I C; G T N s
OR CHANGE OF ADDRESS
"i A FD�-) I k
V
NAME
ADDRESS
CITY
ZIP
STATE—CODE—
f
FIRST HALF MUST BE PAID BY APRIL 30
OR ENTIRE TAX BECOMES DELINQUENT.
SECOND HALF DELiNQUENT AFTER OCT. 31
TAX UNDER $10.00 TO BE PAID IN FULL.
`777
Lu
PROC`ESS� ACCOUNT NUMBER
NUMBER
z
C 3 1 -71
17 c; 2 —1 F51- Lu
1973 <
FULI FULL TAX
CHECK BOX TO
INDICATE FULL OR I�ALF HALF TAX Z
HALF PAYMENT =)
4 0
0
OMITTED OR DELINQUENT TAX
NOT INCLUDED IN ABOVE TAX <
HALF-H
YE - A - R
YEAR
TAX AMOUNT
INTEREST
FULL-F
CHECK
M. 0�
J
0
0
z
cm
UJI
CA
UJI
z
cm
6
ul
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>
-1
6
CITY OF EDMONDS SIDE SEWER AS- BUILTI
ADDRESS, PERMI
20210 92ND AVE W NO,
CONTRACTOR: HOMEOWNER:
A WNER JEFF MIETZNER
DATE INSPECTED: INSPECTED BY: DATE DRAWN:
11/3/05 � ES � 11/3/05
10072
SCALE:
NTS
DRAWN BY:
1. ABILA
6 i%
FEMODE- PRGLWT
0VWkR Jeff a Tmosy "stuW
20M 92nd Ave W, Ednand% We 99M
0911425 7544MS
ParoW: 08548908NOW
LEGAL DESCRIPTIONi
I-liggins addition div. no6 2 blk M d-0&-Lot 4
subj to ESE FUD & Gen Tel
Twn 27 Rng 03 Sec 24 Qtr NE
N RVK)US SLFFACE CALM
Total =ad =,v= Area ISM sf
Total s Are& 8195 sf
Eideft EUMV Fbof 008 4822 of (WO
Ex1aft Ome ad Fbmh: bxixW above - UTWqd
SdOV DIwAW. 33V of
&,on=. above
W-W I
by.W=
• EUlft F1%.0= 4447 at
• AWUrd 272 of
• Addftbml GweM ame 37 of
Ph;wsed Deck I exWM 20 of + 184 fff
Lot OavmM by ft: 19%
Lot Area .05 Acres 20,378 SF
Lot SbW. 6%
BULDIN3 HB3HT CALCLLATIONS
A + B + C + D
8W5+3M7+3Wa+S790-14e9
11480 / 4 - SU26 Awqp ftdo
AcbA Propowd Fddgec 3993
him Bldg FWpht W3 + 25
So FR SSW
lot FR 3888
NOTES:
EWsft GradkviLandeove to rernah as Is
No GmdhV mqAred
Minknal b tv d Ing for reN ftg on W Wde w%,
No aWdfkwd ftes w(H be rerrowed or added
Roduc toopkishblocks(ealseft&V
ftof am Is sataly mch ftrn orlonal - NOT k
Dr
Site
SITE LOCATION
1" = 30'
0 10 20 30 60
24 HR. NOTICE RM
FOR INSPECTION
4522 sf Old Roof Overhang-
4447 sf Ne)N Roof 1�e;hw2 I
(small re
M M
N R
Benchmark
EL-368.06
It ISR lop ot mor%
ER Al 1p�AgaL% 'ri'i NODS42OW1278W
LL' �WW
L TWWWLt
r'E .5
?R. �E U0 2,DAY�
7— 120 Existing Driveway
C-
N ag 34 2B W t1S.17
2(�,376 Sf
TA--aE TIGHTLIN
CD ACCEP
c7i 4- E
0 %ATERW.
0 Ul SDR 35
a 0 1 In
0 '10 40 t
scii
a) C3 Nd'W A d area
N-12 \j
F8 10 HANO, OR >
-K 1; kery,-
2= sf j <
House 1021;sf
—8j. 0 E) d s t ikngg & osed bare M C14
It Remodel 4WO /12395 sf
72x4O
L — _.,. _ , i 7:-� ;,c- =-z' -
I T-
.............
...........
GV I fRS-Z), .9
Elf! 93 48 W
TIO WINEM, TC) �YAV' j '. I
tygr
U
Zone Comer
Setbacks Required Actual
edxrVV 3: 8" A2 clec'14-
Heigjg
'27190 sf
C-IfiffItIR/CON f,0fl IS REOONSIBLE �On
1 �? DRAINAGE/
-10N C,' AN.
V
F /1,!�395 Sf
APPROVED AS:NOTEU(
\BY ENOINEE�ING
00
ate.
�RESUB
* W60" �0 WSL."
JUL 2 12005
BUILDING DEPARTMENT
APPROVED'V PLANNING CITY OF EDMONDS
3:
CL
'D
14- Lr)
0 CD
CID
C4
N%
Lr) Go
(9%.
4- CD rz
0 C4
W "� 31:
.0 G)
4:n
—J I Lr) 0
a_ L.
W CD
CY)
CL CL
W
C-)
W
0+-
W U)
r=
CD
Wea 0
N4-<
I.— g--
W32
MN
a3 0)
W
Q
<
Uy
0
LL 4-0
LL COX
L430
C.) W
I
FSvKXEL PFKMBOT
OWNER Jeff & Tracey Matmer
20M 92nd Ave W, Edffo-d% We
Ckffl 425 754-M
ParcW: ON14CIONIMM
LEGAL DESCRIPTIOM
Higgins addition div. no. 2 blk 000 d-N-Lot 4
subj to ESE PW & Gen Tel
Twn 27 Rng 03 Sec 24 Otr NE
NSU*Aajs SUFFACE CALM
Total Proposed Impervisous Area 8040 sf
Total Previous Impervisous Arsai 8195 sf
Bdaft Bufl.dkv Fbd 001ne 452 of tWO
15deft Covered Pti d : hAjdad above - InbVel
Bds*V DMwW. SW7 of
above
SdWr1==V
rooflw=
P! i3ukft Rod Ckitke 4447 of
R AddMonal flow area: 272 of JA
P1 AddMonal Gerage ares: 37 gf
Proposed Deck n#= extaft 228 of + 184
Lot bIdg: 19%
Lotg=g Acres - 20,378 SF
Lot sow ax
BULDIN3 HEIGHT CALCLLATKM
A + 8 + C + D
8W5+=7+398a+3ma-I
1489 / 4 - 35726 Average Grade
AcW Proposed Rk1ge: §ML
Mu BkIg HsUft- 3873 + 25
89 FR 3585
lat FF: 3888
NOTES-
Bds*V QWng&ardscape to rerna�n e� Is
No, GradN requIred
MInkna! tern'*V tor row fig on W a1de onN,
No sonfficent tow YAH be renv4ed or
Fbofimo tDapiashbbcksWeIse;dff&V
6mof am Is 81 red ftm orfghs! - NOT InM3998d)
IvispIewood Park
D
Site
z
Ed. K9
SITE LOCATION
30'
0 10 20 30 60
0&
Old Roo Ov
7 LAnd/e-r-
S r am
06- �k-z�S. 7-Vj�s Benchmark
T
Tot Of MO
n.
EL 368.8B
186' r N89342OW1278W -119 0. 16R
r —
120 Existing Driveway
i I V
s�a I A& Pleaft WI lee --Nr 11
6 1' _E a _q_1'8* P
2�J376' sf u- m N aq 34 28 W 11&17 lie
1 1 (D
0 1
4- 11 13
ID
-1, kst U e-;�' t�
CD CX
1131
spa,
4f 11 W I <
d Ve n06 (D
2:&5 3: OCT 02 9 >
11 6x/2 Basin 2,555 sf 0 0
House 1 3U'WW13 DEPA C14
Ex,R k ry 1021 sf iTy OF ED FiTM�W
0
13 U =it Lr)
E)dst1ng & Garage la rn� MONE)s
ond 04
0. CD
U Rem 48x2O --'12395 sf
T
64
72x4O (D
A- 07
Cn (D
I
AS NCF1-
IY 86 .9 W
33 48 W By CEINIG'?'�FRING
CX CIL
r (n
>
>
(D
Date: Z&
if
Zone W
Corne
r Flat
Setbacks LIC d W
14 'LuirL 04—
Act I --rD C:
-A/ CD 4-
W
CD
Sid:p - s to/
0Ak co
W >
6b
\27190 st M)I' A C1 t'
J
APPR6VED BY W
NING
Ir
Sf ID/Ij
C13
/12�395
Cho E C3
Of =
LL +- 0
U) X:
STREET, FILE LL
W C3
U
W > 15
C�71 L) f, V1 0 C71-q Ct Lj re� L4 i A -
wig IV4 1 RECEIVED
165'6
Z's
RESUB DEVELOPMENT SERVICES CTR.
CM OF EDMONDS APPROVED BY PLANNING Cl)
JUL 25 20UJ AUG 6
BUILDING DEPARTMENT
BUILDING DEPARTMENT CITY OF EDMONDS Fo C/,# 3em&-
CITY OF EDMONDS
REMODEL PFKXWT
OWNEFt Jeff & Tmwy Mbtzrw
20M g2rd Ave W, Edntond% We
CW 425 754QM
Pan:eW. W54OWNWO
LEGAL DESCFUPTIOM
Higgins addition div. no. 2 blk 080 dl-�Lot 4
subj to ESE PUD & Can Tot
Twn 27 Rng 03 Sac 24 Qtr NE
FAPERVKXG SURFACE CAWS
Total Proposed bqwv1sous Area SM sf
Total Previous Impervisous Area, 8195 sf
ExIsUng RAding Roof Outflne 492 of OVA
ExIeflng 0overed Poi d : Inckded above - 1nkWW
EAA DdvmW. 3887 of
Eidal=. ".9ad1l= above
by ,
Rmpowd BuDdIng FW OuWs 4447 of
R Addddm f1owwm-272af JA
Pt AddtftiW Quage am, 37 of
Pmposed Dock- II, , eWatng 228 at + 184
Lot b1dg: 19%
-
Lotq=k Acres 20,370 SF
Lot Sbm 8%
R I HEK3HT CALCUILATKM
A +8 + C+ D
M5+371&7+88Ba+3Ma-14aQ
MOD / 4 - 35726 Aveage Oade
AcWW Proposed Rdg9:.§NL
Mqx BkJg Height 3873 + 25
Be FF- 3588
lat FF- 3"
NOTEM
Bds*V Qa*V&and9cWe to mmaln as Is
No QUkQ
kt*nEd terdtng for rKw ftg on W a1de only
No s1g Mae, tow WN be removed or
Roof nmff to Wkeh bbckB We Is aftWo
Onof am Is achaffy mck ftw mtkiW - NOT h7weed)
Mapkwmad Park
Or
Site
z
9X
i
Ednmncb
I S�ft SH&
ITE LOCATION
1 0 = 30'
%==zF=M9 i
0 10 20 30 60
ol
0&
01
'Y- 4447 Old Roo OvE I ovex/ &4nch-c-
LN
F fD\ 05 Benchmark
T
GC\\ IV- I 4%q, - N A
-oec:r TOL
-ed —'� tt\ WR X E 306f8 20 r
W eetACk
I
Existing Drivewa
71-
(D
C3 it's
6 EftW' 1� Bk RV2LW—fftw lee
ll spa I
u_
N ag 34 28 W iW7
,376 sf
2�
U)
(D ca
to U I,,
d wAr C_ CD
M j, A I 'a
10
6>(9 spa CV)
j OCT 02 70 6
w/H"0rdco�ve >
6x2 Basin 2= sf < 0 co
;41 BU'kDWQ DEP I C14
Ex'.R� House 1021 sf I /(CITY OF ARTM�NT *N.
3 U V IWONDS M
0' E)dsting Garage 13 M, Q4
ond co N
4@x28 12395 sf
It Remodel 16
41 64
72x40 N.
:Z; Cn
>
_J Ln (D
AS NOTED C_
d ai M ERIN(3 CV)
.9 By w C_
Nas334B 17M, c
CL
cf) CL
>
C_
LU
Zone :7 UA_ -Corner
w
Setbacks ag'quired R4
ij-4 r—
A —Tn 4-
-Al _Ct I cn U)
w
vie
0- Side; - s E
jo
wts 0
>
C)/
w =0)2
Lz 14
to
S)
27190 st )PR A Q e, r o +c_c�
AF 0 w
VEL) 13Y P
Ir UNNING 0
I C)
/1,!�395 sf
7 Uj
ad E0
0 3C
LL 4— 0
u_ WX
w
)CH]
STR FILE
YA w Ofly- i!�' > 95 01 1-0
4JXW6�147 _e�j LA
It 0 V1 D '5f14 6t Lj r
I I V4 1 RECEIVED
49f 7nn6 zoo,
RESUB DEVELOPMENT SERVICES CTR. APPROVED BY PLANNING
CITY OF EDMONDS
AUG 6
JUL 25 2K_j
BUILDING DEPARTMENT
BUILDING DEPARTMENT CITY OF EDMONDS
CITY OF EDMONDS
J91 Ap,:,. A
REVISION
OCT 02 7AO6
BUILDING DEPAR7ENT
NDS
CITY OF EDMON
STREET FILE'
dmb- 0796
aW16 oord 0 X
1P Pa
FEIVIOCE. PFKMECT
CWNERt Jeff A Tmcey Metzrw
2" 92nd Ave W, E&mnde6 We
080 425 7544)653
ParOW: =488=00408
LEGAL DESCRIFTIOM
Higgins addition div. no, 2 blk 000 d-00-Lot 4
subj to ESE PUD & Can Tel
Twn 27 Rng 03 Sac 24 Otr NE
KfERVK)US SURFACE CAM
Total Proposed Lq3ervisous Area 8MO sf
Total Previous Impervisous Areah 8195 sf
E2d9ft BMIng Roof Oufflne 40M of (1031
EAsft 00vured Po'ch Inckided above - Inbogral
EA9&V Dd%VAW. SW Of
6da"=. -md &= above
by W
P1 BukRM Ploaf Cufflne 4447 of
P1 AddftneJ flow arm, 272 ef JA
P! AddMonal Gwage am, 87 of
PI Dack- I I a4aft 228 gf , im
Lot b1dg: 19%
-
Loip=g Acres 20,376 SF
Lot Sbpm 8%
BUIDNG HEKHT CALCUILATKM
A +8 + C+ D
3805f=7+S8Ba4Ma-140D
1489 14 - S5726 Average Grade
Adme! R R!dg9:.§NL
LAW Bldg ��- 3V3 + 26
Be FF: S588
lot FF-. 3080
NDTL=k
E*4sft GradkVAandmape to nrnaln as Is
No GWM re*Ared
Ntntrel tend*g for new ftg m W We only
NO S%Fdftent tM %4fl be. ty. or
Roof,= toepb3hb1odm(mh3mft&4
kouf arm Is achA* rack ftm orIgine! - NOT horemacO
K43plawood Park
or
Site
z
Edna
SITE LOCATION
3:
CL
'D
w-4
(D
4- (9
0 (9
04
Lr)
W
(D 04
(D N--
.r_ 0)
-j tr)
a_ C-
LU W
cr) C-
I OL CIL
IL.
C�
DEVELOPMENT SERVICES CTR. APPROVED BY PLANNING
1' = 30' RESUB CITY OF EDMONDS
JUL 25 20L - ; AUG 6
0 10 20 30 60 BUILDING DEPARTMENT
BUILDING DEPARTMENT CITY OF EDMONDS
CITY OF EDMONDS
j9n, AP :,. I A
VVI 0 d Ao(c6k'%o^,/Rtr,\w(--A s\Y\acQ(\ c,
Old Roo Overhang-
4447
are
'o,
Cn
e Benchmark
Io 4\
Tc
J% ~OC)�2 WR E Lt 300M 0 f I
11& 0.— R
N00342OW1278W --j
ter
1 eeb*1Ckj/
-EIF
Existing Driveway
10
\6 Ii it_ _��WGLYgIkPlg�watLr lee
4-
W N T34 28 W t%f7
2�,376 Sf LL spa
CO
0
4-
(A m
5 (ID
CD 13
0) 0 A -A
\j
b3 6>(9 spa, �9
W/Ft�rdcov QD
>
6x2 Basin 2= sf
Ex k House 14
1021 sf
Garage Vy m
3 3 OCT 02 qng
11 E)dsting & C4
nd :1 T / 011
it Rermnode 40x2O U J
/12395 �igIIDIWG DEPARTMENT
7
72)c4O CITY 6F 9DMONDS
.9
N E -P.9 I N G
as 33 48 W 98AU BY E.
4a
W
Zone-2ZL�- corner
*-Y /.I
Setbacks Act -T 4—
ReqtjLired
-A/ fn
W
Sidep - s (c) CD
U,
jo a::
OAL &t
LUCE CD
>
W 4-
0/
G&
LU
6L
27190 st
>- C3
� Y-X A Wo,"A+td, W N%
C3.r-.<
g395 �,,f APPROVED BY PU NNING a r-
ad E C3
/tA
oy-,Y- I E, *7150, 1D - ftplp C)f- Sloe LL
Vq - -el LL mm:
Ly- I % I I SID V10 W-)
fA
W JL
cotu d!3
rpcl w ire
V4 1 1 i
tre REcEl/VED
L
o9q
%--- 4& IUN,:2 n 70116
r*
REVISION
OCT 0 2 w96
BUILDING DEPARTMENT
CITY OF EDMONDS
s I HEET FILE
onp,
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: www.ci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
0i Planning - Building - Engineering
1117 C . 1 -a 9`1
October 30, 2003
Jeff Mietzner
2021092 nd Ave W
Edmonds, WA 98020
RE: Right -of -Way Permit #2002-0215
Dear Mr. Meitzner
GARY HAAKENSON
MAYOR
This letter is being sent in response to your letter dated September 10, 2003 requesting a
waiver from the City requirement to pour the curb and gutter separate from the sidewalk.
City of Edmonds standards require that curb and gutter shall be poured separately from
the sidewalk. I have attached the standard detail for your reference. The City of
Edmonds requires that curb and gutter be poured separately from the sidewalk for the
following reasons:
1. Cost and labor associated with maintenance is less. When repair is required the City
of Edmonds Public Works Department is only required to remove either the curb/gutter
or sidewalk and not both.
2. When settlement occurs there is less likelihood for cracking with the curb and gutter
being poured separately from the sidewalk.
All permitted private development -construction is required to follow the established City
of Edmonds standard details. For these reasons, the City will not waive this requirement.
Please perform the following corrections in order to bring the sidewalk and driveway
construction into compliance.
1. Pour curb and gutter separate from sidewalk. Expansion joint is to be placed between
curb/gutter and sidewalk.
2. Pave the driveway entrance for'20214 a minimum of 20 feet from back of sidewalk
onto property. The driveway can be constructed of either concrete or asphalt.
3. Recall for from inspection prior to pour and then again for a final inspection once all
work is complete.
Incorporated August 11, 1890
Please complete the corrections listed by December 5, 2003 to prevent code enforcement
action. Please call 425-771-0220, ext 1326 to schedule an engineering inspection. If you
have any questions regarding these requirements, please feel free to contact me at 771-
0220, ext. 1338.
Thank you,
qo"�&O
Jeanie McConnell
Engineering Technician
Attachments
c: row permit #2002-0215
street file
CITY INSPECTION REQUIRED ON FORM
WORK PRIOR TO POUR
EXPANSION JOINT DUMMY JOINT
4
.
oollf
4
4
i4
.'4
'�4
4
4.
r
I .....
. . .
.
4
44
4.
.4
.04 10, O.C. — — 5' O.0 low
PLAN
5' T 0 7'
A 4. 4 k��] I Ej
.4:v a
UNDISTURBED EARTH OR
mm[E T
*d.s .. A .:. a. Im
COMPACTED NATIVE MATERIAL
FULL DEPTH 112' EXPANSION UNLESS OTHERWISE SPECIFIED
JOINT MATERIAL BY ENGINEER
N 0 T E.- SECTION
1. CONCRETE SHALL BE CLASS 3— 300OPSI
2. CONCRETE SHALL BE BROOM FINISHED
3. SIDEWALK THICKNESS SHALL BE 5-1/2-.
4. SIDEWALK THICKNESS AT DRIVEWAYS SHALL BE 6' THICK.
5. CURB AND GUTTER SHALL BE POURED SEPARATELY FROM. SIDEWALK
6. CONCRETE SHALL BE SPRAYED WITH CLEAR CURING COMPOUND
OR SHALL BE COVERED AND KEPT MOIST FOR 72 HOURS.
Est 189U
N."D
REVISIONS STANDARD DETAIL
APPROVED BY DATE
CONCRETE SIDEWALK
DATE 7/24/01 1 SCALE NTS 1'*c "o- E2.13
,9e.p,10 03 03:26p Mietzner Homes 4 e ZV4 U e ZJ i I U
Jeff and Tracey Metzner
20210 92n'Ave. W
Edmonds, WA 98020
September 10, 2003
Jeanie McConnell
City of Edmonds
Development Services Department
1215 Ih Ave. N.
Edmonds, WA 98020
Re: Right of Way Permit #2002-0215
Dear Ms. McConnell,
I am in receipt of your letter dated August 26, 2003. 1 have been out of town and read
your letter on September 8, 2003.
I am requesting a waiver to item 1 on the correction notice sent to us on Der -ember 4,
2002. Our curb, gutter and sidewalk were a monolithic pour for a few reasons. One,
several neighbors of mine have monolithic pours. Two, a mono pour is a stronger hold
where the curb and gutter cannot "settle" lower than the sidewalk. Three, weeds do not
grow between the curb / gutter and sidewalk, and Four, mono -pours look better. Everett,
Seattle and Lake City allow and / or require monolithic pours probably for the same
reasons as above. The pour at my house looks great too and you can't even tell it is one
pour.
I would be happy to comply with item 2, however, I would like more time. I would like
another 3 months. Do you need to inspect the forming of the 20-foot driveway prior to
pourin ? Also, is asphalt allowed for the driveway?
. 9
Thank you. I look forward to your response. I can be reached on my cell at
425.754.9653 or home at 425.774.7673.
Sincerely,
I&/01Y Y
Jeff Mietzner
cc: Don Fiene, Assistant City Engineer
Ph 425.771.0220, ext. 1323
I"? C. i sq,
0 1 0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
August 26, 2003
Jeff Mietzner
2021092 nd Ave W
Edmonds, WA 98020
RE: NOTICE OF CORRECTION, Right -of -Way Permit #2002-0215
GARY HAAKENSON
MAYOR
Our files indicate that right-of-way permit # 2002-0215 has not received final
Engineering Division approval. A final Engineering inspection was made at 20210 and
2021492 nd Ave W on December 4, 2002. A. Notice of Correction (attached) was left at
that time with the following corrections.
1. Curb and Gutter to be poured separate from sidewalk. Expansion joint between
curb/gutter and sidewalk is required.
2. 20214 must pave a minimum 20 feet from back of sidewalk onto property.
3. Recall for inspection once corrected.
None of the above corrections have been made, as verified by a field inspection on
August 21, 2003. These corrections are required in order to bring the sidewalk and
driveway construction into compli�nce with the City of Edmonds codes and policies.
Please complete the corrections listed by September 10, 2003 to prevent code
enforcement action. A form inspection is required prior to pour. You can call for an
engineering inspection at 771-0220, ext. 1326. If you have any questions regarding these
requirements, please contact me at 771-0220, ext. 1338.
Thank you,
qfi'wl�
Jeanie McConnell
Engineering Technician
c: row permit #2002-0215
L.,-'street file
Incorporated August 11, 1890
C:-,�-- T--
ED_4
NOTIC
TO PERMITTEE AND/OR OWNER
199"
DO NOT REMOVE
PARTIAL APPROVAL A CORRECTON REQUIRED ENFORCEMENT VIOLATION
Owner 9 � g� Eles=� Permit Number
Job Address 141,1 q Ea %E_ 1&/ Site Contact
L3 WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED
0 APPROVED PLANS AND JOB CARD MUST BE AVAILABLE TO INSPECTOR ON SITE
CORRECTIONS LISTED BELOW MUST BE MADE: BEFORE WORK CAN BE APPROVED AND/OR THE NEXT PHASE
OF WORK IS STARTED
RECALL FOR INSPECTION Ll $45 REINSPECTION FEE MUST BE PAID PRIOR TO INSPECTION REQUEST
STOP WORK -UNTIL AUTHORIZED TO CONTINUE BY CITY INSPECTOR
0 NO PERmrr-STOP WORK -REMOVE. CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH
ALL APPLICABLE CITY CODES
vatswormmaNNIN, "famim
S-f
L L/
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED TO BE CORRECTED WITHIN
CALENDAR DAYS OR PENALTIES MAY BE APPLIED. FOR INSPECTION CALL 425-771-0220
El Building LJ Planning Engineering L3 Fire 0 Public Works
i
White: Permit File Pink: Enforcement Buff. Applicant
�x
City of Eddmmo
RIGHT-OF-WAY CONSTRUCTION
Permit Number.
Wue Date: 1--5-
L i 3
A. Address or Vicinity of Construction:- e200A16 fivE LJ
890 9 C� B. Type of Work (be,specific): 126PUV-E DE-MeTME 1XVDF4—Z-
,9126010 Z09711 AMMEX LIVE-
C. Contractor: ok?wawkvi�mm Contact: 7&M ALYPEMSOA)
Mailing Address: MAJAI 4M. Phone: -77S- 7.5'0 4
StateLicense#: Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. F] Commercial Subdivision El City Project EJ Utility (PUD, GTE, WN WATER)
F] Multi -Family [J Single Family [:] Other O�ZLP
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut Yes XNo- G. Size of Cut: x H. Chargq,,$
APPLICANT TO READ AND M.GN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds�jor any of its departments or
employees, including or not limited to the defense ofany legal proceedings in es by r'-e*a'sonofkranting this permit.
cluding defen e costs, and attorney fe
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
I -ORCRED' :W[I.L-BEP�?OCr,,SSF.DF'01?11§,StTAiv�cgto�rftFAPPLICAIVT.",'
Is COMPLET�DA--CIPY FORCES, AT WlItCH IIMF A DEBIT� IT
Construction drawing of proposed work requlre'drw�ith permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.1
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with Cityyt", lations as requirediby-,the,City(Engineer.
All street cut ditches shall be patched with asphalt -or City appr-��ed material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the abovestatements and understand thepermit requirements and thepink copyof thepermit ivillbe
available pn s fo
LLe at all t r inspection purposes.
Signature: I Date: �5'�
(icon tractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
<'APPROVED, BY: R?G;1JT OF WAY DEPOSIT
IME AUTHORIZED: VOID'AFTER 1 4 k A I DAY9" DISRUPTION, FEE/FUND III:
SPECIAL CONDITj6NS: e-0 !Er'"SmT 0E�L RESTORATION FEE:
77
COMMENTS:
DATE:
PERMIT'FEE:
TOTAL PEE:
RECEIPT FEE-
ISSUED'BY:
', NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANGE Engrg. I)iv. 1991
FIELD INSPECTION NOTES (Fund 111 Route copy to Street Dept.)
Comments:
7:.
Diagraw
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
DIAGRAM WITH FOOTAGE
o\v
Z02-16
R-EPLALE tooc- 1(71'
FIELff 0*:� .41-2- kbU-ftCMa)
FnEbEIL OrTH 7" Z_6JLJDUl-r
.Z6?))O
- S1 EK AA -,! � � T,
DATE COMPLETED: I CONTRACTOR:
o n;o
SAIP
Z-A6Le is SRI/
ilk"
(15 6,vv 9D in
13
DATE OF CALL
0
DIAGRAM WITH FOOTAGE
13
Z02-16-.,
.0
RE-PLALE 6�)C- lf7l'
121GI o:F-- .41-2- WO-RAM2)
Hmboa- lurm ?-,# z6kjourr
IZAI- IS410 Z-A-SLE,
26 5) 0
S1 EPe- AA ,! � T,
DATE COMPLETED: CONTRACTOR:
DATE OF CALL
r-r, Vl: L L Eqb qi.� E
zyqLq� )-.s
(I 5-6,vv ED An
0
DIAGRAM WITH FOOTAGE
DATE OF CALL
[3 125.01
R-EPLAZ.E 613E 1tv SAA�L LE,4AYVE
FIG�H or- .41-)- kbk3-FtCM2) Z-A6L--,= Ps SRI/ beffpl
FEEMC-iL LjrTH 21, Z.6AjDuiT-
(15-6,vv zM Jo")
,z4-
26510
0
S
DATE COMPLETED: CONTRACTOR:
IsCity of Edmon
RIGHT-OF-WAY CONSTRUCTION
P IT
E
Permit Number.
Issue Date:
lo7nst' —W—V nQ1
A. Address or Vicinity of tonst ption: 0 Al�
8 9 Q) B. Type of Work (be specific):9��atz,7,-_y _'.4ye- zo.
9 V1
4.
C. Contractor:4��410--O��w.,�Y441,t� 4��
MaiIing'Address:'-4,Q=Q A�
State License #:
D. Building Permit # (if applicable):
Contact: A-4 __-11
Phone:
Liabilit Bond: $
,,� Insurance:
Side Sewer Permit # (if applicable):
E. Commercial, E3 Subdivision El City Project E] Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family ArSingle Family n Other
INSPECTOR: I 114SPECTOR: kkg-J""
F. Pavement or Concrete Cut gYes F_1No G. Size of Cut: H. Chargq-$
APPLICANT TO READ A;; GN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmon;d:9harZyrtt' f m injuries, damages, or
mo
rg
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of y of,its departments or
employees, including or not limited to the defense ofany legalproceeding8 including defense costs, and attorney fees by reason ofgranting7�is permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
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 progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read the above statemepieln'd und si d the permit requirements and the pink copy of the permit will be
Z5WSp;Ai
available on site at, all t S.
Signature: Date:
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY.
RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEE/FUND ILI I:
SPECIAL CONDITIONS: PLALCE GN4 FEE:
01?190SITIE� Sloe- Oi= 5rrzee-f OdOM PERMIT FEE:
WATFrL 6��Y-T S. I or) TOTAL FEE:
COMMENTS: I RECEIPT FEE:
DATE:
ISSUED BY: G" '
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994
0
FIELD INSPECTION NOTES
Comments:
Diagram.:
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
FEAWK
61
:3-77 �J
L
20
-3�
9:6
1 01,51
Fir 1A
U10 — - k——P. I ol X
YvA
,254�, P-4�
r
0, 717
DATE BY APP-D
NO. DESCRIP I TION
REVISIONS
NOTES
1. FULD LOCATE ALL UMXIUS 48 HOURS PRIOR TO DIGGING AT
1-800424:555A
2- D;ST-kU A ONE POUND ANODE EVERY 1000'OF DETECTION WIRE.
3. CUTS IN PAVING ARE SHOWN A& W
4. CUTS ANTICIPATED.
S. CO?KPLETE EXPOSED PIPE CONDITION. REPORT WNG FoRm
#563.13(D-1).
0
10
9
8
7
6
5
4
3
2
1
ITEM!
QUANT.
DESCRIPTION
STOCK NO.
BILL OF MATERIAL
PERMITS:
1/4 SEC:
PLAT:
kzzla �a -7
OP MAP:
Naftra aas*-W=o� F
AWW�&XrgKaMaW
AREA:
017
TAX CODE:
SEO. NO:
t
I D.G.R: <::;�p �s cRveh-4)
DWN: IR RR
-7 /1=3 (a,
CHKD� JOB
a t / R DRAWING
SCALE: APP�� (:a(2)0
0 STREET FILE 0
CITY OF EDMONDS
250 5th AVE. N. * EDMONDS, WASHINGTON 98020 * (206) 771-3202
COMMUNITY SERVICES
January 9, 1986
Resident
2-1M2nd-Ave—W-7
Edmonds,OWA 98020
Dear Resident:
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The City of Edmonds Water Section has recently installed a water
valve to help improve the water pressure and fire flows in your area.
Since some of the residents on top of the hill have had low pressure in
the past, the new valve will eliminate this problem.
Currently, the pressure in the area is 35-40 P.S.I. and now will
range from 95 to 105 P.S.I. The City does require a pressure reducer
valve at the house, however, since some of the existing houses may not
have a pressure reducer valve, you are required to install one to
protect against possible leaks due to the change in pressure.
This is a relatively inexpensive item (between $45-$50) and it may
be adjusted to control the pressure in your house. The pressure
reducing valve should be installed prior to April 30, 1986.
If you have any questions, please feel free to call the Water
Section at 771-3202, extension 293 or 291.
Sincerely,
H I E BRENA
Water/Sewer Section Supervisor
AB/ml
d/
I . LLS CIO
DT /H-I�GLHL VAi�D T 4MACH22�)— 61V
PUBLIC WORKS 0 PLANNING PARKS AND RECREATION 0 ENGINEERING
City of Edmonds PERMIT NO: 10072
I PERMIT EXF RES
ISIDEREWER PERMIT
Address of Construction: ;20.2- / 0 9� LID #
Property Tax Account Parcel No.
Attach copies of all access and utility easements Verified and Approved b
Owner and/or Contractor: W7) "e, t-2,,-z -e r, J214 (-5-e�6
V 0 L,/ \ 1-/ Cj. z
Contractor License Al led Building Permit �;LQQS_ — 0 7-0 7
Single Famil'* Invasion into City *Right -of Way: F� Yes 9 No
y
D multi -Family (No. of Units *RW Construction Permit #
Commercial (No. of Units Cross other "Private Property: El Yes RI No
Public "Attach legal description and copy of recorded easement.
Owner/Contractor
Owner or contractor signature and acknowledgement statement: Date
By signing for this permit- I certify that I have read, the City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
2 CALL DIAL -A -DIG (1-800-4iq.-5555) BEFORE ANY EXCAVATION 2
9 FOR INSPECTIONCALL 425-771-0220 extensiondIA692
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
FOR OFFICE USE ONLY
... .... .......... .. . . .......
Permit Fee Repair Fee $ Issue
Trunk Charge Date Issued:
Assessment Fee $ Receipt No:
City Permit Surcharge Fee 15.00 Total Fees Paid
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO Date: Initial:
Partial Inspection: Ae IrC_2 Date: I/ d Initial: e5-5-
P p
artial Inspection: Date: Initial:
F I Initial: �- //74— As -built to Street File:
INAL INSPECTION APPROVED: Date: 1111Z4 Za
1,� PERMIT MUST BE POSTED ON JOB SITE t-
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg;forms;sspennitjlg4/00
All 4"
A Of
CITY OF EDMONDS SIDE SEWER AS- BUILTI
ADDRESS: PERMI
20210 92ND AVE W NO, 10072
CONTRACTOR: HOMEOWNER: S ALE:
SAME AS OWNER JEFF MIETZNER NTS
DATE INSPECTED: INSPECTED BY1 DATE DRAWN: DRAWN BY:
11/3/05 1 ES � 11/3/05 1. ABILA
VIC, 4,
77
401*
4 2 0 b`54
All
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ity
Cei *a. I e
DE ic�
�T ePARTRME NT OF BUIL-0INGS
PERINTERN !I NA� ESIDENTIALC11DE-SECTIONR110
�,---,Building Atmit #: 2005-0707
Occupancy established by this certificate:
No. Stories:
Baseme
Owner of building:
The Single Family Residence at 202JR!
2003 edition of the International Residential Code as
the proposed occupancy is classified.
S.1
Dwelling Unit
Type of Constr uktion: VB
le",vsMiet.'ziier.1-:':�,.,,..-,.;,�,-,-..,,,v,,"�.."�".."'
ye W 6"6'-,it"af6d and approved complying with the requirements of the
e.-D; � 1-Y
th,Mr,- and division of occupancy and the use for which
Issued this — 29th day of November , 2006
Chief Building Official
By:
Any change of occupancy or use requires a building permit and a now Certificate of Occupancy issued by the City of Edmonds Building Official.
40
R340DEL PRDJECT
aftER: Jeff & Tmosy MlMuw
20M 92nd Ave W. E&ai* We
090 425 7544M
PbOW:0054015119810M
LIWAI- [ESOMMOM
Higgins addition div. no6 2 blk 000 d-00-Lot 4
subj to ESE FM & Gen Tot
Twn 27 Rng 03 Sac 24 Qtr NE
E449WOM SLIFFACE CALM
Areei 80" sf
Total ;=
Total Areat 8195 sf
==
BdOV aAWV Roof Ofts 4822 of (WO
Exisling Oomed Fbrch: inckxIed above - hbWW
E- 111 g DrtvuAW. 3937 of
Ex�.above
cov
byV=
Rqzeed A d Roof QAne 4447 of
• Add*YvW fbor arew 272 of
• AddMonEd Gwage am 37 af
• DadL ' Wad 228 of + 154 of
t:�=kbidg: 19%
Acres 2@_V6 SIF
Lot Siow. 8%
BULDN3 HEK31-ff CALCLJLATKM
A +13 + C+ D
"Amma+870S.11489
seer
1489 / 4 - 30726 Awage Oade
AcbjW R Ridge 3893
Mwe Bldg HWghb 3873 + 25 -.2EL_
Eis RF- SW
isi Fr- 31218
N01
as Is
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hatnai textft for ruN ftg on W side aty
h10 64"aard too vA bam or
Raofma toq)kmh (as is eftiingi
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MMIewood
or
Site X
Win SWU9
SITE LOCATION
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4"7 sf New Roof Ov
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2=
House 1021 sf
E)dsting & p osed Garage
11 Remode 40x2O
72x48
t Orvulo I N85334OW
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27190 sf\
IS PIESPlONSIBLE On
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12395 sf
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Setback Required Actual
Ffem N t -�:S- -;5
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BUILDING DEPARTMENT
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BUILDING DEPARTMENT
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