20223 92ND AVE W.PDF8887
20223 92ND AVE W
TAX ACCOUNT/PARCELNUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: &0 &42- C'�' c;2- _ DETERMINATION: E] Conditional Waivcr [:] Study
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: ZZ-- Inn
SCALED PLOT PLAN DATED:. //- j - Zg -3
SEWER LID FEE
LED #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: A / j /
SIDE SEWER PERMIT(S) #:_ !W6
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: -7-41-7169
OTHER:
Requ 71--�Waiver
LATEMP\Dsrs\FonTts\Street File Checklist.doc
nc . Is,)-
1E11T NO: 9816
'City of Edmonds
PERMIT EXPIRES
SIDE SEWER PERMIT T
Address of Construction: AQ LID #
Property Tax Account Parcel No. 6—Ma-771"lAdO
Attach copies of all access and utility easements 7— Verified and, Approved by
Owner and/or Contractor:
Contractor License 4: �Naho%h
Single Family
El Multi -Family (No. of Units
F� Commercial (No. of Units
[_1 Public -
Invasion into City *Right -of Way: El Yes [&No
*RW. Construction Permit
Cross -other "Private Property Yes No
"Attach legal description and copy of recorded easement.
Owne or contractor signature and acknowledgement statement:
By siVning 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.
. 1 11 1UN
Date
2 CALL DIAL -A -DIG (1-800-4214-95555) BEFORE ANY EXCAVATION 2
9 FOR INSPECTION CALL 425-771-0220 extensi6n��_&
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
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: Date: Initial:
,LjPartial Inspection: Date: Initial: --
FINAL INSPECTION APPROVED: Date:
lnitiali-� As -built to Street File:
�Z &-;4
11, PERMIT MUST BE POSTED ON JOB SITEt,
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg;forms;ssperTnitjlg4/00
A
so 20217
01i
ci**)
A () f E-Dj�o,_
0
IN
CJ
U�,-M
-1
CITY OF EDMONDS SIDE SEWER AS- BUILT I
ADDRESS
20223 - 92nd Avenue West
HOMEOWNER CONTRACTOR SCALE
Eag(ewood Homes Inc, NTS
DATE DRAWN PERMIT
2-17-2004 IBY K, Haney I NO. 9816
E RECEIVECbj'Z. I of �PE �&PIRES
CITY OF EDMONDS
DS
USE
ZONE PERMIT
NUMBEnA91 _ff-U2
CONSTRUCTION PERMIT APPLICATION
P P CATION
j
JAODBDRESS surrFjApf#
OWNER NAMENAME OF 6
FLAT NAMEISUBDIVISK)N NO.
LOT NO.
UO NO,
LID FEE S
MAILING ADDRESS _j
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7�
EXISTING — PROPOSED— 'rs.�R.'s'sd
APP-0
P—it ft.&.
zip
REQUIRED DEDICATION— FT — w
'u,
METER SIZE
U HE SIZE
I
NG�RRES
Y�J�OUIRE.
E NO J11
AD—ORESS
x
U
13
RE —FIX.
OWNEVCO
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
z
Zip
NAME
ENGINEERING REVIEWED BY
w ADDREIIS
FIRE REVIEWED BY DATE
\N'�L' � VZ'P
IL
If
STATE LICENSE NUMBER EXPIRATION DA, E D
0
1�
VARIANCE OR CU
SHORELINE OR ADBSN
INSP
FIEE�CTION
13YEs M116
BOND
POSTED
I , —
PROPE RTY TAX ACCO PARCEL
0 0SCIP00061101
EPA IIEVIEW
... ILEIE , EXEMPT
EXP v"
SIGN AREA
ALLOWED I PROPOSED
0
HEIGHT
ALLOWED PROPOSED
qL Og ESMENTIAL I NIECH
COMPLIANCE OR
ADDITION COMMERCIAL ID CHANGE OF USE
LOT C RAGE
ALLOWED —PROPOSED
350 ;-5 31
4
REQUIRED SETBACKS (FT)
FRONT SIDE REAR
2.5 /a 2Y
PROPOSED SET .8
FRONT L/R SiDt I ITU(FT)
27 101,4
1
PARKING LOT AREA
RE01) I PROVIDED
2- 3 423,1
JPLANNING REVIEWED BY DATE
REMODEL M1.LnFAMILY SIGN
ci FENCE
REPAIR CYDS X FT)
DEMOLISH TANK OTHER
'MQ:AGE 0 RETAINING WALL
PC FIR SPRINKLER
FIT L_J RocKERY FIRE ALARM
REMARKS
pwfjj,�* LJ,%.h kte 1p� ow A.&Oowdo
S Ok� LAIN:
NUMBEF1 NUMBER OF FIFTIC
OF DWELLING AREAS
STORIES UNITS NUMBER
5xEY ITW
Y ONSTRUCTION
IC VD
0
GCRCU
SP CIAL.N.PECTI.. JAREA
E
REQUIRED [] YES
I
OCCUPANT—f
LOAD
DESCRIBE WORK TO BE DONE
/1' � III- -. 1\ _t
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D F;
I
c,,'1,a.rqAc — u
. 1 9
�=_,5r-
VALUATION
sq&.3,33LI
111*)V
It
or
_'51P 4- 1 a0xzj�:
Description
FEE
Description
FEE
Plan Check
2,'70 (y
State Surcharge
L44i—v
�WRCE InG %
Building Permit
City Surcharge
PLAN CHECK NO: -STED DATE
Plumbing
ga Se
Mechanical
110
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DOME ON PRIVATE PROPERTY CNLX ANY CONSTRUCTION ON THE PUBLIC
Grading
MAIN 'CU—S'
D a DEWALKS, DIDVEWAYS' MARQUEES, ETC.) WILL REQUIRE
/ q 0
t:
Lj
Engr. R&Aew
2-6
PERMIT APPUCATION: 180 DAYS
PERMIT LINI I YEAR - PROVIDED WORK 13 STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
21 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMA ES OF WHATEVER mAruRE, ARISING DIRECTLY OR INDIRECTLY
GOF
FROM THE ISSUANCE THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
0 WAY THE CITY% ABILITY To ENFOR
x NOR LIMIT IN ANY CE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt # �Q_4 A�
I HEREBY ACKNOWLEDGE THAT I HAVE READ TH APPLICATION; THAT THE INFORMATION
IS
GIVEN IS CORRECT.* AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
TWs applinilon is ool a Permit will Olined by dia
11; 1Nr I I AUTHO11 THEREBY, NO PERSON WILL BE EMPLOYED
Building OMcIW or Nsftr Drrp�y:.wd Fen ar, palo, and
TRI 0 T. "�2R
L
IN R CODE 01 THE STATE OF WASHINGTON RELATING TO
g n
CQ.PE. TION _.U_Cr AND RCW 18.27.
W;4 . ,
FOR INSPEC71ON renipt is acknoWedged Idspace provided.
—7
(425)
,ATE
A
107;NED
j
.4 0,
— 111vtAJqz Izi ///4,03
771-0220 DATE
A E TION
Off 1333
M&W4�
LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
M
ZZ4
A FI1?LI NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
C E
AT OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE - YELLOW - IffSPECIOR
PINK - OWNER . GOLD -ASSESSOR
04102 S HARD -YOU ARE
MAKING 5
COPIES GREEN - ACCOUNTING
0
1 ou
km MAINTAIN 2' MIN 12,871
cN,4
o
..."tOVER OVER
(0 1
K) -%, DETENTION PIPE
LL. .01
\/ .10' to IE= 203.42 0
R) Parcel A (OA
12,870.9 Sf
0 7' 97.00, 11 5' .00,
D161,
-- ----------------------------- r --------- ----- --------
1 0 �98 LF 8'-'"'PV6 -------
0 #�[E P, JF' I
'S 89*23'12" E
v L
0 0. �', 0 -
0 2
STOR4 10'
iEASEYENT/
E P, D - ---------
M E R� -- ---------- OF 1- 1
'ADECK PROOOSE Lot )112
ESME
ACTUAL RIDGE @ ,k32-?5
0
V
OP Pt�ATF P, 225.33'
AIN f 100 R' Q, 3 3' 1
31
21 TYP.
f-3 S24 C-3
MCI) r
S
CA
LLJ
CH,6',
cel
(0�) /2 5 W S24"
NEW
4- .1 S Ay 25' 1 Ld
A-cptl ALT
DKIVEWAY CO
5r
,�D 'Po nt
cot
1A. �OG.33" , 1, U,*; )
C
P . - I
. .......... I I -
.4 v
EA
VE TYF.
2
0
CN
I C
I'J(OA
5
E
r
24" 48"
1.19 10' kF Z
0 A"
arden Area Hedge typ F e�n- —ce- (1-yp-) 0 0 F
'2D VH 95
2'53" E F9"
&
CB TYPE 1-1, Found Re7bar &
-f TOP = 205.0 Cap, LS 179 9
'L-1 -48PD
STREE
IE(N)=l 99.85 E h
q:VELOPKKI ' _VICE -Fag- 0A:4R BY PLANNING
OCT 2 7 2093 CITY 3� L�ULWDS
DEVELORIENTREFIVICF3 CTF, Allyn and Carolyn Billings
CITY OF EDLONDS
3( N CtLF- 0
8s
LOT COVERAGE CALC.
LOT AKEA= .139423.1 5Q. FT.
BUILDING 5Q. FT. INCLUDING
PORCH= 3397,5 5Q. FT.
3397.5 /1- 3423. 1' 25.3%
h0U5E9 GARAGE, FRONT
TOTAL IMPERVIOU5 CALC.
BUILDING 5TRUCTURE A5 NOTED ABOVt=3397
DRIVEWAY AREA= 2154 5Q. FT.
TOTAL IMPERVIOU5 AREA=555 1.5 5Q. FT.
MAX. HEIGHT CALC. PARCEL "EY
A=203.0'
13=205.0'
C=209.25'
Q=208.25'
.AVG. =525.5 / 4=20G.351
MAX. HEIGHT= 20G .381 4- 251=231-35'
ACTUAL RIDGE @ 23 1.25'
TOP PLATE @ 225-33
MAIN FLOOR @ 2 1 G.33'
GROUND fLOOW 5LAB @ 20G.331
.5 5Q. f=T
CD
m P,
4 2 Fon C3
:r_ rn 0 7z
r-11 1�11
m I I 7—�-i I:n
LA
0
NAME: --Tv,, 14 OeA4 SAewr6
SITE ADDRESS: 2,oZe3- 92--,
PROJECT DESCRIPTION: 52�,,Le
PLANNING DATA
TE: It 131ol
PLANCHK#: 03- 42-e
7- 2- ' --L- F4� �-=J r, �76-
�ayu'e-
V4, REDUCED SITE PLAN PROVIDED?: (jeo / N
MAP PAGE: 2-SS CORNER LOT: (Yes ILVNo FLAG LOT: CYes /Q
ZONING: K S , i:z- CRITICAL AREAS DETERMINATION #:-2-MZ - 2 2-
Ll Study Required:
21 Waiver
L3 Conditional Waiver
SEPA DETERMINATION:
L] Fee
Ll Checklist
Ll APO list w/ notarized form 3.31,
(Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
SETBACKS:
Required Setbacks:
Street: 2,5' Left Side: Right Side: to. Rear: 2-,
Actual Setbacks:
Street ?--7' Left Side: Right Side: 14, Rear: -3
Street map checked for additional setback required? (Yes /(N6, / DNA -
U DETACHED STRUCTURES:
Ll ROCKERIES:
L3 FENCES/TRELLISES:
0 BAY WINDOWS/ PROJECTING MODULATION: S"'b I At �,,y'04Y-( wkl?k rl
El STAIRS/ DECKS: wt--s szo-,,,t-
PARKING: Required: 2- Actual: 3
LOTAREA: 13 47,3.1
LOT COVERAUE:
Calculations: 4 23, i 307,
BUILDING HEIGHT:
Datum Point:-bi�,,.Se,4e/ to fa--m Datum Elevation: 2-o7,3t, r-:�.,
Maximum Allowed: 2-5' —____Actual Height:
A.D.U. CREATED?: (No / Yes) wt,�- �A,
6�4- ^o- gf-'re,4A
SUBDIVISION: hrW G , j- S - a 3 - 2� j, 't-f
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes(f rej "I
OTHER:
Plan Review By:_
NewBPP1anningDataForrn.D0C
The Critical Areas Checklist'contained on this* form it to,
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
histher submittal of the application to the City.
7lie purpose of the Checklist is to enable City staff to
detemaine 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 fi-om observations of the site or data available at
City Hall (Critical area inventorim maps, or soil
Surveys).
A owner, or his/her authorized repmeritative,
must fill out the checklist, sip and date it, andsubmit it
to the City. The City will review the checklist, nWke a
precursory site visit, and nuke a determination of the
subsequent- steps necessary to complete a development
permit application.
Please submit a vicinity mapalong with the signed copy
of this form to assist City staff in finding and locating the
specifid piece of property described on this Iorm. In
addition, - the applicant shall include other pertinent
information (e4� site plan, topography map, etc.) or
.studies 'in conjunction with this Checklist to assistant -staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/herfits heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless fi-orn any and all damages, including remonable
attorney's fees, arising from any action or infraction based in whole or, part upon false,. misleading, inaccurate -or
incomplete information fumished by the applicant, his/hertits agents or employees.
By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of MY
knowledge and that I am authorized to fi - is a lica ' I e Re er as -below.
` �a '=Off
SIGNATURF. OF APPLjCAw/AGENT77/_ 'e AM IJ ) _19�7zo_ —21
t
Property Owner9s Apthorizatio
I 'h au i�-
f public 0
By my signature, I !q� that I h authorized the ve ApplicantlAgent to apply for the sutdect land use application,
and grant my permJssfZfIOr pu Ic 0
1 bli fficials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspecti sting attendant to this application.
SIGNATURE OF OWNMt
Owner/Applicant:
Name
Sbeet Address
10
city State zip
Telephone:
Email address (optional):
Critical Areas Checidistd6d3.19.2W]
DAM
ApplicaPt R�presentative:
6-AA/ Z$5'.-� e__
Naiire
J:ZZ I
Street Address
Z:-: "— &r, 7 - �
city . . state
Telephone:. 2 5-
Email Address (optional):
-777 7,-.-
7�7
-77
-r7 .7,
ru q
O"M .6
7:7 -7
7 77 - 7.7,
n
q..k
, -!7
rwv w., Bois :0 0019%1111'" CALL 425-771-0220 EXT. 1326 of
TRI E DESCRIPTIONS CITY COPY
En SCALE 1 inch 20 f t. SITE ADDRESS:
CH Cherry H Hemlock P Pine
APPROVED AS NOTED 20223 92ND AVE. W..
�'fkv\ EER
mw No� BY N flk
D Deciduous M Maple S Spruce EDMONDS, WA 98036
ACCEPTABLE TIGHTLINE
MATERIAL
FOOTING DRAINS NOT Date:
F Fir ALL EXPOSED SUR
SDR 35 OWNER/CONTFUkC7 iS RESPONSIBLE FACES TO
TO BE TIED INTO
SCH 40 DETENTION SYSTEM FOR EROMIN Cot"i �:t(fl- AND DAMAGE BE COVERED WITHIN 2 DAYS
N - 12 hk9ftLLWrs
Rio HANCOR IpLprr.
05ub
7 7,
-9
0 E VE L 0 P
G1,11 Y '3
:�i
0
(S)
0
0z
r
(f)
El"I'll"111111"'11"I"M
z
lu
LLJ
71"
0
(n
ca
'Y
ou �co
U-J 0
Uj C\1
(Y)"
U-j
C)
(\j
0i
C\j
Ali
U-j
DATE
/0
5HEET NO.
2 or- io
F F(--
S ITV,1,614�b I ql�) �PJ 7W--F-
IPA
212TH
INSPECTIONS REQ'D. r r - Marker, FO
1200
m CALL 425-771-0220 EXT. 1326
STREET FILE
ACCEPTABLE TIGHTLINE
FOOTING DRAINS NOT
D I
r
MATERIAL
SDR 35
TO BE TIED INTO
F Fir
ALL EXPOSED SURFACES TO
SCH 40
DETENTION SYSTEM
Date:
BE COVERED WTHIN 2 DAYS
N -12
Kl, IIIENO-"' KIN 'D
' 2
F81 0 HANCOR
if"o ;Fgmtovj 60t'qsWL- Rlgft=v
fvF- stt4v-c -Fcprr
J
117
uj
Lu
T--
n
z
LLJ
T)
77
0
(s)
�zu
0 � co
U-i 0 cl-oo
�— r- N
—(s) I
z
ui g)
<
0
IL/
I Ws
(n
LU
C)
(\j
G)
N
((C)
c\j
75;
0
�mm
1/0
5HEET NO;
2 OF- io
5/wow
,x�� - V"Yd 167a
5 Ale -
STREET FILE
I
)2t
0