20416 80TH AVE W.PDF111111111111
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20416 80TH AVE W
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ADDRESS: 20 Z�J
TAX ACCOUNT/PARCEL #:00&3449D0001s60
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #:O(?-OZ)7/ DETERMINATION: E] Conditional Waiver OStudyRequired V6Vaiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver Study Required F1 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: -7/1,
SEWER LID FEE $:
LID #: t--,5q
SHORT PLAT FILE:
LOT:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #: 7 4 L4&q6
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR!
WATER METER TAP CARD DATED: 7 q
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
Property Owner: Frank VanLeynscelc
Property Address: 20416 80'h Ave W.
Edmonds, WA. 98026
Tax Account Parcel #: 00634600001200
Impervious Surface CaIcs. (Solid Surfaces)
Existing Building Roof Outline: 1439 SQ. Fr. (Const in 1974)
Existing Driveway: 550 SQ. FF. (Const. In 1974)
Proposed Addition:-144 SQ. Fr.
Height CaIcs:
A=105.0
B=101.5
Plot Map!
Corner F1
Scale,l" Zone 105
ag._
Setbacks A2%jred - -t-OM4
—&WL
Front e, 0;,5 1, (W
Sides n/5-1--51 , / 2.
Rear W I 5r I
Other
Height
C=104.5
D--100.8 APPROVED BY PLMNING
Ave. Grade= 102(15 (4. &CUAit, 1) 1 ."J.7 0. 0 8
Actual = lee Now -A oyieA-rwottion 5
Maximum=4;6 1-1-7.qq yyjay
Lot Coverage: 1499 SQ. ff. tjq.:Feqo)
Lot Area: 8120
Lot Slope: 3%
.0
GUTTERS/D WNSPOUTS
TO CONNECT TO EXIST. SYST
A
107�D
OWNER/CONTRACTOR IS
FOR EROSION CONTROL
%FE)M DA)E--
24.HR. NOTICE REM
FOR INSPECTION
,5)DE WALI-�
A
-7 -7- 19 ux*' M'-*'-
te" 1h t6 hei*A JibWw-A
rm f lie tire
9
mahAertance of any cu'x`re�tly illegaL
nonconfomiffig or unper-mitted bi i.i -,rling, strucft�re
or site combbon ia o?zrAidc dht.scope of the
t 1;
app -vuition, n�j6 of (Aiether such
J— -4--- Aurofor �wiididon is shown on the
Tite laii or drawing. Such budkiing, sbucttire or
of a separate
50 r- t �PAo%!�Eb aw in, -A
-Swr fVW-6
+W.
C + IbI.5'
/6 fn�-A 42w- -vh-emt��ai� p�D BY ENGINEERING
LYL6T7WA q
J9 J L PL
37VI 1
r.0 q
V�
T—
I �V'
-7
0
A 100
V, DATU M PT 4 100
R SC t� M W
.51,V15D 90
A
pplicant shall repair/replace all dam
sFfW'bFs "Itflitles or frontage Improvements In *Tfl ET FILE
D MONDS
CI.T,i OF ED nght-of-way per City standards that is caused
or occurs during the permitted -project.
0 0
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
11 STREETFILE I
Name: F:ravlV- van ityrirveete..
I Date: 0*1. 2j 0. 1--C) 0 a
SiteAddress: OkC)s+J(p 801V hVemwe Wo'st
Plan Check #: BLD -
Project Description: rtvvi o c1d I a d d iff M rlirw CICC Ic / 5(4 vi ro o
S, (a a -t-" "0 kv)
Reduced Site Plan Provided: (6 NO)
Zoning: ;L5.8
Map Page:
Corner Lot: (YES
Flag Lot: (YES
Critical Areas Determination #:
El Study Required G Ir 4. IeO D 9 7--
N Waiver
SEPA Determination:
Exempt
Needed (Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
Re S&thack�s
Street: I
Side:
Side:
Rear:
ActualSeth�icks
Street:
Side:
I Side: 2 s-3 J
Rear: -15:V
D Detached Structures: A 01111t SV1 OWV)
P Rockeries: 4t7C. SV%1D%WY% Q)
El Fences/Trellises:
Bay Windows/Projecting Modulation: Vloyle, 15VIOWV1
Stairs/Deck:
Parking Required: I;o
Parking Provided: I. n/0
Lot Area: . I C) ok C / S t (V 41
Lot Coverage: 19 1.
Lot Coverage rA&Y = 2.84) (P P +5 9 ex - �o 14 5
Calculations: 154 Add(-hm
Building Heigh
Datum Point:
Datum Elevation:
Maximum Height: 96-
Actual Height:
ADU Created: (YES/ e
Subdivision: W0()CtV0Jf, yJJDV1-tJn I JDt 0#
Legal Nonconforming Land Use Determination Issued: (YES /0
Other"
105.0
10 1 -6 4
10 4-.5
100-5
107..cIE5 averaoe
4- 2- 5; 1 = I J-t.q 5
Plan Review By: AM U;&Iele"
APPLICATION
TfIe City of EdmonlbT""' for
V FLE SIDE SEWER PERM EASEMENT NO. - ----------------- ------------ -----------
NEW CONSTRUCTION REPAIRS LID NO. .-.V�.-ASMT- NO.
-OWNER ----- ..........
--------------------- ----- ---------------- CONTRACTOR ----- -5�����MIT NO. -4
----------------- ------
JOB ADDRESS
------- LEGAL DESCRIPTION: LOT No - -------------------------------------- BLOCK NO - --------------------
............. ----------------------------------------------------------------------------------------------------------------------------------------------------
NAME OF ADDITION ------ �-A
..........................................................
,proved:
DA7� I ------------- BY ....... ---
NOTICE:
No warranty of accuracy.
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set for,th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
i nquiry regarding the information shown on
t-he -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may, not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
ernp-l-o-yee-s or officers -sh-a-l-I be 1--ia.b.-I-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 77 -2525 for side sewer inspections BEFORE covering any portion f othe yconstruction,)
Inspecti5on will be provided within 24 hours after requSt. NO Sat., Sun., oroh lida Inspections.
ADDRESS LOCATION OF CONSTRUCTION ......... Z041.6 --- ----
PROPERTY LEGAL DESCRIPTION ....... �q� ... 12,, Woodvale North
..........................................................................................................................
.......................................................................................................................................................................................................................................................
------- - -------------------------------------------------------- OWNER AND/OR BUILDER -A , ck ... Ho - m - es ----------- - ----------------------------------
6"'7RACTORIS NAME & ADDRESS .... Ex;;�KmtQrS__.__.3.8Q2 --- S � ... 324th, Pijv 1.1tin Waczhinntnn
. .. ....... ... ........ ..... ........... a ---
: . ................ Z� ....................................
Permission Is granted ........... .......... Pilay ... Z ---------------------- 119 .... 76, for repair and/or connection of a side sewer to the city sanitary sewer
systeaWin accordance with City of Eimonas ordinances.
A_ JTION 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 RJght-of-Way Permit obtainable from the City Engineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE 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 bends in grade
sharper than 'A will be permitted.
NOTE No. '�—Trenches in street must be water settled 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 other 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 E] Date__ W,,4 ..... -_------------ By ................. Date..
By... ............. Date ............... . ........ By ................
Date ------- 4;�z
APPROVED Ir &.; _/
--- ---------
. ... . .. . . . .............................. . .......................................................
Remarks:
T, ..... . ...
-------- - -------------------------- * ------- * ---- ----------- ----------------------------------------
. ..................................................................... ...................
...................................................................... . .................................. . ............................................. .........
B011kPermit Copies T Be S, ed By Owner of Firm Performing Construction PRIOR To Request For Inspection
(Owner of contracting Firm Performing Constr - u - ctio - n hereby certify that the side sewer installation constructed under this permit
Nv.(,—,Stalled in accordance with all governing ordinances of the City of Edmonds.
Datedthis ............................ day of ................................................................. 19 .........
V Check BEFORE you dig for: Water Gas
Telephone E], Power 0, Sewer 0, Other E] V j
The City of Edmonds
APPLICATION
for
SIDE SEWER PERNaT
NEW CONSTRUCTION E] REPAIRS
EASEMENT No . ....... ............ .....................
c CONTRACTOR ..................... ----- -17616 PERMIT No. --1)64�
OWNER .. .. ... ... A . ....... ........ ........... ��b .......
"c A) A) — �
ADDRESS .............. ................. . ............... ........ *L DESCRIPTION: LOT No. BLOCK No . ............................................
P -�-A- .... : ..... .......
... .. W le
NAME OF ADDITION ....... &
cl,� �.- - ....................................... j .....................................................................
Approved:
DATE............ ................
RECEIVED
MAY 2 1374
4�
BY......................................................................
#P20 CA File No:aA
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
L. Site Address/ Location:
2. Property TaxAccount Number: M_o34� 0001D I 1DO
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? es; — no.
_)<y
If yes; how is site developed? DK4.6wAci_4 Rctuj� 19 7t
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 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
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: iJ 0 Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway tJ floodplain /'J'O of a water course.
9. Site contlins a creek or an area where water flows across the grounds surface? Flows are year-round?
/-j V Flows are seasonal? "_ 0 (What time of year?
10. Site is primarily: forested K 0 meadow '4 ;shrubs mixed /y,0
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site: —)jo
For City Staff Use Only
1. Plan Check Number, if plicable?
2. Site is Zoned? ZS.— F
I SCS mapped soil type(s)? 14C L!) I a JrDt�f
4. Critical Areas inventory or C.A. map indicates Critical Area on site? /V/O
5. Site within designated earth subsidence landslide hazard area? /yo
DETERMINATION
STUDY REQUIRED WAIVER
Reviewed by- A ?2,.- fA ul; Date:
#P20
'4C. I W,
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Applicationfor the City of Edmonds prior to
his/her submittal of the application 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).
Date Received: All&, 71erW
City Receipt#: / � �,12
Critical Areas File #: 4z4L� �141
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
A property owner, or his/her authorized 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 conjuriction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attomey's. fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
mcomplet6 information ftimished by the applicant, his/her/its agents or employees.
By my signature, I c ' ertify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLIcANT/AGENT 1�,— L DATE Z-7 — o
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER DATE 2-7 -1) cZ
-JLLA5L PRINT CLEAH
Owner/AppHeant:
FCe\-1y1L VA-rV
Name
it, q�:(, 6, C6 C/ ve 7-
Street Address
F�-p VJ
City State Zip
Telephone: L(2-�- - � 76- 9 6):?- C-;-
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email address (optional): ,,Email Address (optional):