21429 92ND AVE W.PDFiiiiiiiiiiii
8912
21429 92ND AVE W
0 0
ADDRESS: z4qZ-q- qZn"'AVe_.,&4,,)
TAX ACCOUNT/PARCEL
BUILDING PERMIT (NEW STRUCTURE): N 4 � O'�199 (51rd9�N
COVENANTS (RECORDED) FOR:
CRITICALAREAS: 05-1,3 DETERMINATION: [—] Conditional Waiver 0 Study Required >rWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED: I
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):-. 1q, 0 0 OZ (AdJ) t0nook LN
PLANNING DATA CHECKLIST DA'
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED: //
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LOT:
BLOCK:
LATEMP\DST's\Fonns\Street File Checklist.doc
ALL EXPOSED SURFACES TO
BE COVERED WITHIN 2 DAYS
10
000 W-1
W It ev Pr lW- 504, CO
vou -10 fA" to
00 ;?�,j *2
.0 (0- od* ICS I -If
q 2"o A* vu
f-otiolim, wAll
mk. 4
kA IAC-113J�X - t4i(i Q4L'l(?4M - -
13M.A 140,
7
Zvw
r
GUTTERS MOWNSPOUTS 1
MWOT To EvIST. SyST.
VIC,
(4�6-00 lir �tO4;)Jotv
im I. 4s
#% um -414�
lbtll'-%P�PROVED AS NOTED �eNC09TA4E: ��c4,%APPROVED BY PLANN G
--4BY ENGINEERING /. -=== I.- . FILE
--x,14 4�6�,)'vo kllf 0!�INEA/CONTRKJOR IS RESPONSIBLE FOR
AK*4c
Il 00-411 Cu� EIROSION AND DRA Nj
Date: .2 z 0 44-51 ... &.- - �v
twtsno(plof+ kAl sr- Rrccm
r;IIp0-*-wA--f/wto (p to :) FEB - 7
4- okc cp o4sl� 2. *
fosr PERMIT coLINTER
6 t-n,-Lo 8� 1 2- �kp
+ 2P, A A,4 Ro- LC*�Ue
MK vjw;oeA"s
Im
#P20 CA File No:. 046— � 3
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1.. Site Address/ Location: L -I, A-LI A- Ljg-0
2. Property TaxAccount Number: 3 73 (0 06(e 0 e3
3. Approximate Site Size (acres or square feet): —7 2
4. Is this site.currently developed?,kyes; no.
If yes; how is site developed? AA-:Z'
5. Describe the general site topography. Check an 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).
HillT. slopes pres ent on site of more tfiffihann el. tp
IS OWU14 1i 000
over. a horizontal distance of 33 to 66- e( t
Steep: grades of greater than 30% present on site al rise 6, nXofit4
on tmoflcalfo!
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water. 149
Approx. Depth:
7. Site contains areas of seasonal standing water: :W�:7Approx. Depth:
What season(s) of the year?
8. Site is in the floodway — flood . lain of a watercourse. A/O
p
9. Site contains p creek or an area where water flows across the grounds surface?. Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is-primarik-.24oresbed . ...... *7ad shrubs mixed
ow
(--ti'ib—an landscaped (lawn, shrubs etc))
11. Obvious wedand is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned? MG - 59
3. SCS mapped soil type(s)? b., 4Q. 2 xj'L
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Site wi*in designated earth subsidence landslide hazard area? Z-40 I- non
(::,)9 4-0 CA
DETERMINATION
STUDY REQUIRED WAIVER
Reviewed bv-- 0�— --,4,,. , A- Date: 2— C) :>
#P20
.4 C. I %9V
City. of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this fonn is to
be filled out by any person preparing a Development
Permit Application. for 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
mmybe, 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
Date Received: 'Z)-71 0 c5-'
City Receipt#: -7 6'111 P-
Critical Areas File M c2ZO_5'-00L3
Critical Areas Checklist Fee: -$135.00
Date Mailed to Applicant: t- 13// AQW,,�_
A prop" owner, or Ins/her authorized representative,
must fill out the checklist, sign and date it; and submit it
to the City. The City will review ist� make a
precursory site visit, and make a deteiminatioii 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 thisjorm. In
addition the applicant shall ' include , other "pertinent
-information .(e.g. site plan, topography map, etc.) or
.studies in conjunction with this -Checklist to assistant staff
in completing their preliminary assessment of ther site.
The undersigned applicant;.and his/her/its hens, and assigns, 'in consideration on the processing of the application agrees
to release, indemnify, defend 1,and hold the City.of Edmonds harmless from any and all damag6s,' including reasonable
Attorney's fees, arising,fiom any action 4or infi-action -based in whole or part upon false, misleading, inaccurate or
�,incomplete information furnished by the applicant, his/her/its agents or employees.
:--By.-my signature, I certify that the information and exhibits --herewith submitted are true and correct to the best of my
iknowledge and that I am authorized to file this application on'the behalf of the owner as listed below.
SIGNATURE OF APPLICANTIAGENT DATE
Property Owner9s Authorization
-By my signature, I cer* 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�Ksting attendant to this application.
DATE
SIGNATURE O.FOWNEIR-
PLEASE PRINT CLEARLY
OwneT!/MAP1ic.ant: Applicant Representative:
Name. Name
Y 2 -'a
AV_
Street Address Street Address
2-61
city State zip city State zip
Telephone: -7 '?Y�_ -3 / 3_ Telephone:
Email address (optional): iff Email Address (optional):
ci_n / , <.� A -a-"
#P20
City *dmonds
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 Application for the City of Edmon& 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
b gill
Date Receffled: 0.) -710-'5'
City Receipt#: 7!5'-!1 ( je I
Critical Areas File #* c2ZO5 —00
Critical Areas Checklist Fee: - $135.00
Date Mailed to Applicant: k-'5// lo&o��
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and subrnit 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 pe . rtinent
information (e.g. 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/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
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/her/its 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 file this application on the behalf of the owner as listed below.
SIGNATURE oF APPLicANT/AGENT DATE
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 inspectio andposting attendant to this application.
SIGNATURE O.F OWNER DATE— 2-- -7- roS�
PLEASE PRINT CLEARLY
Owner/WADUcant: Applicant Representative:
L' LL,'--2-�6-Q
Name Name
'2-/ y '2-7 6,J)
Street Address Street Address
,Z /,� 2--,0
city State zip city State zip
Telephone: �L� �7 Telephone:
Email address (optional): 1'— 7— 4`k /D � 6-1 Email Address (optional):
#P20 CA File No:
Critical Areas Checklist
Pite Information (soils/ topography/ hydrology/ vegetation)
L. Site Address/ Location: LJ" t
2. Property Tax Account Number: LQO '3 7C3(0 a(�e 0
3. Approximate Site Size (acres or. square feet):, 1:7 2
4. Is d-ds site currently developed? yes; — no.
If yes; how is site developed? AA--Z_i
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). ;s.
Hilly: slopes present on site of more than rtik"wN
over a horizontal distance of 33 to 66--leet .
Steep: grad es of gr )n site (al
eater than 30% present �#al rise o 0 "i 'torizont"
distance of less than 33-feet). R
Other (please describe):
1;. Site contains areas of year-round standing water: A�9 Approx.. Depth:
Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a watercourse. A/0
9. Site con" p creek or an area where water flows across the grounds surface? Flows are year-round?
^j -0 Flows are seasonal? (What time of year?
10. Site is_pfimariljF-.�ted,���4ne,,adow shrubs mixed
_iii� landscaped (lawn, shrubs etc
11. Obvious wetland is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned? 9-S-173
3. SCS mapped soil type(s)? bCA1 L-1, KAt,
4. Critical Areas inventory or C.A. map indicates Critical Area. on site? 1-40
5. Site wiQiin designated earth subsidence landslide hazard area? t-�� 4�,.4,2.,;d tk -k- 16o_�l Ck
CA
DEIrERMINATION
STUDY REQUIRED >< -WAIVER
Reviewed bw Date: 2— L4- C)
NOTICE:
N-o ... wa r-r a. n -L y u- t
The information shown on the attached
Hed for use by the City Of
map(s) was comp
Edmonds, its Employees and Consultants.
Th,..e City of. *Edm.onds does, not. wa rra nt the
n these
accuracy of anything set for.th o
-requesting a
Map('s*-). Any person or entity
copy should conduct an independent
on shown- or
Inquiry regarding the informati
-rnap(s), including, but not limited to,
c ion of any sewer stub shown. Suc
the lo' at'
sewer stubs may or may not e.xist and may
or may not exist at the location shown.
o nc,
,ty of ErJm ' ris nor its
Neither tihe \,-,] i *c er s s h. a-'r I b e 11 a. b-11--e f o r t h e
empi-o-yee-s 0-r off'
I n on this rnap(5), nor for
infor . mation give' Ided based
any one representation prov
upon said map(sN.
The City of Edmonds SWEPT FIM
OWNER ..... ...... ....... ...... ............
Ll.�..4,
ADDRESS . . . .............................. . ........ ...... ............
... A.4 ...
Z A/
APPLICATIOV-
for
SIDE SEWER PERNaT EASEMENT No. — ....... ...............................
CONSTRUCTION E) REPAIRS 0
CONTRACTOR .......
................................................... PERMIT No.
LEGAL DESCRIPTION: LOT No . ....................... ..................... BLOCK No . ............................................
NAMEOF ADDITION ................................ ...........................................................................
1ILLBY -63-A-,k-1 .......... 4C7..� ......................
7�
CITY"OF EDMONDS
call 64107 when "w
PRospect
IVIC CENTER WATEII�:SEWER' DEPARTMI P1,NT "iead for i.'s-pe4
As, ton,.,. � (No tnsPeC7�
y to ay-or.hd
NO
tions Saturds, ;�Si 'd
�.."E_"SEWER PERMIT
AbDRESS... Uth..,Ave.....S . . ...... E ........ w ................................ ....... ................................................... ...........
e
................
Nor�hr Homes CT6R ............ Go
.�IP .................. ......... 9t
OWNER .......... :� ..... .................................. CON RA .... .... .
October
-perinission.is granted ............................. ............ 16..-AQ, for ....................... days, to;REPAIR or CONNECT;a side sewer
with CI'ty Sewers In ac I cordance with application on file,and governing ordinancei.
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 bee" Inspected.
No. 2 -Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when.y(iii get permit.
3—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. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall. be responsib e'.for
failure due to Improper -Work which may develop within one year of completion.
NOTE No., 5-- It is unI . a . wful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or 'i
purtenances except to In'sert the pipe into the wye.
".0. do
Memo to: John E. Moran
Supt. of Public Works
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Property Description: Parcel "All: The North 70 ft. of South 363 ft. of
the West 115 ft. of Tract 3, Block 6, Alderwood Manor No. 9,
according to plat thereof, recorded in Vol. 10, Page 6 of Plats,
records of Snohomish County, Wash.
Commonly Known as: 13-e� W Owner: Northrup Homes
Z.F.F. Calculation:
70 x (98.33)%
68.83) x ($5.50
Ptiblic Works Department Use Only:
( 1 ) Unit x ($25.00)
68.83 Z. F. F.
$378.56 Connection Fee
$ 0 Trunk Charge
$ l'o , o Permit
1113. -9-C TOTAL
f
Af
L
BUILDING
POSTED ON KROL L MAP NO.:
I I- f- n qq q
BUILDING DEPARTMENT I ApplicantFill
NUMBER
Inside Heavy Lines
PERMIT APPLICATION
JOB ADDRESH
NA.ME (OR NAME OF BUSINESS)
SIDE Y REET SETBACK HEAR YARD SETBA
72'—
S
MAILING ADDAZU5
W
4
USE ZONE LOT A A
q(,o oe
TELE RON NUMB
C] NO
0
Z
CITY
HEIGHT
Fca m L, n a LO CLS
NAME
7FLOT —PLAN APPROVELI,
-A
14_
ADDRESS
REMjL K:4
of
CITY
TELE E NUMBEIL
NAACE
C4
ADDRESS
MET
I.
CITY
TELEPHONE NUMB
x
RENeLRKS
STATE LLICENSE NUM
CITY LICENSE NUMBER
_Y
T PE CONNECTION
VERI"F 13Y
Legal Description Of i,roperty (Show Below or Attoth Four Copies)
2Q j , I
3(
w
PERC. TEST
PERMIT R
Alc'_'K (,n. oc"nir .1,
Z
0
ST P V
I= ZONE TYPE OF CONSTRUCTION RE=T IMPROV
C] YES [I ITO
in Oo�. it)
SPECIAL INSPECTOR REQUI—V
_FC—CUPANCT G ROUP
Soo co Wu-_6.
_FO�N —CRECKED BY
UATION
TOTAL PEI
11
I
BUILDING
VALUATION
WORK TO HE DONE
2
BUILDING PERMIT
FEE
3
PVJMBING
PERMIT FEE
Z
4
HEAT & GAS LINE
-ERMTT FEE
7
5
Er NEW
E]
FUM BER OF STORI
5
SIGN PERMIT
FEE
4
Q
F -1 ALI.
FMOL...
FENC.
I
—
DEMOLITION
ALTER
RE.D.—ill,
1 NUMBER OF
0:
10
6
PERMIT FEE
-
PLAN CHECK
FEE
REPAIR
NON-RESIDENTIAL
I DW.LIANG
UNITS
8
AMOUNT DUE
I hereby "kDowledge that I have read this apPIf-tI-- ; that the In
rorroustion given is corrv,et: and that I apt the owner. or the duly author
Ized ugent of the owner. I agree to comply with city and state laws regu-
,,t,ug m-tmc'jo': and 1. doing the work authorized thereby, no person
wIll be employed In violnUOft of the Labor Code of the State of Waahingtoa
relating to Workmen's COmPensatiOn Ins1rance.
, , 1-1111—s 'hiCh shall
NOTE: Permit Limit One Year bF, C'Ornpleted In ninety days.)
I 7,n, _,& &� 1 1
ATOTE: Applicant Subject to Plan Check Fee
This P"rojI. mv :�rs —1, to �, o m pri—t, property ONLY -
Any eonotruCt Oo the publl� d.�. (e.1b.s. Adewalks, d1l—aY.,
_q._, t,.) �111 rrqui- �r—t� pI:
ATTENTION
APPLICATION APPROVAL,
THIS PFR3fIT
This application is not a perrillt until
AUTHORIZES
signed by the Director of Building Inspec-
ON`LY THE
tion. or his deputy; and fees are paid, and
WORK NOTED
receipt is acknowledged in space provided.
INSPECTION
DEPARMIENT
CITY OF
EDNIONDS
PH 6.1101
F7LE