21517 89TH AVE W.PDFiiiiii iiiiii
8579
21517 89TH AVE W
PLANNING DATA
NAME: k6l
SITE ADDRESS: DATE: &1qq
I
ZONING: —PLAN CHK#: ctq"7
PROJECT DESCRIPTION: WV4U—
CORNERLO (Yes/No) FLAG LOT _(Yes/No)
SETBACKS: 1;��
Required Setbacks: 4-
Front: 1<-" Left Slde.-Z"� Right Side: Rear:
Actual Setb4c S,
- t
Front: Left Side: Right Side: Rear:
r
Street map che -ked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED --(Y/N)
LOT COVERAGE:
Maximum Allowed: —Actual:
BUILDING HEIGHT: .7 1
Maximum Allowed: Z-5 —Actual Height: I I
Datum Point: �U AMWIbbd Datum Elevation:
SUBDIVISION: qA.
CRITICAL AREAS #: I I — 11LI —
SEPA DETERMINATION: N
LOT AREA:
jo 72-
OTHER:
Aft
APPLICATION
for
The City of Edmonds STRE'E"IP Flamllo SIDE SEWER PERMIT
OUTSIDE 0 INSIDE 0 REPAIRS 0
f
OWNER............... (� .. 4� ..JE ........ .. .................
HOUSE No . ........ ... . ....
7 - & f'7-,*--
CARDNo . .. .......................................
EASEMENT No . ................. ........ .................
. .. .....................
.... CONTRACTOR ................. . . .. ........ .. . .......... ... . -PERMIT No.
STREET
.... AVENUE LOT No . .....
..... . ... BLOCK No...... ............... ...........
NAME ADD .................
rb
rr'.jr
00
f
41)?RoVED
1*3
Date Approved:
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ...................................................
SEWER WORK ORDER ISSUED ........................... .................... DATE ...... ............... .....................
BY
I CA FILE NO. /?Y;- / / �—
Critical Areas Checklist
---------------- ---------------------------------------------
Site Information (soil shopo graphy/hydrol ogy/ve getati on)
I . Site AddressfLocation:
2. Property Tax Account Number: -�n G�go — C)C) c"
3. Approximate Site Size (acres or square feet): L/ -
�7
4. Is this site currently developed? k_____'y_es; no.
If yes; how is site developed? , s,,, z i" 117 -7
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 I 0-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 3 O�,o present on site (a vertical rise of I 0-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: /Ij Approx. Depth:
What season(s) of the year?
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RECEIVED,
APR 15 1998
City of Edmonds COA4hlONITY SERVICES
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 Axeas 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, ana 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:
Name
7-
Street Address
'2
City Stiate Zip
Telephone
Signature
7 1
Date
Applicant Representative:
Name
Street Address
city State Zip
Telephone
Signature
Date
vrecepflon\janakaddoc
(over)
1.0 C. 18 C) 13
April20,1998
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning/ Building - Parks and Recreation * Engineering - Wastewater Treatment Plant
Richard A. & Janet M Healy
21517 89th Ave. West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-114
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.
................... . .............. . . . . . .. . ..........
.............. . . ........................
. ..............
..................
.. ........ IM
..........
-T BE: N.0 . .....
0., T.1, FORMA7.'
........ . .. .
...... ...................... .* . ..........
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
mio, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 40
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Perrnit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
Thank you.
Sharla Graham
Acting Planning Secretary
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MAY 13 11963
Cl Y OF EDMONDS
S CA,, I E - I " = 4. 0 0'
$UBDIVISION SKETCH MR; JOHN DART
f4&p_
AL THAT PORTlow OF LOT 1, BLOCK 6, ALDERWOOD MANOR No. 9� ACCORDING TO THE PLAT
THEREOF RECORDED IN VOLUME 10 Of PLATS, ON PAGE 6) RECORDS OF SNOHOMISH COUNTY,
WASHJNGTONp DESCRIBED AS FOLLOWSt COMMENCING AT A POINT ON THE EAST LINE Of SAID
LOT 1, S 0*35110"W, 265.80 FEET FROM THE N.C. CORNER OF SAID LOT 1; THENCE N 89*
35129"w, 100.00 rEEl To TRUE POINT OF BEGINNING; THENCE CONTINUING N 89*3529"W,
170.30 Fee-ri THENCE NORTH, 150.00 FEET; THENCE S 89*35129"E, 171.82 FEET; THENCE
S 01351101w, 150.00 FEET, MORE OR LESS, TO THE TRUE POINT Of BEGINNING.
SCALE: 1" 30.00 FEET
MAY 9, 1963
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REMWED
MAY 13 19M
joe No. 2466
crry afr EcIMONDS
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NOTICE:
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NO n the a . ttached
The information shown on
map(s) was compiled for use by the City Of
Edmonds/ its Employees and Consultants.
Th,..e City ofEdm.onds does. not. warrant the
these
accuracy of anything set for.th on . *
M a p (�). A n y person or e n.tity -requesting a
copy should conduct an independent
inquiry regarding th-e infc')rm - ation shown, on
tRe -m a P (S) I including, but not limited to,
th . e lociation of any sew-er stub shown. Suc
sewer stubs may or may- not exist and may
or may not exist at the location shown
Neither the City of Edmo-nds nor its
empjo-yee-s o*r offi-ce-rs -shal-1 be 1--ia-b-1--e for the
this rnap(s), norfor
information g ven on
e representation provided based
any on
upon'said map(s),
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
A . I . 16, 1 11 — . . .
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W1 MAILING ADDRESS
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0 _2 I 4�_ 64�1 ;rX d,,,y
CITY ZIP I TELEPHONE
NAME
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ADDRESS
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CITY
NAME
ZIP I TELEPHONE
cc ADDRESS
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'"- CITY ZIP TELEPHONE
z
0
0 1
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY
Z I LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL EASEMENTS
0
PROPERTY TAX ACCOUNT PARCEL NO.
W
;;z -7z
-2
n
n NEW
RESIDENTIAL
El
PLUMBING / MECH
P"'ADDITION
COMMERCIAL
o
COMPLIANCE OR
CHANGE OF USE
F-1 REMODEL
APARTMENT
SIGN
REPAIR
(3 GRADING
C3
FENCE
CYDS
( X
DEMOLISH
1:1 TANK
E]
OTHER
Ei GARAGE
RETAINING WALL
0
0
RENEWAL
z CARPORT
ROCKERY
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
U
rAA4
Li NUMBER
3
Nbl�BfA OF
CRITICAL
M OF
DWELLING
AREAS
2 STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
PERMIT EXPIRES - _;] 11
t ql�"
USE
PERMIT 990 1.19
ZONE
NUMBER
JOB
SUITE/APT#
ADORE SS
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
-ril \/ M--
I -
PUBLIC RIGHT OF WAY PER OFFICIAL
STREET MAP
TESCP Appmed 0-
RW Pe —it Required IV, 0
EXISTING REQy
DEDICATION
Street Use Permit Req'%�eO
,IRED
inspection Required e �0
PROPOSED
y
METER SIZE
LINE SIZE
NO. 0 F FIXTURES _rYE'S
PRV REQUIRED
0
C3 NO 0 3
REMARKS
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AZ::&4,44
77&AJ E-,-'" 't'-) C5
_37,_7 zli .,v e
ENGINEERING MEMO DATED
REVIEWED BY
FIRE !�EMO DATED
REVIEWED BY Lu
E
LL
OR CU I I ADB# I SHOJREUNE#
SE'PA REVIEW
8IGN AREA
NEIGHT
COMPLETE EXE
ALLOWED PROPOSED
ALLOWED PROPOSED
FXP
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETdAC'K'S (FT.)
ALLOWED PRnPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
Z
LOT AREA
NNIN?"'Fl5VIEW By
Dk 5
FT) CHECKEDBY ITYLPFPFCI
- 7 __P
SPECIAL INSPECTOR' XRI
REQUIRED 0 YES 1 0
REMARKS 12
PROGRESS INSP
CTION COQE OCCUPANT
I L/1� 17 GROUP ,
OCCUPANT
LOAD
NS PER UBC 108
0 FINAL INSP QUIRED
ECTION RE
1 VALUATION FEE
#&, i 12—.— PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT §LOPE'%
1-7 BUILDING
1_'4__ I 2_ C2 i
11 11 (HECK NO: VESTED DATE PLUMBING
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
D DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
M
IM
ui
CL PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
2 W 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
_j
2 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Ir EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
a FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
0 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
x NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
I .
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
SIGNATURE 0 N
,� W ER 0 ENT) /I DATE SIGNED
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
r1qR
MECHANICAL
GRADING/FILL
STATE SURCHARGE
STORM DRAINAGE FEES
ENG. INSPECTION FEE
PLAN CHECK DEPOSIT
1-41-3
Z.-
1/ 2701
TOTAL AMOUNT DUE
___j
11 L
APPLICATION APPROVAL
CALL
This application is not a permit until signed by the
Building Official or histher Deputy: and Fees are paid. and
FOR INSPECTION
receipt is acknowledged in space provided.
(425)
OFFICIAIA, 1NATUIF931F) DATE
771-0220
RELEASEP BY DATE
ORIGINAL -FILE - YELLOW- INSPECTOR
PINK -OWNER - GOLD -ASSESSOR