The URL can be used to link to this page

21726 92ND AVE W.PDF8928 21726 92ND AVE W PROJECT REVIEW PHECKLIST PROJECT NAME:- e!:� PLAN CHECK #: PROJECT ADDRESS:.;?/ 7 RECEIPT DATE: ag --:z/, REVIEWED B Y: (I hitial/136te) a /Da PLAN. WATER COMMENTS FIRE BLDG.' SEWER 'R ST=REET Setbacks/Variance/Setback Adjustment ..................... Conditional Use Permit . . . . . . . . . . . . . ---------- - ADB Requirements ....................... . . . . . . . . . . . . Other Zoning Requirements ............. . . . . . . ------ ..... - - - - - .. .. - - - - - - - - - - - - - - * ..................... YES Underground Wiring Required Lot Slope IS% . . . . . . . . . . . . . .... 6 .... SEPA Environmental ChecWlist/Hydraulics Permit Tree Cutting Plan 7 Plat/Subdivision Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; mK'f .8 Legal Description Verification 9 - .. i 0 Quit Claim/Street Dedications . . . . . . . . . . . . . Easements - Public/Private . Ad— 12 Engineering Storm Drain Review Fee . . . . . . . . . . . Engineering 2.2 Inspection Fee -------------- 30 �4. :-1 Drainage Plan (On -Site) 15 Setback - Top of Bank, Stream, Water Courses Setback - Storm Drain Line I .. 7 Open Ditch - Existing .............. ---- . . . . . . . . . . . . . . Culven Required P4044-11 19 Culvert Size 20 Shoulder Drainage/Shale Open Runoff Catch Basin Required Driveway Slope & Vehicle Access -elo Sidewalk Required Curb & Gutter Required .................... - - - - - - - - - - - - - - - - - - - AID Curb Cut For Driveway Required Alp Street Paving Required Alp 27:�: Right -Of -Way Construction Permit Required ........ Street Name Sign Required Other Signing Required Bond Required For Public Improvements . . . . . . . . . . . . . FEM ap Check/Water Table ............. Side ewer Availabilit� ye� Calculate Sewer Connection Fee If No LID # Create Street File ............. :435- Existing Water Main Size Water Meter Size 37: Service Line Size I 014 /j Water Meter Charge Required Hydrant Required 4 1..,. Hydrant Size Existing Fire Line Charae Required - Sprinkler Street Cut :A9 I MOO Miscellaneous 44- Reviewed By: FIRE PLANNING ocm ENGINEERING R PUBLIC WORKS JUL 2 3 1998 So --e 1A PuBuc WORKS DEPT. R E C 0 R D OF C 0 N T A C T S 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 RW PERMIT # DATE ISSUED RECEIPT I 9 29 10 30 31 12 32 13 PAID $ RECEIPT # DATE 33 SS PERMIT # DATE ISSUED RECEIPT # 14- PAID $ RECEIPT # DATE 34 15 35 36 37 METER SIZ PAID DATE RECEIPT 19 39 26 40 STANDA MD DRAINAGE DETENTIJN SYSTEM WORKSHEET, QWr,,MR �)05 nn n-nd _r,.�L- Eekl-e-d-Li- Neff 51 TF- ADDRESS 71- 7 2,4n 9 2 jp Ed m o n d fs 2 W '180,2 6 IMPERVIOUS AREA 000 SF- CALC BY:-'Dot"i "m L. frt:.j;k PE PHONE: (421;-)7-1-2---c:-7-n0 flurr DATE: * 0* "DESIGN DATA *** -* PIPE DIA PIPE LG 2-4— tmmuom PIPC LENGTH 'm MINIMLM I SX to 1% It.= UPPER CATCH BASIN ORIFIC.E 3/,$ 11 ._ aCkINQ LID (TYPICAL) F A�ATNRW M,, or 4 VM cGht tax 04 PtIlcR aU ,CUtLCT CCalN4nm MIN, ...... avintr CONTROL CATCH BASIN SYSTEM CROSS SECTrOAr MI. lW-XV.110EP, 4-6- SP4LLS 04 MAL FROM CONtROL Cl 2'% 21 3- DCEP" 3/4' CRUSHED ROCK I I It -.41 roam comrROL LdNO. I AIPAAP OV=r VAT11HAUUjIf ROCK RUNOFF SPREADER. TREjVCH FOOTING DRAINS SHALL NOT 4E CONNECTED TO DETENTION SYSTEM NO TES.- 1. CaUEnglaeorinSDivlioa(771-MO)fbr it lighWaa and detendon gynt4m Jupecdoll b6fb" backrilIJAS and tor final lupwdow. 2. Responmbility for operation and malatenma of drslusSe sy#Wm3 ou priv . ata propwty is tho re4p-oam*blUtyofthopmpartyw&mar. MAWW ==WAW in dw ItOrtge pipe must be flugW .O.ut . aad f*=v6d from-tha catch basla to tUow proper opmdon. 71a oudat ccmtrol ofifics APPROVED By DATE Table I — Impermeable Required ArQa Sq. Ft. Vol Cu Ft 2000 50 2-500 —4- 3000 6 3500 87 4000 100 4500 112 5000 125 Note: Allowable Pipe Materials: ' Impermeable Area Sq. Ft. 2000 2500 3600 4000 4500 6000 Detention —pipe diamAter < 180 �024' 240 to Saw -319' to 4211 ntlon Pipe Sli—es Pipe Diameter 16, 18" 24" 30* 40 28 16 10 50 35 20 13 60 42 0 16 Required pipe 70 49 28 1.8 length in feet 80 56 32 21 90 63 36 23 100 70 40 25 Reinforced Concrete Aluminized Steel Aluminum CMP Asphalt Coated N — 12 ADS (Not permitted on roads) able 2 — Outlet Orifice Sizes Table 3 — Outlet Orifice Diameter Onchesi (�35!14) 3/4. 7/8 7/8 7/8 otangular Catcli-8—as—In—Re—q—u—Iremen Max size knockout 20a 26" 364 4211 Catch Basin Type T I Ca is C9 'Leo 11'11-011�8 -do-- Type 11, Ca 19 * 19 (4811 Ba3ln) Type 11, Cs 19 119 (541 Balln) *Source: Assoc. San*d & Gravel Co. Standards 3736-007-014-1002 41b - 25' 0 �1.b SFR 4P 21714 20' 418- 4"iCLF 1 5' WOOD '215.88 FENCE 89*59'34* E �Ij M13 IS 0. r 205.88. I ", _1� I 2C.00 10 00 T" r p 0.5' -5 FIR UB 2_1 — — — fj :1D I 92.00 G=72,510 SF SFR N=11,492 SF W j 0 SF ' S 12F ct) L pit 89*5934" E 27724 co sp i it PROP. 32' - SFR 80210 . SF,\� 421.24 IN) 11 Idle 1"f: ." . , I CAR= 14 5 S LIZ 11�,,DRIVEWAY IM §6" 7.7 fo.00 4b2 q)n \\i 5r/ 4' CLF I 6.5 bE�RA J. !:ROLLEVSO 89'59J4" E 214.74 3736-007-�-014-0806 J6 I trn% I M) vry GP < M Con 0-3 INSTALLATION AND OWNER MAINTENANCE MANUAL FOR INFILTRATION TRENCH 1. The Catch Basin Sump shall be cleaned of all debris at the time of construction prior to tying in any roof drains. 2. The Catch Basin Sump shall be cleaned of all debris by a qualified contractor on a yearly basis. ,Western . 13000 Highway 99 South e Everett, Washington 98204 grveyorsp (425) 356-2700 742-5500 FAX 356-2708 Inc. DRAINAGE REPORT 2-LOT SUBDIVISION FOR DESMOND NEFF SITE: 2172J92ND AVE. W. EDMONDS, WA 98026 RECEIVED MAR 2 3 1998 C010UNI f Y SEFIVICES CITY OF EDMONDS APPLICATION FILE NO. S-98-12 DATE: MARCH 20,1998 PREPARED BY: DONNA L. BRESKE, PE. i4- OT vm;lt-� I ": Kyl- ` Client: Chuck Warner 20021 88h Ave. W. Edmonas, WA 98026 (425) 775-7679 COPV Western Surveyors, Inc. Job No. 97-104-A LAND USE CONSULTANTS 9 CIVIL ENGINEERS * LAND SURVEYORS 9 ENGINEERING CORPORATION TABLE OF CONTENTS PROJECT AND DESIGN DISCUSSION .................................................................. I VICINITYMAP ......................................................................... ; ............................... 2 SPREADER TRENCH DESIGN CALCULATIONS ........................................ 3-4 SOIL TEST PIT MAP .......................................................................... 5 INSTALLAT10N AND OWNER MAINTENANCE MANUAL ................................ 6 DRAINAGE REPORT 2-LOT SUBDIVISION FOR DESMOND NEFF PROJECT AND DESIGN DISCUSSION A 0.47 acre parcel is to be subdivided into two lots creating one house in addition to the one currently located at 21724 92 nd Ave. W., Edmonds, WA 98026. The parcel is approximately 1/4n-ffle south of Yost Park. More generally it is located within Section 25, Township 27 North, Range 3 East of the Willamette Meridian. A field investigation was conducted on Monday, March 2, 1998. A test hole was dug in the vicinity of the proposed spreader trench. (Please refer to the attached map for the location.) The soil observed from the ground level to two feet deep was a sandy loamy soil. At 2 feet deep, the soil was predominately a sandy mixture. This sod type continued to the bottom of the test pit, approximately 2 1/2feet in depth. No groundwater was observed in the test hole The closest off site structure is a single family house, which is, located approximately 30 feet from the south property line. No surface water enters the site due to the topography. The City of Edmonds Drainage Detention Worksheet was used to size the detention system and the orifice. The calculations assumed 3,000 feet of impervious surface area consisting of the proposed house and driveway. The storm detention system is designed to capture the majority of flow from the proposed driveway as well as all the roof area. An Owner Maintenance Manual is attached and is to be followed to ensure proper function of the infiltration system. VICINITY MAP 9.*� - 104- � CITY COPY ZD VD VA 90110INg SEP - 4 1998 Z16 W '1001WIOW4 AM L Dra"tnq5e_ -P�"j &V-10VA R-6 &—qs?- i?- A. F. &) " '3 2 0 (. Z ( , T - lr"pervkou� 5\-&v-co'.o-Q 40 US Q- -P��A Eau ez Dec-6, Dn-v(Lwa-i ks-Az-L--a-�s ACCEPTABLE TIGHTLINE MATE, IAL N-12 ADS Sch 40 PVC SDR 35 (ASTM D3034) v 1.5 AUG 2 6 191% PERMIT CONklTl"." —FO-1 A L A,eN' Vo 5 Y/-�- Pt 7 /,27-� )1*�5 APPROVEp III - 30 ( A3a—L-6q- a-- -I( -_q - -t- L i (c)(woa) ?97 f TSAblv�5101�1 /,00f la A F /v), ry -ul ri,.--. sub- RF.CgiVED, AUG 1-7 0 1998 PERMIT COUNITt-fl � -11, yo 7,z Ai-'PROVEID 6"Y Azil ,,�A K, Catsy'0101v /yc &#it ' pilf, -r-E '104 ? 5/1--/op-T S(,4-blrl-�10A) Ax). CITY COPY fi F-1 �//7- (1�16 J, �/o, . C) 8, 1-113.3 C 41- M'. q13--5- <5 /7A( , 438 -57 41 OT ; 2 APPROVED BY PLWNliMj �,w v NOTICE: --c ...w.a r-r a n. ty ... ot No The -information on the attached map(s) Was compiled for use by the City Of Edmonds, its Employees and Consultants. Th,..e City of �Edrn.onds does. not . wa rra nt the accuracy of anything set for.th on these M a P ('s"). A n . y person or entity -requesting a copy should conduct an independent I ormation shown or Inquiry regarding the 'nf 'm a p (s) t including, but not Hm'ted to, c ion of any sew-er stub shown, Sud the lo* at' ewer stubs may or may not e.xist and may or may not exist at the location shown, Neit-heir the c-ity of E1(JAmbn1(JAs nor its 1_� em pl-o-yee-s o-r off ice-rs -shal-1 be a-b-11--e for 11-he n on this map(5), nor for information g'v e' . 'ded baser� any one representation provi c, upon said map(S). S//7— ,e!�7 12�IqW 7az fo At �4K - L.) (40&t'�7W Ig. �, 11 4-::. 1 - yx kof F b()- JUL 2 1 1998 #9�— S TREE T FILE RECEIVED AUG 10 1998 PERMIT COUNTER p- IAPPROVED BY PLANNING s", 91,12-419P - 6e STREET AM k Z6 ci S? - f\j CIS? ID 7-0 pft') lheowub 4- -�CA M PQ-Y-V 4c)us Q—'-PcA Eau 2 -c Dec-6, IF6 I A L Ar C N -Y] L9 ACCEPTABLE TIGHTLINE MATERIAL N-12 ADS SCh 40 PVC rj SDR 35 (ASTM D3034) 7) 0 ;2 7 ------ 7 APPR VEDA NO i'L�) BUILDING SEP 4 1998 30 PLANNING DATA NAME:. AM14 -Uf-,4 " SITE ADDRESS: 2--172,6 -Ae �Z-r DATE: 8'13 ZONING: PLAN CHK#: PROJECT DESCRIPTION: CORNERLOT (Yes/No) FLAG LOT. yef - I (Yes/No) SETBACKS: Required Setbacks: Front: 7�! Left Side: Right Side: 7h,' Rear: T� Actual Setbacks: Front: 2W Left Side: Right Side: 10' Rear: 20' Street map checked for additional setback required? No - r4V 4 TWI(Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /Q (Y/N) LOT COVERAGE: �6011 Z-) 14-1 C, Maximum Allowed: 3 5-&z Actual: 200b 01 —2cm BUILDING HEIGHT: Maximum Allowed: —Actual Height: Datum Point: Corrv_r RN, Datum Elevation:— 41 F. I /Z A.D.U. CREATED?: �Ax tiop&�h,44 - d-iw &Hb- cc_ ijr 4.or� 6, r- 51, -A� a (.-w f A.,-r - e SUBDIVISION: 5-9&- 12, - k2L", f, B-P, Mff,."g %k-J 1 4 ' 5---` F-9n 4- c4' CRITICALAREAS#: 97-2�06- SEPA DETERMINATION: not h twl, Sens. w-e. - ,2cf:L,,Rt Cli LOT AREA: M-0 r U I I OTHER: Plan Review By: 9171 c:Tt1cs\pertniAAp1&ndALdoc K, Ac, /7-E 5/l/4-T S(-4b1r61OA)A)()- STREC FILE )/O� 780�,��TOO-,� CITY Copy &E . V(3 .5- . 1 ;2 �71(,R i(c, /wc- - t�I, D�Lly City of Edmonds C. IC RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number, 9 S —22-41 Lssue Date: 9-23-9B A. Address or Vicinity of Construction: 92,,, 0 A t/d u') 10 r 1IT-11 :�r — J 112 xypeo k— spec cj: U r I V 0-/, 7 CA V /Mb LZIL / Ly- 0 em hvwes nallp A-witr-'007% 'k Contractor: Contact: ne: 4R 9 Mailing Addr `ess__I._��_ 090 Liability Insurance: Bond: $ Stat� Li'ce'nse'#;*.,' dr Z' z Building Permit # (if applicable):.x Side Sewer Permit # (if applicable):— E. E] Commercial 0 Subdivision El City Project Utility (PUD, GTE, WNG, CABLE,:WATER) C] Multi -Family J0 Single Family Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut 11 Yes E]No G. Size of Cut: x H. Chargq�_$ 'APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany kind or description whatsoever, foreseen or. unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including br not limited to the defense of any legal proceedings including defense costs and atiorneyfees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINA L INSPEC- TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed-worfk re4uire.d with'perm it application. A 24 hour notice is required for inspectib'61P-lease calNhb 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 trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times for inspVction purposes. .4 Signature: Date: CALV DIML-A-DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY FEE: '30- TIME AUTHORIZED: VOID AFTER /.00 DAYS DISRUPTION FEEIFUND I 11: SPECIAL CONDITIONS: p&:. A I /:)/, PLA^l RESTORATION FEE: T OTAL FEE: RECEIPT NO.: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div . 1997 CONTRACTOR CALLED FOR INSPECTION El YES, El NO Partial Work Inspection by P.W.'-: Work Disapproved By: Date: FINAL APPROVAL BY: Date: CITY OF EDMONDS 9 9 0 1 9 Address of Construction Property Legal Description (Include all easements): A-i "? &� , 40,--/ r-d 0 SIDE SEWER PERMIT FfEeiF.J�VED 899G DEC 2 31998 PUBLIC WORKS DEPI z,,e / H, er Owner and/or Contractor: 6 State License No. Building Permit No. - M/�ingle Family Invasion into City Right -of -Way: D No 03/Yes Multi -Family (No. of Units-) RW Construction Permit No. Commercial Cross other Private Property: El No El Yes Public Attach legal description and copy of recorded easement I certify that I_"ve rpo and shall comply with all city requirements as indicated c(h theiVack of the Permit Card. Date CALL DIAL -A -DIG 1-800-424-5555) BEFORE ANY EXCAVATION OFFICE::USE ONLY, FOR INSPECTION CALL 4 8202, PUBLIC WORKS DEPT. 1-7 Permit Fee: �_Qsls9u �?B' y Trunk Charge: Date Issued: Assessment Fee: Receipt No.: Lid No.: 0 Partial Inspection: Date -initial Comments Reason Rejected: Date Initial Final Inspection Approved: Date!'Lllk In PERMIT MUST BE POSTED ON JOB SITE White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3190 W The City of Edmonds Side Sewer Drawing EASEMENT NO . ....................................... NEW CONSTRUCTION EL REPAIRS F-1 LID NO . .................. . ASMT. NO . .............. OWNER .................................... ............................................................ CONTRACTOP . ....................................... ............................................ PERMIT NO . ... .............. JOB ADDRESS ------- ....... ... 14 V. 1::::7 ...... W ----------- LEGAL DESCRIPTION: LOT NO . ........................ I ------------- BLOCK NO . .................................... F— PWW-0001 -11/75 (REV. 11/78) .................................................................................................................................................................. NAME OF ADDITION ......... ........ ................................................................... ....................... 5 60 13 7 Z/ N Approved: I ?- � Z 2- 14 YIN DATE ............................. :� ........... By ........ ki-l" U, A"" .................... 1* ------------ * ---------------- Customer No. —0 7 �'To. (YOIJ-) 0 Page /Recording No S7ns . - PAC Portion of Lot(s) Block r/Quarter Section Township Range_ :e Commencing on the North line P,,/-vt 0/1V 7 lu 10 ta !1 20' Pima "'59,34, 1 101 * , Al 0 r .. 1 10 M,5f'-U* r W-00 . ra OFM 8:23 91 'C 09 og 11, y - Ir 08 107 [�,OCA�O W;r C AF # ff " IF SrCAMW loq rWW jR- Lq Fir 220TH ST S-W- A/1 Commitment No.: S92937 SCHEDULE "B" - S-ECTION 1 1. The following,are the requirements to be complied with:: A. Instruments necessary to create the estate or interest: to be insured must be properly executed, delivered and duly filed for record. SCHEDULE "B" - SIECTION 2 Il. Schedule B of the policy or policies to be issued will coritain exceptions to the following matters unless the same are disposed of to the satisfaction of the Company� A. Defects, liens, encumbrances, adverse claims or othcr matters, if any, created, first appearing in the public records, or attaching subsequent to the effective d-ate hereof but prior to the date the proposed Insured acquires of record for value the estate or interest or mortgage thereon covered by this commitment. B. Any policy issued pursuant hereto will contain the E;Kclusions From Coverage and, under Schedule B, the standard exceptions as set forth and identified as to ttie type of policy on the attached Schedules of Exclusions & Exceptions. C. SPECIAL EXCEPTIONS: 1. COVENANTS, CONDITIONS, RESTRICTIONS, EASEMENTS, �/4AINTENANCE AGREEMENT, DEDICATIONS, NOTES ANl5'kEC--1-TALS;--A&'D THE TERMS V""AND CONDITIONS THEREOF Contained on Short Plat recorded: June 26, 1998 Recording No.: 9806265005 2. GENERAL TAXES: Ist half delinquent May 1; 2nd half delinquent November'l. Year: 1998 Amount billed: $1,807.84 Amount paid: $903.92 Amount due: $903.92 Tax Account No.: 373'6-007-014-0905 Assessed Value: $142,500.00 Affects: Entire, Short Plat consisting of 2 Lots 3. Payment of Real Estate Excise Tax, if required. The property described herein is situated within the boundaries of local taxing authority of: Edmonds. Present rate of Real Estate Excise Tax of the date herein is 1.78%. (Continued) Commitment No.: S92937 SCHEDULE A. PAGE 2 Lot 2 of Short Plat recorded under Recording Number 9806265005, being a portion of Lot 14, Block 7, ALDERWOOD MANOR NO. 9, according to the plat thereof recorded in Volume 10 of Plats, Page 6, records of Snohomish County, Washington. Situate. in the County of Snohomish, State of Washington. END OF SCHEDULE A Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) I . Site Address/Location: --Q, 2 216—c4"" &IL t, IJ r -, 1-1 2. Property Tax Account Number: 22 -7 � (, - 0 o -� - 0 1 !f - I R 3. Approximate Site Size (acres or square feet): _92@22fg!t M& , an g 4. Is this site currently developed? _1ZYes; — no. if yes; how is site developed? -5 ,1, *�_ 5. Describe t 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 I 0-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 3 0% 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: 00 —;Approx. Depth: 7. Site contains areas of seasonal standing water: 0 Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain 0 of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? t,,)n — Flows are seasonal? --- ))0 (What time of year? 10. Site is primarily: forested meadow ;shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: &2 _0 -- ----------------------- For ity St tj - ------ - ------------ - - - --- aff se n ...... y L.; Site isZoneO; 5--A 2�n 8% SCS mappe soil*t o-zk d ype(s)! �W .1. Wethaid inventory.*or' CA. 6a . p . indic . ates . we an .00 dpieseni6n.site7'.. :4�' Ciitica'!*Ar�as.'i�n:��.n:t'o'r.'or't.A.m 'Ihd'ca::': c Y i tes ritica Area on site?'." 'Sit e* w-' fthind6linied iartfi slubsidifi6e landslidit hazard a!:' 1�6 Y s Ma6-?-:, Site �di�'!6naied..6n.the�'En.vir*6iir�i6talI .$6skive Area ]AMMINATION. SIui� ITIONAL WArVER,. ��Quj :.CO WAIVER Review*e'd.by: r ate. �"_chk.dcc Ray 10/03/97 0 0 City of Edmonds Critical Areas Determination Applicant: Jon Smith I Determination M I CA-01-80 Project Name: [Lot Line Adjustment I Permit Number: I LL-01-63 S ite Location: 1 2172�92 "d Ave. W Property Tax Acct 3736 007 014 a 18 Project Description: Lot Line Adjustment Only. Waiver Criteria (all criteria must be found to apply): x There will be no alteration of the Critical Area or its required buffers; x The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; x The development proposal meets the minimum standards of the Critical Areas ordinance; x The above findings are based on the following conditions of approval: 1. This conditional waiver is only for the lot line adjustment as shown in the attached site plan. 2. A building permit is required for all work. Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B.040 (A)(1) of the Edmonds Community Development Code. Chanda Earhart 5/30/2001 Name Signature Date Water Service Drawing The City of Edmonds EASEMENTNO . ................................. .......... NEW CONSTRUC71ON REPAIRS !.1D NO . .................. . ASMT. NO . ........ ......... CONTRA' MIT 1140. ok.e.0.414A OWNER.......................................................................................... CTOR ....................................... ............................................ PER JOB ADDRESS ..VAI-40� ... CKZV.1� ..... X� ............................ LEGAL DESCRIPTION: LOT. NO . ........... ........................... BLOCK NO . ..................... ............. =CE: L,0 LIAITW71V OF ACCURACY. The irdofmaton shown on the attac U- frap was comoled for use by the City d Edmonds, Its employees End consultants. The City of Edmonds does not warrant the accuracy of enAlnq set forth on the map. Any person or enlity requesting a copy 8',z-N conduct an Independent Inquiry regardling the Informaton shown on C,,D mz-p, irc!uding, but not rimfted to, the locAon of any tower stab showm cower sUbs may or may not e;dst and may or may not e)dst at ft inxl�on showa. Neither the City of Edmunds nor Its, employees or officers —1- liable for the information given on this map, no,- for any oral proW&d based upon sald nrp. 8 Approved: PVAV-00U 1 -11175 (REV.11178) DATE... .................... By -!� .................... I .............................. �E ZONE PERMIT CITY OF EDMONbs NUM13ER CONSTRUCTION, PERMIT A_PPLIC�LTION 1OB A SYIT�E/APT # ADDRESS OWNER NAME/NAME OF BUSINESS 6 . 9 /Wt VVF57- ,A. ("1 - k - C 4(1 -1kv c7- LEGAL? DESCRIPTION CHECKI SUBDIVISION NO. LID NO� Cr IJAI /A/L W MAILING ADDRESS Z 17- a/3 0 S 01� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 13" CITY ZIP TELEPHONE NUMBER _f EXISTING REQUIRED DEDICATION. RW Permit Required '0� ot 6o6 5_/_ - Street Use Permit Req'd/e,[] PROPOSED Inspection Required Q_ NAME Sidewalk Required ti.0 Lu Pylz&il 1�1151T�R SIE NO. OF FIXTURES PRY REQUIRED < YES NO 0 L, ADDRESS �114- 1��:7- 9 —0 t: REMARKS r4:041'01/ CC-AJ 7�A4/4- cr CC ZIP TELEPHONE NUMBER UJI CITY SZE 4� -r7,-,// 7 lXe- E7-�Lrw�7,;�, U, NAIAff -'Ie I A16 le e 0 0 CC 0 _SLJ ENGINEERING MEMO DATED REVIEWED BY CC cl. ),Ip TF�--- ED REVIEWED BY Z W 0 Cr L) A PIRA, N AT VARIANCE OR CU ADB# SHORELINE # C At I Legal Des rip"' ion' ropkty -linclude all ease Vat I SEPA REVIEW SIGN AREA HEIGHT z COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED I PROPOSED EXP0. LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACK9 (FT.) f UJI PROPOSED FRONT SIDE REAR FRONT URSIDE REAR AL.LOWE,D ,57 Z Z -7, 5' .42 4 f F� Z01 _j Property .... t LOT AREA PLANNING REVIEW BY DATE a - Tax Ac Z Parcel No. ON Oil 01� 9'2� 9 0/ Z2! REMARKS V 9.N_EW RESIDENTIAL 5 PLUMBINGIMEC.H COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEL APT. BLDG. SIGN HECKED BY TYPE 0 ODE OCCUPA G)�� Cy S. FENCE x4jp REPAIR D X-M 1 7 WOODSTOVE SWIM POOL SPECIAL INSPECTOR OCCUP*T DEMOLISH INSERT HOT TLIB/SPA REQUIRED 1 7 7 W-4r5 LOAD GARAGE RETAINING WALL/ 0 YES CARPORT ROCKERY RENEWAL EMARKs PROGRESS INSPECTIONS PER UBC 108 Z3 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: W-ra Lc7/ 0,6! NUMBER NUMBER OF CRITICAL W4IVeA- 26n�=, WF07 14 -4< OF DWELLING 6*) . - . 1, - . -, - 'AREAS g?7_ STORIES UNITS NUMBER 1?04 '01,1&dE -R_--L> I DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) AWl- 1AK A/ I - " - A, A)�E� ru1(,,�r,7ZL4n71V) FINAL INSPECT16N REOUIRED 6A �WIW6 = I 17 / Y --- VALUATION FEE PLAN CHECK FEE S4 0.10C.10 YV BUILDING HEAT SOURCE: ZING 1011-20 1 PLUMBING -71- rn Check No. q "IJ n? MECHANICAL p, This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curft, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE V Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: I Year - Provided Work Is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE successors in interest, agrees to indemnify, defend and hold 'LOU harmless;-th�?/ City of Edmonds, Wash I ngtofZ-,-, it off* 'als, iny'ah'il'all claims for 7age of I employees��,apd agents from a 1 94X whatever n I atUre,/arlis,�ng directj� 8rj�hdirectly froiT( e I dualce 7E :r of this perm'It. ISSLiAnce of this P66' it shall not b dee"d to PLAN CHECK DEPOSIT modify, wa0e or reduce any requirement of any clity ordinance 0 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL 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 THIS PERMIT This! application is not a permit until state laws regulating construction; and in doing the work authoriz- AUTHORIZES . 4 ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is surance art(] RCW 18.27. INSPECTION acknowledged in space provided. UR to R NED DEPARTMENT 0 —1)6 CITY OF ATE 6 EDMONDS I/-) <Y J CALL FOR REL�EASBY- ATTENTION INSPECTI�;Nl Z IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ypt UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220,,_QRlG AL—Fil LOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK — Owner GOLD — Assessor