21818 93RD PL W.PDF111111111111
9085
21818 93RD PL W
0 40
ADDRESS:
TAX ACCOU NT/PARCEL #: Z4--� 4to L9 0
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: [I Conditional Waiver [:] Study Required E] Waiver
.
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver Study Required El Waiver]
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER —list permit #'s): 164-a&4&x�)
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USEJENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
0 0
PLANNINGDATA
SINGLE FAMILY RESIDENTIAL
JL11REETF=ILE I
Name: [� J a,
Date: /0- /1 /C)
Site Address:
let
Tax Parcel OC)S-L,-� / OOODO
'A
Project Description: �,�-elr-ov,
�OVV.Q- --
Plan Check
LI) 0� 6 D b 70 0
Reduced Site Plan Provided: (YES NO)
Zoning: e�r
Map Page:
Corner Lot: (YES
Flag Lot: (YES
Critical Areas Determination #- MAa w r) Does
El Study Required
IR�-Waiver
SEPA Determination:
Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacks
Street: 77777]lSide:
Side: I/).-
Rear:
Actual Setbacks
Street:
Side: t
1 0
Sid
S P 6
Rear:
Pi Detached Structures: SV4 6. Y-� 5' 4�o, re-1,
El Rockeries:
R1 Fences/Trellises:
El Bay Windows/Projecting Modulation:
Stairs/Deck:
Buildin Hei[717t L
Datum Point:
Datum Elevlon:
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided: rbov- L r A A-
) Y--- ve-
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: L
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES IM)
Comments
14
Plan Review By: L)(r'kv\,
k
Planning Data Form 07-14-09.doc
L
ZONE NUMBER
BUILDING DEPJA E 14 'Applicant Fill
d
JOB
PERMIT APPLICATIO
ADDRESS
N�MF (OR NAME OF UU50NE1115) 10 N H 0.
L*L LOT NO LOT A"..A
ES L
W M61LINOF ADDRE55 Do No.
VAHIAIZC OR
z CDNO. USE: NO.
? NUMBER A z
0 CITY 91-crHoNs, H T
C ant
0
Pop ]H
a D 'I
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LEC—'L
V ARIA
C D NO.
E N
5 eROPOS R PS z
r_L5- 1 z
eoA"Ols F R 00 N'T 0 SIDE REAR
ALLOWABLE L
biG4 A.CA 111IGN ARIA
U-------
W _;'DORESS OTHER
REOUIR MeNTS
U
M CrrY DATE
7 L,)-
_PAME STREET RJW
EXISTING STREET R/W FT. DEFICIENCY THIS PROi-ERTV
FT.
0 -;ZL D RSSS COMP.. PLAN ST. njv/ FT.
ARKS 13
N U M 8 E
< —_____=TIE1_FPHON ER REM
M CITY M
I- W
z W
0 CITY LICENSE NUMBER
U STATE LPCENSe 4UMBeR
z
0 YES W
Ldgal DescrIption of Property (Show 6a!ow or Attach Four COpiO0 STREET AND/CR UTILITY
WORK REQ'D NO
UNDEFIGROU,140 YES
WIRING REO'D 0 NO
z
0 --P. C---.CT... vir"Irler) fly
U
Ll yS PERMIT HUM
SdPTIC SYST M
wo �kPPVD 0 Y CITY RHO. 0 No
REMARKS
A/d_
W MUTUR SIAK IsrRvice'sizE CLEARANCE CHEC"D By
REMARKS
RESIDENTIAL GAS 0 0 IcOOK
NEW L IP49 FIRE XONZ TYPE OF COMET"
NON-pastDIENTI'sk S- PANT
ADD SpCel^L. 11,15�11CT.0�t REA 0 PANCY/
RETAINING WEOUIRrD L CCD
0 WALL
DEMOLISH 0 YES P40 L
Q,'ILTER E] 0ZXCAVATE FENCE T Lo— 01 TH CITY W
R FILL CHE K D BY 0
OF EDIVIONDS. LOCAL SALES TAX
W IM 0
REPAIR F� IR.----. 0 OL
INSP. A K 0
HUMVICR 0 STORIES mumiFiii
D
DWELLING
UNITS a
NATURE OF WO RK TO BED NE
V ro G A R
VALUATIO
'Pobbv
PROPOSED USE PLAN CHECK
z
0 /100
t. I. Ah Shop,
N (IrICATE 5UyLOj 3ETBACKS
G TS BUILP!NG CJ
UTTIf, �TREE I pv"
PLUMBING
W
I HEAT & GAS LINE
0
FFNCE
SIGN
I REY�AINING WALL
SWIMMING POOL
00
TOTAL AMOUr1*4T DUE --
I hereby a cknowledge that I have read tbJp QPPI,tFtIOr1: that the, In-
formation given Is correct: and that-1 am the Owner. or tho duty "LhOr-
I led R&ec I of the o"cr. I agree 0 comply with city suId state law- "Ifu ATTENTION
Jelin, construction: and In doing the work authorited tbomby, no Person APPLICATION APPROVAL
-ivill be eMptoyed In vlOI&tIOn Of .. Leon, Cod. of the State of W"hltgt-- THIS PLRMII' This application Is,n9t a permit until
relating to Workm.n'o Compensation Ingurance. ^u rHoRizes signed by the Building official or his Dep-
ONLY THE
NOTE: Permit Limit One Year (E-c.pt DEMOIJITIONS vhIch WORK NOTEC' uty; and fees ate paid, and receipt Is ac-
shall be completed In ninety days: MOVED.IN' BUILDIN93 sh6II be com- knowledge pace providedL
Piet, x months.) INSPECTION A
NATURE OWNER OR AGENT) DATE 5 I.G N E D EPARTMEN.T Oj.RE TO 'S SI ORE
CITY OF
EDMONDS
DA I
Applic*allf Sll�jecr to Plan Cll�-Ck-,' �1� 7 7.5-12 5 2 76
on private propiftV ONLY. TLLOW -
This Permit cove" work to be done ORIGINAL ;.i, Y
Any construc-,Ion on the public Jomaln (curbs, sidewalks, driv�OYS,
marquees, jtc�j will require %aparatt, Permission. PINK - COLD - A..�os,:
NOTICE.
Now-ar-raht-Y ... of a.c.C. Ur . . . . . . . . . . . .
The -information shown on the attached
f o r
map(s) was com ' piled u-se by the City Of
Edmonds, its Empl.oyees and Consultants.
Th,.e City ofEdm.onds does ' not ' warrant the
or these
accuracy of anything set f th on
ntity -requesting a
Map(s). Any person or e I
copy should conduct an.independent
orm - ation shown-o
inquiry regarding the infi
but not limited to,
map(s),,
the location of any sewer stub shown. Suc
sewer stubs may or may- not e.xist and may
or may not exist at the location shown.
_S
Neitheir the c't y o f E d m 0 n I(J4 (S. nor it
emp'fo-yee-s o.r office-rs shal] be l..ia.b-11..e for thE
�information given on this map(5), nor for
d
any one representation provided base
upon . said map(s').
now
PERCENTA&E OF IMPERVIOUS AREA T 0 LOT AREA:
Zone Comer IJ Flag
.
5,c165/q,000- 44%
Setback
E2%y�lred
Actual
PERCENTAGE OF STRUCTURE COVERA&E TO LOT
AREA: 2,2q5/q,000- 25%
Front
Sidesgis
-715
2C
/-/1 44�-
PROPERTY DATA
LEGAL PESCRIPTION:
Rear
I
PR-EVIEN HOMES NE5T&ATE VILLAGE BLOr-K OOOD-00
Other
TAX Ar-r-OUNT NUMER: 00547600000200
ZONIN& P-5
EAST
120.00,
I . is.-O"
b
Ln
t-
Il.
PLANNING
0
I b— I I — j—o—
to -75--10
1012- coht,
OWNER/CONTRACTOR IS RESPONSIBLE
F—r — — — — — — — — — 6 -7 t T7G- -_,1i5LAJe riC__ E -m 0
14'-6'
t CV.0 %
EXIE
TING RE51DENr-E
-�� S.F.
A11-1 C-
2--Lev<4::,
it> P74,p Lipd
Tit
IZ;) tw-4 P
OT :2
q,000 S.F.
NEN RAMP
4 5.0 S.F.
EXIST. NALK
q 5.0 S.F.
120.00,
Ica
-0
"2
50'-0'
26'-0"
E CD
-or E
0>
b
E
C4
MCL am,
'C13,
cis CL
0 >
c8) 8
12 -X
0
-C: 0
Z
EXIST NIC
ine
L Ll.+e
Type
Exempt
0C 118 2010
EAST BUILDI�—G —DEPWME1
cITY OF FIDMONDS
2F ECEIVED
S 17 P 3 0 2010
DEVELOIPMENT SERVICES CTR.
LU
LU
LLJ
.j
Li—
F—
Ui
LLJ
Cr
C/3
Area (square Feet)
pt Non-Exemp-
3
WSW
3. Niw
4. Total Replaced +New (Non -Exempt) S
(a
I I dd numbers in bhie boxes) It"N;
2. 1 Replaced
5TRUCTURAtL NOTE5
ENEK
VF-516N LOADS:
�FOIJNVATION:
ROOF
CONCRETE 2,500
5NON 25# 5-F.
-REINFOKCIIN& STEEL &KAVE 40
DEAD 15# S.F.
X Y
A NCHOP, BOLTS 5/5" X 10" rb'O.C. INITH 5" X 5 4� STEEL YiA5HER5
FLOOR
LIVE 40# 5.F.
FRAMIN6:
5 NOTED
FRAMIN& LUM5ER SHALL BE 5pF OR BETTER. EXCEPT N
DEAD 15# 5
LATERAL
1 A 'F LL- E3F- 5HEATHEV kNITH NOOD STRUCTURAL PANEL 5HEATHINC
LL INFILL 5HA
Y41ND EXF05URE 5 55 MPH
-XTERIOR
NOT LF-55 THAN 515"ITHicK ALL EV6F-5 5LOCKED AND NAILED kNITH 5P NAILS 6" O.C. AT ALL
SEISMIC, ZONE D -2
EVC -5 AND 1:2" O-C,- AT FIELD.
-7 1500
501L BEARINC
CURRENT ENVELOPE INSULATION:
FR05T DEPTH 1 '511
EXTERIOR NALI-5: A55UMF-D TO BE UN-IN5ULATEV
FLOOR5: IN5ULATEV R 11,
ROOF OF-ILINO: IN5ULATEV 10" A55UMEV R-50
VOOR5: IN5ULATEr,> UNKNOYiN U-FACTOR
IN5ULATED VIN%(L UNKNONN U-FACTOfP,
:ALL NEIN kNINPOY4 &LAZIN& U - .5 5
..ALL EXTERIOR CAVITIE5 OPENED OR ALTERED DURIN& CON15TRUCTION 5HALL
Be FILLED TO REPLETION N ITH BATT IN5ULATION. ALL EXTERIOR �NALI-5 OPENED
THAT CON5TITUTE AN ENTIRE )NALL OF ANY ONE OR
RIN& (�oON5TRUCTION
MORE ROOMS 5H ALL BE FURREV TO A THICKNE55 OF 51/2" AND 5HALL BE
FILLED TO REPLETION Y41TH R-21 BATT IN5ULATION-
NITH O�NNER, INCLUDIN67
CoOORPINATE ALL BUILPIN6 CON5TRUCTION k
j., p15RUPTION5 TO
MATERIAL5 5T ORA6E, &AR15A&E VI5PO5AL, YSIORK HOUR5,
POYqER, NATER AND LIFE 5AFETY 5Y5TEM5 TO EN5URE THE 5A FETY OF THE
5TRUCTURE.
PLAN5 5HALL NOT BE CHAN&ED OR ALTERED YqiTHOUT
2. THE APPROVED
AUTHORIZATION FROM THE 5UILPIN(5 OFFICIAL. THE APPROVEP FLAN5 ARE
REGUIRED TO BE ON THE JOBSITE
-7LE TOP
NEIN NALI-5 TO BE 2X4 16" O-Co. NITH 5IN6LE P.T. 5OLE PLATE A NV 5INC
PLATE NAILED TO kNoop 5TRU CTURE- NITH (2) 1 rod,NAILS :24" O.C. OR PINEP TO
5LAB kN/ (1):411 X 5" 5IMP50N TITEN HD MINI 5CREkN ANCHOR5 4'O.C.
-7 MATCH
-RFACE5 kNITH EX15T INC
NEIN CON5TRUCTION ABUT5 OR INTF
kNHERE
-ADJACENT MATERIAL5 AND TEXTURE5 FOfP 5EAMLE55 TRAN51TION.
UNLE55 OTHERN15E INDICATED OK A&REEP, kNHERE ITEM5 ARE NOTED TO BE
-MOVAL AND DISPOSAL OF THE
REMOVED, IT 5HALL MEAN THE COMPLETE RE
AND THE PATCoHIN6. REPAIRIN& OF ADJACE NT5URFACF-5
NOTED NORK 'AND,
TO MATCoH.
oATEP 4 FROM FACE OF 5TUP
ro. ALL POOR5 NOT VIMEN51ONEV�5HALL:15E LOC
OR MA!5ONRY Y4ALL TO EPOE OF'f;ZOUC-vH OPENIN6.
-7 TO FRAMIN67, NAILIN&
5EE 5Tf;ZUCTURAL NOTE5 FOR. INFORMATION P ELATINC
RMATION.
AND OTHER 5TRUCTURAL INFO,
Rr- P05TF-D VERIFYIN& IN5ULATION IN5TALLEP IN A,
(-0 (-/ P9 r- I r-%
41
P: FL 0
Om
PROVIDE METAL NAIL 5TOPPER5-T&Pk1O'TF-0T PLUMSIN& AND INIKINO FR
DAMA6E BY NAIL5
FIXTURE5 AND IN5ULATION UNLE55
R (MIN.) 5ETNEEN CEILINC
0. MAINTAIN 3" OLEA
RE 15 1c, RATED FOR OONTAOT Y41TH IN5ULATION.
FIXTU
-5 IN UNHEATED 5FACE5.
1. 1/4ATER PIPE5 5HALL BE IN5ULATEV TO '.R
O.5E TAPED.
12 METAL PUOT5 TO BE IN5ULATED AND JOINT-5 T
BARRIER
TION 5HALL HAVE ALL TEAR5 AND JOINTS IN VAPOF
15.'BATT IN5ULA
5EALED INITH TAPE.
-15 TO BE 0AULKEP,:51FALEP AND INEATHER 5TRIPPEP.
14. ALL OFENINC
KNPOYN15 AND VOOR5 5HALL IN5TALLED Y41TH FLA5HIN&'AT
15. ALL EXTERIOR OM THE 5TRUCTURE.
THE HEAD TO PROVIDE PO51TIVF- 114ATEP, FLOr4 AYqAY FIR
MIXIN6
j.&..5HOY4ER5 5HALL BE FLOYq CONTROLLED TO 2.5 &.P.M. AT 50 P51 ANr
VALVE5 5HALL COMPLY Y41TH A55E 10 1. &-
1-1. ALL-15ATHROOM, �NATER CI-05ETCOMPARTMENT5, LAUNDRY ROOM5 AND
M5 5HALL BE PROVIDED Y41TH NATURAL LI&HT AND VENTILATION
51MILARROO
vLAZINC7 AREA OF NOT
BY MEAN5 OF OPERABLE EXTERIOR.OPENINC75 Y41TH A C
ABLE. IF AN OPERABLE
I- HALF OF �NHICH MU5T 5E OPER
LF-55 THAN 55.F., ON
BE PROVIDED,
MECHANICAL VENTILATION5HALL
KNVOYi 15 NOT PROVIDED,
CONNECTED PIRECTLY TO THE OUT51VE, CAPABLE OF PROVIVIN& AN EXHAU5T
OFM IF INTERMITTENT, AND 25 CFM IF.CONTINUOU5 EXHAU5T 15
RATE OF 50
PROVIDED.
-D OUT51DE
15. KITCHEN AND BATHROOM F-XH,AU5T,,5H.ALI- BE VENTF TO THE
ED BY THE BUILDINO OFFICIAL. POMF-5TIC
UNLE55 OTHF-RY415E APPROV A THAT
-.OUT51DF- IF IN AN ARE
CLOTHE5 VRYER5 5HALL E3F-.F-XHAU5T.EV TO, THE
e- -N-
NTAININrv:OTHr=R FUEL-5URNIN& APPLIANCE-E. KITOHF
15 HABITABLE OR:00
TE OF 100 CFM IF INTERMITTENT
VENTILATION 5HALL BE PROVIDEP AT� THE RA
ANP 20 CFM,IF CONTINUOU5 EXHAU97 1.9 PROVIDED.
1 cf. HOT kNATER HEATER 5HALL MEET THE REGUIREMENT5 OF THE IRC, CHAPTER,
25-
20. PROVIDE AN INTERCONNECTED 5MOKE ALARM 5Y5TEM PER IRC R51 5
POINERED BY 1 1 OV A0 INITH BATTERY BACKUP. 5MOKE ALARM5 ARE TO BE
HE RE51PENCE, INCLUPIN& THE
IN5TALLEV ON EACH 5EPARATE FLOOR 'OFT
1(:�F-5 ARE TO BE INTERCONNECTED ON ALL
BA5EMENT. ALL ALARM PEV -EFIN(5 ROOM AND
FLOOR5� 5MOKE ALARM5 5HALL BE IN5TALLEP IN EACH 51-F
6 AREA IN CL05E PROXIMITY TO THE
OUT5imF of:�FAOH 5IFFARATE 5LEEPIN
712.
BEPROOM5. .5MOKF- ALARM5:5HALL C' OMPLY Y41TH NFPA
H TYPE 4
1. YqA5HIN&TON 5TATF- ENER&Y COpe: PRIE50RIPTIVEAPPROAC
UNLIMITED 5EF- FLAN5 FOR R VALUE9
Imm mum
PROPERTY DATA
LE&AL DF-50RIPTION:
FRE\/IE;N HOME5 VqEeT&ATE VILLACvE 5LOCK OOOD-00
TAXACCOUNT NUMER: 005 4 -1600000200
ZONIN R-5 EA5T
B.S.B.L.
0
3:
z
.........................
0 Q Itd" 141-511 501-01. 261-0
OWNE R/CONTiFiACTOR IS
FOR E 10SIQN CONTROL
RE'SPONSIBLE
,N1) DRAINAGE F-XIBTIN& RE51PENCE
2440& Ta Vw4r L-w-56
NF-Y4 RAMP ANP Y4ALK 100 5-F.
t4MCP $%VOLon
Sv,,$1F TO I
=? "Pv I
�OT 2
--4 :251-011
F
d I )
t--7 - EX15TINC7 ORIVE
cl, 0 5.F.
F-XIST. 46 5.F.
cd
120.00,
Ed
F-A5T
IMPERVIOUS CALCULATION5:
LOT AREA: q,000 S.F.
EX15TIN& IMPERVIOUS:
5TRUCTURF-: (PRIP LINE) 2,664 S.F.
�NALK5 AND DRIVES 4 PAT105: q-705.
5IT-EF"LAN NEV4 IMPERVIOUS AREA:
1 1,01- oil 5TRUOTURE: 0 S.F.
PEC,1<5: 0 S.F.
NALK5 AND DRIVES: 100 5-F.
TOTAL IMPER�/IOU5AREA: 5,1345.F.
PF-RrF-NTA&Ej OF IMPERVIOUS AREA TO LOT AREA:
3,154 /q,000= 42%
PERCENTAOE OF STRUCTURE CO\,/ERA6E TO LOT
AREA: 2,2q5/q,000= 250/0
AP VED BY ��NNING
Zone K12-
Corner tJ lag
§-�cks Lr, d �-LF _,
Front
Sides ful� 7/
Rear
Other
±Le�ht
T- I
0
E AL
tg
cD VE cD
CL 2 r E
c,-
rz
m
"c" "0
B
0
CL _t:�:� 0
cm �-
c 0
E
RECEIVED
AUG 19, 2011
DEVELOPMENT SEWCES
COUNTER
ZSTREET F
RF-\/15F-rl>
F.F.BROkNN
Z>e5ign
4
Con5truction
manageMent
15450 5UMNEK BUCKLEY
HYqY
BONNEY LAKE, NA qi55q 1
20(0--7q2--1 1 -T-T
[D R- A)N N
F. EBROY4N
5HEET