21925 98TH AVE W.PDF111111-111111
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21925 98TH AVE W
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: lap
BUILDING PERMIT (NEW STR
COVENANTS (RECORDED) FOR:
CRITICAL AREAS DETERMINATION: E] Conditional Waiver E] Study Required I , aiver
Aw
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA'
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS(OTHER): I — Yll,'��WU-
PLANNING DATA CHE CKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT 4:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LID #:
LOT- BLOCK:
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ALL EXPO
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ADD GLITTEREVOWNSPUJIS
AND SZ;HMOCKIS
OWNER/CONTRA I IS RESPONSIBLE
FOR EROSION CqlTROL AND DRAINAGE
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OCT 2 6 2607
BUILDING DEPARTMENT
CITY OF EDMONDS
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STREET Fl�'
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PLANNING DATA STREET FILE
SINGLE FAMILY RESIDENTIAL
Narne:
D te: 10
Site Address: ? 4-,,It 6A_,l
2 -2 L
Plan Check #
7— 0
Project Description- 500 ldVct-(;�t tc:0(_ WVA NeA
Reduced Site Plan Provided: NO)
zoning:(z5—
Map Page: Is—(4
E /NO)
Corner Lot: (0
Flag Lot: (YES DO
—1
Critical Areas Determination ff: 0 (3-5-
Study Required
Waiver
SEPA Determination:
U+-Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist El APO List with notarized form
Required
Street: 26-
Side:
-7-T
V�
Actual Setbacks rhyAt
Street: Side: Side:
31-1 7
El Detached Structures:
11 Rockeries:
El Fences[Trellises:
El Bay Windows/Projecting Modulation:
El Stairs/Deck:
BUAM17 HeIght
Datum Point: IV�4_Arazf
Datum Elevation: 0 cD
Maximum Height Allowed: zr_( Actual Height:
Other
Parking Required: 2--
Parking Provided:
Lot Area: 0 74
Maximum Lot Coverage: 35% Proposed: 'to
Lot Coverage Calculations:
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination fssued: (YES Fa
Comments
t�p_ 47 kf cac
10�
+ 21�
Plan Review By: 4�1_ Ptannaig Data fomi 04 - i 1,06.doc
APPLJOATION BUIL01118 PERMIT
Appl. No.
2--
/Z CITY',,OVEDMONDS BuUding DePCO hn . oat . ...... . ......
Permit limit, one year
APPLICATION is hereby nude for a permit to construct the following work, in accordance with the accom,
panying plans and specifications. Two sem are submitted herewithfor approvaL
new alter /) , C ( '� , 7� — ' Off'st.
Work C�dDdn. repair ........ . . ...... Parking ......................
Occupancy ......................... Const. type.
6c-) ......................... Use zoneX4.6 ................. Fir
e zone ...........................
Address...
.. . ................................ r -------
Lot ........... ..... Blk ........................ Addn ................
Lot frontage ................................ .............. Septic tank—,-C-c-i
....... . 4,rea ........... 8.� . ........
Bldg. set -backs front .... 4 . . .. ................
........... r., si& ....... 7 ...... . ........... 1. side ....... 2 --- ........... rear ...
Owner ...... 1�� ------ ............... Add 1 '1-61 —/
re'- Tel. Ne-
....... -... -F
....... ..............
Builder ...... scr--
.. ........ Address ....
......... ------------ Tel. No'AZ: ...
Plansby ................................................................. Address ............... ................................. Tel. No .............................
Remark&
..................................................................................................................................................................................................
'Me above is a correct statement, and I agree to cc ith aH applicable Codes and. State laws regulating this
work. - 6 ;951W
w
Signed 0 rier/Agent ...... .. .. ..
..... ................... ..... �- Address
......... Date- .... .
PF"Wr for the above work is hereby aWroved, subject to the above conditions, and to compliance with
Proi-red plams and specifications, and Building Department -otatizis therecon. the ap,
Valuation ................
mi ee ..... .... ............ Recd. by...
... .. per t f
At
Building Department, By.....
........................................ ....
......... Date.-/ ......... 6t ..............................
NO7E' — Th's Permit does not cover Plumbing, sewer,
doue in the Right of Wa areas. Driveways or electrical 'nstallat.'Ons, nor does it Permit any work to be
y and walkways mwt be &nned to meet the official grades of streets
and alleys, and plans for future sidewalk develoPme-nt.
#P20
�.--City-of Edmonds
(P Development Services Department
Planning Division
Phone: 425.771.0220
9 Fax: 425.771.0221
The Critical Areas Checklist contained 6n 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 the apptic-atio"n-4o 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
1 01
surveys,
Date Received-- AQ4-1102
City Receipt #:
Critical Areas File #: CAA - ;tQQ-T- 01
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
subseqitent 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 firiding 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 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 furnished by the applicant, his/h6r/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
knowledge and that I am authorized to file this a lication on the behalf of the owner as listed below.
SIGNATURE OF APPLICANTIAGENT 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 inspection and posting attendant to this application.
SIGNATURE OF OWNER��-�' DATE
PLEASE PRINT CLEARLY
Owner/Appficant-.
J rA
I
Name
�kk (� A-Q�e '�k)
Street Address
P, C-�M 0 o 0 S
city State Zip
Applicant Representative:
Name
Street Address
city State Zip
Telephone: Telephone:
Email address (optional): Email Address (optional):
#P20
CA File No: 07 - (21�5
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1.. Site Address/ Location: 9,1q AS A43-e-- Qk-� EYN-n cnc�- S C�b o L C-)
2. Property Tax Account Number: 5 Oo ( 1 �?--,7 0 0
3. Approxhinate Site Size (acres or square feet): Q 5 oucc e-;s
4. Is this site currently developed?)L yes; — no.
If yes; how is site developed?. :Skocve— &,Mcw
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-fe*et 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: A 0, Approx. Depth:
7. Site contains areas of seasonal standing water: Y) 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway (\Q floodplain V\Q of a water course.
9. Site contains a 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 primarily: forested meadow shrubs mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable? Ci,j ?co-?
2. Site is Zoned?
3. SCS mappe —Ybgg S- 4106f UC)
soil type(s)? A�"od ir-6w c,
-ev& YV4 f-.
4. 'E�itical Are�s inventory or C.A. map indicates Critical Area on site? A14-
5. Site within designated earth subsidence landslide hazard area? /1/0
DETERMINATION
STUDY REQUIRED WAIVER
Reviewed by. !1A A4#E Date:-- 0
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OWNER/CONT"A GTOR IS RESPONSIBLE
FOR EROSION AND DRAINK
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ALL EXPOSED SURFACES TO
BE COVERED WITHIN 2 DAYS
TH E
D,
21
I
"Nothing in this permit approval process shall be
interpreted as allowing or permitting the
maintenance of anye-urrently existing illegal,
nonconforming or -�npermiti�d building, structure
or site condition which is outside the scope of the
Ii tion, regm-dless of whether such
permi app ica
building, structure or condition is shown on the
site plan or drawing. Such building, structure or
condition may be the subject of a separate
enforcement action." MVA� (11
APPRO D BY PLAINS
`7
12 Comer X- Flag
Zone
jqftc�s, Recluired Actual
51
Front
W 3
Sides
—Rwr
Other
�Walt
A
ADD GV
AND
a'l 7- G I &TH 6V 1�,;7 kJ
Parcel Legal Description
S1-,"C'-)5TWP 27 RGI,' , (13 RT -211--)131 -"G NF COR SWI/4 NJ-"1/4.'I-1 I S00*35 56W 116-1.09 N88*54
06W 475 33 1:1-1'011111) T1 I CC
I N00*33 15 135.91 I"I"foTP13 .)N'I* W 148.19 I-'TTJ I S 00*33 . 15W 135.92 ]-T TI I Y-l' 148; 1 14 l"I'MA, T] 1,
— ---- ------ --- — --
APPJ14j�L"- NjOTED au,-, b4e
Date:
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RESUB
OCT 2 6 .2007
BUILDING DEPARTMENT
CITY.OF EDMONDS
REVISIONS I BY
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KEITH BEDDOW
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Drawn
Job
Sheet
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IS X 24 PRINTED ON NO. 100011
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R IES U B
OCT 26 2007
IIIIIIDINII DEPA
Cay OF CDMRTMENT
ONDS
STREET FILE