22035 99TH PL W.PDF9774
22035 99TH PL W
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CA FILE NO. 7
Critical Areas Checklist
Site Information (soils/ topography/ hydrolq�y/ vegetation)
-z- 2,0 3 — lot 1v
1. Site Address/ Location: 5
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? 'X yes; _ no.
If yes; how is site developed?,-5- k
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 664�et).
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: Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth: Cke 5
What season(s) of the year? 1�-f-T�,r 41V�3 / �J
8. Site is in the floodway- floodplain 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) !�e
11. Obvious wetland is present on site: A/0
:DETERMINATION
STUb�(REQUIREb
C.ONDITIONAL WAIVER*.
.'Reviewed b�: k 7,
Plail��Jr Dake
City of Edmonds
RECEIVEC)
MAR 16 199g
COMMUMTVq1:21JJr 1;
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 Areas 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, 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 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).
Ow /App icant: Applicant Representative:
7,
Name Name
Street Address Street Address
6
city State Zip
Telephone
Signature
Date
city State
Telephone
Signature
Date
Zip
(over)
creception\jaWcaddoc
�Ip C. 1 S913
March 30, 1998
Peter M. Rodkinsen
810 Cedar St.
Edmonds, WA 98020
CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works - Planning/Building - Parks and Recreation * Engineering - Wastewater Treatment Plant
Subject: Determination regarding Critical Areas Checklist # 98-74
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.
IMPORTANT INFORMArrom TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENWRONMENTAL CHECKLIS OR CRIT4CAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific deternnination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 4*0
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit 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.
Shada Graham
Acting Planning Secretary
C:Recept1on1,Jana\CRLTR.doc
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
PLANNING DATA
NAME:- 6,zk&4,e-r_
SITE ADDRESS:0-'e-W -9"1- A) DATE:
ZONING:_JLA___ PLAN CHK#:. W,
,;7AW
PROJECT DESCRIPTION: ,
CORNERLO (Yes/No) FLAGLOT MO (Yes/No)
SETBACKS:
Required Setbacks: . I . P
Front: ?& Left Side: Right Side: R e a r: 15
Actual Setbacks:
Front: Left Side: Right Side:- W9 Rear:
Street map checked for additional setback required? hj —(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED tQ __(Y/N)
LOT COVERAGE: d--,*
Maximum Allowed: W ActuakAo 6;70)
BUILDING HEIGHT:
Maximum Allowed: Actual Height: 57
Datum Point: fa"tum levation:-- lzfh
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS
SEPA DETERMINATION: NIA
LOT
OTHER: .ff . I
Plan Review
a
C.�fijgAp=jt%ApjanCj"d0C
t APPLICATION
for
The City of Edmonds SIODE SEWER PERMT EASEMENT No . ..........................................
NEW CONSTRUCTION Ej REPAIRS E]
400-05850
OWNER........... Esta...S.....Finney .............................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... ??035 99th Place 11. .................. LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
............................................................................
0
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
I
7 6r-
5F
6. .7 i/c
3�110
7 Soc
5F
9
wnace oi�r
connected to
per Table
return air
3-S;
. fixed
damper
set as per
Table 3-Z,
(b) 3
free sted with
Timor controls
Inlet
. inlet sized
yes'
forced -air
furnace blower
connected to
per Table
return air
3-&,
. automatic
ffo�
device
(c)
Heat Recovery
Timer controls
_rict 'specifted
- 6' dud
No
HRV dwice
minimum
balancing
dampers
I Other automatic ventilation controls, such as a hUmIdl5tat. are alloed by the code. The thermostat is
not specific 1. ventilation and cannot be used to fill this requirement
2 To correctly set this device, the installer' must test this system when the home is completed and closed
up. (Windows and doors must be closed.)
NOTE: IMPERVIOUS AREA
THERE IS NO CHANGE IN IMPERVIOUS
AREAS FOR THIS PROJECT
7__
to
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PAOkRTYLfNE
- tXTST.
EXIST, ROCKERY
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As,
0 Ix
BUILDING HEIGHT CALCULATION M
CL
CORNER A
PROPOSED -
CORNER 6 EL - �70
- SECOND
oORNER C EL 109 -�5 �EAST.,/
STORY
CORNER D 1 �07 /GA.RAGE,-/
TarAL 39!0" 4 EL 708.1 ADDITION
LINE OF ROOF
+ 25'
ALLOWABLE BUILDING HEIGHT OVERHANG ABI IVE'
MAXIMUM ALLOWABLE BUILDING HEIGHT: ELI-33!&
\io
PROPOSED MAXIMUM BUILDING ELEVATION: i o EXIST.
— I DRIVEYV,�%Y
LA
EXIST. PATIO
Exf�';TING
AESIDENCE///,,11
0 -StORYI(
EXIST
IST. ;7ALK DECK
EXIST. TIMBER BULKHEAD
P PERTVIL!!!�
.001
BY PV�VING NOTE:
EXISTING SITE DIMENSIONS AND CONDITIONS
J2 IV/;7 164.1
WWI/ �Z/5� REPRESENTED SHALL. BE VERIFIED BY BUILDER. �\ 104 77Z)M 64 . 100
7— ANY SIGNIFICANT DISCREPANCY SHALL BE BROUGHT TO THE ATTENTION
OF THE DESIGNER PRIOR TO BEGINNING EXCAVATION WORK.
/oz.
ell
a 00
0
ul
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not specified 1 6' duct 1110
minimum
balancing
dampers
Footnotes:
Other automatic Ventilation --ho'S. such as a humidistat. are ano—d by the —do. The thermostat 11
no, �P-ific to �mtilation and cannot be used to fill this requiren"rd-
2 1. correctly set this device, the installer must test this System when the home is completed and closed
up, (Wind� and doors must be closed.)
PROkR_TY LINE &2
EXIST. ROCKERY
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P
U)
x
PROPOSED
SECOND
STORY
GARAGE
ADDITION
( j I ".." / ...
t-off of Root
OVERHANG ABOVE
EXIST.
DRIVEYVAY
EXIST. PATIO
I XV, I IN(t
N(A
(1-STORY)
F-LECT..-
SERME
EXIST
DECK
EXIST. TIMBER BULKHEAD
PAOPERTY LAC- -,
. q
NOTE: I /,
EXISTING SITE DIMENSIONS AND CONDITIONS -0
REPRESENTED SHALL BE VERIFIED BY BUILDER.
ANY SIGNIFICANT DISCREPANCY SHALL BE BROUGHT TO THE ATTENTION 7-0,-,
OF THE DESIGNER PRIOR TO BEGINNING EXCAVATION WORK. 74A)
/oz.
BUELDING HEIGHT CHECK
TRANSIT SEULL BE SET UP FOR
INSPECTOR AT FRAMING INSPECTION
TO CHECK HEIGHT OF STRUCTURE.
NOT E:
EFFECTIVE 6-30-95
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SERVICE SliALL bi-- PLAUI
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COPY'
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CITY OF EDMONDS
USE
ZONE PERMIT 980237
AS— 9 NUMBER
CONSTRUCTION PERMIT APPLICATIO
JOB SUITE/APT #
RIESS � _%
2103 e��
0 N�,4,E/NAME OF FILISINIESS
7jq AJ SO 4,
LEGAL DESCRIPTION CH
UBDIVISION NO,
LID NO.
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0
-PAW I ADDR ?55
e/e? I 4el it. _f
r
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING — REOUIRED DEDICATION
TESCP Approved 0
RW Permit Required 0
Street Use Permit Req'd C3
__�,
-61 ZIP
��It, IT
%;L'o
PHONENUMBER
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PROPOSED
Inspection Required
Sidewalk Required
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NA
kt,
METER SIZE
1,
LINE SIZE
NO. OF F
&I1TU11
PAV REQUIRED
YES 0 NO 0
W
Lu
ADDRESS
REMARKS
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cc
ZI P
TELEPHONE N M ER
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NAME
owyuu
DRESS
ENGINEERING MEMO DATED REVIEWED BY
Z
CITY ZIP
TELEPHONE NUMBER
IRE MEMO DATED REVIEWED BY
I
a:
STATE LICENSE NUMBER EXPIRATION DATE
VARIANCE OR CU
ADB#
M"ORELINE #
I
Legal Description o.f Property - include all easements
SEPA REVIEW
COMPLETE I EXEMPT
EXP X
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED,, I PROPOSED
L,�� , V�/ lid
Z
LOT COVERAGE
ALLOWED PROPO SED
i�
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
Ile *
L7 i
PROPOSED SETBACKS (FT.)
N L/R
FRO T Sl5p, REAR
1
0
3
Z
Z
W
W
_3
Property
Tax Account
ParcelNo.
T AREA
LA 1EW By
A
144 RESIDENTIAL
NEW PLUMBIU ECH
REMARKS
COMPLIANCE OR
9 ADDITION D COMMERCIAL El CHANGE OF USE
DREMODEL APT.BLDG. SIGN
HECKED BY
TYPE OF CQHWfIUCTION
1 coe7v
GRADING FENC . E
x _ 1)
1:1 REPAIR El - CYOS. I— x —FT)
0
EIDEMOLISH WOODSTOVE SWIM POOL
INSERT El HOT TUB/SPA
EGARAGE* . RETAINING WALL/
] CARPORT 1:1 ROCKERY RENEWAL
PECIAL INSPECTOR JAREA
REQUIRED
13 YES
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER LIBC 108
SE. S ESSOR CIIVITY) EXPLAIN:
d-
177 Z 1p-7
15"1 f(_hd1/-T- & fthilu 0.
NUMBER
OF
TO IES
NUMBER OF
DWELLING
I UNITS
AR
CRITICAL/f
INU
DESCRIBE WORK TO BE DONE (ATTACKPLOT PLAN) >
FINAL INSPECTION'
REOUIRED,
VALUATION
FEE
PLAN CHECK FEE
BUILDING
473 1?, �z
1�r2_1
H EATSOURCE
GLAZIhG %
PLUMBING
Plan Check No.
MECHANICAL
,q
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any Construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days -
Permit Limit: I Year -'Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
w
02
successors in interest, agrees to indemnify, defend and hold
harmless the City-, of Edmonds, Washington, its officials,
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employees, and egerits from any and all claims for damages of
whatever nature,,; ariiin6 directly or indirectly from the issuance
of this permit. Issuance 9' f this permit shall not be deemed to
modify, waive or reduceany requirement of any city ordinance
nor limit in any way the . City's ability to enforce any ordinan ce
provision."
PLAN CHECK DEPOSIT
, V_
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
Information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and In doing the work authoriz- AUTHORIZES T . his application is not a permit until
ed t by no person will be Wployed in violation of the Labor ONLY THE signed by the Building Official or his/her
0 t jeo et ate of hinrg7irelating to Workmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is
0 0 S I.,
Cti�n
in i a ce aria 18. INSPECTION acknowledged in space provided.
DATE SIGNED DEPARTMENT
OFFI�l� SIG DAIE
f fyRE
CITY OF
3 EDMONDS
RE11�A BY:
CALL FOR DATE
TTENTI i ON INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR OReGINAL — Filb YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC 771-0220 L
SECTION 109 _//Am PINK — Ow'r.er GOLD — Assessor
10247
L
RECEIVEL)
C 0
ity o Edmonds MAR 16 1998
COMMUNITY q;:nmrc-
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.
1"' 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 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, 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 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).
OW /App icant:
t 2, ,, rx-
71Z
Name
; / 0
Street Address
city State Zip
Telephone
Signature
/- 2- ('- ��
Date
c:rcception\jana\cac1.doc
Applicant Representative:
Name
Street Address
city State Zip
Telephone
Signature
Date
(over)
BuIL-0-190,
��a - 3 �q,3
STREET FILE
CA FILE NO. eq8i,7
Critical Areas Checklist
----------------- --------------------------------------------
Site Information (soils/ topography/ hydrolgay/ vegetation)
1. Site Address/ Location: 106 4il
2. Property Tax Account Number: _Le V 2_1
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes;
If yes; how is site developed?,__5�11.,_-C�
9�, 3�o
no.
A--" - 1<-e
00 C)
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).
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: Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?/7Y__a/__4_A_V__,
8. Site is in the floodway— floodplain 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 (lavrn,shrubs etc) �e S
11. Obvious wetland is -present -on site: /Vo
City Staff Use Only—
1. Site is Zoned?
2. SCS mapped soil type(s)?
Wetland inventory or C.A. map indicates wetland present on site?
4. Critical Areas inventory or* C.A. map.indicates.Critical. Area on site?
Site within designated earth subsidence landslide hazard area?
.6 . Site designated on the Environmentally Sensitive.A.reas Map? 1_0
DETERMINATION