22051 98TH PL W.PDFlill iiiiiiii
9751
22051 98TH PL W
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
-SR NA.—S., .-S.
/ 9- A
PL
CITY
E I) A, 4 /., o -s'
-z- a 1-t- ,
;Z k
TlllP"
WI-CENIS .-R
� 4AJI �,I-h
I P2'
ING-TY - XG-1
1, 6z
PARR,"
00 t CIO
0
T,:
N.C.
AUDIT
OF USE
CNXNGE CEU SEE
0 FEN -El
C] ... —T
0 ..—
o I—FIC o "'ll
0 DEUCCEDY
0 —A 0 OTHER
0 =T
0 RET, —
0
(TYPE OP USE.0—ESS OR ACTRITTYI EAK"'
— w o_
�
Y�:.
N
NUIBER OF GNTICA'
-SLU.. I AREAS
I— i� 11.0— ajdl,,Lld�
vL2, n -,-C� '54� FktiDnlo
Ub
—35— A C�f,�OIL.I.TIIIOIIIOTEO.Tk�PEAlffCOWRI�OIKIO
I NA E PRO RTY — A. C ... TRUC1101 01 TIE PUBUC
—N CUR.IL WDEWAIR1. UP
SEAX,fEWAYS. WARCUSES. EM) — REGURM
T6 HE
—FRIA—C-0. 1.
'A"
SEE ACK OF .�l
'G.
AP—NIONDENFL, OF 115 OR HER SPOUSE. IEIAS. ASSIG15 AID SUCCESORE
IN'
ITE EST AGREES TO INDEA DEFEND AID HOLD HARILESS TIE CITY OF
EDNONDS. WA3NINGTOI. ITS OFFICIALS. ElftOlEES. AID AGENTS FXGAI ANIAND
FoFDANAGESOfl TEIER�UREA�$INGDIAECT�OIINDIRECTLI
ALL "Ll"S
FAQ. THE ISSUANCE OF T113 PEAllt 153UANCE OF THIS PEFlIT SNALL NOT 1:
E.ED'..ODIFI —�E...�—.A.I�E.UIRE.E.TOFANI�ITI C
NOR LIFIT IIII—THE CITY SABlITY TO ENFORCE ANY ORDNANCE PR= -
PERMIT EXPIRES
EONE P E R M.TR
NUMB,
SUIIILAPT.
NO,
I IOTHO
FE
L�: NGE
PUBLIC RIGIT OF IXY FE R OFFICIAL STIEE I AAP
EXISTING — PROPOSED—
RE—EDD-CAT101— 11
0 8
IETEA -E
I LINE III
I 1101FIFIL411
TIE :��RE—ED
flo--
.E-.Kl
O-ElUCONTRACTOR RESP FOR ERGSIGI —T—
OEW (pun -as no eu-sr.' 64s
I&5pfffl&)S, (b etagial 6>m�-
.W.,qV2
(DAMAI
E—T—
FIRE REIEWEDBY DATE
A I
lAAIIICE 01 CU
'A E 0
S.OAELIIE 01 ADS.
..SPECT.N
RE,kNG
C TIES
ED
:FD
R—
—TI
E E
E., I X
S.. ARILA
IlL011 1101111
- LLL
—NT
11 OWID PROPOSED
2"112-1.
L. A
LOT CO —AGE
C E G
LLM
A ILL .1 /PROPOSED
P P
PEOUIRED SETBACK5 IFT.)
F111 SFIE IEII
PROPOSED SET- IFT I
FRONT 1111E 11*1
PARAIN. LOT 1111
C I PRO'
DID "DED
kREOVIREO
DATE
I-- Nz)WF-,
1"ICKE111 JTIIIOFC-l�
Iffi!—
I —I—T
._P
SPECIAL INSPECTOR JAREA
C-3 'IS
111—T
LOAD
FE-APXl
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION AEQ'D
a2WIF"A
m,uc:nzn LAOMI & dAA)6
NALUAI—
IIE
KAN CIECI FEE
—USING
90
IECI.IICAL
GRAINN—ILL
STATE ..C.—S
4,�O
EHG RElEl FEES
6D
END INSPECTLO. FEE
If ob
--\I— IA
PLAN CIECI GENGSIT
'C"p, /� 7-30
-70 0
TOTAL AICAIT DUE
I EX.E IFIT1.111 N"IS AIIIATI". THAT THE INFORRHATCH
I_ IS =
E T :AU o. TH OIAL AUTHORGE—EN—F
APPLICATION APP!�VA
THE GYNE . I AGREE TO COMKV WT. CITY AID STATE eOWE$ _EGLAIT—CONSTRUC.
AN. . CONG THE -.. A.T—E. T.G.E.1, — SE E.—EG
CALL
—A— IN I . I P, . .
.
IN VIAAYO OF TIE LI.OA CODE OF THE STATE OF RASIlIGTGH AELATlIG TO
RINU— COINEISATXDI —RANCE RC. I.,
I
FOR INSPECTION
S
DATE
— IF ,
do I
(425)
JALS 1�.NXTUI,
lua, --o/
4E
,�n7w
771-0220
A17ENTION
EXV333
IT IS UNLAW UL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION AS BEEN MADE AND APPROVAL OR A CERTIFI.
771-0221
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORPINX OI"LE - YELLOW ISPEC&A
INS' - GOLD ISSESSO'
-UA-TQfy-'
qoj'r.V� 0
(�877H PLACE
--)'TA
PROR
I N5'-' TA LI-NEW
</TCPEN IN
=X/,57/NC7
3PACE
NEW CONC -
PA7/0 G'A 7'
42
5 TAKE
5T
EXI c, T/V G PA V,=-,O OR / VE VVA`�,- NO CR A N G 5
TAX ID #
#6 21 ool oloo
(�o G�,O-
Heigh
A = lool
B = 108,
REcEIVED
C = 108'
D = 103'
DEC j 4 2coo
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
AVE GRADE = 104.75
ACTUAL =
125.3
MAXIMUM
= 129.75
tort wl *15��
N,Ey\l CoNc.
G, x /0
60 -SQ
I NEWBATHeFAMILY
IROOM ADDITION
5174 SQ, F-7 ZONE R�'-
��JTBACKS.
KATW�At., 07 MOW —
SIDE
f LA95*,
REA31-
4�7mmwf- OTHER—
Pew-4- HEIGHT
00
LOT COVERAGE
2417 SO. SF. 14.13%
LOT AREA
175098 SO. SF.
NING
7j�
CA FILE NO.
Critical Areas Checklist
--- --------------------------------------
Site Information (soils/topography/hydrol.ogy/�egetation)
1. Site Address/Location: ij
2. Property Tax Account Number: 166 L61) Z- (t-)
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? Xyes; no.
If yes; how is site developed?
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). 1.
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 3 3 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical -rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please descnbe):
6. Site contains areas of year-round standing water: oP /90 _;Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
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? J
10. Site is primarily: forested meadow. shrubs ;mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: A)n
A. ",A:
An *T,*!
iif
4�
.2
M 'Jo
AV -.49. ov,
.P.sf-F - , - , Mr=
Pk
V-e
... . .. .....
e
.. .......
AAA LICLder
-J
AM
ti M700-3,
ArNX
A%—CMLd0% Rw tQW/ff
11 " .
OV ED
City of Edmonds
Development Services Department
......
Planning Division
Phone: 425.771.0220
-toe. I %()1b
Fax: 425.771.0221
CRITICAL AR-102AS 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).
PLEASE PRINT CLEARLY
Owner/Applicant:
Name
2 a <3 -S�� ( ��6 /'L D
z" J -
Street Address
6,t �,A MO 2-6),
city State Zip
-7-7S-Ot"62—
Telephone
Signfiture
/ . /- Z--z -
Date
Applicant Representative:
V A -A/ j( s 5- 4 c, 1
Name
Rp- 13'eDk
Street Address
F, iA 0
city State Zip
Telephone
1�
SignAire
Date
d:receptlortqanatCACLHandoLd.doc Revised 411MM
CA FILE NO.
Critical Areas Checklist
-------------------------------------------------
Site Information (soils/topography/hydrol.ogy/Vegetation)
1. Site Address/Location:
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? , 4es; —no.
If yes; how is site developed? 4e_
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire'site.
X_ Rolling: slopes on site generally less than' 15% (a vertical rise of 1 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 3 3 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: /on Approx.-Depth:
7. Site contains areas of seasonal standing water: 4
;Approx. Depth:
What season(s) of the year?
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? --AV (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. . Obvious wetland is present on site: kt)
ng-
yg
WT
-A M
14T, W_
.A.
Mb
�P-- R. 1, -R
01
2.
-4�
Aisu 0
_1% 9 BEA
a A
U
M-4
lj%?
A%_dUK Rw 100M
Of.
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
-foe. 1 %90 Fax: 425.771.0221
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Received by bev. Serv. Dept: —
City Receipt No: I 6L
Date Mailed to Applicant:
CRITICAL ARX"Er-JAS 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).
PLEASE PRINT CLEARLY
Owner/Applicant:
Name
Street Address
Eel btA MO 2-c�)
city State Zip
-77:5-0/62—
Telephone
re
Date
Applicant Representative:
I
VA -A,/
Name
Street Address
J-'
tA--
city State zip
go
Telephone
Signafure
czo
Date
d:receptiortqanatCACLHandotA.doe Revised 411 WWO