22311 98TH AVE W.PDF111111-1-111.11
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ADDRESS: zz z> i � - i�ue W
TAX ACCOUNT/PAROEL NUMBER: oo �,,c3)7 0 1,:� cloo o
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: 01 -1 U DETERMINATION: F] Conditional Waiver E] Study Required kniver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:4qIE4
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'Ps\Forms\Street File Checklist.cloc
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Atical Areas Checklist
--------------------------------------- -------------------
Site Information (soil s/topo graphy/hydrology/vegetation)
1. Site Address/Location: 120511 Avg. A).
2. Property Tax Account Number: _0046-4o -7 - PWT Z
3. Approximate Site Size (acres or square feet): 1-1 Z 740
4. Is this site currently developed? * yes; no.
If yes; how is site developed? !99kAL r-ft.
5. Describe the general site topography. Check all that apply. LU
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 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: 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 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- A10" g:.
round? Flows are seasonal? - (What time of year?
10. Site is primarily: forested meadow ;shrubs ;mixed
urban landscaped (lawn,shrubs etc)
11. Obvious..-%Wtland�s ,present on gte:, 90
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Critical Areas File #: W(!�,ft -0 -7(e
Critical Areas Checklist Fee:
City of Edmonds $45.00
Development Services Department. Date Received by Dev. Serv. Dept: �t� 16-1k I
Planning Division City Rg�di =Z:
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No:_
P one: 425.771.0220 Date Mailed to Applicant: 51 �3c>[ o
1 WFax: 425.77l.022l,1--;1`-.
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CRITICAL'' AREAS.,CHECKLIST
is 1:
The Critibal Areas Check t edritafhed"oh this -f6rih
to be:."filled out by any person preparing a
Development Pen -nit Application for the City of
Edmonds' Prior to his/her submittal of a development
perinkt.6 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 invent9pro,
maps, or soil surveys).
AA `aipp'ti'cant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the che'rilist, 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 thq tv
�hed 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:
4
Name
W751
Street Address
0*140�1 t W'
City State, Zip
Telephone
Signature
Date
c1seceptiomiana/CACLI-landout.doc
Apli!lkant Representative:
Name
9
2" t AVE. to
Street Address
e;Uffkt, �JA 1-0,5kiefl
City State Zip
Signature
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Date
2
Revised 4/10/2000
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PLANNING DATA
NAME: c-Phn V- Kj!n4 De,.jkw�-Se DATE: 1,7- / 71a 4
SITEADDRESS:_' ZZ31i A�,- t./� PLAN CHK#:-c24 - 543
PROJECT DESCRIPTION: ke-gl At, o iA RA4;,, w I ^ A4.1 gAho (1& x-2,o')
REDUCED SITE PLAN PROVIDED?: CO'S / No)
MAP PAGE: 1,04 CORNER LOT: (Yes I FLAG LOT: (Yes
ZONING: Qs - g CRITICAL AREAS DETERMINATION M-01 _2&
Q Study Reguired:
D'Waiver
QConditional Waiver
SEPA DETERMINATION: exWr
L3 Fee
Q Checklist
Q APO list wl notarized form
L1 (Needed for 500 cubic yards of grading, Shoreli ne Area- site within 200 ft. of Puget Sound or Lake Ballinger)
0"Exempt
SETBACKS:
Required Setbacks:
Street: 2-5' Left Side: 7.5' Right Side: '7 5' Rear:
Actual Setbacks: N r-A. c..Yr
Street: �3.5 'Left Side: Right Side: -Rear: -75'1"-
Street map chocked for additional setback required? (Yes No I(ONN)
DETACHED STRUCTURES: At— fhA-,N
ROCKERIES:
Q FENCES/TRELLISES:
Q. BAY WINDOWS/ PROJECTING MODULATION: �&JA
U STAIRS I DECKS:
PARKING: Required: 2 Actual: 7-
LOTAREA: 3"
LOT COVEFUME.--
Calculations:
BUILDING HEIGHT: I ft-� 1. 1,/.
Datum Point: Datum Elevation:
Maximum Allowed: Actual Height:
A.D.U. CREATED?: djaYes)
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes
OTHER: ---
Plan Review By-
NewBPPlanningDataForrmDOC
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PLANNING DATA
DF .
NAME: WHI
SITE ADDRESS:- QRbl I 92LAyQQ- DATE:
ZONING: R-5- R loci) PLANCHK#:
01 -.�- 1 2—
PROJECT DESCRIPTION: -- I �- = - — .. , .
CORNER LOT Yesg� FLAG LOT
SETBACKS:
Required Setbacks:
Front: aE2' Left Side: -7 -!�)' Right Side: -7. Rear: I Z
Actual Setbacks: I
Front: (Og� 0 Left Side:. Right Side: Rear:'
Street map checked for additional setback required?, r,.:]T�No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED ANS
LOT COVERAGE:
Maximum Allowed: 5rao/0 ---.Actual: 9-1010
LX
15(4 N 1paoRy"C-� coc,)-� 0k, pc,-k � c'.
BUILDING HEIGHT: Ll r3
Maximum Allowed: D,61
—Actual Height:
Datum Polnt�--�
Datum Eleyation.
A.D.U. CREATED?: ),�el)
SUBDIVISION:
CRITICAL AREAS #: (�-A - 0i - -7 & WAIVe7-m
SEPA DETERMINATION:-1qXq-%\-�::,T .
LOT AREA: V-q -P-2--C->
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Plan Review By:
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lmr:�PERMIT EXPIRES
USE
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PERMIT
CITY OF EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUjE/APT#
ADDRESS
20 Avt, vi
OWNE N AE OF BUSt�E§S
PLAT NAME/SUBdiVISION 40.
LOT NO.
LID NO...�
LID FEE$
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MAILI—Nd ADDRESS
11.10 AVt
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Appmed 0
RW Permit Required 0
Street Use Pemil Req'd 0
EXISTING — PROPOSED
Inspection Required 0
Sidewalk Required 0
CITY ZIP
TELEPHONE
REQUIRED DEDICATION— FT
Underground
Wiring required 0
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQU I R
YES,0 NO,
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REMARKS!'
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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CITY ZIP FTELEPHONE
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ADDRESS
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CITY ZIP
TELEPHONE
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IBOND
VARIANCE OR CU
SWJZ�ELiNE OR ADB#
INSPECTION
RE
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§TATE LICOSE NUMBER EXPIRATION DATE
CHECKED BY
16&!S�
C3 YES �No
SEPA REVIEW
SIG N AREA
HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
-
COMPLETE EX PT
A��ED PFJ�OPOSED
ALLOWED , PROPOSED
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EXP
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n NEW RESIDENTIAL PLUMBING / MECH
LOT COVERAGE
ALLOWED pROPOSLD
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PRI!WOSED SETBACKS (Fr.j
FRONT UR IDE REAR
ADDITION F COMMERCIAL c3 COMPLIANCE OR
2z% FIA
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CHANGE OF USE
PARKING LOT AREA PLANN—ING REVIEWED BY D!
Pl5a I PROVIDED
REMODEL C] APARTMENT SIGN
C] FENCE
REPAIR E] GRADING CYDS - X FT)
L
RQVRKS f
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OTHER'
DEMOLISH C3 TANK
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GARAGE RETAINING W41. RENEWAL
Ah AW Ar)t 2.
CARPORT ROCKERY
(TYPE OF USE, B SINESS OR ACTIVITY) EXPLAIN:
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51 W_,5 rA- Vf/ f4 � I P
CHECKED BX
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TYPE OF C ONSTRUfJAQN
C('DP
C//--, OC
G4 CUPANTRn
:&� -
NUMBER
OF
NUMBER OF
DWELLING
CRITaICAM 1/4P:r,
A k
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SPECIAL INSPECTOR ]AREA
�..FIEQUIRED
OCCUPANT
LOAD
STORIES
UNITS
N
C:] YES
DESCRIBE WORK TO BE DONE
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REMARKS
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ROGRESS INSPECTIONS PER UBC 108[FINAL INSPECTION REO'D
5
VALUATION
FEE
PLAN CHECK FEE'-.
HEAT SOURCE 11.1 A71NP LOT 116
BUILDING
PE
ED DATE' PLUMBING /1;0
PLAN CHECK NO: 01,
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT PVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIONjON THE PUBLIC GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. L i I . .
STATE SURCHARGE
tr
cc PERMIT APPLICATION: 180 DAYS
W
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
ui ;N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
j LANDSCAPING
2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDII
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT
RECElP7 7 7Z (P Ct 8
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANYCITY ORDINANCE
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY-TO.EN FORCE ANY ORDINANCE PROVISION.- RECE
TOTAL AMOUNT DUE
7 -,s
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION I
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
CALL
TION; AND IN DO NG THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and
Ip
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKME11 0 %lum, RANCE AND RCW 18.27.
OF �IALS siGNAT
LS
DATE SIGNED (425)
SIGNA (OWN,�R OR�G�EN
Vu�k L,
If , 142 A. 01, 771-0220
RELWED By DATE
A17ENTION 10.0� EXT1333
IT IS ONLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURIUNTIL
.1.
771 � 0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - IN6PEc-R6R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD -ASSESSOR
1
5/98