22515 93RD PL W.PDFiiiii . iiiii ii.
9135
22515 93RD PL W
PLANNING DATA
NAME: �0
— ��,05
SITE ADDRESS: 2 75J O-DATE: F// A
ZONING: PLAN CHK#: 7- Z-5-1
PROJECT DESCRIPTION:
CORNER LOT Yes/No)
SETBACKS:
Required Setbacks: - 7 1/
Front: 25 Left Side: 7 �2- Right Side: 2- Rear:
Actual Setbacks:
Front:- 39 Left Side: Right Side: Rear:
Street map checked for additional setback require�-?-V�—�.,--,.,--(Yes/No)
I I
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
2 191,(
LOT COVERAGE: 16
Maximum Allowed: Actual: -
BUILDING HEIGHT:
Maximum Allowed: Actual Height:
Datum Point: -- Datum Elevation: 1040
A.D.U. CREATEW: Ala-(
SUBDIVISION:
CRITICAL AREAS #: A (,/Crz-
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review By:-
Ofiles*rmitk-plandaLdoc
JUL-29-97 03:21 pM S-r-h--yer Blel-s Design inc 7ee ? '7 P. 0.3
C
Q4 PLE NO2-1-'i
CrItkal Areas Checklist
- - - - - - - - - - - - - - - -
Site Information (soils/ topcgnphy/hydrology/ vegetation)
1, Site Addres5/Lc;cztian. __V-Cls _15&
2. Property T -.tx Account N.Tun-,.ber_- S*4z!�
3. Approxi n-all-e Site Slize (acres or square foet) I A2, IvCO - d�
4., Is this site currently developcdl? I Yes(- nc.
lf,yeg; how is site develloped? is Zr_.
L
S. . Describe the general sl te topography, Check all dhat apply.
Flat: le$5 than 3-feet elevation &,wge over entire 5ite,
Rolling. islope's on �;ite generally less dian (a -vertical :Lse cf 10-feet over a,
hQrizontol dietance oi 66-feet).
Hilly- slopes prasenton site oi more than 15-No and less flian 30% (a vertical
rise of 10-feet over a horizontal distance of 3:3 to 66-seet).
112teep: grades of greater than 30 1V present on sitte la vertical rise of 10-fe#t ove.-
a horizontal distance of less Uhan 33-feet).
Odier (please describe):
6, 5ite contaLns areas of year-r ound standirig waten _AO Approx. Oep&�
7. Site contaiii5 area.9 of 9�-asonal.4tanding wiater: ;,Aptrrox. Npd-r
Wliat season(g) of the yearl
B. site is in the floodway go- floodplain--RO of a water cotirse.
9. Site contains a creck or an area where water flows across the gro=,ds surfaeA? Flaws are
year-round? . hK Flavv-,5 are smonal? b-0- (Miat time of year?
10. Site is primarily: forested meadow shrubs rrdxed
urbein Landscaped (law-nishrubs etc)
11. Obvious wedand is presc%nt on site: WQ_
City -Staff
61td Is 7 9'
soil
JWL_
L
y dr
V 037.10rc,A"-Ttlxp�146 -A�aa o AO,
tu CriScid
40
.1virorwig.k. ly five AM" M
L R
j:1
Pi
X4,1;
490.91110M 94V Wil/97
JUL-2-5-97 e:5;20 PM 151010 DeSiqri Anz, r c! o -v rz r r
AUG
City of Edmonds
Critical Areas Checklist
The Crin-cal Areas Che&-tist contained
or, this form Is to be filled Out by a'-,Y
peri5Q-.R Preparias d Develop-ment Pemit
Applicatior for the City of Edmondg
prioT to his/her subn-�ttal of a
development permit to the C:,.,j,
The purpose of the Checklist is to enable
City stail to determine whetlier anzy
potential Critical Ared3 are or inzy be
present on the subject property. The
information needed Co complete the
Checklist should 1pe eatily available
from obser�, attons of the sitt! or data
available at City Hall (Critical Area,,q
invent6ries,M2P-S, orsoil surveys).
An applicant', or Ws/her representative,
must fill out the checklist, sign and date
it, and submit it to the City. "Ihe Citv
will' review'tlhe checklist make a
precursory sikoh vi 151h, and rnake a
determination Qf the subsequent steps,
necessary to, complete a development
Pe4r,mit application.
With a signed copy of fts fo,-M, the
a-o licant should also submit a Vicitrity
p
map or plot plan for individual lots of
the -oarcel with enough detail that City
staff can And and identify the subject
'(s), In addition, the applicarit
parcel
shoill include other pertinent
Information (e.g. site plar� topography
map, etc.) or studies in conjunction
with Chis-Checkhat to assist staff in
completing their prallretinary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers
provided are factual, to the best of rny knowledge (fitl out the appr6priate column
below),
Owner/ Applican�.
%W, -V UFM
Name
S,treet Addrm
'90-4. 776�
city, StAts, zip Phone
ftmrwe
Date
Applicant Repr6entative:
5U+ftffl,e WMQ14 4 4k4 WC
Name
t, ag-gr". i9DAL -P L--
Shvtt Addreae
W Teoll *T-r -M"M
city, Stzt--, zip Phore
SJgMtUre Daft
�jM�q ca-C'3
6�ff c
. 4p4.,.Om .
WTU&.L tjT
hh4. V�T-
a-,
06
0
2t 0
Mq"oJA
a
o 9
tx ,
tolz - C3
vakAfA - too-O
kol,00
% tj 00
14-1.00
tol'o
4ee".
P totio
STREET F11-17
FL 6T
Rack�t;? Awn RES
AUG 111997 !�!J4.
Ap�ov 40 INC.
11
"10
0
I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NANI&/NAME OF BUSINESS
17/,Vrz -, rml 4 jy)f KA
MAILING ADDRESS
I !;- 9��,x VL IA
ADDRESS
17 -r>-- ls&��
I
�tA596.0 W
I 313L,�- Or. I
WV�LL 9?-D
STATE LICENSE NUMBER EXPIRATION DATE
,xf-I rtQ bo 04-ioD 0)141477.A�
I Pnpi no—rinfinn nf Prnnartv - inel-4, 11 i—i—ont Z
ii-i—Ac"Clouril
Pam 4 No.
DNEW
El
RESIDENTIAL
PLUMBtNGIMECH
1:1
COMPLIANCE OR
0
ADDITION
OM.�RCIAL
CHANGE OF USE
ElRE
APT. BLDG.
... �L
S.O'N
El
GRADING
FENCE
REPAIR
C'E'S
I x —FT)
DEMOLISH
WOODPTOVE
E) SWIM POOL
INSERT
HOT TU"PA
GARAGE
RETA NING WALL/
CARPORT
L-J ROCkKIERY
RENEWAL
[TYPE OF USE. EIUSINES� OR ACTIVITY) EXPLAIN:
'W -1
i wiii
1
NUMBER
OF
I HUM BEA OF
DW ELLING
RITICAL
AREAS
IC
STORIES
LIN TS
NUMBERq7
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN'
I�QLEO)t�-
-TILIO &9rVZ-�0�,4-t-N106
Y6�E
PERMIT
�170738
NUMBER
JOB
ADDRESS
sW I
.EGAL DESCRIPTION CHECKI
SUBDIVISION 110,
UD .0.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Appwomd
0
EXISTING —
REQUIRED DEDICATION
RW Pernfli Requir*d
SIfftI LIM Permil Req-d
InspWlon Reqdl.
Skl�lk Rq.ied
0
0
D*
0
PROPOSED
METER SIZE
I L114E SIZE
NO. OF FIXTURES
PAN REOUIRED
I
YES 0 NOD
VARIANCE OR CU
ADB #
SERA REVIEW
SIGN AREA
.00 L EXEMPT
EXP
LOTCOVERAGE
REQUIRED SETBACKS
ALL07 I PRO ED,
FRONT SIDE REAP
-LOTAREA
I' PLANNING REVIEW R:
REVIEWEDBY
SHOREUNE#
HEIGHT
ALLOWED I PROPOSED
IROPOSED SETBACKS (FT)
FRONT UR SIDE REAR
-�S �,/q el S7
_1A
IPECIAL INSPECTOR I AREA —TO—CCUPANT
REQUIRED 0YEs lk�;�,- -3405orr ILOAD
REMARKS
PSROGRESS INSPECTIONS PER UBC 108 12
FINAL INSPECTION REQUIRED
F
PLAN CHECK FEE
HEAT SOURCE:
GLAZING
BUILDING
B
.r wl�p& W
to %
PLUMBING
Plan Check No.
M ECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGWILL
Any construction on the public domain (curbs, sidewplks,
S TATESURCHARGE
driveways, marquees, etc.) will require separate permissiol
n.
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Vkqthln 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
A S a d
EN S CT
G IN PE 0 N
ENO. INSPECTION FEE
successors In interest, agrees to Indemnify, defend and hold
d IT 0 I d
'C
harmless the City of Edmonds, Washington, its officials,
I a a
x
employee, , and agents from any and all claims for damages of
a a 0
-Z
5
whatever nature, arising directly or Indirectly from the issuance
us A Ce
of this permit. Issuance of this permit shall not be deemed to
It
N HE K
PLAN CHECK DEPOSIT
PLA C C 'E
41
/173,
Z
I
0.
modify, waive or reduce any requirement of any city ordinanc:
n TIC
nor I imit In any way the City's ability to enforce any ordinanc
A nc
C� A
TAL M 0 U INT DUE
provision."
I hereby acknowledge that I have read this application; that the
I I h a
Information given is correct; and that I am the owner, or the duly
a duly
A TTEN T�
ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
a I I
tate laws regulating construction; and In doing the work authoriz.
THIS PERMIT
I.
AUTHOR S This application is not a permit until
RIZE
ad thereby, no person will be employed In violation of the Labor
ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED Deputy; and fees are paid. and receipt is
tion lnsurance�ana RCW 18.27.
INSPECTION acknowledged In space provided.
(OV E OR AGENT) SIGNED
DEPARTMENT
19)
DAT
C, C
CITY OF
MO
EDMONDS 7
MM
ATTENTION
RELE #bATE
CALL FOR A , Sy?. BY:
.
INSPECTION
IT S UNLAWFUL TO USE 0 R OCCUPY A BUILDING OR STRUCTURE
UJIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220 ORIGINAL! File YELLOW
A CERTIFICATE OF OCCUPANCY HAS' BEEN GRANTED. UBC
— inspector
T
SECTION 109
11
PINK — Owner GOLD — Assessor
10247
V29 97 03;20 PM SoheUer Bldi Destin Inc 7815 9727 P.02
,
JUL 3 1 1997
IL
PWIVW DEPT.
City of Edmonds
Critical Areas Checklist
The Crifical Areas Che&-list contained
on tW9 forrn is to be filled out by any
perwn preparing d Development Pennit
Application for the City of Edmonds
prior to his/her subniittal of a
development permit to the City.
The purpose of the Checklist is to enable
City staff to determirw whether any
potential Critical Areas are or may be
present on the subject property. The
information needed to complete the
ChecWistshould l7e easily available
from observations Qf the sitc, or data
available at City Hall (Critical Area,4
inventiories,M2PS,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 sikLl visit, and -make a
determination of the subsequeat steps
necessary to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity
map or plot plan for individual lots of
the parcel with enough detail that City
staff can find and idendfy the subject
parcel (s). Iri additlon, the applicarit
shall include other pertinent
information (e.g. site plan, topography
may, etc.) or studies in conjunction
with this -Checklist to asgist staff in
cornpletirig their preliminary
assessment of the site.
I have completed the attached Critical Area Checklist and attest that the. answers
provided are f actval, to the best of rny knowledge (fill out tha appr6priate column
below).
Owner/ Applicant:
aw
Name
Street Address
77_h;�-
City, state, zip Phone
Signature Date
Applicant Repre.4eatative-
Lac,
Name
t, ag 9%, M& Jk
Strett Addrese
. DA A L-L I wtv ff-e-00 Aix- -IM86-7-10
ct*" Staw, ZAT Phorte
-7129,117
s1pature I Date
'...._"_----'_'''_ I
J,UL-29-97 03:21 PM Scheuer Blds Desisn Inc 798 9727
Q4 FILE NO.
P. 03
CrItkal Areas Checklist
Site information (soils/ topography/hydrology/ veptation)
ii Site Addre s5/ Location,. _4,�@G
2. Property T;Ax Account Number: S44-z 5 , 00C)o ±�q_Ap�
3, Approxi tnate Site 57.e (acres or square fioet): 124 te2_4
4, Is this site currently developorl? _X yes; _ no.
If yeg; how is site developect? !S
('WILT
Describe the general. s; te topography, Check all that apply.
Flat: less than 5-feet elevation change over entire 5ite,
Rolling. slope's on �ite generaliy less dtan 15 % (a vertical :1se of 10-feel ovey a
hQrizontal distancc of 66-feet)-
Hilly: slopes piLbsent on site of more than 15 % and less ffian 30 % (a ve.-tical
rise of 10-feet over a horizontal digtance of 33 to 66-feet) -
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over
a hori2ontal distance of less than. 33-feet).
Other (please describe)-
6, 5ite contaix-is arecis of year-round standing water: —AO_; Approx. Depd,-,
7. Site contaivi areas of seasonal i;tandi water: _&Q._;,Approx. Dapth-.
Ing
V&at season(g) of Che yev?
8. Site is in the floodway—ILO— floodp1ain__JjQ_ o1a water course.
9, Site col%tains a creck or at-, area where water flov:s zaoss tha STO=-da Surfac!,O Maws aye
year-.-Ound? . P_ flow-5 are scaLsonal? b-10 (What time of yeax?
10. Site ig primarily., forested meadow shrubs rnixed
url= landscaped (lawr0hrubs etc)
11. Obvious wetland is prosont on site:
City -3�,aff Us#
'd s.011 type(j)? Al
2. scq TnA,ppe
a..
,O,p.eOtor CA, m4-:-Jt4cates wetland present on alte?
y di.
I �d�atas Cri6cid A�el f5r: 9ft0,.
ridslide hek No
AtOd.. arth s0iWricelA
t�o:gzlvirom WI3� $6uft tiv