22720 96TH AVE W.PDF9491
96TH. AVE W
0
0
ADDRESS: Ue�
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:
/ �? DETERMINATION: 0 Conditional Waiver F] Study Required P4aiver
DISCRETIONARY PERMIT ff'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DN
SCALED PLOT PLAN DATED:
SEWER LID FEE
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
OTHER:
LID #:
LOT: BLOCK:
LATEMP\DST's\Forms\Street File Checklist.doc
0 0
PLANNING DATA
C I
NAME: ,1141 *(7"\ DATE: JZ7nO
SITE ADDRESS: dk&-7dQ 50- 4ve LA/ PLAN CHK#: 0 q Fa
PROJECT DESCRIPTION: �Qa�f
REDUCED SITE PLAN PROVIDED?:O I No
MAP PAGE: CORNER LOT: FLAG LOT(S�l �No
ZONING:— CRITICAL AREAS DETERMINATION #-
QStudv Reauired:
UWaiver
QConditi2nal Waiver
SEPA DETERMINATION:
QFee
L3 checklist
L3APO list w/ n,taried form
L3 (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
PkExempt
SETBACKS:
Required Setbacks: p eo,
Street: 7'� Left Side: 7 Right Side: 7 Rear: 7
Actual Setbacks: 14' q�7
Street: qq"' Left Side: Right Side: Rear:
Street map checked for additional setback required? (Yes / No�
L 1. DETACHED STRUCTURES:
L I ROCKERIES:
L I FENCESITRELLISES: (Vdll-f 0-
L I BAY WINDOWS I PROJECTING MODULATION:
STAIRS / DECKS:
Act
PARKING: Required: 0 ual:
LOTAREA. I�Y4—
LOT COVEI 14W
BUILDING HEIGHT:
Datum, Point:— IAJ L/ 'j0/'e0aturn Elevation: Ido
Maximum Allowed: Actual Height:
A.D.U. CREATED? JEW
:�Yes
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATI . ON ISSUED: (Ye "IN
OTHER:
Plan Review
NewBPPIanningData.Forrn.D0C
4 I"IFFHUVLU AS NUILU
BY ENGINEERING
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ALL -EXPOSED. SURFACES TO
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N I
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EIVED
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PRO E SEP 14'2004
6 Other
HeiaLt �L5' IiK. W' PERMIT COUNTER
----------
0//A,�e/vt 5 r7 F4 —STREET FILE
O—W
Dock&Remodel
ml(206)617-7484lCW036"W
of City JlEdmonds
Development Services Department
Planning Division
Phone: 425.771.0220
%C)z Fax: 425.771.0221
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 the application 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
n
J%Za0R#5JreaW W
IT
A D D I I P. ATI M PIP. 1� 4w- n 'C,
Date Received:
City Receipt#:,
Critical Areas File #:
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
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 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 applica . tion agrees
to release, indernnify, 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/her/its agents or employees.
By my signature, I certify that the information and e:�diibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to t is applic " n on the behalf of the owner as listed below.
SIGNATURE OF APPLiCANVAGENT 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 inspe9tion,.#nd po5t*g=a�t�j to tks application.
SIGNATURE
OwnFr/Applicant:
CA? I �ICIX, �;
Name
T
9-P-210 t 7 60 k,
Street Address
-7C 0,20
fV A7011Vd51- t,
City State zip
Telephone:
Email address (optional):
DATE. —0 0
Applicant Representative:
kyk (Z_ 19411 )bAo� -4 kZA
Name
/Q�5q
Street Address
51,0 0,�, /L-Q (V/�- . <� g ps
City State Zip
Telephone: a?06 9 (o( 0 �6) 2 -6-119 -7elqcl
Email Address (optional):
Critical Areas Checklist.doc/4.22.2003
CA File No: 04- It
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: T'? Au
2. Property Tax Account Number: C) 0 q9 o0oo D o'
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; 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, 10-feet over a horizontal
distance of 66-feet).
Hill slopes present on site of more a
y id -1
over a horizontal distance of 33 t 9
Steep: grades of greater than 30% pre Olvertical ej
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?
8. Site is in the floodway /V 0 floodplain of a water course.
9. Site contains a creek or an area where wat�r flows across the grounds surface? Flows are year-round?
'V Flows are seasonal? AJz�9 (What time of year?
10. Site is primarily: forested meadow -shrubs n-dxed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site: /VD_
For City Staff Use Only
1. Plan Check Number, if applicable? L9 40=�-
2. Site is Zoned?
3. SCS mapped soil t)Te(s)?j4e �_ 41jel-1100d Urcolfo\ LaId Co-'AX 91-1-51 alo
4. Critical Areas inventory or C.A. map indicates Critical Area on site? cc 5 �Ioej —fk
PiTk7j-41 /7
5. Site within designated earth subsidence landslide hazard area? /Vlo
DETERMINATION.
STIMY REQUIRED X WArVER
Reviewed by: Oq
Date:
Critical Areas Checklist.doc/4.22.2003
Snohomish County, WA Assew Parcel Data 0 Page I of 2
--,"moms
SnohomishOollne 0overnment Information & Services
County4*
WashingOn
* R E A L * Property
County Quick Info Directory Departments Employrae
--ot.Calen.d.ar Questions Search Co.unty Home
links:
Common Assessor Home Treasurer Home Information on which.Department to contact
links:
Please view Disclaimer If you have questions, comments or suggestions, please Contact Us.
Date/Time:9/l/2004 12:01:54 PM Answers to Frequently Asked Questions about Parcel Data (opens as new window)
Return to Property Information Entry
-page
Parcel Number. 00497300001200,Prev Parcel Reference 49730000120001
view MaD of this parcel (opens as new window])
Links to property information below
e General Information Names & Addresses, Property Legal Description
* Treasurer's Tax Information Total Current Year's Taxes and other information
Assessor's Property Values Market Values, Current Use Values (if any)
Assessor's Property Characteristics Tax Code Area, Use Code, Parcel Size
Assessor's Structure(s) Data Data related to the structures on a parcel
Assessor's Property Sales Sales recorded since 7/31/1999
* Assessor's Mapping Information Traditional and Interactive maps, Neighborhood
General Information
Taxpayer Name 11 Address (contact the Treasurer if you have questions)
SMITH CHRISTINE 1122720 96TH AVE W --- EDMONDS, WA 98020
If the above mailing address is incorrect and you want to make a change, see the information on Name and
Address Changes
Owner Name 11 Address (contact the Assessor if you have questions)
SMITH CHRISTINE 1122720 96TH AVE W --- EDMONDS, WA 98020
Street (Situs) Address (contact the Assessor if you have questions)
22720 96TH AVE W --- EDMONDS, WA 98026
Parcel Legal Description
BROOKMERE WEST BLK 000 D-00 - LOT 12 SUBJ ESE TO PUD AND GEN TEL TGW THAT PTN
5FT VACATED WALKWAY ESE PER COMMISSIONERS RECORDS VOL 53 PG 300
Go to top of page
Treasurer's Tax Information
Taxes For answers to questions about Taxes, please contact the Treasurer's office (opens as
new window)
2004 Taxes for this parcel $2,588.65
http://web5.co.snohomish.wa.us/propsys/asr-tr-propinq/PrpinqO2-ParcelData.asp?PN=0049... 9/l/2004
Snohomish County, WA Asset Parcel Data 0 Page 2 of 2
(Taxes may include Surface Water Management and/or State Forest Fire Patrol fees. LID charges, if any, are not
included.)
To obtain a duplicate tax statement, either download our Tax Statement Re%Lest form or call 425-388-33366 to
request it by phone.
Go to top of page
Assessor's Property Data Characteristics and Value Data below are for 2004 tax year.
Please contact the Treasurer's-offi-ce for answers to questions about Taxes (opens as new window)
For questions ONLY about property characteristics or property values (NOT taxes),
please contact the Assessor's Office (opens as new window)
Property Values do not reflect adjustments made due to an exemption, such as a senior or disabled persons
Values exemption.
Reductions for exemptions are made on the property tax bill.
Tax Year 2004 Market Land $127,000 Market Improvement $108,3001 Market Total $235,3001
Tax Year 2005 Market Land $133,000 Market Improvement $116,8001 Market Total $249,8001
'Go to top of page
Property Characteristics
Tax Code Area (TCA) 00216 View Taxing Dis� for this Parcel (opens as new window)
UseCode 111 Single Family Residence -Detached
SizeBasis ACRE Size 0.28
Go to of oaqe
to __p . ........ . _ -
Property Structures
Type Yr.Built Structure Description
Dwelling 1973 Split Entry View Structure Data (opens as new window)
Go to top of page
Property Sales since 7/31/1.999
Sales data is based solely upon excise affidavits processed by the Assessor.
No sales for this parcel have been recorded since 7/31/1999
Go to top of page
Property Maps Township/Range/Section/Quarter, links to maps
Neighborhood 1605000 Explanation of NQ[ghborhood Code (opens as new window)
Township 27 Range 03 Section 25 Quarter SE Find parcel maps for this Township Rang / ection
jJ View Man of this parcel (opens as new window:)]
http://web5.co.snohomish.wa.uslpropsyslasr-tr-propinqlPrpinqO2-ParcelData.asp?PN=0049... 9/l/2004
CA File No: "'I
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/vegetation)
1. Site Address/ Location: P? Ao W
2. Property Tax Account Number: 00 q9 Q-3 0000 0 D
3. Approximate Site Size (acres or square feet):
4.. Is this site currently.developed? _X yes; _ no.
If yes; how is site developed? I r) e- #1j
5. Describe the general site topography. Cbeck 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, TMZ' Rid fegs'thafi I nse -of J If"W
0 t
over a horizontal distance of 33 44'& ""41-` 1
Steep: grades of greater than 30% present on ertical ej,� ;,Q-f t PIV.e.r.
distance of less than 33-feet).
pr4p
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing w ater: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway /V 0 floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? flows are year-round?
'IV 0 Flows are seasonal? AJe�9 (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? L9
2. Site is Zoned?
3. SCS mapped soil "(s)? _TWe 41del-uod (jr�o,, L..,tj 602�e�X 9- -13 016
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
r, 5 -1a , Pd I
5. Site within designated earth subsidence landslide hazard area?
DETERMINATION
REQUIRED
Reviewed bv:
9 /1 Ubq
WAIVER .
Critical Areas Checklist.doc/4.22.2003
OV ED&
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
4C. Fax: 425.771.0221
The Critical Areas Checklist contained on this form isto
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
Date Received:
City Receipt #:
Critical Areas File #:
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
The purpose of the Checklist I is to enable City staff to subsequent steps necessary to complete a development
permit application.
determine whether any potential Critical Areas are, or
may be, present on the, subject property. The information Please submit a vicinity map, along with the signed copy
needed to complete the Checklist should be easily of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
Ire : Ma ;PE I 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.
APPUCAMN PIC U�_wPSU�
The undersigned applicant, and his/lier/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/her/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 S plic * n on the behalf of the owner as listed below.
OtSIGNATURE OF APPLICANTIAGENT i DATE L
V
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 inspeqtion,�nd po5tog"endapt to N� application.
SIGNATURE
OwnFr/Applicant:
C-AR I �IcA_)C '; Th
Name
Street Address
City State zip
Telephone:
Email address (optional):
DATE 09 —0 1 — 0 (4,
Applicant Representative:
Name
I / Q�59 �� 0_
Street Address
U
City State Zip
Telephone: a?06 2,6c( 0?0;� 7elq�
Email Address (optional):
Critical Areas Checklist.doc/4.22.2003
INYENGINE�Rl
V- te v eL- re f L.
UPE-i'lG TLtNE
MATERK
/,�,p qDR 35
SCH 40
N-12
GlJrf1PJR"0UT8
TO, CONNECT TO Fftl SYST,-�,4/
Y V0.
/q I op- wAy - Date*
��LFEXPOSED SURFACES TO
BE COVERED'WItHIN 2 DAYS
REMNLE FOP
EROSION CONTROL ANDP PAINAGE
Ne 7- P/-/,J-A) 5eaje / I -:= :?V L '
LOT LINE STAKES MUST
BE IN PLACE AT TIME OF
FOUNDATION INSPECTION
0-10p/ // OA) L
t-100
AoT &-�ea#-f3r-
A/
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r—j Zoli,
t;,)p APT AG?#--J' a- qp-q - 4— comerA vla&Yef
\ P- / I
931
. .... .... ISetbacks Reauired Actual
Front -71 q7
Sides to
APPROWVi'� PLANNING Rear EIVED
q //
Other
Heizht SEP 14 2004
PERMIT COUNTER
17
COPY
Deck&Xemmodel
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