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22731 98TH AVE W
I
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A D D R E S S: �-, '12-7 Z) ) 67 0 )11 IIWI-7- �-j
TAX ACCOUNT/PARCEL #: C)C) qq 73 000 00
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: "2CI03-40171DETERMINATION: El Conditional Waiver El Study Required Kwaiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver El Study Required E] Waiver
DISCRETIONARY PERMIT #S,.
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: 04
SEWER LID FEE $:
LID
SHORT PLAT FILE:
LOT:
K:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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EXISTING RESIDENCE
AMY & ISAAC CHAPPELL
22731 98TH AVENUE WEST
EDMONDS, WA 98020
PARCEL NUMBER: 497300000100
LEGAL DESCRIPTION: BROOKMERE WEST BLK
000 D-00 — LOT1 SUBJ
(?:i ic ESPONSIBLE
GRADING NOT TO EXCEED 50 CUBIC YARDS OWNER/CONTPA:*_
'ON COWfP011. AND DAMAGE
FOR EROSI
HEIGHT CALCS
A = 105; 75'fj-C97S- AVERAGE GRADE = 106.1' 1010-0
B = 106 ACTUAL 125'
C = 107.5' MAXIMUM 131.,e APPROVED AS 10TED
D = 108.25' BY ENGINEEIIIVG
E = 102.5' -^1
TO PUD AND GEN TEL rsgDf�5
A-1.5.751/— .&;C
EXIST LOT SIZE: 8276 SO FT /I /rP-.csl"
NEW ADDITION & HOUSE: 1904 SO FT
NEW LOT COVERAGE PERCENTAGE: 23% C)
85. 0'
11Y
K)/ 12 ik� I :
RESID
o/ J4k
7,00 so Fi
Z.5' ALL SIDES SETBACK FLAG LOT
1 00.5'
T +100' 210. 0'
ITY -
%.07
6 5.6 7' % kl;g) 1`74c
0,.Date:
==IC— 07.5'
T
EXISANG
APPUCK
375 st FT
0.
ms.
N W
AIDITION
Z
10'L6" 7*-6'
I — "108.5-
PROPERTY LINE
SITE PLAN
0 1 77
SCALE: 1 4 0'- 0
0 20 40 80
ZONE APPROVED BY PLANNING
SETBAVKS: -
FRON 7 S
T ------
SIDE
REAR
OTHER
HOW STREET FILE
SYST.
Nor
mzlol�
RECEIVED
DEC - 9 2oo3
PERMIT COUNTER
0
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00
WATER
SEWER
EXISTING RESIDENCE-
AVERAGE GRADE =. 106.1'
ACTUAL 125'
MAXIMUM 131.1'
ZONE
SETBACKS:
FRONT —
SIDE
REAR
OTHER
6
.5
7;� _ 6 5.6 7' HEIGHT
TO PUD AND GEN TEL ---
0 108'
B = 101/6' - 07.5'
C—
A=105.75' 0"
EXIST LOT SIZE: 8276 SQ FT SPLASH --r_35'-O'
BLOCK
EX
DICK
NEW LOT COVERAGE PERCENTAGE: 23% 0 i —\ \
/ I / dlOWNSPOUT
NEW ADDITION & HOUSE: 19-04 SQ FT IS4NG
7 APPR
375 Sf FT
/WAIWAY
APIROX
12 SO FT
GRADING NOT TO EXCEED 50 CUBIC YARDS -------- T-1 /_7
AMY ISAAC CHAPPELL
.22731 98-FH AVENUE WEST
EDMONDS, WA 98020
PARCEL NUMBER: 4�7300000100
LEGAL DESCRIPTION: BROOKMERE WEST BLK
000 D-00 LOT1 c,HR.1
5-
'100.5'
"DA M
INT +100'
TO�UOIFJJ
0
nLITY
MANHO
COVER
85. 0'
L�1-1 11 1 v �: H /-, I — S-2 E\
APPROX 1100 SO'FT
7.5' ALL SIDES
HEIGHT CALCS
A = 105.75'
B = 106'
C = 107.5'
D = 108.25'
E = 102.5'
c"
EW D.S.
NL
T I N G A w
X
RESID�Nc ADDITION
lov
20" 4"
/EL ------------------- - --
0-1 )8.25*
L=lU2.5l— -4"
IF (T - o"
SETBACK FLAG LOT 10'-' 6" 7.- 6
08.5*
210. 0' PROPERTY LINE
zlo
SITE PLAN
STREET FILE
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SEVIM
EXISTING RESIDENCE
GRADING NOT TO EXCEED 50 CUBIC YARDS
C
FOR ER01_30N
AMY-& ISAAC CHAPPELL
HEIGHT CALCS
22731 98TH AVENUE WEST
A = 105* 75jio�17s-
AVERAGE GRADE =
106.4' to--o'
EDMONDS, WA 98020
8 = 106
ACTUAL 125'
C = 107.5'
MAXIMUM 131.Y
D 108.25'
APPROVED AS
PARCEL NUMBER: 497300000100
E 102.5'
BY ENGINEE
LEGAL DESCRIPTION: BROOKMERE WEST BLK
000 D-00 — LOT1 SUBJ
TO PUD AND GEN TEL
6 5.6 7'
13-10
A-105.75'
-Date:
EXIST LOT SIZE: 8276 SO FT
NEW ADDITION & HOUSE: 1904 SQ FT
I
EXISiNG
NEW LOT COVERAGE PERCENTAGE: 23%
�PZCK
�L NT +100'
I�POf lUTY -
0. �.Fl
IMANH COVER
375 9f FT
FT 0.
I CAL
--- ---- 'EX rING N
RES13INC A DITION
85.0' 10 -4
DRIVEWAY —GRAVEL -1 8.25'
.,mn& 756 so rf' -4="
7.5' ALL SIDES SETBACK FLAG LOT -- — — — — "08.5'
210. 0' PROPERTY LINE
SITE PLAN
SCALE: 1
ZONE
40 o"
p— s
SET13ACKS:
FRON
SIDE
REAR
(r4
OTHER
HEIGHT
25,
IS RESPONSIBLE
�L AND DAVIAGE
To CONNECT TO EXIST. SYST
0 20 40 80
NORTH
APPROVED BY PLANNING
RECF—IVED
DEC .9 2003 17
Irilpy PERMIT COUNTER ;!i
IL �Lp 4�_7
r", —
f . "'MV,
PLANNING DATA
NAME: L A-.�,4 DATE: IZ-/ 2---+
SITE ADDRESS: 2-?--731-1- PLANCHK#: 03-5-5-7
PROJECT DESCRIPTION:
REDUCED SITE PLAN PROVIDED?:
MAP PAGE: 10 4 CORNER LOT: FLAG LOT:
ZONING: PS -9' — CRITICAL AREAS DETERMINATION M, �- 2 - 1-7
L3 Study Required:
a'Waiver
L3 Conditional Waiver
SEPA DETERMINATION:
U Fee
UChecklist
U APO list w/ notarized form
Ll_jNeeded for 500 cubic yards of grading, Shoreline Area- site within 200 ft. ot Puget Sound or Lake Ballinger)
Ld Exempt
SETBACKS:
Required Setbacks:
Street: -7,5- Left Side: -7, 5-1 Right Side: -75- Rear: -7, 57'
Actual Setbacks: t. ƚ'"—
Street: 155" Left Side: 3 (p, 151 RightSide: 110S, Rear: 3 3.
Street map chocked for additional setback required? (Yes / No
LJ DETACHED STRUCTURES: f4�
El ROCKERIES:
Ll FENCES/TRELLISES:
U BAY WINDOWS / PROJECTING MODULATION:
21 STAIRS/ DE C*K*S: D" w,7t- ,
^," --,- ,�7 f-zlf-r
4' kb"t, -
PARKING: Required: 2 Actual: 1-977— 1'*%4%
LOT AREA: 92,71-
LOT COVEF=lz:
Calculations: 03
BUILDING HEIGHT:
Datum Point: Datum Elevation: oa,
Maximum Allowed: Actual Height: t4). 71 5 1,; 5 --4�4,1
A.D.U. CREATED?: 00 Yes) (0 131, 0.7 - dit-
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: ae—s-L&
OTHER:
Plan Review
NewBPPIanningDataFornLD0C
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: / -A �5 /- Z - 7 A-�--.F— VV. i
2. Property Tax Account Number: . �4 61) -7
3. Approximate Site Size (acres or square feet): 0 7, -7 (2,
4. Is this site' currently developed? X yes; _no.
If yes; how is site developed? , S. 'r "e- .
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
M-1-Ij
CA File No: %�/Cj
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: /IV 0 Approx. Depth:
What season(s) of the year? AIA
8. Site is in the floodway IVO floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
IV62 Flows are seasonal? (What time of year?
10. S* ii f Shrubs mixed
orested meadow
(urban landsca e-
T 0awn, shrubs etc)
11. Obvious wetland is present on site: NO
ER D
— --------------- ----- - - ------For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS mapped soil type(s)? AWr L��-A &V6A I t ,A S 6-,,,
4. Critical Areas inventory or C.A. map indicates Critical Area on site? �10
5. Site within designated earth subsidence landslide hazard area?
DETERMINATION
STUDY REQUIRED WAIVER
Reviewed bi: Date: I Z./ s7z-3
Critical Arcas Checklist.doc/4.22.2003
V ED
City of Edmonds
T
Development Services Department
Planning Division
Phone: 425.771.0220
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
deten-nine 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 ar'eas inventories, maps, or soil
surveys).
Date Received: —
City Receipt #:_ -a. 43 r,!�2-
Critical Areas File M
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 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 to file this application on the behalf of the owner as listed below.
/7 72�
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 inspection and postin& attendant to this application.
SIGNATURE OF OWNER
Owner/Applicant: (.0
ellz 117-A-.V 7—
Name
P - 0. 6 ox 1'-� �> a--f -Z-
Street Address
WA. Df-13-
City Stat� Zip
Telephone: 200- Of�4.071Z-
DATE Iwo
. . . 0 . : C9 WIVA5�e-
C -� lei-14 K 6-
Name *2 Z, -7 02 /-,'-'7 A - V
Street Address
City State Zip
Telephone: 4,9/�, 7 7
Email address (optional): VMWII-e-1 Email Address (optional):
Critical Areas Checklist.doc/4.22.2003
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