23017 102ND PL W.PDF1111111111
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23017 102ND PL W
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
=FILE I
Name:
F,
Date: q6cola
SiteAddress:
Tax Parcel:
Project Description: C-octShc-Lkr.�- I&— c%e-cZ1 C_0VeX-e,:1
Plan Check #:
d" -a.^ct
Reduced Site Plan Provided: fE]Sy NO)
%:�
Zoning-
Map Page:
Corner Lot: (YES
Flag Lot: (YES /0
Critical Areas Determination #: rgA, 19!3!9 0 in
El Study Required
0 Waiver
SEPA Determination: Ex er, p Ai -
)a Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacks
Street: Side: Side- Rear:
Actual ck. S
e Side 6 �e. Ccyvercd du
Street: Side: 7. Rear:
:(-W) :7*5,+- 1 WS' 4c, ae 4.
euA;-.1
Detached Structures:
Rockeries: Nome- 2�nocz" 0,-,
El Fences/Trellises:
Bay Windows/Projecting Modulation:
Stairs/Deck: s\Notom
Height
Datum Point: Pl.\,/
Datum Elevation: 4- -
?n,73 . g. ; n)
Maximum Height Allowed: I)
Actual Height: s / (goD.
Other
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
VA0V,-.r_= ISO,? 0 e C--&-c ut� e- 0
Lot Coverage Calculations: Cavi�e�d DcAlKr.
F-.x sk C-o vered Po e-cl, = It 10 Proposed 19:�;lt
ADU Created: (YES /0
Subdivision: 0
Legal Nonconforming Land Use Determination Issued: (YES 16D
Comments
Av, EC -Dr— AG.Ao.oqo.c. SCA"4s
C"_ q" ;z,. 21,%d
ap .00, 44.1
1-1
Plan Review By: _ a
/_000,
Planning Data Form 07-14-09
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PROPERTY LINE 4V -ft- %A
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Plot Plan info
Robert Elliott
23017 102nd PI.,W.
Edmonds
Parcel # 00610700201802
Lot size 80'x100'= 8,000
A. NEW CONCRETE STAIR LANDING, 27 SQFT
B. NEW COVERED DECK, 192 SQFT
C
C. NEW UNCOVERED LOWER DECK, 40. S - jr
SQ _Pro 3
D. NEW CONCRETE PATIO, 334 SQ -pro
Impervious Area -
Existing New change
b House 1509 1509 0
Garage 783 783 0
Driveway 790 790 0
b Sidewalk 218 218 0
Patio 192 361 169
Deck 0 232 232
719* Total 3492 3893 401
lot coverage 43.7% 48.7% 5.0%
ei bvy
Structure Coverage Area
Existing New change
House 1509 1509 0
Garage 783 783 0
Roofovercleck 0 192 192
Total 2292 2484 192
lot coverage 28.7% 31.1% 2.4%
"W'09 It q I # 0
71V WrL '2 6106 2154 1902.
RECEIVED
APR 23 2012
tm I LI;EVELOPMENT SERVICES
COUNTER
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EXISTING
RESIDENCE
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Corner
�ietbacks Elqu—tr—ed �fr Actual
Front (s)
Sides&IEL
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Other
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(A cl S.
PLANNING DATA
NAME: EEja,-Qj e-vV,90M I-TVr?l e-) DATE: U-0 / I C"
SITEADDRES,V 2`.-7e-->1-7 1,q/ OLAN CHK#: 09. i2-
PROJECT DESCRIPTION: k1-4E-A,'V
REDUCED SITE PLAN PROVIDED?:( ReslNjo
MAP PAGE: CORNER LOT: CY —es FLAG LOT: (Yes No
ZONING: CRITICAL AREAS DETERMINATION #:
U Study Required:
72:f&�alver
DConditional Waiver
SEPA DETERMINATION: /V
U Fee
U Checklist
UAPO list w/ notarized form
U (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
'0'
tQ-'Exempt '?40
cy
SETBACKS:
Required SetbLac Right Side:
t_
Street: Left�Slde: Rear:
Actual Setbacks:
Street: - �� Left Side::I, 17 Right Side:_ Rear:
Street map checked for additional setback required? (Yes No DNA)
Q DETACHED STRUCTU
U ROCKERIES:
L3 FENC =RELLISES:
Y WINDOWS / PROJECTING MODULATION:
STAIRS / DECKS:
PARKING: Required:2, Actual: '3
LOT AREA: gco5-z6
q
BUILDING HEIGHT:
Datum Polnt:-CA+C�i 0--acip-I Datum Elevation: r I k"
MaximumAllowed: ')�" / Actual Height:
A.D.U.CREATED?- Nol es)
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED:
OTHER:
Plan Review
NewBPPlanningDataForrn.D0C
..PLI 11,
"STREET FILE
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M.S.C.E., M.B.A. Geotechnical/ Civil Engineer
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SOILS - FOUNDATIONS - SITE DEVELOPMENT - INSPECTION - DRAINAGE - DESIGN A PERMIT * LEGAL
P.O. Box 55502 - Shoreline, Washington 98155 - (206) 546-9217 - FAX 546-8442
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452.90' (PLAT) 452.99- (CALC) TOTAL WOOD
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61 MIX FERM
N §9:±f� 3 "-W 277-99'-
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City of Edmonds
RECEIVED
CRITICAL AREAS CHECKLIST IUL 13 til
SERVICES CTF-
CITY 01- Lumu'"
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 inforin-ation (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).
Owner/Applicant:
�q f2 )4
Name
ZO Co,,eew i-I i a Ive IV
Street Address
VC line,- W&
City State Zip
-e,; q7
Telephone
Signature
Date
Applicant Representative:
Name
Street Address
city State Zip
Telephone
Signature
Date
I
creceptionNjanakad-doc
(over)
No
fitical Areas CheckflS$�LE
---------------- ---------------------------------------------
Site Information -(soil s/topography/hydrology/vegetation)
1. Site Address/Location: ZS00 7 102-qal /JO/
2. Property Tax Account Number: M, /0 7 - oo*Z -0/9' nco-s
3. Approximate Site Size (acres or square feet): 2-7,loo
4. Is this site currently developed? -< yes; — no.
If yes; how is site developed?
IJ ZIQ
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).
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 33 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 describe):
6. Site contains areas of year-round standing water: IVO —; Approx. Depth:
7. Site contains areas of seasonal standing water: d-1 _;Approx. Depth: A-1 c
What season(s) of the year? Ale,,;o
8. Site is in the floodway AZ t-�2 floodplain tm;� of a Water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? A/ 0 Flows are seasonal? zy 0 (What time of year? -- &/-,I
10. Site is primarily: forested ; meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: —A/0
. . . . . . . . . . . . . . . . . . . . . . . .
---------------------------------------------------- For City Staff Use Only ------ 16r--_ --------
-----------------------------
site is Zoned!'
8CS mapped soil typqs)? PA Arri�� A - Lu 6,.,�
Wetland inventory or C A. map idicates wetland *present on site?
.4 Critical Areas inventory or C.A. map indicates Critical Area on site? 14e v,^ �A:.
... ... . ....
.:5 iew n
sit ithi designated earth subsidenc� landslide hazard area?
6. Site designated on the Environmentally Sensitive Areas M ap?
]JETERMINATION
^u_chk.doc; Rev 10/03/97
REET. FILE
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BY ENGINEERING
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Date:
ENTRANCE jp-,-1,:QJiH6.D
RIGHT-OF-WAY CONSTRUCTION PERMIT
AND INSPECTION REQUIRED
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DATE RECEI
PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE N U M B E R
JOB SUITEJAPT
ADDRESS P�o I I a
CONSTRUCTION PERMIT APPLICATION
E E OF BUSINESS
P s
LID NO.
LID FEE $
[fib AUUMbb
bc,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP APF=
Rw Parmn
EXISTING — PROPOSED
Street Use Permit Rocrd
tnopecdon Required
Sidewalk Requiredl
TJLEP�RNE
OR) o
I (v�) -n i WWI
REQUIRED DEDICATION— FT
Unde�
9 required 13
E
METER SIZE
LINE SIZE
NO. OF FlXrURES
PRV OUIRED
1
It
q4
I 19
YES F NO 13
—
z
I
IESS
)05
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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ZIP
TaLEPHOWE
1AM121"M "W"If 3�-%Ae
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ENGINEER�NG 7,),�,
REVIEWED/DATE
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;FIRE..REVIEWEP BY
DATE
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CITY
Z101
TELEPHQNE
VARIANCE OR CU
SHORELINE OR-AbB0
INSPECTION
REQ
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BOND
POSTED
STATE LICENSE NUMBER EXPIRATICN DAM
CH
SEPA REVIEW
COMPLETE EXEMPT
EXP
SIGN AREA
ALLOWED PROPOSED
�A HEIGHT
ALLOWED PROPOSED
7 17,q.
�R PERTY TAX ACCO NVIPARCELWO.
NEW
RESIDENTIAL . .
, XFLUMBING / MECH
COMPLIANCE*OR
ADDITION
E] COMMERCIAL
0,
CHANGE OF. USE
REMODEL
APARTMENT
0 SIGN
REPAIR
CYDS
FENCE
0
X- FT)
0 DEMOLISH
0 TANK
0, OTHER
dARPORT
R TAINING WALL
AARAGE
ROCKERY
RENEWAL
(rE IT USE. BUSINESS OIL ACTNITY1'EXPLAIN
k�. -
NUMBEFJ
NUMBER Of -
CRrncALEtLffbV4z_r
OF
DWELLING
AREAS T
I
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
PLAN CHECK NO: e -% - - I I VESTED DATE- C�
THIS PERNIIT AUTHIORCMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONILX ANY CONSTRUCTION ON THE PUBLIC
DOMIAIN (CURBS, SIDEWALKS, DRIVIEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAVS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT� AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPIY` WITH CRY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
= 8 COMPEN::2t=CE AND RCW 18.27v
P(GYP"R (OWNE5,# AGEN I DATE SPNEI?
A j
A 1 9 1
ITT"TION
U
'r
I ' LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A F14AL INSPECTION HAS BEEN MADE AND APPROVAL OR A CI�RTIFI_
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
110/011
LOT COVE GE REQUIRED SETBACKS (Fr.) �PROPOSED SET CKS (FT)
'ALLOWED L FRONT SIDE FRONT, L/R SID5
fROPOSE9 �EAR
z
10
PARKING LOT AREA G DrATE
;;;� P 2-
RECYO I PROV
REMARKS
CHECKED BY ]TYPE OF
SPECIAL INSPECTOR 1P
I REQUIRED 0 YES
AFUARKA
1F."Tt-wfu �-,qv
VALUATION.$
buildia -7
Plumbfin'b�
Mechanical
'Oh"ThUCT'ON "":L89un
Ff -1
iEA
OCCUPAIJT,
GROUP (A
-:2
OCCUPANT
LOAD
INSPECTION RECV0
, _- -/1 1. A -
FEE
Grading C 41*7 Recording Fee
Engr. Review e,,�,7p City Surcharge
Engr. Inspection State Surcharge
Traffic Mitigation Plan Chk Deposit
Fire Review Receipt #
Fire Inspection Total Amount Due 41,7&16'
Landscapelnsp. Receipt #
APPLICATION APPROVAL
This application Is not a peffnit until signed by the
CALL Building Officiall or hL-Jher Deputy: and Fees are paid, and
FOR INSPECTION receipt Is acknowledged in space provided.
(425)
771-0220 -REIAbEO BY J
EXT 1333
771-0221
ORIGINAL -FILE - YEILOW-Ndc—L
FM PINK -OWNER - GOLD -ASSESSOR