23317 94TH PL W.PDFiiiiiiiiiiii
9251
23317 94TH PL W
ADDRESS: TL W
TAX ACCOUNT/PARCEL NUMBER:A576�5 ()OC2 ()Q,;L 0-0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver 0 Study Required -�`Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
SOILS REPORT DA:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'Ps\Fomis\Street File Checklist.doc
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING 1ADRESS
— 144e-5-- 71"'
FITY ZI TELEPHONE
— _/ 4111V 07 elzl4pol _:�� —04 7,;p
NAME
ADDRESS
ZI—Ty
NAME
ADDRESS
CITY
/— 41,W
STAlt LICENSE NUMBE�
_3—.57- _5' /
ZIP TELEPHONE
zz� —7616 — 34
-rl/
TELEPHONE
9
PROPERTY TAX ACCOUNT PARCEL NO.
Eg-`NEW
C?RESIDENTIAL
rl ADDITION
COMMERCIAL
17 REMODEL
MULTIFAMILY
REPAIR-
GRADING
a I fj CYDS
DEMOLISH
TANK
GARAGE
RETAINING WALL
CARPORT
ROCKERY I I
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER
OF Zy
NUMBEeOF
DWELLING
I
STORIES
UNITS
DESCRIBE WORK TO BE DONE
ON
mill,
H5? SOURCE
PLAN CHEC
USE PERMIT
ZONE ZL(g, 0 (7 /
/
NUMBER ol
JOB SUITE/APT#
ADDRESS
��33 7 �zVRI- 6&
PLAT NAME/SU BDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESO 'o
RW P=111R.V19.dr.d
EXISTING P ED
Street Use Permit Rsq'd
inspection Required
Sidewalk Required 13
REQUIRED DEDICATION FT
Underground
Wiring required
METER SIZE
E SIZE
NO. OF FIXTURES
PRV REQUIRED
4%
YE NO 13
A
0
z
511
REMAR��
z
z
PWIIER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
tv7l�rl .. le A-r---..t X,-
FIRE REVIEWED BY
DATE
ijil—
DATE LU
CC
4ATION DATE
H
HECK
ECK' S
1, 1 1 11 By.
VARIANCE 08 CU
SHORELINE OR ADB11
RE
I C31NSPECTION
YES C�VO
PSOND
OSTED
I $
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED P ROPOSED
HEIGHT
ALLOWED. PROPOSE 9
EXP ,
LOT COVERAGE
ALLOWED PROPOSED
35-Yd_ 17oloj�,5
REQUIRED SETBACKS (FT.)
FROtg SIDE REAR
7 '�111 i9
PROPOSED SETBACKS (Fr.)
FRONTe LIR WE 5FAR
50 IA5 14 16
M E CH
PLUMBING MECH
G
N C R
COMPLIANCE OR
E 0
F
CHANGE OF USE
0 U S E
I
PARKING
REO'D PR VIDED
a I
LOT AREA
PLANNING �RVIEW4& DATE
E] SIGN
FENCE
( _ X _FT)
REMARKS
OTHER
I
FIRE SPRINKLER.
FIRE ALARM
M
AREAS
NUMBER
OCCUPANT
GROUP
,SPECIAL INSPECTION JAREA OCCUPANT
LOAD
REQUIRED YES \ 1�1�
REMARKS
OROGRESS INSPECTIONS PER UBC 108 / IBC1 09 / IRC109 FINAL INSPECnON REO'D
CHECK
91), By I TYPE
Description
Plan Check
GLAZING 96
LOT SLOPE %
12, 0— Building Permit
VESTED DATE
FEE
Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
t:
2
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES,
Grading
:1
ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT
CL
APPLICATION: 160DAYS
Engr. Inspection
PERMIT LIMIT I YEAR . PROVIDED WORK IS STARTED WITHIN 180DAYS
SEE BACK
OF PINK PERMIT FOR'MORE INFORMATION
Description
State Surcha�qe
City Surcharge
Base Fee
FEE
'APPLICANT, ON BE LF OF HIS OR HER SPOUSE, HEIRS, A§SIGN&AND'SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD �ARMLkSS THE CITY OF
a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
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 Landscapelnsp. TotalAmt.Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
I HEREBY 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 APPLICATION APPROVAL
THE OWNER.' I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN' DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO receipt is acknowledged in space provided.
WORKMEN'S COM FOR INSPECTION
,�E4SATION INSURANCE AND RCW 18.27.
FICI LS SIGN#RE DA
DATE SIGNED 1A0
7 50—VV 771-0220 B
�bi - E ' WLSE DA E 7
AT.WhTION
EXT 1333K 1 0 A I
IT RYUNLAWFULTO USE OR OCCUPYA BUILDING OR STRUC REUNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE, OF OCCU-
YF:, N, P T,,
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. ORIGINAL - F F ON . IN, PECTO
PINK -OWNER GOLD -ASSESSOR
09/03 n0000 UArsr% 1.1^1111 Ar%IL-- SMAW11111,10% . 0%0%r%s 0%
IT RYUNLAWFULTO USE OR OCCUPYA BUILDING OR STRUC REUNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE, OF OCCU-
YF:, N, P T,,
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. ORIGINAL - F F ON . IN, PECTO
PINK -OWNER GOLD -ASSESSOR
09/03 n0000 UArsr% 1.1^1111 Ar%IL-- SMAW11111,10% . 0%0%r%s 0%
70
/0 A.0cp
"J
1041 .3
WATER
OWNER/CONT�%C- niR 14S RESPONSI IGHTLINE '7
A�CCEPT ABL 0 INSPECTIONS REQ'D.
FOR EROSION C011ITIROL AND DAMAGE ERIAL 4
;, -CALL 425-771-0220 EXT. 1326
SD ----e - :.
H 40 tat.,,.
EXPOSED SURFACES TO
12 At
BE OVERED WITHIN 2 AYS q)8 ANCOR A 0C
FOOTIN DRAINS NOT'. . 1.0 0,
St IT TO TIED INTO
71� 0
Oo, cp, DETEN :ION,, SYSTEM
OONTACT OLYMPIC VIEW
WATER/SEWER DISTRICT
31 INISfeertoo
.'E
IC,
S-.
06, too..
APPROVED AS NOTED
BY ENGINEERING
(ecp
Date:
(0(0,� 2L�
1z
Owner: Greg H'Je
Y. a const.
Address: 16605 7 1 st PL. W.
RIGHT-OF-WAY CCNSTRUCTION PERMI-ILynnwood Wa. 98037
-C�
0 -GXV5T�NkC�, - I Ph. (206) 650-0699-
AND INSPECTION� REOUIRED
Gradine Plan
vd� \'V, Site Adgf6ss:
Scale P= 20 Feet
V�, 'bk- 233x91977. W.
dd� 00 Edmonds Wa. 98020
T
t
P� S,;C� MAXIMUM DRIVEWAY SLOPE Ao* Tax-Parce -000-002-00
CP ALLOWED 14% STREET FILE 905
ION 41
Cie
1
Existing Original Grade: SEP I
1mvervious Surface CaIcs Lot Coveraze
.Proposed Finished Grade: House = 1750 sf. Lot Area 10,540 sf�Ruv V
S \ L,7r 7V-' �F- 3K r COUAIrA
Walks= 90 SE House 1,7150 sf P10 FIVF-D
Patio= 240 st R iM
Coverage
Driveway= 870 sE
Grading CaIcs 1750/10540-1-6ib 1% 172004
AUG
Cut = 210 Cu. Yards 0-�
Total= 2,950 SE Lot Slope 1-09W'.
Fill= 50 Cu. Yards PERMIT COUNTER
WATER,
INSPECTIONS REQ'D.
CALL 425-771-0220 EXT. 1326
'To
IEW
T. ZT CONTACT OLYMPIC V
WATER/SEWER DISTRICT
v_r^
IC 1p
o -r-f� 00-1
RIO.;
.01
00
0
1331Nnoo JjV4U3d
APPROVED AS NOTED
40OZ L I 9nV BY EN INEERING
Date: I L14
2 OT 2-
STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
OWNER
ADDRESS ST ("3 L V3
CAW BY: ow V%, V_,rL.
P.0m,
`> 'DATE: -04 -
*****DESIGN DATA*****.
IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE
2- -42) .3
Y4-
MENTION PIPE LENGTH
nwswo
TIGKTL
TO 12 SLOPE
UPPER CATCH BASIN
PC LID
'W
'AL)
gc�%W%P Or
Coe BOX OR RISER
OUTLET CONTROL
3RIFWr
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2XM'.DEEP, 4-6' WALLS OR EVJAL
FROM CONTROL CD 27 rX 3' DEEP, 3/4' CRUSHED ROCK
FROM OUTLET 'I-VASHED ROCK
T D% LdN&
To
rn
PERF PIPE V/ 00 CAfS
PRWT MIACMV WWWWN�AOCK
WPAP OU77"
RUNOFF SPREADER. TRENCH
C=
FOWWG DR"NS SHALL NOT -BE CONNECMD 70 DETEN7701V SySMAf.,.,,
NOTES.
1. Call Engineering Division (M-0220) for atighdineaWdecenfionsystmhLspection
before backfilling and for find inspection&
APPROVED BY
Responsibility. f". opwation and mintenance of drainage sy-stem on privift pmpedy is the -
ibility6f the property mmer. Matefial accumulated in the -stomp pipe —at be flushed
responst
nAVW
4wi__
STANDARD DRAINAGE DETENAkN SYSTEM
WORKSHEET
�a
ADDRESS 0, ST
PL� (Aj— lc-owkz
IMPERVIOUS AREA
, -34M,4
CALC BY: Oujo, V_UL
rHONE: (7-6 6
se- 1_3 -0
DATE:
-% Q,, 0 -4 - %�,
*****DESIGN DATA
PIPE DIA PIPE LG
Is tj - -4-z;
ORIFICE
DeTENTION PIPE LENGTH LOCKING LID
XTYPICAL)
FINISID
TIG N Ne6 or
]HTL KE AT UR aWtM
CONC BOX OR RISER
.5Z TO 1% SLOPE
a OUTLET
ZL
OUTLET CONTROL
14IN
I
ItZ
UPPER CATCH BASI�� 1Z) 2 _06 ORIFICE
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2'X2'X6'.DEEP, 4-6- SPALLS OR EGUAL
FROM CONTROL CB Z'X 2'X 3' DEEP, 3/4'. CRUSHED R13CK 11� XISTING GRADE
FROM CONTROL
I
_,11Z_0UTrL0V TR MIN 10* LIDa
I nai
PEW PIPE T LEVEL
ERr PIPE W/ END CAPS
TR H FIL L NfiF VAT."WEVIDAPIAIN RCK
PRUR T PLACIEMENI
NPIUP OUTLEr
RUNOFF SPREADER -TRENCH
FOOTING DR"NS SLRU NOT -BE CONNECTED 70 DETENTION S=M
NOTES: C,
1. Call Engineering Division (771-0220) for a tightline, and detention system inspection W��Ww
before backfilling and for final inspections. APPROVED BY
2, Responsibility for operation and maintenance of dramage, systems on private property is the
responsibility of the property owner. Material accumulated in the- storage pipe must be flushed
out and removed from the catch basins to allow proper operation. ne outlet control orifice DATE'
must be kept open at all times.
Table 1 — Detention Pipe Sizes
Impermeable
Required
Area Sq. Ft.
Vol Cu Ft
2000
50
2500
62
3000
75
3500
87
4000
100
4500
112
5000
125
Note: Allowable Pipe Materials:
Impermeable
Area So. Ft.
2000
2500
3000
3500
4000
4500
5000
Pipe Diameter
V
150 181 24. 300
40
28
16
10
50
35
20
13
60
42
24
15 Required pipe
70
-49
-18 1ength in feet
80
56
32
21
90
63
36
23
100
70
40
25
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N — 12 ADS (Not permitted on roads)
Table 2 — Outlet Orifice Sizes
Outlet Orifice Diameter (Inches)
5/8
5/8
3/4
3/4
7/8
7/8
7/8
Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size
pipe diameter
knockout
< 180
200
18" to 24:
26m
240 to 36
360
36" to 421
420
*Source: Assoc.
Sand & Gravel Co. Standards
Catch Basin
— Type
Type 1, CIB 15
Type IL, CB 16
Type 11, C13 19 19 (48" Basin)
Type 11, CB, 19 19 (54' Basin)
5
Revised 3/16/95
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PP-MVIDE FULL WIDTH OF INGRESS/
EGRESS AREA
CON-rRAC'TOR SHA T A
nLL MAINTAIIN TEIMPORAiRY CIONSTRUCTION ENTRANCE
'�G ME CONSTRUCTION PERIOD.
DURI T
CITY INSPEC. N REQUIRED IN
VlEASURES BEFORE WORK CAN BEGIN, EROSION
-090-199V
"D -
REMSIONS
DATE 7/24/01 SCME No' E12
WS
WER Nr STANDARD DETAIL
MR
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ATTACHMENT Rq
PLANNING DATA
I I :; / 4,,4
NAME: ff cl DATE: '6 1 #�-7/ It
SITE ADDRESS: 3 7 17 qqV- Ph(t WeP- PLANCHK#: Oq-377�
PROJECT DESCRIPTION: A/SF/?
REDUCED SITE PLAN PROVIDED?:
MAP PAGE: CORNER LOT: FLAG LOT:
ZONING: - ff- CRITICAL AREAS DETERMINATION M, q 5
L3Studv Reauired:
1AWaiver
L3Conditional Waiver
SEPA DETERMINATION:
L3 Fee
L1 Checklist
L3 APO list w/ notarized form
Ll (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
SETBACKS:
Required Setbacks:
Street: Left Side: 7 6 Right Side: Rear:
Actual Setbacks:
Street: 3 Left Side: �S Right Side: 1� ear:
Street map checked for additional setback required? Yes / "No N
e
L1 DETACHED STRUCTURES: e e f j__6 vt
ROCKERIES:
Q FENCES/TRELLISES:
U BAY WINDOWS PROJECTING MODULATION:
Q STAIRS I DECKS:
PARKING: Required: Actuak
LOTAREA- to
LOT COVOME� %
Calculations: 1-750 llor�qa-= 17
BUILDING HEIGHT: "-F-C- 16ro
Datum Point:— Datum Elevation:
Maximum Allowed:
A.D.U. CREATED?: Yes) Actual Height:
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: OLOL*
OTHER:
Plan Review By: [Wf (�ecK
NewBPP1anningDataForrrLD0C
RECEIVEE)
0
AUG 17 2004
11/0 OAA. 0 0 PERMIT COUNTER
00
00
0.
0o,
q.2:
00
V P6
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r. 1Aj
gy
>
G:N 0 too .0 0
V
M
N%
Owner: Greg Hale Const. I
-zN1 > Address: 16605 71sPL. W.
Lynnwood Wa. 98037
-0 0o Ph. (206) 650-0699
\�eA-MzL �\-�wrsq Site A SS
�op Plot Plan
233xx 97 PL. W.
0. --r \V%c Scale 1"= 20 Feet
0 w 0cp Edmonds Wa. 98020
Tax Parcel: 005905-000-002-00
IrA
IM4
;a Lot Coverage
.;.H-ei0f'CAlcs-
Imervious Surface Calcs Lot Area 10,540 sf
10,175 House = 1750 sE
1,750 sf.
�K B= 105.50 House
0 C= 104.90 Walks= 90 SE
9 Patio= 240 sE Coverage
D= 104.75 1750/10540 16.61%
Driveway= 870 sE
> Lot Sldpe'.. 10%
\n \,j �-Grade----;'104.72 STREET FILE
Total= 2,950 sE
CM
Actual= 129.62
#P20 CA File No: t4405
Critical Areas Checklist
Site Information (soils/ topolgaphy/ hydrology/ vegetation)
1. Site Address/ Location: Ci 4 Tk PL
2. Property Tax Account Number: 00��,90S�-Occ- 0c)-7--o-0
3. Approximate Site Size (acres or square feet): 1 0 1 5'40 Sq,
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). ^#?too, c.4 tmev. c,6""oje avt-w_ e-crtaz, strie
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: Approx. Depth:
What seas.6n(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site coroams a creek or an -area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (VVhat time of year? Y
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 a pplicable?
2.. Site is Zoned? R�—g
3. SCS mapped soil type(s)? T-we E- Alde,-toad 1,,,J coq9kx 9 116 §gef
4. Critical Areas inventory or C.A. map indicates Critical Area on site? A/O,,qe.
5. Site within designated earth subsidence landslide hazard area? — Alo.
DETERMINATION
S X
Reviewed bv: ��UIRED Date: WAIVER
Critical Areas Checklist/3.25.2004
& #P20
City of Edmonds
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
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).
Date Received: -7 lc��5�eJ
City Receipt #: �A
Critical Areas File #:
Critical Areas Checklist Fee: $135.00
Date Mailed.to ADDlicant:
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 formto 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 a ii ion on the behalf of the owner as listed below.
SIGNATURE OF APPLicANTIAGENT DATE 7-3C -0/4"
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 opcials�,Ond the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and postin&4#50�4ihis application.
SIGNATURE OF OWNER
Owner/Applicant:
6 rL S (. 'WA I G OoKs-r_ 2r4c, -
Name
I � (, (n g I 11, PL - W
Street Address
U'l V%VkAJ
City State Zip
Telephone:
DATE ;7 -_r�v
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email address (optional): Email Address (optional):
a's sv-1 .1,01- 01 w
-0
m
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0
0
rn
m
.........
STANDARD DRAINAGEDETENTION SYSTEM
WORKSHEET
OWNM
- _? ST
ADDMS 0
e,; -\T C_
IMPERVIOUS AREA
2- 9 c�_b --P
.5t tec� . _(�V:
CALC BY:
PRONE:
DATF,-
*****DESIGN DATA*****
PIPE DIA
(a (i
PIPE LG ORIFICE
-4-2�)
DeTENTION PIPE LENGTH LOCK040 LID
(TYPICAL)
rimSHED KIND" PcAL)
"=.to
T r AE&a%&"%P Or
COW DOX OR RISER
to Ix SLOPE
OUTLET CONTR13L
NIN.
N ]7—$
UPPER CATCH BASIN --- _\ aRwkc
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2'XL-X6-.DEEP, 4-6- SPALLS OR EQUAL
FROM CONTROL CD 21 ZX 3' DEEP. 3/4' CRUSHED ROCK ISTING GRADE
ROCK
CONTROLL W �LWPE
OUTLET
wTnmw Tm
PERF PIK TO LEVEL
;U To% Pa w LdHm
L5.
PERF PIK V/ El" CAPS
fT1
TR lft&MV W
0 PRWYO
JUPW OU7%cr
m
RUNOFF SPREADER- TRENCH
P.J
C=
cm
4- MOTING DRAINS SHAU NOT -BE CONNECTED.T0 DETEIVT16X SYSTEM
13
NOM:
1. Call FAigineering Division (nl-O=) for a figliffim md detenfim systein inspection
before bwkfilrog md f" find hLVectims. "PROVED BY
Z Responsibility for operation and maintenance of diamav ustcan an prmft property is do
responsibility of do property owner. Material accunmbded in ft-shm-4p pipe must be flushed 1?0041
I I . - - . . . . . .. _. . .- . - - __ - T WqL - ___�v - "C-- 71 A M'-'d
Table 1 — Detention Pipe Sizes
Impermeable
Required
Area Sq. Ft
Vol Cu Ft
2000
50
2500
62
3000
75
3500
87
4000
100
4500
112
-5000
125
Note: Allowable Pipe Materials:
Impermeable
Area So. Ft
Pipe Diameter
a v
150 180 24. 30
40
28
16
10
50
35
20
13
60
42
24
15 Required pipe
70
-49
--28.
-18 --length In feet
80
56
32
21
90
63
36
23
100
70
40
25
Reinforced Concrete
Aluminized Steel
Aluminum
CMP Asphalt Coated
N— 12 ADS (Not permitted on roads)
Table 2 — Outlet Orifice Sizes
Outlet Orifice Diameter (inches)
5M
5/8
3/4
3/4
7/8
7/8
7/8
Table 3 — Rectangular Catch Basin Requirements
Detention
Max. size
Catch Basin
pipe diameter
knockout—
IMe
< 180
200
Type 1, C13 IS
18'to 2,V
260
Type IL, CB 16
24" to 36'
360
Type 11, CB 19 19 (48" Basin)
36m to 42*
420
Type 11, CB 19 19 (54" Basin)
*Source: Assoc.
Sand & Gravel Co. Standards
5
RECEIVED
AUG 17 2004
11/0
PERMIT COUNTER
04�
00
'o. 110
(a
> too 60�1
too -0
< NOV
M 0 i�40N
0, 1 t,� lzt
(0t, \-V
-0 Q\. q-y -11, Owner: Greg Hale Const. I
T. toy. > Address: 16665 71" PL. W.
C
M
Lynnwood Wa. 98037
0
lop
Ph. (206) 650-0699
P-r 0 Site A S
Plot Plan
CD 00, 233xM PL. W.
\r\- V Scale F'= 20 Feet Edmonds Wa. 98020
Tax Parcel: 005905-000-002-00
Lot Coverage
-BelklifCalcs. Init)ervious Surface Calcs V rN
Lot Area = 10,540 sf.
House = 1750 sE
B= 105.50 House 1,750 sf.
C= 104.90 Walks= 90 SE Coverage
Patio= 240 st
D= 104.75 1.750/1'0540= 16.61%
OP6 .10%
A��`Grad:e-- 104.72
CITY Copy Lot Sl'-�
QN Driveway= 870 sE
Total= 2,950 sE
Actual= 129.62
P1 Vj
WATER
BLE INSPECTIONS REQD.
A C TIGHTLI
ri
-�-',/CONTRACIO,RiS!7,-t!�-,,-ONS!BLE 425-771-0220 EXT. 1326
MATERIAL
—,-ROSION CW
10 AND DAMAGE '3 q
DR 35
SCH 40
ALD OSED SURFACES TO N - 12
B E 'D ED WITHIN 2 DAY 10 HANCOR 0C
FOOTI
N DRAINS NOi
TO 0 TIED INTO '0 -10
StIT 'Yal 9
DE ION. SYSTEM
Q-1 NTACT OLYMPIC VIEW
ER/SEWER DISTRICT
-S
too .0 (..3
01
V
0
T
N
WAT
too
"'APPROVED AS NOTED
nv 1:
'K BY ENGINEERING
"I �11A
Date:
Owner: Greg Hale Const.,
5 Address: 16605 7 Is' PL. W.
\\51
t)&T-t�t4\ -i, \(.30 C:,�, 00 RIGHT-OF-WAy CC),qSTRUC Lynpwood Wa. 98037
-SXk5TkK�c,;, . TION PERMIT
0 AND INSPECTION REQ Ph. (206) 650-0699-
UIRED
4�
Gj Gradina Plan
oo Site AddrEss
OL
L. Scale F'= 20 Feet LS
233*9'97PL.-W. z-530
0 Edmonds Wa. 98020
MAXIMUM DRIVE
ALLOWED 14% Tu-Parcel: 005905-000-002-00
conlwy 5
C17, jr- X k0-
Existing Original Grade: — — - SEP 17 PP I
Proposed Finished Grade: Impervious Surface Caics Lot Coverage oO4 RF 6F iv ED
House = 1750 sE Lot Area 1W,8Wq0t/,V7ER AUG 17 2004
�zr IF G�; C- e
Walks= 90 SE House 1,750 sf
Patio-- 240st
Coverage PERMIT COUNTER
Driveway= 870 sE
Grading CaIcs 1750/1,0540�-,-16i'61%
Cut = 210 Cu. Yards Op Lot Slope =10PW�:
Total= 2,950 sE
Fill-- 50 Cu. Yards o-F 2-
7L_S3 t-1 14 '3- PI (k)
I L% :1 1 -1-1 YN,
-%4. f tv
os�vqrA*rvotA
C43t��-MOL
(-E-
0
'Top
0
.. C cc
N,
Qft-
*4
00
45
A
C4�
00
A
ATER
INSPECTIONS REQ'D.
io
CALL 425-771-0220 EXT. 1326
0
CONTACT OLYMPIC VIEW 19
WATER/SEWER DISTRICT 1�
4�0 sown- lw-4vcxwo I
061, QIOU"ec
CNN geoc^
RECEIVED
AUG 17 2004
A -r
PERMIT COUNTER
APPROVED AS NOTED
BY ENGINEERIN
Date: - 11-2q
\?: �� 9; 2- 0 T-
-1.
4<:
Permit No: 2CCS-
City of Edmonds
RIGHT-OF-WAYCONSTRUCTION PERMIT Issue Date:
9/a _2 e7
A. Address or Vicinity of Construction: d3J 7
B. Type of Work (be specific): 0 -I"\
A i
OnNowu aftlthm' ALI 14z a - 0
C. C,2ntractor: d.A��q /We 499--YS,*� Ok- Contact: 1��le AU 1;e-*sai
7 -er
�,Aralg Address: Phone: -90A,9_1521 e4l
k,
4
Stateticense #: 62 kZ (am k TO Liability Insurance: Bond:-,, $
City�Business License #: OtLkv—�%r- 01 cc t,^j
A Jrl5eo. Dec)
D. Building Permit # (if applicable,): tO Side Sewer Permit (if applicable): Ou z to
ity rojec. 0 V117SD)
!E Commer6ial El Subdivision -Ci'� P -I- 't O'tUC�(PUD, VERIZQ1Y, PSE, COMCAST,
F] multi-Farnily E��Single Family F Other,
INSPECTOR:
F. PAVEMENT CUT: >�YES' El NO G. SliE OF CUT x
CONCRETE eUT: YES n NO
G. :[I K4ail Approved Permit F� Call for Pickup
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands by hislher signature to this application helshe holds the City of Edmonds harmless"f'rom
-, I " W.9
injuries, damages br claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the Cil�' of
Edmonds,'or any of its dep . artments or employees, including but not limited to the defense of any legal proceedings including defi�nse
X
costs d0 att�rneyfees by reason ofgrantink this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND,4CCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PAT61 IS"..
COMPLETED BYCITYFORCES, AT WHICH TIMEA DEBITOR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT,
traffic control an ' d public safety shall be in accordance with City regulations as required by the City Engineer. Every-.
flagger ust be trained as required by (WACj,296455-305 and must have cerii�ficati6fi verifying completion of the
T
required training in their possession.
i -Restoration is to be in, -accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday - NO EXCEPTIONS.
Three sets of construction drawing.s,of proposed wo , rk are required with the permittapplication.
CALL'DIAL-A-DIG (1-800-424-5555Y"PRIOR TO BEGINNING WORK
I HA VE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THATIMUSTMAKETH INK COPY OF THE PERMIT AVAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
Signature: i" Date:' -2 _111-447
1000" (Cbntractb4r or AOentY
ri if fl),FMAJ W1 . .......
=111111111111111 10111F 1 111 11111111 11ill!
REQUIRED INSPECTIONS: im
Call 425-771-0220, Ext. �326for a 24-houuice-recorded inspection request line.
FINAL APPROVAL OF PERMITTED WORIH fll7v— DATE,
Aly
Inspector's Signature
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Revised 10/01/03
CADocurnents and SettingsTuilisNy Documents\Fonns\Engnmg\ROWpermit_.doc
v�ol
I c)-L-904 spl.
5,ze kAj
to-tAIAOL. CB - I %,* ,
-XC- �-Oo.s--O
tn
O'Opitt
leuOco f/f 7 e� I
40TC,
.01
00
WATER
-,.�,MPEGTIONS REO-D.
CALL 425-771-0220 EXT. 1326
VIEW
00 MYMPIC
'WATER/sEWER DISTRICT
for-1.04-v9*-
0
A4,;r q(pUtipe 6.tt -gr
cl*
el
AlOPPROVED AS NOTED
BY ENGINEERING
Date:
P. ECE IV E D
AUG 17 2004
PEWIT flOUNTE-P
F�r. iz som
E.D,jo,_
4
23317
�_E
-1
(L
234 ST SW
CITY OF EDMONDS WATERLINE AS -BUILT
A
6 ADDRESS OMEOWNER
ta 23317 - 94 PL W r
CONTRACTOR SCALE
-GREG HALE CONSTRUCTION
DATE DRAM PERMJT
03/14/2005 BY SIBREL NO. 2005-0811
e er
r—
H�i
C)i rz-
cu�
CITY OF EDMONDS AS -BUILT
ADDRESS
112,
HOMEOWNER
c-.7-. AaA
w r14
DATE
44PL
DRAW
BY A�j
PERMIT
NUMBER
:2
CONTRACT
pi
� m
NOTICL:
N hed
The information shown on the attac
map(s) was com ' piled for use by the City 01
Edmonds/ its Empl.oyees and Consultants.
Th,e City of *Edm.onds does. not. warrant the
accuracy of anything set for,th on t - hese
Map(s). An . y person or entity -requesting a
copy should conductanindependent
Orm'ation shown, c
Inquiry regarding the inf*
I
ffi-�� -m a p (s), including, but not i,rn'ted to/
er stub shown, SU(
the lotation ofanysew
sewerstubs may or may' not e.x1st and ma�,
t the location shown.
or may not exis.t a
Neitheir the City of Edmoinris nor i
N-A -/ L t S
em p-1.0-yee-S O-r off i-ce-rs -shal] be 1--ia. balf-e for th
infc)rmation g1ven On this map(5), nor for
any one representation provided based
upon'said map(s).
Snohomish County, WA Assessor Parcel Data
Page I of 2
SnohomishOla,ln, 09wroment 1n#6rmsUon & Sorvices
CountY40
Washington
* R E A L * PropertyInformation
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links: I L - .- . . .. ... ...
Common ssessor Home Treasurer Home Information on which Departmen to contact
links: I
Please view Disclaimer If you have questions, comments or suggestions, please Contact Us.
Date/Time:7/30/2004 11:47:40 AM Answers to Frequently Asked Questions about Parcel Data (opens as new window)
Return to Prooertv Information Entry page
Parcel Number 00590500000300 Prev Parcel Reference 59050000030002
jj View Map of this parcel (opens as new window) -
j
Links to property information below
e General Information Names & Addresses, Property Legal Description
9 Treasurer's Tax Information Total Current Year's Taxes and other information
Assessor's Provertv Values Market Values, Current Use Values (if any)
Ass e s so r's Prop
-erty Characteristics Tax Code Area, Use Code, Parcel Size
Assessors. Structure(s) Data. Data related to the structures on a parcel
Assessor's Prope!t
y Sales Sales recorded since 7/31/1999
e Assessors Mapping Information Traditional and Interactive maps, Neighborhood
General Information
Taxpayer Name 11 Address (contact the Treasurer if you have questions)
JENSEN ROBERT J 1123312 94TH PL W --- EDMONDS, WA 98026
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)
JENSEN ROBERT J 1123312 94TH PL W - - - EDMONDS, WA 98026
Street (Situs) Address (contact the Assessor if you have questions)
23312 94TH PL W --- EDMONDS, WA 98026
Parcel Legal Description
SUNNY RIDGE BLK 000 D-00 - LOT 3 *COMB TO 005905-000-002-00
Go. to-t-0- P-o f � pa g e
Treasurer's Tax Information
Taxes For answers to questions about Taxes, please contact the Treasurer's office (opens as
new window)
http://web5.co.snohomish.wa.uslpropsyslasr-tr-propinqlPrpinqO2-ParceiData.asp?PN=005... 7/30/2004
Snohomish County, WA Assessor Parcel Data
Page 2 of 2
"Tax data not available"
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Assessor's Property Data Characteristics and Value Data below are for 2004 tax year.
Please contact the Treasurer's office 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.
NOTE: No Prop Values Data found for 2004.
Go to too of r)aae
Property Characteristics
Tax Code Area (TCA) View Taxing Districts for this Parcel (opens as new window)
Use Code
NOTE: No Size Data found
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Property Structures
No structures found for this parcel
Go totop of-PA99
Property Sales since 7/31/1999
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.M.aps Township/Range/Section/Quarter, links to maps
Neighborhood 3105000 Explanation of Neighborhood Code (opens as new window)
Township 27 Range 03 Section 36 Quarter NE Find parcel maps for this Town sh i p/Range/Section
r_-
11 View Map of this parcel (opens as new windowA
http://web5.co.snohomish.wa.uslpropsyslasr-tr-propinqlPrpinqO2-ParcelData.asp?PN=005... 7/30/2004
#P20
of ED&
k
-`0
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
loc. I %()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
available from observations of the site or dat� available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: -71cV12�eJ!f4
City Receipt
Critical Areas File #:
Critical Areas Checklist Fee: $135.00
Date Mailed to ADDlicant:
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 con . unction 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- aDpligloffon on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT DATE 7--3C -0
Property Owner's Authorization �X'
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 ro=cials d the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting #" a, this application.
SIGNATURE OF OWNER
Owner/Applicant:
6YLSC. 44A I G 0 o K,6-r. 7N C, -
Name
I �(, (n S;7 PL
Street Address
Ui o, . vi tAj W A -
City State Zip
Telephone: Q"5-b-0(,-qCf
Email address (optional):
DATE
I Cal I: r-11119. I I
Applicant Representative:
iqarne
Street Address
City State Zip
Telephone:
Email Address (optional):
#P20 CA File No: t44o5
Critical Areas Checklist
Site Information (soils/ topolgaphy/ hydrology/ vegetation)
1. Site Address/ Location: PL. �,4, Mv."_0 9 V 0-t-Z
2. Property Tax Account Number: 130S90S7-00c- 0C)-?_-0zD
3. Approximate Site Size (acres or square feet): 1 0 1 514c) sq, *=-r.
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.
X, Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet). ^fff—w, CL44vne Ovcx� e-.rtvkr smig
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: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9.- Site cor*tins a creek or anarea where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (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: — 74 r3
--For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
13. SCS mapped soil type(s)?
we �*- Alk-,,00d 'v4a,-� 1,AJ (on�wkx o- .'Io
4. Critical Areas inventory or C.A. map indicates Critical Area on site? /%/0 �q e.
5. Site within designated earth subsidence landslide hazard area? Alo.
DETERMINATION
STUDYRE UIRED X WAIVER
Reviewed bv- 1"-=7 Date: 0/31/0 � -
Critical Areas Checklist/3.25.2004