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DATA
NAME:
SITE ADDRESS:- 2- 3 3 '-12 - /5A-ct(,/DATE: g-,/ 2 /-7,/)J-
ZONING: 4S -9 PLAN CHK#: - Z,1, v
PROJECT DESCRIPTION:
CORNERLOT Lo -(Yes/No) FLAG LOT- A _(Yes/No)
SETBACKS:
Required Setbacks:
Front: 2-5' LeftSide: RightSide: Rear: 19'
Actual Setbacks:
Front: 2-5-' Left Side: 3'/2,' Right Side: 69 �z,' Rear: —72-'
Street map checked for additional setback required? Alo _(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /V -(Y/N)
LOT COVERAGE: It 3 00 � ) 1?31�-
- -:-- 2, t P7.
Maximum Allowed: Actual: 8X2-
BUILDING HEIGHT:
Maximum Allowed: Actual Height:
Datum Point: bp SS Datum Elevation:
A.D.U. CREATED?: N6
SUBDIVISION:
CRITICALAREAS#: - .J/,-V,-
SEPA DETERMINATION:
LOT AREA: 0 EI-2-
OTHER: V4,P-- V- �1- 1(oo - eilfw, 3112- 5-� ied-1- s�w&,,& 1, �A/ 2,5, 1
Plan Review By:
cAft1es\pcnnit\^p1andat.doc
DATE
TO:
FROM:
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PLAN CHECK CORRECTIONS REQUIRED
August 31, 1998
Kirk Fowler
P.O. Box 736
Woodinville, WA 98072
Ann Bullis, Plans Examiner
Building Permit Plan Check #98-260
During review of the revisions to the above referenced permit application, it was found that the
following information/corrections are required.
1) The proposed foundation under the exterior wall must meet the minimum conventional
construction requirements of UBC Table 18-1-C. Provide a detail of the proposed foundation
and wall. You may wi ' sh to consider a mono -pour footing (see example below).
2) Minimum 1/2" anchor bolts required at maximum 6 feet on center, with minimum 7"
embedment and 2"x 2"x 3/16" washers.
3)
4)
5)
2x pressure treated sill plate required.
On foundation plan, show location of door.
OneA4 rebar reqp�ired in top of foundation, two #4 rebar required in bottom of foundation.
Note: In the future, if you are proposing to enclose this carport into a garage,'you may wish to
construct a continuous footing around the carport as part of this permit, since a continuous
foundation would be required for the garage. Also, you may wish to contact Karissa Kawamoto
in the Planning Department regarding the variance approved for the carport and if future
conversion of the carport to a garage would require a new variance.
Please resubmit 2 sets of revised plans/documents reflecting above corrections to the Permit
Coordinator. Please contactme at 771-0220 if you have any questions.
Ann Bullis, Plans Examiner
STRR*ftm.
':LT' FILE
CA FILE No.
Critical Areas Checklist
?,1i.'1Sitd inf6imation (SoilS/topography/h'ydrology/vegetation)
4KAvs, 970ao . . . . . . .
�'Site.'Addfess/Ucation: a33.0 .15' F-d mo n d s
'-;3� 2. Property Tax Account Number: 4fl 1 -- 004 - 8o q- QX6 I
3. Approximate Site Size (acres or square feet): 0-*P Pro$ It 066 %cl
4. Is this site currently developed? yes; _ no.
If yes; how is site developed? ves4lde*�'�-t t�iJ 6�le
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'overa
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a verti6al- riie". A
of 10-feet over a horizontal distance of 33 to 6&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).
er (please describe):
6. Site contains areas of year-round standing water. Po
Approx. Depth:
.7. Site contains areas of seasonal standing water. NO Approx. Depth:
What season(s). of the year?
8. Site is ini the floodway M floodplain fJ0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are'ye"ar"-"
round? AfA Flows are seasonal? At A (What time of year? &A-
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wedand is present on site:
1.1 L
RECEIVED
J.JU L
Ji,,,-COMMUNITY SERVICES
C4
49-90 .19
City of Edmond§
":5,, i J.1: 'I; V i V��
-CrMc'aF-Areas.-i----Ch e'cklist
The CriticalAreas Checklist contai�ed land -submit -it to the Cit�r. The Citymill_
.�diisforTn:is.w.befifledout�by,a!iy..persoq�,,,,-,.,,�...
"i revie.w..die checklist, make a prec�Fsory site
preparing a Development Permit a��63
visit,�and mak a deAermination of the -
Applicationfor the City of Edmondsprior subsequent steps necessary.to.complft a
to hislhei i�biniitil'of 'iL ment permit application - ------
permit to the City.
sign-e" d 4
'With a
of this form, the. ---..--
The purpose of the Checklist is to enable: "41i6ak should also submit a vicinity map
City staff to determine
whether any ....... or plot plan for individual lots of the -parcel
potential Critical Areas we or may be ._-__.with enough detail that City staffcan find
present on the subject property. -ne :��and identify the subject parcd(s).r..In q
informati6ri-needed,:to complete thi addition, the applicant shall.include
Checklist -should be ii�tly available from::
&ifiii�nt infonalation*�(, -9-
observations of the site or data available at plan, topography map,"etc.) or studiei in
City Hall (Critical Areas inventones, maps, x,. conjunction with this Checklist.to assist
or sdd* surveys). staff in completing their preliminary. -
assessment of the site.
An applicant,- or his/her representative, 7-
must fill out the checklist, sign and date it;
I have completed the attached Critical -Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner Applicant: Applicant Representative:
kir k zov, wlev-
Name Name
Street Address Street Address
Phone,_ CityState,7UP Thone
S'
Date. ignature Date
Z
0
W
U
W
0
11.
CITY OF EDMONDS
CbM,MUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT
I , I e,-� .
A.'* Owner:' K r K (—. W
�en_o 3 —
.1. dd es
-NO=, L6A, 9A
City * State Zip
R E C E��rj r)
OCT 3 Vak
C.. 9 Address or Vicinity of Construction:
Type of Work to be Done: AWOQI��
D. 0 Work'in Connection With: 0 Sub or Plat
0 Commercial
E. 0 Pavement Cut: El Y F. * Size of Cut
APPLICANT TO READ AND SIGN
B. 9 Contractor:
Permit No. 11-3 5
Issue Date 3-: 9 1
f
N
,Ame
Yii+nAdIrZ�a,'
City State zip
3K _�—C;,
State License Number Telephone Number
X4. Z .3 3 Z� _L -75- A
Rr-S-ingle Family 0 City Projects
0 Multifamily 0 Utility
- X
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments -or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR'IS RESPONSIBLE FOR WORKMANSHIP. AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND A CCEPTANCE OF THE WORK.
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
o. A 24 hour notice is required for inspection; Please call Engineering: 77 1 -�3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this per. M'it must be available at the job site for inspection purposes at all times.
Signature: Date:
Owner orContractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY:
Time Authorized: Void after
Special Conditions: i
PERMIT FEE:
Restoration Fee:
Receipt No.: -
Fund I I I Fee
Street Cut. Dimensions: — x S
RELEASED BY:\X &41� atel() 3J91. INSPECTED BY Date
NO WORK TO BEGIN PRIOR TOPERMIT ISSUANCE
Eng. Div. March 198 9
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street D , ept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 198
4, X� A/0
A C,
-sk.
410
A v vJ
-0 .
APPLI CATION CARD No . ......................................
The City of Edmonat.4VI for
OUTSIDE SIDE SEWER PER3HT EASEMENT No . ......................................
INSIDE (] REPAIRS
OWNER .......... ................. .............................. CONTRACTOR ......... . &
........... ............................ PERMIT. No6,1,,-,.
STREET
HOUSE No . ............. .......... ---------------------- ---- AVENUE LOT No . .................. z7 .................... ................ 13LOCK No . ......... 14 ........ ................
........................... ..................
----------------
NAME ADD . ....... -/C .....
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I Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
SEWER WORK ORDER ISSUED ..........................................
Approved:
....... ...
DATE . . ...... BY ...
-A-PP'Rb-YED