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23610 101ST AVE W.PDF23610 101 ST AVE W /0/ .0 464- / c) I Ao& t-)5' PLANNING Apr N 10 ;sje'apo<'r-D No 'g,#ij1-0WAY CAI? S-7dl?A6!t� O/V/)/ '7';N lot�l 04? 34'- V 4,4'f - /, :01 APPROVED AS POTED 1prd> N-12 ADS Sch 40 PVC SDR 35 (ASTM D3034) Wi ACCEPTABLE TIGHTLINE MATERIAL L 0 0 FRONT S CK jo SIDE SETBACK 111000�- REAR SETBACK* co LOT REQUIRES FRON OM BOTH STREETS. CD y ,23 6 le- /c/ L41,6S-7- I \1 AlA A/ liol C'c V'FA -0/00 9 City of Edmon& Critical Areas Checkli' St. '17he Critical Areas Checklist contained on this form is to be fined 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 10 enable City staff to determine whetherany Potential Critical Areas are or may be Present on the subject Property. The information needed to Complete the Checklist should be easily available from Observafions 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 adetermination -of the subsequent steps necessary to complete a development permit application. ' , VVra a signed -copy of this form, the aPplicant should also submit a vicinity map or plot plan for individual l3t_­s��f �theparc�l v1ith CnOttgb -detail that City staff can find and identify the subject parcel(s). In addition, thea piplicant shall -include atherperfinent information (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 Area'Checklist and attest that the answers. provided are factual, to the best of my knowledge (fill out the appropriate column below Owner I Applicant: A4'C'1 12 Name 2 3 Z. 49 j,,i Street Address L_L�Ifs_ LZIA 9'� 0,2 0 City, State, ZIP - Phone Sipature Date Applicant Representative: Ni Street Address City, State, ZIP Phone itgnature Date - J/ 6, � Z71 CA FILE NO Critical Areas Checklist . Site Informatiori (soils/top*ography/hydrolOU/vegetation) I. Site Address/Location: &I e5 7' 2. Property Tax Account Number: VV,67-,00C2--0<),jq- 00 OC2 3- Approximate Site Size (acres or square feet): _ Za 0 oo _ 5a 4. is this site currently develope�d? --k/yes; _ no. If yes; how is site developed? 51 1V6:jP ,a,4,Aj/j V 5. Describe the general site topography. Check all that �4z apply. 191 <- Flat: less than 5-feet elevation change over entire site. Rolling: slopeson site generally less than 15% -(a vertical riseof 10-feet over a horizontal distance of 66-feet).. Hilly: slopes present,on site of more thn 15% and less than 30% ( -a vertical rise of 10-feet over a horizontaldistance of *33 to 66-feet). Steep: grades of greater than 30% present on site:(a vertical rise of I 0-feet over a horizontal distanceof less than 33-feet). -Oth,er (please describe): 6. Site contains areas of year-roun d standing water- ;Approx. Depth: 7. Site contains areasof seasonal standing water:. Approx. Depth: What season(s) of the year?. 8. Siie is in the floodway A10 floodplain of a water course. 9. Site Contains a creek or an area, where water flows across the grounds s ' - FloWsareyear- ufface? round? Flows are seasonal? (Wh;kt time of year? 10. Site is primarily: forested m. eadow shrubs mixed urban iandscaped (I awn,sh rubs etc) 11. Obvious wetland is present on site: For City Staff Use Only I. Site is Zoned? 2. �CS rnapped soil type(s)?--,411eVt,,,aoJ 1-4,Vi 3. Wetland inventory or C.A.' map indicates wedand present on site? A/V 4;-�- t-,Critical Areas inventory or C. A. map indicates Critical Area on site? -�ite within' designated earth subsidence landslide hazard area? 6. 'designated on the Environmentally Sensitive Areas Map? A10 .DETF-RHINATION ""'STUDY REOUIRED W, AIVER* Revi6wed by:_ Planneor Rev 01/04M4 CONDI'TIONAL WAIVER — I -� 7 Date -1 - V W. V It,, 4 .01 PftPOSED No GA0615= 0, L41-A WA Y CA Iq SrrdIfA6:"� (.)AdV C) /�.,o L e V,475 34'- V PLANNING 4,A ` - 4 APPROVED AS POTED f,4 ioh, / 196 ACCEPTABLE TIGHTLINE MATERIAL N -12 ADS SDR M (ASTM D3034) Pke Sch 40 PVC "o E — RA-96 o o -.00 FRONT cl � CK S S IDE SETB%ACXl lelo�ll w REAR SETBACK s, CO LOT REQUIRES .4 Om �BOLTOHT SAITREETS. ;��ACK If 69 -C) ,O�A c bwls X Aivsolv ,73 d, le- -,ol LelF-.; 7 34,�- 0 (.�A-RUE NO. Critical Areas Checklist Site Informaition (soils/topography/hydrology/vegetafion) 1. Site Address/Location: 231, /0. lel ule.5�74_ 2. Property Tax Account Number: . elV6 7-6 00- 0 Cj?-- 0 6 0eq 3. Approximate Site Size (acres or square feet): 00 �,Ta Z�-r 4. Is this site currently developO? _Zyes; no. If yes; how is site developed? 5. Describe the general site topography- Check all that apply. / 0;-,57 Flat: less than 5-feet elevation change over enti re site. Rolling: slopes on site generally less than 1.5% (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 I 0-feet over a. horizontaldistance 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. /Ve;/16�E _; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year?, 8. Site is in the floodway Alc floodplain IWI of a water course. 9. Sitecontains a creek or an area 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 mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: A/0 For City Staff Use Only I . Site is Zoned? 4 !�� — '?, 2. kS mapped soil type<s)? Allevc-lool ur,60W ItIvi cc-"r 40 3. Wetland inventory or C.A. map indicates wetland present on site? A/V 4.�. !-...Critical Axeas inventory or C.A. map indicates Critical Area on site? _A/0 5. . 'Site within' designated earth subsidence landslide hazard area? 14-1110 6. des';ignated on the Environmentally Sensitive Areas Map? .DETERMWATION -!'�tUDY REOUIRED W AIVER, Revi6 wed by: Planner//' R"01104M4 A10 CONDI-17IONAL WAIVER Date -? - v 7. -T /, 0,4 e- I U * 1 V C i ity of Edimonds Critical Areas -Checklist Ile Critical Areas Checklistcontained on this fonn is to be filled Out by any person preparing a Development Permit Application for t ' he City of Edmonds prior to.his/her submittal of a development permit to the City. Ile 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 checldist, 'make a precursory site visit, and make adetermination of the subsequent steps necessary to complete a developmentpermit application. W"th a signed COPY of this form, the applicant should also submit a vicinity map or Plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s)- In addition, the4pplicant shall include otherpetfinent information (e.g. site p I Ian, tOPOgraPhY map, etc.) or studies in conjunction with this Checktist to assist staff in completing -their preliminary a�sessrnent of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out th . e appropriate column below). Owner / Applicant: ,44,c 12 Name 2 3 Z. lf�9 Street Address L-w als- WA Uty, State, ZIP Phone 7�gn Date Applicant Representative` Nam Street Address City, State, ZIP Phone Signature Date ZI PLANNING DATA NAME: lvlt� .5. AtlteiK SITE ADDRESS:-2-36 ju - /0/ —DATE: ZONING: 0-5-8 PLAN CHK#: 9,1- 2-07 PROJECT DESCRIPTION: .9— 4,�, a -"I- V 9 CORNERLOT -.(Yes/No) 2,3 ' Zt, '� 5W 0 " SETBACKS: 5, Required Setbacks: Front: 2-S' Left Side: 7 k,-,' . Right Side: Rear: Actual Setbacks: 4- j" Front: — 90 I Left Side: -731 Right Side: 15' Rear: 5 Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) X-2c) 2623 LOT COVERAGE: + - — z 2 Maximum Allowed: 35,7. —Actual: to -too 10 4-OD 7 4, i3 13' BUILDING HEIGHT: Maximum Allowed: -Actual Height: Datum Point: L4-� Datum Elevation: t6u, cow SUBDIVISION: CRITICAL AREAS#: cA - 96 9 9 SEPA DETERMINATION: LOTAREA: OTHER: Plan Review By: PERAUT APPLICATION REQUIREMENTS to: Applicant i From: Jamal Mahmoud, Engineering Inspector STREET Owner. Ael _/4-Ltif=25� - Plan Check No: 0-2,01 Address: 2 36 lot Date:acil 11 After review of the subject permit application, the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.IVL-10:00 P.rvL;WEEIKENDS/HOLEDAYS — 10:00 ArvL-6:00 P.ryL 2. A separate RIGHT-OF-WAY CONSTRUCTION PERMT is required for all work on public property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner is responsible for containing all temporary runoff and erosion control on site (ECDC 18.30.030d) 5. NO WORK SHALL BE DONEWITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 18.30.50G) 6., FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30) 8. Repair or replace all defective existing curb, gutter and sidewalk. adjacent to the property. If an intersection is involved, a handicap ramp may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to (ECDC 18.80.060D) 10. Driveways must be paved from' property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C) 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refuse without a permit from the Fire Department. 13. Connection to City water system is required. There is a separate charge for the water meter (ECDC 7.20). 14. A back water valve is required if downstaiis plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) 16. Connection to the City sanitary system is required. A separate permit is required. LED# , Fees paid: Yes— No - Charge (ECDC 18.10) 17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) PRWA"DOC C� CITY OF EDMONDS ;E PERMIT ZONE NUMBER 960,716 CONSTRUCTION PERMIT APPLICATION JOB ITE/APT # ADDRESS Z34a/ 0 .101!5;1 JqVt 1�) OWNER NAME NAME OF BUSINESS 11-16� 23 � ml-� r LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. a: LU -A MAILING ADDRESS 0-236 A) L4_1 4C_ S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING DEDICATION TESCP Approved 13 RW Permit Required 0 CITY ZIP TELEPHONE NUMBER 9 ___.e!t'_REOUIRED o2o�� Street Use Permit Req'd 0 A Ir PROPOSED inspection Required 1t7_ Sidewalk Required 0 NAME Me METER SIZE LINE SIZE NO. OF FIXTURES PRV REOUIRED YES 13 NO 13 w LOU ADDRESS L) REMARKS cc M. W M CITY ZIP FETP—HONE NUMBER 115-y", A/K yel I'm e Z NAME cc ADDRESS MEMO DATED VEVIEWED BY 0 A M46- 0 :5 cr CITY ZIP TELEPHONE NUM13ER FIRE MEMO DATED REVIEWED BY Lu Z 1AZ42 V_ 0 cr. 0 STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPA RE IEW ADEI NO. ALLOWED PROPOSED COMPLETE Legal Description of Property - include all eAtilments /a 1EXEMPT %I/ SHORELINE# EjA 14 EA 0 W_ EXP VARIANCE OR CU PLANNING 13EVIEW BY DATE 19 4 S"- r.2 Z? uj 0&—r W,+ SETBACKS — FEET HEIGHT' L T COVERAGE Z FRONT 25 SIOE7;,-,I` REAR' '7- Z Property Tax Account e1VW1,,7_ 00. —eoe— 0 a -REMARKS Parcel No. &A) 1:1 YRESIDEN'TIAL NEW PLUMBINGWECH COMPLIANCE'OR ADDITION COMMERCIAL CHANGE OF USE APT.BLDG. REM06EL SIGN CHECKED By . TY .QPN T Egf S RUCTION CO E OCCUPANT GRr GRADING FENCE E] REPAIR CYDS. x _FT) WOODSTOVE SWIM POOL DEMOLISH INSERT HOT TUB/SPA SPECIAL INSPECTOR . . OCCUPANT JAREA REQUI RED 0 YES LOAD ARAGE RETAINING WALU RENEWAL EMARKS qSAPA"T ROCKERY 0 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER U6C 108 to 64A,9X r,4-- Lv) u NUMBER NUMBER OF CRITICALWt?WW4- 0 OF offe DWELLING A/4 AREAS 1NUMBER7V STORIE S _ -UNITS DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED ./?,0 AO-S44 Z CA,,V VALUATION FEE PLAN CHECK FEE 1-7- BUILDING A HEAT SOURCE: GLAZING % PLUMBING Plan Check No., 4/ I W MECHANICAL GRADINGWILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewpiks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE ENG. INSPECTION FEE 30 "Applicant, on behalf of his or her spouse, heirs, assigns and (n successors I n interest,,,.agirees to indemnify, defend and hold harmless the City of. -,Edmonds, Washington, its officials, i employees, and agents from any and all claims for damages of cc < whatever nature, arising directly or Indirectly from the Issuance X of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance 0 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL Information given is correct; and that I am the owner, or th.9 duly. authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance and RCW 18.27. INSPECTION acknoWedged In space p . rovided. DEPARTMENT SIGNATURE (OWNER R AGENT) DATE SIGNED ' SIG 'RE DATE CITY OF 94 L �OFFICI EDMONDS .4 CALL FOR I- DATE ATTENTION INSPECTION, �EA /0 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 OL-- PINK — O�yner GOLD — Assessor 1//,3 10247 /14c"