23619 104TH AVE W.PDF1111111111
266
23619 104TH AVE W
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: 652 Z&
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICALAREAS. Oq DETERMINATION: E] Conditional Waiver F� Study Required XWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: 1111419
SCALED PLOT PLAN DATED: da/�v o/
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERM[IT(S) #:
SOILS REPORT DATED:
STREET USE ENCROACHMENT PERAUT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSrs\Forms\Street File Checklist.doc
B
G
1 0 1 2 3
IMPERVIOUS SURFACE CALCS
EXISTING BUILDING PAD: 1178SF (CONSTRUCTED PRIOR TO 1977)
EXISTING CARPORT- 280SF (CONSTRUCTED PRIOR TO 1977)
PROPOSE GARAGE: 630SF -7tAe 0 "5N I r4fefa.VW�LS, ARop
DRIVEWAY TO REMOVE: 670SF
HEIGHT CALCS
A=+99.5'
B=+99.65'
C=+99.65'
D=+99.5'
AVG GRADE=99.58'
ACTUAL=111.75'
MAXIMUM=1 11.75'
LOT AREA:
.24 ACRE = 10,454.44 SF
LOT COVERAGE:
2418SF = (237.)
EXISTING 20'x2O'
4" ASPHALT
DRIVIEVAY TO REMAIN
I -:�Y- SLOPE
5
K-
�?
cooZone
Setbacks
RM�prel
Front
a-9 1( -
-7 "t
Sides
—
Rear
Other
�i I_t
Be
WATER
MPECTIONS REM
CALL 426-7111*20 EXT. 1326
Actual
-7
GUTTERS/DowNsPOUTS
To CONNECT TO EXIST. SYST.
SETBACK LINE FOR
ORIGINAL HOME/CARPORT
STRUCTURE TYP.
C
DEMOLITIION OF
EXISTING ASPHALT DRIVEWAY 51
AND CARPORT.
2 99.65
)< RESIDF
t4CIE
0 11�8 Sf
-, 99. SF
F D OFE lgi7
1 0.
99. 99.
A B —W--w
—W--W—
W---w, 31,14--w
GARAGE
630 SF
DATUM Fr
SLOPE
TOP OF WATER 0
COVER 100
> 25.0'
<
C)
am FLM N
OWNERICONTRACTOR IS RESPONSIBLE
FOR EROSION CC� I 'RIDL AND DAMAGE
0 7
Z PROVED Y PLANNING
9
F /1716
APPHOVED AS NOTED
BY ENGINEERING
a:atgn
Date:
Awl I
NEW SETBACK LINE BY
CRY OF EDMONDS TYP.
RECEIVED
AUG 1 3 '2004
PERMIT COUNTER
STREET FILE
Cop"m MIN
SIR= M MGM=
U)
0
C)
<
(D
2S
ox
C;S)
z N
w
0
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a X t=
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WIEV W
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PI NO
00004
0
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RSCEIVED,
1 3'i,004
paFtMIT COUNTaR
STREET FILE
DO-
Paldock Addition
JUL 0 7 2000 FIVE
A SISFO, E
2 o19 10 ith Ave W,
th p:;�t app shall be
Ttert'p' as 10
or P=e
maintenance of any current
th
mit'y 67'
1 nortoonformi ted btdqmgl
i or site condition x1crts ou., o e
is ou
r"t
.. . p!h� whether such
mr*Kw--ing. Such i i , --- — --- I*, -A.
* 8 or
qlp*y bi, �be !M 0
10
GARA!99
ST. PATW KIM V —v
—4
TO 111
TA Mim Wo S&W an
C47vm
A" EXISTF10 TREW (A)
To Wj%,WN
I ISAESPONSIBLE FOR
a
EROSION CONTA
CONTACT OLYMPIC VIEW
WATrp/SEWER DISTRICT -
a4 SeAq ?0f PA 11
Proposed 20 40
PARr,EL * 2105560050,2100
=MMMAVLW.
ffinalm WA. 11111111IM11
�PTION:
SW 96 TW 77 RM 05 RT-2ek) 050 TON CM M/4 9"/4 TH
9 2%" TH F WM TFS TH M 14VT MA. TO E BOY W TH H
AL& 00 ft" TH NELY D4 STINT LNTAF'I6PT N OP PM rM 5
we
IIIIIATT&IIIIIIIIIIINIIIIIIJOADOCK
ZOM, Tit"
" . IP L, I I :, 0 W" 1 31',
LOT COVERA6Ei
LOT AFM^ -
10A".44 SaFT.
540M POO FIRW 1100SUM91171".
11780 5WIT.
RUDOG FOOT MW
664 Sa".
anam fm MW
M 912PT.
LOT WYMNIA612
5,21q saPT.
90.7cm
PROP05ED IMPERVIOL15
WRFAC,
IOA5444 SaPT.
LOT ARZA -
54" FWT FW ZMTjWWvEW.0
1,142 SOFT,
OWL" FWT MW
a" WPT.
OULVD6 I= MW
5W SOPT.
EMT. vIQ1jv&fAy
4W 90'rT,
TOTAL 111�10M
q*W SaPT'
54*2=
ji
IC�40WMT R"" 0�0"M
TO EMM911041, WN
__j
NY 1cm It, . )fi Aq47)
MIKAY,
ResawrW111,
VXISTINS EMWMAY WZ?��
610 "Fr.
ZXISTI�W CAMPOW RZKOOVIM
2150 SOFT.
TOTAL
2jao saFT
0-8 SLMPAeE =1229)
NE)4 &AP.A" APPITIOW
4164 SOFT.
CARIPRUDW My
Malt AIMITION
M SCLPT.
TOTAL
SpIq 5QFT.
TOTAL IWERY1016 AVOW SMe JJLY 141"
(864+WM)
IA" 90pr.
ANCERA&Z SRAVE:
(A) - "W'
(W 10030
(C.) qq.-IW
(0) qqaO
AVeR*AWV4HIGiii1II1I11 MAMa 414NAV
04AX 8"N9 HEIdW4IT Mqbl'. 25,00) - 124AN'
MOS051W BUILVEM MOW . IMM
8 R�A t
kp MB ItTTJC T S
115111SHIIIIIIIIESI
SIATHE TA 18111
206.283.7808
r_brian*m�xom
ARCHIIECTLIRE
P L A IT IT I N G I
INTERIOR OESIC.
2
IMPERVIOUS SURFACE CALCS
A EXISTING BUILDING PAD: 1178SF (CONSTRUCTED PRIOR TO 1977)
EXISTING CARPORT- 280SF (CONSTRUCTED PRIOR TO 1977)
PROPOSE GARAGE. 630SF
DRnVAY TO REMOVE. 670SF
HEIGHT CALCS LOT AREA:
A=+99.5' .24 ACRE = 10,454.44 SF
8=+99.65'
C=+99.65'
D=+99.5' LOT COVERAGE:
AVG GRADE=99.58' 2418SF = (23%)
ACTUAL=111.75'
MAXIMUM=l 11.75'
c
11
9
4 1 — 5 — ----- T , -5
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EAOSION CONTROL AND DAMAGE
EXISTING 20'x2O'
4' ASPHALT
DRIVEWAY TO REMAIN
I -zL% SLOPE
LLJ
F-
�d-
CD
I I
. z) ",/- 6(
APPROVED AS NOTED
,,&ENGINEERING
z ,VIA �11
Date: -9//7 /ggo-4 -
Zone ff
- 6 Comer /V Fla&,�—
Sjtbacks
Reauired Actual
Front
Sides
.-7'-6 L -7
Rear
Other
Heip
,ht
SETBACK LINE FOR
ORIGINAL HOME/CARPORT
STRUCTURE TYP.
DEMOLITION OF
7.
2
EXISTING ASPHALT DRIVEWAY
AND CARPORT.
5-
RESIDENCE
0
jj�s Sf
Sf 1977
BEFORE
10.0
A
W--w A--w -W-- W--W--w
OSED GARAGE
99.5 r
DATUM
630 SF
-SLOPE
0c),
I
__j
WATER & SEWER
INSPECTIONS REQ'D.
CALL 425-771-0220 EXT. 1326
LINE
NEW SETBACK LINE BY
CITY OF EDMONDS TYP.
RECEIVED
AUG 13 2004
PERMIT C
0 1
0
r: 9
co
z
0
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Lu
LLJ
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GUTTERS/DOWNSPOUTS
TO CONNECT TO EXIST. SYST
CITY C'-'*"""v
cl
00004
CA File No:
Critical Areas Checklist
Site Infor,mation (soils/ topography/ hydrology/vegetation)
1. Site Address/ Location:
2. Property Tax Account Number-
.Vt-, A-, -. n t i'
-1 o3'3(f bo-3 o-m oo
3. Approximate Site Size (acres or square feet):
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.
� 3tv -1-7 0 -
-3 z)1JW03
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hifly: slopes present on site of more than,15*/Q,,pn
lep than 30%, (a vertical rise of 10-feet
over a horizontal to feet).--,,i�j
distance of 33
�44, *A 0, ;i4,1 �-tt
Steep: grades of greater than 30 % present on site. (a vertic rise of 1 fN &V6 iH6fi�:ofiW
distance of less than 33-feet) tj- t .1.4�, 1.- .1
"M
Other (please describe):
6. Site contains areas of year-round standing water: k4—�- Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway r
Q //A floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
N 164- Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs— mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wedand is present on site:
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
3. SC.S mapped soil type(s)?
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Site within designated earth subsidence landslide hazard area? La)A MCLj�
r*�o - - . . -6
DETERMINATION
STUDY REQUIRED
Reviewed
WAIVER
Date:
Critical Areas Checklist.doc./4.22.2003
of ED &
16 OL
City oNdmonds
?A TP Development Services Department
Planning Division
Phone: 425.771.0220
loc. J%()rJ 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.
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
IM901"I 109, Il d 1111 wl
it
V ME
Date Received:
City Rec ' eipt #:
Critical Areas File #: o�2 QQ Q0 S'V
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant: '7-/4/—c,2005/
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
inf6rmatio.n (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.
SIGNATURE OF APPLIcANT/AGENT 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 posting attendant to this application.
SIGNATURE OF OWNER 1�5')LAnir\ 6-4 DATE
I —PLEASE PRINT CLEARLY :3
Owner/Applicant:
Name
Street Address
vok--- clsow-
city State Zip -
Telephone: '_5qL o
Email address (optional):
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
Critical Areas Checklist.doc/4.22.2003
46 0
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
11 STREET FILE I
Nafne: Dal
Site Address- Plaf i C1 teck
Project Description: s�de, cxl�
Reduced Site Plan Provided: NO)
Zoning:
Map Page:
Corner Lot: (YES
Flag Lot: (YES 0
Critical Areas Determination ff
El study Required
Waiver
SEPA Determination: -
Jbil Exempt
El Needed (for over 500 cubic yards of grading)
n- Fee 0 Checklist 0 APO List with notarized form
RequIted S7etbocks
Street:,/ S tde - Rear
—W) J!
A ctu,31 -'1;etbqcks
Street: Side,
Sd Re,-jr
_ 6c:
,Nd Detached Structures- Ex;,S-A�
El Rockeries:NbcNe
f7 ences/Trellises:
El
Bay Windows/Projecting MoQatic�n:
NOStafirs/Deck: r=:�,c' �!k- plec, 5
Datum Point- Datum Elevation:
Maximum Height Allowed: Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area: Maximum Lot Coverage: 35% roposed: zo.
Lot Cover -age Calculations: < �k 19 0, Ys-"/=
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Cofru7ients
Plan Review By.
funmrq Dati form 04 -11 06 doc
PLANNING DATA
NAME: R-MOCK � DATE: 67kqloq
SITE ADDRESS: zL?619 lolf"A Ave. w, PLAN CHK#: 0'1 - 410
PROJECT DESCRIPTION: ir Dee--,o -e)curlu CL�Q,'T FT—ra ot,-- �440e.
REDUCED SITE PLAN PROVIDED?:&LNjo
MAP PAGE: 00� CORNER LOT: FLAG LOT:
ZONING: CRITICAL AREAS DETERMINATION #: 0
Study Required:
WabLer
Conditional Waive
SEPA DETERMINATION:'
L3 Fee
U Checklist
L3 APO list wl notarized form
L3 (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
empt
SETBACKS:
Required Setbacks:
Street: D.5 LeftSide: -7 Right SIde:_7 Rear: 1-9
Actual Setbacks:
Street: q 5 Left Side: 7 Right Side: Rear:
Street map chocked for additional setback required? /r(Ye_s*_1 No DNA)
DETACHED STRUCTURES: D dfTIJ4�r
Ll ROCKERIES: N/�
FENCES/TRELLISES:
L3 BAY WINDOWS/ PROJECTING MODULATION:
L3 STAIRS /DECKS: V,01-e
PARKING: Required:_D— Actual:
LOT AREA: N )yg5
LOT COVERAGE
Calculations:
BUILDING HEIGHT- —
Datum Pol�t: I* k —Datum Elevation:
Maximum Allowed: Actual Height:*
A-D.U. CREATED?: (No4'1 Yes)
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: Mse No))
OTHER:
PIanRevIewBv- Y.0,0
NewBPPlamingDataFomLDOC
GARY HAAKENSON
CITY OF EDMONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
Website: wwwci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning * Building - Engineering
October 27, 2004
Mr. Baldock
23619 104' Ave W
Edmonds, WA 98020
SUBJECT: Water Service Line Repair — 23619 104" Ave W
Mr. Baldock,
An inspection was performed for the water service line repair at your property on
September 3, 2004. The inspection results were good and the repair was approved. Our
records indicate however that a water service line repair permit was never obtained.
Please visit the City of Edmonds, Development Services Department, and obtain the
required water service line repair permit. Our offices are open from 9am-12pm and 1pm-
4pm, Monday thru Friday. You will be required to obtain this permit prior to receiving
final approval of your building permit for the detached garage (permit # 2004-0704).
Please feel free to contact me should you have any questions at 425-771-0220, ext. 1338.
For questions regarding permit fees, please contact a Permit Coordinator at 425-771-
0220.
Thank you,
0*�J- fW&MjjA
Jeanie McConnell
Engineering Technician
street file
#2004-0704
Incorporated August 11, 1890
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EROS I ON C.,ONTROL NOTE:
t--linirnize the, arnount of existing vegetation that you must disturb
For construction. Keep out of sensitive areas and their buFFers
All di5turbod areas shall be, covered and/or mulchod Nithin 12
hour5, if they are, to remain unv�orked For more than 2 days. (-7
days From ��ay I to 5ept. 50)
Areas not being Norked For 50 days or more. shall be,
vec3etated, unless the, County determines that Ninter vicather
makes vec3etotion establi5hment infeasible. IF this is the, case,, it
must still be, more permanently stabilized, usinc3 methods such as --
bonded Fiber rnatrix, or other more, 5toble, EWF's.
Slopes and stockpiles 3H:I\/ or steeper and more than 10 Feet -
of vertical relief shall be. covered if they are, unNorked for
more, than 12 hours.
Al I areas not being Norked prior to Octo ber, 1, and are beine
sooded, shall be, seeded by September 23. Mulchine is recpired
to protect all seeded areas until an adeopoto groNth is
established.
Areas that are, beinc3 hydro5eeded shall hove, a tackifier mixecl
into the, hydroseed to help stabilize mixture onto the, soil.
Fnou<3h cover material to sufficiently protect all disturbed
areas shall be, stockpiled an the site, at the, bec3inning of the,
Net season.
Perimeter Protection:
Perimeter protection to filter 5ediment for eheetvqash shall be
located oloAnslope. of all disturbed areas and properly installed
prior to upslope, groding.
50 linear feet of silt force, per acre, and the, necessary stakes
to hold the, fence, in ploce, shall be, stockpiled on-5ite.
ALL 0ON5TRUCTION 5POIL5 TO BE EXFORTED. NO ON5ITF_ 5TORA5E
AVAILABLE
* USE EX15TIN(5 PRIVE-kNA--r A5 r..ON5TRUr_.,TION ENTRANCE.
* IN5TALL FILTER Fr=Nr-..r- AT ALL Er;)6r-5 OF ALL TREE5 ON SITE
AVEFZA(SE ORADE:
(A) = cfl�.50
(B) 100.50'
A\/ERA6E'r-t�� 6RADE= �Ibl 00
05,
EMEWER DISTRIDT
BY PLANNING
. j -
` &w%jlvlv %,Ulm I MUL AND DRAINAGE
APPROVED AS NOTED
, n 5NGIbEERING
-1 li�LYU
LOT CO\/ERAr_-7E:
LOT AREA =
BUILDIN&FOOT PRINT (EX15T.RESIDENCE):
BUILDIN6 FOOT PRINT (EXISTINC7 6ARAGE):
EUILDIN& FOOT PRINT (NEA ADDITION):
"Nothing in thi,� per�!ri� F�pp�,,) shall be
inte.,vpr-,4A,-A- as a1j,0,w:',9 (d
M&;ntenance of any Md'e,14 a%iotii-ig, illegal,
go�tepnitted �uild[�g, structm
un
or site _, I ion vhW Is ')utsid6 the scope of the
bepnit applicetion, iwvdlp�a of whether such
'i'p' structure or c0ndltllft is shown on the
or bi.ijdi
_g, 4�, dwe or
condino�
Ma1v be swl,,jo-c, t
� -4 . I -,L�aa e
10,454.44
SOPT.
1,750
SOPT.
a&4
50.FT.
575
50.FT.
LOT COVERA6E 5,2 1 -� 50.1=T
50.11%
....................
f=RQf=Q5ED IMFERVIOUS SURFA(�,ES
LOT AREA =
10,454.44
50.17T.
BUILDIN& FOOT PRINT (EXISTRESIDENCE):
1,142
SO.FT.
BUILDIN6 FOOT PRINT (EXISTIN(5 6ARA(Srz):
- b&4
SO.FT.
BUILDIN6 FOOT PRINT (NEN ADDITION):
5-15
SO.FT.
EXIST. DRIVENAi'
458
SO.F=T._
TOTAL IMPERVIOUS
3,61cl SO.FT.
54.625%
Zone QS —a! Corner_&FIag_.Afo
Setbacks gNWred Actual To A
Front W OZ6 +-
Sides,V/S -4.61
Rear ff IS
Oth er
Height
lac%
RECEIVED
KREET FILE jUN 1, 0 2008
BUILDING DEPAR'll.if-INT
4__N% �ICITIYT �1011FEDM�1101NDS
PRE JULY Ict-1-1 IMPERVIOUS 5URFArE (Ic14-7)
(OR[VENAY, RE51DENCE, rARFORT 4 COV'D DECK) 3,150 50.17T.
EX15TIN& DRIVENAY REMOVED - 6-7050.FT.
EXISTIN6 CARPORT REMOVED - 250 SO.FT.
TOTAL 2,150 SO.FT.
POST JULY Ici-7-7 IMPERVIOUS SURFACE (2004)
NEV4 &ARA&E ADDITION + 864 SO.FT.
C,URRENT FROJEOT
NEN ADDITION + 575 S0.17T,
TOTAL 5,611; 50.FT.
TOTAL IMPERVIOUS ADDED SINCE JULY Icil-7
(864+575) 1,43cl SO.FT.
. . . . . . . . . . . ..... ... ..........
B R I A N
C 0 R B E T
A R C H I T JC T S
19513IS1 AVENUE w[SI
SEATTLE WA 98199
206.300.7714
r brian@msn.com
A R C H I T E C T U R E
P I A N N I N G &
INTERIOR D ESIGN
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PROJECT ARCHITECT
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DRA VIN
CHECK
JR. BRIAN CORBETT
STATE
�EOF WASHINGTON
0.11-03
FOR' PERMIT
ONLY
THIS DOCUMENT HAS BEEN PREPARED
FOR PERMIT APPLICATION AND IS SUB-
JECT TO REVIEW AND MODIFICATIONS
BY GOVERNMENTAL AGENCIES.
51 TE PLAN
210141
COMPUTER FILE NAME
_04/10/2005
21011-5
. 5 00-00
JUL 07 2008
BUILDING DEPAR7Z�T
C.i-uv cF: EOW�iai�
R V-S Ul
JUN 20 2008
B%gN 0 1909 MEW
C�- bNOS
7&Iq
&dt"hm
SA
STREET FILE
RECEIVED
JUN 1 & 2008
BUILDING DEPARTMENT
c4TY OF EDMONDS