23808 101ST AVE W.PDF1111111111
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23808 101 ST AVE W
PLANNING DATA F=ile'
SINGLE FAMILY RESIDENTIAL
Name: A v, �4'61
Review Date:
Site Address: 10 1 54 4 V-e W
Permit Number: BLD -
Project Description:
Zoning: J2- C-> —
Comp Plan: e� IF
Corner Lot:( OE/ NO)
Flag Lot: (YES
Small Site Plan: NO)
ADU Created: (YES 00
LLA:
CUP:
Variance:
Shoreline:
Subdivision/Legal/Recording Number: Lof- wvo6(�iavz4i +,dd
Legal Nonconforming Land Use Determination Issued: (YES (90
Critical Areas Determination #: 0 0
Study Required
Waiver
SEPA Determination: t/.,( tiv%-P+
Required Setbacks
15�-
( W)—
'kff
A e af—
tu etbacks
Street:
Side:
Side:
Rear:
Detached Structures e Rockeries/Retaining Walls 9 Fences/Trellises/Arbors
Bay Windows/Projecting Modulation * > 30" Stairs 9 Covered Deck/Porch 0 > 30" Eaves
Chimney/Fireplace * Uncovered Unenclosed < 30" Deck/Porch/Patio
Parking Require 2
Parking Provided:
Coverage Required: 35%
Coverage Provided: N C.,
Lot Area:
Lot Coverage
Calculations. C,
Buildinq Height -
Datum Point:
Datum Elevation:
Maximum Height: 25'
Actual Height:
PlanReviewl3y: Gina Janicek Associate Planner.
-77 ( qZ It-
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'FRONT
SIDE
BEAR
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PROJECT ADDRESS OWNERS: SCOPE OF PROJECT;
JIM & GENIE FAWCETT ADDITION OF 590 SQ FT SINGLE STORY
23808 101 ST AVE WEST MASTER SUITE.
EDMONDS, WA 98020
206 542 - 0102 ZONE: RS - 8 Lit
I
TAX No: 006158 - 000 - 008 - 00 LOT SIZE: 77.62' x 120.1 = 9,314.4 SQ FT
RECEIVED
LEGAL: MAR 9- 2001
LOT 8 WOODHAVEN ADD.
DEVELOPMENT SERVICES CTR-
CITY OF EDMONDS
CA FILE NO. -71/ &S
5c\
Critical Areas Checklist P6- �o
---------------- ------------------------------------------------- �-
Site Information (soil s/topography/hydrology/vegetation)
L' Site Address/Location: 2_1�eoi5 to 14 AAJV, VT-
2. Pro perty Tax Account Number: 06 W %� E5-000-000 - 00
3. Approximate Site Size (acres or square feet): 2-4o 2 Q F
4. Is this site currently developed? __Je:�'yes; no.
If yes; how is site developed? `�705 F�
5. Describe the general site topography. Check all that apply.
0C 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 3 3 to 66-feet).
Steep: grades ol"greater than 3 0% 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: N 0 Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Sfte. is in the floodway NO floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? _ �jo — Flows are seasonal? 14 0 (What time of year?
10, Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: NONE
AcVhlLdK Rev 10/03/97
RECEIVED
C . ity of Edmonds NOV 2 12000
DEVELOPMENT SERVICES
NAW CRITICAL AREAS CHECKLIST
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 devel*opment
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 conjunction with this Checklis"t
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/A7pficant:
Name
�Z'�eOLP) 4 AVE-
Street Address
�,DHWP� , WA 1502�D
city State zip
:?- 0 4� , Z 0 10 2—
Telephone
Signature
'0 c),
Date
Applicant Representative:
K(Ki5fiq
Name
V12- kPF-R- !�T-
Street Address
. �V' wA- let) 2- L, ?
city State Zip
.4Zz� 774 --717-1
Telephone
— k��n #dnw.
Signature
11. 1� -2,00o
Date
creception\janakad.doc
(over)
CA FILE NO.
Critical Areas CheWist
0�
CA - ou - /I -7'/� &S
t- C\
f I fiT.
---------------- -------------------- ---------- --------------- 6%
Site Information (soils/topography/hydrology/vegetation)
L Site Aadress/Location: 2, -72 e o �3 to 1 4f &V- �\T'
2. Property Tax Account Number: — 06) (0 1 17 95 —000 --too 0 .40 0
3. Approximate Site.Size (acres . or square feet): _ q2-4c) c7Q . F-rTj
4. Is this site currently. developed? _IeLfyes; no.
If yes; how is site developed? 2' P IZ-
5. Describe the general site topography, Check all that apply.
6.
7.
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 3 3 to 66-feet).
Steep: grades ofgreateT than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
Site contains areas of year-round standing water:
; Approx. Depth:
Site contains areas of seasonal standing water: fNI 0 _; Approx. Depth:
What season(s) of the year?
NC)
8. Site is in the floodway NO floodplain K D of a water course.
Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? �j 0 — Flows are seasonal? t4 0 (What time of year?
10. Site is primarily: forested — ; meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) )41
I I . Obvious wetland is present on site: - &10 t1i F_
- - - - - - - - - - - - - - - - - - - -
---------- -- ..........
7
e
111ve 'or
nt Y P� a icates.wedan .-Preseni.onste.,*
d
in icat6s ca ea on sit
.4�' - Cr�icad:Ar�as. mE."v"e`:ni6r'***'**: *' *t.'k a I .::,
y or, �mo
.'�sjgr;Rte �ubMde
Ite wit in earth andsli.d
^CkALd0C; P" 103197
RECEIVED
NOV 2 12000
City of Edmonds
DEVELOPMENT SERVICES
lk� CRITICAL AREAS CHECKLIST
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 develo'pment
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 infor mation (P.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 colurrm below).
Owner/A7phr=t:
FAW XlY
Name
Street Address
F,DHOO�--4WA 1�502�D
City State Zip
'�'o Z-2-4 Z — 0 1 . 0-7—
Telephone
Signature
r-? 10 0
Date
Applicant Representative:
KRb-fiq kA�Je7otq
Name
Street Address
�V- wA- leo 2-o
city State Zip
4Z� , -7-74 --7121
Telephone
— "n ��n-w-
Signature
U. 1�
Date
c:rc cepti on� ana\cacf.do c
(over)
ATE RECEIVED
BUD 111Q, [PIERMIT 02-
EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE
I O�C
NUMBEFI)M
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
�ADDRESS
OWNER NAME/WAME OF BUSINESS
PLAT NAME/SUBDIVI SION NO L T
O;�;
LID NO.
LID FEE $
MAILING ADDREt
z
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 0
0
EXISTING PROPOSED
REQUIRED DEDICATION— FT
RW Perrnit Required 0
Street Use Pennft Req'd 0
Inspection Required 0
Side.alk Required C1
Underground
CITY
TELEPHONE
wiring required 0
NAME
METER SIZE
LINE SIZE
I NO. OF F URES
PRV REQUI RED
z
YES
ADDRESP,
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
w
z
z
"4e
w
CtIry P
TELEPHONE
DNI VK) 0,� 10M
NAME
AaENGINEERING
REVIEWED/DATE
e7 /
I
m ADDRESS
L)
Vf
,L-
FIRE REVIEWED BY DATE
Lu
!E
U.
1!.
z CITY
U r7NZ,p
0
14
TELEPHONE
z'� '-M 17*90 4-
STATE LICENSE NUMBER EXPIRATION DATE
r,- r-6k�-
CHE KED BY
701
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
RE
0 YES `)60
IPBOND
OSTED
0
SEPA REVIEW
COMPLETE EXEMPT
EXP x
SIGN AREA
ALLOWED PROPOSED
-
HEIGHT
ALLOWED PROPOSED
'j PROPERTY TAX ACCOUNT PARCEL NO.
I
.0 — Lode 1�6�)
E3 NEW RESIDENTIAL A((P�LU�BING�ECH
LOT COVERAGE
ALLOWED ROPOSED
REQUIRED SETBACKS (FT.)
FRONT SI IDE REA P4
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
ADDITION 0 COMMERCIAL [3 COMPLIANCE OR
avz/ 19,4% _
I
r /j —
2 0.1 1
I r< 1 4)
I ro 1/��
z
z
CHANGE OF USE
z
. PARKfNG
REO'D I PROVIDED
LOT AREA
PLA NNI G R4EEWEWAY
REMODEL 0 APARTMENT 0 SIGN
FENCE
f REPAIR 0 GPIPADiNG 0
CYIDS FT)
REMAHKb4
4 �&
CORWEP, bym-, Rva- ZOTBA4
DEMOLISH TANK Ei OTHER
I
FRO or t0tetilk&V- Fog, CAP-rolzIr 15
o GARAGE RETA' NING WALL E] RENEWAL
CARPORT R K.R
OC F Y
f;0 tic, me,,
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CH ECKED BY
ryPEO
OCCUPANT
.7STRYTION
I k
GROUP
z2— 'I-
AJ NUMBER
3 OF
NUMBER OF
DWELLING
CRITICAL
AREAS
SPECIAL INSPECTOR
JA REA
OCC UPAT
UNITS
NUMBER(
REQUIRED
_STORIES
C] YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1.08/FINAL INSPECTION REQ'q
—TD P rT,
10 M 0 P - c2l-ell
0 FT'j
VALUATION
FEE
I
PLAN CHECK FEE
J510
H -- '
[j�,�LAZING I— LjT11PE
BUILDING
PLAN CHECK NO: VESTED DATE
PLUMBING
q0
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
D
SEPARATE PERMISSION.
t
STATE SURCHARGE
uj PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
RECEIPT
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITYTO ENFORCE ANY ORDINANCE PROVISION."
TOTAL AMOUNT DUE
R, CEIP/ 7L/ 5 q_54
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-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or histher Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided.
WORKMENSCOMPENSATION INSURANCE AND RCW 18.27.
SIGNAT (OWNE DATE SIGNED
(425)
0 1' FFICI?kj "- NA RE IDA E
WOCAGErA
'� "'M "��
I , AV 0/
.771-0220
IELEF7L.
ENTION
EXT 333
IT J IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE - YELLOW - INSPECTOR
FAX
PINK - OWNER - GOLD - ASSESSOR
5/98
-_J
Z�
N
if
7-s
'"OUWW in this permit approval process shall be
iftterPreted as allowing or P-917mitting the
maintenallce Of anYCurrently fmi" Wegal,
nonconforming or unpermitt4- building, structure
or site condition which is ouEside the mope of the
t application, regardje_,48 of whethei such
=UUdW
_ & structure or condition is shown on the
siteslan or drawing. Such building, structure or
in ition may be the subject of a separate
son
enforcemeitt action."
. ........
Zon.e 12,5 — Z Comer Fla&_
Setbacks Required Actual
Front N SIE C
Sides C--;,/ -7.5
Reaf E: '715
Other V
Height 17,15
APPROVED BY PLANNING
31ON S (3 V
c
NOISIAIGIUNIH 3NION3
Jp
SW corickET-E
N01 -21
120 DEVELOPi�i�-NI'SERVICESCT'11'.--'�""----'�-'--%qJTR-EET"-F'I'LE
CITY OF EDMONDS