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23823 90TH PL W
PLANNING DATA
NAME: DUANE CHINK
SITE ADDRESS: 2382-3 -9M FL,W,_DATE: e-15-00
ZONING: RS-� PLAN CHK#: 00 - 3+5
PROJECT DESCRIPTION: OMF, STbP-Y ADOMOM -To IBAC-K OF
eMSLIMa SER.
CORNERLoT No, (Yes/No) FLAG LOT 90,� —(Yes/No)
SETBACKS:
Bequired Setbacks:
Front: 2Z 1 Left Side: -7 /1-1 Right Side: Rear:
Actual Setbacks: EXIdn ".
Front: *2-01 Left Side: 15� Right Side: Rear:
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED -YIN)
LOT COVERAGE:
Maximum Allowed: Actual: S3;eo / S 1 11,313
BUILDING HEIGHT:
Maximum Allowed: Actual Height:
Datum Point: Datum Elevation:
A.D.U. CREATED?:
0.
SUBDIVISION: 9/k,
CRITICAL AREAS #:— 00 - 14,
SEPA DETERMINATION: RA.,
LOT AREA: 91740 5Q I rr.
191111ifftl4_0
Plan Review By:
F-18-00,
3115'QJ m..
91-740
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Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrolo�y/vegetation)
1. Site Address/Location:
2. Property Tax Account Number:
Approximate Site Size (acres or square feet): 1 0C-7
4. Is this site currently developed? X yes; _ no.
If yes; how is site developed? -:S
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).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
10-feet over aborizontal distance of 33 to 66-feet).
Steep: grades of 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: Qj ___; Approx. Depth:
7. Site contains areas of seasonal standing water:
; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway tj C, floodplain_ of a water course.
Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? - lAo, — 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: Q o
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OV ED&
. .. .... City of Edmonds
. . . . . . . . . . . . .
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept: -i-IJ-2-coco
City Receipt No: 15S 1!5
Date Mailed to Applicant -
CRITICAL ARVEAS 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 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 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 column below).
PLEASE PRINT CLEARLY
Owner/Applicant:
Name
Street Address
City State Zip
Telephone
Signature
Date
d:receptionriana/CACLHandout.doc
Applicant Representative:
e
Name
<
Street Address
City State Zip
Telephone
Signature
Date
Revised 4/10/2000
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Critical Areas Checklist
------- ------------------------------------------------------
Site Information (soil shop o graphy/hy drol o p/ve getation)
0
1. Site Address/Location:
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): 1� �907C7
4. Is this site currently developed? X yes; _no.
If yes; how is site developed? r C
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 IS% (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
1 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of 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):
Site contains areas of year-round standing water: _ 11-11 r-� ; Approx. Depth:
Site contains areas of seasonal standing water: 0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? - 1\�n — 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: k� 0
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City of Edmonds
.. .. . ....
............ ...........
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
CRITICAL ARTEAS 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 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 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 column below).
PLEASE PRINT CLEARLY
Owner/Applicant:
Name
Street Address
City State Zip
Telephone
Signature
Date
d:receptiorulana/CACLHandout.doc
Applicant Representative:
Name
<1
Street Address
(�29 (-0
City State Zip
H -2-S� I ED
Telephone
Signature
Date
Revised 4/10/2000
CITY OF EDMONDS
SINGLE FAMILY ADDITION/ REMODEL COVER SHEET
Directionse Applicants are to complete the Information In the WHITE BOXES ONLY (Shaded boxes are for City use only).
This cover sheet must accompany each building permit application for a single-family residential addition/remodel project.
PLANCHECK#_
APPLICANT
DATE RECEIVED
PROJECT ADDRESS �L3-S
--2-3- q 6,,,-
PROPERTY TAX ACCOUNT PARCEL 1 9 1 20 — J�Z- IrwtN3,-z� k,
DESCRIPTION OF WORK
OWNER
PHONE
CONTACT PERSON
PHONE &IZC.)Z42�1 -egs-k
E-MAIL
FAX
MAILING ADDRESS
kjh,__ 98 Z�
FAX CORRECTIONS
D MAIL CORRECTIONS E-MAIL CORRECTIONS
BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO
COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I
UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT
MAY BE APPLICABLE TO THIS PROJECT.
I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY
DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED.
SIG NATU R
DATE
ZONING INFORM�ION
ZONE t-S
LOT AREA
,NUMBER OF DWELLING UNITS
EXISTING DEMOLISAED PROPOSED
DISCRETIONARY APPROVALS
3—
CA etermination SUBDIVISION CU
VARIANCE SHORELINE SEPA Expires 6THER
L - OT COVERAGE INFORMATION
EXISTING SF
PROPOSED SF TOTAL SF �,SJ0 %339,,
HEIGHT CALCULATION INFORMATION 6V40. W
DATUM -M I J�� A�, %&LAt,&, A B V C 0 it,
AVE L11. 5r
MAX �1 24 - S_ TUAL /ff.
SETBACK INFORMATION
REQUIRED FRO:T
SIDE S:DE REAR
PROPOSED FRO T
SIDE S DE REAR
CNR-LOT E]YES ONO
FLAG LOT 1:1 YES NO ST.DEDIC. [:]YES []NO FT.
ADU STATEMENT REQUIRED
YES [:]NO- RECORDING #
STAFF COMMENTS:
L:\temp\building\forms\Add-rvw.vsd -- 7/00 1
ENGINEERING INFORMATION
DRIVEWAY SLOPE % — GRADING CYDS3--L— EASEMENTS'_')��
EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SCI.FT
EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER 14' SQ.FT.
PROPOSED NEW NET IMPERVIOUS SURFACE I 'I Z4 SO.FT.
(City Use OnWj ]YES [—]NO LID#
SIDEWALK REO'D 1:1 YES[:] NO DRAINAGE PLAN REG-D [_
UNDERGROUND WIRING RECI'D [—]YES[:]NO STREET DEDICATION YT.
STAFF COMMENTS -
BUILDING CONSTRUCTION INFORMATION
CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS
DESIGN CRITERIA WIND EXPOSURE B WIND SPEED 80 MPH SEISMIC ZONE 3
Floor Live Load qo Roof Snow/Live Load SlLt5 Balcony Live Load
Floor Dead Load V Roof Dead Load Balcony Dead Load
NUMBER OF STORIES BASEMENTS FLOOD ZONE
LOT SLOPE % 2-ok SOILS REPORT PROVIDED YES NO
01 P,
FLOOR AREA (Measured to face of exterior wall)
Existing Proposed Total
Living Space 211,00 L4 91
Garage
Carport
Deck/Cov. Porch
Other
(City Use OnW
Ceiling Insulation Window U-Value.
Wall Insulation Skylight U-Value
Floor Insulation Glazing %
Door U-Value Slab InsulfaTtoNn 0—
Energy@ P(Prescriptive [3 Target 11 Systems
Whole House Ventilation System Req'd [I Yes "No
y1j
Any request for modification, variance or other administrative deviation (herinafter "variance') must be specifically called out
and Identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a
variance has not been specifically Identified, requested and considered by the appropriate city offical In accordance with the
appropriate provision of city code or state law does not approve any Items not to code specification.
PERMIT ISSUANCE APPROVALS (City Use Only)
PLANNING REVIEW & APPROVAL DATE
CONDITIONS OF APPROVAL:
ENGINEERING REVIEW & APPROVAL DATE
CONDITIONS OF APPROVAL:
BUILDING REVIEW & APPROVAL /
CONDITIONS OF APPROVAL: E ftj
FPERMIT EXPIRES
USE
PERMIT
ZONE k,5-ia_w
NUMBER g&v
COO 01��APPILWATM
JOB
SUlTE,,APT*
ADDRESSe
5;;p A, A 10
n-'e"WOMAW400wo
NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE S
ICPLAT
L911111111111id—
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 0
RW Permit Required 0
EXISTING — PROPOSED
Street Use Permit Req'd 0
Inspect on Required 0
Sldewa:k Required 0
-1
REQUIRED DEDICATION—
FT
Underground
4-ftZA 775-_45-117
"killit
Wiring required 0
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 0
9
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-CAk
REMARKS
z
z
OWNER/CONTRACTOR RESPONSIBLE
FOR EROSION CONTROUDRAINAGE
a
z
ENGINEERING
REVIEWED/DATE
0
21
FIRE REVIEWED BY
DATE
w
0
LL
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
&P%PP;-4:P% CHECKlftD BY
REQ'D
POSTED
0 YES 0 NO
SEPA REVIEW
COMPLETE,, EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
<_j
6!
EXP
LOT COVERAGE
ALLOWED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT URSIDE REAR
.--V&%G f MECH
PROPOSED
:CJV=�.IANCEE OR
z
OF USE
z
PARKING
LOT AREA
PLANNING REVIEWED BY DATE
REQ P PROVIDED
4C 444 X FT)
REMARKS
CHECKED BY TYPE
OF CONSTRUCTION
Awl
C E OCCUPANT
GROUP
e&=771
�A_L
SPECIAL INSPECTOR
OCCUPANT
C
1111111111111111111*0 1-r-1--
0
0
R
JAREA
REQUIRED [:] YES
LOAD
REMARKS .
PROGRESS INSPECTIONS
PER UBC 108/FINAL INSPECTION REQ'D
_j
4row MAW
to
A "'
All"
5C Ax
VALUATION
FEE
PLAN CHECK FEE
OT.SLOPE %
BUILDING
PLAN C0160K 10 DATE
PLUMBING
MECHANICAL
TK,ISZ-L=10-4UfWAW�2M-'4449ZOWIC-T-- PERMIT COVERS WORK TO
:t:Po Zb Z11011l AWf Z*r46TR'JCnON ON THE PUBLIC
21111JUCYAWS, Wl. ETC.) WILL REQUIRE
GRJING/FILL
HARGE
SOW# A!11111101_� !,W =At S
-400 1 G CM MOWS SZARTIED WITHIN 180 DAYS
ENG. rVIEW FEES
&0" 20 111111110 AIPW PCW WORE Por-ORMATION
14[cs 4;r_L_1a_ AS SIGNS AND SUCCESORS
ENG. INSPECTION FEE
U) *"VPWI JW-C "�L.:) mAPMLESS THE CITY OF
LANDSCAPING
A�,D AGENTS FROM ANYAND
INSPECTION FEE
cc OVIs %^:"
C;_..n4j -R.i OIRECTLYOR INDIRECTLY
10
RECEIPT
:lls, '140 WS11111111- T-HIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
5 MX,,** WossA '3w 011, *,W* ZE:1-1 Z�EVFNT OF ANY CITY ORDINANCE
40� 1111111111f, LNYORDINANCE PROVISION."
RECEIPT
TOTAL AMOUNT DUE
'N+W -Okwf 3.��_,:.ATION, THAT THE INFORMATION
APPLICATION APPROVAL
GIVE% -*W AW�,f :�F�z :-P 7'-r CULY AUTHORIZED AGENT OF
THE C, Q:z 0— :,—A.%r- S LE -A'-','S REGULATING CONSTRUC-
CALL
This application is not a Der.mit until signed by the
T10% A�,,: IN --f W:ft sli."1-04�-- %0 �=RSON WILL BE EMPLOYED
Building Official or his1he, Deouiy: and Fees are paid. and
IN :.ia :A --ti Aorja :" Vir --f-: S-A- C� v.,ASHINGTON RELATING TO
FOR INSPECTION receipt is acknowleagec in space provided.
S
Q0*IALS SIGNATURE DATE
SIG%A DATE SIGNED
(425)
�4��d
/;,�> -//
��-(
771-0220
REfLEfASED BY D�TE
ATTENT)6N
EXT1333
IT IS -SE :F-'ZCCLP��.A. BUILDING OR STRUCTURE UNTIL e
A FINAL -AZ BEEN WALE k%D APPROVAL OR A CERTIFI- 771-0221
CATE C= -A—S Z�E-N- SAAI�_E:D. UBC SECTION 109
FAX
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
5/98