23919 106TH PL W.PDF1111111111
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23919 106TH PL W
0
ADDRESS: 14�-,
TAX ACCOUNT/PARCEL NUMBER: 00 01�q'�T-009 0/�z 4!0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:. a�"alq - DETERMINATION: E] Conditional Waiver 0 Study Required K(Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA'
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:,
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LID #:
LOT: BLOCK:
LATEMP\DS7rs\Forms\Street File Checklist.doc
0 9
PLANNING DATA STREET FILE
SINGLE FAMILY RESIDENTIAL
Name: Date:
Site Address: Plan Check —1
Project Description: obx"� V-mc""
Reduced Site Plan Provided: NO)
Zoning- Ra:cg
Map Page,
Corner Lot: (YES
Flag Lot: (YES
Critical Areas Determination 9L009=C1
Study Required
aiver
SEA DeLerrnination:.E�Ker--,e-�,V
Exempt
Needed (for over 500 cubic yards of grading)
El Fee 0 Checklist 0 APO List with notari7ed form
Required cks
Street:
Side6
W
Rear
Actual Setbacks
Street:
ide-
Side
Rear:
)0 Detached Structures: Ex- . lz�n i lb�%O--Zl-j O'VN
Rockeries: 'Vb.^clas-�Ve- Uoc�� G�\Otz'-\ oet
Fences/Trellises- Qc,.\c_eS e�No'-Z'N C'rN
El Bay Windows/Projecting Modulation:Nor\e, %\r\�r-'.
PRI Stairs/Deck: sNcems, 4 re-,.-c-
hke-fg—ht
Datum Point- M�Aex-
Datum Elevation: + \cnl
Maximum Height Allowed-
Actual Height: [co
Other
Parking Required:
Parking Provided: Nn
Lot Area:
Maximum Lot Coverage: 35% k'4oposed:
aq aog-t kowsy-y=
Lot Coverage Calculations: re
QM7�- yqe
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES /9
Cotnments
Plan Revie fldonmq Dad Rw- 04- 11 -04, doc
#P20
'17C. 1%9',,
City. of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
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.
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).
Date Received: g,1-1 Z U 6
City Receipt#:
Critical Areas File #: ?-0-0& -,C)
Critical Areas Checklist Fee: $1,J15-.0d
Date Mailed to Applicant:
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
information (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 cer* that the information and exhibits herewith submitted ar e and correct to the best of my
e owne as sted below.
knowledge and that I am authorized to file this application on the beh '*4
SIGNATURE oF APPLicANT/AGENT
Property Owner's Authorization I I
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 postmi tendant to this application.
SIGNATURE O.F OWNER lot DATE
Owner/Applicant;-
elda- 61e
Name
Street Address
<F� 1�20 IVaIS Zl),q
city State Zip
Telephone: - -L
� 6 - - ?0/--
Email address (optional):
Applicant Representative:
Name
Street Address
�gf 2"d ko /2) Ad ?6C 6
City State Zip
Telephone: X-J -57 / - �� V �7
Email Address (optional):
#P20 CA File No:
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetaiion)
1. Site Address/ Location: —R6q19 E9�O)a
2. Property Tax Account Number: a 9-5-6000,1174,00
3. Approximate Site Size (acres or square feet)-
4. Is this site currently developed?
-L/"yes; — no.
If yes; how is site developed?... 5X � "I " al le- )0��M d A96
5. Des e the general site topography. Check all that apply.
Flat less than 5-feet elevation change over entire site.
77 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. a horizontal distance of 33 to 66-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).
Other (please describe):
6. Site contains areas of year-round standing water: ;Approx.Depth:'
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodwav floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
OR 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: ryo
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned? R S
3. SCS mapped soil type(s)? %t" toam
4. Critical Areas inventory or C.A. map indicates Critical Area on site? /V//+
5. Site within designated earth subsidence landslide hazard area?
DEIrERMINATION
STUDY REQUIRED WAIVER
Reviewed Date: -3
Zone Corneryofla&O
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front�w) --26--�
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Sides 6j/5W1-3,-Z-
Rear ( 6) --t-AS-L
STREET A&
— �ervious Surface Calcs:
Other ... I
E�gt L-2-6, _*.CWEx. Building: 1800 sf (constr. in 1980)
Ex. Attached garage: 440sf
Ex. Doll House shed: 80sf
Ex. Wooden Deck: 308 sf (Ht above ground = 18")
Ex. Driveway: 486sf
Proposed Addition: 288sf
Total Imp. surfaces: 3402 sf
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Ex. Drivcway
APPROVED BY PLANN.ING\. 7%,
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APR 10 2008
APPROVED BY ENGINEERING
O&jd8n
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Date: 1416-109-
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58.5 "7771
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Ex. Dwelling G
1800 sj7 TO
Claude & KarinTate
Paecel # 00689500001400
23919 106th PI W. Edmonds, WA
Lot Slo'pe
Lot Size -.24 Acres
Lot Coverage: 2608sf (25%)
Ex. Dwelling' - 1800 SF
Ex. Attached Garage 440 SF
Ex. Detached Doll House shed 80 SF
Total: 2320 SF
Proposed Addition - 288 SF
New Total: 2608 SF
Height Calcs:
A= +100.75 A(1) +100.75+ A(2)+100.75/2=+100.75
B = +101.25
(= +101.5
D— +100.75
Ave Grade= +10 1.06 6
Actual = +117., %3
Makimurn = +126.06
0
142.9
C+101.5
+101.V
F
I— r
:s-m- I
MNSPOUT�
TO EXIST SYS'
OWNER/CONTRACTOR IS RESPONSIBLE
FOR EROSION CONTROL AND DAMAGE
Alo more
e,dmves
-CeAr6ucics.
Site Plan Scale - 1 "=20'
OV
;71;k
30 SF