24106 76TH AVE W (2).PDFlill 1111 lill
6460
24106 76TH AVE W
m
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PER -MIT (NEW STRUCTURE
COVENANTS (RECORDED)
CRITICAL AREAS: — qq*q DETERMINATION: E] Conditional Waiver 0 Study Required Qj'�aiver
I I
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED: I ZI '144— 61
SCALED PLOT PLAN DATED: 1 '2_1 q+
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: 9(7) BLOCK:
SIDE SEWER AS BUILT DATED: to
SIDE SEWER PERMIT(S) #: LQ
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
. n1 to Irw (c
OTHER
L\TEMP\DSTs\Fomis\Street File Checklist.doc
PLANNING DATA STREET=FILE
Name: L (XLA Ira-, V- L4
Date: 09. 2_q . 2.C>C)(
,0
SiteAddress: 2,41C)(p -�-(P-mA-ve W
Plan Check #: BLD-2006- I
Project Description: 41(p" Wrl)VqVit 1VM feVlre
Reduced Site Plan Provided: ES N )
Zoning: P-S —9
Map Page: C)C)(p -I
Corner Lot: e NO)
Flag Lot: (YES /e
Critical Areas Determination #: CP-A - 101 61 +- 000cl
El Study Required
Waiver
SEPA Determination: eX-e�p+,
ISExempt 2f @rolct(v1'0 pporo�,e4
El Needed (Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
Re * Setbacks
7 ----7
Street: 5
Side:
I
Sid
Rea
Actual Setbacks
Street: A,
Side:
Side:
Rear:
0 Detached Structures:
0 Rockeries: 490
Fencesaremses: 4-E5' 1Vb-y1fWC,-e-, 6LVMV14 fP-
Bay Windows/Projecting Modulation:
Stairs/Deck:
Parking Required:
Parking Provided:
LotArea: CP )�LotCoverage:
Lot Coverage Calculations:
Building Height
Datum Point:
Datum Elevation:
Maximum Height: (01 or
Actual Height: 4-131
ADU Created: (YES
Subdivision:
�Legal Nonconforming Land Use Determination Issued: (YES / UNO
Other
r?-w 0161
Ov,15wal 041(A54 'IC- t&J+J
v�-: I A 4 1 -%� L, 6,A I Ksyl 0y&WNV"iq
Plan Review By: gf;W 6,70�
SIVR5
PLANNING DATA
SITE ADDRESS:-Vf)6b -7&4-AV-Q DATE:
ZONING: IZ-5 - h PERMIT#: q4q�,
PROJECT DESCRIPTION: 2Yn0L- 15 ti- eu I.,
-N'4' c--, 4:>Adh r-_
SETBACKS:
Reouired Setbacks:
Front:, �26 Left Side: Right Side:-J�/�_"W: *SMF
Actual Setbacks:
Front: 4.8::�2 Left Side: 291-� Right Side: Rear:
To f-�
FLOOR AREA:
LOT COVERAGE:
Maximum Allowed:-6,1 9 -7 Actual:
BUILDING HEIGHT:
Maximum Allowe4� 12 1' 7 Actual Height:(Ai !�2 9'- 1
SUBDIVISION:
CRITICAL AREAS #: qzl- 1
SEPA DETERMINATION: �0-r- IZ-50
LOT AREA: o5o
[sit
ff. I = I a I rem M E 011-71, W.- W9 Ij 0 Rol It", W-1, W T IV S1, t �.- E
Plan Review By:
7
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16
-STff6fT FILE"
r 6e KW FOA A 14
APPR
V D Y
PIANNI
or
E
��FR, ET
Z�
fFFence must be located orWkivate property.
*property owner respon"Wor determining MINIMUM 131F
property lines. jj NW461
4pFence shall not enclose or prevent access to any 1 -7
C intained utilities. I mem Zif T, 146F0VM
V
41 . .......
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RECEIVED
APPROVED BY PLANNING
STREET FILE
AUG 8 200
OU
W, APPROVED AS NOTEFERMIT C4,,OUNN ER
BY ENG E
Date: 0?1 -7 /Zoos-
Ce LE NO. q4-q
STREET F1 ritical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 'Q1 nk -1 L 4A to - p J, A.
2.' Property Tax Account Number: 11VI-016-001-00 RECEIVED
JAN 1 8 '1994
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? -yes; no. PERMIT COUNTER
If yes; how is site developed? -c1jUAJ--e CIAXY Hhj"r- &plkjAj:�.-
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 a horizontal distance of 33 to 66-feet).
Steep: grades of greater tha n -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: A-1 ;Approx. Depth:
7. Site contains areas of seasonal standing water: Aj Ll Approx. Depth:
What season(s) of the year?
8. Site is in the ffoodway A Jr) floodplain AAe of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? /V 0 Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow _; shrubs mixed
urban landscaped (lawn,shrubs etc),4-
11. Obvious wedand is present on site:
.i
Rcv0t/0094
'1190 -199-
City of E&non&
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 t6 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 p*roperty. The
information'needed to complete the
Checklisf should be easily available from
observations of the site or data a vailable 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 dete n of the
subsequent steps necessaryto complete a
development permit application.
With 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, the applicant shall include
other pertinent infonnation (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 theappropriate column below).
Owner / Applicant:
. KJACd
Name
72- 9 lo 7� �'� A 1/r- tv,.
Street Address
LLO-I�ar\)A wA. nag -731--Ily7i
Phone
Al/
Date
Applicant Representative:
Name
Street -Address
City, State, ZIP Phone
Signature
Date
� t�.
The City of Edmonds
APPLICATION
for
SEDE SEWER PERMT
INSIDE REPAIRS
CARDNo . ......................................
EASEMENT No . ...................................
... ... ... ....
OWNER ....... .....................................
CONTRACTOR ............... .. . .................... ........................ PERMIT N
HOUSE No . ......
. ....... �7 ...q4 cu
...... .......................... .............
STREET
AVENUE LOT No. 9 ............................
]BLOCK No . ...............................................
-4.4.ka ........... A�-��Ae-WL
NAME ADD. ..............................
40
4
KI
cr� 5
APPROY6
MAR
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ................................ ............
SEWERWORK ORDER ISSUED .......................................... DATE ................................................ By -------------------------------------------------------------------
01
Iv ;;z-
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
,;;7
a, 9 0 - 190, -
City of E&mon&
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 Edmondsprior
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).
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.
With 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, 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
AV% assessmem, 01 the Me.
ff aft.
An applicant, or his/her represenwi
must fill out the checklist, sign and date i Ys UOP
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 / Applicant:
K" & r
C,
Name
-2- 4 /a � 7�
Street Address
&;�'dljg o ri wA, 7&2.4 -7V-'Iy�J
City, State,4ZIP 4 /1 Phone
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
P
Date Signature Date
CA FILE NO. CT4-C,
Critical Areas Checklist
Site Information (soils/topography/hydroloiiv/vegetation)
1. Site Address/Location: 1-11 o -1 We, w A. 001L
I Property Tax Account Number: qqjj-000-C,01-,-)�3
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? __,Iyes; — no.
If yes; how is site developed? �� 1',ud= I OILY Hem e-, U6 �AIAJ:::j_
5. Describe the general site topography. Check all that 4pply.
6.
7.
8.
9.
Flat: less than 5-feet elevation change over entire site.
R IF V E
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
0
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 tha n 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: A Approx. Depth:
Site contains areas of seasonal standing water: Ai 0 Approx. Depth:"
What season(s) of the year?
Site is in the floodway A J,-) , floodplain lVe of a water course.
Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? /V 0 Flows are seasonal? _ (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped 0 awn, shrubs etc)"
11. Obvious wetland is present on site: /�j Pj
Rev 011004
LEVEL
MINIMUM OF ONE REQUIRED
ON EACH STORY AND ONE IN
BASEMENT
LAW LA L kT I Or -
Pilo:
-7.5'
6,# cc nj
wK
IAT
41,
fal—
Q FLOWS
,9 L4
Jul AIC , A -
P/Lopove4.; 1.7cfq fr--
1 C161
rc4kL 37srsP
lot
Z7
d
0 !L
A: lot
vaju Af,.*%0j
L
PLOT PL/--A". v%.rzol
RO D AA1 N G
OTREET FILE
IL
dj\mft.-rv4
L11/
PLANNING DATA
NAME:
SITEADDRESS: ��10(, DATE: 7/2 71q -7
ZONING: PLAN CHK#: 2 e,
PROJECT DESCRIPTION: C1 k± _X_
CORNERLOT Yes/No)
SETBACKS:
Required Setbacks:
Front: '25 " -Left Side: Right Side: Rear:
Actual Setbacks:
Front: 1W Left Side: 7 Right Side- �10 Rear:
Street map checked for additional setback require� ��(Ye�s/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED � (Y/N)
LOT COVERAGE:
Maximum Allowed: 754 Actual:
BUILDING HEIGHT: , 1,
Maximum Allowed: Actual Height: /I &
I Datum Point: Datum Elevation:
A.D.U. CREATED?: NDr C
CRITICALAREAS#. ep,
SEPA DETERMINATION: k'c
/1 -750
LOT AREA: 400t?t �f-
OTHER:
Plan Review By:-
OfileftermiftAplandat.doc
9 0 C) C)
Cit' of Edmon
y
ETA& J
RE -OF-WAY CONS'T CTION
PERMIT Permit Number. q4 - ) 173
WueDate: 15___a�1941
A. Address or Vicinity of Construction: 24106 76 Ave W ( 9419294 )
B. Type of Work (be specific)
C. Contractor: Washington Natural Gas Comp�'kny
MailingAddress: ,815 Mdrcer Stieet,Seaftle
State License #: WA 981*1-1__�...�.
D. Building Permit # (if applicable):
I
Install New Service
Contact: Frank Swan
Phone: 224-2278
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. E] Commercial Subdivision El City Project N Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family Single Family Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: UYes E]No G. Size of Cut: 202 x 4 H. Chargq�_$
APPLICANT TO READ AND -SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees t(2,hold the City ofEdmonds har*id juries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that maybe nz%'�q) 6gainst the City of Edmonds., or My fits departments or
employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINA&
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WIL�,BR1fhOCESSFD FOR ISSUANq-TqT7
_E44trLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
��!.Work and " material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Palit'Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave readthe abovestatements and understand the permit requirements and thepink copyof thepermit willbe
available on site es for ins ection purposes.
P -
A
Date: - May 25 , 1994
Signature:
(Contractor or Agen77
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED -BY:
TIME AUTHORIZED': VOID AFTER - t2— DAYS
SPECIAL CONDITIONS:
- aviAl� , 1A4cr_
- C Jim 10
�_/_ F
COMMENTS:
DATE:
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FUND III:
RESTORATION FEE:
PERMIT FEE:
TOTAL FEE:
RECEIPT, FEE:'
ISSUED.BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg. Nv. 1991