24108 104TH PL W.PDF289
24108 104TH PL W
PLANNING DATA
NAME: 01�4-�,..,,
SITE ADDRESS:-2-f 10e I-J. —DATE: 12-
ZONING: PLAN CHK#: 9 7- 32;7
PROJECT DESCRIPTION: 4,A -7r, k
V
CORNERLOT N6 (Yes/No) FLAG LOT— No _(Yes/No)
SETBACKS:
Required Setbacks:
Front: 2-5' Left Side: RightSide: 7�L Rear: /5'
Actual Setbacks: -15 7 �s 115,
Front: e Side: -:���.Riaht Side: 3,?' Rear:
Street map checked for additional setbaci required? " - .,, re—,,4 t..;- (Yes/No)
4- rl.,k — sk,— &VV
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED W (Y/N)
LOT COVERAGE: ?-a 1 6
Maximum Allowed: 3S767. —Actual: "11cro— 2-ZP.
BUILDING HEIGHT:
Maximum Allowed: 15 Actual Height: 4-, 1-5-
Datum Point: ft,4,, j,.i, �, 10,tTt, W. Datum Elevation: I cno P I
A.D.U. CREATED?: ri 0
SUBDIVISION:
CRITICALAREAS#: W-'A- V-P�
SEPA DETERMINATION:
LOT AREA: 0)160 0
OTHER:
Plan Review By:
c:Tt1es\permit\Ap1andaLdoc
CA FILE NO_91 — 19 (p
Critical Areas Checklist
--------------------------------------------------------------
Site hif-bimation (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 2 Z-q / C) C) 41
2. Property Tax Account Number: 00 Z
3. Approximate Site Size (acres or square feet): a-3c)
4. Is this site currently developed? 2��Yes; — no.
If yes; how is site developed? is I I f4� Al &_
5. Describe the general site topography. Check all that apply.
F at: 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 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: WO Approx. Depth:
7. Site contains areas of seasonal standing water: 4VO ; 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? Flows are seasonal? (What time of year?
10. Site is primarily: forested ; meadow ;shrubs mixed
urban landscaped (lawnshrubs etc) ><
11. Obvious wetland is present on site: V C)
....... ...
For City Staff Use
:1. Site is Zoned?
SCS mapped soil typew?_.L�&,r'A I 56AA 10",
V.,
Wetland inventory or C.A. map indicates wetland present on site? AJ,)
:4. Critical Areas inventory or C.A. map indicates Critical Area on site?
... Site within designated earth subsidente-IAndslide, ha2Ard:ate'AT
�6. Site designated on the Environmentally sensitive Ape.as..M.ap?. A/6
D . E .9i�ftNATiO . N
^ca_chk.d*c; Rev 02/11/97
City of Edmonds
4tek'*/
91 . Vktrl'
CRITICAL AREAS CHECKLISVN%�,u
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 inforination (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).
Owner/Applicant:
JA
Name
Street Address
City State
Telephone
Signature
Date
Applicant Representative:
PPOFIC- (fA2,A4,_L-__S /A)(- /,Fn 0L<,o,,1
Name
b)�Q
Street Address
Zip city State
Z,�- 2-"
Te
Signature
Date
Zip
(over)
cxeception\janakaddoc
I D
�,4 9s-c� R9 511V�
cc 190
r->
------------ PERMIT COUNTER
97,7 S.
ww
oc,
o/c,
-7(. S tP
&,,4t-e A &E
APPROVED AS NOTED
4-,PV- 3 9-7 7YA4
N
//4potz7- /0 cy.
A �o /Fy 6:7
ACCEPTABLE TIGHTLINE MATERIAL
N-1 2 ADS
Sch 40 PVC
SDR 35 (ASTM D3034)
-74�
1 On
L6
-2 97
I
=
L=
Fro
C>
C�D
C—D
rrp
C=
Iq
Z.OeZ�"\'
D Frswru
MAI"
Pv Psar-. P;p
CO
,A/-t
F-) t2 (o A-7
lc-,6 -0
0
MA,xr,,01-i I
OCT-27-97 MON 12: "1 42 PACIFIC GARAGES INC 206 339 1582 P.02
CA
\11 s) -p
ro
V-j
-T)
-324
Ir
c
3
Vk J�
N
Vj
'A
2�
0
m
0
cl)
<
-0
2E!
ZE
11
Y,
>
414
la
I
OCT 2 7 1�bl
171-f
71
USE
ZONE PERMIT 43
1.1`;CITY� OF -EDMION.D.81. NUMBER -
. . A, VV� ; - . . . .: .
k,.V.NbIKUt;-UIVN rr_KnR:IA ArrL,
OWNER NAME/NAME OF BUSINESS
AM % 15. �Jilj
W MAILING ADDRESS
Z
I
CITY z ONE
- -_
T=-D M C) Aj C -yz-
y5 02-0 i4w 5
INAME
ADDRESS
MIA
NAME.
PAr. I rj C 1,A1
CW 'Ivy %:) V
ADDRESS
I (p LAUPEL- ENGINEE911,JG MfMO DATED
9.1
CITY
STATE LICE . NSE NUMBER EXPIRATjI9N DATg
.PAC.r#=GT
NUMBER
406.
ADDRESS.:.
tUAL.lJt:ZSUH1P!JIUN;UHt:UK
SUBDIVISION.NO.
LID NO.
PUBLIC RIGHi'6F WAY-PER-CIFFICIAL STREET MAP..
.. TESCP Approved
EV
-RW Permit Required
13�
EXISTING, REQUIRED DEDICATION
Street Use Permit Req'd
0.
Inspection Required
PROPOSED
Sidewalk Required
0
METER�SIZE�
SIZE,
No. OF FIXTURES,
PRV REQUIRED
YES 13 No
Lprial DescriDtion of ProDertv - include all7easements
Property, Z
Tax Account
Parcel No.' 4r�, L/ C� - 00 4/- C�G
2
NEW
RESIDENTIAL
PLUMBINGFMECH
COMPLIANCE OR
ADDITION
COMMERCIAL
CHANGE OF USE
�E] APT.eLDG.
REMODEL
SIGN
FIREPAIR,
GRADING
FENCE:
CYDS.
I x _FT)
EIDEMOLISH.
WOODSTOVE
SWIM'POOL
INSERT
HOT TUBISPA
< AFRAGE
RETAINING WALL/
RENEWAL
JCAF PORT'.
I RO KERY,
(TYPE,OF'USE.?BUSINESS'ORJi� TIVITY),.E�XPLAIN::.
NUMBER.
NUMBER OF
ChIT16AIivieot—
OF*
DWELLIN6.. .1'
AREAS' C
STORIES
UNITS.
NUMBER
DESCRIBE WORK TO BE DONE tATTACH PLOTPLAN) -
64';_14&6:
-7 68 It)
01
id ls�.;
REVIEWEDBY
_��T.Adj
VARIANCE OR CU
ADS #
SHOaE�!NE�
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED.
ALLOWED PROPOSED
I
LOT COVERAGE
REQUIRED SlitrCKS (Fr.).
PROPOSED, SETBACKS (FT..)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/RSIDE REAR
I S-2 2. Z,17
I
I Z .. I
, 7,
LOT APEA
PLANNING REVIEW BY .
DATE
d7jo4u.
REMARKS.
BY - I TYPE
:SPECIAL, INSPECTOR I AHLA OCCUPANT.
REQUIRED . 0 YES I LOAD I
RESS INSPECTIONS; PER� UBC 108
FINAL INSPECTION. REOUIRED
VALUATION FEE
I JBII
1 �Ucpv ccc*
BUILDING,
HEAT SOURCE:
GLAZING.
PLUMBING.
Plan.Check No. 5199-
MECHANICAL
GRADING/FILL
This Permit covers work to.be done on private property ONLY.
.Any Construction on the�publfc domain -(curbs, sidewelks,
driveways, marquees, etc.� will require separate. permiss Ion.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180. Days
STORM DRAINAGE FEE
2
0
X
"Applicant,, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees -to Indemnify, defend. and. hold
harml6ss the 'City of Edmonds, Washington, 'its officials,
employees, and agents from any and all claims for damages of
ly,or indirectly from the Issuanc
whatever nature, arising direct a
of this permit. Issuance of'this permit shall not be deemed to
modify, waive or reduce any'requirement, of any city ordinance
nor limit in any way the -City's ability to enforce any ordinance
provision."
ENG. INSPECTION FEE
PLAN CHECK DEPOSIT
TOTAL AMOUNT -DUE
I hereby acknowledge that I.have read this application; that -the
information given is,cor.rect; and -that I am the owner, or the duly
ATTENTION 4
authorized agent of:.the- owner. 1, agree to comply with city and
"state laws regulating construction; and in doing the work authoriz
ed.thereb.y,.n6 person w Ill be employed in violation of the Labor.
Code of,the State.of Washington relating to Workmen's Compensa-._.
THIS PERMIT
AUTHORIZES
ONLY THE
WORK 'NOTED
tion.1 nsu rance.aria:R �27.
:SIGNA3WE(O%vN OR G DATE SIG7NED
INSPECTION.
DEPARTMENT
CITY OF 0"
EDMONDS
ATTENTIOU
RP
CALL.FOR <'
INSPECT116N
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
,UNTIL A FINAL INSPECTION HAS BEEN MADE AND.APPROVAL OR
771 = 0220 �O
'h-,�.r.FPTIFICATF ng nrrUPANCY HAS BEEN GRANTED. USC
91-00
30
APPLICATION APPROVAL
This ap plication is not a permit until
signed by the Building. Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
ICIIA U% SIGNATURE:
fAsvoy* :� DATE
RJG 2A 'L— F i I YELLOW — Inspector
13