24110 105TH PL W.PDFlill iiiiii
369
24110 105TH PL W
0 0
ADDRESS: 21411t) 10�9-lh 0/ 60
.TAXACCOUNT/PARCELM 005eo1-(700-W1',300
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: 0'8'-006q DETERMINATION: n Conditional Waiver 0 Study Required Waiver
CRITICAL AREAS #: DETERMINATION: Ej Conditional Waiver Ej Study Required Waiver
DISCRETIONARY PERMIT #S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit Vs):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT: —TBLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
of ED& #P20
ok
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
1,0 C. 1 9 r� Fax: 425.771.0221
Ile 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).
0
DateReceived:
City Receipt#:
Critical Areas File #:CP-A 1,008-009+
Critical Areas Checklist Fee: $135.00
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 deterniination 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 fmding 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 "d 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, histher/its agents or employees.
By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OFAPPLICANT/AGENT z=�SSW- &trbr�Zi-dc DATE
Property Owner's Authorization
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 posting attendant to this application.
SIGNATURE OF OWNER
Owner/Appficant:
Name
Pqllo Z"-)
163
Street Address
as kL)I)l
city State Zip
Telephone: -,,52V(L -
DATE
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email address (optional): - Email Address (optional):
#P20
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1.. Site Address/ Location: !�0110 tl),
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? Zyes; _ no.
If yes; how is site developed?
5. Describe the general site topography.-Checkv all that apply.
Z' Flat: less than 5-feet elevation'change over entire site.
CAFileNo: 09-94
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 floodway (Z� 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 (lawn, shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only
1.
Plan Check Number, if applicable? -A-008
2.
Site is Zoned? fL5 — S.
3.
SCS mapped soil type(s)? gut QyAvt1W.5anck!A
W .0 j
ioam o— 8*1- siaRtr2-
t
4.
Critical Areas inventory or C.A. map indicates Critical Area on site? N
0
5.
Site within designated earth subsidence landslide hazard area? NO.
DETERMINATION
STUDY REQUIRED
WAIVER
Reviewed by: &inairoccia-, Date:
0:f-'k8-'y006
0
E
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
ST"ET=FILE
Name: P-oy ae Jes9i e 15urbar) 14.
Date:
Site Address: p Lf I 10 10 L3 TH F I a C,& Wp,.5,t
Plan Check #: BLD - 08 & I
OVr 1-1 5
Project Description: F-00f_ 1rCfIaCeAft1teA* OVe- C& i -51 rl
R'-.Ipm hall OL 4 d4,-ff OVI
Reduced Site Plan Provided: (YES &__J
Zoning: FL _c> — s
Map Page:
I Corner Lot: (YES /(9
[Flag Lot: (YES
Critical Areas Determination #:
&P.-A .-koog - 0 Og
Study Required
Waiver
SEPA Determination: 4. &TjOC) LiOrp.
Exempt
Needed (Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form).
Re d Setbacks
Street,
Side:
Siide-
Rear:
Actual Setbacks
Street:
Side: I C)
I Side: 7_�ear:
(00/
H Detached Structures: jr-t
El Rockeries:
El Fences/Trellises: n o ne tph
>
El
Bay Windows/Projecting Modulation: M 'Sfi-P, plavi
El Stairs/Deck:
Parking Required:
Parking Provided: MID
LotArea: J?pOX-f7o ep�10wVI-.
LotCoverage:
LotCoverage 14CIq ". Sf-FL -J- 4& * adcL f- + 10 P Ot"O
Calculations: -1- 15 x 2_0" fp�Fort Wwr+ -7 1, 045 ';,2--1- bovt-e61 04
Building Height
DatumPoint: i�,ep Mit
Datum Elevation: 100 00
MaximurnHeight:
ActualHeight:
ADU Created: (YES 8o
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Oth6r,
A -. 10 0.0
D: qVIA
cl: qs.(AP
0
Ian Review By:. g5t;w 07v�
IMPERVIOUS SURFACE CALCS (SOLID SURFACES)
Eidst. Building Roof Outline: 1527 sf (constr. in 1957)
E)dst. Covered Patio: 178 sf (constr. unknown)
EAsting Driveway: 448 sf (const. in 1957)
EAsting Walkways: 282 sf (const. in 1957)
NewRoof over Entry Hall (additional): 0
HEIGHT CALCS
A=+IW
B -99.1'
C -98.6'
D -99!
E -9r
F -96.5'
AVE GRADE = -99'
ACTUAL = +116
MAXIMUM = +124
LOT COVERAGE:
2,423 SQ. FT. (26%)
LOT AREA:
9,360 SQ. FT.
LOT SLOPE: 2.7%
-F-
/f/"
4-tJO�NeYJ IMPSIEVIVAS SL41ZPALG
ISIAIL-DI04-8 NC-eDeD -rb k3e owt WK14-
TO mrzeT sL,,r, stawc maeaklatmeam.
Is
14
20
bBg 0
0 CD C3
ho
'9 Go
445
D tu
"A 0
$.
0
two
1 4�
;4]
C"13 bZ E�
0.4� r4
0 14�
No,����
I
GUTTERS/D NSPOUTS
V CONNECT Tr EXIST SYST.
DaV,Ayh fr,�- too
APPIJOVED By PLANNING
Zone P-
6 � 8 Comer Flag_
attbXkI L%w
.�red _&Lu
Front 15, 7,5)
Sides
Rear W
to b
Other
max Boll eave> .0 OWNER/IONTRAITOI 11 REIPONIIBL.
FOR EROSION CONTROL AND DAMAGE
F
Ot-4
�Y-Ish-
Ejusfli,,� Z,4�.
A
/0
R.EC:ElV5D,
JUL 18 2008
D -LOPMENI,f ES CTR,
EVEE �VIC
7 72-9
D-
APPROVED BY ENGINEERING
RECEEIVIEb
JUL 18 2008
DEVELOPMENT SERVICES CTR
CITY OF EDMONr),q
BOzz)(og-6& / 7�-
-our&tq1(
vk-lwqp)