24115 107TH PL W.PDF1111111111
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24115 107TH PL W
#P20
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City of Edmonds Date Received: k-9- /-,/ - e6 -I, .
Development Servic CityReceipt#: 4,6-4',q7
Planning Division 7=,j ED Critical Areas File� #:
$
Critical Areas Checklist Fee- 135.00
Phone: 425.771.0220 MAR Date Mailed to Applicant:
Fax: 425.771.0221
'Me 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).
A property owner, or lus/her authorized representative,
must fill out the checklist,. sign and date it, and submit it
to -the City. The City will review theAecklist, 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 forni to assist City staff in finding and locating the
sped , ific piece of,,property'&sdribed6n. this form. in
addition, . the applic'a�t.'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.
Ile 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 infi-action based in whole or part upon false, misleading, inaccurate or
mcomplete 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 oF APIPLicANT/AGENT DATE
Property 0, wner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply- for the subj eict land use application,
and grant my permission for thepublic officials and -the stiff of the City of ds to enter the subject property forthe
purposesof sting attendant tothis applip4tion.
IGN*A DAM
Vn4ER
Ovmer/Appficant.-
PA �34 -rOWf r-INCIEL-
Name
;?M
.Street Address
ED (9 �J U Z2
city State Zip
Telephone:
Applicant Representative:
Name
Street Address
city State zip
Telephone:
Email address (optional): Email Address (optional):
.. #P20 CA File I No:
Critical Areas Checklist
Site Information (soils/ topography/ hydrology, vegetation)
1.. Site Address/ Location: 2-� 1� 1�-5 (0-�— -1FLtkCF— W,
2. Property Tax Account Number: 0 1'-5 — 6?'14 00 2- 60 0 C�
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed?
yes; no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply-
Flat.- less flian.5-feet elevation change over"entire site.--
Ro slopes of� site generally less than 15% (a, vertical rise of 10-feet over a horizontal
distance' of 66-feet).
Hilly: slopespresent 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 le,4s.than 33-feet).,
Other (please describe);
6. Site contains areas of year-round standing- water Approx. Depth:
7. Site'co'ntainsAr'ea's of seasonal standing 'water: Q Approx. Depth:
What season(s) of the year?
8. Site is in the floodway �J-0 floodplain �J 0 — of a water course.
9. Site contains a creek or an area where water flows across the grounds surface?. Flows are year-round?
F1 dw s are seasonal? (What time of year?
10. Site is primarily: forested meadow �;shrubs mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is pres ent on site: *J0
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned? P 54
3. SCS, mapped soil type(s)? 1-7 V-C'I tt rA %re I �;&n (0 Al- 0 - 17a.
4. Critical Areas inventory or C.A. map indicates Critical Area, on site?. No
5. Site within designated earth subsidence landslide hazard area?
DETERMINATION
STUDY REQUIRED - WAIVER
Reviewed br. Date:
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ROVED BY PLANMNIU,
PROJECT ADDRESS / OWNE
DANAMA
TONY & ST L 0
24115 107"'n
EDMONDS 9
2062569258 CS ZQNX-. RS-8
TAX No 0OW9 00200400 de,
i LOX SEZE: 9,100 SQ. Fr.. (.21 ACRE)
CE 1977
i
LEGAL: ELK. E RE F 759 SQ-FT.NEWADDTl0N REC:F—IXFED
S GLENN. BLK 2 T 4 E-1. 2KW—P ATIO
S36WR03T27 1129 SQ. FT. (less THAN 2,000 SQ. FT. MAR 14 2005'
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STREET FILE llRlllT COUNTER
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PERMIT EXPIRES
CITY OF EDMONDS
AERMIT
NUMBER aO�- C13,�a
C CONSTRUCTION PERMIT APPLICATION
AJODBDRESS
Pl_ 57"
OWN�ER NAMEINAME 'I EIIIINIS� HII
FCITy0e
,Q21116 7
PLAT NAME/SUBDIVISION NO.
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LOT NO,
LID NO.
LID FEE $
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION FT
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NAME
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NO. OF FIXTURE
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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CITY ZIP
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ELEPHONE
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NAME JCB
REVIEWED BY DATE
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REV.EWE DATE
CITY zip
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TELEPHONE
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STATE LICENSE NUMBER EXPIRATION DATE
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VARIANCE OR CU
SHORELINEORADB#
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PROPERTY TAX ACCOUNT PARCEL NO. 0
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SIGN ARE
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NEW K RESIDENTIAL g] PLUMBING I MECH
COMMERCIAL COMPLIANCE R
ADDITION 0 MIXED USE CHANGE OF UOE
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REMODEL C] MULTIFAMILY 0 SIGN
LOT C
ALLOWEDO=SE.
j 11
I REQUIRED SETBAC'KS (FT.) PROPOSED
'R.1 SIDE 'EAR FRONT
SETBACKS (FT.)
UR SIDE REAR
PARKING
REQo r!2�DED
I
LO A
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PLANNING REVIEV% BY
ED DA45�'q
7.
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FENCE
REPAIR CYDS I X FT-)
REMARKS
DEMOLISH TANK 0 OTHER
oGARAGE o RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
0
P (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
TYPE 017,FUCTION
C E
OCCUPANT
GR CUP
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IX
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NUMBER
OF
STORIES
NUMBER OF
DWELLING
U NITS
SPECIAL INSPECTION
REQUIRED [3 YES
CONSULTANT
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
"�Iw6to_ 5-wg�f Mot, (Dr—
GEOTECH REPORT
M'Nale5Q L72 F2 F=A fV1 I LLt
BY
STRUCTURAL DESIGN
BY:
VALUATION
Description
FEEi
Description
FEE
Plan Check ;07
State Surcharge
HEAT SOURCE
LOT SLOPEII,
VESTED DATE
0
Building Permit
71
City Surcharge
PLAN CHECK NO:,,�_
4��4
Plumbing
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOfED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
Engr. Inspection
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC� Landscapeinsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee Receipt # 4-
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THATTHE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This applicalio,i is nor a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building i hi her Deputy: and Fees are paid, and
4,a,lsor
,211
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Sknowledged in space provided.
WO.K.E.'. C. MPENSATION INSURANCE AND RCW 18:27.
SIGNAT�q'E
SIGNI�MOR�rG*T)j. DATE SIGNED (425)
)411,0�
_VS OCY � I A L,
�1'tW fl S/M 1) 1 1 q "ZOO �7 771-0220 R SED B DA/1
ATTItNTION EXT. 1333
"DI I ,
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL to
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 III IBC110 I IRC110. 0
P�I�CWNIIE -�.EOLLOW -INSPECT
LD -ASSESSOR
110104 PRESS HARD - YOU ARE MAKING 4 COPIES
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ADDRESS: o?N//,-i- /0 70- TI- IV
TAX ACCOUNT/PARCEL NUMBER: WYO yl 000206 -1/00
BUILDING PERMIT (NEW STRUCTURE):— o3fl�
COVENANTS (RECORDED)
CRITICAL AREAS: 0,/-� bs--
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: '5 LqL0 -S-
DETERMINATION: F] Conditional Waiver E] Study Required Xwaiver
SEWER LID FEE $: LID
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DA'
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
BLOCK:
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PROJECT ADDRESS/ OWNERS:
TONY & DANA MACIEL
24115 101m PLACEWEST
EDMONDS - 98020
2062569258
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TAX No: 005649 00200400
LEGAL: HJL SCHROEDERS, REPLAT OF
t4:
FOREST GLENN. BLK 2 LOT 4
S36WR03T27
ZONE: RS-8
BUILT: 1957
Zone Cornellt_40ag
Setbacks
Front
R
.Ll- �Ulred A2tual
Sides
Rear
15
Other
AkL EXPOSED sunFACES To
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CONTRACT OLYMPIC VIEW
WATEP/SEWER DISTRICT
ULN-JERICQ�fi'r F().q j, Fj
E-EPQNSIBLE FOR
r-F"OSION AND DPAlfqAGF
SCOPE OF PROJECT-.
SINGLE STORY ADDITION OF
759 SQ FT NEW FAMILY, MASTER
BED AND BATH. 370 SQ FT ON -GRADE
PATIO.
LOT SUZ: 9,100 SQ. FT. (21 ACRE)
701 x 1301
LOT COVERAGE:
EXISTING HOUSE: 1272 SQ. FT.
ENISTING SHED: 180 SQ. FT.
ADDITION: 759 SO. FT.
TOTAL: 2211 SQ. FT. 24.2 % (35% MAX):'
IMP�VIOUS:� NCE 1977
759 SQ. FT. NEW ADDTION
370 SO, FT.,hTW LjT-lQ
1129 SQ.FT. (less THAN 29000 SQ. FT.) -
WATER: di,,�MPIt VIEW
SANITARY: PUBLIC
BEAT: F/AELECTRIC
HEIGHT CALCULATIONS:
DATUM: WATER METER COVER 100.0
A. 101.01
B. 101.09
C. 101.01
D. 101.01
404 4 101 1 + 251 126.0 FT MAX. RIDGE
117.25" PROPOSED RIDGE.
CONTACT DU
RINGPERMITPHASE:
MUSTMHANSON
HANSON.11ESIGN
652 ALDE STREET
A;S5: Co K� 5 TZ UC-
EDMOND9.. WA 98020
-7 Zo -7 at 4 AVe. `5r-,
4257747129 / 425 7713152 FAX.
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TABLE OF CONTENTS: LAC -A`S'�Cm-� C)tl F-I=.
1. SITE / TITLE
2. ENISTING FLOOR PLAN
EXISTING ELEVATION
3. PROPOSED FLOOR PLAN
ENERGY CALCULATIONS
4. FOUNDTION PLAN A,2Prj0l-/E-D BY PLANINliNGi
FLOOR FRAMING
opy
SHEAR WALL CHART TY C
L
5. ROOF PLAN 65
.6. A: SECTION
B ., TYPICAL WALL
7. ELEVATIONS
8. GENERAL CONSTRUCTION NOTES MAR I 1� 2LI05
9. GNERAL STRUCTURAL NOTES. PERMIT COUNTER
0
r�C211/5- - -61IJ
A-) 7 i�l
RECEIVED
MAR 14 2005
PERMIT COUNTER
CITY COPY