24122 107TH PL W.PDFiiiiiiiiii.
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24122 107TH PL W
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ADDRESS: �-LI12,Z- 107-�'\
TAX ACCOUNTIPARCEL #:
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: 0�'0:0�j�DETERMINATION: C] Conditional Waiver Study Required El Waiver
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID
SHORT PLAT FILE:
LOT:
IBLOCK:
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
FILE
PLANNING DATA STREET__]
SINGLE FAMILY RESIDENTIAL
Name: Date:___ 417
�y 0�
---
Site Address.- �J IL Z_ 10 C co Plait Check g=0
Project Description : /�c kl* 4-0",A�,)rcA 1�y coo Allk 00(cle, 10 /1
Reduced Site Plan Provided: NO) --l—oning:
Map Page: Corner Lot.- (YES / (+_9 Flag Lot.- (YES / re
Critical Areas Determination
&k--Stu(ly Required (Alt S+-_ 1-5 �Y�(�
vJdt-Y-(-V) 40�_ W
El Waiver /, A /- , I
SEPA Determination: C)V- pt or 5 1
64—E-Xempt
El Needed (for over 500 cubic yards of grading)
0 Fee EJ Checklist 0 APO List with notarized form
Requif-ed - tb(3cks
Street-
Side:
14 —7,
Side- Rear:
A ch lal Setbacks
Street: Side: _�_ Sido:�
Rear:
Detached Structures:
Rockeries:
Fences[Trellises.-
Bay Windows/Projecting M d ilati(
LA—Stairs/Deck: t) it V�m fc,0'j- ckc�/_
BuIldiii Height
Datum Point: Datuin Elevation-.
Maximum Height Allowed:
Actual Height:
(I
Other
Parking Required:
Parking Provided: 2—
Lot Area: OC9 L�
Maximum Lot Coverage: 35% Proposed: y-
Lot Coverage Calculations:
ADU Created: (YES
Subdivision: �A _61 k _k o Lo4 2 V
Legal Nonconforming Land Use Determinaltion Issued: (YES /150
COf 77/7 lentS
A-- 100 -S/q � lol.
103 cp?,
I -z6 - 9 lttm Y_
W
ecl
W 01�10�vg
Plan Review By:
PWIM19 Data F� 04 - i I 0640C
#P10
Critical Areas Checklist
CIVA2XE�41t
CA File No:.
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/Location: 2-4 (Q—VK FL We-!c.-r
2. Property TAxAccount Number: e2,::::)P . 4�:) Ca4l 00 (02-400
3. Approximate Site Size (acres or square feet) L90 56? . f=
4. Is this site currently developed? F'yes; _ no.
If yes; how is. site developed?
5. Describe - the general site topography. Check all that apply.
Flat: less than5-feet elevation changeover entire site.
R011ing- slopes on site generally less than 15 % (a vertical -feet over a horizontal
rise of 10
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
dist aince of less than 3:�4eet).
Other (please describe):
6. . Site contains areas of year-round standing water., tJ Approx. Depth:
7. Site contains areas- of seasonal standing water: t_J 0 ;Approx. De th:
; . . . I p
What season(s) of the year?
8. Site is in the floodway QO 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'weda�d is'
present on site:
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS mapped soil type(s)?
4. Critical Areas inventory or C.A. map indicates cat Area on site?
5. Site wid-tin designated earth s�bsiderke landslide hazard'area? - y-,0
DETERMINATION
STUDY REQTf��D
Reviewed
WAIVER
Date.
#P20
"Qc. 1%9�1
City, of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
ne Critical Areas Checklist contained on this form is to
be filled out by any D lopment
. person 'preparing a � eve
Permit Application4or the City of Edmonds prior to
his/her submittal of the application to the City.
Ile 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 Hill (Critical areas inventories, maps, or soil
surveys),
Date Received: /134� & / �w
City ReceiptC- /n:2z,
Azh_9�4�e
Critical Areas File #:
Critical Areas Checklist Fee: $135.06
Date Mailed to Armlicant: A—a5--n X
A property owner, or hWher authorized representative,
must fill out the checklist, sign and date it, and submif it
to the City. 717he. City will review the checklist; make a
precur�ory.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 locatifig 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.
Ilie undersigned applicant, and histher/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
at . tomey'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 certi� 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'ap'plication on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT
DATE
Property Owner's Authorization
By, MY signatum, I cer* that I have authorized the above ApplicantlAgent 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 p7osting atten s a �fication.
t Ar
SIGNATURE Of OWNER DATE ,e�
PLEASE PRINT CLEARLY
Owner/Appucant:
RIC15NVION 15MOOT,
Name.
Street Address
city State zip
Telephone: 2-06"
Email address (optional):
AppHcant Representative:
Name -
Street Address
city State Zip
Telephone:
Email Address (optional):
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"Nothing in "' ?err-mi?6p;?oLv'g'-Pk(;sV&Igp'TZUC"
interpreted as allowmg or permitting the
maintenance of any currently existing illegaL
nonconforming or 'tted building, stmdure
or site condition whi is outside the scope of the
mit application, regardless of whether such
structure or condition is shown on the
aite plan or drawing. Such building-,qrudure or
*old Ltion- =Te-subject of aCskparate-
r m
e e
AP!R D) BY PL�NNING
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TO, CONNECT EXIS AF VED PLAN
RIC & EELEEN SMOOT
[-�o -C; wmm� db d�b 24122 107TH PLACE * WEST
EDMONDS 98020
206-546-3489
TAX No: 00564900102400
LEGAL: H.K.SCHROEDERSREPLAT
of FOREST GLEN. BLK 00 LOT 24.
W
E U)
N ZONE: RS-8
U
WM > LOTSIZE: 9,100SQFT 70'x 130'
4- LOT COVERAGE: 2256 SQ FT. 24.8%
IMPERVIOUS:
N1 F_ Vr 0
1957: 1596 SQ FT HOUSE EAVES
356 SQ FT DRIVE IWALK
2008: +429. SQ FT FAMILY RM / EAVES
1150.0, 1 49.5 SQ FT COVERED PORCH
51. SQ FT FRONT PORCH
254. SQ FT DECK / STAIRS
24 13�_Dll Z5 50� 0" 783.5 SQ FT ADDED.
D ecr-
GRADING: 30 CU YDS.
r OWNERICONTRACTOR IS RESPONSIBLE FOR
EROSION CONTROL AND DRAINAGE HEIGHT:
DATUM: WATER METER 100.0'
A. 100.' AP� E 8 LD
B. 103' SEP - 8 201
Corne�.,- C. 102.3 3UILDING DEPARI
Zone—L5- .8 D. 102' CITY OF EDMOI
Setback Aggy:jEd 407.3 =101.8'AVER.
Front 101.8 + 25' 126.8' MAX
Sides NIS 116.1' PROP.
.Rear W
-Other
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