24132 106TH PL W.PDFiiiiiiiiii
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24132 106TH PL W
ADDRESS:
TAX ACCOUNT/PARCEL NLTM13ER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: 4�� —,!? o3 — DETERMINATION: [:1 Conditional Waiver [] Study Required [Z�eaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED
SCALED PLOT PLAN DATED: x/AZ
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMPOSTsTonnAStreet File Checklist.doc
PLANNING DATA
NAME: AIA, I Mickde khn�it--qrj DATE: q /1q /0 q
SITEADDRESS: a'413X WM 01'Lce . wtiz — ' PLAN CHK#: 0 - to
-- —T0,rKrQ— CAJ'J�,"�-ff- 'M
PROJECT DESCRIPTION: ko' Y- X5' C 50LI 5-�) jVejrdj),--, A_GT
5 L-, -
REDUCED SITE PLAN PROVIDED?:
MAP PAGE: 003 CORNER LOT: FLAG LOT:
ZONING: CRITICAL AREAS DETERMINATION M. 0 q
Ll Studv Reauired:
Waiver
Conditional Waiver
SEPA DETERMINATION:
Ll Fee
13 Checklist
L3APO list w/ notarized form
(Needed for 500 cubic yards of grading, Shorell no Area- site within 200 ft. of Puget Sound or Lake Ballinger)
Exempt
SETBACKS:
Required Setbacks:/ -7, 5 "
Street- Left Side: 'f�l!h 7.5 Rear:
. LSl�e:
Actual Setbacks: e - . 11 1— Y
Street: Left Side:7- Right Side: tear:
d"
Street map chocked for additional setback required? (Yes I No DNA
DETACHED STRUCTURES: 0 V - v41--E '&'rdj?qtd
ROCKERIES: 0 V - N4 pliaf c� r- d
FENCES/TRELLISES:
f all
BAY WINDOWS / PROJECTING MODULATION:
STAIRS / DECKS: A4,-� 0, � -
PARKING: Required:P/A Actual:/V# - Nd—, --PF'J
LOT AREA- q q 5"o 5 F
LOT COVEkAur-': C
Calculations: )qq1q'q56 = A�0/0 % qllollf- 0,K,
BUILDING HEIGHT -
Datum Pol�t: 0 0, 0 - too, dP' � 0 � Datum Elevation: 100-0
Maximum Aflowed: 9L- Actual Height: 1q, 5 / -
A.D. U. CREATED?;((No) Yes) Wd(od-- I 6-T�f(;d, 0A
dl- -rK5
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED:
OTHER: t I R SeTL�� '-ewr4 V^1� " S�Je SaLcg) '/' ex; T-1-7
1'rrvc-iVrf cArp I P&,, I I., irA— - — I
PlanReviewBir �� 6-cA
NewBPPIanningDataFormD0C
v fl�A
c �'X'! t:�! 5-
V�i A rl[)l -,"'N 50 FIT
2 0'/ -'! /e4 5- 0 Tlo
TOTAL IMPERI�,OCL 15 r
I -, -1 L�; CALC.
1;11 :LLDIN I ; �U - - -1
IG 5 TIR CTUIRE5 A,5 N"--"'T:-:D A50VF=
DRIVEI,AAY AF',EA= 350 5Q. FT.
I
50iO
TC�AIL iMPERVIOU-5 ARfA= 2444 SQ. F7.
m il�f; !6
AURM
251-04
ALL EXPOSED SURFACES TO --- — ------------
BE COVERED WITHIN 2 WS ROPOSEE
DITION
GUUMSDOWNWWlb
o CONNECT TO SM. SYST
LA-
LU LU cr.
SITE PLAN
L 934 SCAM 'I ff 0 W-W
MOAL MSCIUMON
44'
APMVED BY PLANNINU
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MAR 2. 9 2Wj a,
PERMIT ColjNTEI,
APPROVED AS NOTED
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Cit-*, 4 S Q- E
24132 106t-� Plac-a 'Aj-
*�BIYEJNGEERING
WA
Dab:
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FILE
CMM/OaN I rA'.
i i6 REMSME IKA'sTREET
EROSION
M.) DRAWAGE
r -A
OV ED&
OL
City of Edmonds
Development Services Deiartment
Planning Division
Phone: 425.771.0220
40c. I %91� Fax: 425,771.0221
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 subm ittal 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).
,Date.,Receiv,ed: U4�ZQ��L-��>ZQVOV
City '. R , eceipt#.: �2_75U IT
Critical Areas File M
Areas Checklist Fee: $135.00
Critical
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 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
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, inden ' inify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, anising 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 certify 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 APPLIcANT/AGENT
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 DATE
Owner/Applicant:
Alarl Acke le- /� //,�n
Name
------PLEASE PRINT CLEARLY
Applicant Representative:
Name
Z q 13 7-
Street Address Address
'C' c� V), o Ad .3 co 4- 9 5oz 0
City State zip -
city State zip
Telephone: 2o(, 53 3 -,59 21 Telephone:
Email address (opt ional): Qrn Email Address (optional):
Critical Areas Check] ist.doc/4.22.2003
CA File No:
Critical Areas Checklist
Site Information (soils/ topograph y/hydrology/vege.tation)
1. Site Address/ Location: 2_q1*5Z loc, ,A - P/. U-) 3. ?gtzo
2. Property Tax Account Number: 0 Ibb oo-L 0 1 C1 00 15(00 m 1 0 1,1 00 C)
3. Approximate Site Size (acres or squ are feet): V 5- 6 -s (::4
4.. Is this site currently.developed? � yes; no.
If yes; how is site developed? Pe 5 I'dkolo 4,
.5. Describe.the generalsite topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generall . y less than 15% (a vertical rise of 10-feet over a horizontal
distance of 6.6-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: /164- Approx. Depth:
7. Site contains areas of seasonal standing water: 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?
6/,4 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 onsite: i Llf
1.
2.
3.
4.
— ------ - For City Sta.ff Use. Only
Plan Check Number, if applicable?
Site is Zone d?
SCS mapped s
,r_ 1 1 14
_�Dzn 1
Critical Areas inventory or C.A. map indicates Critical Area on site? t\_� 0
5. Site within designated earth subsidence landslide haz_ardai6a?.6,'),0+ �,S�a g - C4
C-1, 4
DETERMINATION
STUDY REQUIRED
I. Reviewed
WArVER
Critical Areas Check] ist.ddc/4.22.2003
1 ")Vr
DULD�NG 5Q. L U D I N C, i ST. H 0 U 5 ff. 5 h. t= I'D -
N IfW A () D I T 10 N -"U SQ. im-1f,
20e4 /9450=
. �- 9 : .. .
Z. --T
TOTAL UPERVIOU5 CALC.
DUILDING STRUCT URf5 AS NOTED AbOVE=20e4 SQ. f7.
DRIVEWAY AREA= 350 SQ. f7. D�15TING
NEW IMPERVIOUS= 500 SQ. F-T,
TOTAL IMPERVIOU5 AREA= 2444 SQ. f7.
B
Lu
T
Z0
APPROVED BY PLANNING
Von aj4l— q11 mo y
W(Dpr\
5h0p
NORM
alsi
RZ51 [
)EN CE
5 i �-(Dli
2 5-0"
24
-0' 3 5-0"
LL EXPOSED SURFACES TO
E COVERED WITHIN 2 DAYSbi
GUTTERS/DOWNSPOUTS
ROPOSED
DDITION
0
CONNECT TO EXIST. SYST.1
�Dj
F= 1= I
Uj LM
-_j 0
CM 'C'-'-3' S I T E P LA N
< :Z SCALE: I I' = 20'-Ovv
LEGAL DESCRIPTION
0 C1 C-) —. C'i;
CO 00.2- La- SEE ATTAC"HED APPROVED AS NOTED
BY ENGINEERING
SITE ADDRESS:
24132 106th Place W.
Edmonds, WA Date:
Zu.
h-.1 "
WATER
M ffr ff R
RECEIVED
6w 1 MAR 219 2004
PERMIT COUNTER
r= st -0 �Mt �O'O - C�)
AU0C
RAY-, - F, MQ*—
tAi
AM-
C?,JNER/C0?4TF-',A,rJG'R IS RESPQNSKE FQ9 t
JL AL
E9080 Cv.)ZIRUL AM) DRY49.AZE CITY CO'Pv
CA File No
Critical Areas Checklist
Site Information (soils/ topography/hydrolo '/vegetation)
gy
1. Site Address/Location: .2-cli 3, Z- le)(- A P/. U). ft
bZ0
2. Property Tax Account Number: 0 0 00'L 0 19 00 1509 MI 0 1 Cl oo C)
3. Approximate Site Size'!(acres or squi are feet): 9 V5 �!s?
4.. Is this site curr . entlydeveloped? yes; no.
if yes;how is site developed? e 5
.5. Describe. the general site topography, Check all that apply.
Flat less than 5-fe'et elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 6646�1:).,
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 contgns areas of year-round standing water: A Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is.in the floodway flolodplain of a water course.
9., Site contains a creek or an area where water flows acr6ss the grounds surface? Flows are year-round?
1A 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 onsite: :j L./f
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
I SCS mapped soff type(s)?)_-7-1 I 'NA 1 \1 r", C-) —
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Site within' designited earth subsidence landslide haiaird'ai&?
U4 0 r rkn I r I I-- IV2
.9 4
DETERMINATION
StiUDYREOLTIRED. WArVER
.. Reviewed
V�
Critical Areas Checklist.ddc/4.22.2003
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.'0220
1pays Qr% mi ni,)i
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 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 so'il
surveys).
Pate, Received:'���—,��
City Receipt#:
Critical Areas File M
Critical -Aiea ' s Checkliit Fee:,
Date'Maile"d Ito
App1,ippnt:,
A prope�� owner, 'or � his/her, authorized representative,
must fill out the.checklist, sign and date it,.and subnidt it
to.the City. The City will review,the che�klist, 'make a
precursory site visif,'iand make a 'determination o . f the
subsequent steps necessary to complete . a development
permit application.
Please submit a' vicinity map, alon
.g with the signed copy
I
of this form to assist City staff in finding and 1�cating 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 and all dami es, including reasonable
9
attorney's fees, anising from any action or infraction based in *whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applic.ant,.his/he���/its'agents or employees.
By my signature, I certify that the information and exhibits herewith subrmitted are true'and correct to the best of my
knowledge and that I am authorized to file this aipplication on the behalf of t:he owner.as listed below.
SIGNATURE OF APPLIcANTIAGENT 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 ��f DATE
Owner/Applicant:
Navi 0 IX�c ke le -
Name \J
Z 4 f 3 /C>6"J, pt- . - U),
Street Address
r� 41 od 3 CL) aa-0
city State zip
Applicant Rlepresentative:.
Name
Street Address
city State zip
Telephone: 2o r, 5-3 3 -8� 9 2 Telephone:
Email address (optional): Ool AZt,*104--5woe7w Email Add ress (optional):
'2-a, 4. /Z
Critical Areas Checklist.doe/4.22.2003