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24211 107TH PL W
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ADDRESS: /0--7 PL
(a Ll 01 C)(2)a QL�) f2
TAX ACCOUNT/PARCEL NUMBER: )
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: 2007- 14 DETERMINATION: E] Conditional Waiver 0 Study Required �Ywaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS(OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: V—q Lo--�-
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LID #:
LOT: BLOCK:
OTHER: Fa ff 17uvj b") : -pt I I --U-- q
LATEMRDS'PsTorms\Street File Checklist.doc
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CITY OF EDMON
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73_J_�;6 BUILDING DEPA&
CITY OF EDMONDS
o T A P-,e a�_ in this permit approval proem shall be
C110C2 r interpreted as allowingor permitting the
maintenance of any currently existing illegal,
nonconfoming or unpermitted building, structure
A, 0 i hich is outside the scope of the
r4qw4les"f whether such
I-5jQPfuilding, structure or condition is shown on the
4o-t �:&ge I 0,i site plan or drawing. Such building, structure or
condition may be the subject of a separate
enforcement action."
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STREET
FILE PLANNING DATA FILE]
SINGLE FAMILY RESIDENTIAL
Name:
Date:
SiteAddress:
Plan Check ff:,pLC)C)_4
Project Description:
MO-0
Reduced Site Plan Provided: O(YES NO)
Zoning: 25
Map Page: 0 0 e�>
Corner Lot: (YES
FFIag Lot: (YES
Critical Areas Determination #: `;L00-7 —001q
11 Study Required
IR waiver
SEPA Determination: pk
O.Exempt -;13 Cy
El Needed (for 506 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger)
0 Fee El Checklist 0 APO List with notarized form
Required
Street:
Pt 60 -7. 5
Side:
ar: (E)
.
Actual Setbacks
Street:
Side: �A/ to
Side:
Rearn
Detached Structures: Nc,,,\e- _14\0C,%.N of\
El Rockeries: Uc,,,
OFences/Trellises:
Bay Windows/Projecting Mo�fAtion: Nr,,r\e, Zr\ -
�JCA
Stairs/Deck: No t\r_ o, �\o
Datum Point: __,e4_,ex V\15\e 4C,\./e Ar
__� _ C.
Datum Elevation: k CC)/
Maximum Height Allowed-
Actual Height:
Other
Parking Required:
Parking Provided: Ajo C���
Lot Area: on * -1
Maximum Lot Coverage: 35% Yroposed: 3C)7
"'b"Se- 9 Go* (...i.4s eu&,$)
Lot Coverage Calculations: -Z
qc-N?.� &-,4r'cx�an 7a 10 ?(.""Sex/ coy, %,rCL= 'fe
ADU Created: (YES /0 OrNk)e orNe_
Subdivision: 1A K SCAncOeO/erZ) R e.4-At 4 'Fore-sk Gec'n, %\o� a — LA 9
Legal Nonconforming Land Use Determination Issued: (YES 0
Comments
W-15,
Plan Review By: Nanning Data Form 04-11-06.doc
0 . 0
#P20 CA File No: . 2,WI-M4
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/vegetation)
1. Site Address/ Location: tz�vfa-Nd-�5 w%&(-
2. Property TaxAccount. Number: D0504'T 00 7. -Oc>
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; _ no.
If yes; how is site developed?. Sl '!24 I-e ki* 't L!A rr S?'d 4e V-
5. Describe the general site topography. Check all that apply.
Flat 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
di stance of 66-feet).
P/6
Hilly: slopes present on site of morIA&U-MarD hWOfj q,[ &et
over a horizontal distance of 33 t 66-f t .
V�
0 1* -
Ze c NTIV -1 IrMi
a6 AP
Steep: grades of greater than 30% present o 'a lKfeetbvei a honzonbu
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 N�0 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
urbanlandscaped (lawn, shrubs etc)
11. Obvious wetland is present on site: NO
For City Staff Use Only I '&-y
1. Plan Check Number, if applicable? C0-7-S
2. Site is Zoned? 9��_ 2�
3. SCS mapped sofltype(s)? J-4 - C-IM-reAV qp__�& S-e-r-14 \g-&r'�, 0 A-C, 8rx eAc'pes'
Q I t %
4. Critical Areas inventory or C.A. map indicates Critical Area on site? 1\10 ,
5. Site within designated earth subsidence landslide hazard area? Me!).
DETERMINATION
STUDY REQUIRED . '>��') —WAIVER
Reviewed br. Date: \ /��D 15:7
0
- V., I b'7
9 #IP20
City, of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Ile Critical Areas Checklist contained on this form is to
be filled out by any person. preparing a Development
Perrm*t Application, for the City of Edmonds prior to
-his/her submittal of the application to the City.
rM. -F +'k^ Ou 1,1;�+ ; +_ 'kl - r; +.4T +
Date Received: 3-9 C) T.-�
City Receipt#: —421) � �� )
Critical Areas File #: , V_6V7-- (XY I
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant: I;- �5k— 01
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
FL"k^J0%, %J %,%, a %IJLJL %, ky a V. permit application.
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information Please submit a vicinity map, along with the signed copy
needed to complete the Checklist should be easily of this form to assist City staff in finding and locating the
'I alrai specific piece of property described on this form. In
available At.
, V X-inforrmtion .(e.g. site plan, topography map, etc.) or
s addition, the applicant. shall include other pertinent
studies in conjunction with this Checklist to assistant staff
in completing their prelin-driary assessment of the site.
APPLICAMN PIC
The undersi
. gned applidarit, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, inderrinify; defend and hold the City.of Edmonds harmless from any and 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, his/her/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 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 permissi6n 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 O.F OWNER 6(e�� DATE 112N 10-1
PLEASE PRINT CLEARLY
Owner/AppHcant- Applicant Representative:
TWA O-VI& 40LAVIIC� 5A_YbV\ '41 t em Str�D V1
Name Name - - . I
?,qV� � trJJTA P�,
Street Address
&Lw_a� UJV\
city
State
Telephone: 7,0 k# 54�0 C1501
Zip
ml tAKk �-kncbcx- OrN4
Street Address
CDOff-Vi It LA/A qs z-3 I
City State Zip
Telephone: 3cp C) (_0 I S — 3� 8 5
Email address (optional): Email Address (optional):
STREEI*FILE
LE NO. -947842
14 �'G AT LAW OR IN EQUITY AGAINST THE PERSON OR PERSONS
G'OR ATTEMPTING TO VIOLATE ANY SUCH'_COVENANT AND EITHER
tvENT HIM OR THEM FROM SO DOING OR TO RECOVER DAMAGES OR
DUES FOR SUCH VIOLATION.
INVALIDATION OF ANY ONE OF THESE COVENANTS BY JUDGMENT OR
ORT ORDER SHALL IN NO WISE AFFECT ANY OF THE OTHER PROVISIONS,
ICH SHALL REMAIN IN FULL FORCE AND EFFECT.
2. NO STRUCTURE SHALL BE ERECTED, ALTERED, PLACED OR PERMITTED
TO REMAIN UPON ANY LOT EXCEPT ONE DETACHED, S . INGLE FAMILY -DWELLING
AND PRIVATE GARAGE FOR NOT MORE THAN TWO CARS, WHICH SAID DWELLING
SHALL BE FOR RESIDENCE USE, ONLY, PROVIDEDp HOWEVER, THIS PROTECTIVE
COVENANT AND RESTRICTION SHALL NOT APPLY To
LOTS I TO 5, BOTH INCLUSIVE, BLOCK 1, FORESTGLENN,
WHICH SHALL BE DEEMED BUSINESS PROPERTY.
3. THE EXTERIOR OF ALL STRUCTURES ERECTED SHALL BE FULLY
COMPLETED WITHIN SIX MONTHS FROM THE COMMENCEMENT OF THE
CONSTRUCTION THEREOF-
4. THE MINIMUM INTERIOR.GROUND FLOOR AREA OF ANY RESIDENCE
SHAL . L BE NOT LESS THAN 700 SQ UARE FEET.
5. NO BUILDING SHALL BE LOCATED NEARER THAN 25 FEET NOR MORE
THAN 40 FEET FROM THE FRONT LOT LINE, NOR NEARER THAN 5 FEET TO
ANY SIDE LOT LINE (EXCEPTING THEREFROM A GARAGE), NOR NEARER THAN
lb FEET TO -ANY SIDE STREET LINE.
6. ALL WASTE WATER OR SEWAGE FROM ANY IMPROVEMENT SHALL BE
CONNECTED WITH UNDERGROUND SEPTIC TANK.
7. THE RAISING OR KEEPING OF ANY SWINE, COWS, HORSES OR
GOATS, OR HOUSING OF MORE THAN THREE DOGS OR CATS, EXCLUSIVE OF
UNWEANED PUPPIES OR KITTENS, SHALL BE PROHIBITED.
8. AN EASEMENT IS RESERVED OVER THE REAR 5 FEET OF EACH LOT
FOR UTILITIES INSTALLATION AND MAINTENANCE.
----------------- RECEIVED
DATED MARCH 20, 1950
RECORDED MARCH 23, 1950 JAN 2 4 2007
VOLUME 449 OF DEEDS, PAGE 147 DEVELOPMENT SERVICES CTR.
AUDITOR'S FILE NO. 947842 CITY OF EDMON DS
uq47842