24226 77TH PL W.PDFIIIIIIIIIIII
6611
24226 77TH PL W
ADDRESS: 24 RPb -7 -7'-ffi PL W,,
TAX ACCOUNT/PARCEL NUMBER:
BUf LD ING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:—&� 006— DETERMINATION: 0 Conditional Waiver E] Study Required [Xaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S).#: C�q 11
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LOT: BLOCK:
LATEMP\DSTs\Foffris\Street File Checklistdoc
APPLICATION CARD No . ......... ............ ...
for
SEDE SEWER PERMIT
The City of Edmonds EASEMENT No . ...... .. .......... ... .. ......... ..
OUTSIDE 0 INSIDE REPAIRS 0
OWNER ..... �S .......... . M9 ...
HOUSE No. ............... 7.7.q
0
11
0
't- / 0 /OF
........................................... .... CONTRACTOR ... .. .. 4.rd..5 .... .. .... (f�.,C4- i
... .... ............. .... PERMIT No
STREET 1 73
.......... W-c ........ I ..... AVENUE LOT No . ... ......... 4 ..... .. ...... ..................... ... .............. BLOCK No . .......... .. . ... ..... ......... . ..
NAME ADD A.OJ� ......... A&crlb.�� -'( . .............. -<;'.
f e ..... .4-1.0L ...... ..... .................. ................
� VPG
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zwj tj
-151
FA
Date
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ..........................................
SEWER WORK ORDER ISSUED ................................................
0
0
f�PPROVEQ
301982
'U
Approved:
BY. . ..........................
DATE.4 ... . ......
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), in . cluding, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be lia-b-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
STREET FILE*
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREETFILE
Name: 9, "Q 1, * �Z\
, -
Date: .
Z
kA /
Site Address: 0-t�� We4 Plan Check #: �CxDa - 07 00 k
Project Description: Secorwo/ 4017 _t1W,1+J an
Reduced Site Plan Provided: NO)
Zoning: 915:� - R
Map Page: 00G
Corner Lot:
Flag Lot: (YES (90
Critical Areas Determination #: r_RA-;)C0§;_Ca90
Study Required
Waiver
SEPA Determination: F_xe,-,%9k
It
Exempt
0 Needed (for 500 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger) -A//A
0 Fee 0 Checklist 0 APO List with notarized form
Required Setbacl(s
Street:
Side: :7.
Side: (,
Rear:(\,)
Actual5etback5
Street:
Side:
Side:(,
Rear:
El Detached Structures:
11 Rockeries: Nore_ e,\1oLZt-% c>c.,
El Fences/Trellises:
11 Bay Windows/ Projecting Modulation: Nor%e, _ICKA_N�
El Stairs/Deck: - V,� cq- G(e"z_c=,
-Buildin Height
Datum Point: W axx-ner
atum Elevation: * \C)p/
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area: 5? 9W� 4F ',,Maximum
Lot Coverage: 35% Proposed:
Lot Coverage Calculations: WE>� ZJnn!Pe_s%04eoNcA- over =00? 0
Cc.ver�.,Af_ Pro." + 91 ?X =!D
ADU Created: (YES
Subdivision: L
rV e S ��kock
Legal Nonconforming Land Use D_e�ermination Issued: (YES
Comment5
C, Z
Plan Review By: Planning Data Form 04-11-06.doc
EIP
EDt
77th PL W
CITY OF EDMONDS WATERLINE -AS BUILTS
ADDRESS: PERMIT
24226 77th PL W NO. ENG20060411
CONTRACTOR: HOMEOWNER: SCALE:
I RYBIENIEK I NTS
DATEINSPECTED: INSPECTED BY: DATE DRAWN: DRAWN BY:
2/23/07 1 J. McCONNELL 1 2/5/07 1 1. ABILA
#P20 A File No
.Critical Areas Checklist c
Site Information (soils/ topography/hydrology/vegetation)
L. Site Address/ Location: TL (Z W o&t�,jj 4 ('4"
2. Property TaxAccount Number: *n /`7_00 ` 50() 4-100
.0061
3. Approximate Site Size (acres or square feet): &K-1
4. Is this site. currently developedZ-4��_yes; no. i1f_/1 1 4, 0
If yes; how,is site developed?.
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation' change over entire site.
Rolling: slopes on. site ge4ierally less than. 15 % (a vertical rise of 10-feet -over a horizontal
distance of. 66-feet),, A.
9 0 1 tS� 101
f®r,
, e
ent on site of more v rtkalt tiset,6f,Q
Hilly: slopes pres 151% Ldli&g !Q4f6et
over a horizontal distance of 33 to 6�-fe
e�t * - , -P f''Jill" . F1
ao !, "" ; - — " V r
Steep: grades of gre ter than 30% preg verticalise o O-Met 6 1 f,a H6 ",izbfiff
Lg,
distance of less than 33-feet).
Other (please- describe
6. Site contains areas of year-round sta�nding waten- P10
Approx. Depth:
7. Site contains areas of seasonal standing water: O-d prox. D6p: th:
Ap
What season(s) of the year?
8. Site is in the floodway floodplain K C 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) t^- S C%,1kj
11. Obvious wetland'is 'present onsite:
For City Staff Use 0 nly
1. Plan Check Number, if applicable?
2. SiteisZoned?__
3. SCS mapped soil type(s)?
4. Critical Areas inventory or C.A. map indicates Critical Area on site?. A/6.
5. Site within designated earth. subsidence landslide hazard area?
DETERMINATION
4PTUDY REQUIRED WAIVER
Reviewed by- Date:
#P20
'4c� 1 %911
City of Edmonlds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas C hecklist 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.
Date Received:- ("q 2_�t (0�z
City Receipt #: 0060 r7
Critical Areas File #:
Critical Areas Checklist Fee:—$135.00
Date Mailed to Applicant:
A proper�y o , whier, or his/her authorized representative,
must,fill OP(the checklist, sign and date it, and submit it
to the City. r1be City will review the checklist, make a
precursory site visit, and make a determination of the
1k _+ +_ I-+- A I
The purpose of the Checklist is. to enable City staff to. ' `4" OvIFO %'v'JLJLF a %,,vv, UpJam—tIL
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
a s i a specific piece of property . described on this form. in
as ps r IT addition, the applicant. shall include other pertinent
Rat. "PM
wou IRM,
s information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
C),a I D in completing their preliniinary assessment of the site.
APPLICAMN. PIC #
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 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 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 APPLICANVAGENT DATE
Property Owner's Authorization
By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject lan& 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 postinjr
,,rto this application. 0
SIGNATURE OF OWNER DATE
Owner/AppV"a t: FYbfe n i Ap licant Representative:
,VWPA,- 771 M-6 ns",
Name Name -
ZqZZ4, PL
Street Address Street Address
k, KO
Fc�-nov-q& 9 �&kul I A q (AI
City State Zip City State 0V Zip
Telephone: Telephone: 4w - �v - 0-mo �
Email address (optional): - Email Address (optional):
JUNE 2006
N
Z
--a
Be
tl_j
z
LLJ
Q)
1 301-0..
HEAD POWEPLINE5 TO REMAIN AT NEW ELEVATION
1, 29'-0"
IMPERVIOUS SURFACE 2?c C61� ( �) IqGo
EX15TING DRIVE 1140 SQUARE FEET
EXISTING PATIO 900 5QUARE FEET
EXISTING DUILDING AT ROOF LINE 2209 SQUARE FEET
PROPOSED REMODEL ADD51255QUARE FEET
s. OW"��
L4 C o v" e- a, 3'3 Y 2CP Zoo'
L4
AREA OF NEW NEW
FOOTPRINT 0 125
5QUARE FEET
I I
F
EXISTING ASPHALT PRIVE
11405QUARE FEET
Zone Corner
,6LFlag _b1g
Setbacks Required Actual
Front (9) 25" 29
Sides
R-ear (W) 1-15" 1-53
Other
Heipkt 2.5
PAGE # 1
5CALE: 1/4" = V-011
Y_
inte
v r"�
&11 be
v� �hrg
?Apr
the
�g t�je
mainterinim,
.
-,xisting illegal,
noneon,'r:,'.. r"
; bailding, structure
or site core:
ip, the scope of the
ermitappl-
tf whether such
uildin
own on the
ite
ition
Q 1. Poo cture or
mat,
e oreement utwi.
�4asepara
. .. . .. . .. . ..
ovect - rcl _--fCyy kot-fic 0 b
SCALE: O'-l" = 10'-0"
"Nothing in this permit approval proem shall be
interpreted as allowing -or permitting the
maintenance of any currently existin illegal.,
nonconforming or unpermitted building, structure
or site condition which is outside the scope of the
rmit application, regardless of whether such
uilding, structure or condition is shown on the
site plan or dmwing. Such building, structure or
condition may be the subject of a separate
enforcement action."
REMODEL FOR:
REMIGIU5Z & AGATA RY131ENIK
24226 77TH FLACE WE5T EPMOND5, WA 9bO26
=HR. INOTICE REQ.
01� 1� J I
FR INSPECTION
'PPROI/M AS NCYfEL!
EX15TING 13LUE STONE PATIO
9 600 SQUARE FEET
A"I'
_O'
PARCEL NUM13EK - 00468700500400
LEGAL - LAKE 13ALLINGER HOME51TE ADD 13LK 003 P-00-LOT4
.ADDRESS - 24220 77th FL W EDMOND5, WA 98020
EXISTING 13LUE STONE FATIO�
0 300 SQUARE FEET
ts to 3
1* —0s— - — —
(0
10
I
r- I C�k I -of I
A4 CA
PLOT PLAN AND FOUNDATION PLAN
RECEIVED
J U N 2 9 2006
DEVELOPMENT SERVICES CTR.
CITY OF EDMOWS
RESUB
AUG 14 2006
BUILDING DEPA14TIVIENT
CITy OF EWONDS
FAUL MON50N PEE)IGN INC. 426-478-0340
PAUL MON50N DEOIGN INC. 15 A GENERAL CONTRACTOR AND NOT LICEN5ED OR
IN5UREE) TO PERFORM ARCHITECTURAL WORK. ALL CONCEPTUAL PRAWING5 & PE51GN
WORK 15 THE PROPERTY OF, AND TO E3E U5E1) FOP, CON5TRUCTION ONLY 13Y PAUL
MON50N DESIGN INC.. COPYRI GHT 2006
02CO b (51
cP-42-2ce —T-71L 7L VJ/
FILE
STREET
RECEIVED dA,
JUN 2 9 2006 AUG 14 2006
DEVELOPMENT SERVICES CTR. BUILDING EP RTMENT
CITY OF EDMONDS Ty OFCED A
ol 'ONDS