24227 78TH PL W.PDFIIIIIIIIIIII
6800
24227 78TH PL W
ADDRESS: 0,q,2_411 -7 ?"� 0 1 t()
TAX ACCOUNT/PARCEL #: OD q 90 0 0 2,00 LIX)
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: 01-001C) DETERMINATION: El Conditional Waiver El Study Required Waiver
CRITICAL AREAS #: DETERMINATION: 0 Conditional Waiver El Study Required OWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER - list permit #'s):
PLANNING DATA CHECKLIST DATED: �1!2/0q
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
[BLOCK:
SIDE SEWER AS BUILT DATED: 11-1,51w,
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
RANNING DATA
SINGLE FAMILY RESIDENTIAL
41 1[—,,W,—,TFILE il
Name: Ite 2
Site Address: �cf c e- to Plan Check 00c') L
Project Description:
C, (6 e
Reduced Site Plan Provided: (S)NO) Zoning:
Map Page: Corner Lot.- (YES Flag Lot: (YES
Critical Areas Determination ff:
El Study Required
9CWaiver
SEPA Determination:
V-Exempt
El Needed (for over 500 cubic yards of grading)
C1 Fee 1:1 Checklist E3 APO List with notarized form
Reqtllte(l tbacks
Street- Sid -7.S- Side: Rear:
2- S_ /S
Actilil-Setback,,;
Street: -31-1 Side: Side,. -
El Detached Structures:
Rockeries:
Fences[Trellises:
Bay Windows/Projecting Modulation:
Stairs/Deck:
MIA In
Daturn Point: Datum Elevation:
Maximum Height Allowed: Actual Height:
Other
Parking Required: 2-
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: C AZ_)_,J__St+ Covkr-ed o�qar-�f
ADU Created: (YES / NO)
Subdivision: ow dd -
Legal Nonconforming Land Use Determination Issued: (YES
comments
A_
Plan Review By:#..
Kau" Data fom 04 -11,06 doc
#P20
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 2-42Z-7 —733+k 'PL_ \1\1
2.
3.
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5.
6.
7.
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10.
11.
1.
2.
3.
CA File No: (,�_A - I D
900
Property Tax Account Number: C-Uo'�'t> /C_Z2:QD ICU
Approximate Site Size (acres or s uare feet):
Is ffiis site currently developed? T yes; — no.
If yes; how is site developed?
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
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
distance of less than 33-feet).
Other (please describe):
Site contains areas of year-round standing water: ; Approx. Depth:
Site contains areas of seasonal standing water: JW Approx. Depth:
What se,ason(s) of the year?
Site is in the flood�vay floodplai—i)(1 ofawa'tercourse.
Site con ' creek or an area where water flows across the grounds surface? Flows are year-round?
tazo__ - — Flows are seasonal? (What time of year? Y
Site is primarily: —forested meadow shrubs mixed
urban landscatd wn, hrubs etc)
^'rr%EET FILE
Obvious wetlan p resent on site:
—For City Staff Use Only
Pfah (Nec*k Numb�r, If
Site ' Zoned? tZ
Ls
SCS mapped soil type(s)?
Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Site within designated earth, subsidence landslide hazard area? _A(0
4
1
DETERMINATION
S-MDY REQUIRED WAIVER
I* #P20
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
C. 1. 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 ofth�a�bliptai6iilb the,Chy.
The purpose of tb�- 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 Received: - v-l.aq
City Receipt#: 4914 -1 �2-
Critical Areas File #: G�A UCP1 DOI 0
Critical Areas Checklist Fee:
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
`precursbry,'siP�.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 prelinuinary 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 fi7om any and all damages, including reasonable
attorney's fees, anismig from any action or infraction, based in whole or part upon false, misleading, inaccurate or
incomplete information furrushed by the applicant, his/her/its agents or employees.
By my signature, 1, certify that the information and exhibits herewith subrm'tted are true and correct to the best of my
knowledge and that I am authorized t% on on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT DATE—V ZS�
Property Owner's Authorization
By my signature, Icertify that I have authorized the above Applicant/Agent to apply for the subject land use a
. pplication,
and grant my pernussion for the pub)iSofficials and the staff of the City of Edmonds to enter the subject property for the
purposes of 'inspection and postinrXit this application. . . . I - -
SIGNATURE OF OWNER DATE
PLEASE PRINT CLEARLY
Owner/Appficant:
JP A
'i MDV 0--% rf:, Tuubt)
Name
7?4c�Z L k)
Street Address
eda rroio M? -qa9k
City State ZI
4)9 .
Telephone: ZN;�/
Applicant Itepresentative:
PIIF�JIAWAO
Narne
Street Address
City State Z1*
Telephone: 4-25 - -)e-pl - JA1_
Email address (optional): Email Address (optional):
-*ate Approved:
BACKFILL WORK ORDER ISSUED .................. ................... DEPOSIT, ......................... ..........................
SEWER WORK ORDER ISSUED .......................................... . .. ............
v 0
-7
FILE
C I T Y 0 F EDMONDS
S E P T I C T A N K APPROVAI
TO WME IT MAY CONCERN:
This is to certify that the septic tank— for
t -.5.1 �7-lz - --2
has been inspected and are according to City of Edmonds standards
10,
DATE:
Inspected by:
/7
74-
C 0 /11' 74"l<
41
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 for - th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
the -map(s), including, 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
empl-o-yee-s o-r office-rs sh-all be 1--ia-b-l-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).