318 10TH AVE S.PDF1111111111 lill
14864
318 1 OTH AVE S
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: (�M G 0 1 G9 — DETERMINATION: 0 Conditional Waiver 0 Study Required XWaiver
DISCRETIONARY PERMIT ff
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
.1
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:—!
SEWER LID FEE $:
WARRA
LID #:
SHORT PLAT FILE: LOT:— 7,1-2-,')- BLOCK:— ]�o
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
OTHER: VAI k) / - 0 ZA 4
LATEMP\DSrs\Foffns\Street File Checklist.doc
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
11 STREET
Name: Dat -
( ', r - - - ! ___( - ��L -------
Site Address: 06 Pla i i Check # :
(0 01-0-77Y
Project Description: VI-0 c6u4(, ry 1c4(MtQ1__
Reduced Site Plan Provided': (Y D-S NO)
Map Page: )rner Lot. N11) Flag Lol,.- (YES /(T)D
Critical Areas Determination ff
El Study Required
H-waiver
SEPA Determination:
Y-Exempt
El Needed (for over 500 cubic yards of grading)
El Fee El Checklist El APO List with notarized form
A Requitrie�d lb,3cks
Street- (v 5 Sioe- -5
�__ V, TK' _* - - *- �-,?o
_,;etbacks
Street: Side: Side - Rear:
to
V-Detached Structures: q 7j- �(n- 0 /1 mle_ houre- rtivicick
0 Rockeries:
El FencesfTrellises: el 0 A C Of (D C en I
movc +9
0 Bay Windows/Projecting Modulation-.
El Stairs/Deck:
Bulk-hil H-09-LI t
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided. -
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations:, 95-v Ch, C
ADU Created: (YES / 4,3r� dick 07d, i4ds- (17'�) 2�O
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Comatents
OV,01� e do f-5- /I �-4,Lp,& 5��-f_54 6,,,,�-_ I-e-1
fi-)m � k54-- rpr 1 (rct e-
18
Plan Review By: 4t- (- r *- - -
pwfv" Data roum 01 - 11,06 -doc
#P20
.4c. 199V
City. of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: - 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by. any.person, preparing a Development
Perim*t Appli cation1or the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable Cit y staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed'-- *to . complete the Checklist' �shbuld be 'ea S*ily
available from observations of the site or -data available at
City Hall ' (Critical areas inventories, maps, 'or soil
su . rveys).
0
Date Received: 1, OIA ;ZA U
City Receipt#:_ . C2JqQ d4-
Critical Areas File #: 6A- 2�005-;- 0 1 x5!2
Critical Areas Checklist Fee: $135.00
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'fo . !to a§s'ist City staff in finding and locating the
specific piece 6 f *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 theirpr0iminary 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 dama es, including reasonable
9
attomey's fees, arising from ar�y.action or mifraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnishedby the applicant, his/her/As 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 APPLICANTIAGENT
DATE
Property Owner9s 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 fob/l#e public o . fficials and the staff of the.City of Edmonds, to enter the subject property for the
purposes of inspection. anjpo�ting attendaq;o #ii§ application. .4
S GNATURE OF DATE f t23
I QWNER
Owner/AppHcant: Applicant Representative:
1 04—
Name Name
3( 9'
Street Address Street Address
2-- 0 2-L)
city `State* Zip C*1 State Zip
Telephone: 24 L(20 qj�- 677- 33 3-o(,,TT Z e p I horie:
Email address (optional): AakA-Coy I Email Address (optional):
'04,
#P20
CA File No:
Critical Areas Checklist
Site Information (soils/. topograplhy/hyclrology/vege�ation)
i. Site Address/ Location: lo -A, k,.,-,,
2. Piovertv Tax Account Number: 604342. wio6zioo
3
4.
Approxninate Site Size (acres or square feet):
Is this site,currently developed? jyes;
If yes; how is site developed?
no.
—2& Z. u
5. Describe the general site topography. Check aithat ap"ply-
Flat less than 5-feet elevationchange over entire site-.
Rolling: slopes on. site generally less than 15 (a vertical rise of 10-feet over a horizontal
distance of 66-feet)-
HiUy:, slopes present on site of more than 15% and'Iess than 30% (a vertical'rise of 10-feet
over..a.horizonW dist6n'ce 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 (pleasedes,cribe):
6. Site contains aie�s of year-round stahqiN water�. -')V 0 Approx.,, Depth.
7. Site contains areas of seasonal standing water: Ap rox. Depth-
P: 71
What seas.on(s) of the year?
8. Site is in the floodway A,'O floo dphdn A/ 0 of a water course.
9. Site contains a creek or an area where water flows across the grounds, surface? Flows:are year�round?
lyd Flows are seasonal?. Y() (What time of year?
10. Site'is primarily: forested /V0 meadow 2/()- shrubdV'O mixed AF__ ye -
urban landscaped (lawn, shrubs etc)
11. Obviou , s wetland is present on.site: 0
For Cit y Staff Use'O nly
1. Plan Check Number, if applicable? V1 1 V01 -
2. Site is Zoned? P'6 — (o -
3. SCS mapped soil type(s)? 1+1� 6V&YVft @r6LV'd1!A -6 (A Y1 61 Lj t G6 M 0 9 '1- Al 0 M,5
4. Critical Areas inventory or C.A. map indicates Critical Area on site? None, Sh 0 \/VV\,
5. Site within designated earth- subsidence landslide hazard area? KI n FS LA f
04i cj*a I -tp m a K-?� fivi a I e, va I LA a . nel
STMY REQUIRED WAIVER
Reviewed bV. _a6in4i ('0 (, 6A_-A Date: I L) t--i
ff
d%mr Side Sewer Drawing
The City of Edmone IREET FILE EASEMENT NO.
lo3-o63oo NEW CONSTRUCTION [:] REPAIRS [:] LID NO - ------------------ - ASMT. NO - ------------------
OWNER ....... IMS ...... aGlili� --- 3kClCUZ- ----------------------------------------- CONTRACTOR --------------------------------------- ------------------------------------ ------- PERMIT NO - --------------------
JOB AIDDOSS ------- 3 -1- & —� --- 1--GTH --- AVENUE—&OUT-H -------------- LEGAL DESCRIPTION; LOT NO . ...................................... BLOCK NO - ------------------------------------
.....................................................................................
NAME OF ADDITION ........................... ..............
DYE TESTED ON SEWER
Approved:
PWW4Ml-ll/75 (REV.11178) DATE ................................ ........... By
AZ- /P /,k)
L 16
90 oo
EXI
GA AGE
30,
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ALDER
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STR.EET
i
PLAT OF SURVEY
FOR
nc,DL-)Ir%v C-%
STREET FILE
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EXPANSION JOINT
DUMMY JOINT
If
.
- F
4.
4
10, O.C. 5- O.c
PLAN
FULL DEPTH 112' EXPANSION
JOINT MATERIAL
N 0 T E,
1. CONCRETE
SHALL BE CLASS 3- 3
UNDISTURBED EARTH OR
COMPACTED NATIVE MATERIAL
UNLESS OTHERWISE SPECIFIED
BY ENGINEER
SECTION
3-SIDEWALK THICKNESS SHAiL`L--#E--5---j/-2—,."w
4. SIDEWALK THICKNESS AT DRIVEWAYS SHALL BE 6' THICK.
5. CURB AND GUTTER SHALL BE POURED SEPARATELY FROM SIDEWALK
6. CONCRETE SHALL BE SPRAYED WITH CLEAR CURING COMPOUND
OR SHALL BE COVERED AND KEPT MOIST FOR 72 HOURS.
. . . ......
PermitNo:
City of Edmonds
_�RIGHT-OF-WAY CONSTRUCTION PEIMIT Issue Date':
JF
A. Address or Vicinity of Construction: F) )_T�4 F 5_-z- t:0N AkD& )bS /J# `�'TYX)Z-
0
B. Type of Work -(be specific):— E 2 ( PIL F 1_R C 4_7 S t < 1- &.,-A'90) 6
�J r 0 F 1Z t Pt ?�-r r -To H�_ 0,1_4 (?- 007
C. Contractor: )_N6 IT" 1, L, Contact: 0,4 4 E 'AJ
'y _0C
Mailing Address: III 6� 1 tDAA0AX> Wl*� Phone:.. -74;
State License #:- Liability lnsuran.ce.� Bond: 0
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable
E. Commercial. F1 Subdivision City Project EUC (PUI,j, VERIZON, PSE, AT& T, OVWD)
Multi -Family Single Family Other
fNSPECTOR:
F. PAVEMENT CUT: YES 1.40 G. SIZE OF CUT x
CONCRETE CUT: DYES Pa NO
INDEMNITY. Applicant understands,,by his/her signature to,this application helshe holds the City of, Edmonds harmless from,'
injuries, damages qr claims oyany,kin'dor description whatsoever, foreseen or unforeseen, that may be made against the City of
Edmonds or any of its departments or employees, inclu4ing but not limited to the defense of any 1�gal proceedings'�incl e
4qf
costs and attorneyfees by reason ofgranting this permit�
THE -Cb]�TRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERJALS'FOR A PERIOD OF ONE YEAR FOLL097NG THE FINA L
INSPECTION AND ACCEPTANCE OF THE WORK. 'ESTIMATED REiTOR,4 TI& FEES 97LL BE HELD UN T[L THE I FINAL, STREET PATCH iS
COMPLE TED B Y C! T Y FOR CES, A T WHICH TIME A DEBI T OR CREDI T WIL L BE PR 0 CESSED FOR ISS UA NCE TO THE A PPLICA N T.
c-coniro"I'And public safety shall be in accordance With'City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-455-305 and must have certification verifying completion of the
required training in their possession.
* Restoration is to be in accordance with City codes. All street -cut trench work shall be pa�tched with asphalt or City.
approved matir'ial prior to, the end of the workday — NO EXCEPTIONS.
* Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800424-5555) PRIOR TO BEGINNING WORK
I HA VE READ THE ABOVE STA TEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE
THA TI MUSTMAKE THE PINK COPY OF THE P,�
ftM[T A PAILABLE ON SITE A TALL TIMES FOR INSPECTIONS
Signature:
Agent)
FOR CITY USE ONLY
Approved by: %Av1`-- LY1v
Time Authorized: Void, After
Conditions:
Date:
Right- of -way Fee:
Disruption Fee/Fund 1 1
Restoration Fee:
Total F ee: *2- q-47`6
Receipt No: . =5
C, A .,
Issued b . :
Y
UPON COMPLETION OF - PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED PER CHAPTER 1" OF THE EDMONDS
COMMUNITY DEVELOPMENT e 4"- 1-0120, Ext. 132
ERF
kQpr Ape!
: &,�� - ((
FINAL APPROVAL OFPERIWTTED WORK. 4- DATE:
I I ector's Signa ture
i�4 d (!, �4 . I Insp.
a� Jk 9�-�
For inspection requirements see Englineering inspection Information handout.
DAMy Documents\Forms\Eng�mg\ROWpermit_.doc
Diana Cookl Unda Ford
318 loth Ave 5
Edmonds, WA c3802O
Height Calclations:
CaS3,15
Dr`216,83
average
Grade = 381.16'
/ 4
Maximum allowed
Maximum height
Proposed Height
REVISEC> 112410ro
Fe I of a
C33.15'.
iz "35,23'
* 25.0"
* 120,2S
* IIS,41' < 120,2S
Lot Size- Seas Sci Ft
Lot Coverage:
Existing home: IAS2,5 Sq Ft
Proposed Garage 4
Master Sedroom 1,2W.0
Total lot coverage 2,12185.5 a 3096
Impervious coverage After 1"311:
10 Addition to Home In ISSO 142.5
Concrete patio ISSO ro 13 6
Proposed addition 2006 1,2S3
Proposed Concrete drivewag
extension 353
102.0'
Proposed Concrete patio 144
Total Impervious after 11511 3228.5 = 32,696
JAN 26
��Jblm;
U-
0 d)
27,0
tu
12--511
Paved AlleS
CITY Copy Top of r-5 S2,625'
___jj Existing TSpe I catch basin
85.sro'
---------------------------------------------------
S
C
LL
T
d)
'11
C4
53 .-Oil
Exlatln4-
C350 Sq Ft
Home
Existing floor
Elevation 55.0
-1 ExIotfi
R V Dock
Small catch basin
r;
A CY0.83, X
12' x 12
concrete apron
L----------------------------
BUILDING DEPARTMENT
CITY OF EDMONDS
R//
----t,25 Sq Ft
Garage 4
Master Bedroom
Addition
Finished slab
Elevation `35.5'
Top of C-5 S3.&1'c33&-,(
----------------------- X
C5 Inv. El I
C- "33.j4'
4--511
Zo�
::20,-0"
9t C'm
!�Vert Of dral f P-8
at P
719*5� 6�rner
C14
C14
130
4V"
Inv El
C4
d)
X
Uj
zz�� C>8 se.93' :
Cr
C14
---------------------------------------- -------------------
84.133' Gas line
Water meter[]
Alder St
Water line
Existing cArb
Reference Point
Power
0
::42
RIO
0-7
100,0 X
C:atc basin
Uj
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City of Edmonds Permit No: f-w5r-014
RIGHT—OF—WAY CONSTRUCTION PERMIT Issue Date.:,!?'/ 14-10
A. Address or Vicinity of Construction: *bib 10 lroln/s_s
OA#
B. Type, of Work (be s . pecific):*J,;1V6V6 A506451i !V 4*):5, JW flwm,
C. Contractor:
Mailing Address:
State License #:
Contact:
Phone: Cr
Liability Insurance: . Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. Fj Commercial EJ Subdivision E] CityProject. E] EUC (PUD, -VERIZON, PSE, AT& T, OVWD)
F-1 Multi -Family Single.Family Other,
INSPECTOR: igvw!0�
F. PAVEMENT CUT: YES NO G. 'SIZE OF CUT x
CONCRETE CUT: El YES F-1 NO
INDEMNITY. Applicant understands,by his/her signature to this application helshe holds the City of Edmonds harmless from
I
injuries, damages or claims of any kind or description whatsoever, Joreseen or unforeseen, that may -be made against the City of
Edmonds or any of its departments or employees, including but not limited to' the defense of any legal proceedings including defense
costs and attorneyfees by reason ofgranting*this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE WELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT 97LL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
* Traffic control and public safety shall be in accordance with City regulations as required by the City Engineer. Every
flagger must be trained as required by (WAC) 296-155-305 and must have certification Verifying completion. of the
required training in their possession.
* Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City -
approved material prior to the end of the workday — NO EXCEPTIONS..
* Three sets of construction drawings of proposed work are required with the permit application.
CALL DIAL -A -DIG (1-800-424-5555)-FRIORTO 13EGINNING-.,,WO
PW
IHAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND -ACKNOWLEDGE
PERMITAV 6Nst,
THA T I MUST MAKE THE PINK COPY OF THE AILApa TEA TALL TIMES FOR INSPECTIONS
Signature., Date.
I
(Contractor or-Ag"e-nt)
FOR CITY USE ONLY
Approved by: Ae!�� Right-of-way Fee:
Time Authorized: Void After 115' 05 Disruption Fee/Fund Ill:
Special Conditions: Restoratio Fee:
**�, a W pe'twil J9M'tA_ h V2��Y_ 00LAI V Total Fee:�_115,
r014 Receipt No: _Zzsl
Issued by:,
1�
UPON * - COMPLETION OF PERMITTED WORK9 AN ENGINEERING FINAL
INSPECTION IS REQUIREDPER CHAPTER 18.00 OF THE EDMONDS
COMMUNITY DEVELOPMENT CODE- (Phone 425-771-0220, Ext. 1326)
DATE:
FINAL APPROVAL OF PERMITTED WORK. (L&6n
Inspector's Signature
For inspection requirements see Engineering Inspection- Information handout.
NO WOIZK SUIALL BI,-,GIN NUOIZ TO 1'U'1ZM1T ISSUANCL
DAMy Documents\Forms\Engnmg\ROWpermit_.doc