423 3RD AVE N.PDF111111111111
4885
423 3RD AVE N
PLANNING DATA
NAME: (;NA
SITE ADDRESS: qq
-DATE:
ZONING: PLAN CHK4: q
PROJECT DESCRIPTION:
CORNER LOT�O -_(Yes/No) FLAG LOT- J/(b _(YesINo)
SETBACKS:
Required Setbacks: 11� I
Front: f 0' Left Side: Right Side: -Rear:
Actual Setbacks:
Front: 61'7"Left Side: Right Side: Rear: -30(5'
Street map checked for additional setback required? WX (Yes/No)
1A
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED-JL (Y/N)
LOT COVERAGE:
Maximum Allowed:- Actual:
BUILDING HEIGHT:
Maximum Allowed: X Actual Height:— J1 Ll
Datum Poin (I AAA fi A A A n i -A-A Datum Elev . ation
- // AzWvM4-
A I - - U
A.D.U. CREATED?: /1/0) —
SUBDIVISION:
CRITICAL AREAS #:
SEPA DETERMINATION:
LOT AREA: 111, t-) 0 - j -� '
APPLICATION
for
The City of Edmonds SEDE SEWER PERYaT EASEMENT No . ..........................................
NEW CONSTRUCTION E) REPAIRS 0
113-04900
OWNER.......... Mrs....Stephen ... Smi.th .................................................... CONTRACTOR ................................................................. ................................ PERAUT No . ......................
ADDRESS ....... 423 ... 3nd.-Ave.....R . ............................................................ LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
0
E
0
NAMEOF ADDITION .........................................................................................................................................
Dye Tested On Sevier 1972
Approved:
DATE................................................ By ......................................................................
ee<� RECEIVED
FEB 19 1922
City of Edmonds
DEVELOPMENT SERVICES
'WL-M-NEROW CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing. a
Development Pen -nit Application for the City of
Edmonds prior to his/her submittal of a development
permit 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
infonnation 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).
An applicant, or his/her 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
oth er pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below),
Owner/Applicant:
Name
IA.�3 -'s
Street Address
4
8P �-,i zc,
city State Zip
-7 -7 R ?s
Telephone
u 7 -,-,
Signature I
Date
Applicant Representative:
Name
. 0-0-3vx
Street Address
city State 1 Zip
Telephone
Signature
Date
c:rece ptio n\j an akac 1. do c
(over)
CA FILE NO. qCi
Critical Areas Checklist
------------------------------------------
Site Information (soils/tolpography/hydrology/vegetation)
I . Site Address/Location: 3 A v <- Alo
2. Property Tax Account Number: 57 ";R
Approximate S.ite Size (acres or square feet): t
4. Is this site currently developed? yes; no. MAR
S 10�'9J
If yes; how is site developed? E U_ 4VL'J'%
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 distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical
rise of
I 0-feet over a horizontal distance of 3' ) to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over
a
horizontal distance of less than 33-feet).
Other (please describe):
R
V]
8
Site contains areas of year-round standing water: Approx. Depth:
Site contains areas of seasonal standing water: /00 __ ;Approx. Depth:
What season(s) of the year? /o
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.y ar-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested. meadow shrubs mixed
urban landscaped (lawn,shrubs etc) (A AJHUA,
11. Obvious wetland is present on site:
2. SCS mapped �oil type(s)? _rA) ' [*,,jj,,*FX- I _11WALQ 14
1"' WOand.ihvertory,or.C.A... ap..indi ent*o I _r. A
M cates wetland pres n sitel
4.: Critical Areas' inventory or C.A. map- indicates Critical Area on s*ite?
5-- Site:w'ithin,:,designaited arth 15' 'd*'**'* :1 &fi&
:e, . -su $1—ence an. ... .,:hm�td a�ea9:
ite: des ighatedl on: the:: Envirohm entall Sen�itiv&Areas::'MaOT
�ca_chk.doc; Re� 10/03/97
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301 45- -_ i.
The City of Edmonds Water Service Drawing
EASEMENT NO . .......... ............. ..............
NEW CONSTRUCTION REPAIRS LID NO . ........ ......... . ASMT. NO . ..................
OWNER................................................... ........................... .......... CONTRACTOR ................................................ ....................... ........... PERMIT NO . ....................
JOB ADDRESS .... 42-3 3RID NO . ...... LEGIL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .....................
................... ........... ........... ..............
3 IR D
NAMEOF ADDITION .-: .......................................................................................... -------------------------
I" ZAu- VAL-VC
P,
wisT. YCPLAS-ne-
SAAL.14
Approved:
DATEM 25 m5 ....... By
...... I ....... ...... . ....... * -------------------
Im
ENGINEERING DEPARfMENT
APPLICATION FOR, RIGHT-OF-'(,!,'�,Y CONSTRUC ION PERMIT
to Cc7-lete A & '; c,:d' 17u�mt in D:q?Z.-*,%-,te)
Permit to be issued to: Still ( —Ii-g-
For work at: (address or vicinity)- Zq,
Type of work to bNne:
(Attach Drawing �-.Iien AppLicagl-e-)
Time Required -- Start:
Owner: 75TU-,O 4
. 54,(
Name
4 2-3 3 /KQ A tA AJ,
Mailing Address
A-5 P-� ( AJ 6- TO A!
City State
N
Finish:'
STRL-
IL
-7 3 3
Telephone Number
Contractor:
Name A" TV te Licensq-1,1"'uraLpr a, e�
na,ilin Addres0`
City State n Telephone Number
INDEMNITY: ADplicant undorstands and by his signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, damages or claims �of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or 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, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
materials "or a period of one year following the final inspection and acceptance
of the restoration by the Engineering Department.
'Work subject to inspection and restoration in accordance with City Code. A
24-hour notice 's ecgired for inspection by the Engineering Department.
Call 775-25250(laa
Signature.: C
7 Z�, -,r
Ow�(er 111*�6L,� Igned
Date 11.
DO NOT WRITE BELOW THIS LINE (To be ccmpleted by Issuing Agency)
Permit Issued (Dat Permit Number
Fee:
1 -1 3 Bond:
Time Authorized:
:1:R'S APnOVAL - I . DATE
I
a
ow"
0
r
CiI.
,If)
4%40r)&u.. Lowy
Pir, J�JJC P!:PT. (J!T'C', LIST
—.7,PILDING PI'll"UT . PT. - 't I i
Ll
Strcet Pdght-oE-11-:a-%r ExistillF I u T
-coo Moo KJO
Access Easements Existing-- PEN)
Utility Fiscinont Y-dstin.c,
1ot Pcrcuhdiv;sjon Owwwwo T)l at Asscssor I �31)
itc Plan (1cc-1:cd for Accun cp
Uncicr-ron-ld "cod.
W.0 -.- A
t c
LW
MAI
I s t III(' "'Iter I'l j, 11 Si.-,
Pydnwt
�izc
)("Pt1c D"Itc:
sc,pdc T:�: s —0.
Sanitary Av.ij.)ai-,7T*r
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I I s tJ i
clovort �Pcmli�rz
ce. Pccluircd
Catch ,,,�wiil pu'luil-c(I
CCU) - t1l
,_;-j
�1-111101c required-
- zid "."ater Field (,,�C-Ckcd
Soil Conditions A
�i�ojls �011
Patc.
size,
-Itc oil 7;.f-c Plml
cl s
'1 -0 Oil
C-
fildicate oil sitc
Rate
Ah
E-4
(r.
avillo, Rc(pircd
cot 11,
0-irb wiJ -tcr Requirc(I
Sidewalh Pemi.i. re d
Dieb Ou t for I)rivc,,..,a\, ReqUi
Pj Construction Pel.11,13* 11.1
Eond 11ccadred for Rib mj)rovcj,icnt.,;
Street "N"11-
O.tl i Sioning 1'cquircd
Pre 11cr'llit Site Inspcction rtaC!c on
c
BY: Sewer
h'atcr
Street
eI i 11
sy-Tcj,!.i. j�cquiycr!cnts iistccl in to 11,"Zild.ing DOPll-t-ment
Maw —
I A� nn
C;
Dic"s Stx�lpcd and 'Notations, 'I"Ob
B Date
r- Ap�prcvc(l by Public Worl.-'s R-partrient
L"M
w
1�i
cl, FILENO 3G
Critical Areas Checklist
------------------ --------------------------------------------
Site Information (soil s/td�pography/hydrology/ve getation)
I - Site Address/Location: _3 3 Lz- A v if , Allo
2. Property Tax Account Number: S-9 0 Og — 0 i,�4_32;052�F
-7, A(Rq
Approximate Site Size (acres or square feet):
4. Is this site curr ? X
ently developed j yes; — no.
If yes; how is site developed? Ss
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 I 0-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
I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades� of greater than 3 0% present o ' n 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: Approx. Depth:
7. Site contains areas of seasonal standing water: VO Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain /G/0 of a water course.
9. Site contains a greek or an area where water flows across t . he grounds surface? Flows a e.y ar-
round? Flows are seasonal? IJV6 (What time. of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc) UA IUYLaA,,�
11. Obvious wetland is present on site:
2 ;SC�,S�mapped.��b,il,.,t.Y.Pe(�)?!��:0:�:'�.. X� in
P, An wad t
30:. W, il d' di s� wel
an inve tory.::or.
pres,en
4.�
::Critical: Areas: I inven t . o r . y . or:.C.A� map indicatori'Chti . cal
...... ... �Area:6n.sfte?
A.
ewJ an es.gpatediqaqh:' b e:
1uP.,p..d6hc la'fids�l.:'d h d eaT
na. qi �qii:: elthvjionm� t I ea
s g.. - I ft, '
th E ii a i **
si ive s
...... ..... P., L_NQ_
DET9kMINAT TOM.:,::::
-rUE)Y.AE0.1AkED:.:.::
^ca_chk doc; Rev 10103/97
RECEIVED
City
FEB I 190.4J
of Edmonds
DEVELOPMENT SERVICES
CRITICAL AREAS CHECKLIST
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 a development
permit 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
infon-nation 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).
An applicant, or his/her 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 assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
i
Name
o �'� -'-� J'? b A V -e /t/6 �
Street Address
q w,
city State Zip
64,;� S- � -7 -7
Telephone
Signature I
Date
Applicant Representative:
,T-
-- I e4
Name
100 F5vx S:�, 3
Street Address
K--e4VTXeV I UJ �80 gg
City State 1 Zip
6- q'?
Telephone
Signature
q-
Date
creception\janakaddoc
(over)
CITY OF EDMONDS
121 5TH AVENUE NORTH . EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
February 26, 1999
Steven Smith
423 P Ave. North
Edmonds, WA 98020-3111
Subject: Determination regarding Critical Areas Checklist # 99-35
Dear Applicant:
BARBARA FAHEY
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copV of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications, include the following:
Enc: Determination
* Architectural Design Board
C:ReceptIonWana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Planning Secretary
Incorporated August 11, 1890
Sister City - Hekinan, Japan
PERMIT EXP11F&S -r,
CITY OF EDMONDS
USE
ZONE Z'S PERMIT
12 NUMBERS gol C64
CONSTRUCTION PERMIT APPLICATION
JOB
SUITE/APTU
ADDRESS
OWNER NAME/NAME OF BUSINESS
VA
4 7,, 5�-2 0
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
cc
W
MAIL ING ADDRESS
z
APUBLIC
RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP App,o�ed 0
EXISTING
RW Permit Required 0
0
CITY ZIP
TELEPHONE
5)
4 ��1021
1(?4-
1�.
-VIP-1-
- REQUIRED DEDICATION
street Use Permit Req'd
Inspection Required 0
PROPOSED
Sidewalk Required 0
NAME
METER SIZE
LINE S IZ E
NO. OF FIXTURES
PAV REQUIRED
0
YES 0 NO 0
.3
cc
W
ADDRESS
REMARKS
W
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cc
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CITY ZIP
TELEPHONE
Lu
NAME
ENGINEERING MEMO DATED REVIEWED BY
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ADDRESS
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FIRE MEMO DATED REVIEWED BY
W
CITY ZIP
TELEPHONE(q-
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0
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11
VARIANCE OR CU
ADB#
SHORELINE 4
AdA
Al (A
Al LA
STAYE LICENSE NUM13ER EXPIRATION DATE
CHECKED BY
SEPA AEVIEW
SIGN KREA
kLAGHT
COMPLETE EXE
ALLOWED PROPOSED
ED PRO
ALLOW POSED
z
2
LEGAL DESCRIPTION OF PROPERTY _'INCEubt ALL EASEMENTS..t
I
IL
EXP
LOT COVERAGE
REQUIRED'SETB'ACKS (FT.)
PROPOSED S6BACKS' (FT.)
cr
L)
ALLO PROPOSE9
FRONT SIDE REAR
FRONT UR SIDE REAR
.
PROPERTY TAX ACCOUNT PARCEL Ni
Oc`,�
LOT AREA
PLANNING REVI W BY DAT
W
Q lr� a - 0 0 14 0 n,
IL
W
J7
g � _V
J& Oa,,l 2J,11
F� NEW [D,,FTESIDENTIAL 0 PLUMBING MECH
REMARKS
-1 _/ I I
Mi,IKDOITION E] COMMERCIAL r-1 COMPLIANCE OR
A It
�ih
CHANGE OF USE
REMODEL APARTMENT 0 SIGN
d
REPAIR GRADING �ENCE
CYDS
( X FT)
Yf-.- OF QONSTRUCTION
C OCCUPANT
OTHER
DEMOLISH TANK .
77T
1� .1
C r-A
GROUP
lei
GARAGE
SPECIAL INSPECTOR '4RtA
OCCUPANT
RETAININGWALL
CARPORT D RENEWAL
REQUIRED [:] YES
LOAD
0
ROCKERY
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: :1
REMARKS
P:
0-
V, (1, Vy�
PROGRESS INSPECTIONS PER UBC 108
NUMRBF!�
NUMBER OF
CRITICAL
OF
DWELLING
AREAS
Cf
o
STORIES
UNITS
NUMBERq
DES I WORK TO BE DONE
x o cla
ur,
4_r) �tr (A r-)o
FINAL INSPECTION
REQUIRED
I V-) joor_ siv 1254�: i_1A
VALUATION
FEE
PLAN CHECK FEE
&2-7
S0'URCq _GLAZIN6�9% LOT'§L6PE %
kAEA
BUILDING
(14-
PLAN CHECK NO: q nA,[q VESTED DATE PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
:i DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
SEPARATE PERMISSION.
cc STATE SURCHARGE
W PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS STORM DRAINAGE FEES
W ENG. INSPECTION FEE
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a: EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WH&EVER NATURE, ARISING DIRECT
OR INDIRECTLY
FROM THE ISSUANCE OF THIS PEWT. ISSUANCE OF THIS PERMk,1 giALL NOT BE
0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT 140, 1)
x NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
TOTAL AM 'N�T DUE
Tu
.1 HEREBY ACKNOWLEDG.E THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
.!GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
I APPLICATION APPROVAL
THE OWNER. I AGRE�,tC;OOMPLY WITH CITX.'A`N��,STATE LAWS REGULATING CONSTRUC-
'fHE CALL This
TION; AND IN DOING, WORK AUTHORIZEDTHEREBY, NO PERSO� 41�L'9� EMPLOYED application is not a permit until signed by the
-RELATING
IN VIOLATION OF THE LABOR -CODE OF TPE STATE OF WASHIN60N TO FOR INSPECTION Building Official or his/her Deputy: and Fees are paid. and
WORKMEN'S COMPENSATION INSURANCE.A . NO RCW 18.27. receipt is acknowledged in space provided.
SIGNATURE AGENT) DATE SIGNED (425) OFFI AN, StIRE DAIE
P(OWNER61R
3/ -7/W
90A 4(� 1999 771-0220 - A �0 - I
RELEASE W
ATTENTION
.4
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- d r
ORIG,,,NAL - FIL YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR