425 7TH AVE S.PDFIIIIIIIIIIII
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425 7TH AVE S
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PLANNING DATA
SITE ADDRESS: —DATE:
ZONING: PLANCHK#:
PROJECT DESCRIPTION:
SETBACKS:
Required Setbapks:
Front: 'Z9 Left Side: Ri-qht Side: Rear:
Actual Setbacks:
Front: '20 Left Side: Right Side: Rear:
CORNERLOT
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED AQ
LOT COVERAGE:
Maximum Allowed:- Z,* )Actual:
BUILDING HEIGHT: I
. Maximum Allowed:— Actual Height: 10 A
SUBDIVISION: '
CRITICALAREAS#:
SEPA.DETERMINATION:
LOT AREA:
OTHER: 'q;5,q Z,- '-011
Plan Review By:
-kc
CA ME NO.
Critical Areas Checklist
Site Information (s i"/topography/hydrology/vegetation)
P
1. Site Address/Location: 5'
2. Property Tax Account Number: 0 0 3 7 - 0;2- DO
3. Approximate Site Size (acres or square feet): 0 9"
RECEIVED
4. Is this site currently developed? _k�es; no-..
'1995
If yes; how is site developFd? V"41 v,9 re- e ce., MAY 1'5
5. Describe the general site topography. Check all that apply. PERMITONO
Flat less than 5-feet elevation change over entire site.
Rolling: :'sloots ion site generally less than 15% (a �vertical rise of 10-feet over a
horizontal distance of 66-feet).
il_, 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-feit).
.,;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):
6. Site contains areas of year-round standing water: 0 Approx. Depth:.
7. Site contains areas of seasonal,stinding water: /V C) Approx. Depth:
What season(s) of the year?
8. Site is in the floodway 6/0 floodplain A/'O of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Alo Flows are seasonal? _ (What time of year?.
10. Site is primarily: forested meadow shrubs mixed
urban landscaped Qawn,shrubs etc)
11. Obvious wetland is present on site: _,�Vc)
I
RcV 01/0094 rgxn
890 - 19c,
10 C� P454 Mon&
Cril'tc-al Areas
.;TOIL
Ile CriticalAreas Checklist contained
sub t it.to
,tand. mi the City,�.'olhe.qty will
this form is to be. filled out by any perso� the cher-klist, make a precursory site
of the
prq)aring abii�eloj;ifii�t iirrilit . I � � � "'�n
make i'd
Application for the City.of Edmonds prior subsequent steps necessary to complete a
to his/her submittal of a development "."devilopment permit application.—
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. 17he.
information needed to complete the
Checklist should be easily available from
observations of the site or data available at
City Hall (Cntical Areas inventories.. maps,
or soil surveys).
An applicant, or histher representative,
must fill out the checklist, sign and date it,
-With a signed,copy of this form, the.—
applicanushould also submit a 4F!!�!_y In
or plot plan for individual lots of the parcel
-with enough detail that City staff cin'find
and identify the subject parcd(s).. In.,
additionis"the -applicant shall Include
other pertinent information (eg., kilte
plau, 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 Area Checklist and attest that the answers provided are
betual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant-.
Name
15' 4%
7
Sfteet Addrew
City, State, ZIP
-771
Signature Date
Applicant Representative:
Name
Sbvd Addrew
City, State, ZIP Phone
Signature Date
Mohoric Residence
425 Ave. S.
Alder St.
7th
Ave.
South
425
7th
Ave. S.
Walnut St
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= x
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a
APPLICATION
for
The City of Edmonds STREET FILE SIDE SEWER PERMIT
OUTSIDE INSIDE REPAIRS 0
OWNER............ -J .......... ............ ..........................
HOUSE No. ............... . ............ f . ........
1IN
ci
CARDNo . . ............................... ....
EASEMENT No . ..................... .................. ...
7� ......... ......... ........ ........... PERMIT No.
.... CONTRACTOR ... . ... ..
STREET
.... AVENUE LOT No . .............................................................................. BLOCK No . ................
. ............... .......................
NAMEADD ...................... ............................ ................................................ ............
Date Approved:
�FILL WORK ORDER ISSUED . .......................................... DEPOSIT, $ .............. ..... ................................
V 13-K ORDER ISSUED ................................................ DATF,,/�.� . ... ...
-- ----1 . ................
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF BUSINESS I
w7owpe? \/,/C) 10 "Ie I C_
MAILING ADDRESS
4?- 5 -7 7:� vi-
71TY ZIP I TELEPHONE NUMBER
,% -70Aill Z�l V&-)20 777S-Q&.T07
-.A I, F 7 CJ #4
ADDRESS
CITY ZIP
TELEPHONE NUMBER
NAME
n1VSr_,e,)C_ 770,-J
cc APDESS
0
I`_ I
L)
C 3 _JTELEPHONE
cri CITY ZIF
NUMBER
' Z f66 2-0
0" 47,0i\ OA40 5.
67'�
STATE LICENSE NUMBER
R(,p
EXPIRATION DATE
9u
Legal Description of Property - include all
easements VTh
e 7710- _Sovr)64 6, 0 0,;z
1- 5. 501elo
27C (;) e A e-
uj
i Property
Tax Account
11-3412 - 6 9/ . co 7 - clz D
Parcel No.
NEW - RESIDENTIAL EJ PLUMBING
ADDITION COMMERCIA L
MECHANICAL
APT. BLDG.
REMODEL
SIGN
GRADING
E] CYDS.
FENCE
L
REPAIR —
x _FT)
WOODSTOVE
DEMOLISH INSERT
SWIM POOL
El HOT TUB/SPA
RETAINING WALL/
E]
1:1 RENEWAL
ZAAMI, ROCKERY
.
M (TYafwOLWSE. DVSJNESS OR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF CRITICAL
OF DWELLING W
# AREAS
STORIES I UNITS INUMBER
DESCRIBE WORK To BE DONE (ATTACH PLOT PLAN)
U
USE PERMIT
ZONE NUMBER .0+17
JOB S PT
A
A ' DDRESS 12 5- 7tw A t/f .50ax
L
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO
LID NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IRE
TESCP Approved 0
AW Permit Required 0
EXISTING — REOUIRED DEDICATION —
E
Street Use Permit Req'd 0
PROPOSED
Inspection Required 0
Sidewalk Required 0
a:
W
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REOUIRED
YES 0 NO 0
L5
MARKS
3
cc
W
W
Z
ENGINEERING MEMO DATED
SIGN AREA SEPA REVIEW
ALLOWED PROPOSED COMPLETE EXEMPT
EXP
VARIANCE Oq CU PL/
I �FNG4,*IE I W 13Y
D BY
ADS
GHT I LOT CONE
FRONT '4V SIDE REAR
REMARKS
'HECKED BY
TYPE OF CONSTRUCTION CODE
/V
SPECIAL INSPECTOR JAREA
REQUIRED 13 YES I ZWOV
RESS INSPECTIONS PER UBC 305
FINAL INSPECTION REOUIRED
PLAN CHECK FEE
BUILDING
HEAT SOURCE*
;V/+
GLAZING
%
PLUMBING
..,Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sldewplks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 160 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days .
STORM DRAINAGE FEE
-
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
in
successors in interest, agrees to indemnify, defend and hold
ow
harmless the City of Edmonds, Washington, its officials,
m
employees, and agents from any and all claims for damages of
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whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
0
:r
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or tho duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and In doing -the work authoriz-
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa.
WORK NOTED
tion Insurance and RCW 18.27�___
"',*9EC.TION
E-112NATURE (OWNER OR AGENT) DATE SIGNED
OEPARTMENT
CITY OF
EDMONDS
M"
ATTENTION
.6R
CALL FOR
INSPECTION
IT IS UNLAWFYL TO UW' OCCUPY A BUILDING OR STRUCTURE
A FIN�,L' INSPECTION HAS BEEN MADE AND ;APPROVAL OR
771-0220
UNTIL I
A CERTIFICA TE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-87
LOAD
0
Z
Z
Z
D
FEE
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or hisiher
Deputy; and fees.,are,.paid, and receipt is
acknowledged Wspace pro�ided.
SI NATURE DATE
r , I"
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor