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547 4TH AVE S.PDF111111111111 5088 547 4TH AVE S APPLICATION for The City of kdmonds SjbE SEWER PERMIT EASEMENT N o . .......................................... NEW CONSTRUCTION -0 REPAIRS /00. 1025n OVVNER '...c.1 . . ...... .................................................. CONTRACTOR ......................................... PERMIT No . ........... .......... ...................................... ------------ ADDRESS ........................... ......... .......... LEG'AL DESCRIPTION: LOT No . ....... --------- .............................. BLOCK No . ............................................ NAME OF ADDITION .................................................................................................... ...... Lu Juna, ''o-ye, Ta6-fa-d On sq, w cr Approved: DATE................................... ............. By ................................... .................................. " C. 1761 - City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEIVED: I CITYRECEIPT#: Critical Areas File #: Critical Areas Checklist Fee: $45.00 DATE MAILED TO APPLICANT:. .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 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). An applicant, or his/or 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 assistant 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). PLEASE PRINT CLEARLY Owner/Applicant: Name '514 -? Lt4- V\1 Street Address Applicant Representative: Name Street Address City State Zip City State Zip r -r."N Telephone: . qz2--s�7— �2 A) Ae4 SignateW Date: 0 Telephone: Signature Date: G:\Share\Libraty\Planning\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001 Critical Areas Checklist CA File No: 2-M Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: S-4-? 2. Property Tax Account Number: LQ I C7D0,S__-­ (20 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? 4- yes; _ no. If yes; how is site developed? S_T__ ;�?, 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 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):. 6. Site contains areas of year-round standing water: — ; Approx. Depth: 7. Site contains areas of seasonal standing water: _; Approx. Depth: What season(s) of the year? 8. 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 year-round? Flows are seasonal? , (What time of year? 10. Site is primarily: forested meadow ;shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: G:\Share\Library\Plaming\Forms\Public Handouts\ Critical Areas Checklist Doc/1-16-2001 FQ, I trpa , -TA-t. 00 ljog (D 00 Lcrr Nr�lllp_ x �2=c> 10 0 H v 4 JAN 3 0 2001 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS 0 Sci-7 444v\ AVE��- F-&Kov)lDs, wpt oieazo zws--6c$D— ) 1,q 8 11F�4 City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEIVED: 11-2 ,nj CITY RECEIPT#: Critical Areas File M Critical Areas Checklie.-t Fee: $45.00 DATE MAILED TO APPILLICANT:. .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 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). An applicant, or his/or representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the.r--hecklist, make a precursory site visit, and make a detetrinination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity xnap, along with the signed copy of this form to assi st City staff in finding and locating the specific piece �,of property described on this form. In addition, the &]pplicant shall include other pertinent information (e.g - site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in con-ipleting 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). PLEASE PRINT CLEARLY Owner/Applicant: Name ,5c4 :2 Lt-�- v\ X-� Street Address (�b?-D City State Zip Telephone, zam! igna X S -t6� Date: 0 Applicant Representative: Name Street Address City State Zip Telephone: Signature Date: 0:\ShaTe\LibmWIanning\Fomis\Public Handouts\ Critical Areas Checklist Doc/1-16-2001 Critical Areas Checklist CA File No: 0 ( �? Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: j-V\ 2. Property Tax Account Nu mber '4 (_Y�b rY)2- C' 0 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? 4- yes; no. 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 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):. 6. Site contains areas of year-round standing water: — ; Approx. Dept]h: 7. Site contains areas of seasonal standing water: _; Approx. Depth: What season(s) of the year? 8. 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 year-round? Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow ;shrubs n-dxed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: G:\Share\Library\Plmiing\Forms\Public Handouts\ Critical Areas Checklist Doc/1.16-2001 Mt, ma , DATE RECEIVED ERMITEX IRES 410107-- P /o, FP CITY OF EDMONDS USE PERMIT ZONE 7CONSTRUCTION NUMBER PERMIT APPLICATION JOB IF ADDRESS SUITE/APT# 4 ue OWNER NA AME OF BJINESS -V 1: 7 a PLAT NAME/SUIJbIVISION NO. 77 LID NO. LID FEE $ UM z 3: MAILIN6 ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appmed - n 0 RW Pennit Required 0 EXISTING — PROPOSED Street Use Permit Req'd (j Inspect on Required 0 CITY ZIP TELEPHONE 15::� REQUIRED DEDICATION— FT Sidewa:k Required 0 Underground I WIrIntimquired 0 NAME METER SIZE LINE.SIZE NO. OF FIXTURES PRV REQUIRED I YES 0 NO 0 9 ix ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE cc z A)SPIK4 Iv5A) UJI CITY Z17 TELEPHONE NAME r ENGINEERING REVI WEDI ATE cc ADDRESS -7 _�27 — cc FIRE REVIEWED BY DATE LU CITY ZIP TELEPHONE I- z 0 STAT9 LICENSE NUMBER le T �7'61 r j ECKED BY C V', VARIANCE OR CU SHORELINE OR ADB# INSPECTION REOk IPBOND '_C�S D 4�, 0 YES No _jE SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED uj I X 2 1 1 a� -611 _j EXP RESIDENTIAL [N_g MECH E] NEW P�/`PLU=IB "N LOT COVERAGE ALLOWED OPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT C MPLIANCE OR ADDITION COMMERCIAL 0 2:7" A 7c, 05' lo' I t& URSIDE REAR 2/4 z o CHANGE OF USE . 2 z PARIANG REO'D I PROVIDED LOT AREA P71,, REVIErED B�; ATE REMODEL APARTMENT SIGN -q FENCE REPA IR CYDS X FT) Ej GRADING E:] REMARKS DEMOLISH 0 TANK OTHER Z GARAGE RETAINING WALL CARPORT 0 ROCKERY 0 RENEWAL 0 P: (TYPE OF USE, E12�ESS_O ACTIVITY) EXPLAIN: _j CHECKED By I YPE OF CWION OCCUPANT _/. ('a eil ICODE GROUP h) 0 F Lu NUMBER d NUMBER CRITICAL SPECIAL INSPECTOR REQUIREDE] YES A'JE, r r OCCUPANT LOAD o OF STORIES DWELLING UNITS AREAS NU 6) DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D A;0 UD -1b 0\11 'elptorciff _j 5 -- L 151 0 F" E"'y i S L I KYz4)L Df�- (20 ULer _5D q4 N VALUATION FEE PLAN CHECK FEE 9 -7 L2 HEAT SOU CE GLAZING % LOT Sid E% -71 r Mir) BUILDING PLAN CHECK NO: 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 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE D 477— SEPARATE PERMISSION. STATE SURCHARGE uj PERMIT APPLICATION: 180 DAYS PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS iNG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION to 0 APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ;N ENG. INSPECTION FEE uu INTEREST, AGREES TO INDEMNIFY� DEFEND AND HOLD HARMLESS THE CIT i Y OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND cc INSPEeTKTTFET* L)a ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY ORIN 4 DIRECTLY x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 0 FIEC�IPT PLAN CHECK DEPOSIT _j DEEMED TO MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE (011 0 NOR LIMIT IN ANYWAYTHE CITY'SABILITYTO ENFORCE ANYORDINANCE PROVISION." xi TOTAL AMOUNT DUE RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- -PERSON CALL' This application is not a permit until signed by the TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO WILL BE EMPLOYED 1 .1 Building Official or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTIOUR.; A receipt is acknowledged in space provided. INSURA WORKMEN'S C NCE AND RCW 18.27. ,9MPENS2ON SIGNATUR W 7R, C N.1 DATE SIGNED 0 (425) F ALS SIGNATURE DAT� 7' 7,: -- A" dl� kkL /7/ 771-0220 X&ENTION IEA S B7 D­ E IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING - EXT 333 OR STRUCTURE UNTIL' 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ORIGINAL - FILE YELLOW - INR'PFCTAR PINK - OWNER GOLD - ASSESSOR 5/98 E D A, CITY OF EDMONDS SINGLE FAMILY ADDITION /REMODEL COVER SHEET Directions: Applicants are to complete the information in the WHITE BOXES ONLY (Shaded boxes are for City use only) This cover sheet must accompany each building permit application for a single-family residential addition/remodel project. APPLICANT PROJECT ADDRESS PROPERTY TAX ACCOUI DESCRIPTION OF WORK -(--w PLAN CHECK # DATE RECEIVED OWNER -3111 /,�� �-y 0-y' PHONE -,)o - // Fj- CONTACT PERSON 111�9, �, rke IA,, S PHONE I cyp E-MAIL FAX q3d1-7--71? MAILING ADDRESS :2 c-­) m Ago, -�- a r,� -S4r-aeW &�� �z 2,?z E� FAX CORRECTIONS 11 MAIL CORRECTIONS 1:1 E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN :2 /! a,,FCOMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED. SIGNATURE DATE ZONING INFORMATION ZONE Ati 26L) LOT AREA 7 NUMBER OF DWELLING UNITS EXISTING DEMOLISHED PROPOSED DISCRETIONARY APPROVALS CAt)(-S7 Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER LOT COVERAGE INFORMATION EXISTING SF J & P,0 PROPOSED SF. (00 TOTAL SF -7ZO % HEIGHT CALCULATION INFORMATION DATUM AVE MAX SETBACK INFORMATION REQUIRED FRONT PROPOSED.. CNR. LOT A B C D ACTUAL SIDE ),01 SIDE 16 REAR SIDE S I D E lVa"" REAR -2�0 YES NO . EL OT LJYES ILLNO ST. DEDIC. LJYES JLJNO ADU STATEMENT REQUIRED YES Q NO RECORDING # STAFF COMMENTS: FT. I ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SQ.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE SO.FT. (City Use OnW SIDEWALK REO'D 1:1 YES [] NO DRAINAGE PLAN REO'D [] YES M NO UNDERGROUND WIRING REO'D [-]YES[:]NO STREET DEDICATION STAFF COMMENTS: BUILDING CONSTRUCTION INFORMATION CODE EDITIONS DESIGN CRITERIA Floor Live Load 40 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS WIND EXPOSURE B WIND SPEED_ Roof Snow/Live Load P15 Floor Dead Load /0 Roof Dead Load I C) NUMBER OF STORIES LOT SLOPE % BASEMENTS M tA- . SOILS REPORT PROVIDED FLOOR AREA (Measured to face of exterior wall) Existing Proposed Total Living Space k-61q2- -5 54 t-721P Garage Carport Deck/Cov. Porch Other — LID# 80 MPH SEISMIC ZONE 3 Balcony Live Load (100 Balcony Dead Load — FLOOD ZONE AIIA-- ElYES NO FT. (City Use Only) Ceiling Insulation (2- Window U-Value_.Ij Wall Insulation J2- I -,f-> Skylight Floor Insulation Glazing % 2!Sag" Door U-Value Slab Insulation Energy: Prescriptive A Target 0 Systems Whole House Ventilation System Req'd 0 YeSXNo Any request for modification, variance or other administrative deviation (herinafter "variance") must be specifically called out and identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically identified, requested and considered by the appropriate city offical in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. PERMIT ISSUANCE APPROVALS (City Use Only) PLANNING REVIEW & APPROVAL bW40W, DATE CONDITIONS OF APPROVAL: ENGINEERING REVIEW & APPROVAL DATE CONDITIONS OF APPROVAL: BUILDING REVIEW& APPROVAL( DAT CONDITIONS OF APPROVAL: U L:\temp\building\forms\Add-rvw.vsd -- 7/00 ED o ,.,2Jj&J, CITY OF EDMONDS A9M.- SINGLE FAMILY ADDITION/REM ODEL COVER SHEET ;..Applicants are to complete the Informatio n in the WHITE BOXES ONLY (Shaded boxes are for City use only). This cover sheet must accompany each building permit application for a single-family residential addition/remodel project. PLAN CAECK #- t APPLICANT DATE RECEIVED I PROJECT ADDRESS PROPERTY TAX ACCOUP DESCRIPTION OF WORK OWNER PHONE C-,�o - CONTACT PERSON PHONE_ E-MAIL FAX MAILING ADDRESS :2 L,..) -6 t-a " &i � �Z,�,? ? FAX CORRECTIONS MAIL CORRECTIONS 0* E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDJ,4(T0 kVtUACOMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED. SIGNATURE DATE, 4-fo- Q( ZONING INFORMATION LOT AREA ZONE NUMBER OF. -DWELLING U --TS EXISTING DEMOLISHED PROPOSED DISCRETIONARY APPROVALS CA Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires— OTHER LOT COVERAGE INFORMATION EXISTING SF­1'0�9 PROPOSED SF- (Ckj HEIGHT CALCULATION INFORMATION DATUM AVE MAX SETBACK INFORMATION TOTAL SF / -77-0 % 2a�- I A — B C D ACTUAL RE01 . UIRED FRONT SIDE 101 SIDE 161 REAR FRONT SIDE 6 tW�4-' SIDE REAR 2�0 CNR. LOT YES NO FLAG LOT ST4 DEDIC. [-]tES E]NO FT. _]YES []NO ADU STATEMENT REQUIRED YES NO RECORDING # STAFF COMMENTS: ENGINEER-INd-INFOR-WATION- - .......... .... ­­ - - - , " - ------ - -- - DRIVEWAY SLOPE % GRADING CYDS EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SQ.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SQ.FT. PROPOSED NEW NET IMPERVIOUS SURFACE SO.FT. ....... . . .. . ..... ....... . BUILDING CONSTRUCTION INFORMATION 1997 UBC, UMC, UPC, WSEC, VIAG WITH AMENDMENTS DtSIG - N CRI , T - EWA- WIND EXPOSURE B WIND SPEED 80 MPH --- ---- SEISMIC ZONE 3 Floor Live Load 40 Roof Snow/Live Load P Balconylive Load (00 Floor Dead Load /0 Roof Dead Load Balconv Dead Load NUMBER OF STORIES LOT SLOPE % BASEMENTS a Lk , FLOOD ZONE SOILS REPORT PROVIDED LJ YES LA NO - - ---- --------------- FLOOR AREA (Measured to face of exterior wall) Existing Proposed Total Living Space -5544 t�724 Garage 2A5 48 Carport - Deck/Cov. Porch Other — Ceiling Insulation Window U-Value- .4 Wall Insulation _ _ �F, -1 ---5 Skylight U-V&km- Floor Insulation Glazing % , 7 iE�i a DoorU-Value Slab Insulation' : 2 EnergY4 0 Prescriptive �M, Target [3 Systems Whole ouse Ventilation Syst rn Re!q'd [I YesoNo Any request for modification, variance or ot her administrative deviation (herinafter "varlencew) must be specifically called out and Identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically Identified, requested and considered by the appropriate city offical In accordance with the appropriate provision of city code or state low does not approve any Items not to code specification. PERMIT ISSUANCE, APPROVALS (City Use- Only), PLAN-i—I N—G - 'REVIEW & AP I P I ROV . AL, DATE --- CONDITIONS OF APPROVAL: ENGINEERING REVIEW & APPROVAL DATE 9; CONDITIONS OF APPROVAL: BUILDING REVIEW & APPROVAL a au DATE, CONDITIONS OF APPROVAL: -U L:\temp\building\forms\Add-rvw.vsd -- 7/00