621 ELM PL.PDF11152
621 ELM PL
ADDRESS: 621 ELM PLACE
TAX ACCOUNT/PARCEL #: 00736400002900
BUILDING PERMIT (NEW STRUCTURE) #: BLD19850245
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: 19960034 DETERMINATION: El Conditional Waiver Ej Study Required X Waiver
CRITICAL AREAS #: DETERMINATION: F1 Conditional Waiver Study Required 0 Waiver
DISCRETIONARY PERMIT #'S: PRD 1983-1, ADB 1983-88,
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER - list permit Vs): CODI 99800110 (tree cutting- old), BLD1 9960234
PLANNING DATA CHECKLIST DATED: 3/22/96
SCALED PLOT PLAN DATED: April 12,1996
SEWER LID FEE $:
LID #: ESR 279
SHORT PLAT FILE: P 1983-9
LOT: LOT 29
FBL-OCK: ELM PLACE BLK 000 D-00
SIDE SEWER AS BUILT DATED: August 6,1985
SIDE SEWER PERMIT(S) #: 07328
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: None in file as of September 10, 2008
OTHER:
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VSE
CITY 0 F EDMONDS ZONE
'4'
-CONSTRUCTidio,.� PERMIT APPLICATION
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It 1 17' :�e �^"? 01 Ile 001,
APPLICATION APPROVAL
IF .
W-!., ctry a�c
: . "
tre C,k at!n
v, "'�' 3 011:1
Tn" W,om (*'noi & permit �A'W
a Building 6fficisi ot
sea are paid. and ocelot
l tn,
a
acwno�, god in space orcNldac�
WF
CiT; OF
ATTENTIC*'
7'
_U
L' L USE OR OCC� P" FIUIUD-Ili� OR STRUCTURE
L ";:t, 6,E I, V.AC; Ar4o.APPROVAL 00
C,:�C C T C,
CIA;�TEP I B.EEN.. GRAPINTEO.,
ORIGINA LLOW — jltljos�ior
: , .. 4 , _ .' .
., .. :. .... " 't
PiNk �,O*tna( qOLD — Jisill4slaw I
-71!�!�'*.":T'-
/0
APPROVED BY PLANNING
±4 A",--
(Ij
V.. o N/C -
A*\
01
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K-22 C-)
gop,Tq
MAR 18 1996
PERMITCOUM
TER
0'!
JF.CtT ADDRESS:
621 ELM PLAC�E
EDMONDS, VNIA C15020
OFNINER:
SUSAN VENLEY
621 ELM PLACE
EDMONDS, Y4A C18020
1175 - qqbro
SCOPE OF PROJECT:
EXTEND FAMILY ROOM 4 FEET X 12 FEET
V41TH (2) 2 X 4 SKYLICsHTS
TAXNQ 1564-000-02q-002
LEC7 L DESCRIPTION
SLK 000 15- 00 LOT 2 cl
ZONE:PKV
DESIGNER0
HANSON DESION
KRISTIN HANSON
652 ALDER
EDMONDS, VNIA c18020
'7'14 — '11241
LOT COVERAGE
LOT SIZE: 2, c105.4 90 FT
EXISTING COVERACM: lAcI5 SOFT 51.5010
PROPOSED ADDITION: 48 SO FT
PROPOSED LOT COVER.A&M 1,546 SOFT 55.1 %
HEAT SOURCE:
ELECTRIC
SANITARY SERVICE:
SEY4EK
07SAVINCyo NONE
PROJECT COST $5000.
APPROVED BY PLANNING
C57V C\11�7D'l
y.r
u
f
MAR 1996
PERMIr COUNrEF?
Fz, I--/ I P F- I -I
E�-- L— tj -,- T f--,
-PL 0 7- -PL ,c "
Ad E Lq 1,J Q A/ 0 k/E S
P/- /? c E- LOT 29
w 14 -5 V,/ !14
-5-, 7� _2 7,V 9 3 E, W1,f
/67 AID �5
., WA-5141A16TON
5,E: L L -rk'
-SELL E k
PvA-CP4S!--
,7 TE
Co
r77
L76) Zi
Oritical
CA FILE NO -
Areas Checklistle,
Site Information (soils/topography/hydrology/vegetation)
Q
A
1. Site Address/Location: PL—
Z. Property lax ccount umber: i
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed?
--L-"yes; no.
If yes; how is site developed?_ �'/y I tj 6 F NM
4?'
A
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%. -feet over a
(a.vertical rise of 10
horizontal disw�e "of 66-feet).
Hilly:,-,. .,,_slopes present on site of more than 15%.and less than 30% avertical
rise
of 10-feet. over'a.h,ofizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertfical rise of 10-Ceit'ov'ei a' '!"
horizontal distance.of less than 33-feet).
Other (please describe�-.
�Tf
6. Site contains areas of year-round standing water. Al 6 Approx. D
7. Site contains 4eas of seasonal standing water: Al 0 Approx. Depth::.;
What season(s) of the yea&
8. Site is' in ihe floo"dway 'iloodplain A J(
of a water course..
9. Site contains a creek or an area where water flows across the grounds su ? 0
rfacc Fl ws are year,: Tr
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs
mix
urban landscaped (lawn,shrubs etc) X
11. Obvious wetland is present on site:
Staff
use 01dy
S., .. is'Zoned?
ite
mapped soil type(s)?
6-
jpdica.tes We4land present an site?
Inventory or C.A. rnaP
A
Ar&�s iriv�gtory or"C.A.' iii4icateg Critical Area on site?
Map
within designated earth subsidence� landslide hazard area?
Site designated'on e'Edvfrburnentally"S�ngtive Areas Map.
DETERMINATION.
(7*
STUDY RtOUIRE15) "NDOIONALI W'AIV*'E'R
WAIVER
-RwiewEa ry:-
at,6"
Rcv01104f9
.4
A.
E
.690-1997
Jbj'
n, Q�, "I.
A.
City,of Edifionds
I I J4
V-Cfi�&Iist
Vj
The Critical Areas Checklist contained.on' and Submit' it to the City. 1he City will
thisformis' t6"tii'fiUed,:o'u*t*Dy"an'.y"'I)di,.4Wn-. - 'imew the cherki[ist, majj66 `a' p-recursory site
preparing a Development Permit
visit, -and make'a deie6ination of the
Application -for- the.,City of Edmondspriori subsequent -steps- necessary -to complete a -
to his/her submittalof a development r 10 li,develbpment permit application.
permit to the. City...
With a signed copy -of this form, the
The purpose of the Checklist is to enable applicant should also submit a vicinity map
City staff to determine whether afi.y--- -'-'Zr plot plan for individual lots of the parcel
potential CriticalAreiii are- -or may with enough detail that C staff can find
ity
present on -the subjekztpr6omj�. !".'.and -identify � the'subject parce(s). -In
information needed to complete'the_.__�)..".%J�. addition; the applicant shanndude';�4:".
Ch should be easily available from other pertinent information,(egd': sitew.,
observations of the site or data avad—ablea"t plan,.topograp4y map, etc.),or studies in
? S ;.,. , � * , , - - *
City Hall (Critical Areas i�vck6rke, maps 'J' coniumflon,wiffi this edkfist to
or soil -surveys).; - kinary -
staff in completing th;e"if-prierbi
assessment of the site,.�.'
An applicant, or histher representative,
must fill out the checklist, sign and date it,
I have completed the attached Critical 'Area Checklist -and zattest that the answers provided are
factual, to* the' best of my knowl6die (fill -,buif'the appr6�riate column below).
Owner / Applicant: -
....Applicant Repre�se
ntative: Lz
1 t::-t\j K,1 T* .,�J, io, t4
2
Name
Name
Street Address Street Address
1k
-T V7#7-)7-
V,TMOU 04i�_7 ISO
,110 ZO _774 -7127.
City, State, ZIP
Phdfie City, State, ZIP 'Phone-.
V M j14- �A
o, Signature
Date.,
.7
0
co
C)
CITY of EDIVISIDS
For Inspection Call 77 1-3202
Address of Construction:
Pro
Own
T.
S40E SEWER P E R M I T
- 67329
STREET FLE PERMIT N
7—
Contractor & L*icense No: �b - ME - t_i-a - 17 q ((-F,-
Singl:e Family Residence X
Multi -Family
(No.
of
Units —1
Commercial
(No.
of
fixture Units
Invasion into City Right -of -Way: -No te, Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No C*,,- Yes (If Yes, easement required,
attach legal'description and county easement number.)
PLEASE HAD/PHE ITEMS&ISTED ON THE BACK
�W/ ---s/2,3 4
I ce'rtify thh—t>1�a,\(e read and shall comply D6te
with the items listed on the back.
Permit Fee: 0 issued By:
Trunk Charge: Date,IssueK 31ss -
Assessment Fee: Receipt No.: 3S/2
Partial Inspection:
Comments Date Initial
Final Inspection Approved: '8 J.
Date InittAl
Rejected:
eason
PERMIT MUST BE POSTED ON JOB SITE
Wh-ite Copy - File Green Copy - Inspector
Date Initial
Buff Copy Applicant
Sl(le Sewer Drawing
The City of Edmonds
EASEMENT NO - -------------------------------------------
NEW CONSTRUCTION REPAIRS LID NO - ------------------ ASMT. NO. - ------- I --------
OWNER ----- ------ 401A
.-S-S .... .................... CONTRACTOR ----- Lou "S ------ 13-R-CX-�AO-F . .......... PERMIT NO.
JOB ADDRESS ------ 6-Z-1 ----------- ELM ----- ?--LNC�F - -------- LEGAL DESCRIPTION: LOT NO. -2-19 -------- ........... BLOCK NO, -VtA--E-DM0NE)5-WAY
TRUN K LINE
NAME OF AJDITION .................. R-AT--Q-F� --- E.L.&V --------- PJ-Rc�e ..................................
-4'
41c.e.
3"op
w1c.0-wwa.'I
PWW-=l-11/75(REVA
#"710
I , 4bP
C-A. C.C.
PV I *r*
Approved:
DATEa.... ... ............
PLANNING DATA
SITEADDRESS: 62-1 Elm P1, —DATE: _31221�'&
ZONING: FPO - 1-83 f-S- PLAN CHK#:
PROJECT DESCRIPTION: 49 ' tnt2j - Lv� """t
'Ili _Ij
SETBACKS:
Required Setbacks:
Front: I o' Left Side: 0 Right Side: 0 Rear:
Actual Setbacks:
Front: NA Left Side: Right Side: NA Rear: 0
CORNERLOT N6 —(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED 1\j (Y/N)
saik- w.-at, IaA W-X"N 04r 4110116 A4M 4-/p/-)&
LOT COVERAGE:
Maximum Allowed: Actual: 5,3,
BUILDING HEIGHT:
Maximum Allowed: 251 Actual Height:
Datum Point: M.,F vsz.A. Datum Elevation: I oo.0'
4,
*Irl- ee_ I C.Ad,.�,( A-' pl4o-; k-i 6o — AA, h-'--4 koG.
,�5 , I _v-eA,
SUBDIVISION: A Pid,,,a 4e4-16at4r-f
CRITICAL AREAS #: /VOV 9&
SEPA DETERMINATION:
LOT AREA: 21, �08, 4 "'
OTHER:
Plan Review By:
'ZVI ()q
-� ci I - 2. Q I - 'Z 0 1 - ( 0 1 41-01 —1.
IZO O�D (01 000 �, 9.9
�,al 'Zoi 1 101 -r"fjj-
MN
I
0
X
Lu
STREET ALE
ENGINEERING & PUBLIC WORK8
CITY OF EDMONDS
SINGLE [Ali ILY HULTIPLE COME RC I Al
PROJECT NAME
ADDRESS ZIW4
ACCESS SLOPE AND VEHICLE ACCESS
ViLAINAGE PLA.N
STREET ME
MEAL DESCRIPTION VERIFICATION
QUIT CLAIM/13COICATIONS
CAS[NEUT - PL)OLIC/PRIYATC
CALCULATE SEWER CONNECTION If NO LJO #
SIRCII PAVING REQUIRED
CURB AND GUn CR REQUI'R(D
SIDEWALK REQUIRED
CUM CUI [OR DRIVEWAY, REQUIRED
RIGHI-Of-IJAY CONSTRUCTION PEMIT REQUIRED
BOND REOLIRID fOR PUBLIC IKPROVfh[HTS
STREET NAME SIGN REQUIRED
6111IR SIGHING REQUIRED
(XISTINC WkTfR )',Alll SIZE
WIAHR I
11YOkAld
< 11YORAIII
CROSS C
WAIER 11
R(VI(U
PROJECT REVIEW
CHECK LI'S-T
CONTACT Nkll[ & TELEPHONE NUMBER
(ADDITIONAL COMMENTS ON BA(
ir ShMA . RY ShIfli D*LAIIING IlUXUR FILE WIDER
w SIDE SEWER AVAILABILITY SAXITARY SEWER C DINE Mon FEE Rama
uj
60
OPEN DITCH EXISTIltri
REQUIPED
Ir CULVERT REqUIRED J-\ k \'
SIZE
C-AICH oSIN P'(Qu IRED k
INDICATED Off SITE PLAN
SHOULDER DRAINAGE IVINIAIN COLLECTION O.N SHALE OPEN IWI*ff
co
It"HOLf REQUIRED t I INDICAY[V 0.1 SITE PLAX
0 soft CCwOI 1 X)181 dIR FIELD CIIECKED
V I (W a Y
PA7f (ADDITIONAL C�WXTS ON W
DATE
Mt'i'40 TO: Building Division
Planning Department
FROII: Engineering Division
Public Works DeparLment
SUBJECT:
After review of the subject Building Permit application, vie have the following
COM-MEnts
T. Connection to City water system required.
'Connection.to Citv sanitary sewer system req0red.
3. Right-ol'-way permit required for any work on City property.
4. Driveway slope. not to exceed 14'10
5. Backvia"er valve required if dwanstairs plumbing is below elevation oll:
upstream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
...........
M PL L ACE SHEET I OF 2,
A PLANNED RESIDENTIAL DEVELOPMENT
POR. OF NW 1/4 SW 1/4 S E C. 215, T. 27 N. R. 3 E.,W. M.
DEDICATED AS R/W EDMONDS, WASHINGTON
W 5 a a. S., 2 7 E 653 97
r U Sr NE CORNER
1*44
*F__ N E 1/4, NW 1/4.
20184
0 .52.00 SW 1/4
34.44 a 00 ci T 102 '0
50100 TRAC T50 78
45.32 2, 20
21
8
E C E P T 10 1\1
29 22
SoLoo _N
3 So
*31,27" E
46 00
? s Be. 31,2,".
2
.4 28 .0
30
/0
31 41.
14
25 � .1 . I
y
4 2, 13
117, �a 106U!� .�.
.24 32 94
0 3"
0 see 78.00
14
36 3 .15a PLIRACTIO3 J0
I)
0.
0
12
35
34
a,\, 59� 7
7
6
2.38
sa9'0d17"L
H .50
.-55
1Q - - - - - - - - - - - - ;1
go
- - - -
6 89*00,17, E
it 50, 0
TRA T io3
�600
50.00 ! 50:0
-00
.4y
4
'o, 10,
-OF
2
20
tP 8
10 8 0 :,,Z
. S. 15
0.
N 87.
4
1b. CO)
;C S 8 -00� 3 1 +1b.
A,
TRACT 102 16
34.
290.60
NOTES:
L EASEMENTS AFFECTING THIS PRO ARE AS DEPICTED IN THE
DECLARATION OF COVENANTS, CONDITIONS AND RESTRICTIONS
AS FILED UNDER A.F NO.
2. SET13ACKS HAVE BEEN SPECIFICALLY DETERMINED AS 10 FEET
FRONTYARO AND ZERO FEET SIDE AND REAR YARDS 'A
APPRO\AL OF PR.D. NO. 1-83 BY THE CITY OF EDMONDS.
EXCEPTION
SAN. SWR. ft WATER
--- ----------
UTILITY
EASEMENT
NTED' TO THE
-----------
-'CITY
OF EDMONDS
Ca OLYMPIC VIEW
'WATER DISTRICT
EL M - _PL.
N
SCALE : I" - 50'
�roo
TRACT 102
S 88130,10"C
56 62
290.01
PARADISE
L A N E
TA
SURVEYOR'S CERTIFICATE
�A
RADIUS
LENGTH
CURVE
DELTA
RADIUS
LENGTH
1, LeRoy F. Middleton. Registered Land Surveyor. do hereby
cert!fy that thSis plat is based upon an actual survey and
:17:
133.43
3.773
23
26 : 41:56
1 7 00
7.92
s ub d iv I si n 0 ' n R3E W.M..oand that nonu-
eCt'0,,d'%
00.
17.DO
26. 0
24
23 06 23
14:50
17.95
'12711
Inents havo been
e e I cor rs aked the ground
;e it n
11
,7
' 00
5 08
25
53'07'45'
44.50
41.26
as shown hereon.
., 9
28
35:08
U
33*01'33"
10.00
5.76
.54
103:,1,05
40.14
27
26*44'37*
10.00
4.67
I 1 0 0
10.00
1 5.71
28
49*08111'
17.00
14.58
r MID,
:05.
50:
11.50
117.42
13.DO
29
30
43*25'55'
10:50:52:
50.00
'99.,71
37.90
A
dfeZt'�o �n
":B09
Lert. No. 4561 �1-
ARAjeoiytelrehdiLand
00
4.50
0
31
26 24 45
99
46
Surveyor
45:
33.00
22.46
32
. S. .
77.0105.36
17 :00
22.92
Re I d' M iddleton I Associates. Inc. x
34
72.28
60.19
33
24 Do-
455.00
19D.S9
'30-
77.50
23.7s
34
138'59'56*
10.00
24.26
:00:
7 50
70.34
35
44*51'32"
17.00
13.31
41
77 so
36.5&
36
0.00
15.31
14 S.
47:50
42.68
37
.87:42:34:
48 59 56
2.D0
6.5s
LEGEND
'IS.
75.00
28.12
38
90*00,00,
20.00
31.42
00:
1 7.00
17.10
39
451:00:04:
00
'0':
1 2.137
9) EXISTING CASED MONUMENT
45
17 00
11 S7
40
10 19 11
1 00
18. 8
.00
17:00
27:30
41
10:01,1:41:
89.92
94.48
+ EXISTING CONCRETE MONUMENT
:5 4:
1 1 4.15
44.42
42
1 42. 1 2
50.DO
123.94
39.
j,
17.00
2�30
43
62 01,12"
15.00
13.62
'0 SET CASED MONUMENT NO. 4561
09
17.00
1 .90
whatever nature, arising airecuy or inuireytiy ijui . ii I . im iaoucaii-
of this permit. Issuance of this permit shall not be deemed to
modify,.waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
I hereby acknowledge that I have read this application; that the
iformation given is correct; and that I am the owner, or the duly
uthorized agent of the owner. I agree to comply with city and
late laws regulating construction; and in doing the work authoriz-
d thereby, no person will be employed In violation of the Labor
:ode of thg We of WaoVgton relating to Workmen's Compensa-
N
TOTAL AMOUNT DUE
rTENTIOW
S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
rIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
kPTER 3.
ATTENTION
APPLICATION APPROVAL
THIS PERMIT
This application is not a permit until
AUTHORIZES
ONLY THE
signed by the Building Official or his
WORK NOTED
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
' NSPECTION
DEPARTMENT
OFFICIAL'S SIGNATURE
CITY OF
EDMONDS
771-3202
DATE
ORIGINAL - File YELLOW - Inspector
PINK - Owner GOLD - Assessor
K..,.n �q . E W. 776 94.