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650 13TH WAY SW.PDF1111111111 696 650 13TH WAY SW PLANNING DATA SINGLE FAMILY RESIDENTIAL =FILE I Name: Date: Site Address: (;s-o RW Tax Parcel: 0057� 100002;+00 Project Description: - &-�e-nd e-xt. OGA "S' Plan Check #: %LDA0k-aC)q9 I Undt_r- exi Reduced Site Plan Provided: NO) Map Page: Corner Lot: (YES 00 ag Lot: (YES lxg) Critical Areas Determination #: C_�3xg)ZO1 D Study Required%* waiver SEPA Determination: );��x e_,,ck Exempt El Needed (for over 500 cubic yards of grading) 0 Fee 0 Checklist El APO List with notarized form Required Setbacks Street: Side, Sicle:(F) 6-/ Rear: ActualSetbacks Street: 4- Side: + Side `( E) + Rear:,. _QJ Detacl�e_d Structures: Rockeries: El Fences/Trellises: El Bay Windows/Projecting Modulation: None— SAo,-_zr% A ­ El Stairs/Deck. Hei t qh Datum Point: S &.0 vjr- M. C40 r-n e,— Datum Elevation: +100 Maximum Height Allowed: Actual Height: ac-a-6., Other AdJJ: Parking Required: 9-o*41. Ajo 4.6� yf-apaot4 4-0 Parking Provided: Lot.Area: q Maximum Lot Coverage: 35% Proposed- A Lot Coverage Cal ulations: c 1%3 ADU Created: (YES &D— Subdlivi ion: L4 al - Legal Nonconforming Land Use Determination Issued: (YES Comments 9 Plan Review By: Planning Data Form 07-14-09 Critical Areas Checklist CA File No: o3 it Site Information (soils/ topography/hydrology/ vegetation) 1. Site Address/ Location: (0 5 -6 — I - -,::, _i7_ LJQS-4, 2. Property Tax Account Number: 1 5�qj 00c) 47 00 0?j 3. Approximate Site Size (acres or square feet): -:�-o 00 C_- 4. Is this site currently developed? A yes; _ no. If yes; how is site developed? 5. Describe the general site topography. Check all that aA. 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: NJ 0 Approx. Depth: 7. Site contains areas of seasonal standing water: K 0 ;Approx. Depth: What season(s) of the year? 8. Site is in the floodway NL 0 floodplain 1,4 C) 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 dscaped (lawn, s 11. Obvious wetland is present on site: K(rp For City Staff Use Only 1. Plan Check Number, if applicable? 2. Site is- Zoned? )�ZIS3_ rl? 3. SCS mapped soil type(s)? a:L j_g -, - 5 12;;= A e A X ML",�o 6,,QQan,, I n-(?) %A 4,0 4. Critical Areas inventory or C.A. map indicates Critical Area on site? 5. Site within designated earth subsidence landslide hazard area? r4 4_ (7 0 DETERMINATION --STUDY REQUIRED WAIVER Reviewed by-_��. C S1 - AQ!aa a � — Date: Critical Areas Checklist. doc/4.22.2003 OV EQ_41 City of Edmonds OL� Development Services Department Planning Division Phone: 425.771.0220 1101. l%9rJ Fax: 425.771.0221 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 the application 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). Date Received: City Receipt#: -2---7 Critical Areas File M 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'dev'elo'pm'-e-nt­--- 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. 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 damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or -- incomplete information furnished by the applicant, his/her/its 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 APPLICANVAGENT DATE to 1-7 1 o Property Owner's Authorization V L I 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 for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this application. Owner/Applicant: Name (15-0 — I I \A/ A Street Address 1�--Q M D VsL D S, W P�% City �tate Zip Telephone: L4 i5- — Ja qn - -?_ ?i /t., Email address (optional) Applicant Representative: Wflmmf- Street Address City State zip Telephone: Email Address (optional): Critical Areas Checklist.doc/4.22.2003 APPLICATION CARD No . ...................................... omww;:A for The City of Edmonds ^07 SEDE SEWER PERYaT REt I FILE EASEMENT No . ...................................... OUTSIDE INSIDE REPAIRS OWNERF��:Y.D --- V ........ b.S...0 .. M!nkplc .. 1-4.r--14-77 ....... G-0 . ...... CONTRACTOR ............................ ........................................ PERMIT No. STREET 717 _5 AVENUE LOT 'No . ......... ------- ........... BLOCK No . ............................................... HOUSE No. J6.Z,0 ................... ...... -..e ..................... LAJ.-A-Y ................ .... 3-7 ............................. --A-R-A.t;A.:5..F . ........... NAME ADD. F- w =� ------------------------------ "I-4JA V - - - 4 1 Y *7-�4 - --- - -- ---- -- -10 BACKFILL Y - - Z� ...... .............. SEWER WORK ORDER ISSUED ................................ - ....... DATE B Site Plan SCALE: I"=20.00' 01 101 20, 30, Site Address 650 15TH HAY 5.N. EDMONDS, INA -4&020 Owner JUDD, KEVIN b5O 15TH V4A'�( 5.ki. EDMONDS, HA c[5020 206-114-0134 Assessor's Parcel No 00 53ql 000 051 00 Impervious Surface EXISTIN57 ROOF DRI\/Ek4A'r' 4 k4ALK5 SHED PATIOS TOTAL EX15TINO PROPOSED NONE a M 8� 0 40' Z-O&I bb ".Fj.r� �p d),C 06 Ica. Vol to �F. El i Lu a r4 O.'a I 2055 50. FT. 551 54-71 5a. FT. TOTAL AREAS -3q-1 1 21420 50. FT. NET NEN AREA 0 50. FT. Lot Size "7000 50. FT. Buildina Footprint Afo Jw--�!_ -Ve V;& a LOT oovERA&E: 2"56 Drainaae ex�,s*�cw enoV. ROOF AND FOUNDATION DRAINS TO TIE INTO EXISTIN5. Impervious surface caics Cft�E- Line Type Area (sq. ft.) 1 Non -regulated Exer-opt_ Nor��empt 2 Replaced 3 New (Post 1977) 0 4 Total Regulated Impepre0s ea vfr 02 0 Mlitigation required if in excess . S.t xt r 5 Total area miti AV' y existing 0 stormwater,.rr�Zement system. 6 Re�Vl��a not yet mitigated. 0 7 roposed to b mitigated by 'P e'al�ro 0 >o�v Impact Development Tech. Area proposed to be mitigated by 0 Conventional SWM Techniques. NOTE: NEN ADDITION 15 ENTIRELY UNDER EXISTINC7 ROOF OVERHAN65. PLAV004G a nnanwo V - . A ENGINEERING DIVISION A"P 0 D AS NO TE Date: 5?7.z,/, L I 15TH HAY ��s ve:�_ (CENTER OF R.O.V4) Cut and Fill OUT: 4 YPS. 77� FILL: 5 YD5. (APPROX) NOTE: EXCAVATION LIMITED TO EXCAVATION OF FOUNDATION HALL SILT FENCE AS R EG'D.- 970 Filter Socks ASPHALT T DRIVEHA'� FILTER SOCKS HILL BE ADDED AS NEEDED PEP, CITY OF EDMONDS PROP05E STANDARD DETAIL E1.3. ADDITION UNDER EXI5TIN& ROOF OVZ5.F �A, Hei-qht Calculations I LU zlu Silt Fence SILT FENCES HILL BE ADDED AS NEEDED PER CITY OF EDMONDS STANDARD DETAIL EI.I. EXISTINO DETAr,HED Zone IO'xl5'6ARDEN _&S -.0 5HED---L-- Corner &FIagyj Setback Rewired Actual - -r6 Front Ai 2_ - + Sidesw/6 Rear S Other Height 0 D.P. a SEPIER M.H. SET AT 100.00' ALK_ B PATIO 1L EXISTINO RE51DENCE (1552 5.F) MAIN FLOOR @ 105.25' Cn J ID 1,6 \ x 4T - 0 �11 rn rn EX15TINO PsIALK., %'�:.PATIO 'P 7P (APPROX.) ------------------------- M RECEIVED 970.00, MAY 0 9 2013 DEVELOPMENT SERVICES COUNTER