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7009 175TH ST SW (2).PDFiiiiii lill 11 1075 7009 175TH ST SW ADDRESS: TAX ACCOUNT/PARCEL NUMBER: 00 �a I �) I 00(n BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver E] Study Required 0 Waiver DISCRETIONARY PERMIT # DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): 1"111. - PLANNING DATA CHECKLIST DATED: w hp/ SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED:-6/o?:s 17Y SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: FOR: XXI A'rVD A4r;9rrD 'r A D I- A D T-1 n A rrUn. OTHER: LATEMP\DS'Ps\Fomis\Street File Checklist.doc STREET FILE0 0 STREET=FILE PLANNING DATA SINGLE FAMILY RESIDENTIAL Name: Date: Site Address: Plan Check # Project Description: (24c)c1,S�rtA.4 _0� aaq 0 Reduced Site Plan Provided: NO)\J _T Zoning: Map Page: q07 Corner Lot: (YES Flag Lot: (YES /6) Critical Areas Determination #: 2006 - OZ5 Study Required Waiver SEPA Determination: 4Ekec^q)� A Exempt Needed (for 500 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger) -AIIA [I Fee 0 Checklist 0 APO List with notarized form Re�Wri�d Setbacks Street: Side: W) 7. 'S;" Side:(,) 71.6 Reay,) 'Actifal Setbacks _44i Street: �;6-'-6e>cWAn,�1 Side: 4* ex �tn Side- la. 51 A-0 exle-161 (E� io, exisMrq Rear:(,) -to Does street map require additional setbacks? (YES 00/ DNA) 'm Detached Structures: 7'3C) '# exts;�',.I� --bc�or-y skoc­.� C., El Rockeries: IV*,e- _cj�cL,-w� 0,, Fences/Trellises: G��n cw% 6,n,.S Bay Windows/Projecting ModulatioK Aloc\e, e�oupr\ or\ Stairs/Deck: Ate,,a c/" wxx/e_,r -30# cn pk­&� Datum Point: Datum Elevation: too, (po Maximum Height Allowed: (\,)3. to/) Actual Height: h, Parking Required: Parking Provided: N Lot Area: Maximum Allowed Lot Coverage: 35% Proposed: e_ 9coipc%ed AcOka, Lot Coverage Calculations: tali 0 a cat - Ig.q�, ADU Created: (YES 49 Subdivision: Legal Nonconforming Land Use Determination Issued: (YES Comments 5c\ Plan Review By: Planning Data Form 2-7-06.doc 17410 7530 , I , , "' . I :� � I - — 753 121 17 17S27 17107 7515 7512 Z9 152 1740, 7 7 5 3 0 2 j(,A 7505 7506 _r_ W r '430 7431 7430 7421 7422, 7�11 7 1 7400 415 7414,' 18020 7406 403 7400 7 7411 3 3 7397 .4TI-i A'J' 7324 7321 74TH AVE W 7314 2 73RD`PL W 7471 17316 17304 7330 7321 7314 7316 7312 17320 17306 fffff 7311 7308 7309 ;3 7300 7307 7308 17324 7306 7301 (n 7229 7232 D,AVE W ;9 7215 7VQ 7211 7205 10 j,7 7 1203 17700 A VE:W �:72ND 1124 ��7 7104 7118 17508 7120 24 to.? 7108 7103 7031 C4 21 MI. 7022 7033 21 71ST:AV;: 7027 70 7025 7011 H PLNN 7023 701 7017 7009 008 70T PF w c 7008 t 7011 7005 S 7003 9 69__ se i5 92 10 17706 17702 7632 1 IV. M4 6915 18030 6920' 8920 6900 PLW 6912 17806 6911 t? .69TH AVE 9TH PLW 6914 17701 l?e3l 17627 6916 17727 / 6912 7z 9 6917 6.829 17729 69TH AVE W 176 '8 '830 6900 6823 17731 7621 6831 6906 6826 cn 6815 m. 6970 as 1 6828 6830 X 6950 Z 6805 6819 L p VIM I DR 68TH AVE W 68TH tE �V 682 672 7320 si NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be liable for the information given on map(s), nor for any one representation provided based upon said map(s). APPLICATION The City of Edmonds, for EASEMENT NO - ---------------------------------- SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS 0 LID NO - ------------------ ASMT. NO lz OWNER ------- ------------------ CONTRACTOR �(Z��--�,PERMIT NO. f�; ---------- LEGAL DESCRIPTION: LOT NO - -------- JOB ADDRESS --- IC: I-1 -� --- --------- ----------------- BLOCK NO - ----------------------------------- 4- 4 ----------------------------------------------------------------------- -------- ----------------------------------------------------------------------- NAMEOF ADDITION ----------- ------- P� ----------------------------------------------------- EA� Approved: DATE..' ---- --- - ------------ ----------- a 0 'a-­ek�$,,,1,M-%SAtw, itiVERIMS, ITY": "IMY EDMV ONMS"t-4`� W E AT R, §E*WF-R P MMIT IE inspedti6ns-­BEF0 `.!i�any�'poklbn, W the,, construpti?n-y for side sewer RE -c ' oyeririg r S...:.,or 'holida Insppetionsj. 'Inipa6t!gry.�wIll be, proyided�,.within, 24: 'hours afte* r6q ADDRESS, LOCATION OFCONSTRUCTION ...... ......... ............................... 1�7. ................................................................................................ PROPERTY LEGALDE§CR1f,6hON ................................... V ................................................ .......... ............. ......... . ....................... ........................................ ............................. ....................................... .............. ....................... ...................... vff . ....... ...... .......... ..................... ......................... ................ ........................................... 0, , ERAND/OR'BUILDER.'. . ................. CONTRAOTOWS, NAMEA ADDRESS ............. :::p . ............ .... ................................................................................... ......... ty,_sanitary­;�we� Permission Is granted ........... //A—' , - :�', . .................. repairand/or leonnection- of a, side' :S�Wer' toe Me, ci 't'y* ... �*i E'&o***n' d, s ordiifances. ._-stem Ink a�lxordanc&with I M ATTENTION IS: CALLED TO THE: -FOLLOWING:.. NOTE No. 1—The owneri of the property, may -obtain a permit, to. -construct sewer in Ide, property. line. 'A licensed, Side Sewer 'Contractor must �be-,employqdQto�;construct 8 side sewer In street area. Do not cover any portion, of. sewer, hefore it ha& been, Inspected. NOTE No. 2—All work per formed in city . right-of-way requires! an, Invasion, of' R lkhtLof-Way,,Permit,o�tainaLble fromthe, City Englheer�s,_�office.. NOTE No. 3—Obtain full lnforniation�regaxdlng'.,Ordinance 11.16,�030 an& Regulations. -governing, stde,,s9weFs w�en, you,get:permit., NOTE No. 4—Top of side, ' sew I er:�mu�svlave*'Ia-t)least '30. inches; coverage - at property �line. and�12;:Inches Inside,. property fine;'minimum. grade:,of,7�2 Nb� �bendw,lni grade shaxper than,% will,15e permitted, NOTE No. 5—Trenches In, street muit46water settledt and -surface of, street restored, to origins.17 condition. Contractors shall be responsibI646r; fallur76L dudl:fo, improper' work which rnay'develo`6;wit�',wone �ear of completion. P NOTE No. 6—It is unlawfi� Ao`afii��j ',Lfa';j�,,-other 'Work tham Is'provi'ded -for in, the permit, or, to do, any work on the� main sewer,or its appurtenances;�exqe t to in- sert the pipe into, thle,ilwye-,,.v DISAPPROVEDDate ... . ........ .... ................ By ............. :_Date .......... ......................... By ........... .... Date ............................. ......... By.t .............. APPROVED Date .................... .................................. By ........................................ .. . ......................................... ............................................. R,eina;rks: ..................... ........................ ----- . ....... .............. ........................... .................. 7 ........... ........... ....... ........... * ............................ . ............................................................................................................................... ..... ... ... ............... ....... ......... BOTH Permit. Copies MUST —Be Signed By.. Owner of Firm. Performing, -Construction.'PRIOR T.O,'Request:'For Ins ection. I ........ ..................................... hereby certif y'that. the side, . sewer, installation, ,constructe'd,iinder this,�p . ermit Constructidn,) �Iwa)s installed in acoordance withiallgoyerning ordinances of.'the City , of' -Edmonds. �Date& ;this ......... �....day,of ................................. .......... .................. Check-BEFORE.,� di I k,f or: Watiq,'[],�� �,i" ephone �E], ..PowerE]' Se 'ED, wer� Other Elk STREET FILE zt I- R-1 7---7 ffr�- r; p q I - 7t HARVE H. HARRISON 2 MAYOR CIVIC CENTER - EDMONDS, WASHINGTON 98020 - (206) 775-2525 COMMUNITY DEVELOPMENT DEPARTMENT �Iarch 10, 1978 Gordon Nasby 17423-71st Avenue W. Edmonds, Wa. 98020 CHANGE OF ADDRESS Due to recent subdivisions in your area it is necessary to change your address. The new address will bd 7009-175th Street S.W. Harry M. Whitcutt Building Official RIW/ae APPLICATION for The City of EdmandsSTREET IqLE SIDE SEWXR FEJUM" NEW CON�nRVCTION REPAMS EASUMEN!r NO . ........... OWNER ------ ------ -- --------- ... CONIRACTOR ....... ........ ........................................ ..... PERMT No. ID No . ........... tl"-,W.. LEGAL DESCRIMON: LOT N.�A*.h -T.n. .!J ...... ....... Ar.>DRr.w 17. lt-aw ;,*,****'* ............................................. NAME OF AMMON .... ........... w A'SA '6 /510 4" RECEiVF-c. OCT 21 tlt.- /SD cl�t ... . ..................................... 4L Approved: DATE -------------- 1B ;Y� 4:: F EDMAGISID&,* R" PERM"IT'' CITY 0 SIDS' SEWE WATER -SEWER DEPA RTMENT' IM IT, M9 TER 4' C#11t,716410V for slde:'seNver _fnspec�tloris�.-DEFORE' covering, �any':.portioM!of�,thc,* constructiow. linspection will'. be provided:. wi.thin 24-houisvafter request '.NO mSat., or`h �li day' inspect I ons.11. ADDRESS' LGC AMON,OF" CONSTRUCTION .............. ........ . . ............ .......................................... . ................................. ............. ......... 5 i; %tA 6ot PROPERTY LEGAL'i DESMIPTION ........................ ........................ ............... ......... ............ ............ ............................ .................................... 7 ....... ................ ................................... .............. ............ ....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . .. . . . . . . . . . . . . . . . . . . . . . . . . OW.BUILIDEK.., ............................. : ...................................... ............ ..... ... .. .......... ............... ..................................... .................... �OVVNEK AND/ Ei_-�,,TOTT _(Mr NTRACT-OW&NAME: &.ADDRESS ........... .......................................... ....................... ........... ................... ...... .............. ­ ............................................ . 2 Pennisslon-Isgrahted ....... ............. ............ ............. ....... repair an(],/,6r eohneeti6ii*,of',a -siftl.sewer- td-'.theo�� ,.'saplt�ry -Sewer - accordance with, Citydf- Edmonds' ordiiiiince­. sy,stem in ENTION IS -CALLED TO THE'FOLLOWING,:, 2k No. .'Iw-�The,owneis, of the property�m'ky obt'aAn EL permit to,_construc�t ;s-ewer' Inside;�property line. A� lic6nse'& Side Sewe r- Contractor �must"1156,,,, employe& ito, conitruct side -sewer -in, street arex.. Do not,cover any portion has been fn�pecte NOTE, No '2—AII, work Performed. in , , city right . of--,kay,requi�es:,an Invastow of; Right �6f-Way-PdrmiC obtainable- �:fror&the City Engineer'.s office., NOTE No. 3—'Obt9in full- Information regardIng ordinance- 1.1 16 030 and `Regulati6ns governing,side, s6wers..when- you:,get. permit. NOTE No. 4�Top� . of :side -sewer filust have at . A - ast. 30: lnches.:co�er�ag�_at, property, 'line, and' 12 . .'inches, lnglde_�r�p - erty -line, 'mInimum';grade of'. 2%. No bends-*in� grade sharpertham "A� will,,be permitted.'. -or! ih�'� 0 1! NOTE.No. 5--Trenches Am streett,must be water settled: a�n& surfacc�'&.�screet. i6st6re '.to, al:,'c �itioii. - "Contraetors shall' b6.�reslxmsiblii -for 4ailure jdue� -10,.,� - � . q,� g Impr,oper work which, may-Aevelop, within one, year, of completion: NOTE No. 6--It, is� u'rilawfult 1o'alt6r;or do any other'work,than� is'provid6d for inljhe,,permit,�Ior�_tb do,.dny main, sewer, -or * it's' a,ppurtenaRce": �,e�pt - to, in- sert the,,pipe into the wye. DISAPPROVED) �Date .............................. ........ I.....�.�By�.,.'..,.-'.�.�.,.'..:.., --Dat6.: ......................... 1 ........... . .......... .......... ............. -By ....... APPROVED . ....... D ......... ? Remarks: ......... ........... ................................. ........... ..................................... ... ... .... .. ---------------- ....... ........................... .............. ........ ............ ............... .......... ....... .................................. ......... ................ ----------- ......... .. ........... ....... BOT R Perniit� Copie s, MU ST "Be Sign �d: By n ei-`(jf_'Firm Peftorrn1ink,-CbhStruc t1orVJRR1OR',,TTo, 1� equest�-.For. J,fispeclti.om h'ereby certify,that: the; si db: sew.ei-In S tallationA c oristructed--,� tinder -this, permit.� (O.wnLr of Contracting ... F'i r�i ... :P**u:rfrrming QGstrLlet S installedlin acc,o.rdanc,-i�vith.,a-Il,gov,erning,-�orainalice,stof,�,the City of.�Edrnonds. z 'Dated; 1�_., ...... ....... ......... ........... 'thi L7:1'71� I Gas'[]` -Fow' S �Qheek,BEFORE; you -:dig, for,:. Water� Telephone ewer, er, 101, vl� Call EVERETT INDUSTRIAL SUPPLY, INC. BOX 389 - 2718 BROADWAY, EVERETT, WASHINGTON 98201 Telephones: 259-2158 - FROM SEATTLE 624-1610 WE ARE EASY TO DO BLJ�INESS WITH 4— >It PACIFHC GRIND! G WHEELS PA c EVERETT, WASHING OIN E A WESTERN PRODUCT FOR WESTERN INDUSTRY. #P20 0 ro 35 CA File No Critical Areas Checklist Site Information (soils/ topography/ hydrology/vegetation) 1. Site Address/ Location: -7-009 1-7 5_t� 5-r S �j 2. Property Tax Account Number: C051 31 C> 0 C> 14!5 Off 3. Approximate Site Size (acres or square feet)- 4. Is this site cu'rreritly.developed? X ves; no. ff yes; how is. site developed?., F_YJ5-r.t,r,1(, Vies I 5. Describe the. general site topography. Check all that apply. V1 Flat: less than 5-feet elevation change over entire, site. i. t Rollinji slo" i ess; than'15% (a.vertical. r.ise/of 10-fee over a horizontal pes,on si e generAj I U: dfiitafiee of '66-feet).,'. I , &M A Hilly: slopes, -present, on site of more 1W Wetl over a, horizontal distanceO 33 to 66-feet) 0115 Ica rdAter e T-to n 'St6ep'- grades 6'g' than �'3"O% present 6n s V 44'. 1 &1 `c� � 44i ess than 33-fee distance,ofl 'Other (pleaset&si-_dbe)�.' A prox-. Depth- 6. 'Site contains areas of year-round, standine water:: U&,­ I pl. 7. Site conbdris-areas of seasonal standingwater: :;�Approx.:Depth: What season(s) of the'year? 8. Site is in thell 6616' �""'"'A floodpl4a"irt, awatei course.. 9. Site contains a creek or anarea where water"flows across the grounds �surface?;' Flows aLre"yeak-iound? (WV4VI :flows'arie'lseasonal? iat tirrie. year. 10. Site is Orirnaril�: forested meadow shrubs mixed -urban landscape4 (law n, shrubs etc) 11. Obvious wetlafid I's 'present on site: For City Staff Use Only qd 1. Plan Check Number, if applicable? 2. Site is Zoned? 3. SCS mapped -soiltype(s)? 6 =c=(ex A-o 97, 4. Critical Areas inventory or C.A. map indicates Critical Area on site? No. 5. Site within designated earth subsidence landslide hazard area? DETERMINATION _5$TLMY R IRED X7 WAIVER Date: Reviewed bv. VIr, In I q #P20 City. of Edmonds Development Services Department Planning Division Phone: 425.7�1.0220 Fax: 425.771.0221 IV , The Critical Areag Checklist contained or,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:_sho41d be, easily: avn i 7 are Date Received: �51 Zq 10 (.P City Receipt #: 2BC4 2-3 Critical Areas File#: --200(o_o035 Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: A property owner, or Ins/her authorized representative, must fill out the checklist, sign.and date it, and submit it ,to the City. T�e City will review the checklist, make a precursory site - visit, and make a deternfination of the subsequent steps necessary to complete, a de . velopment permit application. Please submit a vic ffilty' map, along with the signed copy of this form.to assist City,sta:ff in fmding:;nld locating the specific piece'of prpperty� Oescrib ed on this form. In addition, the applicant shall include other pertinent infbrrnation .(e.g. 'site plahj' topography map, etc) or ��.A;­ ;-, ­9+u +U:_ A-U-1-1-4 __" 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 rea I sonable attomey'.s fees, arising from 'any actidn'or infraction based in whoie'or part upon false, misleading, inaccurate or. incomplete information furnished by theappli'cant, hi"6rhts agdht§'or employees. By my signature, I cer* that the information 1 and exhibits -,herewith - submitted are true, and correct to the best of my knowledge and that I am authorized tofile, this applica on the behalf of the owner as listed below. SIGNATURE OF APPLICANTIAGENT _Q DATE,. Property Owner s Authorization By MY signature, I certify that fhave authorized the.above Applicant/A ent to apply for the subject land use application, _9 and grant my perrmission for.the public officials and the staff of the City of Edmonds to enter the subject property I for the purposes of inspection and po§Vng atteq_�kmt to this application. SIGNATURE OF OWNER 04- 0 R&F DATE PLEASE PRINT CLEARLY Owner/Appficant: 9.1 ME Name. Street Address Om city State Zip Telephone: (qzs) -7q? - sz�q-1 Applicant Representative: Name Street Address City State Zip Telephone: Email address (optional): Email Address (optional): Zone -&a_2__ I Setbacks ReguiLg Sidet(W) Rear (0) a& (a) Hew a)- m �n dommmm rwow m APPROVED- A S NOTED. 'BY EN INEERIN Vs� e,<*' `7p -A & flagA16 e\c— cwvz. / L Ud IS RESPONSIBI F: P( Actual 0're, I -55 1 � - Da%�-. - -7; -3A- - .1 k7 !� U -TI "Ty We4f4T ,�ITALM 6AT& " a "" FL. 10DIA& -) sr L ALL 2 W ERC 'ON, CO-MOL AND 1JvA ... 3E _TNAC W TUO t TWO . ... . ... tm / ---TV A-V .%n SUIRM0 S 10 i�o' 1cp W1 A17 v SD,- 35; S 40 12 A E T H, > U_:r 0 150. a. Z! a: 0. 0 '70 wm w co ZO F- 0 > L-0: <00p ") ciza oz 1� b � > .. 82. t. 8 LU . ,, 5w- < Z 0 FLOOR ELEVATION = 105.50 3: 0 04 HEIGHT CALCULATIONS 0 0 __L 0) U AVERAGE GRADE = 104-10 -0 �; m >n 1.40 >, � f'- : ": A = 104.00 AG BELOW FLR. M z tz E B = 104.26 -APR 17 2006 C = 104.08 WILDING DEPARTMENT < 2" D = 104.08 CITY OF ED,,,-mmDS ACTURAL BUILDING HEIGHT a. 0 0 XZO AG = 416.41 4 104.10 FLR. ELEVATION 105.50 0 FLR. TO PLATE 800 q w AVERAGE GRADE 104-10 ROOF 2.69 00�: BLDG HGT. CODE 25.00 ACTUAL -BLDG.. HGT. 116.19 U< 0 TOTAL HEIGHT, 129.10 IMPERVIOUS SURFACES CALC'S (SOLID SURFACES) EXISTING HOUSE < 1, 2,11 SF. CONSTRUCTED 1958) X STI iS� 0 00 ISTING SHED -Y19-6 SF (CONSTRUCTED 1958) .0 W IV D__ C 0 02 EXI IVE AY (CONSTRUCTED 1958) 1.. w .5 co LL EXISTING WALK 108 SF (CONSTRUCTED 1958) EXISTING HOT TUB 64 SF PuVLw&.rG) �e cn Uj U_ ui � g PROPOSED ADDITION i 1?A SF (CONSTRUCTED 2006) < Z 0 LOTAREA 12,068SFOR .27ACRES LOT COVERAGE'-_�nZ I <0> w W x < _j 2 ca X ts - T Co e. V, 6_0 KIA r- .'LOT SLOPE 1.3 % FA VV_,15 L, 00 51 31MO 14309 7t�o 17 T 5 2 w''A" 8� .9 21 cip Z4 6, (5. ow I f24NJ. -A 1 -11 0(o