717 4TH AVE S.PDFlill 1111 lill
5097
7174THAVE S
APPLICATION
Ths SIDE SEW
City of Edmonds for
ER PERMIT
NEW CONSTRUCTION Q REPAIRS 0
EASEMENT No ...........................................
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OWNER ..... LJ%�.!cA:(.nevj._...�i�Q/.i.J��j -................................................. CONTRACTOR ........................................ .--------------------------------------------------------- PERMIT No. --...................
ADDRESS_-....fjk?....T-- ......... .�Y•Qr...L.?................................. ............... LEGAL DESCRIPTION: LOT No. .--.:._—............................. _..... BLOCK No. .............................
NAMEOF ADDITION .....................::..:: ...................... ..........................................................................................
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Approved:
DATE ...........:.„.,... ... . -.-.-. B .
..�..Y.Y:..:................:................
PROPERTY MFORMATION:
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PROPERTY OLlNER: Jan Reynolds 4 John Karno5ki
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UNPAVED FRONT YARD
SHOULDER SETBACK
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BACK YARD I
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PROPERTY ADDRESS 1I-1 4th Avenue S
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PARCEL NUMBER 21032600101600
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58.4'
LEGAL DESCRIPTION: SEC; 26 TWP 2� RG-cE
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EXST. STRUCTURE d
ROOF OVERHANG
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03RT-IOB-IIB-128) BAAP S 1_I5.68FT 4 S89' 49 45E
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36 sq ft
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3OFT FR NXN 4TH ST 4 ERBEN DR TH 589'49 45E
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IMPERVIOUS SURFACE COVERAG F_ �145e>
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NEW
ENTRY COVER
HALF BASEMENT
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TOTAL LOT
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EXISTING HOUSE W/ OVERHANGS =1,636 SF
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9 sq ft .:::
I 64 5 ft
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EXISTING GONG. PATIO = 254 SF
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LEG, CABLEFf4. — — —
EXISTING CONC. DRIVE 4 WALKWAY = 3875F a� � ®o
SUBTOTAL = 2,2—I-ITSF
C1. R t ® (( WATER :: WAS WALKWAY
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ADDITIONS W/ OVERHANGS =109 SF
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NEW DECK CPE1w�aas�
NEW ADDITION W/
- SUBTOTAL =2� SF
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5EllER
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ROOF OVERHANG
100 ft
101
TOTAL= 2,540 Sr- / 8663 - 25.1% < 509. = OKAY
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AVERAGED BUILDMGs HEIGsHT CALCULATION:
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POINT A: +103.6
POINT B: +104.4
NORTH
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POINT C: +104.2
> POINT +103.5
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STREFT FILE
0 10' 20'
40'
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TOTAL 415.E 4 = AVERAGE GRADE =103.5
ACTUAL BLDG. HT. =12LI > 128.9 = MAX BLDG. HT.
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Zone S
- Corner Flag
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Setbacks
Required Actual
Date:
FIRE HYDRANT Front 20 35 R�2.11>4�-1 J
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DATUM POINT +IOC
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1/23/15
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1214TH AVESEDMONDS,WA 98020
NDS,
a�� �� a:� � e
Sheet
Number:
P1
eric gedney ARCHITECT 23924 Crystal Lake Rd, Woodinville, WA 98077 425-488-3737 eric@egedney.com
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
Name: 1�G �,,`� SiL
Date:
Site Address: —( LJ
Tax Parcel: 2 7 v Z (o60 to
Project Description:
Plan Check #:
Reduced Site Plan Provided: (YE / NO)
Zoning:
Map Page:
Corner Lot: (YES
Flag Lot: (YES / 0
Critical Areas Determination #:G ZC> 7 q O t o 1
❑ 'Study Required.*
Waiver
SEPA Determination:
Exempt
❑ Needed (for over 500 cubic yards of grading)
❑ Fee ❑ Checklist ❑ APO List with notarized form
a Required Setbacks
Street: Z� r
Side:. e
Side:
Rear: r S
Actual Setbacks -
stre_ 3 j Side:
Side:
Rear:
❑ Detached Structures:
❑ Rockeries:
❑ Fences/Trellises: .
❑ Bay Windows/Projecting Modulation:
❑ Stairs/Deck:
Buildin
Kei ht
Datum Point:
Datum Elevation:
Maximum Height Allowed: .Z 15 `
Actual Height:
Other
Parking Required:
Parking Provided: Z
Lot Area: b5 S
Maximum Lot Coverage: 35% Proposed: I6 7
Lot Coverage Calculations: 1;3� �{ ��, st '
`�`��(A i-;,-
ADU Created: (YES / 0)
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES / NO
Comments
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Plan Review By: ✓`' C�� r 4 C/' Planning Data Forth 07-14-09
a City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
!pc 1 g90 Fax: 425.771.0221
CRITICAL ARI
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: 1�o. ' V
City Receipt #:
Critical Areas File #:
Critical Areas Checklist Fee:_
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 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.
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 hibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to fil his a do n the behalf of the owner as listed bf low.
T/
SIGNATURE OF APPLICAN AGENT DATE
Property Owner's Authorization
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.
SIGNATURE OF OWNER Lv— � �� DATE
Owner/Applicant:
John R Karnoski & Jan L Reynolds
Name
717 4th Ave S.
Street Address
Edmonds, WA 98020
City State Zip
Telephone: 425-670-3670
Email address: johnkarnoski@netscape.net
Applicant Representative:
Eric Gedney, Architect
Name
23924 Crystal Lake Rd.
Street Address
Woodinville, WA 98077
City State Zip
Telephone: 425-488-3737
Email Address: eric@egedney.com
C-... -*._ ._....__,_
#P20 CA File No:
Critical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/Location: 717 4th Ave S. Edmonds, WA 98020
2. Property Tax Account Number: 27032600101600
3. Approximate Site Size (acres or square feet): 0.20 acre
4. Is this site currently developed? X yes; no.
If yes; how is site developed? Detached Single Family Residence
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
6.
7
EJ
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
X 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).
x Other (please describe): Rockery near vertical at street
Site contains areas of year-round standing water: no ; Approx. Depth:
Site contains areas of seasonal standing water: no ; Approx. Depth: _
What season(s) of the year?
Site is in the floodway no floodplain
no of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
no Flows are seasonal? no (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn, shrubs etc) yes
11. Obvious wetland is present on site: no
For City Staff Use Only
1. Plan Check Number, if appl
2. Site is Zoned? K 5 —
3. SCS mapped soil type(s)? J
14. �'-ritical Areas inventory or C.A. map indicates Critical Area on site?
5. Site within designated earth subsidence landslide hazard area?
SITE DETERMINATION
STUDY REgUIRED "
Reviewed by: _ - % Date:
WAIVER
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