10506 243RD PL SW.PDFiiiiiiiiiiii
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10506 243RD PL SW
ADDRESS: lord & — Z"/ ,J d /z 510
TAX ACCOUNT/PARCEL NUMBER: `7 q DD6- _ 6/,aDD�
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS(RECORDED)FOR:
CRITICAL AREAS: 00 - DETERMINATION: ❑ Conditional Waiver ❑ Study RequiredAaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
" U`7 Z (4�XJ 1 N71
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMITS) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSTs\Fonns\,Street'File Checklist.doc
woe • SCHWINN RESIDENCE
10506 — 243 PLACE SW
EDMONDS, WA 98020
MAY 2 4 200a
..uEVELOPMENT SERVICES
CITY OF EDMOND.9 CTR.
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• • • �►' tot I — — — /e2 :•
?.3
_. LOT.
... ... . PLAN
\ \ IMPERVIOUS SURFACE CALLS
Existing Building Pad: 1,344 sf. (constructed circa 1950
I Existing Covered Porch: 16 sf (constructed circa 1990)
Existing Driveway: 580 sf. (constructed circa 1950s)
"At=,a 1 i l0}.1 \'. ' Proposed Addition: 630 sf.
. ; . , I � 3 0 • s Q••. fir'. . .. :� ._ ,'.
�. LOT AREA: 10,160 sf
zN HEIGHT CALCS O
LOT COVERAUE: 2,454 sf (24%
B = 102
_N U C = 101 LOT SLOPE: Approx 1 %
D = 104
O AVG. GRADE = 102
ACTUAL = 115.5
'7 C> . QO
_...... uH - LEGAL'.. D.E�CR.1P�"ION..
►�ttN>r �' boo M .. LOT. iS, BLOCK 5; H.K.SCHROERDER'S REPLAT OK FORW .CLENN,
maser' Lb44,noN ACCORDING TO THE PLAT _THEREOF .RECORDED IN •,VOLUME 15 OF'. PLAT
PAGES 26 M O 26, RECORDS OF SNOHOMISH COUNTY, : WASHINGTON.
SUBJECT TO' EASEMENTS, RESTRICTIONS AND RESERVATIONS
OF RECORD.
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�. OWNEWCONTRACTOR. IS R SkNSIBLE F h
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LEGAL.. D.ESCRIPTION..
O a LOT.15, BLOCK 5; H.K.SCHROEROER'S REPLAT OK FOREST .GL'ENN,
ACCORDiNC . TO M} .PLAT _THEREOF .RECORDED IN _ VO.LUAIE. _15 OF. PLAT
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1 M PAGES 26 D 26, RECORDS OF.-SNOHCMISH COUNTY, ; WASHINGTON.
SUBJECT TO' EASEMENTS, RESTRICTIONS AND 'RESERVATIONS.'
2�-�+I� • S^� S�� OF RECORD.
.. -
CA FILE NO. GA -w --75
CrWal Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydro)ogy/vegetatiion) ' /
1. Site AddressAmation: MW --29 3 a�PI SA/�Z/h-cw.1, G✓. 12�,
2. Property Tax Account Number: 3-01 -005=0/5-- OOD $
3. Approximate Site Size (acres or square feet): 011150 ,
4. Is this site currently developed? yes; no.
If yes; how is site developed? 3 14 r i geA AL" ,
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: 1"'0 ; Approx. Depth:
7. Site contains areas of seasonal standing water: 1VQ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site containsa crefek or an area where water flows across the grounds surface? Flows are year -
'DET FUMINATH7
"a dhkAoq Wv 103M
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).
ra /J Y 1C e c elI,7—;a (ZOZ
An applicant, or his/her 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 properly 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 assist 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).
Owner/Applicant:
Name
Sty
Street Address
City State Zip
Telephone
Signature
)ate
=OWdcnVanak vJ.doc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
PLANNING DATA
NAME:_ QkI j1,
SITE ADDRESS: ! eIe DATE: (!�
ZONING: PLAN CHK#:Q:zi
PROJECT DESCRIPTION:
CORNER LOT (Yes/No) FLAG LOT (Yes/No)
SETBACKS:
Required Setbacks:
Front:?4�L Left Side:--711_Right Side: 7 6 Rear:
Actual Setbacks: I
Front: Left Side: � Right Side:�Rear:�_
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE: Maximum Allowed:%7,
y�, 4Actual:
✓, 51 f -a
BUILDING HEIGHT: /
Maximum Allowed:
p 7 Actual Height:
Datum Point: IY,CI,#' c4t., Datum Elevation:
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #: c�76� " 7�
SEPA DETERMINATION: f")
LOT AREA:
OTHER: