1101 A AVE S.PDFiiiiiiiiIII lill9987
1101 A AVE S
i
ADDRESS: IN A
TAX ACCOUNT/PARCEL NUMBER:O(o [ 7 T 60k D l /
BUILDING PERMIT (NEW STRUCTURE): !q(Q ! ' :4tn
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LID #:
BLOCK:
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LATEMP\DSTs\Forms\Street File Cheeklist.doc D
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rova! r:�ess .Shall be
inte'him o in this permit P;' .
i.�tc.erp��aed as allow[nj ennitttng the
-1nteitance of. any cu. tly existing iilev_.al.
nonconfonning or unpern�itted building. structure
or site, condition which is outside ttt�: sccip of the
permit application, regardless of whi?cr such
building, structure or con .ifi , is shown on the O
site plan or drawing. Sucl tng, s nic �
condition may be the subj ct of a aeptirate
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j o) OCT 2 5 2010
BUILDING DEPARTMENT
CITY OF EDMONDS
PLANNING DATA 11 STREETELEJJ
SINGLE FAMILY RESIDENTIAL
Name:ft I .
Date: 1) 8 _ I l7
Site Address:
Tax Parcel N) ( 19 11-10 0 60
Project Description: ?e��: ,� ¢�,`,d2c w I
Plan Check #:
1�L-7\--) 9 o t o p"?3 -7
Reduced Site Plan Provided: (YES / NO)
Zoning: Sr
Map Page:
Corner Lot: (E / NO)
Flag Lot: (YES /
Critical Areas Determination #: ?r a0l 0 00Ll
❑ Study Required
a Waiver
SEPIA Determination:
p Exempt
❑ Needed (for over 500 cubic yards of grading)
❑ Fee ❑ Checklist ❑ APO List with notarized form
Required Setbacks
S eet:
Side: S -
Side:
^ O
.r d'
Actual Setbacks
Street: � ►
Side- L ,
Sid �
Rear:
❑ Detached Structures:
❑ Rockeries:
❑ Fences/Trellises:
❑ Bay Windows/Projecting Modulation:
ER Stairs Deck: �� c,
Buildin He/ ht
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations:
ADU Created: (YES / NO)
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES / NO)
Comments
� �Q�� r��-co��o�,�,,,.v..q � e ��- A�o� e�rs�a�c �o ���� r7-Nc�•0� 0
Plan Review By: Yo C
Planning Data Farm 07-14-09.doc
City of Edmonds
Development Sees Department
Planning Division
Phone: 425.771.0220
�ac.1890 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 Are are or
Date Received: l '
City Receipt #: W"—
Critical Areas File #: v' t D �t �t 4
Critical Areas Checklist Fee:_ $155,02
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.
may be, present on the subject property. The information Please submit a vicinity map, along with the signed copy
needed to complete the Checklist should be- easily of this form to assist City staff in finding and locating the
—avariabl ns o avaihrble at—speeifie-pieee o�prepert�r �eseriHed-ett-*,6--fon� im City ---
Hall (Critical areas inventories, maps, or soil addition, the applicant shall include other pertinent
surveys). information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminaryassessment 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
attomey'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 APPLICANT/AGENT,: f „ /�— DATE _ 1-O '" 1 0 - f 6
Property Owner's Authorbmtidr /
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 atter;dant to this at>9Amiion.
Owner/Applicant:
4C N c E sJr,5:
Name
to/ q 4,,c 5
Street Address
F-4.10..e,,,Qs 4dA- 1020
City State Zip
Telephone: 25- 771-2353
Email address (optional): R)A;esscK ®�ian ie�,co.r
Revised on 4116110 Page I of 2
DATE /0 -/6 - w
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
P20- CH&W Arms 0mcklist.doc
RESU
OCT 2 5 201U
BUILDING DEPARTMENT
CHTY OF EDMONDS
%r TrA
- (,Vlt20t Oov �i
#Pritical Areas Checklist &A Fite No: L4
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location Ab / .4 Wee_ 5
2. Property Tax Account Number. 006 12 !&0 g0 / 00 /
3. Approximate Site Size (acres or square feet): $640 "k— z
4. Is this site currently developed? yes; no.
If yes; how is site developed? 5% r^ le_ r"'w w wN .
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: sv ; Approx. Depth
7. Site contains areas of seasonal standing water: y ; Approx. Depth
What season(s) of the year?
8. Site is in the floodway /(/ floodplain of a watercourse.
9. Site contains a creek or an area where water flows across the grounds surface? . Flows are year-round?
Ali Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use Only
1. Flan Check NumberX applicable?
2. Site is Zoned? — 1.
.3. SC5 mapped soil M*9)? Eyer
4. Critical Areas inventory or C.A. map indicates Critical Area on site? jat3
5. Site within designated earth subsidence landslide hazard area? Na
SITESrTE DET���ON
,EQUIRED /, r WAIVER
nahr to-
Revised on 4116110 Page 2 of 2 P20 • CrUfoal Mews Checklist.doc
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4 M CANON A ir# PEMUT
,a,`*:
C11Y. QF DMA Buldding %partment almit Fjoal 0M parr ,
71
APPLICATICIN 'is heresy made fot a permit to conw:ruct the following work, it WordAM Wi* at
w-ts are st*-nitwd herevii0i fQr apptML
.T&ny.�ig plans and, specificeiodg WO
new ahlt: 00-St.
World addn repair ------- Ile -:-�wzs--rye4z -- ---------- .............. ......................... PWng
,e am -1% zon . ...
......
0- ccupamew . ..................... . ..... .............................. -U ................. -----------
A" 2
. ...... g-/ ........ Lot.... Blk ...... .....
. .. . ...................
_Z
Lor Irod -0. Y ........ Septic Wk .... t ......
.,Ie ................. tea .......... Owner/-, .... ................. Tel.
Builder...,�D ....... Addrcss ............................. ...................... 71 el. No .............................
.................. ...............
rl,95LA by ....... - ...... . .......................... ij ...................... AMAress .................................................... Tel. No......................---.... ..
............................. ........................................... ................ ............................................. ................ I ....................
......................................................... ................ ......................... ................... ................................................................
.......................................................... .............. * ...................... ......... ......................................................................................
T-bg more 6 a I iq,,;,r& to comply with VP$ appli4alc Codes and State laws, ;eplating this
Signed Owner/Agent- ddrcss.. Date,01:
- - --------- -----
- --------- - --------- .............
PERMIT for the above work is hereby approved, subject to the above condit' s, to corn ante with the ap-
proved plans and specifications, and Building Department notations th
'it'
ton to the
valuation ------------ ........ Permit fee ......... -37Z, . ....... Rec by .. ...
Building Department, By ............... ................... tc .............. ..... ......... ...............
L-lekT 7-e
T.is Pc-mit;&z �m coi;cr Plumbing, Sewer or Electrical installatians.
}i
APPLICATION
The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO . ............................................
106-08900 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO ................... ASMT. NO...................
OWNER ---------------Floyd Ashcraft- -- CONTRACTOR._......-•-•------•-•---------...................------------------------------•-•-• PERMIT NO. --------------------
- JOB ADDRESS .....1101- " A" Avenue --------------•--•------..........-----.. LEGAL DESCRIPTION: LOT NO....................................... BLOCK NO. ...._...-....
------------•---.----
gz.
0
NAMEOF ADDITION-----------------------------------------------------------------------------------------------------------------------
DYE TESTED ON SEt9ER - April 17, 1976
By Jim Jensen
Approved:
DATE............................................ By-•---------•---------------------------------------ii7�s
PLAT OF
Y OSTS FIRST
ADDITION TO
EDMONDS .
_:::c_A Miss;Yne�►- Erli�FrLe-e'r. SNOHOMISH
CO. WASH.
Scale: I inch= 200 f+
�
Ll4HG '-
Ai#6 Co..W.b.mn (o yKW..14Sea 2S,
Angle S.hE.B9'44'O4Ad;,$,' f683.72 I
Blk..9 Kellogg Blk /0 Kellogg
__ -f
This p/at em brat es all of lfie SE Xt of /aF1i✓ cf .Sr'c. TSvIo��%V R3E. and o//fhofrtJ°��.N-LG
Any�eH 90'25�0 to /n:t:o./ Pt
H. -----'-i'`�'=rm �';
o0 sso
--"t_s_r._Po..ii.�
=-
portion o{the Eas f LOf f „"p. lying, f
lor/y defcribe
I=�
`
S;enc ~Sao w� o 60 'foE53
60 bo l bo /o
county rood and por><� gs fo%laws Qeyln'nin9 sfane monument of in-
10 I 4g
10 1 to / to
iersecfion of center line 6 u Stree)R �E•o//monds,.Ivrca/vicee _7o interreefson with 66 /ine
North boundsy of S W JS of N W. * of.S,c: ZS.F}ience oVY/e from rood center line
9
&,b el, SO" aka/once of /325..i to 4fr cornerbn y /irje E and West A ou h Sec.2s--_
thence angle Leff 90'32'S7,"a dis>`once e�_656.�.�; (hence
9 2 9I
g 2 9 2 9 2
a distance of /326.%S`to it's /ine Thence a.sy/e Le{¢ 299•,39/2"foP(areof be9%nriin9,
glB
8 6 3 8
L� 3 8 `� 3 B 2 g B�
exce/ofiny therefrom a /rat/ 6oundedas fo/%w3y Spar}in9 frorxt cornei4/i We$/
000ll .
boundoyc oSec, 2.S Two.27N. RJ and running, /hence_Fb�sf'on said !'s /&ze-/fdJ7S`I
fee( thence angle Leff 90"OS,/7" o di/onc30f f�e ofb �rt[nTher� 947i
angle right 90"OS'/3"a2S/.S3fee/
7 4 7 4 7 4 7
top/ace o{ beyiisninI
6 5 6 5 6 5 6
h ~
°d Hen Lr 1
I
DETAIL OF •1
REVERSE CURVE.!
i . El
r- = loo' E
2
M3.1
sI4
4 .
o
_ ,o •o n .
Know_�a// men, .6 these presen/s, that we, A.M. Yost o�nd Amanda C YoJf fits wife, _- ' '` ° 2
L. A. Woods and Etta Woodds, his wife, Herman FradelPand t/ennie Freaie/l, ha-Wre, low I { _- o to t ro I T10,
to I Io 1
�ond Geo. N. Schuster, a single man, a// of Edmonds, Snohomish County, WiY , own- ers in fee simple, of the above iracf of land hereby declare said p/at and dedicate io ' CO
9 p ,
file public for /fie public use and benefit forever /he streets and alleys shown _ 9 "- 9 = 2 9 2 9 2
UPon hie face of soil plat i
A. M. Yost [ L. $. ] -�1 y -. 8 e. a• 3c 8 g 3 8 11 3 V 8 3
Amanda C. Yost [L.5.]bl. �L. A. Woods, [L.5.l I12 Q 6a
:. `r /e aYJ.42
Etta Woods [L.S.] �v; 0 4.: °, 7 4 7 Near.�el. 4 7 4 7' 4 I
Herman Frede// [L. S. „I - is ® o 14A4S`
122. as o
Jennie Frede//
° •1 ° RuervaHon. ri n ti M1 5 ri b S
Geo. N. Schuster 6 S_� 1 6 5 n n 6
Aa �i_,zJ aao azr `6p aa9
656.3 Sfns M.. on'rLt-'d v/V _ a/_�_4��'40 ° _ _ �- _ _� •y�y Gor l..ler Sac.
C - - - _ S'fn< n.n
:ta. Coat _—_— i—_— —�_—_ 4 H D•
$%e>�r ga`-=Unplbtted i i Unplatted ate of Washington1 ss• �o
Votome.!_998 of Official Records, page
County of Snohorraish 1 � N V. WILLIAMS. County Auditor
This is to eerfify, That on /9 day of March AD /90 State Wosahin ton ~--
before me E.M.A//en allofary Public in and for Me Sfafe of Washin ton, du/ `¢ 9 1s•s......
9 y Counfyof Snohomish J * . / CL•.•Lavv,y Tieasur_er o{tSrnof�omish County. Wasbingfon, do
comissioned and sworn, personally came A. Al Yost and Amanda C. YOS/ his wife' fiere�y ter/i y fha}-oY1 (ores oit f�he above described {rac><s o{
L.A. Woods and Et/a Woods, his wife, Hermon Frede// and Jennie Frede// his wife, a019N/ /and'•hove 6ee`n aid 1 o!% u to and inc/uc/in the iaxes or the
and Gea N. Schuster, a single man, to me known to be the indivaaiva/s described in y tis p � B 9 f
g, n'a of F I C/q 6- year
and who executed /fie within and foreyoin9 instrument, and acknow/edged to 3 B f --C. L. L•aiwiy'
me that they signed and sealed the some as their free and voluntary act and '� z y D+pvty Tiosurer Snohomish Co.
deed for the uses and pur ores therein set form.-_
Witness my hand and of ficia/ sea/ the day and year in this cerfi ficafe �y sEgL c° Approved April 3O'909,.-
firs( above written. omis _t/ahn F. Birney : Eounty �n9ineea-
E. M. Alen _ ...
P�,LEaV Notary Public in and forlhe State of t
%ss/a Washin Approved This Fi'{th Da A rf/ /9p9',_
on residin amons. Pp y of p _
y Z g 9t Edmond,. James /"IsCoch_
NOTAgy� F Chairman So� Co ur� Carnmbsion2jrs.
puD1l`naZ Office of County AuditoJ
�T �Is�'afOy2� County of Snohomish, _
State of Washington, Filed for record at reques>` of ;4voQ/ersois Gvar,�>4bo. Co. ..
on Apr. S& 1909 of 2e m;a-r s past 2 o•clozk P.
:+Count, i/i trdi toad:
N
P.T'.rl ifcc°.-•G1 ,lIuroo of PORt1oAJ OF _ • . _
For KW44 At 6`4-' 9 see
.C9'��- VoNme.(_2Q.2.. of Official Records. Me B ,LY
DEAN V. WILLIAMS. Cuunty AudADr` _ T-