23915 76TH AVE W11111111111111
15153
23915 76TH AVE W
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:OCR ��y
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:, 6 5 . UQ- DETERMINATION: ❑ Conditional Waiver ❑ Study Required Jl�aiver
DISCRETIONARY PERMIT #'
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DA'
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR.
WATER METER TAP CARD DATED:
L:\TEMP\DSTs\Fonns\Street File Checklist.doc
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CITY OF EDMONDS SIDE SEWER AS- BUILT
r
d ADDRESSi PERMIT
23915 76TH AVE W NO.
C❑NTRACT❑Rt H❑ME❑WNERi
GREGHALE/FIRSTLINE CONST XXXXXXXX
DATE INSPECTEDi INSPECTED BYj DATE DRAWNi
7-24-2006 1 J H 1 08-03-07
iIoIl%lid
SCALEi
NTS
DRAWN BY,
J.TRIEU
1.
4R, :
110.00
D\
SD -r
FOOTING DRAINS NOT
1*0�E TIED INTO- — — — — s� :� SST'
DETENTION tiYS; 5p!,,°
HEIGHT CALM. z•
13� .1.12.00 ' �IlJ ba `'� 'L
C= .107.00 _/ a0
j1, `
1:09.00 1 �., M
Avg:Grade = 111.25" �' � >� Co�rEle
Actual = 136.10"
Maximum = 136.25 PERi A-VIV NTOSWER.
-INSPECTIONS REO'IX t 1
LOT COVERAGE CALL 425-77'1-0'2w'0 E:;.i. 9��5�
Lot Area = 8931 Sq. Ft.
House = 2464 Sq. Ft. -tt
Coverage = 2464 / 8931 = 27.58Yo 2A -✓L 8 9 Z 1 :
Lot Slope = Less Than 15% L=S
GRADING CALCS AUG 2 3 20b
CUT = 206 Yards
FILL = 230 Yards BUILDING DEPARTMENT
My OF ED qp Y1;pk�
TotalCut/Fill = 436Yards *APPROVED�BS��'LANNING
IMPERVIOUS SURFACE 2CALCS
House
J�n%vQii1TRACTOR IS RESPONSIBLE F�'P
Walks = 220 E_ OSIOi1i Cf--:1TP01 r1P'! DF f � �r J ..yZ
Patio = 240
Drive/ concrete = 1100
Asphalt Drive = 0 APPROVED AS NOTED
Total Impervious = 4,024 Sq-Ft. � BY ENGINEERING
Ji 1 . .
a���bt l�` tob.00
;ear 3Od' �
308
0 % Ioet.00 Sb1
RttstsN V.Vott 1116.00"
bASe_Mf-t-k 5%.Acb, 101.00
'-0 vAftl PTA 91 nGAtIC
MATERIAL.
SDA SS
SON 40
N-12
F810 HANCOA s
19I
J
a
3
(a 49-RtoE
�,OVWCST
Poo-Ct NSo
101, 00
20`
z
= 107.
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31 e
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31Z
dl
ve
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.� s
318
to 3/y
-�fy
Ledeend: Onto:,—
Existing Grade a `lC tJ
Finish Grade Zone 12-5 -- $ Corner NO Flagg ALL f
Silt Fencel `EK4RED�N--SetbacsRequired Actual FACES T0OV D�(THFri N IN
2 DAYS
Sides 5 �• 51 �` • y 1 - /, ��.h q �$
GV Ll g HaleRConst Inc. l� E 4• :t �• /
16605 7 1 " P1. W. O;hK W -4 • 5 5o
Lynnwood WA. 98037 HOgj1t� 2`j l 14 - f 1
Ph: (206) 650-069� d CC, iG S Stn U 11 10
�., 5 SITF, PLAN
SITE ADDRESS E �, Scale: I Inch = 20 Feet
23911 76th Ave. West LOT 3 FI E , 110 AID Ar,)nRrSS SIGN REOUIRM
Edmonds Wa. 98020
Tax Parcel:00498800600500
SHORT PLAT: 5-2003_53 7 (T" Av E \�-J E SQ-
SEP 20 2005.
BUILDING
CITY OF EDMO DSNT
rAN\6t%K (. M %
IDLICl. 3oZ.Z c
0
PLANNIN aREt T FILE
NAME: R a 1p, C.D ri _c-r a G-H r)in DATE: Dip • 2.g . 05 • -
SITE ADDRESS: 23Ci 1 5 ''(D I'tt AVM W — " 1 O.1' 3 " PLAN CHK#: 05.2z1
PROJECT DESCRIPTION:N2V1/ Sr- •.. Malin 1 al 1 L1. 3.f. 8abc' mr4lt I 4-(e+ sf.
_ ba rA d 5 s.;. CAVC MI Porr.V> ��• b.f.
REDUCED SITE PLAN PROVIDED?: Yes No)
MAP PAGE: 003: CORNER LOT: (Yes No FLAG LOT: Ye / No) 4' 1 n'f CA( O`r l Di_"
ZONING: RS • 8 CRITICAL AREAS DETERMINATION #: 7=3. 000 2.
® Study Required: "tyhAdV V10 bfieir, 0 b1bD�S
❑ Waiver
❑ Conditional Waiver
SEPA DETERMINATION: 6--A'e'M 't
❑ Fee
❑ Checklist
❑ APO list w/ notarized form
❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
® Exempt 20 (0 L.Y. f_ll+ & zA, 0 --.v _ 41; (1
SETBACKS: I vii-eiVi t)Y 10t Si alb fwwl A11 Plr0 f) "y l 1 rl'e.s
Required Setbacks:
Actual Setbacks: cam. pu-ly1 �-as
North Side: ;' 6 Kea
Street map checked for additional setback required? (Yes / No Y60)
❑ DETACHED STRUCTURES: tI pl(14P, SV11DVM din 5 jfr Pka )�. vva IV WAY
❑ ROCKERIES: NDVie, SV%OW'V1 0Y1 e, -tc. P1 av1 . I n In4t{5 V1t"
❑ FENCES/TRELLISES: N Ont, 6VlpvA/n a n 6 i tG P l a n K' 6A C2e'iV A L
❑ BAY WINDOWS / PROJECTING MODULATION:
® STAIRS/ ECK : VWl (,ot/tVT'Cj JM d '�rMVN/ d-C C* --
PARKING: Required: I Actual: 2-ot h Otd se = 2. -(p4 >
LOT AREA: Fi 01 3 dL�K- 2�21
LOT GnvF
Calcu
I%' it: 11-:00
5 t 112.00
BUILDING HEIGHT: �N �/� �.{�� , (✓ ( 0-+ .00
Datum Point: GZ 1 `OhA '1 M 10111 1 1 f00' Datum Elevation: 3 02 . � ( 00• 06
i f
dCii�y at' n� Maximum Allowed: .� (l 5(D• Z� Actual Height: •fS6 1 3Go. ((�� �,t � 1,6.ov �-�-
A.D.U. CREATED? (No Yes) Qr1V �+C'h-m ShOWV1
'ihclVtd�ed� 111.25'
�t't 5qq�t SUBDIVISION: S' Z005• 55 F+CI Kry GV1r1'Stia rl '- .1of Mori- of at a*- ATWW'�
Ye.(,'t-AVI LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes I No) 2 5q 77'( TH Avr- W-
OTHER:_-7E'YT-'W: !A I �l�•5D 'v PTa,= 11(0•� 111.25�t25
Plan Review By:
I N0.25
W a)
rc d 5 e line, 5howl!1 at 13&.10
NCwBPPIanningDataForm.DOC
R. N
Ilo,oO t
FOR INSPECTION gs'$b t` oro • °°
49
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--� Sn — �L.-,P.S�1`�t�1�►T S D\ - \ Oov+�Qd .Qy 0
�n rroci FQOTING,DRAINS NX — — — — Ss � ,•o 10,
TO BE TIED INTO - � ss ``.�� . So' c=toy 00
.DETENTION SYSTEM ` IN, - '�tt4%1zA VLOoR It6-00
HEIGHT CALLS;;; 2' bAS6 tw%f.fAT 10*1.00
A�117.00 n �/ 2'
B=172.00 6 Goo �ti/ Z �� Y �ow��g �oo'rtn�4, , 05.00 ,
C o7:00 7.5 3
. ` C - l.. L-oci< r /v C � ACCEPTABLE IG _ � e
n= r'o9.o0 `� o- BLE T HTLINE
Aug:,Grade = 111.25' w� di- rpvc- t2 M MATERIAL
Acturii = 136.16 Uo z SDR 35
INSPECTIONS RAC i3
Maximum = 136.25 SCH 40
CALL 425-771-02 0 r;.la'i. 11776 � N-12 1 In
LOT COVERAGE g 11 10 HAACOR 3
Lot Area = 8931 Sq. Ft. N /�
House = 2464 Sq. Ft.
Coverage = 2464 / 8931 = 27.581/6
Lot Slope = Less Than 15% 0 Wes T 31 Z
J V-OOT%t4(c I
`3 1V), 00 1 Ipl
GRADING CALLS �� � � '�/ -- �- - p = 1 t7. o` � 20 _ �tt.o 0
CUT = 206 Yards
FILL = 230 Yards �t-�,
Total Cut/Fill = 436 Yards AUG 2 3 2005
BUILDING DEPAFRTMENT \
CITY OF EDMONDS 317 ? _
IMPERVIOUS SURFACE CALCS
House = 2464
Walks = 220
Patio = 240 Wk
O s� -
Drive/ concrete = 1100 N� ° �9
Asphalt Drive = 0
Total Impervious = 4,0 4 Sq. , ���, • I $
�; "1��►PCONTRACTOP.. IS PESPONSIE! E V79 s
Ledeend: 3 v
Existing Grade APPROVED AS NOTED
Finish Grade ,; �Z p
Silt Fence _ x x _ BY ENGINEERING �L �d EC SUHFAC& TO
0
r f COVER -� C
WITHIN 2 DAY
S 61D
' J
OWNS ®a4e:,,.��-�
Greg Hale CConst Inc.
16605 71 s' PI. W.
Lynnwood WA. 9803
7 �0�
I 2 �4
Ph: (206) 650-0699 �� 2
PERMIT COUNTER
SITE ADDRESS GRADING PLAN
23911 76th Ave. West LOT 3 Scale: I Inch = 20 Feet rAN\St%M t. M %
Edmonds Wa. 98026 i�:`dD XD baDDRESS SIT] R.EQUjRD t3l.asv• 3oZ .z d
Tax Parcel : 00488800600500 . (, OtAs-TVe'i ` `o p • p e
SHORT PLAT: S-2003-53 T H Y
?G, vC � Es4-
p
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 this map(s), nor for
any one representation provided based
upon said map(s).