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1010 BROOKMERE DR.PDFIIIIIIIIIIIIII 10444 1010 BROOKMERE DR ADDRESS: TAX ACCOUNT/PARCEL NUMBER: m5q BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS ?M—Q('f5W DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS [9UZJN53( erne of I—bDbI��1 PLANNING DATA CHECKLIST DATED:: SCALED PLOT PLAN DATED: Aq-� SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: s�BLOCK: SIDE SEWER AS BUILT DATED3# �C� 077, SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: i LQ OTHER: LATEMP\DSTs\Forms\,Street File Checklist.doc • 1 APIUCATIOR C' BCILDFAC PERMIT Cir,Y"•OF EDMO.NDS Building Department Appl. No. - Permit limit, one -yeai! pd iCATION is hereby made for a permit to m sstruct the following work, in accordance with the accoav and specifications. Two sets are submitted herewith for appfoval. pan;•ing pL— Off -St. new ✓ alter <.i,�_ Parkingi Workaddn repair .................. ...................................................... ^ r / .- ..:1Use :one..... ......l.vZ ..-. Fire offe ...._... ..._.... .. Occnpan_ry Const. type• ............... .......I. . .................. / F r• .(� Btk---•....................... Adam. Ck'' �f 1� ...... Address 1 ....._... Septic tank �- `cc; " ........._.......................... �� _.... . Lot frontage ....................................... . Area..._;✓--�r—•.... ! J r r- r i / ' .... t. side... .�..:.... 2ear....................J ..._... ✓� �-' Bldg. set -backs front..... - � r. side ••------...-...-•----- o _ / t :...:.. J /---------•- "£eL o. <� Address. N ,.�.�:� ......... Tel. No.: ........................... Address... h s� Builder. Plansby.................................................................. Address - ' - Remarks ...... ................................................................. . .......... .... ,................ Tel. No .....................................................................................................................................................--- - - The above is a correct sate:,fent, and I agree to comply with all applicable Codes and Stzte laws regulating -thin i work ............t:......: �...-••1........_... Address..._ .............._. Signed Owner/Agedt!1.:'f..}..1. -••� .'. ' iR for the above work is hereby approved, subject to the above conditions, and -fa compliance Yvith the'ap proved pLvrs and specifications, and Building Department notatiow thereon. _ - E ,: .%.::.ns1 �- by..... 4Z1'f%........ Permit fx--- � ......., :�..._.._.. , Valuation •'-1 - � � .. ' .... &,filding Department, By..._ ............ ............__.......... le:/-u--f-••}-••• .. . .. , . � � j ti' r{.• it°-,` t NOTE — `rltis permir does noc cover plumbing, sewn, or electrical irutallation ,nor does it permit any wont be done in the Right . of Jay areas. Driveways and walkways must be planned to meet the official grade of str_eu and alleys, and plate for future sidewalk development. •� I 5 ` 5 is 't 3192 cmatm m eieoclalm PM NI Mo 1306 Iq.O STREET FILE /D/O 13rtoo4Mex e o/z- Ie=20'-O' SCALE SITE PLAN -- 1010 BROOKMERE DRIVE, EDMONDS, WA W020 ft-12 ZONE •Altical Areas ej E NO. Checklist 200o Sle -------------------------- Site Information (soils/topography/hydrology/vegetation) I. Site Address/Location: 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? \ yes; n- no. If yes; how is site developed? .S/dam ZQ A"/ %, 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire•s.ite. 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: Approx. Depth: 7. Site contains areas of seasonal standing water: A G ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? A-0 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: "a: hkdoe; Rw 10/03/97 APR 0 4 2= City of Edmonds oEVE10"MENT SERVICES CTR. CITY of EDA ONDS CRITICAL AREAS CHECKLIST - 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). 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 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 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 DR Street Address �I�OLJ®.3 Z&a gk2- 0 City State p Zip 41X5__ y �� — 5— �0 Telephone Signature Date Applicant Representative: Name Street Address S'Oa t111_6 City State Zip Telephone Signature 10 Date c:receptionyanalcaddoc (over) APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No............ NEW CONSTRUCTION ❑ REPAIRS ❑ 115-o6800 OWNER........... GUy...Attebery............................................................. CONTRACTOR..._............................_......_......_................................................... PERMIT No....................... ' ADDRESS .__..._. Q1Q_... B-r.Q.QkCae-r'.e... RrIVe................................... LEGAL DESCRIPTION: LOT No............................................... BLOCK No............................................. NAMEOF ADDITION..........................................••......................................_....._................................................ Lu Lu Dye Tested Or!Sewer 1972 Approved: DATE................................................ By._..............•..........._............_............................ �iLe 4)c. 18913 April 1, 2010 CITY OF EDMONDS GARYHAAKENSON MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • 425-771-0220 • FAX 425-771-0221 Website: www.ci.edmonds.wa.us PUBLIC WORKS DEPARTMENT Engineering Division Mr. Benjamin Welch 1010 Brookmere Dr. Edmonds, WA 98020 RE: Sign Obstruction along Caspers St. Mr. Welch: STRF17:17, FILE Our records indicate that you are the owner of the property 1010 Brookmere Dr. We have noticed that the vegetation on your property is obstructing the "Pedestrian Crossing" sign on Caspers St. This is in violation of City code, from which the following is excerpted: 9.25.010 Violations. A. It is unlawful for any person who either owns or has the right to possession, or both, of abutting real property to permit the erection or maintenance of any sign, device, structure or vegetation in the following circumstances herein set forth, and in the event of circumstances presently existing which by reason of this section are now in violation of the Edmonds City Code, said person shall immediately remove the same: 1. In such manner that it obscures or conceals any traffic control sign, signals or other device as to interfere with the full and effective use and visibility of the same to the motoring or pedestrian public; The City of Edmonds directs you to cut back your trees to allow full visibility of the signs. Please complete the modification and trimming by April 16, 2010. Your cooperation in bringing your vegetation into compliance is appreciated. Please feel free to call me with any questions at 425-771-0220. Sincerely, BERTRAND HAUSS, PE Transportation Engineer Incorporated August 11, 1890 Sister City - Hekinan, Japan MEMORANDUM Date: February 25, 2009 To: File From: Jennifer Collins, Engineering Technician STREET FILE Subject: Illicit Discharge @ 1010 Brookmere Dr, Edmonds WA 98020 A receipt from Mr. Kim was received on February 25, 2009 by the City of Edmonds showing that Kim Enterprises (K&R Construction) had obtained the services from Marine Vacuum Service to pump and clean the paint that was discharged into the city storm system. The receipt shows that the clean up completed on 7/21/08, 7/22/08, and 7/23/08 totaled $2805.75. Due to the expense and level of clean up that Kim Enterprises achieved, the City of Edmonds is waiving the $500.00 illicit discharge fine. Therefore the City of Edmonds finds Mr. Kim with Kim Enterprises (K&R Construction) in compliance with the requests made by the City of Edmonds. City of Edmonds NI'03' 13'1 143.0 „yam d I , I Cx T �i�� O6A�1 X U I w 2 \ EXISTING PATIO O »�+ " EXIS'TWCs HOME t�/� I 55.-G' 9r 27'-6' L------- ---------\ /� I DRIVEWAY • VIONDS IRK BUILDING DEPAR I i!r!EKIl , 10.E J ADDR §,' ENGINEERING DIVISION I�%/'n�b4 - P TD S NOTE -- - I FiPPROV�O OATS Date: �-1 Z 13 BLOO.OiFtCiAL SITE PLAN - 1010 BROOKMERE DRIVE, EDMONDS, QUA c3W20 RS-12 ,'Z'- Ek.,�,"EOVE ,J. - TREET FILE APR 23 2013 OEVELOPK(iENT SERVICES CTR. - — - - CITY OF EDMONDS - DaFk'D 111 i �*) 4 1 .........J U L............. .... ....... . . ..... . .. NO.................... .... No......................................... Meter I Size ......................... Tap I Size ..... ........... ................... M f g rs. No.. / ..... For ... . ..... . ................ . ....... . ... . . . ........ .................................................................................................................. . ....... . .............. ............ I ......................................................................... . ....... . ................ ........ ........... - LotNo ........................................... Blk. No.......... .............. . .............. ............................ Add ................................... - _31 ................... 0 (7 Service Location /'ia/ ...................................................................................... ................. . ....... . ...... . ........... - MeterLocation ....................................................................... ...................... ........................................................................................................ . ................ . .............. MakeTap ......................................................................................................... ................................................................................ . ................ . ....... . ..... . . .......... Pressure .............................. lbs. Test .................................... % SendBills to ..................................................................... ...... ... . ................ . ..... ........................................................................ . ...................................... . ..... . . .......... Date of Work ........ �4 ........ /d ... = ...... ........................................ 1 ...................... . ............................................... Foreman Guar. Voucher No ........................................... $ ................................... . ..... Remarks:......................................................................... ................................ . ..... ,OUTGOING Index .......... Reg ...... Route Bk ......... Stencfl ...... Card—_ INCOMING Ind ' ex .......... Reg ....... Route Bk ......... Stencl ..... Car& ....... Chargeable to Installation meters NO DESCRIPTION RATE I AMOUNT Meter ........ ........ Meter Box ........... ­­­ ------ - .....• ....... . ............... ..... Meter Plate ............... ............. I—_ ...... Check Valve ­"*'*'* ..... * ...... " ...... .............. ............. .......... .............. ......... pip - Screw"'- ............. e, Galv. .............. ......... es I ........ .......... Bushings ......................... -------------- ............. .......... Plain Ells ........... ------------ * ............. .......... ............ .............. St,Ells ­* ........ Tees.......... .............. ............ .......... ............ ............ ............ .......... ---- ----------- � ------ ------ ... .. ............ . .... ........ ............ ......... .... ...................... ;�� .. ...... ............. .......... ... .... .......... ...... ....... ........................................ ... ........ ........ .......... ...... *C . ......... ................ ... ....... ...... . ............... ..... . ....... . ........ .... ....... ... ... ............. .... ... . ..... .... ............ .......... ................................... ................ .............. ....... .......... .......... ...................... -------- ....... ... ..... ... ............. .......... Material Chargeable to Taps Connected LNU. I DESCRIPTION I RATE AMOUNT .............. .......... Pipe, Black Screw ------ .............. .......... pipe, Galv. Screw ....... .......... Lead Connections .............. ------- ........... Curb Cocks Corp. Cocks ........................... .............. ....... .............. .......... Unions ....... .............. .......... Saddles ............... ............... .......... ------ .............. .......... . ... Nipples .......... .............. ........... . .......... ............... ......... ......... Bushings ........................ __ ..... ......... .... ........ ......... ........... .... I ..... .... . Plain Ells ................ .............. ... ......... .......... .......... .......... Street Ells ..... ... ............ ............. ........ --------- .. .......... Tees --- ............ .... * ........ .... ** ...... * ­ ---- ­* .............. .......... ............ Curb Boxes ............ ... ........... ............ ....... . .. ........ .......... S. O. Extensions .................... .............. .......... Gates .............. ............ .......... ............ ......... %,* ---- Plugs ............... i�-------- ------------ - Couplings .......... ........ T, ------------- ------------ .......... .............. .......... --------- Gate Boxes .............. . ......... ................................. ...... .......... ..................................................... .............. ........... .... .............. .......... ............................................................ .............. .......... ........................................................... -------------- I .......... ........................................................... ............. .......... ........................................................... ................... ........... ...................................... ................ .............. .............. I .......... ...... .... ... ... ....... .............. ..... .. ........ .......... .............. ............. ......... ............. . ....... ............. .......... .............. ......... ........................................................... .............. .......... ........................................................... .............. .......... ........................................................... ............... .......... ........................................................... ...... .............. .............. ............... .............. ............... Hours Time —Day Men ........ .............. Hours ............ . ........ ....... ..... .......... ............ .......... ............ .......... ............ .......... ....... Time —Monthly Men ................ ....... ................. Hours Time —Auto ............ . .... ........ Superintendence ............... .......... Total ... .... . .. .............. ........ ... F ET ME DETERMINATION OF NONSIGNIFICANCE Description of proposal Addition and Remodel of an existing single family residence Proponent Perry McClellan 1010 Brookmere Drive, Edmonds, WA 98020 Location of proposal, .including street address,'if any 1010 Brookmere Drive, Edmonds, WA 98020 Lead Agency Edmonds Planning Division The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. X There is no comment period for this DNS. _ This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days from the date below. Comments must be submitted by Responsible Official Jeffrey S. Wilson Position/Title Current Planning Supervisor Phone 771-3202 Address 250 5th Ave. N., Edmonds WA 98020 Date Signature X You may appeal this determination of nonsignificance to Hearing Examiner at 250 5th'Ave. North, Edmonds, WA 98020 no later than March 27, 1992 by filing a written appeal citing reasons. You should be prepared to make specific factual objections. Contact John Bissell to read or ask about the procedures for SEPA appeals. There is no agency appeal.