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10101 232ND ST SW.PDFiiiiiiiiiiiiii 16110 10101 232ND ST SW 0 0 TAX ACCOUNT/PARCEL NUMBER: b f 0�-- W2 O �'— 02— BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR - CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: ' PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): _ Vl�;- PLANNING DATA CHECKLIST SCALED PLOT PLAN DATED: I G `" V I SEWER LID FEE $: LID SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: SOILS REPORT DA STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER LAT-NP\DSTs\Fomm\.Street File Checklist.doc E 0 61Ar4 \o LS N F Ny' ; o a 3�0. 0�r jt.Cf IV SO pEC 0 1 1gg4 PERMIT T av� eAADe A c-r, - +f—. MEMORANDUM DATE: December 5, 1994 TO: Street File - 10101 232nd Street S.W. FROM: Ann Bullis, Code Enforcement Officer RE: Street Setback Determination Building Permit Plan Check # 94-232 Since the existing house is nonconforming whether street setback is taken from the west or south property line, John Bissell (Associate Planner) gave the owner the option of which property line the street setback would be taken from. He chose the west property line. NOTE: FOR ALL FUTURE DEVELOPMENT PERMITS, THE STREET SETBACK WILL BE TAKEN FROM THE WEST PROPERTY LINE. 'IV N I I r qq' � I �P0 c •� I Id��PtJ gATL IDOL\01 tS .li A t !ao g + for C -r f OS p RVG• r.AAoe -)02 -0 A CT, c +11 S. &O 1NAr1 = + 127- 60 *LE NO. CritiO TMETAWlist Site Information (soils/topography/hydrology/vegetation) 1. ' Site Address/Location: 0 _3 5 u-J 2. Property Tax Account Number: 61 C� 7 c� 1 — a 3. Approximate Site Size (acres or square feet): 2 On R E-: C E I V E: D 4. Is this site currently developed? ,X,yes; no. n If yes; how is site developed? LLa � S 7 04 5. Describe the general site topography. Check all that. apply. PERMIT COUNTER - _ 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: 1A o . _; Approx. Depth: 7. Site contains areas of seasonal standing water: �1 0 ; Approx. Depth: What season(s) of the year. 8. Site is in the floodway r---- floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flow§ are year- round? 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: . ago ..199- City of Edmonds 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, RECEIVED NOV - 7 04 PERMIT COUNTER 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. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Name 10 k a UJ Street Address r\ Applicant Representative: Name Street Address City, State, ZIP Phone City, State, ZIP Phone 1 - Dat Signature Date PLANNING DATA SINGLE FAMILY RESIDENTIAL STREET FILE Name: M �/� Date: Site.Address: l Q (Q _ y�2�� �--� Plan Check #: Z� Project Description: S�_ Reduced Site Plan Provided((YE NO) -to seek-Irrhr �� Zoning: S — Map Page: Qjf�j Corner Lot: (YES / O) Flag Lot: ES NO) Critical Areas Determination #: ❑ Study Required A) f e --> Pf - d ❑ waiver (l SEPA Determination: �.�xempt ❑ Needed (for over 500 cubic yards of grading) ❑ Fee ❑ Checklist ❑ APO List with notarized form Requireal Setbacks 6b-eetr S i Side: -75/ Side: i Rem i Actual Setback GcSt' on S F L side: 12 Side: 7 . Detached Structures:' ❑'11 ckeri ❑ Fe s/Trellises: ❑ ay dows/Projecting Modulation: Stairs/De Buildin Height 44-ei CAI C t h e,—V rc Datum Point: m Elevation: 4 _ Maximum Height Allowed: �__--" A ht: Other Parking Required: Parking Provided: Z Lot Area: (2 0QQ 43 Maximum Lot Coverage: 35% Proposed: a Lot Coverage Calculations: �% p(,�'�eO� -I- G�10 -I- 12 /D✓�� l ZUOD ADU Created: (YES NO) Subdivision: Legal Nonconforming Land Use Determination Issued: (YES NO) Comments Gs�i� Plan Review By: Planning Data Form 04-11-06.doc 1 Z- Zone QS — 2L Corner Flagg _r ' Setback Rec,�uir� ed Actual Front �/ Sides _- -S -- Rear Other too � ei 3 b� ' i "Nothing in this perm interpreted as Cowin maintenance of any a nonconforming or unj or site condition whic �t application, re building, structure or site plan or drawing.1 condition may be the enforcement action. val process shall be nutting the existing illegal, J building, structure ide the scope of the of whether such n is shown on the lding, structure or if a separate 1201 A PIOVID B PLANN 2N 2v0 8 �- pp ss _ - ko to 1 -3�.1 t?t, Sub �w.v s RECEIVED -mac pc c otiwc i�.ric �- d C) (z> 10 ~I DO 2 01L} b 2 J U L - 3 2008 BUILDING DEFT. STREET FILE USE PERMIT CITY OF EDMONDS zoNE NUMBER CONSTRUCTION PERMIT APPLICATION joe SUITE/APT# OWNER NAME ?NAME OF BUSINESS ADDRESS 0 e�] �� T LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. Ct ZMAILING AD RE S „•' 0 %o1 41 S '� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, TESCP Apgrovetl ❑ CITY ZIP TELEPHONE NUMBER RW Permit',Required ❑ EXISTING REQUIRED DEDICATION Street Use Permit Req'd ❑ ( PROPOSED Inspection Required ❑ NAME Sidewalk Required ❑ cc AVA 8 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED w ADDRESS �^ YES ❑ NO ❑ REMARKSCC / CITY ZIP TELEPHONE NUMBER �/(%S/ �iiTr�-ems �Uli(,.5 ��� Z NAME ¢ ADDRESS ENGINEERING MEMO DATED REVIEWED BY ¢ CITY � ZIP TELEPHONE NUMBER FIRE MEMO DATED REVIEWED Y Q1iJ /(o -5.s W o ¢ U STATE LICE fJ§E'NbMBEA"' »' ' ` « ` • EXPIRATION'DATE' U. SIGN AREA SEPA REVIEW AD o. Legal Description of Property - include all easements ALLowED i OPOSED COM@LETE• EXEMPT " SH LINE# O EXP �. F- VARIANCE O cU PLA d1l W BY ATE cc U 5' f/1 O < SETBACKS FEET ) HEIGHT LOT VE ACC O FRONT SIDE REAR ` r �., �J = Lui Property a REMARKS �• Tax Account 6 , o � oo a _ o , LA_ o a,, Parcel No. -•• � rty71� NEW KJ RESIDENTIAL El PLUMBING ADDITION COMMERCIAL MECHANICAL REMODEL APT, BLDG.,' `" LJ SIGN GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT REPAIR CYDS. ( x _FT) G OUP DEMOLISH WOODSTOVE SWIM POOL SPECIAL INSPECTOR A EA OCCUPANT INSERT HOT TUB/SPA REQUIRED LOAD ❑ YES GARAGE RETAINING WALL/ CROCKERY RENEWAL REMARKS ARPORT o PROGRESS INSPECTIONS PER UBC 305 (TYPE O USE. BUSINESS OR ACTIVITY) EXPLAIN: F S O iUt to W NUMBER �•�' NUMBER OF CRITICAL O OF DWELLING AREAS m STORIES _ UNITS NUMBER O DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) 'r 66 g:rm'.,'e FINAL INSPECTION REQUIRED i 4r VALUATION fEE .ten i2oT—iP o F nri III PLAN PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING 1 PLUMBING i �+ }� Pfall'Check No. C MECHANICAL This Permit covers work to be dune on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewolks, g riveways, marquees, etc.) will require separate permission. STATE SURCHARGE rmlt Application: 180 Days v P@rmlt Limit: I Year - Provided Wo&ls, Started Within 180 Days STORM DRAINAGE FEE Q "Applicant, on behalf of his or-ti spouse, heirs, assigns and ENG. INSPECTION FEE successors in interest, agrees to indemnify, defend and hold Lou harmless the City of Edmonds, Washington, its officials, Qemployees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance S of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT c j modify, waive or reduce any requirement of any city ordinance i nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL Information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction; and In doing the work authoriz• AUTHORIZES signed by the Building Official or his/her ed thereby, no person will be employed in violation of the Labor ONLY THE WORK NOTED Deputy; and fees are paid, and receipt is Code of.the State of Washington relating to Workmen's Compensa• acknowledged in space provided. tion Insurance and RCW 18.27. INSPECTION W-519NATURE (OWN AGENT) DATE SIGNED DEPARTMENT OF IC VS SIGNATURE DATE CITY OF ALEISE CALL FOR DATEEDMONDS DATE ATTE ION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING O STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ��� Owwo 11 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC 1"WAPTC0 1 04 w • IF PINK — Ownor GOLD — Assessor CITY OF EDMONDS 250 STH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-0220 RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: Addition of a new detached garage of approximately 576 square feet to an existing single-family residence. (City of Edmonds Land Use Application # 94-232). Proponent: Rayneil Synsteby Location of proposal, including street address if any: 10101 232nd Street S.W., Edmonds, Washington Lead agency: CITY OF EDMONDS 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 is not required under RCW 43.21.030(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. XX 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 . 1994. Responsible Official: Jeffrey S. Wilson Position/Title: Current Planning Supervisor, Department of Community Services - Planning Division Phone: 771-0220 Address: City of Edmonds, 250 5th Avenue North, Edm WA 98020 Date: _tom "fqct Signatur . ��.---� XX You may appeal this determination to Robert Chave, Planning Manager, at 250 5th Avenue North, Edmonds, WA 98020, no later than January 10, 1995, by filing a written appeal citing the reasons. You should be prepared to make specific factual objections. Contact Jeffrey S. Wilson to read or ask about the procedures for SEPA appeals. XX Posted on December 22, 1994, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Mailed to the following along with the Environmental Checklist: XX Department of Ecology Environmental Review Section P.O. Box 47703 Olympia, WA 98504-7703 XX Rayneil Synsteby 10101232nd St. SW Edmonds, WA 98020 Attachments: Critical Areas Detemunation # CA-94-213 Environmental Checklist PC: SEPA Notebook Robert Chave, Planning Manager Page 1 of 2 CITY OF EDMONDS ENVIRONMENTAL CHECKLIST 890-194., Purpose of Checklist: RECEIVED DEC 19 1994 PERMIT COUNTER The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. Instructions for Applicants. This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you can. You must answer each question accurately and carefully, to the bast of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without theneed to hire experts. If you really do not know the answer, or if a question does not apply to your proposal, write "do not know" or does not apply". complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as.zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to' explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of drecklist for nonproject proposals. - Co mplete this checklist for nonproject proposals, even though questions may be answered 'does not apply.' IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as 'proposer," and "affected geographic area,' respectively. A. BACKGROUND 1. Name of proposed project, if applicable: 2. Name of applicant: 3. Address and phone number of applicant and contact person: l a►v U p k, l_ el- 1 a L4 c -T"- 4. Date checklist prepared: Pagc 1 of 22 5.` Agency requesting checklist: City of Edmonds. 6. Proposed timing or schedule (including phasing, if applicable): (STAFF COMMENTS) 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. AA Ct� (STAFF COMMENTS) S. - List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. 0 \A '(! (STAFF COMMENTS) 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. 'A o (STAFF COMMENTS) 10. List any government approvals or permits that will be needed for your proposal, if known. (STAFF COMMENTS) Pa.-e 2 of 22 CKKLT/1425.97.M A.%TCR 0 0 11. Give brief, complete description of your proposal, including the proposed uses and size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You (STAFF COMMENTS) 12.. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide range or boundaries of the site(s). Provide legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. r\ — t410i -- (STAFF COMMENTS) TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELEMENTS 1. Earth . S W a. General description of the site (circle (ne): Flat, rolling, hilly, steep slopes, mountainous, other: F h�TT (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? (STAFF COMMENTS) C. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. Page 3 of 22 i (STAFF COMMENTS) d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. (STAFF COMMENTS) e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source of fill. (STAFF COMMENTS) f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. lyk Z5 (STAFF COMMENTS) g. About what percent of the site will be covered with impervious surfaces after project construction (for (STAFF COMMENTS) Page 4 of 22 h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: (STAFF COMMENTS) 2. AIR a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the prc►ject is completed? If any, generally describe and give approximate quantities if known. c) kA (STAFF COMMENTS) b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe. (STAFF COMMENTS) C. Proposed measures to reduce or control emissions or other impacts to the, if any: K 0 V' -Q— (STAFF COMMENTS) 3. WATER a. Surface: (1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. a (STAFF COMMENTS) _ Page 5 of 22 (2) Will the prgject require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. V 10 (STAFF COMMENTS) (3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. U\` A 0 U (STAFF COMMENTS) (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. k0 (STAFF COMMENTS) (5) Does the proposal lie within a 100-year. floodplain? If so, note location on the site plan. (STAFF COMMENTS) (6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. :aa (STAFF COMMENTS) Pagz 6 of 22 b. Ground: (1) Will ground water be withdrawn, or will water. be discharged to ground water? Give general description, purpose, and approximate quantities if known. (STAFF COMMENTS) (2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals...; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of 'animals or humans the systems) are expected to serve. NA4Dyk�P (STAFF COMMENTS) C. Water Runoff (including storm water): (1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water now into other waters? If so, describe. AA O %A, `G (STAFF COMMENTS) (2) Could waste materials enter ground or surface waters? If so, generally describe. (STAFF COMMENTS) Page 7 of 22 i 4. Plants a. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: A-Nn'\& ^(-- (STAFF COMMENTS) Check or circle types of vegetation found on the site: _ deciduous tree: alder maple, aspen, other: evergreen tree: fir edar, pine, other: shrubs grass pasture crop or grain wet soil plants: c'a(Wil, buttercup, bulrush, skunk cabbage, other: water plants: eater lily, eelgrass, milfoil, other: other types of vegetation: (STAFF COMMENTS) b. What kind and amount of vegetation will he removed or altered? %V Vt e (STAFF COMMENTS) C. List threatened or endangered species known to be on or near the site. (STAFF COMMENTS) d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site, if any: Page 8 of 22 (STAFF COMMENTS) S. Animals I o kuk a. Check or circle any birds and animals which have been observed on or near the site or, are known to be on or near the site: �- birds: hawk, heron, eagle, songbirds, other: 12-. b k V%` mammals: deer, hear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: (STAFF COMMENTS) b. List any threatened or endangered species known to he on or near the site. 1f1,�'LJLP (STAFF COMMENTS) C. Is the site part of a migration route? if so, explain. �l1 E'er (STAFF COMMENTS) d. Proposed measures to preserve or enhance wildlife, if any: (STAFF COMMENTS) 6. Energy and Natural Resources Pam 9 of 22 a. What kinds of energy (electric, natural gas, oil,,wood stove, solar) will be used to meet the completed prgject's energy needs? Describe whether it will be used for heating, manufacturing, etc. V� o'iti`�_ (STAFF COMMENTS) -b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. d (STAFF COMMENTS) C. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: (STAFF COMMENTS) 7. Environmental Health a. Are there any environmental health harards, including exposure to toxic chemicals, risk of fire and explosion, spill, or havardouc waste, that could occur as a result of this proposal? If so describe. (STAFF .COMMENTS) Page 10 of 22 rWO T/ln_+C In \I A VTra (STAFF COMMENTS) (2) Proposed measures to reduce or control environmental health hazards, if any: \A (STAFF COMMENTS) b. Noise (1) What types of noise exist in the area which may affect your prglect (for example: traffic, equipment, operation, other)? U1 OM (STAFF COMMENTS) (2) What types and levels of noise would he created by or associated with the project on a short -teen or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. �oSS► Lam[' C a us .2uc_'r td .. n S �' �Zo w< 96D A (STAFF COMMENTS) (3) Proposed measures to reduce or control noise impacts, if any: Mo VLV- (STAFF COMMENTS) Page 11 of 22. S. Land and Shoreline Use a. What is the current use (if th site and adjacent properties?. (STAFF COMMENTS) b. Has the site been used for agriculture? If so, describe. NA O (STAFF COMMENTS) C. Describe any structures on the site. (STAFF COMMENTS) d. Will any structures he demolished? If so, what? YL� (STAFF COMMENTS) k / e. What is the current •ramie; classification of a site? , (STAFF COMMENTS) Page 12 of 22 f. What is the curet con1prehensive plan designation of the site? (STAFF COMMENTS) g. If applicable, what is the current shoreline master plan designation of the site? (STAFF COMMENTS) h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. N� r (STAFF COMMENTS) i. Approximately how many people would reside or work in the completed project? AA C) y� (STAFF COMMENTS) j. Approximately how many people would the completed project displace? AAo wp (STAFF COMMENTS) Page 13 of 22 k. Proposed measures to avoid or reduce displacement impacts, if any: (STAFF COMMENTS) 1. Proposed measures to ensure the proposal is compatihle with existing and projected land uses and plans, if anv: (STAFF COMMENTS) 9. Housing a. Approximately how many unite would be provided, if any? Indicate whether high, middle, or low-income housing. (STAFF COMMENTS) b. Approximately how many units, if any would he eliminated? Indicate whether high, middle, or low- income housing. (STAFF COMMENTS). C. Proposed measures to reduce or control housing impacts, if any: (STAFF COMMENTS) Page 14 of 22 Mnnrnn'c_m MACTry 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principle exterior buildin'gt-maaterial(s) proposed?" (STAFF COMMENTS) b. What views in the immediate vicinity would he altered or obstructed?. (STAFF COMMENTS) C. Proposed measure; to reduce or control aesthetic impacts, if any: A A m `t— � g2e (STAFF COMMENTS) 11. Light and Clare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? '1lLm�_ (STAFF COMMENTS) b. Could light or glare from the finished prgiect he a safety hazard or interfere with views? (STAFF COMMENTS) Pa.,,,: 15 of 22 C. What existing off -site sources of light or glare may affect your proposal? (STAFF COMMENTS) d. Proposed measures to reduce or control light and glare impacts, if any: AA, C-1, 1- (STAFF COMMENTS) 12. Recreation a. What detiignated and informal recreational opportunities are in the immediate vicinity? (STAFF COMMENTS) b. Would the proposed project displace any existing recreation uses? If so, describe. (STAFF COMMENTS) C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: - M o N& b "Iz Q 'C7 (STAFF. COMMENTS) Page 16 of 22 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site" If so, generally describe. A& O (STAFF COMMENTS) b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to he on or next to the site. (STAFF COMMENTS) C. Proposed measures to reduce or control impacts, if any: k. (STAFF COMMENTS) 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. (STAFF COMMENTS) Ck b. Is site currently served by public transit! If no, what is the approximate distance to the nearest transit stop' Pnw 17 of 22 (STAFF COMMENTS) C. How many parking spaces would the completed project have? How many would the project eliminate? (STAFF COMMENTS) d. Will the proposal require any new roads or streets, or improvements to existing roads or streetr[ ot including driveways? If so, generally describe (indicate whether public or pvate). . . _ n (STAFF COMMENTS) e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. AC) f. (STAFF COMMENTS) How many vehicular trips per day would he generated by the completed project? If known, indicate when peak volumes would occur. (STAFF COMMENTS) Page 18 of 32 CI MT/t0475-93MASTER 9. Proposed measures to reduce or control transportation impacts, if any: (STAFF COMMENTS) 15. Public Services a. Would the proiect result in an increased need for public services (fir example: fire protection, police protection, health care, schools, other)? If so, generally describe. (STAFF COMMENTS) b. Proposed mmsums to reduce or control direct.impacts on public services, if any: (STAFF COMMENTS) 16. Utilities a. Circle utiliti , currently available at the site: electricity, natural g:►.s, � eater use service, telephone, sanitary se%vdj septic system, other: (STAFF COMMENTS) Page 19 of 22 C1iKLTl10.:S93.M ASTGR b. Describe the utilities that are proposed for the prckiect, the. utility providing the service, and the general construction activities on the site or in immediate vicinity which might be needed. F � QAQ-ai-c, I • A \ V , v (STAFF CONIN..tENTS) C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to snake its decision. - t ^7 Q q Signature of Proponent Date Submitted L CI MU110425-93. M ASTER Page 20 of 22 D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (do not use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of'the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal he likely to increase discharge to water; emissions to air; production, storage; or release of toxic or hazardous substances; or production of noise' Proposal measures to avoid or reduce such increasas are: 2. How would the proposal he likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal he likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: Pagc 21 of 22 a(MT/142.5-91MASTER 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: . 5. How would the proposal he likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plan-.;! Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal he likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such-demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. Pa.-e 22 of 22 CI ELT/1425-93.M ANTER �LE NO. Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. - Site Address/Location: 2. Property Tax Account Number: 1 O 7 ^ ©45 9 ^ 41 Li 3. Approximate Site Size (acres or square feet): 12 0 f) RECEIVED 4. Is this site currently developed? -- yes; no. rtt If yes; how is site developed? � iAA_ e_S N N O V 7 12.t, 5. Describe the general site topography. Check all did. apply. PERMIT COUNTER _ 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. 1A o Approx. Depth: 7. Site contains areas of seasonal standing water. V1 C) ' Approx. Depth: What season(s) of the year?. ZA 8. Site is in the floodway floc plain of a water course. 9. Site contains a or an area where water flows across the grounds surface? Flow, �year- round? Flows"are seasonal? (What time of yea& ). 10. Site is primarily. forested ;meadow ;shrubs ;mixed ; urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site:_ _ �; :iX.`U_YM. J:�. �:�i:� �:. is ii\n•v': ��>:-: '- C •: f.- ;Y:. ':ki�y:X.iJ�•.�}}•�•: v���jf:::C:w of •�:,v >aaKjL ij►aaSta�UW Mi. r< > •� > ! O \W n - x,aPPod soil lty�c(s)? r r } Ttlla'nd'�Wcotm�or C.A. iiMWind Cates wdlaird p went og site? � , ' y „° . `fib jr '``lt(Ga10. VC:�tO[j/~p38p°Indl�atC$�int[L'aISItC?. %/�!'! �' >i a♦�"x, t5, Stt� yvttWn desigoa�bd �eartii-sub6rdeiiob landslide° l►azacd>a =? (7 ! ♦x It<c,�lb`w„`^,EnVI�r.�7WSlt�VC%�rC8S8p?' ��SI `1P > w EQUIRK)' < < •. r WAW > ff N11 t��C�`-z''/�(-!Lc"�"'/ ��rSS /7") RECEIVED "..®7 T — PERMIT COUNTER 1890.•ig9 0 City of Edmonds 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 Hail (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. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject paroel(s). 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 preliniinary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). - Owner I Applicant: QC1 Name 10 k C t 12L-3 -;L—s � Street Address C m City. State, ZIP Phone �-- ti - ct `{ - 9 ignature Date Applicant Representative: Name City, State, ZIP Phone Signature Date E .* 4m 11"r Now- � II ;^ � 'd" Via% �+ >- e: @�4jj��yrv,� E ',: FN?F�. CIS 5 ""IJI � I � ,�, `�' K�.. u. ! vy�,.. � �I � I � . � ,a9 �}'��' I I I "k rC � yT�t 7� i �I i _ � k,. �2. `Y C Wr/1, ��,� ! . � - L �l u O .. 'gin' '�{�„" *""�'a a '4 '� � � ' ` In �r �' I �s.- ,�w � G' � � ` -` ��� � �. � � � * ,.� \ � ram' �}+ �� ��°���¢"�~' � � � ` :; ,,. , , _ � ,, '� ,,e 4 �p I � � a � , ; _ ., � �� � _ �____---_ ------------- _ i ...r.. ,�, �, ' `e� ' tT,, � r�I'f•� j T �M; ;�n`� fr,�'�^I_. .,.._ ti �t- CJ .r - - ;a.:-� � �.;tl•� �� sex � h, � �,'j ��%, �xyF `` ,��1'...F�i�'� � }�i'� wi, ° i ,.' , ; �f� �.e���ry ,ryI4� Try 1 ' �:: 1 � � � �-...._, � I � : j � � �... LA - Tr ct _ _ ; i ,(� cry.{••' � � � � AW ' - ... .mac, i � .• 4 '�-i