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1011 CAROL WAY.PDFIIIIIIIIIIIIII 10499 1011 CAROL WAY r TAX ACCOUNT/PARCEL NUMBER: v Mt 59 Zl n oc)oi) pb BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS:. 06p �l/� DETERMINATION: ❑ Conditional Waiver 0 Study Required DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): l 1��01 (l, Ck1 PLANNING DATA CHECKLIST DATED - SCALED PLOT PLAN DATED: U�— SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: 1�49 -Sa- Iq 7Z SIDE SEWER PERMIT(S) GEOTECH REPORT DA' STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED:k LATEMP\DSTs\Forms\.Street File Checklist.doc PLANNING DATA 11 STREET FILE SINGLE FAMILY RESIDENTIAL Name: PL6,JDate: 0. Site Address: Plan Check #: aay Project Description: �e��r �erc� oj� ex"sk-,r�V 4-cle- -6-rd �;410. Reduced Site Plan Provided: YES / NO) Zoning: Rsn_ 12 Map Page: Corner Lot: (YES Flag Lot: (YES Critical Areas Determination #: 20OG -0053 Study Required ---> Skrene , on NE "er (XO�r � i,�.�" n c °% Ire ��� rt� -Qor �.1 Waiver 4:s perM.,k o;r exZgl�, al" SEPA Determination: ce- r, Exempt ❑ Needed (for 500 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger) ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks Street: S a5/ Side: Side: ©r Rear: Actual Setbacks Street: �S 6 , Side: g.5 Side: Rear: N y3 ❑ Detached Structures: ❑ Rockeries: IJore. Sown on Plans, ❑ Fences/Trellises: ❑ Bay Windows/Projecting Modulation: Stairs/Deck: c)C ex►4i ;Inc/ e� ory de..c�, cz �'►rs. Buildin ei ht Datum Point: Datum Elevation: Maximum Height Allowed: a i Actual Height: No C Other Parking Required: Parking Provided: 0 Lot Area: No Maximum Lot Coverage: 35% Proposed: No U Lot Coverage Calculatio s: G� ADU Created: (YES / NO Subdivision: Legal Nonconforming Land Use Determination Issued: (YES 49 Comments iIC (2,eP�acex.,e - of'eaj2 .�,.,.y lioe 6A;4- -tA- -b,, 5;5� ca--4trn ProPerAy lire, rePl-b,-c4e^,%,, 0'1" l,e ex'ski, V se�o-e.cli. / 1 U Plan Review By: , Planning Data Form 04-11-06.doc 08/15/2006 09: 06 FAX 4253571081 SPEEWEST JOBSITE 175 iI ��UC�j�� fA 002/002 "nothing in this permit approval process shall be interpreted as allowing -or permitting the maintenance of any currtvtly existing illegal, nonconforming or unpermitted building, structure or site condition which is outside the scope of the permit application, regardless of whether such building, structure or condition is shown on thej site plan or drawing. Such building, structure of _4 11 condition may be the subject of a separate I enforcement action. APPROVED BY PLANNING V 2 C�4a I r,cA- Jro cx need 4 e. ( sl Lei pc-1 er eX% V � f 1 I Zbne S b cks rt Corner�Flag A front (S) ct ear (iv) o her Lkt- 6 1, y 6e, W rb I l,..lctc1 ®G►rr `�i11� l�R�.t.l A wI y11 j� a y SCl �� c��� � a U i l Ord Pout 0V +he. a/eckc'c'e RECEEVE® S ... TREET FILEAUG 15 2006 BUILDING DEPARTMENT CITY OF EDIMONDS "De. I %9" 9'#.P20 City_ of Edmonds Development Services Department Planning Division Phone: 425.771.0220 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 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). Date Received:(01 C(p City Receipt #: Critical Areas File #: CO o Critical Areas Checklist Fee: $135.0f . Date Mailed to Applicant:,T 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. 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 forma In addition, the applicant shall include other pertinent information .(e.g. site plan, topography map, etc.) or studies in conjunctionwith this Checklist to assistant staff in completing their preliminary assessment 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 attorney'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 otemployees. 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 DATE Property Owner's Authorization. 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 inspecti9n_aannd posting attenoAt to this application. SIGNATURE OF OwngrlApplicant: \I t, II if u- l'V�a55�i_ Name Olt �k�-U G( Street Address v n City State Zip Telephone: `l - , / S Email- address (optional): , DATE Applicant Representative: Name Street Address City State Zip Telephone: Email Address (optional):.i #P20 Critical Areas Checklist .Ate Information (soils/topography/hydrology/vegetation) 1. Site Address/Location ' /0 _CL/ �rd too. `I 2. 3. 4. 5. Property Tax Account Number: W 59 21 oUU ob 92 00 Approximate Site Size (acres or square feet): Is this site currently developed? ✓yes; no. If yes; how is site developed?. { t^ Descri the general site topography. Check a that apply. Flat: less than 5-feet elevation change over entire site.. CA File No:. 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): Site contains areas of year-round, standing water: ;Approx. Depth: 7. Site contains areas of seasonal standing water: ; 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? Flows are seasonal? . (What time of year? ). 10. Site is primarily: forested me dow ;shrubs ; mixed urban landscaped (lawn, shrubs etc) . 11. Obvious wetland is present on site: For City Staff Use Only 1. Plan Check Number, if applicable? N/A A 2. Site is Zoned? RS - Q 3. SCS mapped soil type(s)? r5 - Mc(",,nd- /riou, 4. Critical Areas inventory or C.A. map indicates Critical Area on site? Shrea,,,Y. \ow e ci o 'o o�i a certi co Q 5. Site %within designated earth subsi ence landslide hazard area? on NE cornet ecgPe �: eaah � pec 8/2Y s+e vas . DETERMINATION TUDY REQUIRED b _ A� R 6.S Reviewed b . Date:"'c • CITY OF EDMONDS CRITICAL AREAS RECONNAISSANCE REPORT Site Location: 1011 Carol Way Tax Acct. Number: 00592700000200 Determination: Study Required Determination #: CRA-2006-0083 Applicant: Jill and Paul Massa Owner: Same as Applicant CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED This critical areas reconnaissance report is a correction to the waiver that was issued on June 30, 2006. Upon further review and inspection of the subject site, it was found that the site contains critical areas, including a stream pursuant to Chapter 23.40 of the Edmonds Community Development Code (ECDC). GENERAL CRITICAL AREAS REPORT REQUIREMENTS Critical Areas Reports identify, classify, and delineate any areas on or adjacent to the subject property that may qualify as critical areas. They also assess these areas and identify any potential impacts resulting from your specific development proposal. If a specific development proposal results in an alteration to a critical area, the critical areas report will also contain a mitigation plan. You have the option of completing the portion of the study that classifies and delineates the critical areas and waiting until you have a specific development proposal to complete the study. You may also choose to submit the entire study with your specific development application. • Please review the minimum report requirements for all types of Critical Areas that are listed in ECDC 23.40.090.D. There are additional report requirements for different types of critical areas (see below). • Note that it is important for the report to be prepared by a qualified professional as defined in the ordinance. There are options on how to complete a critical areas study, and there is an approved list of consultants that you may choose from. You may contact the Planning Division for more information. • General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110 through 23.40.140. REPORT REQUIREMENTS — STREAMS A stream is located on the northeast corner of the subject property. • Streams are areas where surface waters produce a defined channel or bed which demonstrates clear evidence of the passage of water. Streams need not contain water year-round. • Streams are regulated as types of Fish and Wildlife Habitat Conservation Areas. • Streams are classified according to whether or not they run year round and whether or not they support fish populations according to the classification system listed in ECDC 23.90.010.A.1. • The minimum buffer widths for streams vary depending on the type of stream and are listed in ECDC 23.90.040.D.1. • In addition to the general requirements for Critical Areas reports referenced above, specific Critical Areas report requirements for Fish and Wildlife Habitat Conservation Areas are provided in ECDC 23.90.020.A to C and additional technical information requirements for streams are listed in ECDC 23.90.020.D. DEVELOPMENT PROPOSALS ON A SITE WITH A STREAM Development proposals that encroach into streams or their buffers or building setbacks may be allowed through the approval of certain processes. The width of a stream buffer may be reduced through buffer enhancement through the review of a Stream Buffer Enhancement Plan that meets the specific requirements referenced in ECDC 23.90.040.D.2. The maximum amount that a buffer can be reduced through buffer enhancement is 50%. A buffer may also be modified through a process called buffer averaging. The criteria applied to buffer averaging are listed in 23.90.040.D.2. The maximum amount that the buffer width can be reduced at any single location through buffer averaging is 50%. Development proposals that propose encroachments into buffers beyond what is allowed through the above methods require a Critical Areas Variance or a Reasonable Use Exception. If you think that you have a proposal that may require one of these processes, please contact a Planner for more information. ALLOWED ACTIVITIES Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If you have any questions about whether your proposed development qualifies as an allowed activity, please contact a Planner for more information. EXEMPT DEVELOPMENT PROPOSALS Certain development proposals may be exempt from Critical Areas Requirements (ECDC 23.40.230). If you think that a specific development proposal may be exempt, contact a Planner for more information. Name / Signature0 Date NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds website at www.ci.edmonds.wa.us. 061 062067 [http:,,I/sgeriams2/map file/gas,Plat/tif,g162067.tifl Page t of t 970/ 0101 ZU1 y�961 I'972 *"TV w ccF3 � o "v 36 5 atas 2~ qE IA i9. r 1g96 � eta � f 's...► QOS W w c� IL to tJ Of 01 220/ Ora/ 10 0 9 1p15 1023 1029 rows Z ♦ �W M La o- w rim s 1037 3 cn Nvo %9 5/ n eV, OJT' o 3yq 1S4 �9 19le5 1045 1051 3 3 W W biF �-,22 Pilchuck Contractors, Inc.•�„•4 Job # 106146629 January 28, 2005 Sheet 1 of 1 Rob Inglis I NOT TO SCALE I I IO/H POWER 25' N WATER Cad 24' N ■ 75' 75' I N I p O C O � I USE MAX SPACE AVAILABLE FOR SIGNS 50/70 40 80 35/45 30 60 25/30 20 40 Notes: 1. All signs and spacing to conform to the MUTCD and City of Edmonds Traffic Control specs. 2. Channelizing devices are 28" traffic cones. 3. All signs are 48" x 48" 8/0 unless otherwise specified. 4. Alert affected residents. 5. Work to take place between 9 a.m. And 4 p.m. 6. Work area will be 19' S of Carol Way & 200' E of C/L of 1 Oth Ave N. CAROL WAY o� CC -XX •- • GAS @19' S WORK AREA 3' x 5' IN GRASS SHOULDER • n �J LEGEND • 28" TRAFFIC CONE ® WORKAREA TRAFFIC FLOW WORK VEHICLE SIGN LOCATION dr.•, a �x� APPLICATION The Cityof Edmonds for SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTION ❑ REPAIRS ❑ IIA_nAdnn OWNER........... S}larks.,---W.—.H.................................................................. CONTRACTOR.............------------------.................----........-----...--............................ PERMIT No....................... ADDRESS ........ 101.1... Caral... Way ............................................................. LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No. ............................................ NAMEOF ADDITION................................................................................................................. W J W W H HE TESTED ON SEWER, 1972 Approved: DATE................................................ By..........------.......----..................------.................. TAP CARD CT , -,- 1981 Da .......................................... ...................................... No............................... No .......................................... Meter Tap Size.. ............................ Size................._................__. Mfgrs. No ............... ........ 7 ..... ...... ...... tyl Z;1.1a_�,�, . ... ........ ........ .. For .......... .... ............ I ........................... ............................................. . ........................... .... ............... LotNo ........................................... Blk. No............... ............................... Add. ................................................................ 4 .............. Service Location .... .. ..... I . ..... ... I I . .... .. .......... ..................................................................................... . ....... . ................ . ....... . .......... . .. MeterLocation ............................................................................................. -- ....................................................................... MakeTap .............................................. ........................................................................................................ . ....... ....... .......... Pressure...............................lbs. Test .................................... % SendBills to ......... ........................................................................................ . ..... .......................................................... .................................... . ....... . ........... ................ Date of Work ...... a;�.�".......... 'I .... ... .............. Foreman ......... ..................................................................................... Guar. Voucher No ........................................... $ .......................................... Remarks: ......... . ................................................................................................ ...... ................................................................................................................. . ...... . .............. . ............ ­ ...... .................................................. . .... . . . .............. r.. .......................................... .. r%ar ... FRI . . ....... . .............. .......... ........................... ""I"," '54E . . ........................ . ....... . .......... . .. ..................................................... ................................................................ ......................................................................................................................................... ............................................................................................. ................... . ....... . .............. OUTGOING Index ......... Reg ....... Route Bk ......... StenciL ..... Card..-- INCOMING Index .......... Reg ....... Route Bk ......... Stencil ...... Card ........ Mate.,,-' Chargeable to Installation Mete" NO. SIZE DESCRIPTION RATE AMOUNT ...... /..... Meter ...................................... --•-•---•--... ............. ...... '..... .......... Meter Box .............................. -----••-•-......,,,�.......... ;Fa ............... .......... Meter Plate ............................ . •----•----•• •----........ .......... ............. .......... Check Valve .......................... .............. ---......... .......... --------••••• •-------- Pipe, Galv. Screw ------------------ ----•--•-••--• ............. .......... -.-•--------• --•------- Nip,)les.................................... .............. •............ ...... -- .............. Bushings .................................. ••--•--••-_... ............. .......... ........ ....:........... Plain Ells ........... -•--•-••--•--- .............. .................--.... .............. •---•-•--- St. Ells ................................ --• •-••........:. ............ .......... � a ...� -- Tees ... -•------- ........ �bC_ '... ..- A --_-------------- ...�/,/ t8_..Gl..._.. .......-I............ ../ .... Y_...a.� .......... •........................ ..................... --•••......... ---..... .......... Material Chargeable to Taps Connected NO. SIZE i DESCRIPTION RATE AMOUNT -------------- .......... Pipe, Black Screw .................. ............. .............. ......... ........................ Pipe, Galv. Screw .................. .............. ............. ......... -------------- ......... Lead Connections .................. ............. ........... ......... Curb Cocks .....................•-•-•... .............. .........`. ......... ..... ... ......... Corp. Cocks ........................... .............. .............. .......... Unions ...................................• ......... •..... ............. .......... -------------- .......... Saddles ................................ --- .............. ............. .......... ......... . •-••-••--- Nipples -----....-•--•......................... ---------- ............ ......... •--•----••••--- ......... Bushings - .......... -.................... ._ .............. •----••---- .....:. ..-----•......• .......... Plain Ells ................................. ............ •-••••--•---• .......... ___..___ Street Ells .........._ .........•--- .........I Tees.--------.•....................••---•-••..........._..... ......... ............. ------------------------ Curb Boxes ............................ -••----••-•--• ............. ........ .............. .......... S. O. Extensions .................... .............. ............ ........ ............... --•--••--- Gates ........... •--------•--•----------- - --------_-- ............ ........ . -------------• •......... Plugs .............. .................. ....... .............. ............ :.:.:`.. ...... J1 ...... . Couplings ................................ .............. ..... 1___---- 4...5,. -------------- .......... •--•-• .............. .....---•- .......... ....•••......................................................•---............---•- ........•. Gate Boxes .................... •------ ........................ ••-.......................... ........................................................... •----...._ _ ............. .............. .._•---•..... ............ ---•-••...•. .............. ......... .......... .......... ......... --•-••......•........... .............. •--- ........ --------••--•. .......... --•..................•••••-•--...................•----•---..........• .......... .......... ........................................................... .......................................................... .... ...................................................... Hours Time —Day Men ..•.................. •-----•-----• ----..........I ••-•-••-•---•• ............... ............ ......._.... ............ ...................... ::.... ...•• .......... ... .......... ... ....... ...._. .. Hours Time —Monthly Min ................ ...................:.. .......... ..... Hours Time —Auto ..---•-- _ --- -------•------ ------- ----- --•-----.. --••---••-••-- .......... Superintendence ---------.-_---. - :........... .. - Total ..... �- � ., .>{ .. _ —� ., qt 1� `s � ,� : �, , , '' .rv^•' .{-r'�S.`./-:'u,',?�.(. kfa..y'; .. a..?, �,'.i �... �','.f: `'r'r'c ,� ,.\,� ...-��iX}ti r, WCity of Edmonds RIGHT-OF-WAY`CONSTRUCTION PERMIT A. Address or Vicinity of Construction:) B. Type of W k (be specific): �1}� VCR tj 9 r C. "' Confractpr: P `C'�Y u c_W� Ua o /� t MailingrAddress: ),� t '(� MiD G UN State License #: `�I �'� 101016 City Business License #: D. Building Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ Multi -Family N Single Family 1NSPECTOR: F. PAVEMENT CUT:l�YES CONCRETE CUT: LYES G. ❑ Mail Approved Permit Permit No:/,�t li _60J (i Issue Date: L l i'71 0) �oCl o t�tt C1 Contact:s�l Phone: Ob r'I I CS - `r 1 Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): ❑ City Project ❑ EUC (PUD, VERIZON, PSE, COMCAST, OVWSD) ❑ Other ❑ .. Call for Pickup G. SIZE OF CUT X '", V'- IN M INDEMNITY: Applicant uncl yands by his/her signature to this application he/she holds the 'City of Edmonds harmless from injuries, damages,,, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City'of Edmonds or` any;of its departments!or emplovees, including but not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEGTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION -FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT ♦ Traffic control and public safety shall be in•accordance with City regulations as required by the City Engineer. Every flagger must be trained as required�by..(WAC)• 296-155-305 and must have certification verifying completion of the required trainingiin their possession. ♦ Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City- . approved material prior to the end of the workday — NO EXCEPTIONS. ♦ - Three sets of construction drawings of proposed work are required with the permit application. CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS Signature: (Contractor or Agent) Date: 3 1 — 231 - c) �5 " OR'CITY USE ONLY .: r Approved by: �- Right Time4Authorized: Void Alter' A. v: % ZIsrup put, Fee%F.und 111. Special Conditions: AI A .5 r4� - n,l�'� 5 • /1 �'I f/t l/P/� l r'f�rl�• `Inspection Fee. REQUIRED INSPECTIONS: Call 425-771-0220, Ext. 1326 for a 24-hour voice -recorded inspection request line. FINAL APPROVAL OF PERMITTED WORK: /K. eC!� DATE: a/100 Inspector's Signature NO WORK SHALLPRIOR TO PERMIT ISSUANCE CADocuments and Settings\Curtis\My Documents\Fortis\Engnrng\ROWpertnit_ doc Revised 10/01/03' -1