1052 SPRAGUE ST.PDFIiiiiiiiiiiii
13238
1052 S P RAG U E ST
TAX ACCOUNT/PARCEL NUMBER:y
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS(RECORDED)FOR-
CRITICAL AREAS :���c�/ DETERMINATION: ❑ Conditional Waiver ❑ Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE. PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:_
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LID #:
LOT: BLOCK:
LATEMP\DSTs\Forms\.Street File Cheeklist.doc
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Cri ical Areas Checklis
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Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: _ _ 10 !sF�U _
2. Property Tax Account Number: y 2 - -I 2- 01
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed?/'�_ yes; no.
If yes; how is site developed? f)1N6 Q1
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
y Rolling: slopes on site generally less than 15% (a vertical rise of l0-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: !j b ; Approx. Depth:
7. Site contains areas of seasonal standing water: b _; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplainC� of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? b Flows are seasonal? Ul (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: V13 O
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City of Edmonds �4t
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
Street Address
:fC646NX5 �{ : q bo Zc:�
City State Zip
. �)
Telephone
Signature
Date
Applicant Representative:
Name
Street Address
WWOMLL15-7 ?6C) �
City State Zip
(42-5)z�--
TeleDhonek _
Date
r �c�c�
(over)
c:receptionVanAcaddoc
CITY OF EDMONDS
'L '{ 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
I Q Planning • Building • Engineering
nc.189
February 24, 2000
John Tregidga
13619 N.E. Lane
Woodinville, WA 98072
Subject: Determination regarding Critical Areas Checklist #2000-16
Dear Applicant:
GARY HAAKENSON
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
..... ..:. ... _ ... _ .
IMPORTANT INFORMATION TO BE NOTED.
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 40
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Enc: Determination
cc: Nick Stemm
Nancy Denson
1052 Sprague Street
Edmonds, WA 98020
"Architectural Design Board
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB• Land Use Applications
Any other development permit applications.
Thank you.
Planning Secretary
C:Reception\Jana\CR LTR.doc
• Incorporated August 11, 1890 •
Sister City - Hekinan, Japan
PLANNING DATA
NAME: �v OL
SITE ADDRESS: SD���; t. S�i DATE:
ZONING: O PLAN CHK#: �� Z 3
PROJECT DESCRIPTION: 1 ,, « C'niD,a-f
0
CORNER LOT AID (Yes/No)
SETBACKS:
Required Setbacks: S
Front: 20 Left `Side: S� Right Side: S Rear: j
Actual Setbacks:
Front: y 5 /
� Left Side: 5T -Right Side: Rear:
Street map checked for additional setback required?*' e S wow (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED i (Y/N)
LOT COVERAGE: j
Maximum Allowed: 3 `7 Actual: 3 3
BUILDING HEIGHT:
Maximum Allowed: Actual Height:
Datum Point: Datum Elevation:
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS#: /V No-r !?e-dLjlW
SEPA DETERMINATION: L
LOT AREA: �oo ry'
OTHER:
Plan Review By: J6so`' ro-b --r
Ofilu\permid^plandaLdoc
CITY o f E D M O I�S Y RECEIVED
SID6SEWER PERMIT
For Inspection Call 771-3202 JAW311986 PPERMIT NO. 07438
PUBLIC WORKS
Address of Construction: S Z r'a- u C. CShIONOS
- PLAAJT
Property Legal Description (Include all easements):
Owner. and/or Builder: el
Contractor & License No:' A4.�—, AT % `j Zo f�
Single Family Residence
Multi -Family (No. of Units )
Commercial (No., of fixture Units )
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.) .
PLEASE READ THE ITEMS LISTED ON THE BACK �'0�
I certify that I have read and shall comply. Date
with the items listed on the back. �`
Permit'Fee: 30.00 Issued By:
Trunk Charge: ��%�/'�%'/� Date Issued:
Assessment Fee: Receipt No.: 4 7 713
Partial Inspection:
Comments Date Initial
Final Inspection Approved: �-s(n A�
Date. Init' 1
Rejected:
eason
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File Green Copy - Inspector
Date . Initial
Buff Copy - Applicant
Side Sewer Drawing
The City of Edmonds EASEMENT NO_ __________________________________________
NEW CONSTRUCTION ❑ REPAIRS ® LID NO. .7_1------- ASMT. NO. _.___.--.___.__._
TUETG r4?d- 5
OWNER .__ P,,U_t._...1...Z_ -f V_m-------------------------------------------- CONTRACTOR .441,APN--- SA-_^l1. XTA►-P--:�---------------------------------- PERMIT NO.
OB _ADDRESS -------- •
---- -----__ • - __- - LEGAL DESCRIPTION: LOT NO. ------•-•----------------------------- BLOCK NO.-------L �lfiiti iu_..
OLd.AVG
OF ADDITION ----------------------•--
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TO W EST
SPRkGUC S7- Approved:
PWW-0001-11/75 (REV.11/78) DAT "T3.�_4?!Ca. By,,�xss___
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SPRAGUE
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N NVIC-F: NO WARRANTY OF ACCURACY The information chnkwn ci Gia
alwhod map was complied for use by the City of Edi-nc: ,-'-, i"
anc; ccnsuitants. The City of Edmonds does not warrant t;,-- Lc::, at
anythilng sot forth oil the map. Any person or entity ,, ci. c-,py
shcu;,' cooxi an independent Inquiry regarding the inflorinclic.; CI
the n, &P, including, but not limited to, the location of any sck,.,":( stub
sho,wo. Such saver stubs may or may not exist and may or rr,:7 nct adzi �2
tho location shovin, Neither the City of Edmonds nor its employe3s or
officers shall be liable for the information given on this map, not foi any oral
representation provided based upon said map
V
ON
NA
N^TTP Pao WARRANTYOF ACCURACY The i c-,
1 : -00
rr,?r-. vj��. co.mpiiew-Ifo�. use by the Citj of Ed-nic.:-'
anI-c;..,.r..,*,.�!m,-:I-. Th? C49 of Edmonds does no wai rL,, �:t
fert", oi, tjjF� map, Any person or entityl i,,cc
w; indept:,ficleiii inquiry regafding tho
ina�ng, but nisi limited to, the location of a!f; L L.;. 6
�
stu'�may or may not eyjc^t acid may or i ici E.-iNel hei - - the City of Edmonds nci its ei
rjc. kzj:i� fc.; the. jnt;jiinafion given on this map, nui foi any ur.-7.1
renr.:
provid.-.6 based upon said map
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NOTIPP NO WARRANTY OF ACCURACY. The informs: c'; c-, 00
man vjas compiiuud fo;' use by the City of Ed-i—iic.".
The City of Edmonds does t:..
sc' fctr� oi: th,,, map, Any person oi entity i'cc
ai; inecpcadent Inquiry regarding the in,',;;.,;, J
t
but nuz limited to, the location of an.,
stu:*,,s mayor may not exist and mayor may nci z2
th:
Neither the City of Edmonds nci its Ll
fo: dic. intuimation given on this map, not foi any arc:!
provided bused upon said map
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CITY OF E DM® N® S LARRY S. NAUGHTEN
DEPARTMENT OF PUBLIC WORKS (206) 771.3202 MAYOR
Edmonds, Washington 98020
Administration — 250 - 5th Avenue North Maintenance & Operations — 200 Dayton Street
May 10, 1984
SIHEET FILE
Mr. Harold Caffee
1120-5th Ave. S.
Edmonds, WA 98020
Dear Mr. Caffee:
SUBJECT: CITY OF EDMONDS, BLOCK 42, LOT 16
1052 SPRAGUE
The City of Edmonds Sheet Division has received
complaints regarding the sighting of rats on your property.
After surveying the site, it was determined the cause is
due to an accumulation of garbage and debris at this prop-
erty.
I would appreciate it if you would contact me to
discuss a possible solution to this problem at 771-3202,
extension 289.
ml
Sincerely,
BILL STROUD
Acting Street Division Supervisor
6
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USE k
CITY' OF ;EDMONbS` ZONE PERMIT, e+�p�r�
(b NUMBER '• l �! t' 4
CONSTRICTION PERMIT APPLICATION '422
OWNERJNAMEiNAME.OF'BUSINESS' ADDRESS . //"i�.� SUITEiAPT a
LEGAL�DESCRIPTION BHECK SUBDIVISION NO a T
w MAILING ADDRESS "`' "� Y - -
PUBLIC RIGNT,OF WAY PER OFFICIAL STREET MAP. TESCPApproved O
CITY zip TELEPHONE NUMBER •'' RW.Permit R
-- EXISTING REQUIREDDEDICATIONoquired ❑
-F - - - - Street Use Permit Req'd ❑
NAME' �,. rPROPOSED Inepeetion-Required -
'a Sidewalk. Required ❑
SIZE)'{ Y LINE Si_ E i NO. OF FIXTURES - PRV REQUIRED
U ADDRESS
rW YES ❑ NO O 3
U - REMARKS - 45as M1. 2
a CITY b:ZIP+s"+ TELEPHONE NUMBEW
R t` a" a /
Ut; I V U�:tw
NAME:. ._•.. y .. '. - -. "?'! i '� 3 ,
C¢
ADDRESS: '
U ENGINEERING MEMO DATED b .
r. . :. ,REVIEWED B
�•,.
tr CITY ZIP: TELEPHONE NUMBER
ZFIRE.MEMO,DATED",REVIEWED BY
0
Lu
S STATE LICENNUMBER - - - PIRAT ION DATE - -Lr
ltr VARIANCE OR CU m ADB'A SHORELINE •
Legal •Description of Property:r .include e
o f SEPA*REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED„ PROPOSED ALLOWED PROPOSED
- - -
o '".
-` EXP
o , t I UQ r LOT COVERAGE REQUIRED SETBACKS (FT.) 'PROPOSED.SETBACKS (Fir.),
ALLOWED - :PROPOSED. i FRONT SIDE REAR FRONT LJR'SIDE REAR
x zz Pro
TaAount
a L T, g
O AR EA PLANNING EW BY. Dz. A E a
- Parcel,No. � �3 ...�.. 2 � '`�L
VS
NET/ RESIDENTIAL P.LUMBINGIMECH:
COMPLIANCE OR :t
ADDITION COMMERCIAL EJ CHANGEOFUSE "
REMODEL APT EILDG:,_.. _•. ",❑ SIGN'
GRADING FENCE. CHECKED BY TYPE OF CONSTRUCTIONrr CODE.' OCCUPANT
REPAIR.. .CYDS ..� ('_x-FT/ G
-...
WOODSTOVE
❑ DEkMOLISH a INSERT HOT, TCIB SPA 4. .SPECIAL INSPECTOR AREA, OCCUPANT
GARAGE RETAINING;WALV M REQUIRED.YES A
ARPORT "' "'
Y<< ROCKERY', RENEWAL REMARKS
LOAD.
O'(TYPEOF'USE..BUSIN oRrACTivITY>EXP EXPLAIN PROGRESS INSPECTIONS;PERzUBC 108 ?
w •.�:.... ...•• o
5
m
w .NUMBER NUMBER OF CRITICAL. Norw��'
C OF - - DWELLING -- '�/ d - AREAS. �,�G `
m0 'STORIES UNITS / ,'/I" ;- NUMB_ER;'' ,•,�1
`OESCRIeEWORKTO BE DONE (ATTACH PLOT PLAN)
1, ,FINAL INSPECTION REOUIRED
VALUATION FEE -
:-: .. .... _._. _ :PLAN.CHECK FEE
HEAT SOUR E: ;GLAZINGBUILDING
PLUMBING
r
Plan Check No. i /,3 MECHANICAL
This:Permit: covers.workito-be done;on-private property ONLY 4,-, .GRADINorFILL.
,Any.construciion on;the;:publlc,.domain;,(curbs; sidewalks -
driveways,.marquees,,etc) will -require separate permission STATE SURCHARGE
4.
Permit Applicafton ,18D'Days .
Pe Limit: 1. Year Provlded WOrk'ISSfarted Wlfhln 180 DayB , STORM DRAINAGE FEE
"AppllCant, On behalf::of_; his or herspouse,.heirs asBignS and ENO: INSPECTION FEE
io _successors in interest;,a red§:,to .indemnif
9 y,: defend�'and hold-: -
J' harmless the Cit of Edmonds;:-Washin ton rts. official
s,;;
"' y g.
z :'employees; and agerii from 4ny,, and i ail -;claims foe;;damages of
a :whateV,er,nature, arising;directly:or indirectly, from'the:lssuance
0 of this, permit..Issua- e..of,Ahis permit �shall.not'.be deemed to" LAN.CHECKDEPOSIT
>Inodiiy;;waive:or redude any requirement- of. any. -city: ordinance':
o ,.
x nor limit in any way;,the City's:ability to enforce any.ordinance ` TOTAL AMOUNT DUE
provision:'' -
n
I hereby acknowledge'that 1 have read this application;.that the
;inf6rmatI n"given, is correct and'.that :am -the. owner, or. the duly: ATTENTION APPLICATION APPROVAL
,au
thorized- agent of the•.owner I`.;agree to; comply. withi cityand; THIS PERMIT.,
.:.-
sfateaaws,r6gulating•consiruction ;a id.in doing the work authoriz-- AUTHORIZESThis application is not a permit until
ed; thereby no:"person will. be;employed.in. violation of: the Labor : ONLY. THE.' signed by the Building Officialor.his/her
%Gode'of-the State of Washington reiatin to -Workmen's Comp ensa. WORK'NOTED Deputy; and feeaare paid. and receipt is
ion;lnsurance'ana.RCW:_18 27 rr;:.: 9..:: INSPECTION acknowledged in spa e:provided. p
GNATURE (OWNER OR AGENT)'' DATE SIGNED DEPARTMENT g
OFFICIAL
CITY OF -' GNAT - .DATE' -
.
EDMONDS
ATTENTION , CALL, FOR REXGN
n
INSPECTIONR
'IT IS:UNLAWFUL.TO USE'OR OCCUPY.A BUILDING'OR STRUCTURE. '
UNTIL. A iFINAL..INSPECTION: HAS ,eau:MADE AND, APPROVAL -OR. 7T� - 022.0t A CERTIFICATE OF ,OCCUPANCY: HAS. BEEN GRANTED: UBC: O—File YELLOW'— Inspector.
SECTION 109: Dlrly n.:, nni r,