10531 NOTTINGHAM RD.PDF11111111111111
12406
10531
NOTTINGHAM RD
CA FILE NO. G�
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: !C' % ✓1�',� r /!�,�. /
2. Property Tax Account Number: / 3 emv 22
3. Approximate Site Size (acres or square feet): / 6,,tom
4. Is this site currently developed? Yyes; no.
If yes; how is site developed? 5r riA
5. Describe the general site topography. Check all that apply.
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):
r
6. Site contains areas of year-round standing water: '� ; Approx. Depth:
7. Site contains areas of seasonal standing water: /V ; Approx. Depth:
What season(s) of the year? AW
8. Site is in the floodway� floodplain of a water course.
9. Site contains a cry"�er an area where water flows across the grounds surface? Flows are
year-round? t 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 ��C
-- ---- --- For City Staff Orily ------ ---- ----
DETERMINATION
^ca chk.doc; Rev 02/11/97
City of Edmonds
RECEIVED
iw- APR 1 9 1999
CRITICAL AREAS `CHtCKLIST DEVELOPMENT SERVICES
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
1 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
44-i>
Street Address
City State Zip
\.. Telephone
Signature
0 q--`1`7
Date
c:reception\jana\cacl.doc
Applicant Representative:
9
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Name
Street Address
City j State Zip
Telephone
Signature
Date
(over)
! tic. 18qv
CITY OF EDMONDS
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
May 3, 1999
The Deck & Sunroom Co., Inc.
15919 Hwy 99
Lynnwood, WA 98037
Subject: Determination regarding Critical Areas Checklist # 99-110
BARBARAFAHEY
MAYOR
Dear Applicant:
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.
1hPORTANMT
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.
y You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL -4111111111
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
cc: Paul Egashira
10531 Nottingham Road
Edmonds, WA 98020
Enc: Determination
* Architectural Design Board
C:Reception\Jana\C R LTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Planning Secretary
Incorporated August 11, 1890
Sister City - Hekinan, Japan
10.
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DEVELOPMENT W
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CITY OF EDA4ONDS CTR.
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PLANNING DATA
NAME:
SITE ADDR S: DATE: 26 Irff
ZONING: � PLAN CHK#:
PROJECT DESCRIPTION:
CORNER LOT (Yes/No)
SETBACKS:
FLAG LOT NO (Yes/No)
Required Setbacks: , ,
Front: Z.,V Left Side:%• 5_ Right Side:2';'� Rear:
Actual Setbacks:
Front: '30 Left Side:Zq Right Side: Rear: 4'15
Street map checked for additional setback required? — slNO)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED NIA (Y/N)
LOTo COVERAGE:
Maximum Allowed: �J� Actual:
BUILDING HEIGHT: '
Maximum Allowed: GS Actual Height:_.4 �I
Datum Point: Datum Elevation:
A
A.D.U. CREATED?: NO
SUBDIVISION:
CRITICAL AREAS #: M— T�-110
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review
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CEIVED
MAY 1 21999
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
ZONE
SETBACKS:
FRONT 75
SIDE %-S'
REAR '
OTHER
HEIGHT 2!!.�.
CITY OF EC iI 410 IDS
BUILDING DEPARTMENT
WORK
ADDRESS _
OWNER tong r►,c�Iyyl
APPROVED DAT
BLDG. OFFICIAL
PE
IT NUMBER
h 3310
Clary COPY
Any request97 UBC
for modification, variance or other
administrative deviation (hereinafter "variance")
must be specifically called out and identified.
Approval of any plat or plan containing
provisions which do not comply with city code
and for which a variance has not been
specifically identified, requested and considered
by the appropriate city official in accordance
with the appropriate provision of city code or
state law does not approve any items not to code
specification.
N&SECTION
' I MIIIIII ��
f
J�07-- j NC= ffAM I 4:Oat�
Ha'?HT - 25 FEET. MEASURED
Fr-: ELEVATION OF UNDISTURBED
Si;'I_ AT CCRNIERS OF EXTENDED BUILDING
k_:CTANGLE. SUBJECT TO FIELD CHECK BY
BUILDING DEPARTMENT.
V I VIAL- I Z- rAU L —`GIao!�VWRA
10�31 — NOt'T'INGFtAt� ��
�MDNG'S 1/1/A �1g02�
1 ;5 ,/ 12/ci9 l
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
Pail FgclshirGL..,
MAILING ADDRESS
10591- not f 1() h0_( ".Rand
CITY ZIP TELEPHONE NUMBER
Emonds 4R)00 ]Qob-54(c; ,lc;'�(
ADDRESS
ZIP ITELEPHONE NUMBER
13
ioNE �S _� PERMIT /
NUMBER
JOBiUmo
ADDRESS
,D
K4,1 /d G L
,9 t)ei330
SUITE/APT #
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
❑
RW Permit Required
❑
EXISTING REQUIRED DEDICATION
Street Use Permit Req'd
O
Inspection Required
❑
PROPOSED
Sidewalk Required
O
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I
YES ❑ NO ❑
NAME
DccFc 4' Su n r oom Cho rn
O.nc.
ADDRESS
(5q1 -1 H 1 h t D 1 q Q
1 `I 1 1 Wn
ENGINEERING MEMO DATED
REVIEWED BY
CITY QZII,P TELEPHONE
Lw n n w ood `7 gaV
NUMBER
Y - f� � 7- + ('
FIRE MEMO DATED
REVIEWED BY
STATELICENSENUMBER
0E_`. KS Og_r7u_P,
F�(pIRATION DATE
_ /M 000
VAR( C ORCU
D #
IiiiiiiiiiI
S ELINE#
Ada
Legal Description of Property - inclu I
sements
SEPA REVIEW
COMPLETE EX PT
EXP V
SIGN REA
ALLOWED PROPOSED
N
I HEIGHT
LOWED PROPOSED
-Z S/ ,
LOT COVERAGE
ALLOYy PROP SED;
35
�
REQUIRE SETBACKS (FT.)
FRONT SIDE REAR
�� ' �
PROPOSED SETBACKS (F1
FRONT U�1 IDE REAF
, 7�
�s N
Property
Tax Account 1
V 17
Parcel No. J C" O
t.tl V! C
�L AREA
NNIN
VIEW BY
DAT
NEW RESIDENTIAL
ADDITION COMMERCIAL
REMODEL APT. BLDG.
GRADING
REPAIR ..;; EJ .. .. CYDS_:
DEMOLISH INSER STOVE
GARAGE El RETAINING
CARPORT ROCKERY WALL/
PLUMBINGIMECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
. "y. ,
SWIM D HOT TUB/OSpA
❑ RENEWAL
REMARK I/
V
(
�,2! '
yD . x.� q v ,L
i, '". �/
CHECKED BY
.� ......;:. �:. . -
..... _
TYPE OF CONSTRUCTION
{��{ �/
,.
COD
OCCUPANT
GROUP
_ t.% 2
SPECIAL INSPECTOR
REQUIRED YES
AREA
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBCi 108
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF CRITICAL
I OF DWELLING AREAS j O
I STORIES UNITS I NUMBER 1
1
' DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
P' EVy')6V I I�/ L, EXI CT Q_
uo/ New OL
FINAL INSPECTION REQUIRED
VALUATION 'FEE
1 t,% ( t _
*"'r"
PLAN CHECK FEE
2 f �
> `
BUILDING
--
HEAT SOURCE:
GLAZING
%
PLUMBING
///��y /// ���
Plan Check No. (/( r I
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
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Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
N
successors in interest, agrees to indemnify, defend and hold
J
harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
o0
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
1 1323'
omodify,
waive or reduce any requirement of any city ordinance
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nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
J
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and in doing the work authoriz•
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa•
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance aria RC,t 444.27.
PECTIONSIGNATURE
acknowledged in space provided.
(OWNER OR/ GENT); DATE,SIBNE r*^ --_,
9*_1ARTMENT
OFFIC L' IGN D{+TE
)//
CTY OF
/
EDIMO DS
i,
ATTENTION
CALL FOR
RELEASE ' 6Y: DATE/
�!�."
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771 ORIGINAL — File YELLOW — Inspector
0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
PINK — Owner GOLD — Assessor