10607 NOTTINGHAM RD.PDF11111111111111
12408
10607
NOTTINGHAM RD
CA FILL' NO_
Critical Areas Checklist.
Site Information (soiisltopography/hydrology/vegetation)
r
I.Address/Location:
y ..•.:°
Site Address/Location: 10607 _✓, �{
h RQ. ;=DM�1J�7a _tA% t JR
2. Property Tax Account Number:
3. A pro) ikfi teSjtg;Si, (acres or square feet): Cr✓r
4. Is this site currently developed? yes; no. c , , `
If yes; how is site developed?�Q'5;9'
5. Describe the general site topography- Check all that apply_
Flat: less than 5-feet elevation thanover entire
change o fire site.
_ Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
It i_ V
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. Ro ; Approx. Depth:
7. Site contains areas of seasonal standing water: 10 ; Approx. Depth:
What season(s) of the year;?
8. Site is in the floodwayfloodplain of a water course_
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? _K0 Flows are seasonal? -90 -_ (What time of year? ).
10. Site is primarily: forested ; meadow ; shrubs ; mixed ;
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
For City Staff Use only
1. Site is Zoned?
2.. SCS mapped soil type(s)? %-A Wx , ftA- t�trba, L "& y S- Ater a W%A' to r, caw; 27 k t tL fls
3. Wetland inventory or C.A. map indicates'wetland present on site?
4:>- ,Critical Areas inventory or C.A. map indicates Critical Area on site? No
5.. Site within designated earth subsidence landslide hazard area? No
6. ' Site designated on the Environmentally Sensitive Areas Map?
.DETERMINATION
'STUDY REQUIRED CONDITIONAL WAIVER
WAIVER
Reviewed by:
Planner Date
Rev 01M"4'''
i
`�.� ���• tt E� � - �. y i r y;.S 3 Sa1`�.F i4eyyr ,ss�i• + ah'1'?' t" '
__..� ::' •�:r 5x _ . ;:: _ ...AT
:pEAMIT-"UNTER:
♦8 9 a 1 9 �O •f.'y_ , ' "'y7 r 4.1,. i+r.;r: i.^ -, 51: ;, a,;?. _. 'r°• ,�.�'.,
City of Edmonds.::.
Critical Areas, Checklis#_
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 Ball (Critical Areas inventories, maps,
or soil surveys).
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
and submit # 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 parcei(s). In
addition, the applicant shalt include
other pertinent information (eg. site
Plan, topography map, etc.) or studies in
conjunction with this Checklist to assist
stair 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:
_IAR P. D M , • OLi7E IA
Name
10(607 1J4iTt�1M �Z,�,
Street Address
F"DW)M 5 , WA 78bxo
City, State, ZIP Pho
y -��3s
W
Signature fDate
Applicant Representative:
Name
Street Address
City, State, ZIP Phone ,
Signature . Date .
E loG pROPERTY UNE — 95�
LoT AIRSA 1= 12.*)35o SOL Fr
COVERAGE AREA AIR ITT MIGN = 4 , z22- SQ r-T dE
COVERAGE AREA tAIGTING � 417 SQ r-T
COvERA6E AREA C14kNGE c - 195 3Q FT
NOW -1IM+} 4,.n& k Ate► uAe veMA I 12'—►
Pt*S AK nat jV,&U,4j+l 01% L4- t `
nG�lc„�00. ►s- w
pRopo5E0 DECK ADDITION -.233 SQ FT
EXISTING CONCRETE PATIO
TO 6E REMOVED-4-SZ SQ FT
_ '_ NEW COIJGRETE l�
/ � ` ONGRIETE STEPS
A. Ic�7
A IO 1_
I
t
MOSUNG
�n i 425� FT—ppiV
1 � s P _
W ADDOI to►►yyEDimDERp UNI�RD� -
z DECK-26' X 12 2+1 Y. 12'
=1 at sc-� Fr
N
Ia N ROUSE- 106MM07 NOZ'ryIVNGF9iAM 'RQ
to 206p !yV 399620
ucef
UX
1 U oo
is c 101+ z4'
nVl 3`>ti'�
CONCRE S-- DRNEWAY
GIO8
L\NE - 95
`m A9PHAULT DRIVEWAY
EDGE OF ASFHAULT
PAVEMENT
NOTTtiNGHP.M ROAD '
® DATUM
/�� 100
/— GENTE_RLIN6 OF RIGH7 OF WAY
PLOT PLAN
0 5 10 -5 20 40 FEET
I
F aG
APPROVED BY PLANNING
SHOP/DECK ADW10N- H.M.OLMN DWG 1/11
00-96-184
CA FILE NO.
Critical Areas Checklist. �� ��-7
Site Information (soils/topography/hydrology/vegetation)
-
I.
Site dress/Location: _060-1
2.
Property Tax Accourt Number: 5713 — D D1
- — O0 -7
,--
3.
Aprbtmate SjteStxe (acres or square feet): Ty x
n3r4 FE-1,
4.
is this site currently developed? yes; no.
If yes; how is site developed?—j:6nQ5Q LA bJE CMED
^ 37
::YES. , AC�S� �•
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):
6. Site contains areas of year-round standing water. _t.� ; Approx. Depth:
7. Site contains areas of seasonal standing water. ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplam of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? _ WO Flows are seasonal? KO (What time of year? ).
10. Site is primarily: forested ;meadow _;shrubs ; mixed ;
urban landscaped (lawn,shr ubs etc)
11. Obvious wetland is present on site: .
For City Staff Use Only
I. Site is Zoned? _ L5- R
2.. SCS mapped soil type(s)? Wb,L..� Ca.�c S-Ai04v,d-&WfL,.
3. Wetland inventory or C.A. map indicates wetland present on site? M-)
4:-- ,Critical Areas inventory or C.A. map indicates Critical Area on site? No
5.. Site within designated earth subsidence landslide hazard area?
6. ' Site designated on the Environmentally Sensitive Areas Map? (1b �ai.#S •,u b,, r�,,,�
DETERMINATION
"STUDY REQUIRED CONDITIONAL WAIVER
WAIVER
Reviewed by:
Planner Date
�a.,.���. i�..I .. .`t �!i'1:♦ .. ��'.. .. i.. ^'•L=.i. y. y��e`t �ARQ r'f?r C•Il �`��Dt �. i..�'i•4.i',
_ 4 k 'pERM9 '&OUNTER �. .
!e 9 a 1 9 �O ' . __ :t '~t.'.:ir• . `.. � 'ii `v�.r�a '. ;RJrRAC• [•- .
City of Edmonds_
Critical ChAreas�.
t
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 Mall (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 completea'
development permitapplication.''
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 parcei(s). In
addition, the applicant shall include
other pertinent information (eg. 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:
_1A R P%,QQ M , ' OLT)E t1 "
Name
1607 VAa7TI
Street Address
Applicant Representative:
Name
Street Address
WA 780MO.-
City, State, ZIP ph o G State ZIP
.4cfAY ty�..... _ ... Phone. t
Signature Date Signature Date. ^
USE PERMIT
CITY OF EDMONDS ZONEr M y0��a,
4�15 NUMBER „�.PJpI' `4�$
CONSTRUCTION PERMIT APPLICATION
JOB ^ 6 0 7 SUITE/gPT q
OWNERNAME/NAME OF BUSINESS ADDRESS 1960
1J1p0 7 jAf1,4AJ D� /
a
OL 1.% & LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. �/
w MAILING ADDRESS
Z O )0607 RQTRHTTIRG M RID, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑
CITY ZIP TELEPHONE NUMBER
btu�.c� � EXISTING REQUIRED DEDICATION Rw Permit Required ❑
(f 7�Q �'a ,/'} ��.... L� +`^�, � - � Street Use Permit Req'd ❑
v +� `•R'�` rt ` Inspection Required ❑
NAME
PROPOSED Sidewalk Required ❑
f-
�'v1'�7i"•-1� METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED Q
w ADDRESS YES ❑ NO ❑ 3
= REMARKS Z
U iL
cr
CITY ZIP TELEPHONE NUMBER w
w
z
Zz
NAME w
�V 8�1 I~1[t �tQc. fra�tj
a ADDRESS
FO ENGINEERING MEMO DATED REVIEWED BY
U
Cc
CITY ZIP TELEPHONE NUMBER
O FIRE MEMO DATED REVIEWED BY w
U a
STATE LICENSE NUMBER EXPIRATION DATE M
SIGN AREA SEPA REVIEW ADB NO.
Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT
J SHORELINE q
EXP
w hPPI 1- 110 WC
/"-�j�jED I� Ft R t�C !/yc,1 ' 1(j VARIANCE OR CU PLANNING REVIEW BY DATE
w Y 1 t V ��4 r-a.� "v v W/ tCt J+ Y4'+» 1" (
a ����� CD. HEIGHT LOT COVERAGE Z
w y FRONT SIDE I/ ' REAR Sr �7 z
Pro rt C i
Tax Account REMARKS g
Parcel No.
NEW ® RESIDENTIAL PLUMBING
ADDITION COMMERCIAL MECHANICAL
REMODEL APT. BLDG. El SIGN
REPAIR ❑GRADING CYDS. ❑ II FENCE x_FT1 CHECKED BY TYP S TION COO GR ft
DEMOLISH WOOINSERDSTOVE SWIM OHOT TUBSPA SPECIAL INSPECTOR AREA3q�► _ [ OCCUPANT
REQUIRED :3/z ,73.3 LOAD
GARAGE RETAINING WALL/ 0 YES
CARPORT El ROCKERY El RENEWAL REMARKS
0 (TYPE.9f USE, a es
OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 Z
Cr -5f 1, 4SIJ p J
+� V 9
W NUMBER /�0t4R NUMBER OF TAREAS
RITICAL p/� STAUI jr �! .:' ,' '• 'L -' ! tJ
0 SSTORIES / L a'i�' UNITS OF DWELLING veUMER 7"' 107
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
1 9V 11. 7. 4, TO EX157 NG 17, X A.ff '�'tf FINAL INSPECTION REQUIRED
Apr ;z33 f^, 2-x r5n mG y wr"z k oij VALUATION FEE
PLAN CHECK FEE
_VW OF, 15VIOP,
BUILDING
HEAT S_tOURCE:,e�p7 �GLAZING �y
{��til4 d"��iJ� 1 tT�In%V O/O PLUMBING
Plan Check No. MECHANICAL `
This Permit covers work to be done onprivateproperty ONLY. GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: 180 Days V
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
successors in interest, agrees to indemnify, defend and hold
20 harmless the City of Edmonds, Washington, its officials,
s employees, and agents from any and all claims for damages of
iwhatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT Zf 3"JV
modify, waive or reduce any requirement of any city ordinance
o nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE I�P
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
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 and RCW 18.27. INSPECTION acknowledged in space provided.
Fs"C
NAT R (OWNER O AGENT) DATE SI NEE) DEPARTMENT
i OFFICIAL•,SI NAUii DATE
CITY OF
' r EDMONDS%,r 1° `�.1 (1,7 ..
CALL FOR RELEASED BY: DATE
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ��� _0A2�
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. 7 % 5"" jr„ PINK —Owner GOLD— Assessor
mz e7 W�l