10608 243RD PL SW.PDF111111111111
4666
10608 243RD PL SW
#P20 Z�-7
Critical Areas Checklist CA File No:C�A y
Site Information (soils/ topography/ hydrolojjgy/''ve1egetation)
1. Site Address/Location:
2. Property Tax Account Number: . 005 6 ggf00 103 Sd o
3. Approximate Site Size (acres or square feet): 3 .
4. Is this site currently developed? ✓ yes; no.
If yes; how is site developed?. e_ w 11'� Ltj s !n�4� ►� .VI, P_
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:yl.o ; Approx. Depth: N
7. Site contains areas of seasonal standing water: Vw - ; Approx. Depth: . � f1`
What season(s) of the year? /Ij ZL
8. Site is in the floodway _VLv floodplain _yam of a water course.
9. Site, contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Jim Flows are seasonal? (What time of year? /V 1A).
10. Site is primarily: forested meadow ; shrubs ; mixed
urban landscaped (lawn, s u e •
11. Obvious wetlan is present on site: _ dL_0
For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned? b
3. SCS mapped soil type(s)? 1-7— & T f f-akV-A-gd ' 1 dG M 9 ��
4. Critical Areas inventory or C.A. map indicates Critical Area on site? O
5. Site within designated earth subsidence landslide hazard area? o
DETERMINATION
REQUIRED
Reviewed bv: ` ' I r
WAIVER
#P20
v C. I b-7 -
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: C -7
City Receipt #: 13
Critical Areas File #: A 2ao o
Critical Areas Checklist Fee: 135.00
Date Mailed to Applicant: 8- - z<00'1
A property owner, orr 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 fmding 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 assistant staff
in completing their prelirRmary 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 or employees.
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/AGEN DATE O - rlo- /
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 inspection and posting attendant to this a lication.
SIGNATURE OF OWNER DATE��
Owner/Applicant:
Name
jo 0 $ 02434' P(_ j,o
Street Address
C-- - _C 5 \\,AJ) qKb
City State Zip
Applicant Representative- 00ne2
Fit co Co. TwPhiISur�r�s
Name
p, 0.
Street Address
Se4771-f_ (>�} YAT3
City State Zip
Telephone: �t a5 ` 3�I U5a5 ((,e.11� Telephone: 0) .� .SLf % rJ Lf 7
Email address (optional): AJAO� i4t� 0 6VM6-4-'tt4Email Address (optional):
By order of the Building Official for the
Citv of Edmonds
All persons Are Ordered to
V
STOP WORK --.-
«ram
AT 011v-10E
*, ..,.
Address:
i'ropert�� O��ner (ifkno��n)�
Contracto�r (it'kno��n)_
PVC arc unahlc to IocatC ;.a v al Id pCrmit Ik it the v\ (-)t (, dune at i,- i dress. A permit
IS reyuircd tow this pr(1,1cct. Work SHALL-N()1 continuC until it pernit L,is been obtained
and the \Nork inspcdc(1 for conformance ��ith applicahlc codes and w,iinances. If }'ou
have alrcady obtained the permit, please conl�ict us at (425) ?il-+122(i with the pennit
nun)hcr so we can rCv 1se our records.
An application must be submitted or a response in NN riting
must be made to our office no later than 4:00 pm on -- A 7
A VIOLATION FEE EQUAL OR UJI-1 TO FIVF 'TIMES
THE PERMIT -FEE SHALL BE ASSESSI"D.
tCci thi Pos , ci Y - a y ol'Awus) c , 5 ki6/ �
Buie -I Official
Warning: The failure to stop this work or activitN and/or the
resuminj of work without permission or the removal,
mutilation, or concealment of this Notice is punishable by fine
and imprisonment.
( ity ot't'.dtnur)d� I )evrcloluncnt '-,Cl ca UcparUn(Ant 13UIN11112 I )r� itiIi 1;1
Office Ifuur; M 12 an,l 1 -+
14.7'
2'
N
10608
V)
0
M
1" POLY WITH TRACER
N
WIRE; 18" DEEP
of EDo�
CITY OF EDMONDS WATERLINE AS — BUILT
��
ADDRESS1
PERMIT
10608 243RD PL SW
N❑- BLD20070812
CONTRACTOR:
HOMEOWNER:
SCALE:
WALLNER PLUMBING
DAN SATO
NTS
DATE INSPECTED1
INSPECTED BY:
DATE DRAWN:
DRAWN BY;
1890
08-16-07
J. HAWKINS
08-17-07
J. BRONDER