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1110 VISTA PL.PDF11111111111111 13588 1110 VISTA PL im ay0,199- City of Edmonds S7REE7 FIL Critical Areas Checklist E 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. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information 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: Kew�ci2 Name \\lC) \f L Street Address City, State, ZIP Phone Signature Date Applicant Representative: 1"�A �'ata S A �►., P Name Title Street Address rjlityl State, ZIP Phone o- L� Ci-)-- Si atur Date Critical Areas Checklist Site Information Project Name: �C-�-k 1�3Lg-?- Permit Number: Site Location: \ k O V l ST A 1--- Property Tax Account Number: S i9cl _000 - O 2 Z c�Sca3 Approximate Site Size (acres or square feet): Have you fulled out a Critical Areas Checklist for a project on this site before? 06 General Site Conditions .� 1. Has the site been cleared or logged? Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? �" �� L L��t=N� 3. Describe the general site topography. Check all that apply. S (5 F_ i3o 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 of horizontal distance.) Steep: grades of greater than 30% present on site. Comments Hydrology/Vegetation 4. Site contains areas of year-round standing water: kI o 5. Site contains areas of seasonal standing water: U0 Approx. Depth: O 6. Site is in the floodway floodplain M of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? flows are year-round? Flows are seasonal? q /✓Ei(EL op�� 14 Nn Scv fir 8. Site is primarily: forested ; meadow ; shrubs ;mixed 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site: 0 11. Critical Areas inventory or map indicates any Critical Area on site:% F----------- _---- _----- ._...._______For City Use Only -- ------- —__ STUDY REQUIRED: Critical areas study is required. CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.: f `�li9z WAIVER: Critical areas study is not required. Determination Number. l : _ -I " rS Reviewer Planner d Date. Rev3R7/92�� City of Edmonds Critical Areas Determination Applicant:, KEN BURR Determination #: CA-92-008 Project Name: BURR POOL Permit Number: N/A . I Site Location: 1110 VISTA PL. Property Tax Acct #: 5489-000-022-0508 Project Description: Construction of a new pool on a developed single family lot Waiver Criteria (all criteria must be found to apply): XX There will be no alteration of the Critical Area or its required buffers; XX The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; XX The development proposal meets the minimum standards of the Critical Areas ordinance; XX The above findings are based on the following conditions of approval: 1. The applicant is required to provide the City Building Division with engineered drawings showing how the surrounding properties and the rockery to the west of the subject site will not be affected by the proposal. The drawings must be stamped by civil engineer licensed in the Sate of Washington. Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B.150 (B) of the Edmonds Community Development Code. �O{qN Name Signature Date APPLICATION CARD No. ...................................... for `t The City of Edmonds SIDE SEWER PERMIT OUTSIDE ❑ INSIDE ❑ REPAIRS ❑ EASEMENT No . ...................................... OWNER ._ °_ ... ..... f? .l �2' _.- CONTRACTOR .._. _ ._.<-�.-. ......................................................... PERMIT No. ..� STREET HOUSE No....... ..... re ..... ?.-----••-----------•----------------- AVENUE LOT 'No. ---•---------------------- ..-_---.-.------... BLOCK No. .-.......... r._._... _. NAME ADD. X"s e� �t` �� i''1�? _I,_,__E, _-� c��� �-------- . .- �' �'s Q.--��.���3i iyPPROVE OCT 3 196 i r Ilk. /d Date Approved: BACKFILL WORK ORDER ISSUED ........... ........•.---........... D ET . F I '------_-_- SEWER WORK ORDER ISSUED -• ........................................ DATE .!•--0.. �!...r................ By .... } CITY CIP �EDMONDS 1 : r Call PRospect 8 1107 when work CIVIC="CENTER , .WATER -SEWER. DEPARTMENT , is.readyitor Qiepection (No'inspec- tions Saturday,- Sunday -or, holldaye.) - •_.O 8 SIDE: SEWER PERMIT: DR SS ....... ,��.� Q.'.V��ti .:P'lace:...........::.:..:...............................:............ .::..-......................... ....................... OWNEIL: ,...Albert..:L. Spike.:...:....--., .......:........................ CONTRACTOR: .Koy:.Alaen ... ..... ... October .3.. -66 Permission is .granted "... ... ............................ I9 ....... for............:.. . days, to REPAIR -or CONNECT.:a side sewer -with City Sewers ill ace ordafice with application on Jihi and' governing ordinances. . �3r ..,ATTENTION IS CALLED :M. THE FOLLOWING:: - -' : _ ...(- ' - "`NOTE No. `1—The ;owners of ,trie. property -may obtain* a, permit_to construct :sewer Inside property -line.' A 'licensed- Side Sawer: Contractor' m_ uet be employed to conetruct'side,sewer In'-street_area. 'Do.not cover.any;portlon-of sewer.before ft.has been'inspected.' NOTE- No. 2—Obtain full Information regarding Ordinance 11.16.030 a.nd.Regulatlons governing - side,sewers.when you .get permit. t NOTE -No. 3—T6p'of side sewer must have-.at.`least.30 Inches "coverageat property. line and 12 Inches, 1.side_property line; minimum grade of Bq,. a� - .;' � • No bends An grade''eharper'than'3¢% Will be.. permitted NOTE-- No. 4-Trenches: in street-. must be water settled and "surface of -street restored to original. condition. Contractors' shall be responsible, for failure due .to improper work whictr?may develop -.within; one year, of. completion - : _ - ' * Qv NOTE, No. -fr—It is unlawful. to. alter -or do any other work "than Is provided for'In -ahe' "permit, or to. do any work .on the mein sewer, or Its a_ p- '"' "purtenances except -to drisert the pipe. into the wye. '. - " EAST G FENCE ti, �.1 E FRD�vf�T 1� NORTH ` I,I SB CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS All" Z MAILING DDRE S 0 CITY '- ZIP TELEPHONE I- ADDRESS s U a CITY NAME ¢ ADDRES 0 I Cr. i CITY 0 ZIP I TELEPHONE ZIP TELEPHONE / 'fr � //% e i % .% , 3 LICENSE NUMBER EXPIRATION DATE CHECKED BY LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL EASEMENTS W 0 J PROPERTY TAX ACCOUNT PARCEL NO. _.i a-) i^ -) / ' L -- . I' ❑ NEW RESIDENTIAL ❑ ADDITION ❑ COMMERCIAL ❑ REMODEL ❑ APARTMENT ❑ REPAIR ❑ GRADING CYDS ❑ DEMOLISH 1 TANK . ❑GARAGE CARPORT ❑0 RETAINING WALL ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN ❑ PLUMBING / MECH ❑COMPLIANCE OR CHANGE OF USE ❑ SIGN ❑ FENCE ( X ❑ OTHER ❑ RENEWAL NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE PERMIT EXPIRES USE PERMIT ZONE f j' r 90�.4;_1 NUMBER JOB l ADDRESS SUITE/APT# LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved ❑ RW Permit Required ❑ EXISTING REQUIRED DEDICATION Street Use Permit Req'd ❑ Inspection Required ❑ PROPOSED Sidewalk Required ❑ METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ REMARKS ENGINEERING MEMO DATED REVIEWED BY FIRE MEMO DATED REVIEWED BY VARIANCE OR CU I ADB# I SHORELINE If C7 2 cc z z 0 z W uj LL SEPA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EX P LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR O z z 2 LOT AREA PLANNING REVIEW BY DATE g FT) CHECKED BY I TYPE OF CONSTRUCTION CODE OCCUPANT GROUP HEAT SOURCE GLAZING % LOT SLOPE PLAN CHECK NO: VESTED DATE F THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 71 DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MAROUEES,ETC.) WILL REQUIRE t SEPARATE PERMISSION. cc w PERMIT APPLICATION: 180 DAYS IL PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS rn U.1 APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS t IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF f ¢ EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND = ALL CLAIMS FOR DAMAGES OF WHATEVER. NATURE, ARISING DIRECTLY OR INDIRECTLY a FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE O DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE = NOR LIMIT IN ANY WAY THE CITY'SABILITYTOENFORCE ANY ORDINANCE PROVISION.• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE 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 STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. SIGNATURE (OW,NSR-b AGENT) DATE SIGNED SPECIAL INSPECTOR AREA OCCUPANT REQUIRED ❑ YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108 FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING A � PLUMBING MECHANICAL GRADING/FILL STATE SURCHARGE STORM DRAINAGE FEES ENG. INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE �' �I • ��' APPLICATION APPROVAL CALL This application is not a permit until signed by the FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt is acknowledged in space provided. (425) AT OFFICIALS SIGNr3IUf E D771-0220 RELEASED BY c_ _ DATE/ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ` A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL- FILE YELLOW • INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK • OWNER GOLD - ASSESSOR S/98 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final ...... HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final ....... EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. RECE►1/ED kAY " IM DEYg � � Co SE RVI 3s CrR. CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION USE PERMIT Q ZONE /2_ NUMBER Sa(U � J0B SUITE/APT# ADDRESS O I5719 ��L E U OWNERNAME/NAME OF BUSINESS / 1 it �I � U_P P_ LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. MAILING ADDRESS t s r �/ 1 1St PUBLIC IGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION PROPOSED TESCP Approved ❑ RW Permit Required ❑ Street Use Permit Req'd ❑ Inspection Required ❑ Sidewalk Required ❑ i CITY LIP N TELEPHONE NUMBER -• 1�,_, y ^ ! I- NAME f 1rt J / t "vVvv/ YY 11I L Q w Y l S" ' r REMARKS '�/t d'� w Lu ADDRESS _ Oo 31 tI E D SC�`1/-(�!�^� e5r Z Z CITY ( (/ZIP TELEPHONE NUMBER ��f �(liO /� ( • NAME S U(fr ` S b �S • ENGINEERING MEMO DATED / r0/ �iEVIEW BY /V' ADDRESS i ©U ALL f i G (p, Qd I' ' METER SIZE BUILDING SUPPLY SIZE NO. OF FIXTURES w CITY ZIP '5F• +"4 L E i J TELEPHONE NUMBER REPAR 3 U'M1BER EXPIRATION DATE STATE LICENSE N'/ S RI I SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE EXEMPT ExP ADS NO. Legal Description of Property - include all easements -1 Cii16D SHORELINE N 1 VARIANCE OR CU NMNG REVIEW QY DAB' SETBACKS —FEET HEIGHT LOTCJVL .GE FRONT r SIDE O REAR Z Z 6d Property �/ Tax Account .54g .O - O2 1-_ O 080 REMARKS a Parcel No. NEW RESIDENTIAL PLUMBING � �COMMERCIAL STREF-I - ADDITION MECHANICAL w APT. BLDG. SIGN REMODEL U FENCE REPAIR CYDS. ( X_FT) CHECKED BY TYPE OF CONSTRUCTION S 11ML CODE SIB HEIGHT WOODSTOVE SWIM POOL DEMOLISH INSERT � Nf?B/SPA SPECIAL INSPECTOR REOUIRED AREA OCCUPANCY GROUP OCCUPANT LOAD ❑ GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL R MARKS (TYPE USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 0 J CynF Q V R_ NUMBER OF �PN� /Yl usfP.✓� A' m NUMBER OF STORIES m `' •' / 1 UNITSLING QNe_- e1vg _ a_fe ,A5o1_ i9xC#i DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) , Am , 016v by TEv T. e rY PF FINAL INSPECTION REQUIRED 5 IMM/N(1 OO 23,Y10 VALUATION FEE I PLAN CHECK FEE O BUILDING So HEAT SOURCE: GLAZING Ni17 % PLUMBING I Plan Check No. �v� MECHANICAL K/vrl��6!!!//// GRADINGIFILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, I driveways, marquees, etc.) will require separate permission. STATE SURCHARGE i Permit Application: 180 Days OD ! Permit Limit: ,Year -Provided Work is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her s6ouse, heirs, assigns and ENO. INSPECTION FEE successors in interest, agrees to indemnify, defend and hold y W harmless the City of Edmonds, Washington, its officials, �,d f employees, and agents from any and all claims for damages of �l Ix whatever nature, arising directly or Indirectly from the Issuance = of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT ° modify, waive or reduce any requirement of any city ordinance i nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE C J Q 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 This application is not a permit until � state laws regulating construction; and In doing the work authoriz- AUTHORIZES signed by the Building Official or his/her I ed thereby, no person will be employed In violation of the Labor Code of the State of Washington relating to Workmen's Compensa• ONLY THE WORK NOTED Deputy; and fees are paid, and receipt is acknowledged in space provided. i n Insurance. INSPECTION S TURE low E\ OR AGENT) DATE SIGNED DEPARTMENT CITY OF OFFICIAL'S SIGN E DATE EDMONDS -/.;,, -%7— Y GALL FOR LEA DATE ATTENTION INSPECTION) - IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-0220 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.-UBC CHAPTER 3. PINK — Owner GOLD — Assessor tose�