1161 EDMONDS ST.PDFiiiiiiiiiiiiii10948
1161 EDMONDS ST
•
ADDRESS
TAX ACCOUNTIPARCEL NUMBER: 6C5a/000QQ2C' Q
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS : O9 - lJ&1)7 DETERMINATION: ❑ Conditional Waiver Study Required [-]Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #:
SHORT PLAT
SIDE SEWER AS BUILT DATED: Z'23 -I.o5
SIDE SEWER PERMIT(S) #: .1202
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED: 3 ' �5
LOT: BLOCK:��II6�
LATEMP\DSTs\Fomu\.Street File Checklist.doc
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Applican: shall repair/reploe all damage to .10
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utilities 0; iro*ge impPREP ,
right -off fay Or city standards that Is Caused YS
or occur i,,during the permitted project.'
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It OF EDMONDS STR ET FA-F
0 PLANNING DATA
SINGLE FAMILY RESIDENTIAL
0 11 STREET FILE
Name: Date-,--�p Z V
Site Address: it 6 c-dmc J_Plan Check # o 3 -7q
Project Description: �mnkjs-e_
Reduced Site Plan Provided.- NO) Zoning: Q_
Map Page: Corner Lot: (YES Flag Lot: (YES
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Critical Areas Determination ff 6_101_4_Zq0_W0 Z
9-Study
Required -erd 9(0A
11 Waiver
SEPA Determination:
Rf-Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee Cl Checklist Cl APO List with notarized form
Requlred Setbacks
Street: Side:
1(9
Actual Setbacks
Street- Z_ Side: Side: Rear:
❑ Detached Structures:
❑ Rockeries:
❑ Fences/Trellises:
❑ Bay Windows/Projecting Modulation:
❑ Stairs/Deck:
_Height-
Datum Point: Datum Elevation -
Maximum Height Allowed: Actual Height: 01
Offier
Parking Required: Z.
Parking Provided: 2,f-
Lot Area: I /I -76 6
Maximum Lot Coverage: 35% Proposed: -,7, 7o
Lot Coverage Calculations: ho uFt qcv-.q S- Iq Z_00
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ADU Created: (YE!�!ON
Subdivision -----
Legal Nonconforming Land Use Determination Issued: (YES
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- 920
Plan Review By: 4
Ptarv" Data Form 04 -11 06.doc
Snohomish County Online Property Information
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ohomish Countv Online Property Information
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rinted on: 6/17/2009
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Washington
Structure Information
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General Description
Parcel Number
00507100000200 (Rot)
Structure Class
Dwelling
Structure Type
l Story w/Basement
Year Built
1965
Exterior Features
Foundation
Cone or CB
Exterior Siding -Lap
ROOF Type: Gable Pitch Low Cover Built Up
Interior Features
Bedrooms 4
Full or 3/4 Baths 3 1/2 Baths 0
Floor Area
Heat Forced Hot Air - Gas
Fireplace Masonry 2s stacked fireplace
Floor 1 Base SF 1745 Finished SF 1745
Floor B Base SF 1649 Finished SF 1649
Garage(s) & Carport(s)
Attached Garage SF 440
Other Features
http://web5.co.snohomish.wa.us/propsys/asr-tr-propinqlPropinfo05-StructData.asp?parcel... 6/ 17/2009
t #P20
of co,y •
° City of Edmonds
v Development Services Department
Planning Division
Phone: 425.771.0220
he I g90 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:
City Receipt #:
Critical Areas File #: CULA 1-t;DGt up Z %
Critical Areas Checklist Fee: $155.00
Date Mailed to Applicant:
A property owner, or 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 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 assistant staff
in completing their preliminary 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/AGENT
DATE
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 blic officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and po i g attendant to this application. r
SIGNATURE OF OWNER DATE J 0 /
PLEASE PRINT CLEARLY
Owner/Applicant:
Name
l I U I UPM 0 AV-S S�
Street Address
f- o �fl� GI/�3 9 B ozo
City State Zip
Telephone: (3(00) &-49-090 0
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email address (optional): PI DAAeq!g�PS N/ &t;&,41 Email Address (optional):
It,
#P20
Critical Areas Checklist CA File No: �=��+ -Z�
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: /1 i01 0 0n67S SJ
2. Property Tax Account Number: 0 0 y0%0 0 0 0 0 Zi4 0
3. Approximate Site Size (acres or square feet): . z5 C-1 O_Cs
4. Is this site currently developed? X yes; no.
If yes; how is site developed? S L✓/—&)T//tG/ytgp !a✓i�1=�4
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
i< 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: Al 0 ; Approx. Depth:
7. Site contains' -areas of seasonal standing water: _ 0 ; Approx. Depth: * _
What season(s) of the year?
8. Site is in the floodway �%/�_ floodplain of a water course.
9. Site co tams a creek or an area where water flows across the grounds surface? Flows are year-round?
/V�4 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: /V 0
--------------------
---------------------
—------
----- For City Staff Use Only -A- Isq—R--24a----_—___
1. Plan Check Number, if applicable? t4
2. Site is Zoned? Pg Q
3. SCS mapped soil type(s)?
4. Critical Areas inventory or C.A. map indicates Critical Area on site? ��•} m�v �j ; r� ar.rTCc—
5. Site within designated earth subsidence landslide hazard area? c;
r=fC: c" SITE DETERMINATION
STUDY REQUIRED WAIVER
Reviewed by: Date:
Critical Areas Checklist.doc/2.5.2009
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location:
1161 Edmonds Street
Tax Acct. Number:
00507100000200
Determination:
Study Required
Determination #:
CRA-2009-0027
Owner:
Skip Dehennis
Applicant:
Skip Dehennis
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED
During review and inspection of the subject site, it was found that the site contains and/or is
adjacent to an Erosion Hazard Area, pursuant to Chapters 23.40 and 23.80 of the Edmonds
Community Development Code (ECDC).
GENERAL CRITICAL AREAS REPORT REQUIREMENTS
Critical Areas Reports identify, classify, and delineate any areas on or adjacent to the subject
property that may qualify as critical areas. They also assess these areas and identify any
potential impacts resulting from your specific development proposal. If a specific development
proposal results in an alteration to a critical area, the critical areas report will also contain a
mitigation plan. You have the option of completing the portion of the study that classifies and
delineates the critical areas and waiting until you have a specific development proposal to
complete the study. You may also choose to submit the entire study with your specific
development application.
• Please review the minimum report requirements for all types of Critical Areas that are
listed in ECDC 23.40.090.D. There are additional report requirements for different types
of critical areas (see below).
• Note that it is important for the report to be prepared by a qualified professional as
defined in the ordinance. There are options on how to complete a critical areas study,
and there is an approved list of consultants that you may choose from. You may contact
the Planning Division for more information.
• General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110
through 23.40.140.
STUDY REQUIREMENT — EROSION HAZARD AREA
It appears that this property contains or is adjacent to an Erosion Hazard Area. Erosion Hazard
Areas include:
• Those areas with Alderwood and Everett series soils on slopes of 15 percent or greater.
• Any area with slopes of 15 percent or greater and impermeable soils interbedded with
granular soils and springs or ground water seepage.
• Areas with significant visible evidence of ground water seepage, and which also include
existing landslide deposits regardless of slope.
DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS
Development within an Erosion Hazard Area must meet additional criteria.
• For erosion hazard areas with suitable slope stability, the only critical area study needed
is an erosion and sediment control plan prepared in compliance with the requirements
set forth in Chapter 18.30 ECDC as part of the construction documents. This option is
at the director's discretion, per Edmonds Community Development Code section
20.80.050. G.
• In areas where the slope stability is not suitable, projects within Erosion Hazard Areas
will require a report by a licensed Geotechnical Engineer or other qualified professional.
Note that it is important for the report to be prepared by a qualified professional as
defined in the ordinance.
• Report requirements are given in ECDC 23.80.050, and more generally in ECDC
23.40.090. D.
• Development standards are given in ECDC 23.80.060 and 23.80.070.
ALLOWED ACTIVITIES
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If
you have any questions about whether your proposed development qualifies as an allowed
activity, please contact a Planner for more information.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a
Planner for more information.
Machu a Planner May 12
Name Signatur Date
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
2
��
CRA-2009-0027
This map displays LIDAR data at approximate
2-foot contour intervals. This map is for
information purposes only and should not be�
relied upon for any action. Actual topograph
should be verified in the field by survey for
accuracy. This map is provided with all faults
on an "as is" and "as available" basis. No
warranty of any kind is given. Users of this
map agree to indemnify and save harmless the
City of Edmonds, its officials, officers, employees
and/or agents from and against any claim,
demand or action, irrespective of the nature of
the cause of the claim, demand or action, arising
out of any use or possession of this map.
N
W E
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1 inch = 30 feet
0 10 20 40 Feet
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PLAN FILE NUMBER
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ALL BUILDING SETBACKS
NOTE: TO SAVE LINES
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TELEPHONE NUMBER
REMARKS
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PERMIT NUMBER STREET. GRADE CHECK
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I hereby acknowledge that I have read this application; that the in-
ATTENTION
APPLICATION APPROVAL.
formation given is correct; and that I am the owner, or the duly author -
,
ized agent of the owner. I agree to comply with city and state laws regu-
THIS PERMIT
This application is not a permit.until
lating constructlon; and in doing the work authorized thereby, no person
AUTHORIZES
signed by the Director Of Building IIlSp@C-
will be employed in violation of the Labor Code of the State of Washington
IT
OLYE
relating to Workmen's Compensation Insurance.
WORK NOTED
tion, or his deputy; and fees are paid, and
'
receipt is acknowledged in space provided.
TE: PERM LIMIT ONE YEAR
Si
AT (OjA'' R OR AGENT) SIGNED
INSPECTION
DIREC SIGNATURE
;DATE
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DEPARTMENT>�
CITY OF
EMNIONDS
TE
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p PLAN CHECK & -1 PR OVED
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PR 0-11.07
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—
FILE
t,
APPLICATION CARD No . ......................................
The City of Edmonds for
SIDE SEWIM PERaur
OUTSIDE El INSIDE REPAIRS El EASEMENT No. .......................................
------- ............ CONTRACTOR• .............. PEFAUT No.'.
OWNER . ..... ------ ........ ... ----------- ------------------- ----
STREET
HOUSE No.. ---------- ------ -------- ------ -------------------- AVENUE ILAOnT No.
...................................... LOCK No ...... ... .................
- - - -- -------
NAMEADD- ..... . ... .... ....... ............. . ................................ - -------------------- .........................................
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT,4 .............................................
SEWER WORK ORDER ]ISSUED .......................................... DATE z ................. By . ..... .. AV . . . ........
CITY -OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT
SIDE SEWER PERMIT
Call PRospect 6-1107 when work
Is ready for Inspection. (No inspeo-
tions Saturday, Sunday or holidays.)
N2 1208
ADDRESS................11U. Edmonds Street_.____-...............................................................................................................................
........ CONTRACTOR........ .............. ��!!�y Henrik -son --------------------------------_.... ----------
Permission is granted-FebruBT'j! 16................ 19--65-, for ...................... days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION I9 CALLED TO THE FOLLOWING:
NOTE No. 1—b employed to construct side ewer iay n street arean a . to Do notscoverct sanyrinside property portion of sewerlibefore it chase been inspected.ide Sewer
must
T' No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%,.
No bends in grade sharper than ;fi will be permitted.
NOTE No. 4—Trenches failure duet In street
improper work which settled
may develop within of stet
one yearestored
to completion.
condition. Contractors shall be responsible for
NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its ap-
purtenances except to insert the pipe into the wye.
v