120 9TH AVE N.PDF120 9TH AVE N
ADDRESS: /,`LQ
TAX ACCOUNT/PARCEL #: 00V3 ZO(,p-�-QO C06
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required El Waiver
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED: '-l• (Q (Q
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED: 67 J LJ
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
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City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
�4C t gqa Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received:
City Receipt #:
Critical Areas File #: CAI2A�$ot>lv�o
Critical Areas Checklist Fee: $136.00
Date Mailed to Applicant: 6/o?- —O 8,
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 public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and osting attendant to ks appUcatioip. _ , n
PLEASE PRINT CLEARLY
r/Applicant: pplieant Representative:
aJ-k,Ua&016 -t:�A c
1 2)
Name Name
-1`c wo c QS -
Street Add s Street Address
,swrc ' k WA 9?acib
City St/at(Q�-7 Zip City State Zip
Telephone: _�-1, lx� `-1 C� C — ��� Telephone:
Email address (optional): bq,��1C 6 (.Email Address (optional):
CO M
Critical Areas Checklist CA File No: -G�G�
Site Information (soils/topographyy,/hydrology/vegetation)
1. Site Address/ Location: � �I-O - & & �
2. Property Tax Account Number: 'I :�14 -?-- — (f) (oil — (06(- n66-7
3. Approximate Site Size (acres or square feet): Z 3
4. Is this site currently developed? ✓yes; no.
If yes; how is site developed? re-s � Af_V1-k- (a) V ►v �/l�
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: ; Approx. Depth:
7. Site contains areas of seasonal standing water: ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed
urban landscaped (lawn, shrubs etc) t. '
11. Obvious wetland is present on site:
1. Plan Check Number, if a�
2. Site is Zoned? (S " 6
3. SC5 mapped soil type(s)?
4.
5.
For City Staff Use Only
VLmotg
Critical Areas inventory or C.A. map indicates Critical Area on site? O�SSi 2- croSl,/, �/tctL a/1
Site within designated earth subsidence landslide hazard area?
Reviewed
hA DETERMINATION
STUDY REQUIRED
Critical Areas Check] ist.doc/2.17.2004
P
WAIVER
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location: 120 9tn Avenue North Tax Acct. Number: 00434206700100
Determination: Study Required Determination #: CRA-2008-0066
Applicant: Brian & Barbara Ashby -Michel Owner: Brian & Barbara Ashby -Michel
BACKGROUND
During review and inspection of the subject site, it was found that the site contains and/or is
adjacent to critical areas, including a stream, pursuant to Chapters 23.40 and 23.90 of the
Edmonds Community Development Code (ECDC).
The stream enters the parcel from the south from what is currently undeveloped City right-of-way.
On the parcel, the stream is channelized along the western boundary of the parcel until it goes
underground at the northwest corner of the parcel. It is uncertain whether the feature is an
unnamed tributary to Shell Creek (which runs approximately 150' northeast of the subject parcel)
or if it is originates from one of the adjacent parcels to the south or southeast. Regardless, the
feature exhibits a defined channel and sorting indicative of a stream.
This study applies to the entire subject parcel. Depending on the location and type of your
particular project relative to the identified critical areas, certain studies and reports may be
required.
ALLOWED ACTIVITIES AND EXEMPT DEVELOPMENT PROPOSALS
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.220.
Similarly, certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you have any questions about whether your proposed development qualifies as an
allowed or exempt activity, please contact a Planner for more information
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 must 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.
Or, you may submit the 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.
REPORT REQUIREMENTS — STREAMS
• Streams are areas where surface waters produce a defined channel or bed which
demonstrates clear evidence of the passage of water. Streams need not contain water
year-round.
• Streams are regulated as types of Fish and Wildlife Habitat Conservation Areas.
• Streams are classified according to whether or not they run year round and whether or not
they support fish populations according to the classification system listed in ECDC
23.90.010.A.1.
• The minimum buffer widths for streams vary depending on the type of stream and are listed
in ECDC 23.90.040.D.1.
• In addition to the general requirements for Critical Areas reports referenced above, specific
Critical Areas report requirements for Fish and Wildlife Habitat Conservation Areas are
provided in ECDC 23.90.020.A to C and additional technical information requirements for
streams are listed in ECDC 23.90.020.D.
DEVELOPMENT PROPOSALS ON A SITE WITH A STREAM
Development proposals that encroach into streams or their buffers or building setbacks may be
allowed through the approval of certain processes.
The width of a stream buffer may be reduced through the approval of a Stream Buffer
Enhancement Plan that meets the specific requirements referenced in ECDC
23.90.040.D.2. The maximum amount that a buffer can be reduced through buffer
enhancement is 50%.
A buffer may also be modified through a process called buffer averaging. The criteria
applied to buffer averaging are listed in 23.90.040.D.2. The maximum amount that the
buffer width can be reduced at any single location through buffer averaging is 50%.
Development proposals that propose encroachments into buffers beyond what is allowed
through the above methods require a Critical Areas Variance or a Reasonable Use
Exception. If you think that you have a proposal that may require one of these processes,
please contact a Planner for more information.
If you have any questions about this determination, please contact a Planner for more information.
Michael Clugst
Name
June 11. 2008
Signature' 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
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Critical Areas Map
J
' File Number: CRA-2008-0066 1 inch equals 40 feet
120 9th Avenue North
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------ ---- ej
- - --------
APPLICATION!
3 for
Tne City of Edmonds SIDE SEWER PERMIT
FlLPr,—;T,.EW CONSTRUCTION p-' REPAIRS
EASEMENT No . ..........................................
law
.................... PERMIT No/ ---
........ CONTRACTOR ...- :Yl --
OWNER / ... . . .........
4 ........ C4�) --- ----------- ........................
ADDRESS ..... /,-<� ............... LEGAL DESCRIPTION: LOT No. /7 ---
3 ....................... BLOCK No.. ..... ................
NAME OF ADDITION ------ ...... 6 . . ...... ......................................
APPROVED
JUL 121968
Approved:
'. 'Y' CITY OF 0MONDS
CIP c-.`� ER= WATER -SEWER DEPARTMENT Call PRospect 6-1107 when work
is tions satin dafor y, Snnday or holidays.) N 2 pection. (No jaspe,- 61
SIDE!SEWER PERMIT
ADDR,ESS-------- _--------
120 Ninth-:-Avenue-_Noih -
--------------------------------------------------------------------------
owxER-------_-_George Cole CONTRACTOR -Superior Builders & Home Repair
Permission is granted __.__,July ... 12_-_- - ....___.-- 196a--, for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. 1—Tbe owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11-16.030 and Regulations governing side sewers when you get permit.
NOTE 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 2y,.
No bends in grade sharper than % 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 which may develop within one year of completion.
NOTE No. 5—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 appur-
+• ` •r tenanoes except to insert the pipe into the wye.