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1220 VIEWLAND WAY.PDFiiiiiiiiii lill 13560 1220 VIEWLAND WAY .• \ L l' if ....._..: LL�1 _ U J I. _'1 �.:� FILE# N/A DETERMINATION OF NONSIGNIFICANCE a Description of proposal Swimming Pool Proponent Dick 011inger Location of proposal, including street address, if any 1220 Viewland Way, Edmonds, WA 98020 Lead Agency Edmonds Planning Division The lead agency for this proposal has determined that it does'not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. X There is no comment period for this DNS. _ This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days from the date below. Comments must be submitted by Responsible Official John Bissell Position/Title Code Enforcement Tech. Phone 771-3202 Address 250 5th Ave. N., Edmonds WA 98020 Date December 19, 1990 Signature ,� LtZ �... X You may appeal this determination of nonsignificance to Hearina Examiner at 250 5th Ave. North, Edmonds, WA 98020 no later than 5:00 p.m. December 29, 1990 by filing a written appeal citing reasons. You should be prepared to make specific factual objections. Contact John Bissell to read or ask about the procedures for SEPA appeals. There is no agency appeal. Complete this checklist for nonproject proposals. even though questions may be answered "does not apply", IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part 0). For nonproject actions, the references in the checklist to the words It "applicant," and "property or site" should be read as "proposal." "proposer," and 'affected geographic area." respectively. A. BACKGROUND 1. Name of proposed. project, if applicable: pooL. WAle- e F7eA-fLJ F,E 2. Name of applicant: FAUFIG P�oL..S tfJL• RIGHAP�D OL.I.-ititCt6R, 3. Address and phone number of applicant and contact person: (�uFle- rovL,�e, 10(-- . 13?1049 N - E -. I Z10 KuetiLAtJV , �iA. q'bO34 JOH f4 r-*H 4. Date checklist prepared: 004-01-10 5. 6. Agency requesting checklist: e-11 `( OF ED P100 DS - C SOHO 13 IhSELL. Proposed timing or schedule (including phasing, if applicable): *10 S Weems r-roM 6TwoF r--KeAvAnori 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes. explain. 00 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. ,po ►JOT K-Jov4 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal.? If yes, explain - PO fJ oT K J G v3 10. List any government approvals or permits that will be needed for your proposal, if known. DO Nor K..�JM 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You'do not need to repeat those answers on this page. (Lead agencies may modify this form to include aeditionai specific information on project description.) 10 X 28' 51 I t-1 H IFbo L, W/ IWATex rc- ATU es: . PUHP $ PII,TEr--1 Nq 6TCJ-, 61A� I%Imp 4e-ATev, F'�l�Il!e i� �F'i: P1 {!6?':_: _�;�_ I l i!?, la•a :i 1'? 15 G'. 12. Location of the proposal. Givesufficientinformation for 'a person to understand the precise location of your proposed project, including.a street address, if any, and section', township, and range, if known_ If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map. if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. '(90 GODfJER of PgvG. L&A-rep e 1220 VIEvjI,APb WA( 2s� l O�I.yyiDE Ih Ir` F2oH PL + j 0 � �+la ei 51 pE 1,5 t; ' F-"H ICI Pi . TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other A" �-OCATIOO OF- Pool Ih 01J FI-Ar 51M HOWeVeFg FZYK-9�1 MPpLp,J To W EST (C9 (� ±.4 b. What is the steepest slope on the site (approximate percent slope)? EI-Ev Cam} NUS �ieD►-1 �CG1c.o� F&10s! rT 'fo P100H.T, IS 1 20, Od t1100, P- o OOLT 15WPE PeHA10it-J -1 W. 0* aicP. COOP. 5E 602tJC-F, +10' [x-or 00 t 4&01 AJ►.1 c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck?'If you know the classification of agricultural soils, specify them and note any prime farmland. SDIL. I6"VeRr HAV-0 AND DAr je irk GOLO(L d. Are there surface indications or history of unstable soils in the immediate vicinity? If so. describe. fJa e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. 00 F-IL1.10ty VeQD. 4 f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. No g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? No ADDITIOO.AL_ (-orgy(. POL16i06i ors a�PHp�-T IS P�aposEo h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: 1'INAt_ LZtJD�✓C� WITH AI0S To r _ ,e I "(D �✓C Pt2c�V I DAD RECE I UED FP; 1'1 2067 _ _ _ __ 1 1. 07 . 1 9'�C1 1 _ 1 55 P. 4 2. Air a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. Groh PoOEeeO VEH I CLZh 00OLD PWVi DE pp.l l-7 '1'eA NS P6�io r1 is 5I� 61Ak POWEt�t7 E�A(,I4-H-0e +PJMP TVAJG= WoLiL.9 66 U9Ed pp� dr CXLAUp-iIO�-I b. Are there any off -site sources Of emissions or oeor that may affect your proposal? If so, generally describe. 00 c. Proposed measures to reduce or control emissions or other impacts to air, if any: doNE . . 3._ Water. a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If Yes, describe type and provide names. If appropriate, state what stream or river it flows into. 2) Will the project require any work over, in or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. 00 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or. wetlands and indicate the area of the site that would be affected. Indicate the source of fill material. DOeA2 N C T. APP(r 4) Wili the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. I�1O 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. tJ0 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. 6AGKLJPhH 'I LTC N z 0 DtA .0tAA(eOL)* Ep�.�-f , 20 T� q 0 6AI— Doc.E .re\fePT 2.110 (O M05. b. uround; 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. 6EE a.) () 1-1Az1laQ- 0 II-L 159 To --2EvJEr2, 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals...; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. �1o►�E C. Water Runoff (including storm water): I) Describe the source of runoff (including storm water) and method of collection and disposal, if any (.include quantities, if known) Where will this water flow? Will this water flow into other waters? If so. describe. IXISTINy r;JOOFF Il� TD F7EMA10 • 61Z0LJND OATER FL.©l-Vv .TO 5TMGf *LJTTS►rh a 0 'e c- or- rzow. 2) Could waste materials enter ground or surface waters? If so, generally describe. No d. Proposed measures to'reduce or. Control surface. ground, and runoff water impacts, if any: Pool* 4. Plants. a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple; aspen, other evergreen tree. fir, cedar, pine, other ✓ shrubs _ grass _ pasture _ crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, Other other types of vegetation b. What kind and amount of vegetation will be removed or altered? IJ o►.1 F C. List threatened or endangered species known to be on or near the site. IJorIE d, Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: OATNC � 0A-RjvAuZr_D ! A- D6WI5 15Y 01146rL S. Animals a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: DO OOT PJ04 birds: hawk, heron, eagle, songbirds, other: ............................. mammals: deer, bear, elk, beaver, other: ................................. fish: bass, salmon, trout, herring, shellfish, other: .................... b. List any threatened or endangered species known to be on or near the site. NOtJE c. Is the site part of a migration route? If so, explain. hl O d. Proposed measures to preserve or enhance wildlife, if any: r,la�E 6. Energy and Natural Resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar)._will.be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. Na c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: 10 FLOC)V—. G1 ¢4-JLATI&A + t-1EGTE1_ reTU14J 7. Environmental Health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. OT11540 NZ-0 PaOL. GHLOfL1 NE A5 Dlhl rJE c.TA��1T 1)`Describe special emergency services that might be required. 7 _... . . 2) Proposed measures to reduce or control environmental health hazards, if any: P 4 PER PTO P7AU t Or- p0 0 �. 644 l.O P-1 N E b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment. operation, other)? 0 ONG 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation. other)? Indicate what hours noise would come from the site. PAT O F eX6AVATI o 0 EG U I F 00142e 01-JE THs-ee,p F-rE�- ?) Proposed «.easures to reduce or control noise impacts, if any: NONE 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? RC-�i r�N nc�L_ DwEua Nds b. Has the site been used for agriculture? If so, describe. NO c. Describe any structures an the site. . IrVIPOU9 FAMR-T d. Will any structures be demolished? If so, what? NO e. What is the current comprehensive plan designation -of the sitel- -- UPON R�C.EI411 Ny OF PEW 11- a 6EU 0 GONST• h, Has any part of the site been classified as.an "environmentally sensitive" area? If so, specify. DO NaT KNd� 1. Approximately how many people would reside or Work in the completed project?. 3 o�q PEOPt,E VIoLJt--D "-�VJ i M J. Approximately how many people would the completed project displace? �IaNE k. Proposed measures to avoid or reduce displacement impacts, if any: N otJi= 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high,, middle, or low-income housing. 00a' ►JOT A FPLT b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. ►JbrJE c. Proposed measures to reduce or control housing impacts, if any; NONE 10'.. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? 1V of HEA1-SK,✓TA6A b. What views in the immediate vicinity would be altered or obstructed? I.0o r- c. Proposed measures to reduce or Control aesthetic impacts, if any. Nne&r ioVou e,h IW,Fek6i Ny MvT49TiL AWE 11. Light and Glare a. What type Of light or glare will the proposal produce? What time of day would it mainly occur? (1) 300 l•J U"PeF; JAlEIZ POOL— L.164,4T- (AT' 1J�(aHT) b. Could light or glare from the finished project be a safety hazard or interfere with views? t�l D c. What existing off -site sources•of light or glare may affect your proposal? NO lJ � d. Proposed measures to reduce or control light and glare impacts, if any: NONE 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? PA F) b. Would the proposed project displace arty existing recreational uses? If so, describe, No , it oouLao i oce>✓A,�,E {3Ec. v5E c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: woiJE 13. Historic and Cultural Preservation a. Are. there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. w0 b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. KICIO l✓ c.. Proposed measures to reduce or control impacts, if any: IJOrJE 14. Transportation a, Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. PJtaE' DF"C- -ro OL`rHPI(-, n� TQ \/IEW&►JP WAY b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? PO ►JOT "60 c. Now many parking spaces would the completed project have? How many would the project eliminate? P66't) NOT ApPirT d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate . whether public or private)_ No e. will the project use (or occur in the immediate vicinity of) water,.rail, or air transportation? If so, generally describe. NO f. How many vehicular trips per day would be generated by the completed project? If known, indicate.when peak volumes would occur. g. Proposed measures to reduce or control transportation impacts, if any: fJO 1J E 15. Public Services a. Would the project result in an increased need for public sdrvices (for example: fire protection, police protection. health care, schools, other)? If so, generally describe, b. Proposed measures to reduce or control direct impacts on public services; if any, • NONE 16. Utilities n. Circle utilities turrent vaiIable at the site: ectric ura ater use servic e,e tune. n, a"�r sewe se tic s em, b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. QATU RA,L- laAA, C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead?dgncis rel ing on them to make its decision. Signature:...itte 07Date Subm ......: �%D . D. Supplemental Sheet for Nonproject Actions (Rezones, Code Changes, Annexations, etc.) -- Do not use this sheet for project actions. Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions. be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. L Now would the proposal be .likely to increase discharge to water; emissions to Air; production, storage, or release of toxic or hazardous substances; or production of noise? HEATER C-XHAtJ'T Proposed measures to avoid or reduce such increases are: GONE 2. Now would the proposal be likely to affect plants, animals, fish, or marine life? Nooe �To MY KOOwl,EP6�E Proposed measures to protect or conserve plants, animals, fish, or marine life are: I�.I D ►J E 3. How would the proposal be likely to deplete energy or natural resources? 1J5 E G4-eL + (.I M7 Proposed measures to protect or conserve energy and natural resources are: tJoNE . 4. Now would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, W14 derness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? 000e TO HT KJOOLeDUE Proposed measures to protect such resources or to avoid or reduce impacts are: �JoN� 5. how would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? DOEh OOT ApprT Proposed measures to avoid or reduce shoreline and land use impacts are: NONE 6. How mould the proposal be likely to increase demands on transportation or public services and utilities? (,Lk,EoF Proposed measures to reduce or respond to such demand(s).are: �LEL + (IAc, IFiY MG g 7. Identify, if possible, whether the proposal may conflict with local. state, or federal laws or requirements for the protection of the environment. PO �407- woo ENVCHK3/PFORMS CITY OF EDMONDS NEW ❑ ADDITION ❑ RETIREMENT ASSET INFORMATION SHEET ASSET NO. ADDITION TO ASSET N - , DESCRIPTION l SERIAL NO. LOCATION �aO , // / ) D PT. NO * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST * PROJECT NUMBER PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. �/ r �C'G' ` ���-cam �t� OU• �� SESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE VERIFIED BY MONTHLY DEPRECIATION AMOUNT PROCESSED ANNUAL DEPRECIATION AMOUNT BATCH NO. 0 G.L. ENTR REFERENCE DATE b P INITI DEPARTMENT FILE Y'' r� •�•e!I%4r y>., �;syyl,{.,,'r'`i='+.1;v9 ,�,ra,-�:,�r7;.�tt. yn�;.,�- -� w„f^ tar9�, �w�,� ;�,� ,� Y : y... E_ Z U 0.0 a a Q A w a a .O U owa O H W O W a H U C4 O w CiT 3k®F EDMONDS y Permit No. �90 'NECOMMUNITY SERVICES DEPARTMENT 'T FILE Issue Date RIGHT-OF-WAY CONSTRUCTION PERMIT t� A. • Owner: A i c onmar C . B. • Contractor: hC & 7T_"_ Name -7D/ (o �Sl` PL 5W Name D 0 90,4 (� Mail* Addr ss Mailing Address F_Jr^.n61� 1nit� 9KOzo _�Ak;1+.� WA 94C275 City State Zip City State Zip RC91N 1-771L 36 -=7 State License Number Telephone Number Type of Work to be Done: K.t mov i ga. c t. nn fo- 5d r "A I k r o ► nctp 11 car r,r� `C_ .n?ion. CLA4I —+ �O l �,no nn4rt Lgsih Work in Connection With: ❑ Sub or Plat Di( Single Family ❑ City Projects ❑ Commercial ❑ Multifamily ❑ Utility Pavement Cut: ❑ Y A N APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND. ACCEPTANCE OF THE WORK. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed by City forces, at which time a debit or credit will be processed for issuance to the applicant. • A 24 hour notice is required for inspection; Please call Public Works: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with,asphalt or City approved material prior to end of working day; no exceptions. I understand the above and that this permit must be available at the job site for inspection purposes at all times. Signature: �l V. P" . Date: Owner or Contractor This Permit Must Be Posted at the Job Site For Inspection Purposes Call DIAL -DIG Prior To Beginning Work ISSUED BY: 17" Time Authorized: Void after :50 days. Special Conditions: PERMIT FEE: 4_80 �-- Security Deposit: Receipt No.: Z 79` Z" Fund I II Fee: Amendments: Street Cut Dimensions: NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE tng. Lm. juiy 1Y83 FIELD INSPECTION NOTES (Fund I I I - Route copy to Street'�apt:}l Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 CITY of EDMONDS SIDE SEWER For Inspection Call 771-3202 PERMIT NO. PERMIT Ogg o it Address of Construction: O Vicw larj ff/� Property Legal Description ( Include all easements) : r/S�wT e5 Owner and/or Builder: Alconmar Co --Tr)c- . Contractor & License No: 5.C.. R. Inc. F3CI��I�! 17z�'1. -7� go Singl:e Family Residence ST EL i FILE Multi -Family (No. of Units ) EDINI0DS Commercial (No. of fixture Units ) TREATMENT PLANT Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) 4kr# a?-19,9 Cross other Private Property: No X Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK LJ G '��� � � . �2R 1 � ►egg with rtheyitems listed onread thenbackshall comply PUBI�J �NORKil Permit Fee: _ Trunk Charge: Assessment Fee: Partial.Inspection: �_/S-S4� Date Issued By: Date Issued: -9 Receipt No.: /6 % Z Comments Final Inspection Approved: g"1 Date Initial Rejected: Reason ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Date Initial Date Initial Buff Copy - Applicant fThe City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ r NEW CONSTRUCTION [✓� REPAIRS ❑ LID NO . -------------------- ASMT. NO. _-.-____.__.._._-_ i OWNER -----------------------------------------•------------ I-----------------------------. CONTRACTOR --ql—Q � ��--- t~A-4.�.------- 1� �- =--••-------- PERMIT NO. Q.7. R $--� JOB ADDRESS -a LLV-.Iw�� `I�l�?--------•--------- LEGAL DESCRIPTION: LOT' NO. --------- --- t-------------•------------ BLOCK NO. ------------------------------------ - �-� v $ oz v--------- T,ys------------------------------------------ VIE W 1 KSID aka %) 6) CAPS lb 1 rDC- 2EIN, PWW-0001-11/75 (REV.11/78) NAME OF ADpITION---------------------------------•---------- EDMONDS TREATMENT PLANT 3f E+ I R 0• c, e.lo to Approved: -� L��tjG l� DATE ......-g-- ��- BY ���� - i PROJDCT REVIEW CIMCI(L IST PROJECT NAME: Sl,� 1 1 / (01'1 � A1Z-' PROJECT ADDRESS : / 2 � � / ��G,/ /�o APPLICATION RECEIPT DATE: 9 -Z�4,? Reviewed by: (initial/date) CO44E3TI'S PLANNING WTR/SWR STREET ENCVRNG FIRE BUILDING /-77-777777 77777777 SINGLE FAMILY/MULTIPLE/COMMERCIAL - (Circle One) SE MACXS CIECKED '- Planning i7 t`- T /� / VARIANCE/SF.7MCX ADJ. ///////// //////// //////1/ / / / ///// / /// / ////// / CONDITIONAL USE. PERMIT ADB REQUIREMENTS OiDCKED / 7777777777 OTIER ZONING REQUIRIIENIS 11111111T ENVIRONMFNPAL FFAMIEs7111111, ACCESS SLOPE & VEHICLE ACCESS © ///////// ///////// //////// DRAINAGE PLAN (On Site) & STREEP FIf.S �— ////// ///////// ///////// //////// I.FXAL DESCRIPTION •Vf;RTFICATION % "? ////// ///////// ///////// //////// QUIT CIATM/DEDICATIONS i✓ ////// ///////// ///////// ///// // 1 FASEMENP - I'URLTC/PRIVATE PLAT/SUBDIVISION RB IREME'NPS7777-7777 RICUP-OF-WAY CONSTRUCTION PERMIT RE- ////// ///////// // 7-7 77F77T/7 7 7 / 7 7 7 7 7 // BOND RED FOR PUBLIC IMPROVEMFNPS ////// ///////// ///////// // //// I / I SOILS CONDITI(kli E. GROUND TTT JTT WATER FIELD CHECKU) 171111 / M�P E`P PAVING REQUIRED ////// ///////// ///////// 1 / fF77 7 7 177TT17 777TRI 7/ CURB AND WPM REQUIRES) ////// ///////// ///////// ////////// 1 /////T / // 77U 77777777 — //i/ iTTTTTTT777777R7— CURB CUP FOR DRIVEWAY RE(Y) ////// ///////// ///////// ////////// 2 777777TI7 7777777777 — S`PRESrT ///////// ////////// 2 777777777 77777T77-77 O71[ER SICAING RDOD ////// ///////// ///////// ////////// 2 77TITf-177RT17T 7TT7777 STDE SEWER AVAIIAAII.ITY ////// ///////// 2 % F.?CISTING WA'PER MAIN SI?.E /% / ////✓//// O //////// /// // /// T// / // i/ ///// // // // 2 TT7% /�SFd2VICE fV-1/1 — LTNE SIZE ////// ///////// // // ////////// 2 — 1777TTTT IfYDRANP REQUIRED ///////// ///////// ///// // ////////// 2 / HYDRANT SIZE EXISTING ////// ////// // CtOM CONNECTION INSPEICTION READ N//// ///////// ///// // ////////// MTER METER CHARGE RDQD77777,7/ 777777 ////// ///////// •�Q �� ///// // ////////// 31 FIRE LINE CHARGE READ - SPRINKLER ///////// ///// // ////////// 31 STREET CUT OPEN DITCH EXISTING ////// ///////// ///////// 33 REQD ////// ///////// ///////// 34 / / / /// / / ///// 35 CULVERT RDQD 36 SIZE ////// ///////// ///////// CATCH BASIN RE Cp ////// ///////// ///////// i;. �: 37 INDICATED ON SITE PLAN 38 SF?CXILDER DRAINAGE MAINTAIN ;! 39 SHALE OPIN RUNOFF .'' 40 REVIEWED BY: I1991V9 k C. WON J a 5 6 Q ate. 1 2 3 4 5 5 7 Q D 1 2 3 a S 7 I ENGINEERING MGR. , , q CITY OF EDMONDS USE PERMIT ZONE i�5lZ NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS %;i' 7 NAME (OR NAME OF BUSINESS) yy LEGAL DESCRIPTION CHECK SUBDIVISION NO. Q % _0 / < LID NO. w MA�IJUNGADDRESS ,� O 1p!/` �FJ✓ [ '� �/ - r. !/V L�/ PUBLIC RIGHTOF WAY PER OFFICIAL STREET MAP. EXISTING -- _ REQUIRED DEDICATION PROPOSED_v TESCP APPROVED BY CITY z /n 0Al TELEPHONE NUMBER / �`� J✓��� NAME RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REQUIRED w ADDRESS 0 REVIEW BY SEE ENGINEERING MEMO DATED a CITY TELEPHONE NUMBER REMARKS q NAMEcc ADDRESS U METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS < CITY TELEPHONE NU/M'BER 7 REMARKS 0�M� v�/� STATE LICENSE NUMBER 191— -)�- SIGN AREA ALLOWED I PROPOSED ENV. REVIEW COMPLETE I EXEMPT ADB NO. Legal Description of Property - include all easements (show below or attach four copies) I SHORELINE # ErNEW t - I RESIDENTIAL PLUMBING ADD/ALTER COMMERCIAL MECHANICAL REPAIR C� RETAINING WALL SIGN EXCAVATE FENCE DEMOLISH OR FILL ( x FT) PRE -MOVE INSP./ ❑ SWIM REMODEL ❑ COMPLIANCE INSP. POOL WOO El ❑ SEROVEI APT. BLDG RENEWAL i NUMBER OF STORIES NUMBER OF DWELLING iG UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) Ali"- w C©/ VS-7 -A ZZ /c�19V This Permit covers work to be done on private property ONLY. . Any construction on the public domain (curbs, sidewalks, ' driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year- Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and N successors in interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, :E employees, and agents from any and all claims for damages of < whatever nature, arising directly or indirectly from the issuance = of this permit. Issuance of this permit shall not be deemed to omodify, waive or reduce any requirement of any city ordinance = nor limit in any way the City's ability to enforce 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 construction; and in doing the work authoriz- ed thereby, no pbrson will be employed in violation of the Labor Code of the State of Washington relating to Workmen's Compensa- SIGNATURE (OWNER OR AGENT)!��/// DATE SIGNED }r ATTENTION VARIANCE OR CU PLANNING REVIIjW BY DAI YARDS 7 HEIGHT LOT COVERAGE G_ FRONT 5' SIDE `U / REAR Z� Z� CHECKED BY TYPE OF CONST �� u- /l� SPECIAL INSPECTOR AREA REQUIRED YES I:; NO CODE HEIGHT _ OCCUPANCY OCCUPANT GROUP ,-)_-> LOAD PROGRESS INSPECTIONS PER UBC 305 6VAf-I 4 61/ L c nE Fi rKZ &c1>1W411-Y=Z CcncA✓ VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADING/FILL STATESURCHARGE ENERGY CODE �IOQ e PLAN CHECK DEPOSIT , TOTAL AMOUNT DUE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-87 APPLICATION APPROVAL ATTENTION THIS PERMIT This applicaltan tk nut a permit until AUTHORIZES signed by 100 Building Official or his ONLY THE 100 410 paid, and receipt IS Deputy'led? WORK NOTED acknow " 8pace provided. INSPECTION DEPARTMENT OFFICIAL'S S4*4 ' DATE CITY OF EDMONDS RELEASd*7 a' DATE 771-3202 Qfl:40"t — File YELLOW — Inspector Owner GOLD — Assessor i ;--- . �Ri q 1,., � q .. 0 Z w Z C7 Z w Q w 3 0 Z Z Z a a U Z 0 _J D m I'm -7 m 9 ]E%LJ 3: L—L) I OWNER CONTRACTOR: SITE: LEGAL DESCRIPTION: JURISDICTIOP APPLICABLE CODES: LOT AREA: LOT COVERAGI BUILDING LIB AREAS: Tt EXCAVATION* ELEVATIONS AT COI,' WERE OBTAINED By FIELD GRADE MEASU APPROXIMATELY 6' HE I GHT C7RESURV y BE UNNECESSARY CORNER POINTS OF "A'l 31B.64' 46BIS 316.44' soCif 327. 79' is D is 3-31.53' 1294. 39'/4 34-3.00' MAXIMUM ESTATES SUBDIVII.- CITY OF EDMONDS '2 WOOD .9rAtCr--S c OFu7 �'-o'' p.G, sWA i 30 MALE ADJTER �� �/\ THREADED JOINT ) 1` LJ Pjal 3 FEMALE ADAPTER - Q G !P7 ST AP EMALE ADAPTER V4 BEND WITH HEEL SSW' TO A CH BASIN tNt_ET C3' — 2' ). SW k \ !, SPIGOT END UP 2" LONG. 2° OIAM �o P3 OUTFLOW PIPE: PIPE SECTION 2' MIN OF 3" ASS TEST CAP WITH ORIF1 E4°` OR ID OR FC; 3tLEX BLE A �4 O Se, -Ale _ s I N . 3p X 2° REDUCING COUPLIN J01 S PIPE TO OUTLET WITH I" LONG SECTION OUT L E 1 CO�� -O L OF 3" PIPE IN END } < DRAINS 4tNER. NAi WATER INFLOW ►� - � 3 SHOWER J" STAINL S STEEL a� pG �. - '-e. pErT I �T'70 LIN6:9;p - -I PIPE, �- cam! EF--`,Pb i t�17 Z11 OFTin V ;Y Mi t PA� t,1 G �_ \