1402 10TH PL N.PDFlill lill 11
543
1402 10TH PL N
APPLICATION
for
The.City Of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION REPAIRS ❑ED EASEMENT No. ...... ....... .....................
•
OWNER .... ............. . ... ...................
....... ....... .........
CONTRACTOR ..... .............
PERMIT No.(
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......................
....... ...
ADDRESS
.. .... ...
. ..... ......
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LEGAL DESCRIPTION: LOT 0. ..........
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...............
BLOCK No . ............................. .............
NAME OF ADDITION ..........................................
. ............ -------- ......................
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Approved:
DATE ... 71 ';f 1.7 By
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CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PRospect 0-1107 when work
Is ready for Inspection. (No inspec-
SIDE SEWER PERMIT tions Saturday, Sunday or holidays.) N2 1953
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ADDRESS ...........................1402 - 10th Place North
............................................................................................................................................................
OWNER ......... .012. KOn.ell .............................•. CONTRACTOR......Iiee...WOOley ..............._. ..........................
Permission is granted..._iipriJ...7........................ 19.67... 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—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct aide sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtaln 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 2%.
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 ap-
purtenances except to insert the pipe into the wye.
S"TREET FILE CA FILE NO. 'N-100
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: 1W02" I04-h p1. N. e4vnonas
2. Property Tax Account Number: 59510 0 00a 7 ()2 0 2
3. Approximate Site Size (acres or square feet): 11. 7 6 O
4. Is this site currently developed? yes; no.
If yes; how is site developed? Ex15- " House Ga raaP
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)
11. Obvious wetland is present on site:
MO
Rev 0l/04(94
0-00 194
City of Edmonds
Critical Areas
..
i
Checklist
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,
`
1
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
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
plan, topography map, etc.) 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:
S eldort (Jro in
Name
1402 10+6 Pl. N.
Street Address
Edmonds. WA 266-074W)
City, State, ZIP Phone
is my
ignature 0 J Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature Date
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 • (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
_ Public Works . Planning • Parks and Recreation . Engineering
890-199
LETTER OF TRANSMITTAL
Date: May 25, 1994
To: Sheldon Drogin
1402 loth Place North
Edmonds, WA 98020
Subject: Critical Areas Checklist
Transmitting:
LAURA M. HALL
MAYOR
For your information: XXX
As you requested:
For your file:
Comment and return:
Note attachments:
Comments: Please bring in a copy of the Critical
Areas Checklist when applying for a building
permit.
PlanningDivision
Judy Kenney
• Incorporated August I1, 1890 •
City of Edmonds
Critical Areas Determination
Applicant: Sheldon Drogin Determination #: CA-94-100
Project Name: Permit Number:
Site Location: 1402 loth Place North Property Tax Acct #: 5951-000-007-02-09
Project Description:
Non -Project Specific
Waiver Criteria (all criteria must be found to apply):
XXX There will be no alteration of the Critical Area or its required buffers;
XXX 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;
XXX The development proposal meets the minimum standards of the Critical
Areas ordinance;
XXX The above findings are based on the following conditions of approval:
During review and inspection of the subject site on May 24, 1994 it was found that the site
contains a Category 2 stream with salmonoids and a Wildlife Habitat pursuant to Chapter
20.15B of the Edmonds Community Development Code.
Based on these findings, prior to submission of any development permit, you will be required
to submit the following for review by the Planning Department:
1. Submit a site plan prepared by a Licensed Surveyor showing the location of the
Category 2 stream and delineating the required 50-foot buffer and 15-foot
additional building setback. The 50-foot buffer is measured on each side of the
stream from the top of the bank, with the additional building setback line
measured from the edge of the buffer.
2. If the results of the above survey determine the lot unbuildable or that no
addition/alteration may be done due to the buffer/setback area, any development
which is not identified as an exception per ECDC Chapter 20.15B must receive
a Reasonable Use Exception or a Variance pursuant to ECDC 20.15B.180A and
20.15B.040C).
Name Signature
OF `ED y�
CITY OF EDMONDS
I
C,I� 1 aqo 250 5TH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-
RCW 197-11-970 Determination of Nonsignificance (DNS)
DETERMINATION OF NONSIGNIFICANCE
Description of proposal: Remodel of a single-family residence to expand the master bedroom and bathroom (City
of Edmonds Building Plan Check No. 96-153).
Proponent: Sheldon Drogin
Location of proposal, including street address if any: 1402 loth Place N., Edmonds, Washington
Lead agency: CITY OF EDMONDS
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 is not required under RCW 43.21.030(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: Jeffrey S. Wilson
Position/Title: Current Planning Supervisor, Department of Community Services - Planning Division
Phone: (206) 771-0220
Address: City of Edmonds, 250 5th Avenue North, Edmonds, WA 98020
Date: / % Signature:
XX You may appeal this determination to Robert Chave, Planning Manager, at 250 5th Avenue North,
Edmonds, WA 98020, no later than "jxs►� -A-0, 1996, by filing a written appeal citing the
reasons.
You should be prepared to make specific factual objections. Contact Jeffrey S. Wilson to read or ask about the
procedures for SEPA appeals.
Q
XX Posted on +J 6, at the Edmonds Public Library, Edmonds Community Services
Building, and the E monds Post Office.
XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist.
Page i of 2
PC96153E.DOC
8/6/96.SEPA
Mailed to the following along with the Environmental Checklist:
X Environmental Review Section
Department of Ecology
P.O. Box 47703
Olympia, WA 98504-7703
X Department of Fisheries
115 General Administration Building
Olympia, WA 98504-8711
XX Applicant: Mr. Sheldon Drogin
1402 1 Oth Place N.
Edmonds, WA 98020
pc: File No. PC-96-153
SEPA Notebook
Page 2 of 2
PC96153E.DOC
8/6/96.SEPA
Date:
To:
From:
Via:
Subject:
MEMORANDUM
August 6, 1996
File No. Building Permit PC-96-153
1
Meg Gruwell, Code Enforcement Officer 7/YK
Jeffrey S. Wilson, Responsible Official
ENVIRONMENTAL DETERMINATION FOR DROGIN HOUSE
REMODEL; FILE NO. PC-96-153
I have had the opportunity to visit the site, review the environmental checklist and other
materials which have been prepared for the project. A copy of these are filed in the official file
for this permit.
Based on my review of all available information and adopted policies of the City, I recommend
that an environmental determination of nonsignificance be issued for the project.
Should you have any questions concerning the information in this memorandum, please contact
me.
Review by Responsible Official
I concur:
I do not concur:
Comments:
Je frey S. Wilson Date
Attachments
pc: File No. PC-96-153
City of Edmonds C-a Planning Division
PC96I53C.DOC
08/06/96.
EDA,
C.
Purpose of Checklist:
CITY OF EDMONDS
ENVIRONMENTAL CHECKLIST
BUILDING
AUG 0 1 1996 9&-1 3
The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the
environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all
proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide
information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it
can be done) and to help the agency decide whether an EIS is required.
Instructions for Applicants:
This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this
checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer
the questions briefly, with the most precise information known, or give the best description you can.
You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer
the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer, or
if a question does not apply to your proposal, write "do not know" or does not apply". complete answers to the questions now may
avoid unnecessary delays later.
Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions
if you can. If you have problems, the governmental agencies can assist you.
The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of
land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you
submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if
there may be significant adverse impact.
Use of checklist for nonproject proposals:
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 D).
For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as
"proposer," and "affected geographic area," respectively.
A. BACKGROUND
1. Name of proposed project, if applicable: &3feePedrogyn Ke/Y✓Iok
2. Name of applicant:
don Uroq in
3. Address and phone number of applicant and contact person:
l Y0b2 /o" Place— N.
Ed -,minds 1i)A- Mai a
77s 89Y?
Page 1 of 24
CHUT.D001-NOV-93
MASIERWEA
4. Date checklist prepared:
5. Agency requesting checklist: Cify of Edmonds.
6. Proposed timing or schedule (including phasing, if applicable):
Sulyym - Ead 19,u
(STAFF COMMENTS)
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this
proposal? If yes, explain.
(STAFF COMMENTS)
8. List any environmental information you know about that has been prepared, or will be prepared, directly related
to this proposal.
(STAFF COMMENTS)
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.
(STAFF COMMENTS)
Page 2 of 24
CHKLMDOCU-NOV-93
MASMR%SPEA
10. List any government approvals or permits that will be needed for your proposal, if known.
N.a
11.
(STAFF COMMENTS) �LMI dn+sl P 3-
Give brief, complete description of your proposal, including the proposed uses and 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 reheat those answers on this nape.
(STAFF COMMENTS)
12. Location of the proposal. Give sufficient information 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. N a proposal
would occur over a range of area, provide range or boundaries of the site(s� Provide 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.
iYo-2, I'D-47 ace- N. Ld-,m ,dc 6J4 99030
(STAFF COMMENTS)
Page 3 of 24
CHKLT.DOC I-NOV-93
MAMEMSPEA
TO BE COMPLETED BY APPLICANT
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other:
Q 0j-
(STAFF COMMENTS)
b. What is the steepest slope on the site (approximate percent slope)? _ �a
(STAFF COMMENTS)
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.
(STAFF COMMENTS) A (Aaf,,,d Gcrba,, W-0, 6,, 4 (, ,
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe.
(STAFF COMMENTS)
Page 4 of 24
CHKLMDOLAI-NOV-93
MAMEMSPEA
e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source
of fill.
None.
(STAFF COMMENTS)
f. Could `erosion occur as a result of clearing, construction, or use? If so, generally describe.
Nrn
(STAFF COMMENTS)
g. About what percent of the site will be covered with impervious surfaces after project construction (for
example, asphalt or buildings)?
g
App rox I [o Aek) CDVW 1 V)
(STAFF COMMENTS)
h. Proposed Ameasures to reduce or control erosion, or other impacts to the earth, if any:
(STAFF COMMENTS)
2. AIR
a. What types of emissions to the air would result from the proposal (Le., dust, automobile, odors, industrial
wood smoke) during construction and when the project is completed? If any, generally describe and give
approximate quantities if known.
(STAFF COMMENTS)
Page 5 of 24
CHKLT.DOC 1-NOV-93
MASMRISPEA
b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe.
(STAFF COMMENTS)
C. Proposed measures to reduce or control emissions or other impacts to the, if any:
N.A.
(STAFF COMMENTS)
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/nor river it flows int P,
S-rm of s 1 n
(STAFF COMMENTS)
(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.
See ajpq.c.� D�a�vti
(STAFF COMMENTS)
(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 rill
material.
(STAFF COMMENTS)
Page 6 of 24
CHKLT.DWI-NOV-93
MASMR\SPEA
(4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known.
0
(STAFF COMMENTS)
(5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
N�
(STAFF COMMENTS)
(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.
No
(STAFF COMMENTS)
b. Ground:
(1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities if known.
NO
(STAFF COMMENTS)
Page 7 of 24
CHKLT.D000-N0V-93
MASIER\.SPEA
(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.
Noyl P
(STAFF COMMENTS)
C. Water Runoff (including storm water):
(1) 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? N so, describe.
yJ
(STAFF COMMENTS)
(2) Coulldrr waste materials enter ground or surface waters? N so, generally describe.
IVIO
(STAFF COMMENTS)
d. Proposed measures to reduce or.control surface, ground, and runoff water impacts, if any:
N,A
(STAFF COMMENTS)
Page 8 of 24
CHKLT.D000-N0V-93
MASMMSPEA
4. Plants
a. Check or circle types of vegetation found on the site:
deciduous tree: alder, maple, aspen, other. Ri r AppleS rPuz
evergreen tree: fir, (edipin other:
shrubs h OCinwK oPV 031 1 7
grass
pasture
crop or grain
wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other:
water plants: water lily, eelgrass, milfoil, other:
other types of vegetation:
(STAFF COMMENTS) 614, kO-S fvy,JUIZ 4CU-s b nord►, toy-,
e� �� i 1- 4�.ad D�.S�yc��.titz�A�-or. �w1 'f'� S t�✓�ea.� bw, IL -
b. What kind and amount of vegetation will be removed or altered?
z 66dods,,d4-onS
(STAFF COMMENTS)
List threatened or endangered species known to be on or near the site.
-I' 0 o'
(STAFF COMMENTS)
Page 9 of 24
CHUT.D001-NOV-93
MASMR\SPEA
d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the
site, if any:
& A -
(STAFF COMMENTS) _ _ MA66rL d4l-+�= t�Alt
5. Animals
a. Check or circle any birds and animals which have been observed on or near the site or are known to be on
r the site: 7birds:
J'
hawk, heron, eagle, songbirds, other: ROb� CIS, �S . s
mammals: deer, bear, elk, beaver, other.
fish: bass, salmon, trout, herring, shellfish, other.
(STAFF COMMENTS)
b. List any threatened or endangered species known to be on or near the site.
(STAFF COMMENTS)
C. Is the site part of a migration route? If so, explain.
(STAFF COMMENTS)
Page 10 of 24
CHKLT.DOC11-NOV-93
MAS►ERISPEA
d. Proposed measures to preserve or enhance wildlife, if any:
ALA.
(STAFF COMMENTS)
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.
(STAFF COMMENTS)
b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally
describe.
NA
0
(STAFF COMMENTS)
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:
9he*14y -e-41 ci&vJ—W I in 40,�c
(STAFF COMMENTS)
Pale 11 of 24
CHUT.D000-NOV-93
MASMMSPEA
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? N so describe.
(STAFF COMMENTS)
(1) Describe special emergency services that might be required.,
N. A.
(STAFF COMMENTS)
(2) Proposed measures to reduce or control environmental health hazards, if any:
N.A.
(STAFF COMMENTS)
b. Noise
(1) What types of noise exist in the area which may affect your project (for example: traffic,
equipment, operation, other)?
(STAFF COMMENTS)
Page 12 of 24
CHUT.D001-NOV-93
MASMRI.SPEA
(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.
(STAFF COMMENTS)
(3) Proposed measures to reduce or control noise impacts, if any:
NO/Ito
T
(STAFF COMMENTS)
8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
Rest
(STAFF COMMENTS)
b. Has the site been used for agriculture? If pso, describe.
(STAFF COMMENTS)
Page 13 of 24
CHKU DOCU-NOV-93
MASIER\SPEA
Describe any structures on the site.
4ome--- Ile i k, h Qu sP
(STAFF COMMENTS)
d. Will any structures be demolished? If so, what?
NO
(STAFF COMMENTS)
e. What is the current zoning classification of the site?
(STAFF COMMENTS)
f. What is the current comprehensive plan designation of the site?
(STAFF COMMENTS) :5-% k S•,r1,,,, P,43 Q.cmt A
g. If applicable, what is the current shoreline master plan designation of the site?
NA -
(STAFF COMMENTS)
Page 14 of 24
CHUT.D001-NOV-93
MASMMSPEA
h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify.
(STAFF COMMENTS) Ks — Vad�v- 9nwrer,,,u- cn f-c
i. Approximately how many people would reside or work in the completed project?
(STAFF COMMENTS)
j. Approximately how many people would the completed project displace?
NH 6a,
(STAFF COMMENTS)
k. Proposed measures to avoid or reduce displacement impacts, if any:
(STAFF COMMENTS)
1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if
any:
(STAFF COMMENTS)
Page 15 of 24
CHUT.DOCU-NOV-93
MASMRVSPEA
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income
housing.
N
(STAFF COMMENTS)
b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low-
income housing.
N A -
(STAFF COMMENTS)
C. Proposed measures to reduce or control housing impacts, if any:
(STAFF COMMENTS)
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including antennas; what is the principle
exterior building material(s) proposed?
(STAFF COMMENTS)
Page 16 of 24
CHWIX)CM-NOV-93
MASMR\SPEA
b. What views
in the immediate vicinity would be altered or obstructed?
1 U ame
(STAFF COMMENTS)
C. Proposed measures to reduce or control aesthetic impacts, if any:
N.A
(STAFF COMMENTS).
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would it mainly occur?
NBnL
(STAFF COMMENTS)
b. Could light or glare from the finished project be a safety hazard or interfere with views?
No
(STAFF COMMENTS)
C. What existing off -site sources of light or glare may affect your proposal?
Nvn2
(STAFF COMMENTS)
Page 17 of 24
CHUT.D001-NOV-93
MAMR\SPEA
d. Proposed measures to reduce or control light and glare impacts, if any:
(STAFF COMMENTS)
12. Recreation
a. What desiAg'nated and informal recreational opportunities are in the immediate vicinity?
lV arvi0 .
(STAFF COMMENTS)
b. Would the proposed project displace any existing recreation uses.? If so, describe.
(STAFF COMMENTS)
C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be
provided by the project or applicant, if any:
N A -
(STAFF COMMENTS)
Page 18 of 24
CHUT.D001-NOV-93
MASIEMPEA
13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers
known tq be on or neat to the site? If so, generally describe.
(STAFF COMMENTS)
b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural
importa ce known to be on or next to the site.
I�A_
(STAFF COMMENTS)
C. Proposed measures to reduce or control impacts, if any:
(STAFF COMMENTS)
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.
1n41% 011)'en AI
(STAFF COMMENTS)
Page 19 of 24
CHUTDC01-NOV-93
MASMR\SPEA
b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit
stop? I
(STAFF COMMENTS)
C. How many, png spaces would the completed project have? How many would the project eliminate?
(STAFF COMMENTS)
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).
IVO
(STAFF COMMENTS)
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so,
generally describe.
a
(STAFF COMMENTS)
Page 20 of 24
CHKLT.DO(-11-NOV-93
MASIEMSPEA
f. How many vehicular trips per day would be generated by the completed project? N known, indicate when
peak volumes would occur.
NA -
(STAFF COMMENTS)
g. Proposed measures to reduce or control transportation impacts, if any:
(STAFF COMMENTS)
15. Public Services
a. Would the project result in an increased need for public services (for example: fire protection, police
protection, health care, schools, other)? If so, generally describe.
(STAFF COMMENTS)
b. Proposed measures to reduce or control direct impacts on public services, if any:
NA -
(STAFF COMMENTS)
Page 21 of 24
CHKLT.DOC\l-NOV-93
MASIER%PEA
16. Utilities
a. currently available at the site: electricity natural g water refuse servi telephone,
sanitary sewer septic system, other:
(STAFF COMMENTS)
b. Describe the utilities that are proposed for the project, the utility providing the service, and the general
construction activities
'oonnthe
, site or inthe immediate vicinity which might be needed.
_ & !] Pam) �M.- �e a f IrkS ]t&7,0
(STAFF COMMENTS)
C. SIGNATURE
The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to
make its decision.
ZA4�lm A-9-1�
Signature of PrVponent
Date Submitted
Page 22 of 24
CHKUDMI-NOV-93
MASMR%PEA
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CITY OF EDMONDS
250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning e Parks and Recreation . Engineering
July 1, 1994
Sheldon Drogin
1402 loth Place North
Edmonds, WA 98020
RE: Critical Areas Determination for 1402 10th Place North
CA-94-100
Dear Mr. Drogin:
LAURA M. HALL
MAYOR
I have reviewed your request for a conditional waiver for the proposed addition as shown on the site plan.
Since the proposed project does not increase the potential impact to the Critical Area or its buffer,
pursuant to Section 20.15B.040A of the Edmonds Community Development Code it is exempt from the
requirement to obtain a Reasonable Use Exception Variance.
Please be advised that work in addition to that which is described for this project in your letter dated June
29, 1994 may require further review to determine if a Reasonable Use Exception Variance is required.
You may now submit your application for a building permit for the proposed project. When submitting
for the subject permit, please bring a copy of this letter with your application for reference.
Should you have any questions, please contact me at 771-0220.
Sincerely,
a4&
Ann Bullis
Planning Division
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
Sheldon Drogin RECEIVED
1402 10th Place North J U N 2 9 1994
Edmonds, Washington 98020
206 744 6336 (H) 266 0748 (W) PERMIT COUNTER
June 29, 1994
City of Edmonds
Planning Department
Edmonds, Washington 98020
I am writing to request a conditional waiver for the remodelling project
shown on the plat map and indicated by "proposed project". It is my
understanding that this project would be exempt from critical areas
determination as stated in section 20.1513.040 Subsection A Subparagraph
2 (A)(2), since such a remodelling activity would "not increase the
potential impact to a Critical Area or its buffer". As shown on the plat
map, the existing patio is within 5 feet of the stream and the existing
structure is within 12, 16 or 19 feet, depending on the respective corner.
The proposed addition would be a minimum of 28 feet from the stream.
I have enclosed a general information sheet, (to scale) plot plan, critical
areas checklist and determination. Thank you for your consideration.
look forward to hearing from you and if you have any questions, please call
me at 266-0748.
o
0
Sheldon Drogi7
General Information
-7gq-633(,o
1. Name Sheldon Drogin 266-0748 (w) 32 -e-eS+ (h)
2. Property Address: 1402 10th Place N.
Tax. Number: 59510000070209
Legal description: The northwesterly 85 feet of Lot
7. Taylor Tracts. As per plat recorded in
volume 12 of Plats. Page 91. Records of
Snohomish County, Washington. Situate in the
county of Snohomish. State of Washington.
3. Zoning: Residential
Lot size: 11,761 ASCR
4. Existing floor area: 2226 sq. ft.
Proposed floor area: 4715 sq ft.
CIOsoyobd
4,0
-, I
W
CA FILE NO. ' N —10 0
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site AddressALocation: MZ- 10+h P1. N . ied monds
2. Property Tax Account Number: _595160000702 09
3. Approximate Site Size (acres or square feet): 11,760
4. Is this site currently developed? Oyes; no.
If yes; how is site developed? EX15' in:9 House Ca ragP_
5. Describe the general site topography. Check all that apply.
jFlat: 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) -
11. Obvious wetland is present on site:
M
RCVoiroaroa
City of Edmonds
Critical Areas Determination
Applicant: Sheldon Drogin I Determination #: CA-94-100
Project Name: Permit Number:
Site Location: 1402 loth Place North Property Tax Acct #: 5951-000-007-02-09
Project Description
Non -Project Specific
Waiver Criteria (all criteria must be found to apply):
XXX There will be no alteration of the Critical Area or its required buffers;
XXX 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;
XXX The development proposal meets the minimum standards of the Critical
Areas ordinance;
XXX The above findings are based on the following conditions of approval:
During review and inspection of the subject site on May 24, 1994 it was found that the site
contains a Category 2 stream with salmonoids and a Wildlife Habitat pursuant to Chapter
20.15B of the Edmonds Community Development Code.
Based on these findings, prior to submission of any development permit, you will be required
to submit the following for review by the Planning Department:
Name
1. Submit a site plan prepared by a Licensed Surveyor showing the location of the
Category 2 stream and delineating the required 50-foot buffer and 15-foot
additional building setback. The 50-foot buffer is measured on each side of the
stream from the top of the bank, with the additional building setback line
measured from the edge of the buffer.
2. If the results of the above survey determine the lot unbuildable or that no
addition/alteration may be done due to the buffer/setback area, any development
which is not identified as an exception per ECDC Chapter 20.15B must receive
a Reasonable Use Exception or a Variance pursuant to ECDC 20.15B.180A and
20.15B.040C).
Signature
f'
CITY OF EDMONDS
USE PERMIT
ZONE
'�, .NUMBER
CONSTRUCTION PERMIT APPLICATION,
70Bsu1TE/APTN
ADDRESS / I,
OWNER NAME/NAME OF USINESS
-%
LEGAL DESCRIPTION CHECK
SUBDIVISION. NO.
LID NO.
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MAILING ADDRESS
O
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TESCP Approved ❑
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
CITY ZIP
t �
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TELEPHONE NUMBER
�► Y " / j� f /
7.5
EXISTING REQUIRED DEDICATION
RW Permit Required ❑
•:"Street Use Permit Req'd ❑
/
C1 iJ
PROPOSED
Inspection Required
Sidewalk Required ❑
NAME
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METER SIZE
LINE SIZE
NO. OF IXTURES
PRV REQUIRED Q
w
YES ❑ NO ❑ 3
O
ADDRESS
H
_
REMARKS Z
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CITY ZIP
TELEPHONE NUMBER
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NAME
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ADDRESS
ENGINEERING MEMO DATED REVIEWED BY
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GrU�
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CITY ZIP
TELEPHONE NUMBER
Cr
FIRE MEMO DATED REVIEWED BY W
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STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA
SEPA REVIEW
ADB' NO.
ALLOWED PROPOSED
COMPLETE
•...�+.•�
Le al Description of Property - include all easements
SHORELINE N
1 11
" . )• ' i Y'I 1 \ din O
JEXEMPT
MI5
EXP9 Apt tip
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VARIANCE OR CU
PLANNING REVIEW BY
GATE
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SETBACKS —FEET
HEIGHT
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LOT COVERAGEo.
FRONT Z J r'SIDE 0.' REAR t 0''
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Property
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Tar Account / � 0 0
REMARKS a
0
Parcel No. .s ( (J [ O� L,.'
NEW RESIDENTIAL PLUMBING
n
ADDITION COMMERCIAL MECHANICAL
APT. BLDG.
REMODEL SIGN
CHECKED BY
TYPEOF NSTRUCTION
,...
COD
��jrrjf
GRC
❑GRADING ❑FENCE
REPAIR CYDS. (__x_FT)
POOL
DEMOLISH NSEERTTOVE HOWOODSWT TUB SPA
SPECIAL INSPECTOR
REQUIRED
AREA
13 YES
OADPANT
LLOCCU
GARAGE RETAINING WALL/
RENEWAL
REMARKS
CARPORT ;L_J ROCKERY
PROGRESS INSPECTIONS PER UBC 305 0
(TVP F SE, INE�S%S O ACTIVITYI EXPLAIN:
W
o
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_ 4.
NUMBER NUMBER OF CRITICAL
r
OF �/j'►��/(yj� DWELLING AREAS �j/J'�
���
m0
STORIES - UNITS NUMBER7f_/4
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLANT
IN
FINAL INSPIfCTION REQUIRED
'
t o
r t
VALUATION
FEE
PLAN CHECK`'FEE
..
BUILDING
HEAT SOURCE:
GLAZIN
PLUMBING
�.
Plan Check No.
MECHANICAL
',ermit
GRADINGIFILL
This covers work to be done on private property ONLY.
An construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) Will require separate permission.
STATE SURCHARGE
.Pernqljw Application:180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
•-
"Applicant, orf behalf of his or her spouse, heirs, assigns and
ENO. INSPECTION FEE
successors in interest,, .agrees to indemnify, defers. arr0 hold
J
.harmless ,the•.�City ..of.K:•Edmonds, Washington, its fficials,
forda' ages•:of-rINSPECTION
"
employees, $n'd agentslydln-any and all claim's
directly
Indirectly from tie IssuanceO(rthig._per�nit.
ever nature, arising or
Issuance of this permit shall not big deemed toECK
DEPOSITomodify,
waive or reduce any requirement of any city ordinance
nor limit in,any way the City's ability to enforce any ordinance
AMOUNT DUEprovision."
I hereby acknowledge that I have read this application; that the
Information given is correct; and that 1'amthe owner, or the dulyTTENTION
APPLICATION APPROVAL
authorized agent of.the owner. I agree torcomply with city andHIS
state laws regulating construction; and in dd'i�ng the work authoriz-AUTHORIZES
PERMIT
This application is not a permit until
ed thereby, no person willbe employed in'violation of the LaborONLY
THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa•ORK
NOTED'"
Deputy; and fees are paid,tand receipt is
tion Insurance and RCW 18.27.
acknowledged in space provided.
SIGNAT RE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
� f
s:` lJ;� /d ! . L�! �✓ 6
CITY OF
EDMONDS
OFFICIAL' GNA DATE
'^ .
ATTENTION
CALL FOR
INSPECTION
RELE Y DA E
IT IS UNLAWFUL TO USE OR -OCCUPY A BUILDING OR STRUCTURE
UNTIL'A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
- •O �O
771
ORIGINAL — File YELLOW — Inspectc
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. n D 7112
PINK — Owner GOLD — Assessor
�MA7
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