1515 8TH PL S.PDFiiiiiiiiiiii
8749
1515 8TH PL S
CA FILE NO. 9q-41
Critical Areas Checklist
Site Iifor'rmation': (soils%topography/hydrology/vegetation)
1. Site Address/Location.- ,v / 5/5 9
2. Property Tax Account Number: _ lH ���5' 0 61 0 — 005—
3. Approximate Site Size (acres or square feet): RECEIVED
4. Is this site currently developed? yes; no. MAR i g 1*99
If yes; how is site developed?
5. Describe the general site topography. Check all that apply. PERMIT COUNTER
_ 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: No ; Approx. Depth:
J
7. Site contains areas of seasonal standing water: N ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodwayNr floodplain NC of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? xl (i Flows are seasonal? q n (What time of year? ).
10. Site is primarily: forested ; meadow ; shrubs ; mixed ;
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: G
Rev 01/M4
STREET FILE
�90.19y
City of Edmonds
Critical Areas 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,
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 necessaryto 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:
Name
51!�T`1 ��1 5
Street Address
�rto�y 75 &1W 9ffo,-zd 771-MST
City, State, ZIP Phone
Signature Date
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Signature Date
PLANNING DATA
NAME: U IIQm
SITE ADDRESS: ` i- 1L VD
DATE: r�
ZONING: �` PLAN CHK#: W
PROJECT DESCRIPTION: An Ft n
CORNER LOT (Yes/No) FLAG LOT O
(Yes/No)
SETBACKS:
Required Setbacks:
Front:2S""' Left Slde:74) Right Side: S Rear:
ctua Se c
Front: IV Left Side:_ Right Side: Rear:
Street map checked for addition I setback required? /
(Yes No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUEDrUer ,q, 1 U (Y/N)
LOT COVERAGE: O �o
Maximum Allowed: b Actual: G�
BUILDING HEIGHT: /4 j
vlz� )
Maximum Allowed: Actual Height: �� 2�.
Datum Point: Datum Elevation: f
al
A.D.U. CREATED?: VVC) —
SUBDIVISION:
CRITICAL AREAS #:2A
SEPA DETERMINATION:
LOT AREA:_ q I i � I
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OWERCONTRACTOR IS RESPONSIBLE FOR
EROSION 'MNMOLIAND DRAINAGE
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ENGINEERING APPROVAL AS NOTED
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The' City of Edmonds
s, 0,
F—
APPLICATION
for
SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS E]
OWNER--- A-1t'74 ...... -----------------------------------------------
JOB ADDRESS M=1-5 - oe-r" F2t— - C�a.�
--------------------------
i
7
EASEMENT NO- ................. ---------------------
LID NO. NO- ------------------
CONTRACTOR 7SA-mr-PTx(= PERMIT NO - t-
------------------------------------------------- ........ --------------------
TRGAT. n'P.SCRIPTTON. I.C)T NC) <& BLOCK 0 -------------------------------------- - --------------------------------- -
-------------------------------------------------------------------------------------------------
....................................................................................................
Approved:
DATE V-2; ------- By . .. .......
f 4 4
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1'tr�S:. -, 4 ��•§ t� �e _.- - - �L.R.3M,"r.it°,�#•S.Tj�
} -,a: sr_ .�... Y.�.a_ �.i`.._�.>...... '�-'....a,�-f -iL i :mac-�.�`;�:sairk+..�..is:•_� L.'..�.i. - _ -
" CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT �l
rCall 775-2525 for side sewer inspections BEFORE covering any portion of the construction.
\Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections - li
• ; ; .. ADDRESS LOCATION OF CONSTRUCTION---- � �-�6 . ...�.........i s..................._..._..�R.................................................
PROPERTY LEGAL DESCRIPTION.......... ....................................
. :......'.................... '?��..�..........
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............................... '{'� •� •.
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OWNER AND/OR BUILDER-----•------ `�--•---__-"�=%_..........
0
CONTRACTOR'S NAME & ADDRESS---._... C _ t1rt ltA —-------
tp- - -----•--•--------------------------------------------•--.-----
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- Perm>Ission is granted __.__.._..._...__... .. � _._......_., 19.. �'�!:for repair and/or connection of a side sewer to the city sanitary sewer
swtem in accordance with City of Edmonds ordinances. *
A'1-i'ENTION 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
'4 side sewer in street area. Do not cover any portion of sewer before it has been inspected. r
_ - r NOTE Na 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. 1
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—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 `
i sharper than 1h will be permitted. ,n f
NOTE No. 5—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. I i
- 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 appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED Date..._..... By ---------------- Date.---- ........ ......... y - Da ----------- -................... By---------------- f
APPROVED Date ... B
I
Remar
— BOTH Pe it Copies ST Be Signed B caner of Firm Performing Construction PRIOR To Request For Inspection —
f Oinstalled
.------•-•......................... . hereby certify that the side sewer installation constructed under this permit(Owner of Contracting Firm Performing Construction)
in accordance with all governing ordinances of the City of Edmonds.
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Dated thisd.......................daY ---. .................................................. .........
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g ,1 ° -4� -, 19
Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer p, Other V V
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