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1520 9TH AVE N.PDF1111111111119853 1520 9TH AVE N i ADDRESS: 16i20 g' >jV4--;'Aj TAX ACCOUNT/PARCEL #: Q!°J(QZZ��DODOI� BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS #: — DETERMINATION: ❑ Conditional Waiver .❑ Study Required giver 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 PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc '�� a `?ice �.e i � • 1890 '99p 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, pERMIT COUNTES 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: Applicant Representative: Name Name �oo� No v �,JA Street Address Street Address City, State, ZIPPhone Ci , tate, ZIP Phone 12 4� Signature Date ature ate CA FILE NO. i Stical Areas Checklist - Site Information (soils/topography/hydrology/vegetation) 1. Site Address/L.ocation:'' 2. Property Tax Account Number: LLB 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? / yes; no. If yes; how is site developed? JAPR 2 6 .10�6 5. Describe the general site topography. Check all that apply. PERMIT COUNTER V 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 Ever 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 watercourse. 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: For City StaITUse Only 1. Site is'Zoned? Z 2. ' . -SCS mapped soil type(s)? j g - vtrtl - 4,rave;{!., S—A I -e, — y 8 15 �l� s f 2Ws 3::-Wetlaad inventory or C.A. map indicates wetland present on site? No 4 < -? Critical -,Areas inventory or C.A. map indicates Critical Area on site? 5 »:: <:Site within `designated earth subsidencelaridslide hazard area? desikaated on the Environmentally Sensitive Areas Map? • No Rev 01IM4 N6� 0. C.erNcr' (D 4- /�� • PLANNING DATA SITE ADDRESS: 15 Zo - 9 I 4w-. N_ DATE: 6 ZONING: 9.S — 1 Z PLAN CHK#: i,� - 79 PROJECT DESCRIPTION: A" s �„ � a,., smv_�j 6a., ,,_1%_0L_W SETBACKS: Required Setbacks: Front: ZS' Left Side: 10' Right Side: ° ' Rear: ZS Actual Setbacks: zS' Front: 3_,� Left Side: 542' Right Side: 4 7 ' Rear: 13, 91' ' S ``'^"!" s <a d ,?n• 16 ` scrbo c+� 3o , CORNER LOT A� 0 (Yes/No) "4--- --e ems ram►- s+.a, dh.,�" 6c.-�_ 1� 2 117,u,����,� LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /V (Y/N) LOT COVERAGE: 76 • k 2 z Maximum Allowed: 3547o Actual: � s, _s BUILDING HEIGHT: _ Maximum Allowed: 25 ' Actual Height: 2-11 Sk fi111�ti,>f. Datum Point:,�ho4 .,p�ra��^y�_rv, p s Datum Elevation: lo- / (sAltd Gfr✓s�4.1 �1/9. �ktrN - �/le�9ft '' :^�^S�C✓H LwvtQ -wfn{ f Go'rryi{ p� F.ryC - �!"r k `*p p/'n1. oA SUBDIVISION: Y �c ti' LQ 57.., L � ffn ass, A4 s, (va' CRITICAL AREAS #:_ ')& -' $? — W, , tr SEPA DETERMINATION: Sens, "f ' PISS - 5_43/% LOT AREA: I S 2 3 5 OTHER: -Cr SPA - w( Lyn,,, I >�d 69+� � Plan Review By: • A �Z. /J 6 STREET FILE ov�t2- r MAY 0 3 i906 PERMIT COUNTER (Nv 1lr-&/'I?- Q -5N .' ��•�` � Nam' G►►JGN1olA'1i OHIO �jGjZ��'I�Z APPROVED BY PLANNING moo " ZZo - oco-GZ7/ -CO a E� k c. L� I N�Ttr/� r✓l��� AEG• �� T'1- 1G 11J PLANNING DATA NAME: j3C&47­1ak___1 SITE ADDRESS:._ 15 20- '�44 'q"'-DATE: 1S 91" ZONING: �S /2 PLAN CHK#: PROJECT DESCRIPTION: i&., CORNER LOT�PJ (Yes/No) FLAG LOT —All--' (Yes/No) SETBACKS: Required Setbacks: ° Front: ZS'� Left Side: 2 5 Right Side: Rear: t o Actual Setbacks: Front: -�Left Side:'Right Side: ��Rear• Street map checked for additional setback required. s/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: � Maximum Allowed: 35 Actual: �sr BUILDING HEIGHT: Maximum Allowed: ZS Actual Height: u s s Z- T� Datum Point: Datum Elevation: A.D.U. CREATED?: lb',rI L/ SUBDIVISION: CRITICAL AREAS #: SEPA DETERMINATION: LOT AREA: OTHER: Plan Review By: c.Viles\permit%AplandaLdoc �� : `:Sint • MAY 0.3 1996 8 9 0 -' 9 9 PERMIT COUNTER 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, APR 2 6 1996 pERMIT COUNTER 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: Applicant Representative: Name Name /aoL/' Nam: ?2AvAFN�Q A' Street Address Street Address City, State, ZIP Phone Ci , tate, ZIP Phone Signature Date ture ate s CA FILE NO. i Otical Areas Checklist Site Information (soils/topography/hydrology/vegetation) I.,-, Site Address/Location: 2. Property Tax Account Number: aft 4, `L-4.&C 0 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? yes; no. k." If yes; how is site developed? APR 2 6 1-996 5. Describ the general site topography. Check all that apply. PERMIT COUNTED 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 Ever 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/b floodplain of a watercourse. 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: A_,16 . For City Staff Use Only Site is'Zoned? (ZS ' I 7- 2.: . -SCS mapped soil type(s)? i g jF_7V_crept .r^e.ve,xi S-4 I a�,., y 8 -1 S % S (fie s 3 :;Vetland inventory or C.A. map indicates wetland present on site? No 4 "::- ;Critical'Areas inventory or C.A. map indicates Critical Area on site? t J e Sitewithin "designated earth subsidence landslide hazard area? NQ his Srte designated on the EnviroomeaWly Sensitive Areas Map? t.) �n nrs. r�e�l- JUG t•:sa, e., Crrc. ........ . . :DETERMINATION • •<• STUDY REQUIRED :; ... :. ' CONDMONAL WAIVER WAIVER Reviewed by:-77 . Tanner Date nc, OIM04 CITY COPY Ii AY O 3 IJJ� PERMIT COUNTER OIc✓N � = 1f UUE gz;Ei 1✓)ANOrA0L, Uf0, r,r-ro� n �� GiNGNWA'i, oHio APPROVED BY PLANNING N. o . 00d ,ihe City of Edmonds E EllFILE APPLICATION for SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS 0 OWNER.e ............................................. ADDRESS 124.).tlj� ------------------------------ ll� 40 EASEMENT No ........................................... CONTRACTOR ............ . .................................................... PERMIT No. . - LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAME OF ADDITION .1 ASIC, ....... Xmcw.l? ..... -TA2..#?I.V ....... Approved: DATE ..............V. ............ G. ....... B IPP WAR 2 9 CITY OF EDMONDS CIVIC CENTER — WATER -SEWER DEPARTMENT SIDE SEWER PERMIT Can PRospect 6-1107 when work is ready for inspection. (No inspec- tions Saturday, Sunday or holidays.) N2 ADDRESS.........................15.20.. N t1?.. AX ue--North OWNER ......----Ec']rl---L-...Joplin.............................................. CONTRACTOR....O.caner.......------............... ................................... Permission is granted ... 29 , lg 6 8for ........................ 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: N 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 side sewer In street area. Do not cover any portion of sewer before it has been Inspected. NO-rS No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. TE 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 appur- tenances except to insert the pipe into the wye. vr�,�• ` U�s?ik+,mw,wi� '?W..z,wn;..;����'V.';.r •a/4�%�,�cayp+hw,m'�s" tr'vtro�,��yr;,,'er..: �a?r�%a, hrr.;�' �T xCITY OF EDMONDSrV Iflahit No. C1 156 COMMUNITY SERVICES I&Q[nT FILE. fdA r.,RIGHT-OF-WAY CONSTRUCTION PERMIT�yy�ssue Date Z O W F- U a O w A. • Owner: CHATS 7-1-OAS Name / Sz0 -- 9M 1 ye. �. Mailing Address Fdm�n®1 98 d City State . Zip B. • Contractor: Name " Mailing Address City State Zip State License Number Telephone Number C. • Address or Vicinity of Construction: 1520 — `fry tiye ®y LCn�r6��_ W/`y I?Xl/-ZD Type of Work to be Done: D. • Work in Connection With: ❑ Sub or. Plat Single Family ❑ City Projects ❑ Commercial ❑ Multifamily ❑ Utility E. • Pavement Cut: 0 Y . K N F. • Size,of Cut: X 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 jthe 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. Estimated restoration fees 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,i ngineering: 771-3202 i Work is to be inspected during progress and at completion. f • 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 ab e d that this permit must be available at the job site for inspection purposes at all times. '----�— / Signature D Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: A46 Time Authorized: Void after, days. Special Conditions: RELEASED BY: x Date��I PERMIT FEE: Restoration Fee: Receipt No.: Fund III Fee: Street Cut Dimensions:' x = $ IN$PECD BY Date --------- NO WORK TO BEGIN PRIOR TOIPERMIT ISSUANCE Eng. Div. March 1989 Eng. Div. July 1985 e-'*U (+Nb DTAOA "170 7— / / P/4N c)�Apoar" fr0c9,4% 6 '�O ---t.A Ghns A, ,./ bra 77, ol� lo Date: To: Subject: Transmitting CITY OF EDMONDS BARBARA FAHEY MAYOR 250 5TH AVENUE NORTH • EDMONDS, WA 98020 (206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning • Parks and Recreation • Engineering Letter of Transmittal May 13, 1996 Dept. of Ecology Environmental Review Section PO Box 47703 Olympia, WA 98504-7703 . 1520 9th Ave. N., Edmonds MAY 13 1996 Determination of Nonsignificance & Environmental Checklist l/ For Your Information: XX As you requested: For your file: Comment: Note attachments: Sincerely, Diane M. Cunningham, Planning Secretary cc: Dept. of Wildlife Julie Beckman I Paul Lippert Greggs Bldg. Design • Incorporated August 11, 1890 0 Sister Cities International —' Hekinan, Japan MEMORANDUM CITY OF EDMONDS PLANNING DIVISION 250 5TH AVENUE NORTH, EDMONDS, WASHINGTON 98020 TO: FILE NO.: PLAN CHECK 96-79 FROM: Meg Gruwell, Code Enforcement Officer 1ly.4j DATE: MAY 10, 1996 SUBJECT: ENVIRONMENTAL DETERMINATION FOR REMODEL ON BECKMAN/LIPPERT RESIDENCE, FILE NO. PLAN CHECK 96-79 I have had the opportunity to visit the site, review the environmental checklist, and review the building permit documents. A copy of which 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 a determination of nonsignificance be issued. The proposal is to build a bedroom above an existing covered porch, which should have minimal impacts. Should you have any questions concerning the information in this memo, please feel free to contact me. Review by Responsible Official: I concur I do not concur Comments: Jeffrey S. Wilson, AICP Date Responsible Official Attachments PC: FILE NO. PLAN CHECK #96-79 Robert Chave, Planning Manager Page I of 1 PC9679 EN/5/ 10/96. SEPA 1] • CITY OF EDMONDS 250 5TH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-0220 RCW 197-11-970 Determination ofNonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: Remodel of a single-family residence to add an upper story bedroom and rebuild a porch below, and to add a small box bay window (City of Edmonds Building Plan Check No. 96-79). Proponent: Julie Beckman and Paul Lippert Location of proposal, including street address if any: 1520 - 9th Avenue 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: S`//l 4 Signatur . XX You may appeal this determination to Robert have, Planning Manager, at 250 5th Avenue North, Edmonds, WA 98020, no later than 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. XX` _ Posted on 5 , at the Edmonds Public Library, Edmonds Community Services Building, and the tdmonds Post Office. XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Pagel of 2 PC9679EN.DOC 5/17/96.SEPA Mailed to the following along with the Environmental Checklist: XX Environmental Review Section Department of Ecology P.O. Box 47703 Olympia, WA 98504-7703 XX Applicant: Julie Beckman and Paul Lippert 3472 Cornell Pl. Cincinnati, OH 45220-1502 XX Agent: Elaine Greggs Greggs Building Design 1006 NE Ravenna Blvd. Seattle, WA 98105 pc: File No. PC-96-79 SEPA Notebook Page 2 of 2 PC9679EN.DOC 5/13/96.SEPA i0• 6190 - 194— Purpose of Checklist: CITY OF EDMONDS ENVIRONMENTAL CHECKLIST MAY O.3 �4 PER"T COUNTER 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 mist 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: 2. Name of applicant: -J UL 1 E 6EGILm-b- 1PP'--J L Lt ff G-4' 3. Address and phone number of applicant and contact person: (206) 524 - 2gd8 Q.AX- &44- ,5 /ba,.A L. ,Pasv (513)$lc 1- 4o42 f Gnaat Bw iAAIA D64,' 3A72 �t Dl. 1Oolo tit; Ravu,nA 941d C`nG,►.nai; ,ON 452Zo- ISaZ 15wf ., W/1 9910s, 4. Date checklist prepared: 5J 2 a Page I of 22 CHICLT/ 10-25-91MASTHR 5. Agency requesting checklist: City of Edmonds. 6. Proposed timing or schedule (including phasing, if applicable): A�S• A . �- (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. 1J o (STAFF COMMENTS) 10. List any government approvals or permits that will be needed for your proposal, if known. Rio �Jts k-,Jo �,J (STAFF COMMENTS) Page 2 of 22 CHKLT/10-3-93.MASTGR 11. 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 repeat those answers on this page. -- A(a e,NAjJ66 IIJ FoorPruni-r*. 4-bD(J-Pre-r— STI ti 3 R019Y),n A-"JD96& /LZ 00,I)eel' 13E1-0ml. Abe) BoX BAL/ J ✓/1�.00W . (STAFF COMMENTS) 12. Location of the proposal. Give sufficient information fora 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 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. (STAFF COMMENTS) 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: ,l ✓ER.P! El A-7-• SLQAE '�ieo oJT- 7Z 6 C-e (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? 77, 1 / , — G (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 then and note any prime farmland. Page 3 of 22 CHKLT/ 10.25-93. MASTER (STAFF COMMENTS) d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. (STAFF COMMENTS) e. Describe the purpose, type and approximate quantities .of any filling or grading proposed. Indicate source of fill. I�lon�6 (STAFF COMMENTS) f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. (STAFF COMMENTS) g. About what percent of the site will be covered with impervious surfaces. after project construction (for example, asphalt or buildings)? (STAFF COMMENTS) Page 4 of 22 C HK LT/ 10.25.93. M ASTER • 0 h. Proposed measures 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 (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. Lt ST. �o/l1STIQy�a'tOti1 Eh-) o W I L_c_ �L(ST Id QA/t� gi2ot>�[� 7 AfOdSe S/7— (STAFF COMMENTS) b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe. MO (STAFF COMMENTS) C. Proposed measures to reduce or control emissions or other impacts to the, if any: ST�rnl�A+eD Goa.Lfi�i>n�J v»bT�!-oi��, (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 or river it flows into. 0 (STAFF COMMENTS) C 1IX LT/ 10.25-93. M A ST E R PaP 5 of 22 (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. /V ,. '04 (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 fill material. _ON-1 /J L _(STAFF COMMENTS) (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and Iapproximate quantities if known. N � (STAFF COMMENTS) (5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. (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. (STAFF COMMENTS) Page 6 of 22 CHKLT/1 o-zs-93.MA.SI'ER Ground: (1) Will ground water he withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. (STAFF COMMENTS) (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. JMOAA 5- (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? If so, describe. /STin1G ,-lDmrs Is coca tF 6P LLA/Z& L o-r. 6' LL6G7-7 otii 5 Bvl A�Si�9tTS (STAFF COMMENTS) (2) Could waste materials enter ground or surface waters? If so, generally describe. (STAFF COMMENTS) Page 7 of 22 CHKLT/ 10.5.93. M ASTER 4. Plants a. • • d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: (STAFF COMMENTS) 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, bulrush, skunk cabbage, other: water plants: water lily, eelgrass, milfoil, other: other types of vegetation: (STAFF COMMENTS) b. What kind and amount of vegetation will be removed or altered? Non/ (STAFF COMMENTS) C. List threatened or endangered species known to be on or near the site. UPJKA)Ow AJ (STAFF COMMENTS) d. Proposed landscaping, use of native .plants, or other materials to preserve or enhance vegetation on the site, if any: Pige x of 22 ClIKU/1425-93.MASPER � �%��►-alp (STAFF COMMENTS) 5. 1 Animals a. Check or circle any birds and animals which have been observed on or near the site or are known to be on or near the site: ✓ birds: hawk, heron, eagle, songbirds, other: 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. v�%Ik-,)oyJAJ (STAFF COMMENTS) d. Proposed measures to preserve or enhance wildlife, if any: (STAFF COMMENTS) 6. Energy and Natural Resources Page 9 of 22 CHKU/ 1 P2S-93.M A.SrER 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. XD c—T (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: 4,b,b /J. Td AAFe-T— /qq I In%Se-r, (STAFF COMMENTS) 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. A66' of YA044S6 , (STAFF COMMENTS) Page 10 of 22 CHKLT/1425-93. MASCER 0 (1) Describe special emergency services that might be required. (STAFF COMMENTS) (2) Proposed measures to reduce or control environmental health hazards, if any: 1�i�P>F�'e�'iB�7� ��y►-,D✓� {-i�.oe�y�2� . �N-Si�37�1JG- (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) (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. U (STAFF COMMENTS) (3) Proposed measures to reduce or control noise'impacts, if any: Corn eln I J e0d,e= (4 (STAFF COMMENTS) Pnoe I I o1722 CHKLT/1425-97.MAMR 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? sp RC3 . (STAFF COMMENTS) b. Has the site been used for agriculture? If so, describe. (STAFF COMMENTS) C. Describe any structures.on the site. F RES t- � .4c-� e (STAFF COMMENTS) d. Will any structures be demolished? If so, what? 1Vy (STAFF COMMENTS) e. What is the current zoning classification of the site? (STAFF COMMENTS) Page 12 of 22 C W LT/ 10.2.5-91 M ASP E R f. What is the current comprehensive plan designation of the site? Vfilla)jU)A) (STAFF COMMENTS) g. If applicable, what is the current shoreline master plan designation of the site?, . A - (STAFF COMMENTS) h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. E ,j Exo'" �-k Chc a1�.c s S►a M an 11v 2nlrcran � SUS,1+� s ryw; Wwcc -tw% !�»^ew. (STAFF COMMMENTS) %S „, Cr k m.a r Yla c�slnar•c A buFly acre i. Approximately how many people would reside or work in the completed project? aFfw► (STAFF COMMENTS) j. Approximately how many people would the completed project displace? `8- (STAFF COMMENTS) Page 13 of 22 CHKLT/I425.93. MASTER 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: J (STAFF COMMENTS) 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. ryi r nl Cd Vy% (STAFF COMMENTS) b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low- income housing. (STAFF COMMENTS) C. Proposed measures to reduce or control housing impacts, if any: , � . /�-- (STAFF COMMENTS) Page 14 of 22 CHKLT/ 10.25.93.MASTER 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? Sy 1('0"l oZI-,>( �• (STAFF COMMENTS) b. What views in the immediate vicinity would be altered or obstructed? (Z') I IJ • t All pAc j— . T� 1S IS 22LZ [,5 f4DYYt is I E f3�2oo✓�-.ar���r� MJ t,�ot�� ffi�v� Ib T-16 a �I �-��1Nr=1,4-r• 1�E1�FR��LhToT� E�ohi �t.?� SoLrr�+ �n Sc�'tT (STAFF COMMENTS) C. Proposed measures to reduce or control aesthetic impacts, if any: �i �n W rr�-1 .J EX.i �� 1►`1T �p[STPfJ.t n) ,�'' (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? 0S (STAFF CONINIENTS) b. Could lig�it(br Aare from the finished project be a safety hazard or interfere with views? ���VJ t . (STAFF COMMENTS) Page 15 of 22 CWCLT/1425-93. MASTER C. What ex`isrting^^off-site sources of light or glare may affect your proposal? N • l�' (STAFF COMMENTS) d. Proposed rrteasures to reduce or control light and glare impacts, if any: ivf.oN. (STAFF COMMENTS) 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? 94 AILL � (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 thhej project or applicant, if any: (STAFF COMMENTS) Page 16 of 22 C}QCLT/1425.93. MASTER 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. Na (STAFF COMMENTS) b. Generally describe any landmarks br evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. Df3E' VG OLJ (STAFF COMMENTS) C. Proposed measures to reduce or control impacts, if any: (STAFF COAINIENTS) 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. Nb eA ) / Ae e Fss is �i.t ,P,2E7J t- tr=�L ��vv. a ,A�✓� l� (STAFF COMMENTS) b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit stop? Page 17 of 22 C}LKLT/I0-25-93. MASTER • (STAFF COMMENTS) C. How many parking spaces would the completed project have? How many would the project eliminate? 2.1- IJotJE E �,► � � ►J�,r�� . (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). t. 0 (STAFF COMMENTS) e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. (STAFF COMMENTS) f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. N n I JVPIOA./.T Pza i,n i . i (STAFF COMMENTS) Page 18 or 22 CHK LT/ 10-'5.93. M ASi E R 0 • 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. d (STAFF COMMENTS) b. Proposed measures to reduce or control direct impacts on public services, if any: (STAFF COMMENTS) 16. Utilities a. Circle utilities currently available at the site. electricity �,ural gas ater a service, a hone, sanitary sew septic system, other: (STAFF COMMENTS) Page 19 of 22 C HK LT/ 1425-93. M AST GR 11 • 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. (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. Sia gnature of Pro Date Submitted Page 20 of 22 CHUT/10.25.91MASTER D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (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. I. How 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? Proposal measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? d I Mf3� Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal he likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: Page 21 or22 C► KU/10-25.93.MASTER 4. How 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, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands,.floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: 5. How would the proposal he likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. /Ij/ ted, "_ j J!�id Pave 22 of 22 C► KLT/1423-93.MA.4rER PLANNING DATA SINGLE FAMILY RESIDENTIAL STREET FILE Name: _ U + Date: Site Address: S O ' Ave- Tax Parcel 00r11D-DLC)0000k00 Project Description: Two wry cD% 6-,-Serne4 Plan Check #: a:010-0tsa be.1 ow o ^ %" s i de- o-C k�%-e . --7Reduced Site Plan Provided: YES ( NO) Zoning: Map Page: ,�� Corner Lot: (YES /0 Flag Lot: (YES /6� Critical Areas Determination #: CRA199r.QCM ❑ Study Required Waiver SEPA Determination: Exe-,,A rA(;��I q��:^�� p\al, g .�eS 1$Co Gy o-ec"k A Exempt aid g0 Cy P ❑ Needed (for over 500 cubic yards of grading) ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks Street: a , Side: , Side: Rear: F Actual Setbacks Street: 5 + Side: Side: Rear: E, a5 Detached Structures: Ex+ +� shed o`r, nor JR�� k4N s+a%e_ cR pr-Gpe4y is ^c�:ca ec>/ �s l e c{ Ji Rockeries: Pro pc serJ rn y 0, Fences/Trellises: 0 Bay Windows/Projecting Modulation: %-b-y %Apfp-r -Qmr c-a4:1eve-r- over s\,OLZ, Gh P1 19 Stairs Deck: Lne, oP ex- '(1c or ot" o•..e r c>-,-corV sVoc..,c\ cn 1ane . Frc4 Building Height Datum Point:Top "� �' "` °� c•,a,.1,o�� eove� �^ Datum Elevation: y 'f e S eo er o Ae. ,( Maximum Height Allowed: ter' S� Actual Height: Other Parking Required: Parking Provided: a + Lot Area: Maximum Lot Coverage: 35% Proposed: Lot Coverage Calculations: Eol5 1 * se.= i,GY7 rp' c� }/Oec�c= L/P/Or d `� = ADU Created: (YE NO Subdivision: Or Legal Nonconforming Land Use Determination Issued: (YES Comments �asz�,e�i ad�jacer� �o ��}l, side_ c ' Si-4e- Sec'veg 3 pro -�;es� SC) nck CC, s /ereo� .0% ks. Plan Review By: Planning Data Form 07-14-09 R7P=97.95 1%N)=96.27-OUT LOCARON OF DVWG GO PRONDED BY ARDOTECT Noi@ IE AND TOP OF CB D"ARONS G09RED BY DONNA L BRESK& P.E ON 2-13-10 W7H CST BERGFR SAL SERIES AU70M1AIX LEM USMG SW PROPERTY STAKE INTN aE VA DLYN toa6 FOR VER7►C4 REFER04CE APPRO)OA7E LOCAROW OF SIDE SEVER 097AMED FROM OfTY RECORDS EXISTING UTIUTY POLE ml— EXISTING — WATER METER 3 c Z c).j L Q 2 rn I COV"T GRA WN FLOW 6' PVC CONVEYANCE P✓PE 7a 96.27 G 1 Pawl OF NO7E; AS CONSIRUVED, (AC)* PAUL UPPERT � OF MEASUREMENTS PRONDED TO P� ION TO THIS ENGINEER ON r0-25-ro INSTALL CB# 3 FOR PUMPED FLOW 6• A14 7RANS71ON POINT AND ROUTING OP 60) B7Sf�96 i1-@W 2' PVC� 34-w-"w OBjI�TYPE 1 d & 8' PIPES 1i7 A1/O/D 1REF ROOTS 1i7 CQlVZRQt Imnm RaE� 1° ''-oUT 9s9 - - 1HE NORTH o / 3 E(s & sE}�nw-s(toal6-AC)* rgE�L-6Yr9a9-ACC DATA 10-22-10 10"gam l '�'' w GRAW! SEDDMG aErAlt 3 T SITE ADDRESS: 1520 9TH AVE N. EDMONDS, WA Co. i U SHED TO ,oho ^ s- \ \ w 1 REMOIfD TYPE 1-L 4 8 Ile - / E(S*)=m 1D2-w(1oa59-AC)* MAN PVC FOR � � �/ � toeo O \ 7UP=ia22 ` IA MR DRAMS Q af0O78 I S N TPRIEET FILE / ROCKERY+ I 4 TO �1► oo �� ROOF auaREVISION / 4 7rr CO E4 BAY WIDOW / \ LEADER / R y o ram/ � r fE 1oLu ;. w w ea101.0 o 0v 0 LU to Xi � P I r * {31JILDINC3 DEPARTMrN i 8 I 2 .g a4melTRA It CITY OF EDMONDS E 1oa97 / MW FIR a4lar }�04.8 ' I LfM It& Earnest / O 17 LF-C PVC LEADER FM FEW FWZW � � � - L . A DRAMS 70 BE MIAM 4i , ��► APWW V �• I REMODat E0.S781G BtALDMC REMO�1 cE 0 j ,o17 ? A •, ,pF 7367 r IST d I l / E)aSTMG NG �I/� 170 TO FD AM �j PREPARED BY �► �aa ( I r 00MVECT BAT FLDOR DONNA L BREW& P.E. � 5 L C 7 I / / \ WV'HR 6621 FOSTER SLOUGH RD / (v`PFWI / I k� FLOOR DRAM LocATED AlSNOHOMISH, WA 98290 / (e/ \ ��UnUTY ROM A�� M PHONE: 425-334-9980 / L _rD BSBL _ _ _ _ _ l \ O donnabreskeft mcost.net p'` / I c ,'� tS Li' WATER Iffii7ER LEAK 6" 1.5' 6" E DRAINING BACKFILL P A V E M E N T COMPACTED 2' MIN COVER UNLESS / / NATIVE MATERIAL " PVC F0071NG DRAIN WITH HOLES DUCTILE IRON OR N-12 PIPE IS USED. / / / OR APPROVED FILL AS REQUIRED PWARD. INSTALL WITH GRAVEL FT MIN. COVER FOR DI & N-12 OCKET WRAPPED IN FILTER FABRIC / / 1.5' DIA. DETENTION PIPE IRAFI 140N OR EQUIVALENT TRENCH FILLED WITH 3 4" TO 1 1 2" WASHED )P OF FOOTING EL=96.76 BASEMENT FOOTING DRAIN DETAIL NOT TO SCALE FOOTING DRAIN CONVEYANCE PIPE- CONNEC71ON TO EXISTING CB IE=96.27 APPROXIMA TE �) o� L OCA TION OF SIDE SEWER OBTAINED - ��C tt� FROM CITY RECORDS ( STING IITII_ITY POLEDJtp -- 0�/ A� k� EXISTING WATER METER 30' GRAVEL OR PEA GRAVEL m m - 6" - MAXIMUM DRIVEWAY I TOP=97.95 ALLOWED 149/9 IE(N)=96.27-OUT LOCATION Of- EXISTING CB PROVIDED BY ARCHITECT NOTE: IE ANT) TOP OF CB ELEVATIONS GATHERED BY DONNA L. BRESKE, 6" PVC DETENTION P.E. ON 2-1.3 -10 WITH CST BERGER SAL SERIES AUTOMATIC LEVEL USING PIPE CONNECTION SW PROPERT11 STAKE WITH ELEVATION 100.6 FOR VERTICAL REFERENCE. IF'=QF, 07 IE(S & SE)=100.2-IN IF(F)=.9.9.1-IN SEC. 13, T WN. 2 7, CAST IRON OR PLASTIC GRATE NOTE: CORE -DRILL HOLES FOR YARD BASINS WITH MULTIPLE j CONNECTIONS a DRAIN` NOT boo 0 � Dc0 N I)I -Lb UU W SPOT LLLVA41UNS & SURVEY 0000MATION PROVIDED BY.- FND• 5/8' REBAR W/ TYEE SURVf�ORS, PROFESSIONAL LAND SURVEYORS FND; 5/8' REBAR W/ CAPS "C&T LS-10117" 7537 11TH AVE. NE CAP "C&T LS-10117" SEATTLE, WA 98115 HELD EL=100.6 PER C&T SEE NOTE. (206) 525-3660 ELEVATIONS, HOUSE LOCATION AND BOUNDARY FROM C&T SURVEE TITLED "PROPERTY SURVEY FOR CHRIS TOMPSON LOT 1, PLAT OF NORTH STREAM ESTATES" DATED 11-3-89, JOB NUMBER 89-230 12" RCP OR N-12 PIPE 6" PVC PIPE GROUT PIPE TO BASIN GROUTED BOTTOM RNG. 39 W. M. j')wNEFyCONT FROSIONRA ' I RE CONTROL AND LEGEND EXISTING EDGE OF PAVEME PROPOSED PAVING BULDING SETBACK LINE EXISTING POINT ELEV4110N CLE0 OUT IMPERVIOUS AREA EXHIBIT TOTAL NEW IMPERVIOUS: 4,337 SF TOP=104.9 _ IE(W)=99.42-OUT IE(S W) = 100. 92 - IN 106.0 ACCEPTABLE TIC�HTLINE MATERIAL SDR 35 BCH 40 N -12 F810 HAI NOR ROOF DRAIN 0 10 LEADER - F:blt NC#W A-00I-CloTrt►f 041,y 61 IE=101.14 Scale 1" = 10' CB11 TYPE 1-L CB O O VOL COt�-�pt01. PAD CONNECT BASEMENT FLOOR DRAIN SANITARY TO SEWER PIPING WITHIN HOUSE. FLOOR DRAIN LOCATED IN UTILITY ROOOM AND PROVIDED FOR EMERGENCY DRAIN IN CASE OF WA TER HEA TER LEAK. OUTLET IE=99.1 -j TOP = 102.7 OVERFLOW EL=100.6 SECURE WITTY METAL STRAP 6" PVC - 6" x 6" x 6" PVC TEE ORIFICE EL=98.85 +/- \PVC INSIDE DIAMETER CAP DRILL 7/8" ORIFICE IN CENTER OF CAP. SECURE CAP WITH FOUR STAINLESS STEEL SCREWS CONTROL STRUCTURE WITH RESTRICTOR DEVI N. T.S. V6rW ldA] .SIB ;;aZ 4SW 4 IMPlF4eV16VS #72zAr NOTES SI TE PUGET SOUND L W NDRIyS EAu LANE 1961H ST SW PUGET DR 524 rn CASPERS ST Q EDMONDS o FERRY TERMINAL :: QJ DALEY STOwc CENTER PLA MELD Z BELL ST MAIN a STREET c YOST y rn MEMORIAL u, 104 WALNUT ST PARK 2127H ST SW o B0�%y CITY Iyy W PARK 1. CATCHBASINS TO BE CONSTRUCTED IN ACCORDANCE WITH ASTM C' 4.78 (AASHTO M 199) & ASTM C 890 UNLESS OTfIERMSE SHOWN ON PLANS OR NOTED IN THE WSDOT / APWA SPECIFICATIONS 2. REINFORCING SHALL BE EQUIVALENT TO WELDED WIRE FABRIC HAVING A MINIMUM AREA OF 0.12 SQUARE INCHES PER FOOT. WELDED WIRE FABRIC SHALL COMPLY TO ASTM A 497 (AASHTO M221). WIRE FABRIC SHALL NOT BE PLACED IN THE KNOCKOUTS. 3. THE BOTTOM OF THE PRECAST BASE SECTION MAY BE ROUNDED. 4. PRECAST BASES SHALL BE FURNISHED WITH CUTOUTS OR KNOCKOUTS. KNOCKOUTS SHALL HAVE A WALL THICKNESS OF 2' MINIMUM. 5. KNOCKOUTS MAY BE ON ALL 4 SIDES WITH MAXIMUM DIAMETER OF 28". KNOCKOUTS MAY BE EITHER ROUND OR 'D' SHAPED. PIPE TO BE INSTALLED IN FACTORY SUPPLIED KNOCKOUTS. 6. KNOCKOUT OR CUTOUT HOLE SIZE IS EQUAL TO PIPE OUTER DIAMETER PLUS CONCRETE INLET WALL THICKNESS. 7. THE TAPER ON THE SIDES OF THE PRECAST BASE SECTION AND RISER SECTION Q SHALL NOT EXCEED 1/2" PER FT. 8. CONCRETE INLET FRAME AND GRATE SHALL BE IN ACCORDANCE WITH THE WSDOT / APWA SPECIFICATIONS AND MEET THE STRENGTH REQUIREMENTS OF FEDERAL SPECIFICATION RR-F-621 D. MATING SURFACES SHALL BE FINISHED TO ASSURE NON -ROCKING FIT. 9. FRAME AND GRATE MAY BE INSTALLED WITH FLANGE DOWN OR CAST INTO RISER. SEE TEXT SECTI❑N 5-06 WSDOT / APWA PLAN 1-A P XA01E0 VICINITY MAP I BEGIN 1" SLOPE 9" FROM FRAME I 9" T 4 CB GRATED LID SUMP DETAIL NOT TO SCALE /% A r/'%L1 M A niA1 r\lr)r' 4 1 STREET FILE LOCKING FRAME AND GRATE 20X4"X8' SOLID BRICK USED FOR FINAL ADJUSTMENT TO GRADE 6' HIGH MAX. 6' OR 12' CONCRETE RISER SECTION CLASS 4000 CONCRETE LY a r 6" CONCRETE REDUCING TOP SLAB CLASS 4000 CONCRETE PRECAST BASE SECTION (MEASUREMENT AT THE TOP OF THE BASE) d- 1520 97H AVE. N. EDMONDS, WA, 98020 I .I..r 'JITL• IV- '/V III.II I. VVI. VLI.VLI\ VI 11� ✓L.1 .II,.✓ /rV rvllll. rry I.a.. •r..� v.. r. Z. bUIL - - SW PROPERTY STAKE WITHELEVATION. 100.6 FOR VERTICAL REFERENCE. I J. IMMEDIATELY FOLLOWING FINISH GTAOING, FINAL LANDSCAPING IS TO BE INSTALLED U AREA EXPOSED EAR � USE EXISTING ASPHALT OR HYDROSEED OR MULCH OF EX 0 1H. DRIVEWAY FOR TEMPORARY .. �— CONSTRUCTION ENTRANCE INSPECTION NOTE EX. TREES TO Q CALL .THE CITY ENGINECI?_INSPECTION LINE (425-771-0220, EXT. 1326) . I Q REMAIN 24 HOURS IN ADVANCE h'OR ALL. ENGINEERING INSPECTIONS. 106,0 \I t �1n.� �/ END APPROVED AS ;�`f1vOINEE V 0 10 Scale 1" = 10' . VICINITY MAP N LEGEND. EXISTING EDGE OF PAVEMENT jp5.5 PROPOSED POINT ELEVATION SSBL BUILDING .SETBACK LINE 101.2 EXISTING POINT ELEVATION 1R30.050 DEVELOPMENT APPROVAL STANDARDS FOR EROSION AND SiDNMTA110N CONTROL ( PLAN, A. ESC MINIMUM REQUIREMENTS ALL ACTIVITIES NECESSITATING A CLEARING OR GRADING PERMIT AND ALL UALITY PROJECTS CONSISTING OF MORE THAN 500 LINEAL FEET OF TRENCH EXCAVATION SHALL BE REQUIRED TO CONTROL EROSION AND SEDIMENT DURING CONSTRUCTION AND TO PERMANENTLY STABILIZE EXPOSED SOIL RESULTING FROM CONSTRUCTION. PROJECTS INVOLVING A CRITICAL AREA MAY ALSO BE REQUIRED TO COMPLY NIH ANY COMBINARON OF THE ESC MINIMUM REQUIREMENTS COMPLIANCE WILL BE DEMONSMAIED THROUGH THE IMPLEMENTATION OF AN APPROVED ESC PLAN. GUIDELINES FOR PREPARING ESC PLANS ARE PROVIDED IN THE MANUAL. THE PLAN MUST ADDRESS THE FOLLOWING REQUIREMENTS: 1. ESC MINIMUM REQUIREMENT - CONSTRUCTION ACCESS ROUTE CONSTRUCTION VEHICLE ACCESS SHALL BE, WHENEVER PRACTICAL, LIMITED TO ONE ROUTE. ACCESS POINTS SHALL BE STABILIZED WITH QUARRY SPALLS OR CRUSHED ROCK TO MINIMIZE THE TRACKING OF SEDIMENT ONTO PUBLIC ROADS IF SEDIMENT IS TRANSPORTED ONTO A ROAD SURFACE, THE ROADS SHALL BE CLEANED THOROUGHLY AT THE END OF EACH DAY. SEDIMENT SHALL BE . REMOVED FROM ROADS BY SHOVELING OR SWEEPING AND BE TRANSPORTED TO A CONTROLLED SEDIMENT DISPOSAL AREA WiTH1N 24 HOURS STREET. WASHING SHALL BE ALLOWED ONLY AFTER SEDIMENT IS REMOVED IN THIS MANNER. . 2. ESC MINIMUM REQUIREMENT - STABILIZATION OF EXPOSED AREAS ALL SOILS EXPOSED BY LAND DISTURBING ACTIVITIES SHALL BE STABILIZED BY SUITABLE APPLICATION OF BMPS, INCLUDING, BUT NOT LIMITED T0, SOD, HYDROSEEDING, OR OTHER VEGETATION, PLASTIC COVERING, OR MULCHING. ALL BMPS SHALL BE. SELECTED, DESIGNED, AND MAINTAINED IN ACCORDANCE WITH THE MANUAL. THE EXPOSED SOILS SHALL BE STABILIZED ACCORDING TO AN APPROVED TIMETABLE. (TYPICALLY, NO SOILS SHALL REMAIN EXPOSED FOR MORE THAN TWO DAYS FROM OCTOBER 1 THROUGH APRIL 30 AND NO MORE THAN SEVEN DAYS FROM MAY 1 THROUGH SEPM MBER JO). 3. ESC MINIMUM REQUIREMENT - PROTECTION OF ADJACENT PROPERTIES ADJACENT PROPERTIES SHALL BE PROTECTED FROM SEDIMENT DEPOSITION BY APPROPRIATE USE OF VEGETATIVE BUFFER STRIPS, SEDIMENT BARRIERS OR FILTERS, DIKES OR MULCHING, OR BY A COM81NAIION OF THESE MEASURES AND OTHER APPROPRIATE BMPS CITY INSPECTION REQUIRED ON ALL EROSION CONTROL GRATE 4. ESC MINIMUM REQUIREMENT - MAINTENANCE. ALL ER051ON AND SEDIMENT CONTROL BMPS SHALL BE REGULARLY MEASURES BEFORE WORK CAN BEGIN. INSPECTED AND MAINTAINED BY THE OWNER TO ENSURE CONTINUED PERFORMANCE OF THEIR INTENDED FUNCTION. ALL MAINTENANCE AND REPAIR SHALL BE CONDUCTED IN ACCORDANCE WITH THE MANUAL. 5. ESC MINIMUM REQUIREMENT - OTHER BMPS. AS REQUIRED BY THE CITY, OTHER APPROPRIATE BMPS TO AIITTGAIE THE EFFECTS OF INCREASED RUNOFF SHALL BE APPLIED. CB 6. EROSION AND SEDIMENT CONTROL REQUIREMENT - UNDERGROUND UTILITY CONSTRUCTION. THE CONSTRUCTION OF UNDERGROUND UTILITY LINES SHALL SPECIFICALLY ADDRESS THE FOLLOWING: A. EROSION CONTROL FOR EXCAVATED AND STOCKPILED MATERIALS; . 6 THE PLACEMENT OF EXCAVATED MATERIAL WHERE CONSISTENT WITH SAFETY AND SPACE CONSIDERATIONS SHALL BE PLACED ON THE UPHILL SIDE OF TRENCHES, C. TRENCH DEWATERING SYSTEMS (MUST DISCHARGE INTO SEDIMENT TRAPS, SEDIMENT PONDS, OR OTHER ACCEPTABLE MEANS), _ - D. TRACKING ANU SPILLING OF MATT RIALS ON STREETS DUE TO HAULING, E. DAILY CLEANUP AND STREET MAINTENANCE. FILTER SOCK WITH 7. ADDITIONAL ESC MINIMUM REQUIREMENTS FOR LARGER DEVELOPMENTS: ALL NEW DEVELOPMENT AND OVER FLOW HOLES REDEVELOPMENT THAT INCLUDES LAND DISTURBING ACRWLIES OF GREATER THAN, OR EQUAL TO, ONE ACRE IN ADDITION TO MEETING THE MINIMUM REQUIREMENTS SET FORTH ABOVE SHALL COMPLY W IH ESC REQUIREMENTS LISTED a ; BELOW. 8. ESC MINIMUM REQUIREMENT - DELINEATE CLEARING AND EASEMENT LIMITS IN THE FIELD, MARK CLEARING LIMITS AND/OR ANY EASEMENTS, SETBACKS, SENSITIVEICRITICAL AREAS AND THE BUFFERS, TREES AND DRAINAGE COURSES: 9., ESC MINIMUM REQUIREMENT SEDIMENT TRAPPING PRIOR TO LEAVING THE 517E, STORM WATER RUNOFF SHALL ;. CATCH BASIN PASS THROUGH A SEDIMENT POND OR SEDIMENT TRAP, OR OTHER APPROPRIATE SUPS. SEDIMENT PONDS AND TRAPS, PERIMETER DIKES, SEDIMENT BARRIERS, AND OTHER BMPS INTENDED TO TRAP SEDIMENT ON -SITE SHALL BE CONSTRUCTED AS A FIRST STEP IN GRADING. THESE BMPS SHALL BE FUNCTIONAL BEFORE LAND DISTURBING ACAVIRES TAKE PLACE. EARTHEN STRUCTURES, SUCH AS DAMS, DIKES, AND DIVERSIONS SHALL BE SEEDED AND MULCHED ACCORDING TO AN APPROVED TIMETABLEE, 10. ESC MINIMUM REQUIREMENT - CUT AND FILL SLOPES CUT AND FILL SLOPES SHALL BE DESIGNED AND CONSTRUCTED IN A MANNER THAT WILL MINIMIZE EROSION. IN ADDITION, SLOPES SHALL BE STABILIZED IN ACCORDANCE WITH ESC REQUIREMENT NO. 2. r : •:' 1t. ESC MINIMUM REQUIREMENT - CONTROLLING OFF-517E EROSION. PROPERTIES AND WATER WAYS DOWNSTREAM FROM DEVELOPMENT S17ES SHALL BE PROTECTED FROM EROSION DUE TO INCREASES IN THE VOLUME, VELOCITY, AND PEAK STRAW BALES MAY BE USED IN FLOW RATE OF STORM WATER RUNOFF FROM THE PROJECT S17E • CERTAIN. CIRCUMSTANCES (SEE 12. ESC MINIMUM REQUIREMENT - STABILIZATION OF TEMPORARY CONVEYANCE CHANNELS AND OUTLETS ALL a DETAIL EI.I.D. THIS APPLICAITON TEMPORARY ON -SITE CONVEYANCE CHANNELS SHALL BE DESIGNED, CONSTRUCTED AND STABILIZED TO PREVENT SHALL BE MAINTAINED AT ALL EROSION FROM THE EXPECTED VELOCITY OF FLOW FROM A TWO-YEAR, 24-HOUR FREQUENCY STORM FOR THE TIMES DURING CONSTRUCITON DEVELOPED CONDITION. STABILIZATION ADEQUATE TO PREVENT EROSION OF OUTLETS, ADJACENT STREAM BANKS, PERIOD. SLOPES AND DOWNSTREAM REACHES SHALL BE PROVIDED AT THE OUTLETS OF ALL CONVEYANCE SYSTEMS 13. ESC MINIMUM REQUIREMENT - STORM DRAIN INLET PROTECTION. ALL STORM DRAIN INLETS MADE OPERABLE DURING CONSTRUCTION SHALL BE PROTECTED SO. THAT STORM WATER RUNOFF SHALL NOT ENTER THE CONVEYANCE SYSTEM WITHOUT FIRST BEING FILTERED OR OTHER{NSE TREATED TO REMOVE SEDIMENT. 1.4. ESC REQUIREMENT - REMOVAL OF TEMPORARY BMPS ALL TEMPORARY EROSION AND SEDIMENT CONTROL SUPS SHALL BE REMOVED WITHIN 30 DAYS AFTER FINAL SITE STABILIZATION IS ACHIEVED OR AFTER THE TEMPORARY BMPS ARE NO LONGER NEEDED. TRAPPED SEDIMENT SHALL BE REMOVED OR STABILIZED ON SITE. DISTURBED SOIL AREAS RESULTING FROM REMOVAL SHALL BE PERMANENTLY STABILIZED.' TEMPORARY SEDI MEN T TRAP FOR CB'S 15. EROSION AND SEDIMENT CONTROL REQUIREMENT - DEWATERWG CONSTRUCRON SITES DEWATERING SYSTEMS SHALL DISCHARGE INTO A SEDIMENT TRAP OR SEDIMENT POND. NOT TO SCALE 16. EROSION AND SEDIMENT CONTROL REQUIREMENT - CONTROL OF POLLUTANTS OTHER THAN SEDIMENT ON Edmonds STD E1.3 CONSTRUCTION SITES ALL POLLUTANTS OTHER THAN SEDIMENT THAT OCCUR ON SITE DURING CONSTRUCTION SHALL BE HANDLED AND DISPOSED OF IN A MANNER THAT DOES NOT CAUSE CONTAMINAAON OF STORM WATER. IZ EROSION AND SEDIMENT CONTROL REQUIREMENT -FINANCIAL LIABILITY. PERFORMANCE BONDING, OR OTHER APPROPRIATE FINANCIAL INSTRUMENTS, SHALL BE REQUIRED FOR ALL PROJECTS TO ENSURE COMPLIANCE WITH THE APPROVED EROSION AND SEDIMENT CONTROL PLAN. (ORD. 3013 § 1, 19951 GRADING QUAN it TIES CUT: 186 CY - for basement excavation FILL: 80 CY - for driveway grade GRADING QUANTITIES ARE ROUGH CAU:ULARONS THAT DO NOT TAKE INTO ACCOUNT SHRINKAGE OR SWELLAGE. �;L�---' SPOT ELEVATIONS & SURVEY INFORMATION PROVIDED BY. N 89 48 00 E 64.55 _� TYEE SURVEYORS PROFESSIONAL LAND SURVEYORS N 51 26' 00" W 7537 11 TH AVE. NE 2.00' SEA TTLE, WA 98115 c (206) 525- 3666 FND; 5/8' RESAR W/ FND; 5/8 REBAR W/ CAP "C&T LS-10117" _ ELEVATIONS, HOUSE LOCATION AND BOUNDARY FROM C&T SURVEE TITLED "PROPERTY SURVEY FOR CAP "C&T LS-10117"CHRIS TOMPSON LOT 1, PLAT OF NORTH STREAM ESTATES" DATED 11-3-89, JOB NUMBER 89-230 HELD EL-1:0,0.6 PER C&T SEE NOTE. ;F®F� IS 6�EgpON51t3LE FOR C0�3 i�r INAGE REV. # DESCRIPTION DATE OV�i�lit AND DRA ,Oil10, Cd�T��l 1 Address city review comments in memc dated 3-26-10 . 4-13-10 / ��,1* F 'Il�is� /M 3 p i 0 It.) 5 s . UTILITY CONFLICT NOTE:rG173 Fi��O THE CON IRA CTOR SHALL BE RESPONSIBLE FOR VERIFYING THE IOCARON, DIMENSION AND DEPTH OF ALL EXISTING UTILITIES WHETHER j'SyU14A-''�,C\G�� �Q SHOWN ON THESE PLANS OR NOT, BY POTHOLING . THE UTTIITL;i AND SURVEYING THE HORIZONTAL AND VERTICAL LOCATIONS PRIOR TO CONSTRUCTION. THIS SHALL INCLUDE CALLING UP.LII'Y LOC�TE AT 1-800-424-5555 AND THEN POTHOLING ALL OF THE EXISTING UTILITIES AT THEIR LOCATIONS OF NEW UTILITY CROSSINGS TO PHYSICALLY VERIFY WHETHER OR NOT CONFLICTS EXIST: LOCATION OF SAID UTILITIES AS SHOWN ON THESE PLANS ARE BASED UPON THE UNVERIFIED PUBLIC INFORMATION AND ARE SUBJECT TO VARIARON. EARTHWORK RESTRICTION NOTE: EARTHWORK IS RESTRICTED BEWTEEN OCT06ER 1 AND APRIL 30 AND ANY EARTHWORK IN THE IS TIME PERIOD REQUIRES APPROVAL FROM BOTH THE GE07ECHNICAL ENGINEER OF RECORD AND THE CITY BUILDING OFFICIAL. UREET FILE RESUB Co()2L APR 19 2010 BUILDING DEPARTMENT SITE ADDRESS CITY OF EDMONDS 1520 91H AVE N. EDMONDS, WA, 98020, LIMIT OF PIPE ZON'� FOUNDATION LEVEL N 0 T E S: BEDDING MATERIAL REQUIRED PER CITY OF EDMONDS MODIFICATIONS )IVISION 9 OF WSDOT STANDARD 'IFICATION FOR ROAD, BRIDGE UNICIPAL CONSTRUCTION AND OF PIPE. PIPE BASE 1. PROVIDE UNIFORM SUPPORT UNDER BARREL 2. HAND TAMP UNDER HAUNCHES 3. COMPACT BEDDING MATERIAL TO 95% MAX. DENSITY APPROVED BY DATE D. GEBERT 4/2/07 'a90-199" RESUB F ILE APR 19 2010 STREET 1 BUILDING DI�PAVMENT cITY OF EDMONDS E -D*.'M -.0-*N D S.'- STANDARD DETAIL PIPE BEDDING DATE SCALE DWG N0. 7/24/01 NTS E4.1 Lippert Addition, 1520 9th Ave. N., Edmonds, WA Table 1 -- Detention Pipe Sizes 771 Impervious Surface Required Pipe Diameter Area Sq. Ft. Vol Cu Ft 15' 18" 24" 30" 2000 50 40 28 16 10 2500 62 50 35 20 13 3000 75 60 42 24 15 Required pipe 3500 87 70 49 28 18 length in feet 4000 100 80 56 32 21 4500 112 90 63 36 23 5000 125 100 70 40 25 *NOTE: Use the next highest surface area to determine detention size if calculated impervious surface area is greater than 1/2 the value between numbers. (i.e., 2280 use 2500) Table 2 -- Outlet Orifice Sizes Impervious Surface Area Sq. Ft. Outlet Orifice Diameter (Inches) 2000-2999 5/8 3000-3999 3/4 4000-5000 7/8 Table 3 -- Rectangular Catch Basin Requirements Detention Max. Size Catch Basin pipe diameter knockout Type < 18" 20" Type I, CB 15 18" to 24" 26" Type IL, CB 16 24" to 36" 36" Type II, CB 19 19 (48" Basin) 36" to 42" 42" Type II, CB 19 19 (54" Basin) "Source: Assoc. Sand & Gravel Co. Standards ALLLOWABLE STORM DRAINAGE DETENTION OR CONVEYANCE MATERIALS: • Reinforced Concrete (right-of-way) • Non -reinforced Concrete (non -right-of-way) • Aluminized Steel • Aluminum 16 GA or better • CMP Asphalt Coated • N-12 ADS HOPE (Min. 2' cover required under paved areas) water tight • PVC-SDR 35, ASTMD-3034 or better • Ribbed PVC pipe, ASTM D-2444 • Ducticle iron pipe Class 50 - Tightlines system: • N-12 ADS (Smooth Wall) • PVC-SDR 35, ASTMD-3034, or better • Hancor F-810 S:\ENGR\HANDOUTS\Drainage tables E21 RESUB APR 19 2010 BUILDING DEPARt MENT CITY OF 0MONDS CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME NNA,M, E OF BUSINESS A ch.M (Jithi�La t.d•' .� MAILING ADDRESS 1 USE PERMIT ZONE"_ *�q ��""'"'/+� NUMBER JOB 5 L� ADDRESS LEGAL DESCRIPTION CHECK SUBDIVISION NO. CITY 4 ZIP [TO�NELEPHE NUMBER1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP r %v d -+4'T C) 4p ,`yam EXISTING REQUIRED DEDICATION NAME //;� �j'"'J�g PROPOSED f �f?.-�C� L(.�r` ;kL Z `r'•t -rw,I G �J METER SIZE LINE SIZE I NO.OF FIXTUF w ADDRESS 'V'� ve Q CITY �,,, )ZIP ]TELEPHONE VUMBER 'SAME W4 f�.k&T cc ADDRESS U CITY ZIP TELEPHONE NUMBER U STATE LICE NUM.B}Fi•-%r,QL�'�C� ? '� /EXPIRATION DATE Le/gal Description i�of/Property ,-include all easements p4.. '..1' � �/' -) ' fJ�-C- .Wr A,'7 'A�-C�•'-a+F- a. a V) o Property lXj 1 QC?G 1 Tax Account Parcel No. 0 NEW RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL � EMODEL APT. BLDG. ( LJ SIGN GRADING FENCE REPAIR CYDS. ( x _FT) "DEMOLISH WOODSTOVE El SWIM POOL . INSERT HOT TUB/SPA ❑GARAGE ❑ RETAINING WALL/ CARPORT ROCKERY RENEWAL z (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: u NUMBER NUMBER OF I CRITICAL OF DWELLING / AREAS 10 STORIES J1NITS NUMBER DESCRIBE ORK TO BE DONE (ATTACH PLOT PLAN) 96032-5 • VO S�PT is LID NO, or TESCP Approved ❑ RW Permit Required ❑ Street Use Permit Req'd ❑ Inspection Required ❑ Sidewalk Required ❑ Cr PRV REQUIRED a YES ❑ NO ❑ 3 Z Z Ir w z a Z w ENGINEERING MEMO DATED REVIEWED SIGN AREA SEPA REVIEW ADB NO. ALLOWED EOPOSED COMPLETE EXEMPT pNs SHORELINE 0 EXPf•Ik, VARIANCE OR CU PLANNING REVIEW BY DATE SETBACKS — FEET v HEIGHT I LOT COVERAGE FRONT SIDE ! lJ ' REAR CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT / ` GR SPECIAL INSPECTOR A ! A lq OCCUPANT ❑ REQUIRED LOAD YES PROGRESS INSPECTIONS PER UBC 305 f FINAL INSPECTION REQUIRED VALUATION PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING % en•'O� PLUMBING MECHANICAL Plan Check No. 70 This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewalks, STATE SURCHARGE driveways, marquees,'etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE N successors in interest, agrees to indemnify, defend and hold X w harmless the City of Edmonds, Washington,. its officials Qemployees, and agents from any and all claims for damages of z whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to FLAN CHECK DEPOSIT omodify, waive or reduce any requirement of any city ordinance TOTAL AMOUNT DUE x 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 ATTENTION authorized agent of the owner. I agree to comply with city and state laws regulating construction; and in doing the work authoriz- THIS PERMIT AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE Code of the Slat' of Washington relating to Workmen's Compensa- WORK NOTED tion Insuran a and RCW 18.27. INSPECTION SIGNATURE iqWMEP AGENT) ! : , SIGNED 1 DEPARTMENT JDATE r j / 1 }� C'= "W �^ /�� y'�.'b.i. ✓'� ^s" CITY OF . t / EDMONDS ATTENTION CALL FOR INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ��� 0 2� A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. ) Gi rf� RE APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIA GN U DATE ',,-,,y,� � ✓ RELEASED) BY- J DATE < ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor 0 " .ram... USE PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION` 9 JOB SUITE/APT p OWNER NAME/NAME OF BUSINESS {''' ADDRESS S'� (7 /w i _ ,� �� A/ Jul 6 C 6ec is M64 � �� �•t ( � 1 C � t LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO. Z MAILING ADDRESS 3.ts�� nee .f O T1 1� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ CITY ZIP TELEPHONE NUMBER RW Permit Required ❑ CAM o Y4s �� �}9 0 i? �� ^ �) „-' l EXISTING REQUIRED DEDICATION j' s� Street Use Permit Req'd ❑ PROPOSED inspection Required ❑ NAME Sidewalk Required O cc O V) n A Y D METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED Q w ADDRESS YES ❑ NO ❑ 3 r t7 t REMARKS ? U G CITY ZIP TELEPHONE NUMBER Z Z Z W NAME IN F,1vAjc4 ¢ ADDRES O ,-, %a �y� ENGINEERING MEMO DATED REVIEWED BY ad CITY ZIP TELEPHONE NUMBER O [� O. 1 QQ�,{t `_ ''12 FIRE MEMO DATED REVIEWED BY ¢ U STATE LICENSE NUMBER � V ,.j IEVXPIRATION DATE VARIANCE OR CU ADB N.SHORELINE A LL Legal Description of Property - include all easements Lot I j'Vo dkS-irGAm tOW CS � b SERA REVIEW SIGN AREA HEIGHT %tc( Q( COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED JPROPOSED Le(/ -� a EXP Z 2 c / U i 1611 +{1 C(ClrT rao-r,W 1 N V a ( B LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) rn o ALLOWED PRP�OSED FRONT SIDE REAR FRONT lJR SIDE REAR O 3-7 i Property 5 LOT AREA P NING IEW BY DATE g Tar Account /_ I d0� DO I 0 0 O - Parcel No. [P WLTCt�"/ C �S REMARKS NEW ® RESIDENTIAL PLUMBINGIMECH A 4e,al 5 Apt C'C. %'t tom" Crvc - COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE f?Y �' �' ® REMODEL APT. BLDG. SIGN GRADING FENCE CHECKED BY TYPESF QONSTRUCTION CODE OCCUPWT REPAIR CYDS. L_x_FT) .� DEMOLISH WOODSTOVE SWIM POOL SPECIAL INSPECTOR AREA 4C OCCUPANT INSERT HOT TUB/SPA REQUIRED LOAD GARAGE RETAINING WALL/ YES CARPORT ROCKERY E RENEWAL REMARKS C9 (TYPE OF USE, BUSINESS O ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 108 Z 0 RE 41rAA uj W NUMBER NUMBER NG F CRITICAL0 OF m AREAS STORIES �' UNITS IINUMBER O � DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) /jfh FINAL INSPECTION REQUIRED n, ` mogirl®/ hell e� /f�/] w[7 VALUATION FEE �` ��4-�.�i //� �(v�/ v , e '� /"� PLAN CHECK FEE BUILDING /rIt-'f 3 Pa HEAT SOURCE: GLAZING/]/ .^? -p O��%%��Cii�� CAS n� PLUMBING Plan Check No. 7V —le MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGrFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE 5-0 Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: 1 Year - Provided Work IS Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE ,n successors in interest, agrees to indemnify, defend and hold W harmless the City of Edmonds, Washington, its officials, s employees; and agents from any and all claims for damages of m whatever nature, arising directly or indirectly from the Issuance CV = of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT o modify, waive or reduce any requirement of any city ordinance °x nor limit in any way the City's.,ability to enforce arty ordinance TOTAL AMOUNT DUE .. provision." I hereby acknowledge that I have read this application;lthat the ATTENTION APPLICATION APPROVAL information given is correct; and tl►iat I am the owner, or the duly authorized agent of the owner. l agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the work authoriz• AUTHORIZES This application i not permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa• WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance aria RCW 18.27. INSPECTION acknowledged in space provided. . SIGNATURE (OWNER OR AGENT) DATE IGNED DEPARTMENT (Le (III CITY OF OFFICIAL'S SIG ATURE DATE f�ff/ EDMONDS CALL FOR ELEA ED DATE ATTENTION INSPECTIONS/C� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ��� Owwo UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 11 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC BEGTION 109 �,� / / PINK — Owner ©OLD —Assessor CITY OF EDMONDS USE /J� PERMIT �y ZONE �(/'�..I f _ NUMBER 60 h✓ v CONSTRUCTION. PERMIT APPLICATION JOB SUITE/APT# ADDRESS ,2-0 • qy-4-) Ad��; OWNER NAME/NAME OF BUSINESS ;3xA k4V%4-j "L t Lri�r- LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID. NO. " ZMAILING ADDRESS O % , IU "� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ CITY ZIP TELEPHONE NUMBER RW Permit Required ❑ �' O4 1.3 I y 0� 'f EXISTING REQUIRED DEDICATION Street Use Permit Req'd ❑ ❑ `,/ �rv� Inspection PROPOSED Required NAME Sidewalk Required ❑ METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED V W ADDRESS YES ❑ NO ❑ KK %W�l� ole REMARKScc U= Q 1 ' CITY ZIP TELEPHONE NUMBER Z d' ` j�/V 7_141f__ �) got.) 6 u077 NAME ADD S c 2 0. / ENGINEERING MEMO'pATED REVIEWED BY pc 2 CITY ZIP TELEPH NE NUMBER Z h.-/� � fi/lC D/� / ` "t.'J2*9� IRE MEMO"DTED,,' :" ks.;:;r; REVIEWED BY W STATE LICENSE NUMBE 'S1:� . °EXPIRATION TE,, -_. u SIGN AREA .% SEPA REVIEW AD NO. Legal Description of Property"'- include all easements ' ALLowEb° r PROPOSED, .. COMPLETE EXEMPT r 1 � ,,: _ : ✓ %ti, ' •"d ? 4 } SHORELINE M o VARIANCE OR CU PLANNING,REVIEW BY ' DATE Lu a {j" t, ON _ SETBACKS -FEET " HEIGHT LOT COVERAGE J 1 0I>} P p6 y �.�S9sri :i , ti FRONT SIDE `REAR g a Tax Account P` rq REMARKS Parcel No.,, 7 NEW,', RESIDENTIAL PLUMBINOr - ADDITION [1I�C�OMMERCIAL ., MECHANICAL .. (� nI r REMODEL APT. BLDG �a ^• SIGN r 5 ❑ �.ORAOINGr REPAIR -, r , �Q FENCEt r f 3f CYDS / J� (_ x ° `FT) CHECKED BY,, A•. rt < r TYPE OF:CONSTRUCTION .CODE u t �� GROUP T < �1L of^r..n•,^ate,, i Y `'�sr� i • A••..�rd�.- WOODSTOVEr S° r; DEMOLISH e SWIM POOL INSERT 1 < ,N a HOTtTUB/SPA'REQUIRED, SPECIAL INSPECTOR< , AREA y = ` i OCCUPANT •y..q .,.,v' •�C �� to - "'�i .lri� ,!•a _.!; GARAGE RET61NING WALL/ c LOAD ,a CARPORT ��ROCKERY }• a RENEWAL t r MARKS - y ii (TYPE OF SE. BUSINESS OIWenu�JtN } {� ; PROGRESS INSPECTIONS PER UBC 3Q5 ^ �-� O s Cr �� rF^• e / D !:'.`�'.e�."�'r " 4 K7 -f`% 9a �rC{•$. V y ttiy s,r y ;i a o NUMBER OF NUMqFrFjiOF- a�P``s $ CAIjICAL✓�' ��: DWELLING t 14 iA EAS a m STORIES UNITS?J''v' <.. ;.' NUMBER O DESCRIBE WORK TO BE DONE (ATTA," P.LOT•PLAN). +• ` " t s a)II/Of INAL INSPECTION.REQUIRED r VALUATION FEE "h PLAN CHECK FEE; f ,^• T/raua�. c-� w►(vAo C+.td�'d►� BUILDING , �p HEAT SOUi)CE: -r cr * GLAZING r : a x a %V Q��► s I PLUMBING,.: '. Plan Check No. al'-�i %� z, 1t MECHANICAL This Permit covers work to be done on private property ONLY. ,GRADING/FILL Any construction on the public domain (curbs, side'welks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE •.JC/ Permit Application:180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE ur successors in interest, agrees to Indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, 5 employees, and agents from any and all claims for damages of cr = whatever nature, arising directly or Indirectly from the Issuance be deemed PLAN CHECK DEPOSIT g of this permit. Issuance of this permit shall not to o modify, waive or reduce any requirement of any city ordinance x nor limit In any way the Clty's ability to enforce any ordinance TOTAL AMOUNT DUE I provision." ! I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL 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 THIS PERMIT state laws regulating construction; and in doing the work authoriz• AUTHORIZES This application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK -NOTED Deputy; and fees are paid, and receipt is Lion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. SIGNATU (OWNER OR AG NT) DATE SIGNED DEPARTMENT CITY OF OFFICIA IGN D TE EDMONDS 4W.ZhCALL ATTENTION FOR INSPECTION RELEASED BY: h IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR OwwO 771r.11 ORIGINAL — File YELLOW — Inspector A' CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC CHAPTER 3.. n " `,ram t GPINK — Owner GOLD — Assessor �/�� 102•87 1F� s i IMPERVIOU5 AREA CALOULATION5: EXISTING RESIDENCE ROOF OUTLINE DULY 1, IT11, GRANDFATHERED PER ORDINANCE Ig116 ADDITION/ REMODEL (+/-41 S.F. ADDED ON MAIN FLOOR? 2010 PROp05ED NEW ADDITION EXISTING BUILDING ROOF OUTLINE (PRIOR TO Igll) 00 0 Vi56 5F (EXEMPTED) EXISTING, PATIO (PRIOR.TO Ig11) . .�.�---- —' 113 SF (EXEMPTED), PROPOSED ADDITION ROOF OUTLINE +BAY PLAYHOUSE (512 5F PROP05ED PAVED PATH 2,182 5F FROF05ED DRIVEWAY - 4,385 5F TOTAL IMPERVIOU5 SURFACE 4,355/15,550 = 28.2% PERCENTAGE OF IMPERVIOU5 SURFACE PROPOSED ADDITION > 2,000 S.F.; HENCE DETENTION SYSTEM REOD. (SEE CIVIL DRAINAGE PLAN FOR DETENTION SYSTEM ON SITE) LOT COVERAGE CALCULATION, TOTAL SITE AREA = 15,530 5F. BLDG. FOOTPRINT (INCL. EX. + NEW) COVERED PORCH, CARPORT = 414 5.F. TOTAL LOT COVERAGE BY STRUCTURES = 2,602 S.F. % PROPOSED LOT COVERAGE BY STRUCTURES = 2,602/ 15,530 = 16.15% B = 101.2 o. Zone-- Garner N 6 Flag Setbacks Re uired Actual Front W .._.., 22 _ Sides,/AS Rear E Other Height 2 Ala en o e- c,1 Anva,.c% 30" o 4 e�t'�'GnGI ie�To �Y1� SG�Dxa�GS "Nothing in this permit approyui process s>,�all be interpreted as allowing �or permitting the maintenance of any currently existing illegal, :jonconforming or unpermitted building, structure or site condition whir�i is outside the scope of the r A application, regardless of whether such Building, structure or condition is shown on the Fite pplan or drawing. Such building, structure or condition may be the subject of a pepftrate LINE OF NEW GRADE5 (TYP), PER CIVIL GRADING PLAN . LINE OF EXI5TIN6 GRADES, \ TYR. 100 lol EX. TREES TO REMAIN �� v> PROP05ED DETENTION SYSTEM, SEE DRAINAGE PLAN 102 '�T�> \ \ 0 103 LINE OF ' ' EXISTING DRIVE 104 PROPERTY LINE 72 FRONT 5E�TE ACK /!: %?�; \ �: �� 6 Op„ AY EX: SHED TO REMOVED 76, \ > 5 EX. FENCE \ BUILDING SET BACK LINE j EX. GSA EOI.� j j TO REM�iN `� S (E .) I . / .15TIN6: E .SHED / EX. FENCE ' L / I ���j� +106' TO REMAIN \ ! l NEW PA ED (EX.) s DRIVt� 03.E v. \ .� UTILITY PO EX . TO REMAIN / \ \ . LINE OF dyp / LDE K:1 ANDSGA ING BV. \ PLANTIFI. ... E TRIP / LR. WALL i +104:8 \ / GO LINE OF • (EX.) yp GARPOR� ,6 .. � . 1 (• ROOF O H �.. +105 . ..(EX — EX WATER'METER \ / „ TC REMAIN \ i dyp ! x TOW 102.2' / J 7 ?$ =0 NEV � 1.6 ,. �/:. - / � . / - ��� / q :i / PAVq . DR VE CK ss ROCKER(1-0 +101.6' TOW 104.1 ,g � � �.- ;. - -/ 10-2.2'—� / ��OPCc75ED NE /: / b m l I✓ (EX.) j ,_ W ADDITION'S% DR/ �7-6BASEMENT FLR. EL. + ql.l'- / IN FLR. EL: +1059l�'i �' ,UISPER FLR. EL. +116.51:'.`i/.,. +104. EX. ENTRY TO REMAIN ! q r. ENBAY. o yJ l' ,Q.FLANTIN i f� %%�:-%: STRIPS .� - N +103.8' O 100. NEW PATH EX. HOOD PORCH +1EX) EXISTING RESIDENCE 0 � WAY 5TAI REMOD L (EX.) / REMODEL D / EXI5TING MAIN FLR. EL. +105.11' ' SET OUT POINT EX. ZCONET40TEP FX /�! 2?, l FOR NEW CONSTR. PRIOR I�fO Ig11 TC EN F l �. >(- I / APPROX. EXIST. E't15TIN6 = '' - 102_;5; I / %:� // `++ GA5 METER 11:LEPHONE "C = ,>�� I LOCATION LINE EX. GRADE CONTOURS +105. ' +105.5' �(NO NEW CONSTRUCTION (EX) (EX). AT THI5 ARE / EXISTING APPROX. RELOCATED / I PATIO LOCATION OF ON5TRUCTED EXISTING GA5 METER; +100.6' �/ LAND APING PRIOR TO IT 71 VERIFY NOWNER i;7 SURVEY MARKER / EX. PLAY OUSE IN DATUM AT 100.6' TO REMP�/ EXISTING ,4 .25c, �qj 105. OUS 0 +101.2' O v� / I 1 S N 8T ° 48' 00" E 64.55' N 510 26' 00" W 'y 2.00' DATUM POINT 15 100' AT 101 T.O.RIM OF MANHOLE .COVER IN TTH AVE. N, LOCATED AT. 102 104 +104.4' 103 THE SOUTH END OF PROPERTYAA k 51TE PLAN O 2.5 5 10 . 20 40 NOTE: - SEE GRADING PLAN FOR DRIVEWAY SLOFI= - REFER TO 0005 FOR SEE DRAINAGE PLAN - PLAN PREPARED BASED ON PARTIAL SURVEY B 04 T SURVEYORS DATED II-3-8T, PARTIAL SURVEY BY TYEE 5URVEYOR5 DATED OI-28-2010 A14D ADDITIONAL INFORMATION PROVIDED BY ON IER. - CONTRACTOR SHALL VERIFY ALL DIMEN519N5. EGEND: NEW CONSTRUCTION APPROVED AS NOTED 13Y ENGINEERING Date:. AGfN1 re4?-- 0A161A)rNdi IP. Wr4,0,-M9N7S . OWNERS: JULIE BECKMAN PAUL LIPPERT STREET ADDRE55: 1520 NINTH AVENUE EDMONDS, WA 15620-2621 TAX PARCEL #: 00622000000100 �s ST TE or WASFIINGTON BRIAN BRAND COPYRIGHT © 2010 BAYLIS ARCHITECTS INCORPORATED ALL RIGHTS RESERVED THIS DOCUMENT. AND THE IDEAS AND DESIGNS INCORPORATED HEREIN. IS THE PROPERTY OF BAYLIS ARCHITECTS INC., AND MAY NOT BE REUSED, IN WHOLE OR IN PART, WITHOUT THE WRITTEN CONSENT OF BAYLIS ARCHITECTS INCORPORATED. (W� V Z Z W 0 Z oC J i- W LL Q W a. 0 CL J \ V Z 0 Z 0 V W W W PROJECT NUMBER: 09-0646 PROJECT MANAGER: JL DRAWN BY- SK PLOT DATE: May 06, 2010 - 9:36arn DATE: 03/08/2010 PERMIT SET 04/19/2010 PERMIT REVISION 05/06/2010 PERMIT REVISION PERMIT REVISION 1 04.19.2010 PERMIT REVISION 2 05.06.2010 10801 Main Street Bellevue, WA 98004 T 425 454 0566 F 425 453 8013 www.bayffsarchitects.com RESUB MAY - 6 2010 uFDEPARTMENT oTCITY OMONDDS SITE PLAN STREET FILE '. �j In z p rn rn m m� m I rn 9> � N fn pM _O o 11 C; o'. STREET FILE �D/OD/.59 MIAR - 8 2010