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16710 76TH AVE W.PDFIIIIIIIIIIII 6161 16710 76TH AVE W CITY OF E D M O N D S GARY HAAKENSON MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • 425-771-0220 • FAX 425-771-0221 DEVELOPMENT SERVICES DEPARTMENT `�`�ebsite: www.ci.edmonds.wa.us May 11, 2010 David Teo President, Brookacres HOA 16600 76`h Avenue West Edmonds, WA 98026 Subject: Hazard Tree Removal Dear Mr. Teo, The City of Edmonds was contacted in April regarding the removal of a hazard tree located in the common area of Brookacres Estates adjacent to the residence at 16710 761h Avenue West. Upon review of the site, it was found that slopes in excess of 40% exist in the vicinity of the tree. These slopes are considered critical areas pursuant to Edmonds Community Development Code (ECDC) 23.40 and ECDC 23.80 where slopes from 15% to 40% are considered potential erosion hazards and slopes in excess of 40% are potential landslide hazards. Additionally, Meadowdale Stream is near the tree and the tree may be within the buffer for the stream as established in ECDC 23.90.040.D. Generally the removal of trees, or any vegetation, within a critical area or critical area buffer is not an allowed activity, unless, pursuant to ECDC 23.40.220.C.7, it involves the removal of invasive species or hazard trees. Documentation from a certified arborist (Sean Dugan of Tree Soultions Inc.) confirmed that the large Douglas fir tree has butt rot disease (Phaeolus schweinitzii) and that given its proximately to the residence at 16710 76`h Avenue West, the tree posed a significant threat to the residence. As indicated in emails and your April 20, 2010 letter, the intent is to create a wildlife snag approximately 20 feet in height out of the tree. The City of Edmonds code allows for the retention of wildlife snags in lieu of planting replacement trees. ECDC 23.40.220.C.7.b.ii states that, "Tree cutting shall be limited to pruning and crown thinning, unless otherwise justified by a qualified professional. Where pruning or crown thinning is not sufficient to address the hazard, trees should be removed or converted to wildlife snags", and ECDC 23.40.220.C.7.b.iv further states that "the landowner shall replace any trees that are removed with new trees at a ratio of two replacement trees for each tree removed." As long as a snag is left, replacement trees will not be required. Incorporated August 11, 1890 Sister City - Hekinan, Japan An exemption for the tree cutting is granted with the following conditions: 1. Only the identified Douglas fir hazard tree may be removed. 2. The proposed wildlife snag must remain as tall as possible without posing a threat to the residence at 16710 761h Avenue West. If the snag that remains is less than 10 feet in height, as measured from the upslope side of tree, replacement trees must be replanted at a ratio of 2:1 consistent with ECDC 23.40.220.C.7.b.iv. Feel free to contact me if you have any questions, 425-771-0220. Sin erely, v ernen Lien Associate Planner Encl: April 30, 2010 letter and hazard tree documentation Cc: 16710 76`h Avenue West Street File BROOKACRES HOMEOWNERS ASSOCIATION April 30, 2010 Kernen Lien Associate Planner City of Edmonds Development Services Department 121 — 5`h Avenue North Edmonds, WA 98020 RECEIVED MW 0 12010 PLANNING DEPT. Subject: Permission to cut down a diseased, dying fir on Brookacres Common Property Thank you very much for the help you have provided so far regarding the City of Edmonds' approval process and procedure for removing our dying tree. This memo is a follow up to the telephone conversations and email correspondence between Kernen Lien and resident, Kay Teo, regarding a plan and permission to remove a large, diseased, dying Douglas Fir located on Brookacres Common Property. The tree is located about 12 feet due West of the private residence located at 16710 — 76`t' Ave West. We have read through the Edmonds City Code 23.40.220 as provided by Kernen and have followed the steps for a certified arborist's evaluation. Enclosed is that report from Tree Solutions, along with a photograph taken of the base of the tree. The arborist has determined that the tree has Phaeolus sulpherensis and is rated as a moderately high risk for failure. We have opted, on the recommendation from TS arborist to leave a snag for wildlife to nest or rest in. The snag should last at least for the next 15 years and it will most likely not pose a danger to the existing residence. Please let us know if you have any additional questions. We hope to hear from you soon, so that we may proceed with the tree removal (down to snag level). Sif�rely, Davia'feo President Brookacres Homeowners Association 16600-76`' Avenue West Edmonds, WA 98026-5000 425.776.4238 Enclosures: Tree Solutions Field Notes & Photograph Map of Brookacres showing approximate location of tree Tree Solutions Tree Risk Assessment d Tree Solutions Arborist Certification and Credentials Tree Solutions'General. Specification of Wildlife Snags FIELD NOTES CLIENT' Q DATE 4- Z — SITE p' r TIME IN S U I �I}Of i E OUT PHO ` EMAIL BIILABLE HOURS r'o t� i.. 5eeh oa,.orL...aekG rey -e A0 �ru : JAA ✓r'C. VA0,1 erd 1�C. S•z-�. a f iic! vo( di�,�r' a ro No ••�. -Z i fe, 4o V� n Lia co,� �(x) ^4'S � �� A t0 l U � S• U ` �'I �C' � -� � I vt �. \ - �'� � V ' ✓ r �,r � • rum k, v✓-�. LA tb :h,,v� c►� -� UC,{�.-. ;. u .S. Q ... .L%"`�l .lr-r',�1 !(oQ 5� s"+ /4rr- sro�L s I I ; -�-. &IL s�d �� 1':�1� V�w+a:►-� � � � s_�y�'u�j_. CONSULTANT: ACCEPTED BY: ❑ Scott D Baker, Pri ' a �•Se n, Senior Consultant ❑ Associate Consultant ASCA Registeretl n ng Arborist p41 SCA Registered Consulting Arborist 1457 ISA Certified Arborist No. ISA Certified Arb (St No. PN-0670A ISA Certified Arborist No. PN 5459A -ISA Certified Tree RIsK Assessor(' PNW-ISA Certified Tree Risk Assessor 10145 PNWISA Certified Tree Risk Assessor 10149 1058 N. 39th St. * Seattle WA 98103 * (206) 528-4670 * www.treesolutions.net `� 1 j p 'Valuable Knowledge of %rees' 7 Glossary air excavator: device that blows air at high force; used to remove soil from the root zone of trees without damaging roots. ANSI A300: American National Standards Institute (ANSI) standards for tree care arborist wood chips: a mulch consisting of woody tissue from a tree, obtained during tree -trimming operations. ASCA: American Society of Consulting Arborists basal flare: The rapid increase of diameter that occurs at the junction of the trunk and root crown, associated with stem and root tissues. (Dunster 1996) cabling: I nstallation of hardware in a tree to help support weak branches or crotches codominant stems: stems or branches of nearly equal diameter, often weakly attached compartmentalization: physiological process that creates the chemical and physical boundaries that act to limit the spread of disease and decay organisms (ANSI A300) cracks: defects in trees that, if severe, may pose a risk of tree or branch failure crown: the aboveground portions of a tree crown cleaning: selective pruning to remove one or more of the following parts: dead, diseased, and/or broken branches (ANSI A300) DBH or DSH: diameter at breast or standard height; the diameter of the trunk measured 54 inches (4.5 feet) above grade - DGL: diameter at ground level end weight: accumulation of mass at the end of a branch feeder roots: common term to describe fine, nonwoody, short-lived roots than absorb water and mineral nutrients (see Absorbing Roots) (Matheny et al. 1998) included bark: bark that becomes embedded in a crotch between branch and trunk or between codominant stems and causes a weak structure ISA: International Society of Arboriculture leader: a dominant or co -dominant, upright stem (ANSI A300) pathogen: causal agent of disease phototropic growth: growth toward light source or stimulant PNWISA: Pacific Northwest Chapter of International Society of Arboriculture (I SA) root crown: the point at which the trunk and buttress roots meet scaffold branches: the major structural support branches that attach to the trunk seam: the characteristic vertical line that appears where two edges of woundwood or callus ridge meet. Commonly found at branch junctions where bark is included and between the two edges of call us-woundwood at the center of a cavity or wound structural defects: flaws, decay, or other faults in the trunk, branches, or root collar of a tree, which may lead to failure target: person, object, or structure that could be injured or damaged in the event of tree or branch failure tree protection zone: a space above and below ground within which trees are to be retained and protected VTA (Visual Tree Assessment): method of evaluating structural defects and stability in trees by noting the pattern of growth. Developed by Claus Mattheck. windthrow: type of tree failure associated with uplifting of the entire root plate, often occurring in high wind. Kay, Here is the photograph I took on site today of the Velvet Top fungus {Phaeolus schweinitzi►l located on the west side of the trunk. This is a root and butt rot disease of Douglas -fir (Pseudotsuga menziesii) trees and can ultimately lead to trunk failure. Given that the fruiting body is located on the base of a flare root it is likely to be a moderate to advanced case. There is no cure for the disease. I have included a link to a website if you are interested in learning more about the disease. http://www.forestpests.org/subiect.html?SUB=524 Let me know if you have any questions. Respectfully, Sean Dugan www.treesolutions.net Seattle, WA. / A 4, 1 PV) iAT,-' OF BROOKACRES ESTAIii"ES.: A PLANNIED RESIDENTIAL DEVELOPMENT ,'CTION 7,TWR,27N.ssRm4EiWroMw CITY OF EDMONDS SNOHOMISH COUNTY9WASHINGTON. ;RVEVOR'S CERTIFICAA-TE Z T 11-F Y THAT THTS REPLAT.OF BROOKACRES ESTATES 'tN AN ACTUAL AND 5 0 BD-'V 1 ON OF SE - T T jlj 5 V R V E Y L 27 NORTHL, RANGE 4 PAST M. THAT THE COU , SES -i-S ARE. SHOWN CORRECTLY THIER-EON, THAT THE Wu -NU- J' E "5ET AND THLE LOT AND BLO-':-7K CC)RNERS STAKED 06 yn THE GROUND AS CONSTRUCTION' IS C 0 M. P L E T E C') AND FPOVT-- LY C0,14PLIEC) WITH DLAT- F! T Wr u- LA;; JSt IP"' 7,/�:-: '—) 5 c rr, 1800 VV 2 7. 4.4 lye. '-74 f4, -5 5 7f, , A�k�i e-fT TRACT 115 (commo-N, AREA" Risk EGRESS .ram T R. T 13 AC -EA) lGti, AVENUE. W 7 5- L= 11 9;' 905 rm Consulting Arborists Installing bird holes and bat slits. Bird holes form as stumps decay and woodpeckers begin to work on the decayed wood. Bats often use narrow cracks or loose pieces of bark that occur as a snag deteriorates to roost in. This process can be speeded up by cutting in a birdhouse or bat slit in the created snag. CAUTION, these techniques require advanced chainsaw skills. Use a small, sharp saw and extreme care. 1. Bore a triangular "pie' shaped piece from the trunk. Use a crowbar to pop the piece loose. 2. Send the piece to the ground and cut the back off, leaving a 1-2" thick slab of wood with the bark. 3. Drill an appropriately sized hole. Two northwest species that use trees are chickadee ( 1 ") and Flicker (2.5") 4. Deepen and enlarge the hole using the tip of the saw bar 5. Send the piece back up into the snag and screw or nail it back in place. Bat slit 1. Make a shallow cut upwards into the trunk of the tree. 2. Use the saw to widen the cut to about 1/2""' (206) 528.4670 1058 N. 39`h St•Seattle•WA•98103 www.treesblutions.net "Valuable Knowledge of Trees" SNAG . Specificaton for Wildilfe Snags Page 2 of 2 Consulting Arborists GENERAL SPECIFICATION FOR CREATION OF WILDLIFE SNAGS Goal The object of creating a snag is to preserve as large a portion of a defective tree as the location permits. The tree is meant to serve as habitat for birds and insects and to blend in with the landscape. In order that the tree does blend in, the cuts made by chainsaw are disguised to look like a natural break rather than a saw cut. Snag Height The height of a snag is dependent on the site. It is important to remember the tree will slowly decay and fall apart. In busy locations, it is best to choose a height that will not put anything at risk as the tree slowly decays and falls apart. Based on management concerns and budget, long-lived snag species may be monitored and reduce in height again as they break down. Species selection: Long lasting snags = 15 years or more Douglas fir (Pseudotsuga menziesii), Western red cedar (Thuja plicata) Bigleaf maples (Acer macrophyllum) Other maple species (Acer) Oak species (Quercus) Short lived snags = Less than 15 years Western hemlock (Tsuga heterophylla) Red Alder (Alnus rubra) Bitter cherry (Prunus emarginata) Black cottonwood (Populus trichocarpa) Snag Creation techniques: Birds love a perch, and so, it is important not to strip a snag tree of the lower branches. Branches can be cut back, but stubs should be left to serve as perches and to mimic nature. Ragged cuts at the end of branches will look best when the tree is finished. The cut at the top is important to the look of the final project. ➢ Try to mimic the way trees that break naturally look. ➢ Many small slits in the edge of the trunk works well. ➢ Use a small sledgehammer to break and bend the smaller pieces created with saw cuts. (206) 528.4670 1058 N. 39'h St•Seattle•WA•98103 www.treesolutions.net "Valuable Knowledge of Trees" SNAG . Specificaton for Wildilfe Snags Page 1 of 2 V �Iot ► Consu It n g iArboris'ts Tree Risk Assessment The Pacific Northwest International Society of Arboriculture (PNWISA) Tree Risk Assessment method is adapted from the United States Forest Service risk assessment approach and is considered the present Standard of Care. This method provides assessors a structured process, based on good science and arboriculture, to assign recommended thresholds for action for the purpose of informing risk managers. The PNWISA Tree Risk Assessment method requires assessor certification. The method uses a 12 point system, divided into three categories, to rate the potential risk from a tree and its parts. FP —]Probability of Failure is rated at 1-5 points based on the judgment of the assessor. 1 point = Low risk — The defect is not likely to lead to imminent failure and no further action is required. In many cases these defects might not even be recorded. 2 points = Moderate risk — One or more defects that are well established but would typically not lead to failure for several years. Corrective action might be useful to prevent future problems but only if time and money are available. Not the highest priority for action, these are the "retain and monitor" situations that can be used to inform budget and work schedules for subsequent years. ants = Moderately High risk — One or more defects areas well established but not yet deemed to beat h priority issue. Additional testing may be required or, the assessor may feel the problems are not serious enough to warrant immediate action, but do warrant placing the tree on a list of trees to be inspected more regularly. These are Retain and Monitor trees. 4 points = High risk — The defect is serious and imminent failure is likely and corrective action is required immediately. These cases require treatment within the next few days or weeks. .5 points = Extreme - The tree or component part is already failing. An emergency situation where treatment is required today. FSSize of the Defective Part(s) is rated 1-3 with 1 point for branches or stems up to 10cm (4 inches) in diameter, 2 points for branches or stems between 10-50cm (4-20 inches) in diameter anc points for branches or stems over 50cm (20 inches) in diameter. F-1 Target Area is rated 1-4 based on the following target descriptions. 1= Low — Sites rated at one point are very rarely used for any long period of time, and people passing through the area (regardless of how they travel) do not spend a lot of time within the striking range of the tree within any one day. There are no valuable buildings or other facilities within striking range. 2= Moderate — Valuable buildings are at the edge of striking distance, so they would not be seriously damaged even if the tree did fall down. The site has people within striking range occasionally, meaning less than 50% of the time span in any one day, week , or month, and do not stay within striking range for very long. 3= Moderately High — The site has valuable buildings within striking range. People are within striking range more than 50% of the time span in,any one day, week, or month, and their exposure time can be more than just passing by. igh — The highest rated targets have a building within striking range frequently used by peopl en for longer periods of time, or high volumes of people coming and going within striking range "Valuable Knowledge of Trees" Tree Solutions Inc. www.treesolutions.net 1058 North 391h St. Seattle, WA 98103 Phone 206.528.4670 Fax 206.547.5873 Tree Risk Assessment 2009 The Overall Risk Rating and Action Thresholds 2 of 2 Risk Risk Interpretation & Implications Rating Category 3 Low 1 Insignificant- no concern at all. 4 Low 2 Insignificant — very minor issues 5 Low 3 Insignificant — minor issues not of concern for many years yet 6 Moderate 1 Some issues but nothing that is likely to cause any problems for another 10 years or more 7 Moderate 2 Well defined issues — retain and monitor. Not expected to be a problem for at least another 5 — 10 years 8 Moderate 3 Well-defined issues — retain and monitor. Not expected to be a problem for at least another 1— 5 years. 9 High 1 The assessed issues have now become very clear. The tree can still reasonable be retained as it is not likely to fall apart right away, but it must now be monitored annually. 10 High 2 The assessed issues have now become very clear. The probability of failure is now getting serious, or the target rating and/or site context have changed such that mitigation measures should now be on a schedule with a clearly defined timeline for action. 11 High 3 The tree, or a part of it has reached a stage where it could fail at any time. Action to mitigate the risk is required within weeks rather than months. 12 Extreme This tree, or part of it, is in the process of failing. Immediate action is required. All other less significant tree work should be suspended, and roads or work areas should be closed off until the risk issues have been mitigated. Disclaimer: Interpretation and Implications stated above are as shown in the Tree Risk Assessor Method certification course materials and are intended to inform the reader about general guidelines for establishing thresholds for action and to better un erstand risk abatement recommendations. Tree Solutions makes no guarantee or warranty, express or implied, that problems or deficiencies of the trees in question may not arise in the future or within the timeframe stated by the Method above. Options for Mitigation of Risk Trees include: Remove the risk altogether if possible by cutting off one or more branches, removing dead wood, or possibly removing the entire tree. Extreme risk situations should be closed off until the risk is abated. Modify the risk of failure probability. In some cases it may be possible to reduce the probability of failure by adding mechanical support in the form of cables braces or props. Modify the risk rating by moving the target. Risk ratings can sometimes be lowered by moving the target so that there is a much lower probability of the defective part striking anything. Moving the target should generally be seen as an interim measure. Retain and monitor. This approach is used where some defects have been noted but they are not yet serious and the present risk level is only moderate. Reference: Dunster & Associates Environmental Consultants Ltd. Assessing Trees in Urban Areas and the Urban -Rural Interface, US Release 1.0. Silverton: Pacific Northwest Chapter /SA, 2006' X- "Valrrahle KnoivIedye of Trees" Tree Solutions Inc. www.treesolutions.net 1058 North 391h St. Seattle, WA 98103 Phone 206.528.4670 Fax 206.547.5873 Consultin 9 A r b o r i s t s u Arborist Certifications& Credentials Certifications/Designations by ISA: International Society of Arboriculture The below certifications were established by ISA to establish consistency and quality in the arboricultural profession. These credentials ensure that the arborist has an acceptable level of knowledge in the field, and that they are aware of certain standards of safety. It also confirms that arborists continue to educate themselves with the latest science available regarding tree care. ISA Certified Tree Worker/ Climber Specialist Arborist has atleast 18 months experience as a professional climber performing tree care, including pruning, renewal, cabling and safety. Continued Education required for recertification every 3 years. ISA Certified Arborist Arborist has at least 3 years experience in tree care industry and has passed an exam demonstrating knowledge in all. areas of arboriculture. Continued Education required for recertification every 3 years. ** ISA Certified Utility/Municipal Specialist These ISA Certified Arborists have additional experience in the specialty area of urban trees. The municipal specialists work for cities and states, parks, contractors or consultants; utility specialists work for utility companies, their contractors or consultants. A professionally developed exam and education program demonstrates that these arborists have a thorough knowledge of establishing and maintaining trees in a community (Municipal Specialist) or line clearance vegetation management (Utility Specialist). Continued Education required for recertification every 3 years. * PNWISA Certified Tree Risk Assessor Specific to the Pacific Northwest, this certification is for consulting arborists and is obtained once one completes a training course and passes an exam specific to conducting Tree Risk Assessments in Urban and Urban/Rural Interface areas. Arborist must already be either an ISA Certified Arborist or a Certified Forester. Renewal, required every 4 years. *** ISA Board -Certified Master Arborist This is the highest certification awarded by ISA. This arborist will have passed an exam exhibiting knowledge in all aspects of arboriculture, including the physiology, tree management, and the common pests and diseases of trees in the region. Continued Education required for recertification every 3 years. "Valuable Knowledge of Trees" Tree Solutions Inc. www.treesolutions.net 1.058 North 39`" St. Seattle, WA 98103 Phone 206.528.4670 Fax 206.547.5873 Certifications explained 11/26/2007 p.2 of 2 Certifications/Designations by ASCA: American Society of Consulting Arborists ASCA strives to establish a unifying voice throughout the profession of consulting arboriculture. Their credential system aims to bring consistency and an objective viewpoint to the evaluations, appraisals, and diagnosis of trees by their members. * ASCA Member Member has a minimum of 5 years experience as an arborist as well as an advanced education, such as a 4-year degree in an arboricultural field or continued education units equivalent to the degree. They must agree to follow the Standards of Professional Practice as denoted by ASCA. Continued Education required for renewal every year. *** ASCA Registered Consulting Arborist (RCA) This is the highest certification a consulting arborist can earn; RCAs are considered experts of the field. They have completed ASCA's rigorous Consulting Academy and must have extensive technical experience in landscape planning and development, tree preservation, hazard tree assessment, legal matters, tree appraisal and damage assessment. They must meet and maintain requirements for membership in ASCA, including Continuing Education requirements. They must also demonstrate extensive report writing competence and pass a qualifying exam. There are currently only 5 arborists in the State of Washington with this designation. For more information on the RCA designation: http://asca-consultants.org/loin rca.html Master ` Registered Arborist Consulting Certified NW Utility / Certified Municipal Tree Risk Specialist Assessor OArborist Certified Tree Worker / Climber Specialist International Society of Arboriculture ASCA member American Society of Consulting Arborists "6'ulaiuhles 7itvIcd/ e of 7`1ees'• Tree Solutions Inc. www.treesolutions.net 1058 North 39"' St. Seattle, WA 98103 Phone 206.528.4670 Fax 206.547.5873 CITY OF EDMONDS g, tUBLIC WORKS DEPA T NT FOR INSPECTION CA SIDE SEWER PERMIT 775-2525 Ext. 220 Permit Issue Date PERMIT MUST BE POSTED ON JOB SITE i.■► 1. Address of Construction d (o%lrI - i 2. Property Legal Description (include all easements) l,6 3. Single Family Residence -- Multi -Family No. of Units Commercial / 4. Owner and/or Builder ���, A L AnoC ors, 5. Contractor & License No. 'K E- - V A) - EL -A ? % q C L' 6. Invasion into City Right -of -Way: No -"" Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes No ✓ Easement required - v attach legal description and county easement number. a READ THE FOLLOWT,.NG AND SIGN: a. Property owners must obtain a permit to install side sewers on >4 their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. w b. The side sewer contractor assumes full reponCALLAByHW29ach H installation for one year. ppccyn ''ff rr-- wc. Commercial establishment requires a minim umB� d"Sik�i&A -(6") z side sewer line. 1- 800 - 562-647§ ov d. Side sewers may not be installed closer than thirty inche (3011) to any structure. e. Side sewer lines must be laid at a minimum grade of 2% (1.150) and maximum grade of 100% (45°). H f. No turn in side sewer greater than 45° (1/8,bend) is allowed between cleanout. All 90 turns must be constructed of a 450 (1/•8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k.. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. DATE: I" certify that I have read and shall comply with the above �H+PERMIT FEE: � ,.;..-`•=M'••-�""`-- U W t>`•.. (,.. DISAPPROVED BY: Date: By: Date: CONNECTION FEE: ,- A- APPROVED By :_�,,—Date: C�iF PERMIT MUST BE POSTED ON JOB SITE _ Side Sewer Drawing ��� ��� �� �� � ° ...~ -� ~. ��xxx�mxvu� EASEMENT NO ' . '-'-----'-------'----'--'--'--------''-'-'------------'---- AdiftL USE 13UILDING DIVISION —ZONE JLl UIE17 Applicant Fill j l . PERMIT APPLICATION Inside Heavy Lines 1 Y JOB �' 1 NAME (OR NAME OF BUSINESS) ADDRESS\1�A �% �, LEGAL DESCRIPTION SUBDIVISION SHORT SUB NO, C W MAILING ADDRESS'Jr�. iy PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CITY ✓; ELEPHONE NUMBER ' EXISTING Z r I,,...c .. r1 _ / !/ - �•� l /I NAME _ PROPOSED I- - DEFICIENCY OF RIGHT OF WAY —' U W ADDRESS '� •�/' h PUBLIC IMPROVEMENTS REQUIRED ❑ U DRAINAGE IMPROVEMENTS REQUIRED ❑ CITY / TELEPHONE NUMBER DRAINAGE PLAN REQUIRED ❑""' rl��� UNDERGROUND WIRING REQUIRED NAMES (' / 1 CONNECTION TO SANITARY SEWER ❑ E ,"•\U „ _�'�. (j :l i .�I \ �"�\, SEPTIC TANK PERMIT REQ'D NO., 0 ADDRESS ELEVATION OF PROPERTY CORNERS ❑ U '� T & FOOTINGS RF-Q'D , ...- FCITY I I TELEPHONE NUMBER I1'7 f'l SEE ENGINEERING MEMO DATED / L' z , / `r 7 ` j `�� � I'll `f 0 / / •_4 / U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY > 71LL Loel Legal Description of Property (Show Below or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE c�'-t% REMARKS — SIGN AREA ENV. REVIEW ADS NO. 6 ALLOWED PROPOSED COMPLET EXEMPT SHORELINE W J � REMARKS V W J VARIANCE OR CV PLANNING REVIEW BY DATE YARDS LOT COVERAGE GAS FRONT SIDE REAR © NEW RESIDENTIAL LINE FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT ❑ NON-RESIDENTIAL a SIGN ElADD D DEMOLISH ]RETAINING SPECIAL INSPECTOR AREA OCCUPANCY OCCUPAI ALTER EXCAVATE OR FILL WALL FENCE ( X FT) REQUIRED ❑ YES ❑ NO PLAN CHECKED BY GROUP LOAD THIS SITE IS LOCATED IN THE CITY El PRE -MOVE sWIM OF EDMONDS. LOCAL SALES TAX REPAIR INSP. [:] POOL SHOULD BE CODED 31.04. REMARKS ' Z NUMBER OF STORIES NUMBER OF 0 ;-7_/ DWELLING UNITS 1 _'� a NATURE OF WORK TO BE DONE It ti I W 0 0 PLAN CHECK FEE VALUATION FEE PLOT PLAN _ BUILDING PLUMBING ` MECHANICAL FENCE ISWIMMING "Applicant, on behalf of his or her spouse, heirs, assigns and SIGN La W successors in interest, agrees to indemnify, defend and hold harmless i the City of Edmonds, Washington, its officials, employees, and RETAINING WALL agents from any and all claims for damages of whatever nature, 4 a I arising directly or indirectly from the issuance of this permit. ISSN- POOL F Z W f F a a a W - 0 = 1' Z W — f 6 0 — J W W 0 Z F — 0 —U alante of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance nor limit in any way the MEMO TO FROM: .. SUBJECT • Building, Division Community Development Department Engineering; Division Public Works Department /G7/0 n f/ Ae �o After review of the subject building permit application, we have the following comments:. 1. Drivewav slope not to exceed 140. 2. Right-of-way construction permit required for any work on City property. 3. Backwater valve required if: downstai.lrs_plumbin , is below elevation of upstream manhole.- 4. Sewer and water service lines to be se :crated by 1.0 feet (10' point s o exit from buildinR. at 5. The Contractor is required to keep the nbutti� streets clean of dirt an de bris causec )v t 1e construction. •� a Sig gat • u PUBLIC WORKS DEPARTMENT CHEacLIST BUILDING PERMIT REVIEW ILIO 6 r /qve_ Zl/ (address) (dto 0 Street Right -of -Way Existing_ u pub REQD —� z Access Easements Existing 30 REQD 30' H a ir Utility Easement Existot w Lot Per Subdivision PlatoO K��Assessor Map SPG7' w Site Plan Checked for Accuracy z Underground Wiring Reqd. H 0 Check. Accuracy of Le al Des ription Lb'f Gib z Review by � Date • w Existing Water Main Size 9 "DI Water Main Required 6 Service Line Required?? Hydrant Size Existing 5�y c�4 Hydrant Reqd Per Fire Code PL4 Size w Detector Check Meter Reqd. `A Cross Connection Inspection Ei Fire Department Comments d Water Meter Charge Regd.?N Review by Date f3 r2 6kr 0 Septic Tank Design Approved Date Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability ,�- Proj. Drawing No. File No. Side Sewer Availability w Sanitary Sewer Connection Fee Reqd. .- 3 Review by Date -� w Open Ditch Existing ,6� Regd. Culvert Regd. Size 94 Catch Basin Reqd. Indicate on Site Plan 0 Shoulder drainage maintain collection on swale open runoff o H `n Manhole reqd. �/ Indicate on Site Plan Soil Conditions and Ground Water Field Checked—. Review by Date Revised: lv10-1977 Page 2 Street Paving Reqd. .&9 H Curb and Gutter Reqd. 1/4f W Sidewalk ,Regd. W Curb Cut for Driveway Reqd. x Right.-ofWay Construction'P"emit �Regd: H Band Reqd. for Public Improvements Street Name Sign Reqd. Other Signing.>Regdd F l]/,j Pre Permit Site Tns ection made on it . +a W A p z H BY: SEWER H U w fW WATER N H z STREET ENGINEERING Special Requirements listed in memo to Commmity Development Department, Building Division BY Date o All items filled in on Building Permit Application a BY Date a' Drawings Stamped and Notations Made BY Date Approved by Public Works Department xevised:*ly 10-1977 3A-�) 61 3) rl ------------------ PUBLIC WORKS DEPAR111,1ENT CHECKLIST BUILDING PERMIT REVIEW STREET FILE- (adEe`ss�—ate Street Right -of -Way Existing_ �ad REQD -, z Access Easements Existing ,30 REQD 3p� H Utility Easement Existing ./F5 REQD w Int Per Subdivision Plat moo° k�"K�J`' Assessor Ma P .Si G y' w Site Plan Checked for Accuracy OK z Underground Wiring Reqd. H 0 Check Accuracy of Legal Des ription L4)-r 1 z i Review by Date 247915 w T,t�2 Existing Water Main Size 9-Lit Water Main Required Service Line Required Hydrant Size Existing y c4 Hydrant Reqd Per Fire Code Size w Detector Check Meter Reqd. ,iya Cross Connection Inspection ; Fire Department Conments /i Water Meter Charge Reqd. Review by Date ti ',2 ;; ry C Septic Tank Design Approved Date Septic Tank Permit Reqd. cJ Permit No. Sanitary Sewer Availability Proj. Drawing No. File No. x Side Sewer Availability - w Sanitary Sewer Connection Fee Reqd. 3 Review bye,-g ;+-err, ar Date s _ Open Ditch Existing /, Culvert Regd. `, t .¢� �� 1 Size x Catch Basin Reqd. Indicate on Site Plan Shoulder drainage maintain collection on swale open runoff ; E+ `n Manhole re d. q �/,� ' Indicate on Site Plan --- Soil Conditions and Ground Water Field Checked Review by Date r Revised: lv10-1977 Z 0 USE BUILDING DIVISION — �p ZONE. PERMIT Applicant Fill ZOE N'j� +� NUMBER PERMIT APPLICATION Inside Heavy Lines ! !DB AME (OR NAME OF BUSINESS) ADDRESS i.. ^ LEGAL DES RIPTI0N SUED VVISI N SHORT SUB NO, AILINGADDRESS��1 '1 � � q I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ITV / TELEPHONE NUMBER e! ,� EXISTING A 7 PROPOSED F U \ � DEFICIENCY OF RIGHT OF WAY •'� fADDRESS %-,/� PUBLIC IMPROVEMENTS REQUIRED ❑ I / DRAINAGE IMPROVEMENTS REQUIRED ❑ u C E CITY / 11� TELEPHONE NUMBER � DRAINAGE PLAN REQUIRED ❑ ��,['°' A&RIC. UNDERGROUND WIRING REQUIRED •�� NAME, I / CONNECTION TO SANITARY SEWER ❑ E a-'�C: ^ ,� .L. -�• L_ n 1�.�{', ��` SEPTIC TANK PERMIT REQ'D NO. 0 I ADDRESS ELEVATION OF PROPERTY CORNERS ❑ U a '� '? r I c I, . c� ,� 5�� -- & FOOTINGS REQ'D E CITY TELEPHONE NUMBER '--7 SEE ENGINEERING MEMO DATED Y 0 ,/ .t C / "j �,,t / �l'r7C{(/ / / U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY ) Legal Description of Property (Show 3elow or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE' I � 7 1,`i 1 �C) •1 � !•,' t � f � '",�'70. T�'� ....] REMARKS I i\ i1 t, l G SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT U /�-," t•� I� %.(('1.(i l� SHORELINE In W O J REMARKS V W J VARIANCE OR CU YARDS ❑ FRONT NEW ry RESIDENTIAL LINE FIRE ZONE TV ❑ NON-RESIDENTIALIF] SIGN ADD ❑ DEMOLISH RETAINING ❑ SPECIAL INSPECTOR ❑ ALTER WALL REQUIRED ❑ YES ❑ NO D ORCFILLT6 ❑ (HNCE X_FT) PLAN CHECKED BY DREPAIR D PRE -MOVE NSP.. swim D POOL REMARKS Z NUMBER OF STORIES NUMBER OF 0 / DWELLING F UNITS M1 NATURE OF WORK TO BE DONE it 0 ,OF 0 PLAN CHECK FEE ]PLOT PLAN BUILDING PLUMBING MECHANICAL t "Applicant. on behalf of his or her spouse, heirs, assigns and FENCE SIGN In III successors in interest, agrees to indemnify, defend and hold harmless f the City of Edmonds, Washington, its officials, employees, and RETAINING WALL agents from any and all claims for damages of whatever nature, x arising directly or indirectly from the issuance of this permit. Issu SWIMMING POOL PLANNING REVIEW BY DATE LOT COVERAGE SIDE REARI NSTRUCTION I CODE 1HEIGHT N I OCCUPANCY I OCCUPA GROUP LOAD THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION I FEE o ( ante of this permit shall not be deemed to modify, waive or reduce J .... nr n", rift' nrrlin•lnrq nnr limit 1n anv W;IV tile,