16922 TALBOT RD.PDF11111111111111
13419
16922 TALBOT RD
#P20
`QC. 1 %9"
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
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 the application 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).
Date Received: //— y 0 --7
City Receipt #: e� 1'7 ,:? ,2 -
Critical Areas File #: 0' ? 0 /
—33
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it .
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in fording and locating the
specific piece of property described on ' this form In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to. release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or, part upon false, misleading, inaccurate .or
incomplete information furnished by.the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT
DATE
Property Owner's Authorization
By.my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for a public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and po " ' ttenof�t !94iis application,,
MAICF& DATE
PLEASE PRINT CLEARLY
Owner/Applicant.-
Name _
Street Address ,
City '' State Zip
Telephone: �" 11-> —
Email address (optional):
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
#P20
Critical Areas Checklist CAFile No:
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/ Location �, /A L ROT
2. Property Tax Account Number: _.'27040700 10L 6- 00
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? Yes; no.
If yes; how is site developed? ►.�,�iF�iT) v
5. Describe the general site topography. Check all that apply
Flat: less than 5-feet elevation change over entire site.
Rolling. slopes. on site generally less than 15% (a:.vertical rise. 'of:.10-feet over a horizontal
distance of 66-feet).
Hilly:
slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: r'"> ; 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 _ �L1 of a watercourse.
9. Site con 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 shru nixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
1. Plan Check
2. Site is Zoned?
3.
4.
For City Staff Use Only
if applicable? ,
SCS mapped soil type(s)?
Critical 4reas inventory or C.A. map indicates Critical Area on site? (OS(v✓� c t Zcv� Z��.
A
5. Site within designated earth subsidence landslide hazard area?
DETERMINATION
` STUDY R QUIRED WAIVER
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location: 16922 Talbot Road Tax Acct. Number: 27040700102600
Determination: Study Required Determination #: CRA-2007-0153
Applicant: Don Annand Owner: Don Annand
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED
During review and inspection of the subject site, it was found that the site contains and/or is
adjacent to an Erosion Hazard Area, pursuant to Chapters 23.40 and 23.80 of the Edmonds
Community Development Code (ECDC).
GENERAL CRITICAL AREAS REPORT REQUIREMENTS
Critical Areas Reports identify, classify, and delineate any areas on or adjacent to the subject
property that may qualify as critical areas. They also assess these areas and identify any
potential impacts resulting from your specific development proposal. If a specific development
proposal results in an alteration to a critical area, the critical areas report will also contain a
mitigation plan. You have the option of completing the portion of the study that classifies and
delineates the critical areas and waiting until you have a specific development proposal to
complete the study. You may also choose to submit the entire study with your specific
development application.
Please review the minimum report requirements for all types of Critical Areas that are
listed in ECDC 23.40.090.D. There are additional report requirements for different types
of critical areas (see below).
• Note that it is important for the report to be prepared by a qualified professional as
defined in the ordinance. There are options on how to complete a critical areas study,
and there is an approved list of consultants that you may choose from. You may contact
the Planning Division for more information.
General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110
through 23.40.140.
STUDY REQUIREMENT — EROSION HAZARD AREA
It appears that this property contains or is adjacent to an Erosion Hazard Area. Erosion Hazard
Areas include:
• Those areas with Alderwood and Everett series soils on slopes of 15 percent or greater.
• Any area with slopes of 15 percent or greater and impermeable soils interbedded with
granular soils and springs or ground water seepage.
• Areas with significant visible evidence of ground water seepage, and which also include
existing landslide deposits regardless of slope.
DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS
Development within an Erosion Hazard Area must meet additional criteria.
• For erosion hazard areas with suitable slope stability, the only critical area study needed
is an erosion and sediment control plan prepared in compliance with the requirements
set forth in Chapter 18.30 ECDC as part of the construction documents. This option is
at the director's discretion, per Edmonds Community Development Code section
20.80.050.G.
• In areas where the slope stability is not suitable, projects within Erosion Hazard Areas
will require a report by a licensed Geotechnical Engineer or other qualified professional.
Note that it is important for the report to be prepared by a qualified professional as
defined in the ordinance.
• Report requirements are given in ECDC 23.80.050, and more generally in ECDC
23.40.090. D.
• Development standards are given in ECDC 23.80.060 and 23.80.070.
ALLOWED ACTIVITIES
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If
you have any questions about whether your proposed development qualifies as an allowed
activity, please contact a Planner for more information.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a
Planner for more information.
Name Signature
ber 19, 2007
Date
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
2
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'This map displays LIDAR data at approximate 2-foot contour
intervals. This map is for information purposes only and should not,
be relied upon for any action. Actual topography should be verified P, t.
in the field by survey for accuracy. This map is provided with allyl
faults on an "as is" and as available" basis. No warranty is any
kind is given Users of this map agree to indemnify and save
harmless the City of Edmonds, its officials, officers, employees fj } 7 , • T i1 ` rr ' i
and/or agents from and against any claim, demand or action,
irrespective of the nature of the cause of the claim, demand or 1 , s _;Ft,•
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF B SINESS
_D00AL D
w MAILING ADDRESS
0 1 jazz 'iA,c.�or��
CITY ZIP TELEPHONE NUMBER
EDm0► M.7 RSo2b e z�z8
NAME
w ADDRESS 2/ A1* YZ�l a
o
< CITY ZIP TELEPHONE NUMBER
S�A`NtE D12A - t455 - IR9!
NAME •�
Cr ADDRESS, J9N
cc CITY ZIP TELEPHONE NUMBER
= ylcavus Bo -1
STATE LICENSE 4 NUMR . EXPIRATION DATE
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Leoal Description of Property - include all easements
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Property
Tax Account %JO t[ J
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Parcel No.
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NEW
RESIDENTIAL
PLUMBING
ADDI"rION
COMMERCIAL
MECHANICAL
APT. SLOG.
REMODEL
SIGN
[��I
GRADING
FENCE
LM REPAIR
CYOS.
1 x_FT)
WOODSTOVE
SWIM POOL
DEMOLISH
INSERT
HOT TUB/SPA
GARAGE
CARPORT
RETAINING WALL/
ROCKERY
RENEWAL
Zio (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF CRITICAL
t OF j DWELLING / AREAS
1 STORIES %••r UNITS NUMBER
' DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN),,,
ubt IPERMIT
ZONE NUMBER 9504
JOB
ADDRESS C/ UT
_EGAL DESCRIPTION CHE
CKSUBDIVISION NO I LID NO
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
❑
RW Permit Required
❑
EXISTING REQUIRED DEDICATION
Street Use Permit Req'd
❑
Inspection Required
❑
PROPOSED
Sidewalk Required
❑
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METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
Lu
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YES 0 NO 0
3
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REMARKS
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TED
SIGN AREA SEPA REVIEW
ALLOWED PROPOSED COMPLETE EXEMPT
EXP Y
VARIANCE OR CU P N ING EW BY
AA
SETBACK
%/
S FEET HEIGHT LOT
/i FRONT ce/ SIDE �/ REAR 2'5 2- 4T_ .-�
CHECKED BY
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AOB NO.
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DA E
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OCCUPANT
SPECIAL OCCU
REQUIRED SPEC❑ YES I AREA Q1�"� !u I OADPANT
PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
BUILDING
HEAT SOURCE: "'
GLAZING
PLUMBING
Plan Check N
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public,domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
GRADINGIFILL
STATE SURCHARGE
Penult 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
w successors in interest, agrees to indemnify, defend and hold
W harmless the City of Edmonds, Washington, its officials,
m employees, and agents from any and all claims for damages of
iwhatever nature, arising directly or indirectly from the Issuance
o of this permit. Issuance of this permit shall not be deemed to
J modify, waive or reduce any requirement of any city ordinance
° nor limit in any way the City's ability to enforce any ordinance
provision."
ENG. INSPECTION FEE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
b 6— wied a that I have read this application• that the
I here y 9 o g
informati A given is correct; and that I am the owner, or the duly
I to comply with city and
ATTENTION
authori;jc(d agent of the owner. agree
THIS PERMIT
This application is not a permit until
state laws regulating construction; and in doing the work authoriz•
1
AUTHORIZES
signed by the Building Official or his/her
ed thereby, no person will be employed in�,,.vf. l'l� tion of the Labor
Code of the State of Washington relating to. "Ken's Compensa•
ONLY THE
WORK NOTED
Deputy; and fees are'paid, and receipt is
in
t Insurance and RCW 18.27.
INSPECTION
acknowledged space provided.
SI N TUR AGENT) pATE': SIGNED
f
DEPARTMENT
OFFICIAL'S SIGNAiUg6 DATE
aNR
i
CITY OFM
r
EDONDS
CALL FOR
REe DATE
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY, BUILDING OR STRUCTURE -
HAS BE MADE AND APPROVAL OR
oAALo
L
ORIGINAL — File YELLOW — nspectOr
UNTIL A FINAL INSPECTION
UNTIL
A CERTIFICATE OF OCCUPANCY, HAS- )SEEN GRANTED. UBC
,
CHAPTER 3. of " """ `
10247 ,. �,•
PINK — Owner GOLD — Assessor
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APPLICATION
97for
The Gity of Edmonds FILE SME SEWER PERMIT EASEMENT No...-. .................... ................
70 2- NEW CONSTRUCTION 0 REPAIRS L)
OWNER (f - ----- sAl2 CONTRACTOR ...... ------------------------------------- ................ --------------------------- ........ PERMIT
ADDRESS ��2.Z ....... e4za.-I ................................ LEGAL DESCRIPTION: LOT No. .5�� --- ----- BLOCK No . ............... _.....................
NAMEOF ADDITION ..................................................................................... . ... ............... ......
44 1 lee I
4.
IS E P
A
CA je
4444
Approved:
Z_
DATE..... .... ........ ....... :7 --------------
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... ........
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�OF iE iiM,O<NID'S;' �S'ID�EI 'S'E�WER` lPiER�M�IT� � '
.6 a WATER`SEWLIRTMENTI
141
P'IE RiWk'T` : � cif '
7781107C'for_Sside� sewer- inspectlonef,,BEIOREtbcovering1,Deny-�portlon) of"lthe'�jconstruction -j,�t• , +
Hnspectlont will3.be!provlded within; 24 hours 'after- re`ryuestt NOliSaY �Sun'4 or--�holidaytfinspectioni.,
(ADDRESS} LOUATIONjOFrCONSTRUCTION� t ' .. ..i ...... C)...... &Ci" . . _. ` e 3 t
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tPRUFERTY7 rLEGALDESCRIPTION ,
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iTAa- � Cj a1t�i�vl�'�LIY ND7;ORBUILDER., . r.................................................. ,.............................. ......
.?OWNRt
ZONTR'ACTOWS rN'AMEV&c'ADDIiESSr ...r :34y'11t $! ' .r . ...........................
Nr +Pennissionlisl;grantedY ? 3: §l#'f-`R ' S , 19`.�, fo rep�lrand%�oraconnectionn pf{.a�sldez sewer tOr the city tsanitary assp
ewer;
� � �systeint inuaccordaricentv►th� ;City. of iEdmonds�ordinances , = s,t-t•v' �a �, i� � � }
r T.NTION-'•IS (CALLED TO THE,/FOLLOWING:.,
`. i)J) No. 1"—The';awneis ?of.thea4property,+maykobt'ain4a°-;peimit;�construct;Sewer 'inside pcopertyr•llne ; A''lidensed!iSide Sewer; Contractor must ibe employed to>;constructc
r (sld'eisewerjln iA[reet%area '.Do>not cover any:. port ion:•of•'sewer`before!iG hamlbcen Inspected!
NOTE".No ?2;-6117work�pWormedlln€,city,�r)ght.oP wa.y requiresian4'Invasfon'�of, R.t6ht`of. Way PermitAotifa.nable from,the Clty,.Engineer.sfoffice f k.
%'NOTE"No,3-Otitain�tfull�informationrregarding Ordinance: 11�16.030siaiid-Regulations -governing sld'elsewcrsrwheni;yout=get permit t''+ �-• f. ,
'VOT.':Noi;4—Topl!ofa)depsewer:must-have:at least•�30-inchesxcoverage:;at.�property, llnesand�l2.$nches�InsideSproperty line'minlmum;grade,+otr,2/o-No;{bendetint�gradel
t':,.',. - ` . ;' .'sharper ithan'•�willrbe ipertriltted- . „x ?
,'? •°NOT'E'No:aS-TrenchmIn$;atfeet must:4be':water'settledtandsurface!oPi`streetrestored?t4.oporiginal!icond ition'•-(Contractors shalV:be;.responslbledor^falluretidue.to impgoper'
work wtiich:,maytdcyelop wtthtn�,,°one-'y ear'•of'.completton:
-.NOTE'-No—Itis_•unlawtulj;tosal4er or:doi-any: ;other work thanrffi. providedj,for. in ,the;.permi[-�or�todo .any work: on the main° sewer)-orl its.jappurtenances,Jaxcept.aohin=��!
;,. • - :..: " 4 Leer[ •the7PipeAfntothei wYe�:, ;: y{ f ,: a .
DISAPPROVED) 1 t, ,Date t By ' y J}Date .: 5 ° . By Date's By c
Y.a`/
AP'P..ROVED aDate.. -j .% Imo' vJ•!�T gyw ��,i i Gbh ,
Remarks
X
J C t �
— - `IBOTH Peiihit�Copies MUST.,'BelSigned�,•By?•@wInspectlorn;—
s.� - tt- i} f t _ .• i s t 1 f t x r..
I .: llheteby;certify�that.,the�sld'e�sewer`•installa iontconstructed$under'thlslpermiY
•-�- ° •••••(Owncr�of Contracting4Flrm Perfcrrming:Construcllon9l , - -t S }•_� _� ,r,
Y installed' iir ac6ordan•w cetlthtall' governing n ordl'naces ,6f the'City�of Edmonds c tir a
k f; 1Dat`edMttus°:' day/of .
t ,
:...
:.: G
,
tClieck -BEFORE: you :dig;for Watierr ,;�.h�Gast�pU Telephonol'�,j Power•;p,r ewer., f�Other (p� e :1•
• t r,. '� r - - ,� `'C L.. ,,; ¢•_;-,�,." k'.,,n',>„_ __ L' _.s'_:. 4,i_..=..._�r..�.:: 5.�'`i_i..: °i.�:-^m-:..�:_!...: _r..._. _..w._u..:.Y
�'a�► .
"• •That lroa of f4 �;• : ;
!l. pM..27 �.Ft� IOSTrnue7�t' a. �, : ;. .
s� 940scrij, is _fOlim �Ctian 7
eti4. as;tolloy . •
athe
httAta I'• jj• \�asi corner d
•v-' Jistlagrp ot• 77 ,t? ': East;e;a.dist said
foytrgment I.ot 2
' to for I..0 feet:` thence Once of ..!ioq�.47
g 2S8.0 Point 'of A;Urve ..o South,. a distane -feet. theInce o.
F , Poet• , t actCuive to of 99bast'
• a distance 0 ` outherfy• o1on;;.ttrhe aictotAataF_ a. radins'foff
r l,il.
tiro nee oC_40.9b f
S• „a;nb@J �t to .the curve 1> feet to a i,oinr on s-iid curv% to, the
10 Nest cars South- I9° 099 1644d �eurve, at which ,..
West a distance of 117.gb 48� West; thence �' 1►oint.
�.' lTato $distance of. rt...0u West; orth . il t of: lapel Ile descrihe�l• to the true thence Soutlr. 44° 1u' s0
West" ''.. point: of be ..
�'..af 7• a distance of 175.00 • thence continuin SbutBi44onR of tip
P•dq feet;.thenc feet
thence
feet; 0 tiortlr_ 400 �• orth 45 _ 43• „ I(' So••
thence Nort ° _ _ 4., Do" bast IU '.1'�est
'No°rth 23° 07• ,`„ l0 Kest $..distauce of
• a distznco/
h 45 43 •� 10n.00 �
R beginning,
fast, aadista distance Ofe34146afep of 17.48 feet: thence
8innitrg, a+rcc of 113.7c; ti thence South ...
feet
to the true 'pointfew
of
A.
i
•� .'" .'_ 't '__ ••� ,fir. 1