17232 SEA LAWN PL.PDF11111111111111
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17232 SEA LAWN PL
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ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW ST RUCTURE): 7z;,7 61
COVENANTS (RECORDED)
cRrr . ICAL AREAS DETERMINATION: El Conditional Waiver Study Required �(Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED
SCALED PLOT PLAN DA
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK -
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) M-.4w:�:)
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR--.
WATER M�ETER TAP CARD DATED;
OTHER:
L-\TEMP\DSTs\Fonns\Sftd File Checklistdoc
UILDING DEPARTMEN * T
PERMIT APPLICATION
N"'� '0" OF
—CETY
NAM
ADD 7
'Twcant 1"M N
Inidda Ken-,-Y Lines
81DE YA. S�-.rBACK
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NO
ARIANCE NTIMBE
HEJOBT
I �TELEPHONE NT;1BE,1
0: CITY
NUMBER
STATE LICZNSF NUSIBER
CITY LICENSE
-0J to 9
C,
IFSIDil.11TIAL
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GA.,?.
N." R:�-SIDF:;TIAT,
ADD
RETAINING
DEMOLISH
IVA--
ALTER EXCAVATE
F-1 OR FILL
r-7 P
SWIM
REPAIR I,
POOL
NUMBER OF S ORlES NUMBER 01'
DWELLING
U'l's
.,k,rURF. OF %VOF.K BE DON -E
FpF-,R, S E 5__U S _K
F---:3Po
PLOT PLAN (Indicate Building $eLbtTCk3. abutting Attet')
0 CL
'ET 1, DEFICIENCY TMS PROPEI�Ty
vasT.Na s-R , /W 5.q..FT.
COMP� PLAN ST. R/W60 FIr.
siopes not to C:-CCCI'� L-e in -
on 3t_-nda-_d Drajqjn,� iM3-._�
I I het,by cknowledg-3 that I have ezd thl. application; that the in'
f._.tIc. gi 1, correct! and ttAt I ana the - own,r. or tho d.IY anthw-
l7ed agent of t:2e owner. I ag,, to ocroply wi,-, city and It.t. law. regu-
latIng co�trlct"a; and In doing the work guthor'zedatab.�eby. no Perann
will be .pl.yed I. �!olatl.. of the Labor Code of the a f W..Lr.:.too
rcl&Ung to Worktarn'O Compensation, 1-UrSace.
NOTE: Permit Lim:t One Year (r-,,Pt DEMOLITIO.N'S -1,1ch
ahall be completed In rdty da,)�: MOVED -IN RUL-DINGS ',utIl be
'I't, In
'd cu roo.tl..)
DATE SIGN�,�,
(Ow;�Ei OR
NOTE: A�pficant Subject to Plan Check F,e
Th;. cc— ""' " y ON-LY. -1
A.Y on the publIc docash, (corbs, aldewalkB. drl�VJ
�tc.) .111 rrqcur� Pe—l'.4on.
&
OF
0 rTo
0 YES e<o_
-FF,� �-ICBECKED 13Y
THIS SITE IS LOCATED IN THE
ONDS. CAL SALES
F�&Rxs CITY OF EDMI
TAX SHOULDBE C9DED 31-04-
Value— Fee
man check N-...
BUILDING
pLbMI3ING
HEAT & GAS LINE
— d
F !NC.
SIG",
RZT&INING WALL
SW-_VxING POOL
DEMOLITION
rRE-MOVE INSPECTION
EXCAVATION OR FILL
TOTAL AMOUNT DUE
APPROVAL
ATTE2MON
AMICATION
TFIIS PERMIT
This application is not a permit Until
AUTBORIZF3
gigned by the Building official orlAs Dep-
ONLY TITE
uty; and feeo are prid, and receipt is ac-
WORE ?ZVTED
Imowledged in space pi-ovided-
INSPECTION
DFPARTLM';T
rIR :11-
crrY OF
DATE
EDMONDS
PR 6-U017
21
-2
*ritical Areas Checkli# FILE NO. 9
----------------- --------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location: 1 3 & Se/4 ( P(�Vj-yl /!,c
2. Property Tax Account Number: s2p� Z — co g 0 —(9 0 1P — coo 1P
3. Approximate Site Size (acres or square feet): i��D 0 C) n,
4. Is this site currently developed?_2�lyes; no.
If yes; how is site developed? CC & " S QV1 C JQ__,
5. Describe the general site topography. Check all that apply.
M
7
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
. I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
Site contains areas of year-round standing water: �o ; Approx. Depth:
Site contains areas of seasonal standing water: A a ;Approx. Depth: _
What season(s) of the year?
8. Site is in the floodway floodplain /4,3 of a water course.
9. Site contains a creek or an area where water flows ac oss the grounds surface? Flows are year-
round? AIG Flows are seasonal? Z - (What time of year?
10. Site is primarily: forested ; meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: 4ZO tu C-�,
6:1":, :Site 46signate"d on::the:En*qnm.6nt�l1y: $ sit, A -Ma ?
en dy.e, rea� ., T,
VEMMINATION
^ca_Chk.doc; Rev 10/03/97
C".1 PF I V E 0
City of Edmonds 0 C T 19 IQ98
PLAN�'Nli'w DEPT.
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps 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 finding 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 assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
Name-4�
Street Address
r"A�l
city State Zip
L(2!r :-776 42o
Telephone
SignatL�re<;�t'U7�4�Lc'--! -(,L:, 0--Lct�—J
le-16-ip
Date
Applicant Representative:
Name
Street Address
city State
Telephone
Signature
Date
Zip
vrece tion\janakaddoc
,P
(over)
I-r? C. i S 9'3
October 29, 1998
40
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
BARBARA FAHEY
MAYOR
COMMUNITY SERVICES DEPARTMENT
Pubiic Works a Planning/Building * Parks and Recreation * Engineering e Wastewater Treatment Plant
Edward L. & Patricia J. Walter
17232 Sealawn Place
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-255
Dear Applicant:
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
. ............. ...... - .........
IMPORTANT INF6RMAT16Af t6 BE
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHErff_U_S1 OR.CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
010, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 4*1
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
Thank you.
Sharla Graham
Planning Secretary
C:ReceptionUana\CRLTR.doc
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
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NEW CONSTRUC' MEN 'it
REPAIRS
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-C/WNEii .......... ...... a �rk
I-ej .................................... CONTRACTOR .............. .......................... . ........ PERM!�
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SS . . ..........
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LEGAL DESCRIPTION: LOT No . ............. BLOCK No.
A c - -------------------------
LL
j
NAME OF ADDI TION ...... .4t ..... ...............
-e - ��
RECEIVED
J 27 1972
UN
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Aj�proved:_
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Aj�proved:_
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77:77-7:7�
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CITY OF EDMONDS SIDE SEWER PERMIT
;rJ
WATEWSEWER DEPARTMENT
PERMIT
... ..........
inspections BEFORE covering any portion of the construction.
Call 7.76-1107 for side sewer V:
Sun., or holiday inspections.)
Inspection will be provided within 24 hours after request. NO Sat.,
0,1? Sea
...............................................
---------------- - --------
ADDRESS LOCATION OF CONSTRUCTION ............................ .................................................................
T'-w-acz
a ..............................
............................................................................
............... ................... ... ...........
PROP
ERTY LEGAL DESCRIPTION ------
........................... ..............................................
........................ ..................................................................................
7: - ......... ........................................ . ...................
. J .. ........... h --------------------------------------- --------------- ------------ * ............. 7
...................... OWNER AND/OR BUILDEP
-------------------------------- A
I U " �,-J. 0. 'O'cx It-O', I ---------------
Ter', I r,S " i" ...........................
------------------ ........
------------- -------------------------------------- . ...............
& ADDRESS ---------------- . ..... -----------
wTRACTOWS NAME
h anitary sewer
�7 19...?.2, for repair and/or connection of a side sewer to t e CRY s
onis granted --- .............................
........................
system in accordance with City of Edmonds ordinances.
ATTENTION Is CALLED TO THE FOLLOWING:
e sewer Contractor must be employed to construct
inside property line. A licensed Sid
e property may obtain a permit to construct sewer ..t �1 q
wOTE No. 1—The owners of th
side sewer in street area. Do not cover a
ny portion of sewer before it has been inspected.
-of-Way Permit
obtainable from the City Engineer's office.
-way requires an Invasion of Right
I— N 2—All work performed in city right -of egulations governing side sewers when you get permit.
e 11.16.030 and R
NOTE No. 3--Obtain full information regarding Ordinane
s inside property line; minimum grade of 2%. No bends in grade
and 12 inche
4—Top of side sewer must have at least 30 inches coverage at property line
NOTE No Z.
sharper than 'A will be permitted.
e of street restored to original condition. Contractors shall be responsible for failure due to improper t.
5--Trenches in street must be water settled and surfac
NOTE No.
develop within one year of completion.
work which may
s provided for in the permit, or to do any work on the main sewer or its appurtenances except to in
an
NOTE No. 6--it is unlawful to alter or do any other work th
sert the pipe into the wye.
-------------------------------- BY ----------------
Date ----------------------- By ................ Daj�� ... ...... Date....
DISAPPROVED
....... ..... ------------
..........
B. .. ............ ...........................................................................
- - ------------ 7..
ate ... <:9'
VED D ............
APPRO
............................... ....................
.... .. ....................
Remarks: ...................................................................................................................... . ............. .....
... ....................................................................................................
- ------------------------
.................................................... . ...................... ................. ...........
.................
Performing Construction PRIOR To Request For Inspection
E. wner of Firm
BOTH Perm* opies MUST Be Signed By 0
Te �7'
by certify that the side sewer installation constructed under this permit
............ .... here
cting Firm Performing Construction)
ner of Contra
of the City of Edmonds.
was installe in ce with all governing ordinances
accordan
Dated this ..... �?_? ........... day of -------
--------------------------------
om 2 to
110
- --------------- -
------- --- -------- ---
"I Perm opies MU
-------- ---- ----- �i
r of C.nlrc
cc Ce
in a ordan with
Gas Telephone E], El El
Power Sewer 0, Other
Check BEFORE you dig for: Water
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HEIGHT CALCULATION
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SITE -ROOF PLAN
1"L zol
0
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PLANNING DATA
NAME: wa&
SITE ADDRESS:-) DATE:
_1z
ZONING:15 —PLAN CHK#: *—L101
PROJECT DESCRIPTION:
CORNER LOT NO _(Yes/No) FLAG LOT Ale) (YesINo)
SETBACKS:
Required Setbacks;
Front: Z< - Left Side: Right Side: 10' Rear:
Actual Setbacks:
Front: /01,� Left Side: Right Side: —Rear, SE�-
Street map checked for additional setback required? .' es/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUEDNO —(Y/N
LOT COVERAGE: -2)<
Maximum Allowed: Actual:
BUILDING HEIGHT.-
AZU. CREATED?:
P) xu I Vx�m
SUBDIVISION:
CRITICAL AREAS #: Tq � 06�5-
SEPA DETERMINATION:
LOT AREA: iq
OTHER:
0 0
STREET F1
October 19, 1972
K. & X. Homes, Inc.
2002 196th S.W.
Lynnwood, WA 98036
SUBJECT; Right -of -Way Invasion Permit No. 139
for DrivewM Approach at 17232 Sea Lawn Pl.
Gentlemen:
The subject -work was inspected on September 27. 1972,
and found satisfactory to the City. The personal check in the
amount of $150 is released and enclosed herewith.
Yours very truly,
CITY or mons
�RICHARD R. ALLrN
Assistant City r
�ngineer
RHA-.mjf
Encl.
CITY OF EDMONDS
PUBLIC WORKS DIVISION
9 0 19 .,SIDEWALK/HAZARDOUS CONDITION REPORT
.1
OWNER: FW3 1 uwFl P.
ADDRESS 17232 SeaLawn Pl..
NAME OF REPORTING PERSON 0105
HORIZONTAL CRACKS 1' No
VERTICAL MISALIGNMENT 1/2' Yes
LOCATION OF HAZARD:
D/W needs ReDlacement
I COST OF REPAIRS: $90. 50
I PROPERTY OWNER'S SIGNATURE FOR REPAIR:
I NAME OF PERSON
I WITNESS
VED
DATE OF INSPECTION
TIME REPORT RECEIVED
tEA TO BE SAWCUT
WIDTH 5
TOTAL I.F.
TOTAL SIDEWAIX
WIDTH 5
LENGTH 22 TOTAL SO. FT.
TOTAL SQUARE FEET 110
AGE ADDRESS PHONE
ADDRESS " PHONE
a
I RESULTS OF ON —SITE INSPECTION
OF REPAIRS
PHOTO REQURIED YES NO
INFORMATION ROUTED TO STREET SECTION
I COMPLETED BY DEPT. PHONE 11
TO BE COMPLETED BY RESPONDING DEPARTMENT HEAD DATE
, I
WHAT CORRECTIVE MEASSURES WERE TAKEN OR ASSISTANCE GIVEj,,? 1,11F NONE PLEASE EXPLAIN)
77-1
r-� r-m r= ri m r7 r=
I STREET SUPERVISOR Ir )CZZ CYZK�, // DATE Q`/&/P-7L�g IIAJ I 3tF f-!d
IFINALREVIEW (TO —BE COMPLETED BYP.W. SUPERINTENDENT) DARAlffECEIVED
P.W. SUPERINTENDENT DATE
bumuc u ou
COMPLETED FORM TO BE FILED IN ADDRESS FILE
(WHrrE-RESIDENr COPY) ADDRESS FHE 0 OPY) (PINK-SIMEETCREW COPY) (GOLDENROD -PUBLIC WORK COPY)