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18010 88TH AVE W.PDF111111111111 8320 18010 88TH AVE W ADDRESS: Ave, W, TAX ACCOUNTIPARCEL NUMBER:. 000 ops oacy--) BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: qq- / 6ri DETERMINATION: 0 Conditional Waiver 0 Study Required XWaiver DISCRETIONARY PERMIT DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: q1,x1r1j`T, Vallo� SCALED PLOT PLAN DATED: qjjq/ot� SEWER LID FEE S: LID #: SHORT PLAT FILE--J�A LOT: BLOCK: SIDE SEWER AS BUILT DATED: co/I q /10 SIDE SEWER PERMIT(S).#: �- 2, GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: LATEMP\DS'Ps\Foffns\St�cet File Checklist.doc CAFILENO. Critical Areas Checklist ---------------- --------------------------------------------- Site Information (soil s/topography/hydrology/vegetation) <70 Ti., Pic, 4,L) DTZ 1 . Site Address/Locati.on: OtO ",2 -0 — ,�,VLz7J 2. Property Tax Account Number: 5 6 1 H -_ = 7 3. Approximate Site Size (acres or square feet): !?2, o(')c L4 4. Is this site currently developed? '-/- yes; no. If yes; how is site developed? StAclv_ `FAV�4_16 �V9H,_L 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 I 0-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 3 0% present on site (a vertical rise of I 0-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: )44 Approx. Depth: What season(s) of the year? 8. Site is in the floodway 140 floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? /�o - 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: __':F(jrCityStdff Use Onl' ------------ ------------------- ------------- :Site is.Zoned.7 1, Wetland ..r�av indicate wetland present on site? inventory qrC.�A. s I r�a Inventor a n sit�? ritica A s yor m�p indicates Critical Ar*6* o� S*ite.W*it'hin desi-inatid.6inh.'S*'Ubsi8c'��Q�'l��d�i�d,� liazardarea 5 Site des!' n e'd on the Enviionnien'WIY Sen�itiv . e Ar . ea� at Map, VE-Tig-k-MINATION City of Edmonds IS'a T VC k 1W CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application fo r 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 ) qc lo k3 Street Address HkS I A) City State Zip 14 Telephone Signature �)-z4e-v, Date Applicant Representative: Name Street Address City State Telephone Signature Date W& creception%jaWcaddoc (over) 10 C. 1 8C)" July 8, 1998 Michael Bettinghouse 1801088 th Ave. West Edmonds, WA 98026 0 0 .CITY OF EDMONDS BARBARA FAHEY 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works - Planning/Building e Parks and Recreation a Engineering e Wastewater Treatment Plant Subject: Determination regarding Critical Areas Checklist # 98-167 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 INFORMATION TO BE NOTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLLS OR CRITICAL AREAS STLLD The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. mio, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL AIN 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 C:ReceptionUana\CRLTR.doc Thank you. Sharla Graham Acting Planning Secretary Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan PLANNING DATA STREETFIii] Name: _Tohvi 13,aryle+-� Date: Site Address: 15 0 10 f3 19 TH ArV-MAt� \A/f, 47t Plan Check #: BLD-2006- 0,9 5 L+ Project Description: F-4e'M"e'l &'P-f1—V-00f. Reduced Site Plan Provided: (YES / NO) [Zoning: Map Page: 40T Corner Lot: (YES Flag Lot: e NO) Critical Areas Determinabon #: Study Required Waiver SEPA Determination: F"Xf^P-t7 0 Exempt J0 qra&A,�Vlq El Needed (for sites with 500 cubic yards of grading or within 200 feet of Puget Sound or Lake Ballinger. Requires: (1) Fee, (2) Environmental Checklist, and (3) APO List with notarized form). Required Setbacks GtFee4 (0/ N Side: I D I S? Side: I E: fteaw. VV Actual Setbacks Ste Side: I Side: 1,2ddiyii RQas;; pfite-nof fr? "f Ad I a I LAyr ria 6,aa cz L-4,� El Detached Structures: V\0 VLL 4 V1,* wv%- - a rr,4f i 6-L4 6'.t. 0 Rockeries: eA. YX 6, /,a El Fences/Trellises: I-Maf � Bay Windows/Projecting Modulation: Stairs/Deck: ZA. WV-V� A, OL�V�- (eq - fV ioc tvi6w iafrd - 4 D):::- tq�r Parking Required: Parking Provided: 1., N D L4 4 Lot Area: gr (XCyC0 -+Er+D Lot Coverage: (out Irv,+9 3Ar4�C, 1 0 or. 0 -01 P, V1 on XYY617� Lot Coverage Calculations- , Building Height Datum Point: -IVFP of 5.h0iAi2-P, +w4ruiAtim WA 11 Datum Elevation: JiD 0. C) Maximum Height: z 95 ActualHeight: ADU Created: (YES / 0 Subdivision: I a I loof 5RA View Add — Legal Nonconforming Land Use Determination Issued: (YES oddl i W a Other aaald. UZ ;x� a (,v-- 1�i 04-�"5 go - C5!5- 6 - v5 - C', 101.%() 1 -1., 0. i� + M a Vati On 19 Plan Review By: gf;W aa� ID !-(P 0 0 PLANNING NAMEALe, I.J, PICI- F14 SITE ADDRESS: K0 10 f6t� N� . tj DATE: qloq .11 ZONING: kfD—(z PLAN CHK#: 91 _2L PROJECT DESCRIPTION: CORNERLO (Yes/No) FLAG LOT A) 0 (Yes/No) SETBACKS: Required Setbacks: Front: Left Side: Right Side: 10 Rear: Z6, -Actual Set —backs O'Gf Front: *ZT Left Side: /D Right Side: Rear.- Z3 Street map checked for additional setback required? AJM fftuidYes/No)c LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED 0 _(Y/N) LOT COVERAGE: Maximum Allowed:— —Actual: ora- t& V064 BUILDING HEIGHT: cd I qjv-, akei-e- YA& '7 ual �e%lg'. __21- qll Maximum Allowed: !�' ct Datum Point: A_ Datum Elevation: �' A.D.U. CREATED?: V0 - SUBDIVISION: o�j_j�q_ � CRITICAL AREAS #: SEPA DETERMINATION: LOT AREA: OTHER: Plan Review By: cAft1cs\pemit\^p1andat.dDc 00 00 CITY OF EDMONDS DEPARTMENT OF PUBLIC WORKS 250 Fifth Avenue North, Edmonds, Washington APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT (Submit 3 Copies) F�A' Garnet W. Lund Permit to be issued to: ....................................... .......................... . . ......... For installation at: (street address) .. . .... 79111-1 --- A147-57­ ................ ........ ........................... ----------- Addition or Subdivision. -Talbot. -Saamiew ----- __ ------------ ------------------------------------------- Lot ................ Block ................ Type of Building: Existing ------------ Single family residence --- X'' -------- Number of bedrooms ------- 3 .................. Other: (specify type or use) ----- .... N&_ ............. _ ...... -------- ------_------------------- .............................. ................................. Builder.ownler ................................... ----------- ........................... Address ----- ----------------------- ................... ............ ......... ...... .... Designer.. ------ - ------------_----- ------------- ...... --------- _ _------------------- Address _ --------------------------------------- ----------- ----------- ­ ------ I ---------- Soil Log Hole No. L. ... I-1: ........ OP'—_4?_'t' ------------ ReAdi-sh- Browns.and.,...... ... ...... . ................ i ......... ........... . 42tt-4811 gray sand ------------------------------------------------------- -------------­-- ....... --------------------------------- ....... ................. ............... ............. ............................. 0.114211 dark brown to red brown sand SoilLog Hole No. 2 ............ ........ I ................ ......................... ­­­ ....... I ........... %, ............ ................ I ............. ...................... 2211-2811- clay w:Lth sand ------------------------ Z611-40Y ----------- i�&aash_'br_'6w__n_ ---- 6�hd... Elevation of Water Table, if encountered. (Distance from ground surface) ..N/A .............. ......................................... ......... Corrections to control surface water if needed... ..................... ................................................................................................ ......................................................................................................... ................................................................................................ NO Specify if any removing or grading of topsoil in field area .......... ..................................... I ............ I ............. ................... .......................................................................................................................................................................................................... Percolation: Test Hole No. I —Average Rate?.ib.. MiP/inch .... (Fall in inintites/incii-bottom 6" test hole) Test Hole No. 2—Average Rate2,.1.MW'3*MQ_11 ........................... (Fall in iiiinutes/inch-bottom 6" test hole) Test Hole No. 3—Average Rate_ .............................. - ... ... ._-(Fall in minutes/inch-bottom 6" test hole) Average percolation rate on which to base drain field design ........ . ...... ---------- Date Taken-Aitgust5,196.3 Septic tank requirements based on present rules and regulations: Septic Tank Size -gallons. Amount of Square Feet of Disposal Field ..... 4 .. 0 3 — Designer ........ Date-.... ............ Signature .. e..t W4 .. . ...... ..... DO NOT WRITE BELOW THIS LINE (To be completed by ISSUing Agency) Permit issued (date). ------- ............. 4.=.. ....... .................. Permit Numben ........ ........................ Remarks: --- ........................... .................................................. ................................. .. ............................................... -------- NOTICE: -Nb"Warrainffy- or--ac-c-U-r-dcy--. - - The -information shown on the attached Map(s) was compiled for use by the City Of Edmondsi its Employees and Consultants. The City of �Edm.onds does not. warrant the accuracy of anything set for.th on these Map(�-). An . y person or entity -requesting a copy should conduct an independent inquiry regarding the inform-ation shown on _ffi-��'-map(s), including, but not limited to, c n of any sew-er stub shown, Suc the lo' atio sewer stubs may or may, not exist. and may or may not exist at the location shown. r"'ity of Edmoinds nor its Neither the %_.1 -,he ernp1,o'yee*s o'r office-rs -shal] be 1--ia-b-IFe for I n on this map(s), nor for information give' any one representation provided based upon'said map(s), ­07Y OFEDMONDS Call PRospect 6-1107' when work CIVIC CENTER WATER -SEWER DEPARTMENT is ready for Inspection. (No inspec. T tions Saturday, Sunday or holiday SIDE SEWER PERMIT ADDRESS ............. 1.8.0.1.0 ---- - --- 8.8-th ---- A-ve-nue .... We-s-t .. .. .. .... .. .... ....... ---- -- -- 7 6 2 OWNER ................. ........................................ CONTRACTOR .......... Owner ...................................................................... Permission is granted ... Ju ' n * e ... 1 ' 9 '"** .................. 1 19.�9 ... fm . ........................ 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: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE 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. ..... gals. Septic Tank ........... Disp. Field ............. 6 ..... sq. ft. SEWAGE DISPOSAL PERMIT CITY OF EDMONDS Department of'Public Works No . ..... A.1.41- Other.................. _-----_------------------- . .......... - --- -------__---_-__-- is hereby authorized to install/ ....... ... Name ..................... ...... ............. repair sewage disposal system at ............................................. .,4 ....... t_ .................................... . .............................. ........ Date issued on .......... V . .. ........... ... .. ...... ................... Permit expires one year from date of issue DO NOT COVER BEFORE APPROVED BY DESIGNER OR SANITARIAN I hereby certify this system was installed under my supervision and control and complies with all provisions of the City of Edmonds Resolutions. Signatureof Installer ............................................................................ Date .................................. ApprovedM Disapproved F1 Date ---------------------------------------- ----------------------- By .................................................................................. Remarks: ............ _­ .................................................... ........................... .................... SANITARIANOR DESIGNER ................................................................................................ Date ........................................................... This perrmt shall be posted in a reasonably conspicuous place on the job until inspection has been completed.