18030 TALBOT RD.PDFIiiii iiiiiiii
13477
18030 TALBOT RD
ADDRESS: lga2n '�Z4
TAX ACCOUNT/PARCEL NUMBER:2WA8ca2m400
BUILDING PERMIT (NEW STRUCTURE): 1q78U4W-
COVENANTS (RECORDED)
CRITICAL AREAS:— aca DETERMINATION: E] Conditional Waiver X-Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
�'ERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DA
OTHER:
LOT: BLOCK:
LATEMP\DSrs\Fomis\Street File Checklist.doc
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City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
11JC. Is9z 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: 'q / S' 4 ?� 2-
City Receipt#: 19493
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
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 finding and locating the
specific piece of prop I erty 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 informat . ion and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to fi!"�is application on the ehalf of.the owner as listed below.
SIGNATURE oF APPLICANVAGENT
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 the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application. 7
Owner/Applica.nt:
A-�ak-o V, 1.e-�
Naffie
.10,
16030 - I bo�
Street Address
6144
City State Zip
Telephone:&5) 7-71 195 7
Email address (optional): les A/1W
ru,
Critical Areas Checklist.doc/3.19.2001
AppUcant Represeqtative:
:5 h, 46 A17
Name
70 6 IV
Street Address
city tate
I Z*
Telephond 34,3-40(n'
Erhail Address (optional):
Critical -.Areas Checklist CAFileNo:
Site Info=tion (soils/ topography/ hydrology/ vegetation) 0,4 la
1. Site Address/ Location: 1WBQ_L1Jkbt Ed e-a4d(MAS Vat
2. Property Tax Account Number: c2 7 o 41 Z 2-noQ2 0 2 zlon
3. Approximate Site Size (acres or square feet): 2R,
E e Ei V G
4. Is this site currently developed? _)�es; — no.
If yes; how is site developed? &.4 a ey—eZZ--n ----,—IV 0
5. Describe the general site topography. Check. -all that apply.
Flat: less than 5-feet elevation change over entire site.
1 -
PERMUT COUNTER1
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet o ver a' horizontal
distan�e 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: MA Approx. Depth:
7. Site contains areas of seasonal standing water: �&Ivt; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain _&�2_ of a water course.*
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
�4 Z4 — — --- Flows are seasonal? (What time of year?
10. Site is primarily: forested ow shrubs mixed
urban landscaped Oawnshrubs etc)
11. Obvious wetland is present on site: /V10
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Critical Areas Check] i st. doc/3.1 9.2001
J
City of Edmonds
Critical Areas Determination
Applicant: ines Determination #: CA-02-65
Project Name: Permit Number:
Site Location: 1 18030 Talbot Rd. Property Tax Acct #: 1 27 0418 002 024 00
Project Description:
Non -Project Specific
Determination; Study Required:
During review and inspection of the subject site, it was found that the site has some potential for steep
slopes on portions of the property and/or adjacent to the property pursuant to Chapter 20.15B qf the
Edmonds Community Development Code (ECDC). Based on these findings, prior to submission of any
building permit, you will be required satisfy the requirements of ECDC 20.15B by completing the
following:
THE "STUDY REQUIRED" PROCESS:
1. First Step:. In order to determine whether or not a steep slope does in fact exist on your property
and/or is adjacent to your property, you are required to submit a topographic survey. This survey
must be completed by a Licensed Land Surveyor (with a professional stamp on the drawing). The
survey must include. the following information:
A. Top of the slope
B. Toe of the slope
Note: If there is not an obvious break in the topography to indicate the
top and toe of the slope, then a Geotechnical Engineer may be required
to locate the top and the toe of the slope. Refer to the City Code section
ECDC Chapter 20.15B.
2. Second Step, if deemed necessary: If you feel that you need to have the proposal located in the
buffer area or in the critical area, then you may apply for a Steep Slope Exemption, Critical Areas
Exemption, or Conditional Waiver. It is important to understand that not every applicant will qualify
for the exemptions and waivers listed above. Only a few applications are issued exemptions and
waivers . on a project by project basis.
Please do not submit any new materials, such as Geotech Reports, elevations, soil reports,
unless you have received an official memo from the City requesting additional information and
you have contacted a Ph�qnyr at t�e City# 46tergiine how to proceed with your proposal.
J Name t7 Signature Date
FILe
DATE: ?J 7
14EMO TO: Building Division
Community Development Department-,
FROM; Engineering Division
Public Works Department
SUBJECT:
QGIL �COTT
After review of the subject building permit application, we have
the following comments:
COMM I A- Na
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CITY TELEPHONE NUMBER
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NAME: REMARKS
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ONE NUMBER STREET AND/OR UTILITY WORK
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REMARKS
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---------- - -
CITY OF EDMONDS-
WORKS DFPAPTMPfJT Ptdr_TFJr:rDTKir_ ny%/TCT
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F? Ecep/ED -
APR 2 3-197$
N FU RIRT-OF-11,AY COPNSTRUCTIMI PERP IT
ARK I CATI O�
01 Public Works
THIS PERMIT MUST BE AVAILABLE AT THE JOB SITE FOR INSPECTION �PZRPQSES
..,Applica,nt*.to Complete Parts A and B
A. Permit to be issued to: Snohomish Cou'nty P.U.D. tl
For Work at:(address or vicinity)
SCO71— /c/o 9cp3loll
Type of Work to be done:
(attach drawing when app able)
Time Required Start: 1-day Finish�:
or I
'Mer: Snohomish County P.U.D. #1
Name
2.10.18. 14wy 99
Makling�-Address
1,ynnwood IVA 98036
City
State Zip
K 0%
REE-T FILE
7174-21.12
Telephone Number
Contractor: same as above
Name State License -Number
Mailing Address
city State Zip Telephone Number
INDEMNITY: Applic'ant:u"nderstands and by his signature to this application, agiees
�to hold the City�of Edmonds harmless from any injuries, damages, or claims of any
kind or descrip',t'ion-whatsoever, foreseen or unforeseen, that may be made against
the applicant,_�r the City of Edmonds, or any of its departments or employees,
including ornot limited. to the defense of -any legal proceedings including defense
costs,.court co.sts, and attorney fees by reason of granting this permit.
'Upon issuance of this permit, the contractor is responsible for workmanship and'
materials Tor a period of one year following the final inspection and acceptance
of the re'storation by the Engineering Division.
Funds heldt'?'�6m the- Security Deposit (estimated restoration fee) will be held until
the.final A s ti7ee't %patch -is completed, at which time a debit or credit will be
processed for issuance to the applicant.
Work is subject to inspection and.restoration in accordance with City Code. A
.24--�hour notice is required for inspection by Engineering. Call 775-2525, ext-.,220.
.."I understand that, this permit must be available at, the job site fo r inspection
purposes at all times.
.Signatui
re: Date:
e --o --- r --- Afg_ent
r
C, �tb BE COMPL.ETED BY ISSUING AGE,NCY:
Date Issued: 7 9. Permit No.. Fee: 111�-`
A% Security Bond.--
Timl?'-Authorized: 6�
APPROVE[) B Y
'Da t e::
1 0 _7,1 I
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