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18323 85TH PL W.PDF111111111111 8056 18323 85TH PL W 0 0 ADDRESS: Li TAXACCOUNT/PARCEL#: 00-77LP7-00000366 BUILDING PERMIT (NEW STRUCTURE) #: -bt' T_) 7-00 COVENANTS (RECORDED) FOR: CRITICAL AREAS M 61- 002,6 DETERMINATION: El Conditional Waiver XStudy Required El Waiver CRITICAL AREAS #: DETERMINATION: El Conditional Waiver Study Required E] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE P LAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #'s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: q GEOTECH REPORT DATED: STREET USEIENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: 1-7 OTHER: L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc ZONE SO IFRNT SIDE REAR OTHER HEIGHT. ArAl r- lu - �9" RECEIVED BY ENGINEERING JUN - 6 2001 BUILDING D OWNERICONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DRAINAGE 34OW = KE CORNM ww=sY-cvKm -3aaw_wxcarxm 54LW a S*. CorjjM -5442P = AVIL MV. *291=MAXX"HT. 3"=m"pLwXa" 3WW - DOW FLWItUIEV 3WW=6AP--FtAM9LEV. WATER & SEWER INSPECTIONS REab CALL 425-771-0220 EXT. 1326 a,m�OACCEPTABLE TIGHTLINE MATERIAL SDR 35 SCH 40 N -12 F81 0 HANCOR asl,,TEMPORARY CONSTRUCTION ENTRANCE REQUIRED - YVAT I 6c,o,e-w,"T-- Tm-v,�t- - 34a MkA pz- 3�(.00 ,6A.-r&04 27),� (� F 8 4 -L &.r-. 3S(,� . va. bsrl 3� p- S-r c. f=- Lo-k s 2c)�- g 1,--. I aal FILE- S3WOH S31ZO-1 Wb'91:IT TM2*TE,,kbU 4 DATE ngcEivu) PERMI`& I R LS CITY OF EbWNDS CONSTRUCTION PERMIT APPLICATION OWNER N�gE?IVAME OF BUSINESS <: MAILING ADDRESS CITY L, TELEPHONE E 13 NAME ADDRESS CITY ZIP TELEPHONE ;0,0 b .NXME: M ADDRIfSS -Z CITY—' ::Ip TELEPHONE 0 u 2,� 0 STATE LICENSE NUMBER. EXPIRATION DATE CHECK D BY 'PROPERTY TAX,,,�CCOUI`+?.PARCEL NO. -t-f\,r '77 (P-tP 0000 0 3 0060 FLINEW RESIO�ENTIAL. '150 PLUMBING / MEQH 0 ADDITION 66MP�EPCIAL [3 COMPLIANCEOR CHANGE OF USE O'PIEM.00171. APARTMENT 0 SIGN REPAIR Gp_4,0,.—_ Y" 17ENCE X ;C ITI DEMOLISH 0 TANK 0 OTHER CA ROCKNING WALL 0 RENEWAL FRY 0 (TYPE OF USE. BUSINESS OR A ,_PTIVITY) EXI)LAIN: NUMBER -'NUMBER OF CRITICAL -OF A . . I DWELLING AR,,EAS 0 STORIES UNITS NU .g1961 DESCRIBE WORK TO BE D?NE f4l HEAT SOU%T! GLA Z�4G % LOT S Q K ... I . . I P . LAN CHECK NO: rESTE. DATE _ THIS PERMIT AUTHOFItZES ONLY TttEtWORK NOTED. THIS PERMIT COVERS WORK TO t a E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS, ORIVEWAY�S -MARQUEES, ETC.) WILL REQUIRE . SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT: I YEAR w PROVIDED WORK IS STARTED WITH114 180 DAYi QRPINK PE�MIT FO� MORE INFOIRM�TION SEE BACK ' 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOFIS IN INTEREST. AGREES TO :NDEMNIFY. DEFEND AND HQLID "RMLESS THE CITY OF EDMONDS. WASHINGTON. TS OFFICIALS. EMPLOYEES, AND -AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF W;4ATEVER NATURE. �RISING DIRECT'_Y OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIr PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR RE CEANYREO MENT OF ANY CITY ORDINANCE DU U�TgE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFO ANY ORDINANCE PROVISION. - THERE CKNOWLEDGE THAT I HAVE READ TH-S APPLICATION: THAT THE INFORMATION E�AORF GIVEN 5 PC P. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TOCOMPO WITH CITYAND STATE LAWS REGULATING CONSTRUC- TON; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILLBE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE CAF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. a SIGNATURE�'(VNNER AGENT) ATE SIG�NE. 0 1 . E — PERMIT w Z8 No_'4 * r ;L � 0 — �,NUMBER JOU SUITEIAPTN ADDRESS. LQ PLAT NAIMEiSUBOMbIp.T. LOT N� LID NO. 7 5.% LID FEE S PUB I.IC RIGHT OF WAY PER OFFICIAL STREET MAP IEP�PAppd P.— A.-.. EXISTING __ Ppo—Itu— R14-1-d 54—W R.a ... d '40 C REQUIRED DCDtGA1 ION__ FT U='91— "" ."d t2l_ METER SIZE LINE SIZE No. OF FIXTURES - PRV REQUIRED 'Y ES 0 NO' 0 REMARKS z OWNER/CONTRACTOR 4SPONSIBLE FOR EROSION CONTROL)DRAINAGE a z / m;i�, reo,_, xv Fva R17 ENGINEERING REVIEWED/DATE a,_Zec L/4 - , ; FIRE RCV!-_WEO BY DATE w z 0 VARIANCE OR CU SHORELINE OR ADBN INSfEEC�ION H PSOND OSTED 0 Is m SERA REVIEW SIGNAREA H+EIGHT COMPLETE I EXEMPT. ALLOWED PROPOSED ALLOWED PRCPO1j1O E m c LOT COVERAGE ALLOWED P�6posm REQUIRED SETBACKS (FT.) rROIT SIDE REAR PROPOSED SETBACKS (FT.) FPON[. R ' 4p 0 Z m 0 25 to, 2G, 1 2,6.: y 5 iE --1 6 0 c: —4 K PAR&C, REO'D PROVIDED LOT AREA PARE ATE IT M M M Z ID --I A, IF c Ci/) 0 -n -n PHErKEOBY jTYFEO12Fyr,1.JU CO PANT p m M SPECIAL INSPECTO .1 JAREA REOUIT�ED PANT C) YES 0 REMARKS. PROGRESS'INSPECTIONS PER UBC 108/FINAL INSPECTION REQ-0 q N. 0 M c= C/) 9 co M 0 Z -1 > z VALUATION FEE PLAN CHECK FEE gbq z 0 BUILDING (9496p, a I 2al- 0 m PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE 4/151-4/5 ENG. R.EVIEW FEES' ENO. INSPECrION F2C -:2 LANDSCA�ING INSPECTION FEE' PLAN CH ECK 0 POSIT C, 4_ TOTAL AMOUNT DUE AIPPLICATION APPROVAL CALL This apphc0o" I, rt.1 a permit unitt 1,gnod by the Budd;ng Olficial 0, h1sJhdf�Dopvjy: and Foos are Vaid. and FOR INSPECTR N A ctiol To cknowrordoodl in soace provtdod. �LS SIONATURIEr, DATE (425) V A"I i�,uxaq 771 nl)')n 1,02a `ftcAsco 13Y ATTE - NTION EXT1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTIO14 HAS BEEN MADE AND APPROVAL OR A CERTIF.1- FILE YELLO -INSPECTOR I; ORIGINAL i1JE OF OCCUPA:NCY HAS BEEN GRANTED. UBC SECTION log 'FAX PINK - OWNER GOLOWASSESSOR Pr(iject Review ChecWist Project Name: Z& z,,5 no? PlanCheck#: 64 ProjectAddress: 19Y,� "?5 Receipt Date: Underground Wiring Required Hydraulics Permit Plat/Subdivision Requirements Street Ded�ica.tions- Easements - Public/Private Engineeiipg Storm -Drain Review Fee Engineering -2.7 If.ispection Fee Drainage Plan -(On -site)' Setback - Storm Drain Line -Open Eiiich - Exiiting'. Culvert R6quired' .q Culvert Size: ..Shoulder1`br1a,;q4ge/Shal6 Open Runoff Catch ' Basin Required'; Driveway Slope,& V61�icle Access Sidewalk R�qaired... Curb & Gu ' ft6r Re�uked Curb C6t,fo ' f Drivewa�,Required Street Paving R'eq'uire'd'.1..,.,: lZight-of-way,Cohstruction Permit Required Bond Rc:i�i��-fo�P��iic.'ir�pro'vements FFMA . Map Cfi�&/Water Table - Side Sewx-Availability ' Ylf-j Calculate Sewer Fee. ifNo LID# Water Meter Size 'WateiMeierChar e- Rc Hydrant Required Street Cut' Miscellaneous RW Permit# Date Issued Receipt # SS Pennit # Date Issued )01 Receipt # Fire Connection S Date Issued Receipt # Met er Size �Z)(Qlf Paid Datgc4l Receipt # Z 0 M --i -n �5 j 0 M C 0 M. 0 10, 0 C:: --I K :1 M M Z --I Z -i 0 -n n M M 0 5 0 r- 0 M C Cn K Cn Q 0 Z r- .qm Z __q Z 0 4 0 M 7 HEIGHT CHECK VERIFICATION FORM MAXIMUM ELEVATION ALLOWEp—.A216:Lr,:1—( ACTUAL RIDGE ELE . VATION A071 s 7 PREPARED By— J�K 6A�A byo DATUM POINT ELEVATION Name Title Date L:Xtemp\bulldingkhandouMMFieldHtCk.vs� VERIFIED BY C.ITY BUILDING INSPECTOR_.j 8/00 Name Date RECOOD'O , F INSP ECTIONS INSPECTOR DATE APPROVED SETBACKS ............. ....... FOUNDATION: w Footing ...................... Wall ................. I ....... Pier/Porch ........... ...... : VIAS Retaining Wall ........... SlabInsulation .......... PLUMB*ING- Underground ............ C Rough -in ................... M! Commercial Final ...... M: HEATING: J0 I . j, Gas Test .................... . C! Pas Piping .............. Equipment ................ — 0: Commercial Final ........ M I EXTERIOR SHEATHING c, C 0 0 NAILING .......................... yy) 17 C:: FRAMING .................. Q Z r FIRST hOOR FR*AMING...-. INSULATION ................ Floo*r-Insulation ......... Wall lrj$.ulation . ........... Ceiling Insulation ....... . . SHEETROCK NAILING ... A6 SPECIAL INSPECTION ... MISCELLANEOUS, .......... FINAL APPROVAL FOR OCCUPANCY .................. Critical Areas Check?1st CA File No: .2-001 - 2-D Site Information (Soilsl topography/hyclrology/ vegetation) 1. Site Address/ Location: g 2 2. Property Tax Account Number Walk 0 0 0 0 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? 9' , yes; — no. If yes; how is site developed? S� �0 & 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 d6scribe):. 6. Site contains areas of year-round standing water: - " 0 Approx. Depth: 7. Site contains areas of seasonal standing water: /-(0 ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway 0 floodplain Af 0 — of a water course. 9. Site contains 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 — N f3 meadow ;shrubs mixed urban landscaped 0awn,shrubs etc) 1-1. Obvious -wetland is present on site: .rian t�.neck lNumber, pplicable? U ned? site is:Z0, G:\Sharc\Library\Planning\Forms\public Handouts\ Critical Areas Checklist Doc/1-16-2001 0 City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 DATED RECEIVED-:W CITY RECEIPT #: /?7"7`A— Critical Areas File #: Critical Areas Checklist Fee: $45.00 DATE MAILED TO APPLICANT:. .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/or 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 assistant staff in completing their preliminary assessment of the site. I have completed the attached CRIITICAL AREAS CHECKLIST and attest that the answers provided are factual to the best of my knowledge (fill out the appropriate column below). PLEASE PRINT CLEARLY Owner/Applicant: UFS'::-� --Rame Ob2-L�- PL- Street Address — 80 N-'�) "-� 0% W'P'. (?Boq's"� City State Zip Telephone: . Lf a"y-- (of? -6 — 3 G . q Signature Date: 0 C) Applicant Representative: Name Street Address City State Zip Telephone: Signature Date: G:\Share\Librmy\Plwu�ng\Forms\public Handouts\ Critical Areas Checklist Doc/1-16-2001 �;*_ , 1 0 0 City of Edmonds , Critical Areas Determination Applicant: Thuesen Custom Homes Determination #: CA-01-20 Project Name: Permit Number: Site Location: 1 18323 85t' Pl. W. Property Tax Acct #: 1 7762 000 003 007007] Project Description: Non -Project Specific Determination: Study Required:. During review and inspection of the subject site, it was found that the site appears to contain and/or is adjacent to an Erosion Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). Based on these findings, prior to submission of any development permit, you will be required satisfy the requirements of ECDC 20.15B by completing the following: Erosion Hazard Area The site is in an area designated on the Critical Areas inventory as Slopes with Erosion Potential. All proposed development must have an erosion control plan approved by the City of Edmonds Engineering Department. If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Areas located on the site, they may submit their proposal to the Planning Department for review. If the Planning Department finds that the proposed development permit will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued on a project by project basis. INUMV, 3ignature L)ate PERM11NO: 111.4 City of Edmonds PERMIT EXPIRES 1. i s9z 11 C. ', . z SIDE SEWER PERMIT Addressof Construction: LID # Property Tax Account Parcel No. :271996000C)50000 Z411 :3 Z�p 'Ak11,4W1_ 8K, Attach copies of all access and utility easements �--Verifie.0 and Approve ..Owner and/or Contractor: TkUA6,c-,,,� cus-ioA,\ :iLe'vin Contractor License h g c- -:Zr—h 0:Z 0 DO Building Permit -k)o 1 04 (a q e_� )ojisjol J205ingle Family Invasion into City *Right -of Way: Yes F-1 Multi -Family (No. of Units *RW Construction Permit E] Commercial (No. of Units, Cross other "Private Property: El Yes F] Public "Attach legal description and copy of recorded easement. Owner/Contractor /0/0 �/o Owner or contractor signatureand acknowledgement statement: Dat� By signing for this permit I certify that I have -read the City's public handout entitled ide Sewer Specifications, and shall comply with all City requirements outlined therein. 2 CALL DIAL -A -DIG (1-800-4Z4-5555') BEFORE. ANY EXCAVATION 2 9 FOR INSPECTION CALL 425-771-0220 extension "W69a 24 HOUR NOTICE -REQUIRED FOR ALL INSPECTION REQUESTS NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN ,INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED. Job Site Ready YES NO —Date: Initial: Partial Inspection: -Date: Initial: Partial Inspection: -Date: Initial: FINAL I . NSPECTIO"PPROVED: Date: - �0 It to.StreetFile: R 1%, PERMIT MUST BE POSTED ON'JOB SITE 1,� White Copy: File Green Copy: Inspector Buff Copy: Applicant L;temp;bld&,forms,ssperTnitjlg4/00 .7=77 � I () f ED,,,,._ 85TH PL W ,OEM-:K CITY OF EDMONDS SIDE SEWER AS- BUILT A c� ADDRESS: HOMEOWNER: tn 1 18323 85TH PL W I CONTRACTOR: SCALE: NTS THUESEN CUSTOM HOMES I DATE DRAWN PERMIT DRAWN: 11 /2/01 1BY: 1. ABILA INO: 9552 E DAf PWpose of Checkliw.- CI?Y OF EDMONDS RECEIVED ENVIRONMENTAL CHECKLIST MAR 2 0 20W. DEVELopmENT SERVIC EDMON ES CTn. CITY OF DS The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. Instrudionsfor Applicants. This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant requiring preparation of an EIS. Answer the questions briefly, with the most precise information known, or give the best description you can. You must answer each question accurately and carefidly, to the best of your -knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the answer, or if a question does not apply to your proposal, write "do not know" or does not apply". complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklistfor nonprojedproposaly. Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). For nonproject actions, the references in the checklist to the words "project" it applicant" and "property or site" should be read as "proposer," and "affected geographic area," respectively. A. BACKGROUND 1. Name of proposed project, if applicable: R-;;Fs I' O-e"3 t'r-7 (b 3 LS (3 2. Name of applicant: _ TK(A eSe-A C_,,4,A, 3. Address and phone number of applicant and contact person: ;L S-- 2_7 2- Ll 0 CHUTDC01-NOV-93 MASMR\SPEA Page I of 24 V7 4. Date checklist prepared: d- /,,27 /0 1 S. Agency requesting checklist: City of Edmonds. 6. Proposed timing or schedule (including Ph"ing, if applicable): (STAFF COMMEN 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. Nc--::rw S'N6L--(5 'F0)-(VNI*L'Uj (STAFF COMMENTS) 8. List any environmental - information you know about that has been prepared, or will be prepared, directly related to this proposal. e-r-e-a A=I-I C>'� (STAFF COMMENTS) 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. (STAFF COMMEN CMUTMMI-NOV-93 Par 2 Gf24 MASMSPEA 10. List any government approvals or permits that will be needed for your proposal, if known. (STAFF COMMENTS) 1.1. Give brief, complete description of your proposal, including the proposed uses and size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. C�;� i',D t�� 3 �-G N C:—ItJ C, , 0 0 VL.� A-D CV V (STAFF COMMENTS) 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide range or boundaries of the site(s). Provide legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. Lok C' C' C) \ f3 t C,� ?�, L 2 f4-' P(- (STAFF COMMENTS) CHKUDOLU-NOV-93 MASMR\SPEA Page 3 of 24 TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): Flat rollingju�ll steep slopes, mountainous, other: (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? 21 (L� oue -CLQk (STAFF COMMENTS) C. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? 9 you know the classification of agricultural soils, specify them and note any prime farmland. A �—Q A A., (STAFF COMMENTS) d. Arc there surface indications or history of unstable soils in the immediate vicinity? if so, describe. - �No (STAFF COMMENTS) Pap 4 of 24 CHxLT.DOLU-NOV-93 MAFMR\SMA e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source of fill. - V-.> & V— A- �-- �Q') 101='r , 0;� of\- !�� ';� '� \4 V-\ FL V\ 04-t \AA e 'y ORA- (STAFF COMMENTS) E Could erosion occur as a result of clearing, construction, or use? If so, generally describe. \1 es L v--), ck-& C' (STAFF COMMENTS) g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? -�Af\ A") (STAFF COMMENTS) h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: wz' G &cc\ Ck GL Ct-p- & -� 1J CK (STAFF COMMENTS) 2. AIR 2. What types of emissions to the air would result from the proposal (Le., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. c, (STAFF COMMENTS) CHKLTDW1-N0V-" MAMR\SPFA Page 5 of 24 b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe. (STAFF COMMENTS) C. Proposed measures to reduce or control emissions or other impacts to the, if any: H 0 'Je- (STAFF COMMENTS) 3. WATER a. Surface: (1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide nameL If appropriate, state what stream or river it flows into. (STAFF COMMENTS) (2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? 9 yes, please describe and attach available planL NO (STAFF COMMENTS) (3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. Indicate the source of fall material. (STAFF COMMENTS) Pap 6 of 24 CHKLTDMI-NOV-93 MASMNSPEA, (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. 0 (STAFF COMMENTS) (5) Does the proposal lie within a 100-ycar floodplain? If so, note location on the site plan. NO (STAFF COMMENTS) (6) Does the proposal involve any discharges of waste materials to surface waters? H so, describe the type of waste and anticipated volume of discharge. (STAFF COMMENTS) b. Ground: (1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. N C) - (STAFF COMMENTS) Page 7 of 24 CHKUDOMI-NOV-93 MASMR%PEA 0 0 (2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemica]L..; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) arc expected to serve. NO (STAFF COMMENTS) C. Water Runoff (including storm water): (1) . Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. S �0 Q- rn U ok�'Lj U�' \OL� Q'k, 4� o-L "IA N VVI (STAFF COMMENTS) (2) Could waste materials enter ground or surface waters? If so, generally describe. (STAFF COMMENTS) d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: K,0 k L �� U 4 Ate, S,,., r-V-A CL S MjLk,"p -�'C dU�t N4-A-� Cor'-IkLw4,r-�-� ' �c ,� W C" 0- (STAFF COMMENTS) Page 8 of 24 MUD00"OV-93 MASTEMSPEA 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen, other- OC evergreen tree: GIcedar, pine, other: shrubs grass pasture crop or grain wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other. water plants: water lily, eelgrass, milfbil, other. other types of vegetation: (STAFF COMMENTS) b. What kind and amount of vegetation will be removed or altered? NJ (STAFF COMMENTS) C. List threatened or endangered species known to be on or near the site. (STAFF COMMENTS) Page 9 of 24 CHKLTDWI-NOV-93 MASMILISPEA d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site, if any: (STAFF COMMENTS) 5. Animals a. Check or circle any birds and animals which have been observed on or near the site or arc known to be on or near the site: 0 ^.3 4�� birds: hawk, heron, eagle, songbirds, other: mammals: deer, bear, elk, beaver, other: — fish: bass, salmon, trout, herring, shellfish, other: (STAFF COMMENTS) b. List any threatened or endangered 'species known to be on or near the site. ovje- (STAFF COMMENTS) C. Is the site part of a migration route? If so, explain. (STAFF COMMENTS) -Pap 10 of 24 CHUTDC01-NOV-93 MASTERWEA d. Proposed measures to preserve or enhance wildlife, if any: 7`4 0 ev"75- (STAFF COMMENTS) 6. Energy and Natural Resources a. What kinds of energy (glectric, nahm"as, oil, wood stove, solar) will -be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. '7 c, CL S (STAFF COMMENTS) b. Would your project affect the potential use of solar energy by adjacent properties? N so, generally describe. (STAFF COMMENTS) C. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: W CA S, (STAFF COMMENTS) Page I I of 24 CHKUDC01-NOV-93 MASMNSPEA 7. Environmental Health a. Are there any environmental health hazards, including rapasury to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result a( Ibis proposal? If so describe. I -In (STAFF COMMENTS) (1) Describe special emergency services that might be required. C) ('J k�e (STAFF COMMENTS) (2) Proposed measures.to reduce or control environmental health hazards, if any: t'Y D (STAFF COMMENTS) b. Noise (1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? N 0 . "3':5- (STAFF COMMENTS) CHKUDOLU-NOV-93 Pap 12 0f24 MASTERWEA 0 0 (2) What types and levels of noise would be created by or associated with the project on &shorW"w-or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. -S.S 6 �' C30 a '5"' 0 o (STAFF COMMENTS) (3) Proposed measures to reduce or control noise impacts, if any: t\ to r-'.) 4��- (STAFF COMMENTS) 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? 5 ��- 0 Vto "" '!:�. & I T4�-s (STAFF COMMENTS) b. Has the site been used for agriculture? If so, describe. C) (STAFF COMMENTS) Page 13 of 24 OWELTDC01-NOV-93 MASMR\SPFA 0 0 C. Describe any structures on the site. N ovj';�5- (STAFF COMMENTS) d. Will any structures be demolished? N so, what? N 0 (STAFF COMMENTS) e. What is the current zoning classification of the site? R -Q k )"60 3 (STAFT COMMENTS) f. What is the current comprehensive plan designation of the site? R, a 0 00 (STAFT COMMENTS) g. if applicable, what is the current shoreline master plan designation of the site? t' ( -3 -('j� (STAFF COMMENTS) Page 14 of 24 CHKLTDMI-NOV-93 MAREMPEA h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. J-10 (STAFF COMMENTS) L Approximately how many people would reside or w ,q_rk in the completed project? (STAFF COMMENTS) j. Approximately how many people would the completed project displace? k-( C) N C-- (STAFF COMMENTS) k. Proposed measures to avoid or reduce displacement impacts, if any: N 0 r--� ��- (STAFF COMMENTS) L Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: 0-- (STAFF COMMENTS) Page IS of 24 CHM.D001-NOV-93 MAMR\SPFA 9. . Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. Olt, �L '7 (STAFF COMMENTS) b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low- income housing. N(DA) �� (STAFF COMMENTS) C. Proposed measures to reduce or control housing impacts, if any: T*-(0+j C-r- (STAFF COMMENTS) 10. Aesthetics 2. what is the tallest height of any proposed structure(s), not including antennas; what is the principle exterior building material(s) proposed? ;,P,.= GkA,\ Ck.")4 a-S U'k, 0 ez 13 LL� ( Cg 1 V (STAFF COMMENTS) Page 16 of 24 CHKLTDMI-NOV-93 MASTERWEA 0 0 b. What views in the immediate vicinity would be altered or obstructed? C' (STAFF COMMENTS) C. Proposed measures to reduce or control aesthetic impacts, if any: C I C CAC i.,— t'J-e—'k� (STAFF COMMENTS) 11. Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? 0 'J G5- (STAFF COMMENTS) b. Could light or glare from the finished project be a safety hazard or interfere with views? /,--(D (STAFF COMMENTS) C. What existing off -site sources of light or glare may affect your proposal? tj 0 -'-J �?' (STAFF COMMENTS) Pop 17 of 24 Cff.LT.D=I-N0V-93 MASMRWFA d. Proposed measures to reduce or control light and glare impacts, if any: — No &J --- (STAFF COMMENTS) 1L Recreation a. What designated and informal recreational opportunities am in the immediate vicinity? (STAFF COMMENTS) b. Would the proposed project displace- any existing recreation uses? If so, describe. (STAFF COMMENTS) C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: IL-4 0 (STAFF COMMENTS) Page 19 of 24 CHXLT.D=I-NOV-93 MASMSPEA 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. (STAFF COMMENTS) b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. (STAFF COMMENTS) C. Proposed measures to reduce or control impacts, if any: (STAFF COMMENTS) 14. Transportation a. identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. ctu YP- (-�Q E VJ (STAFF COMMENTS) Pap 19 of 24 CHKLTDOC%I-NOV-93 MAMMSPEA 0 . 0 b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit stop? \-to, (STAFF COMMENTS) C. How many parking spaces would the completed project have? How many would the project eliminate? (STAFF COMMENTS) d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). (STAFF COMMENTS) e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. (STAFF COMMENTS) Page 20 of 24 CHUTDOM-NOV-93 MASMR%SPEA M 7 f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. 0 C)'(�13 \'f-, N (STAFF COMMENTS) g. Proposed measures to reduce or control transportation impacts, if any: NO /'J-15�- (STAFF COMMENTS) 15. Public Services a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. (STAFF COMMENTS) b. Proposed measures to reduce or control direct impacts on public services, if any: P0 ri IF (STAFF COMMENTS) CMT.D=1-140V-93 MAMR\SPFA Page 21 of 24 16. Utilities a. C�rdfjj e �s currently available at the site.<::��,(�atu�re(��rvi<t:e Lcphonr �r 1� OJT %;M, &a (STAFT COMMENTS) b. Describe the utilities that arc proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed —40�� &� 'AN� 0-� -'V� _K;�� . -- - A-X0 WAk-) S—k-c%A— —\V A k I i ('-I � N A 1 1* 1 f) "I A 0 (STAFT COMMENTS) C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. Signature of Proponent 0-2, 0 Date Submitted Page 22 of 24 CHKLTDOMI-NOV-93 MASTERNSPEA J D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (do not use this sheetfor project actions) Because these questions are very general, it may be helpful to -read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise? Proposal measures to avoid or reduce such increases arc: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: Page 23 of 24 CHUTDOMI-NOV-93 MAS17R%PFA M 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: S. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. Pap 24 of 24 CHKLT.DOL'%"OV-93 MASI'ER%PEA 0 Mailed to the following along with the Environmental Checklist: XX XX Environmental Review Section Department of Ecology P.O. Box 47703 Olympia, WA 99504-7703 XX Department of Fisheries Arm.: Richard E. Johnson Regional Habitat Manager 16018 Mill Creek Boulevard Mill Creek, WA 98012 Attachments pc: Building Permit No. 0 1 -043 SEPA Notebook Applicant: Thuesen Custom Homes 18225 85" Pl. W Edmonds, WA 98026 Page 2 of 2 01-043 THUFSENDNS.DOC CREATED ON 03126/01 8:38 AM OV EDA, CITY OF EDMONDS. 121 STH AVENUE NORTH * EDMONDS - WA 98020 - (425) 771-0220 httpV/Www.ci.edmonds.wa.us RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: Construct a Single Family Residence Proponent: Thuesen Custom Homes Location of proposal, including street address if any: 18323 85h Pl. W, Edmonds Lead agency: CITY OF EDMONDS The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement is not required under RCW 43.21.030(2)(c). This decision was made after review of a completed environmental checklist and other infon-nation on file with the lead agency. This information is available to the public on request. There is no comment period for this DNS. This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 14 days from the date below. Comments must be submitted by Responsible Official: Chanda Earhart Position/Title: Assistant Planner Phone: 425-771-0220 Address: City of Edmonds 121 - 5th Avenue North Edmonds, WA 98020 Date: Signa xx You may appeal this determination to Robert Chave, Planning Manager, at 121 5th Avenue North, Edmonds, WA 98020, no later than April 9, 20011 by filing a written appeal citing the specific factual reasons for the appeal. The appeal submittal must also include the required fees and mailing list. Please contact the Planning Division for specific submittal requirements. xx Posted on March 26, 2001, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. xx Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Page I of 2 &0 -043 THUESENDNS.DOC EATED ON 03/26101 8:38 AM :,DATE RECEIVED PERMIT EXPIRES CITY OF EDMONDS USE ZON0_ PERMIT a')'o IMI [A 14961 � () NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS 3, � -� 5 -S OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBD'IVISIP.I`�..,v LOT NO.� LID NO. A*( U M MAILING ADDRESS LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 R Permit Required Im z 3: 0 EXISTING PROPOSED SW treat Use Permit Req'd 0 Inspection Required (3 CITY ZIP TELEPHONE EA3 Ph 0 0 4Y-_, �2,�'- q REQUIRED DEDICATION— FT Sida.alk Required 040 0 ridergrotind Wiring required q(.S ag NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED Y s E NO 0 z ADDRESS REMARKS 451"1 L) OWNER(CONTR CT"R 1; P E FOR EROSION CONTROUDRAINAGE A,151Z (A z W CITY Z17] TELEPHONE I UVA, b 4,�'r 2 NAME ew4lenr-_72�'Z4-Y�2w 7 ENGINEERING REVIEWED/DATE IX ADDRESS l'- FIRE REVIEWE BY DATE LU z CITY ZIP TELEPHONE 0 L 0 LI 2,�-- (,-7 Gq I VARIANCE OR CU SHOR ELINE OR ADB# INSPECTION RECO BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY . 0 YES CCNO SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. `7'1(p.�C)000 0 �3 C) 000 COMPLETE EXEMPT PROPC ALLOWED )SED ALLOWED PROPOSED 1 C5 C^ EXP I — 1 NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE ALLOWED Pj6POSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONI URSIDE REAR ADDITION E] C(5MMERCIAL COMPLIANCE OR , B 5 7,, /1, 0Z 2,5' it) 7r.' 2�s 14X�) '70 z CHANGE OF USE REMODEL [3 APARTMENT 1:1 SIGN z 0. kRKING REO'D V PROVIDED _ LOT AREA I t, 554 PLA �,,G REV EV%��B DATE FENCE — 47 4' F-1 REPAIR GF14DINC--- �'CYDS E] X FT) REMARKS F-1 DEMOLISH TANK OTHER z t�GARAGE ROETAINING WALL 0 RENEWAL CARPORT R CKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKEDBY TYPE OF CQUSTRUCTION OCCUPANT 0 TIP 17077 GROUP NUMBER NUMBER OF CRITICAL SPECIAL INSPECTOR JAREA REQUIRED E] YES 51'L3 1A OCCUPANT LOAD M o OF STORIES . -;( DWELLING I UNITS AREAS/No I I N UMBl!q;I` DESCRIBE WORK TO BE D ONE. - pp REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D z a 7c 2 ii�," -A LLME-PYL, Datfllw -P E- 71' ��4 17 VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT S 4IP6k BUILDING & PLAN CHECKPO: VESTED DATE PLUMBING =A- kMECHANICAL . THIS PERMIT AUTHORIZES,ONLY THE WORK NO TED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY'6NLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE W PERMIT APPLICATION: 180 DAYS PERMIT LIMIT* I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION Cn APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE Uj ;N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF i LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE' cc ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEPT x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE _j DE PLAN CHECK DEPOSIT a EMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 I NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDI NANCE PROVISION.- TOTAL AMOUNT D6 E RECEIrjl-�j I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the CALL. TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. SIGNATURE. DATE VOFF SIGNATURq'(OWNkR'j�1`1 AGENT) DATE SIGNED (425) ;iIIALS )i I � M 771-0220 kt�iSED B�_ DATE ATTENTION EXT/333 y' IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD - ASSESSOR 5/98 K CITY OF EDMONDS. SINGLE FAMILY/DUPLEX COVER SHEET Directions: Applicants are to COMP16ts the Information In the WHITIE BOXES ONLY (Shaded boxes are lot City use only). This cover shoot must accompany each building permit application for a now Single-family PROJECT ADDRESS /'9(" 3�9 :2 &7— A15f, L PROPERTY TAX ACC06NT PARCEL 0 0" DESCRIPTION OF WORK PHONE4�?,4--,67,4-��r 4�q CONTACT PERSON PHONE E-MAIL r-- &0-� '� Cj�� FAX '4 t,;J- MAILING ADDRESS \ b PL- ",3 , L—,-p� ros- wk rrM-FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTIONS BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT 16 MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT 15 My RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE TtIAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLI 7 ON AND NO DISCRETIONARY APPROVALS ARE REQUIRED. ,SIGNATURE �= �3- DATE C)qo(,o I v� ZONING INFORMATION ZONE— 19A /0111 LOT AREA NUMBER- OF DWELLING VNITS' EXISTING DEMOLISHED PROPOSED__4. DISCRETIONARY APPROVALS CA Determination SUBDIVISION— CU VARIANCE SHORELINE SEPA Expires OTHER. City Use Only LOT COVERAGE INIF ORMATION EXISTING'SF PROPOSED SF TOTAL SI`574&L. HEIGHT CALCULATION INFORMATION DATUM AVE fit AA ACT6AL3,jj SETBACK INFORMATION aumiu2 F R 0 N T S5 SIDE— 10 616k.. 10 REAR F R 0 N T SIDE 7' SIDE /70 REAR CNR' . -'LQT 13:� EiRNO.. FL-AG--L0 T h-0...ST',-bEDIC. ES T'. Fly. A . 1111-IME 1R . E2 -MvrcM-NO". RECO'RbING 111' STAFF COMMENT$: ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS EASEMENTS EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SQ.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE City'Use Only SIDEWALK REOUIREDOYES [3N . 0 DRAINAGE PLAN REQUIRED [:]Y*ES [3NO UNDERGROUND. WIRING REQUIRE[) [DYES [:]L NO STREET DEDICATION FT. LID# STAFF COMMENTS: SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only) qOILS, START OF WORK EXCAVATION & GRADING SHORING INSTALLATION III MONITORING PROOF ROLLING EIPLACEMEN I i OF FILL III CO MPACTION SUBSURFACE DRAINAGE VERIFY SOIL BEARING PILE. PLACEMENT REROSION CONTROL ]GENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD 11GENERAL . SITE M ONI TORING BY T14E GEOTECHNICAL ENGINEER OF RECORD -DURING WET %VEATHiER CONSTRUCTION El FINAL GRADING III FIELD REPORT EDOTHER OPLACEMENT OF REINFORCEMENT OPLACEMENT OF CONCRETE BOLTS INSTALLED IN CONCRETE S T.RUCTURAL MASONRY [:]STRUCTURAL STEEL ERECTION 13HIGH STRENGTH BOLTING El WELDING (WABO CERTIFIED ONLY) OOTHER PLAN CHECK 0 APPL1CANT-'7'�//ZjP<5-eA)- DATE JtECEIVED (7P/74Z�9k BUILDING ComSTRUCTION INFORMATION CODE EDITIONS 1997 UBC. UMC, UPC. WSEC. VIAG WITH AMENDMENTS DESIGN CRITERIA WIND EXPOSURE 0 WIND SPEED 80 MPH SEISMIC ZONE 3 Floor Live Load 40 Root Snow/Live Losd_,L�Bslcony Live Load 0 -7- Dead Load 0 Root Dead Load Balcony Dead Load NUMBER OF STORIES BASEMENTS FLOOD ZONE :-I— LOT SLOPE SOILS REPORT PROVIDED 0 YES z No FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL) Living SPaG6 Existing plopose 4—?1.d A Total Garage Ile= Carport Cl 9 Dock/Covered Porch Other — ENERGY CODE COMPLIANCE INFORMATION FIIFL TYPE 19 GAS. OIL 0 ELECTRIC 11 OTHER E9 FORCEDAIR []HEATPUMP [:]hYDRONiC OOTHER FN9RGY CODE METHOD OF COMPLIANCE PRESCRIPTIVE: List Option I- FOR CITY USE ONLY TARGET UA APPROACH: Provide UA Calcuations Calling Insulation P---3 SYSTEMS ANALYSIS: Provide . Computer Analysis Wall Insulation 1, Floor Insulation-jr-2 Door U-Value V Window U-Value 0 .3 3 ENERGY/VENTILATION WORKSHEETS PROVIDED skylight U-Valuo--P-4 '7 WINDOW SCHEDULE PROVIDED Glazing % 4% '$ IF VENTILATION CODE COMPLIANCE INFORMATION KITCHEN FAN CFM _L BATHROOM FAN(S)CFM 50 LAUNDRYFANCIFM CL WHOLF HOUSE VENTILATION SYSTEM EXHAUST OPTION DED TO FRESH AIR TO BE PROW WITH: WINDOW VENTS WALL PORTS EACH hABITABLIE ROOM EXHAUST FAN -TO BE CONTROLLED WITH 24-HOUR TIMER AND SIZED AS FOLLOWS: 2 BEDROOMS: So - 76 CFM 4 BEDAOOMS: 100 - 150 CFM 3 BEDROOMS: 80 - 120 CFM 5 BEDROOMS: 120-160 CFM �fd HWAC INTEGRATED OPTION f-1 DEDICATED HEAT RECOVERY VENTILATION OPTION SEPARATE PERMITS (City Use Only) 0 RIGHT OF WAY CONSTRUCTION PERMIT 0 ENCROACHME MY PERMIT ATE ELECTRICAL PERMIT 13 FF9CE PERMIT 13 RESIDENTIAL FIRE SPRINKLER PERMIT OOTHER OMECHANICAL PERMIT OPLUMBING PERMIT WATER METER IDE SEWER PERMIT IRRIGATION (SPRINKLER SYSTEM) OTHER Any request lot mod . IIICSIIOn. variance of other administrative deviation (herinaflef 'variance") must be specifically Called out and Identified. Approval of Any PlAt Of Plan Contain i Ing Provisions wniCn do not Comply with in* city code and to# which a variance has not been specifically identified. requested and considered by the gppr . opflate city official In SeCofdance with the appropriate provision of city code or State law does not approve any Items not to code specification. PERMIT ISSUANCE AP V PLANNING REVIEW It, APPROVAL CONDITIONS OF APPROVAL: y Use Only) DATE ENGINEERING REVIEW at APPROVA CONDITIONS OF APPROVAL: DATZI�� Ll BUILDING REVIEW III APPROAQ�nj e aa CONDITIONS OF APPROVAL: jgg44�.-OATZ&J�Zh .10 of 13J 12, 000 00 5A<�T/ 1 is, 2,2 365.., 2 /.A 6 50. Fr 70 tA 1?,400 90. F 80'1 7- AO VV 1847*# 6 r A. W. R , A " %() I RN f 4, d 7 %a CL I k .1 z E,k'1!5r AMIMe.GAVOS 7-0,ecAMIN f A " 6�1 I I I t�' I / -.1 1-16- r " 4- -1 -3-22 MZ1V ST E0A401V09 PVA 99020 P140AIE:775-1-9,59 JI LEOAL DESCRIPTION TRACT 6, EDMOA105 SEA VIEW TRACT5 45 RECOROED /A/ 11,0L LIME 3 OF PL A T5 PA6E 76, eECORD9 Oc 9101104415H COLINTY, ZOVING CLASSIFICATION EX15TIA16 : RS -12 A10 Cq4A16E PROPOSED BULK REQUIREMENT5 M MINIMUM SErl.?ACeg MINIMLIM L 0 T AREA - 12, 000 50. F r FPONT Y4RD: 25 FT MINIMUM LOT WIDTI-1: 80 FT REAR YARD :23FT 91DE YARD /OFT LOTS AREA '�p TA L AREA 2 /0 082 50. cT (4,6,4C,?E5) EXCLIZOINa 10,c7 67F A0161-IT-OF-WIY ON 194 7w 9T5W T0&rDE0X4TrD r0,9,M-40. Tg 15 L74C EDMON05 5AA11rARY 5EW4�"Ao 91V5TEA4 WATER SLJPPL Y EDMOA105 WATER 5Y5TEM TOPOORAPHY DA TUM: M. L - L. W CON TOUR MITER VA L : 5 F r 50U,eCE: PLI91,11N F159ER e,46SOC 0,E 1/a 0,01WEAl T PIX A/ FOR RMOR4AM POIA17- 50 0 50 100 ;;;;;j scale feet A10 TE: ROUGH GRADIA16 IN 4CCO)?,9.4NCE WlrH ,eL16KIAl F16HER OEVEL OPMEN T PLAN HA 6 BEEAl CONDUCTED 5LI89EOI-IENT TO TOP06RARIVIC bVRVFY PRELIA41AIAPY PLAT OF PANORAMA POINT ,&ae EDMONDS DEVELOPMENT COMPANY IN 7-HE NE V4 NW 114 SEC. /9, r27N., R. 4 4E., W. 44. 4EDA40NDS . 141461-IIA16 TOM Reid, Middleton & Associates, Inc. Engineers * Surveyors * Planners 121 5th Ave. N.,'Suite 200, Edmonds, WA 98020 FILE NO. DRAWN CHECKED DATE FIELD BK. SCALE, -99-041 /1 50' 01? SHEET oe 01 I-IOU-6S eG-4,?46.r 1-0,964441N A &��1117UIV41!2 VtYC4LUf-1V1&1V1 t, VIVIP';All V f 322 MAN 9T 15,0MON05.11MA 98,920 PROIVE:773-N53 LEOAL DESCRIPTION TRACT 6, EDMOA10-6 5EA IIIEW TRACT5 45 RECORI)ED /A/ 110L LIME 3 Of RL A T5 PA6E 76.9 RECORD5 OF 9AI011OA419H COLIAITY, Z01VING CL A SSIFICA TION EX15TIA16: R5 -12 AV CAMA16E PROP05ED 43UL K REOUIR MIMMUM SET)MCeg MINIMUM L 0 T AREA : 12, 000 90. F r FRONT YARD: 25 F T MINIMUM LOT WIDT9: 80 FT. REAR YARD :25FT 510E YARD /OFT LOTS e AREA N TA / A DC A # -2 1A I)R9 CT 1�4 P AI'P--4 VI-1 11,01MC -;r L/ OF P161-IT- OF- WdY OA1 1947w 9 T 5 W TO&C DEOX4 TED FOR P040. NYA43ER Or LOT9 : /5 SEWERA6E EDMON05 5AIVIrARY .5,EWCAP 5Y57EIM r-N WA TER SUPPL Y EDWAIDS WATER 5Y5T51Y 6wc stxn I TOP06PAPHY Njj 1� ,V.,,' LoK, WA P I 011- �� 11L i . � V,--- 1po' . 19A TUM: M. L. L. W. CONTOUR 1AITERVAL : 5 FT SOU,eCE: PIJ91,11N F15YER �,4!560C o&-g6'zop446'A1r Pz.,mcae ,o41vo.e4m.4,001A1r 001 Cn ;z ..... ..... 50 0 50 100 scale feet A/0 TE: ROUGH 6RADIA16 IAI 4CCO)MAINCE WlrH ,eL16KIAl F16HER OEVEL ORAJEN T PLAN HA 6 3EM CONDUCTED 51185b7OUENT TO TOPOORARIVIC 9L11q Vr Y PRELIAVAIAPY PLA7- OF PANORAMA POINT ocoR EDMONDS DEVELOPMENT COMPANY IN 7-YE AIE V4 NW 114 eEC. /8, r. 2 7N., R. 4 4E., ;Y 44. EDMON405 W4 61-11AI6 TOAI Reid, Middleton & Associates, Inc. Engineers e Surveyors * Planners 121 5th Ave. N.,Suite 200, Edmonds, WA 98020 FILE NO. DRAWN CHECKED DATE FIELD BK. SCALE, = -9. -0 15P5 A11-5 /1 50' 02 5 .41 SHEET OF