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CITY ij'Fr.,`ED'R�IONDS . Permit No. ?0
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT L'OA4 Issue Date
.AAA fU eat
Washington Natural Gas Company
A. • Owner: B. • Contractor:
Ngg Mercer Street Name
ea't%dress WA 98111
City State Zip
Mailing Address
City State Zip
State License Number Telephone Number
C. • Address or Vicinity of Construction: 18404 Olympic View Drive
Type of Work to be Done: Install 4" PE Main from 12' South centerline of Wharf Street to
D. • Work in Connection With
E. • Pavement Cut: (n Y ❑ N
395' East centerline of 94 Avenue West.' Per Attached Drawing:*
912-074 (2)
❑ Sub or Plat kD Single Family ❑ City Projects
❑ Commercial ❑ Multifamily ❑ Utility
F. • Size of Cut: 2 X 4 (2 )
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands . and by ,his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries; damages, or claims of any kind or description whatsoever, 'for seen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees, in luding or not limited to the defense
of any legal proceedings including defense costs, court costs 4rdiattorney fee b;Nas4g/egranting this permit.
4 �
THE CONTRACTOR IS RESPONSIBLE FOR WOR+)<CIYIANSMIF -MA RIALS FOR A PERIOD OF ONE
y t` :;yYEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE_,OF THE WORK.
I h1fitnated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance,to the applicant.
N
• A 24 hour notice is required for inspection; Please call Engineering: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;.
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature:
M6.4 Date: November 16, 1990
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: RW
z0 Time Authorized: Void after r CH 15 days.
W Special Conditions: MA1t1T.A1SJ 5-i F60T -_5"=-PF_iA11QN.
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v \NAt..KWAY. i {�crT• SEPE�ZA-noN].
RELEASED BY: Date 0
PERMIT FEE: -11-D V
Restoration Fee:
Receipt No.:
Fund III Fee:
Street Cut Dimensions:
x = $
INSPECTED BY Date
w NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. March 1989
FIELD INSPECTION NOTES (Fund III - Route copy tciStree%Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
STREET FILE
FILE #
DETERMINATION OF NONSIGNIFICANCE
Description of proposal
Construction of a single family residence.
Proponent Scott Shanks
Location of proposal, including street address, if any
18404 Olympic View Drive, Edmonds, WA 98020
Lead agency City of Edmonds Planning Division
The lead agency for this proposal has determined that it does not have a prob-
able significant adverse impact on the environment. An environmental impact
statement (.EIS) is not required under RCW 43.21C.030(2)(c). This decision was
made after review of a completed environmental checklist and other information
on file with the lead agency. This information is available to the public on
request.
xx 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 15 days from the date below. Comments must be submitted
by ,
Responsible official Leigh Francis
Position/title Associate City Planner Phone 771=3202
Address 250 5th Avenue North Edmonds, WA 98020
Date April 12, 1988 Signatures=z�'w y
You may appeal this determination of nonsignificance
to :lamas Driscoll, HenrinTExaminer
at 250 5th Avenue North, Edmonds; WA 9802.0
no later than April 22,, 1gRR
by 5700 PM
You should be prepared to make specific factual objections. Contact
to read or ask about the procedures for SEPA appeals.
There is no agency appeal.
RF-tFiVie®. I
MAR 16 1988
ENVIRONMENTAL CHECKLIST PERMIT COUNTER
Purpose or Checklist:
The State Environmental Policy Act (SEPA), chapter 43.21C RCVS', 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 cmironmcnt. 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 thc'proposal, if it can be done) and to help the agency decide whether an EIS is required.
Instructions for Applicants:
This environmental checklist asks you to describe some basic information about your proposal. Governmental agen-
cies 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 de-
scription you can.
You must answer each question accurately and carefully, 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 ap-
ply". 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 in-
formation reasonably related to determining if there may be significant adverse impact.
Use of checklist for nonproject proposals:
Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." IN AD-
DITION, complete the SUPPLEMENTAL SHEET FOR NON -PROJECT ACTIONS (part D).
For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site"
should be read as "proposal," "proposer," and "affected geographic area," respectively.
A. BACKGROUND
1. Name of proposed project, if applicable:
18404 Residence
2. Name of applicant: Scott Shanks
3. Address and phone number of applicant and contact person:
4230 — 198th St. SW
Lynnwood, WA 98036
4. Date checklist prepared: Mereh 7, 1,988
5. Agency requesting checklist: City of'Edmonds
6. Proposed timing or schedule (including phasing, if applicable):
Construction of single family residence to begin April 1987. complete November 1987.
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal?
If yes, explain.
NO
8.1ist any environmental information you know about that has been prepared, or will be prepared, directly related to
this proposal.
NONE
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.
NO
10. List any government approvals or permits that will be needed for your proposal, if known.
BUILDING PERMIT
11. Give brief, complete description of your proposal, including the proposed uses and the 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. (Lead agencies may modify this form to include additional specific infor-
mation on project description.)
Construct an approximately 5,800 Sq. Ft., single family residence and approximately 780 Sq. Ft.
detached garage on an approximately 28.000 Sq. Ft. site. Residence is a partial 2 story
with a daylight basement.
12. Location of the proposal. Give sufficient information for a person to understand the precise location of your pro-
posed 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 the range or boundaries of the site(s).. Provide a 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.
Site is located at 18404 Olympic View Drive. Site slopes from east to west. Site plan
is attached to this form.
TO BE COMPLETED BY APPLICANT EVALUATION FOR
B. ENVIRONMENTAL ELEMENTS AGENCY USE ONLY
1. Earth
a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous,
other . Gentle slope from east to west
b. What is the steepest slope on the site (approximate percent slope)?
21 % slope to Burlington Northern Railroad is approximately 1 to 1.
-2-
TO BE COMPLETED BY APPLICANT EVALUATION FOR
ACENCI' USE ONLY
c. What general types of soils are found on the site (for example, clay, sand, gravel, peat,
muck)? If you know the classification of agricultural soils, specify them and note any prime
farmland.
Silty sand overlaid with 6'-10" of organic top soil.
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so,
describe. On the bank face to the Burlington Northern Railroad track some stuffing has occured.
This was due to previous owner dumping grass and other garden clipping over the top.
Bank is well vegetated and stable otherwise.
Ve. Describe the purpose, type, and approximate quantities of anv filling or grading pro-
posed. Indicate source of fill.
New residence will be moved further to the east than previous residence, this will require
an excavation of material to form daylight basement. All material will be used on site.
An estimated 200 cubic., yards of earth will be moved around'the'site.
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
Insignificant amount. Soils perks very rapidly and most rainwater will be absorbed into
ground before runoff occurs. Construction will occur during summer months so erosion
will be minimized.
An erosion control, plan must be reYiewed and approved by the City of Edmonds Engineering
g. About what percent of the site will be covered with Impervious sur aces after project Division prior to
construction (for example, asphalt or buildings)?
issuance of a building
. 25 - 30% permit.
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if anv:
Perform grading during summer months
2. Air
a. What types of emissions to the air would result from the proposal (i.e., dust, automobile,
odors, industrial wood smoke) during construction and when the project is completed'? If
any, generally describe and give approximate quantities if known.
Some emissions will occur during construction due to heavy equipment. This will be limited
to approximately 2 - 3 days maximum. When residence is complete.\wppd birmomg fireplace
will be only source of emission.
b. Are there any off -site sources of emissions or odor that may affect your proposal'? If so,
generally describe.
NO
C. Proposed measures to reduce or control emissions or other impacts to air, if any:
Install efficient wood burning fireplaces.
-3-
TO HL COMPLETED BY APPLICANT EVALUATION FOR
3. Water AGENCY USE ONLY
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 names. If appropriate, state what stream or river it flows into.
Puget Sound
2) Will the project require any work over, in, or adjacent to (within 200 feet) the described
waters? If yes, please describe and attach available plans.
No. Residence is greater than 200 horizontal and vertical feet from Puget Sound.
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. In-
dicate the source of fill material.
NONE
4) Will the proposal require surface water withdrawals or' diversions? Give general de-
scription, purpose, and approximate quantities if known.
NO
5) Does the proposal lie within a 100—year floodplain? if so, note location on the site
plan.
NO
6) Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge.
NO
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.
NO
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
chemicals ...; 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) are expected to serve.
NONE
Ma
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
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.
Storm water will be collected in catch basins and piped to existing drainage swale at
toe of bank which,flows into Puget Sound.
2) Could waste materials enter ground or surface waters? if so, generally describe.
rMN7
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if
any: Storm water will be piped to existing drainage swele, as%this swale flows direct) P�P 9 9 y into
Puget Sound, no downstream properties will be subject to flooding.
4. Plants
a. Check or circle types of vegetation found on the site:
X deciduous tree: alder, maple, aspen, other
X evergreen tree: fir, cedar, pine, other
X shrubs
grass
_ pasture
_ crop or grain
_ wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
_ water plants: water lily, eelgrass, milfoil, other
_ other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
Some landscaping will be removed.
c. List threatened or endangered species known to be on or near the site.
NONE
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, if any:
New landscaping around foundation and construction perimeter will be installed.
5. Animals
a. Circle any birds and animals which have been observed on or near the site or are known
to be on or near the site:
birds: hawk, heron, eagle, songbirds, other: Robins, Seagulls
mammals: deer, bear, elk, beaver, other: .!` 666i: i n' BbWde ' ' ' ' ' ' ' ' ' '
fish: bass, salmon, trout, herring, shellfish, other: .......... ..................
b. List any threatened or endangered species known to be on or near the site.
NONE
-5-
TO BE COMPLETED BY APPLICANT
c. Is the site part of a migration route? If so, explain.
NO
d. Proposed measures to preserve or enhance wildlife, if any:
Impacts are not significant
6. Energy and Natural Resources
a. What kinds of energy' (electric, natural gas, oil, wood stove, solar) will be used to meet
the completed project's energy needs? Describe whether it will be used for heating, manu-
facturing, etc.
Electric. Propane
b. Would your project affect the potential use of solar energy by adjacent properties? If so,
generally describe.
NO
EVALUATION FOR
AGENCY USE ONLY
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:
Efficient.\ -well insulated construction. Exterior walls are 2 X 6's with R-19 insulation.
7. Environmental Health
a. Are there any environmental health hazards, including exposure to toxic chemicals, risk
of fire and explosion, spilt, or hazardous waste, that could occur as a result of this proposal?
If so, describe.
NO
1) Describe special emergency services that might be required.
NONE
2) Proposed measures to reduce or control environmental health hazards, if any:
N/A
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other)?
NONE
2) What types and levels of noise would be created by or associated with the project on a
short-term or a long-term basis (for example: traffic, construction, operation, other)? Indi.
cate what hours noise would come from the site.
Some noise may be created during construction, this would be limited to daylight
hours only.
-6-
TO BE COMPLETED BY APPLICANT
3) Proposed measures to reduce or control noise impacts, if any:
Limit construction to daylight hours.
8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
Residential - single family
b. Has the site been used'for agriculture? If so, describe.
NO
EVALUATION FOR
AGENCY USE ONLY
c. Describe any structures on the site.
Existing 2.500 Sq. Ft. house was demolished recently. A 200 Sq. Ft. garage with storage
existing at the NE corner of the site.
d. Will any structures be demolished? If so, what?
An existing 2,500 Sq. Ft. residence was recently demolished.
e. What is the current zoning classification of the site?
RS-12
f. What is the current comprehensive plan designation of the site?
Single family.
gIf applicable, what is the current shoreline master program designation of the site?
The property is designated as an urban environment.
h. Has any part of the site been classified as an "environmentally sensitive" area? If so,
specify.
Yes. The property is designated as a shoreline environment on the City of
Edmonds Environmentally Sensitive Areas map.
i. Approximately how many people would reside or work in the completed project?
3 people would reside.
j. Approximately how many people would the completed project displace?
NONE
k. Proposed measures to avoid or reduce displacement impacts, if any:
N/A
I. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any:
N/A no impacts.
-7-
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, mid-
dle, or low—income housing.
One single family dwelling.
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
middle, or low—income housing. NONE
c. Proposed measures to reduce or control housing impacts, if any:
N/A
�10. Aesthetics
✓ a. What is the tallest height of any proposed structure(s), not including antennas; what is
the principal exterior building material(s) proposed? 30' from reference datum.
Maximum height is 25 feet from the average level of the undisturbed soil of 'the site
b. What views in the immediate vicinity would be altered or obstructed? covered by the building.
Some views from existing dwelling to the north will be altered.
c. Proposed measures to reduce or control aesthetic impacts, if any:
Aesthetic impacts are improved with .this proposal, as existing old residence was removed.
11. Light and Clare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur?
Exterior incandescent security lighting.
b. Could light or glare from the finished project be a safety hazard or interfere with views?
NO
c. What existing off —site sources of light or glare may affect your proposal?
NONE
d. Proposed measures to reduce or control light and glare impacts, if any:
A/A
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?
Snohomish County Park just north of Talbot Road
b. Would the proposed project displace any existing recreational uses? If so, describe.
NONE
_8- .
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
c. Proposed measures to reduce or control impacts on recreation, including recreation op-
portunities to be provided by the project or applicant, if any:
N/A
13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed for, national, state, or local preser-
vation registers known to be on or next to the site? jr so, generally describe.
NO
b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or
cultural importance known to be on or next .to the site.
NONE
c. Proposed measures to reduce or control impacts. if any:
N/A
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.
Olympic View Drive
b. Is site currently served by public transit? If not, what is the approximate distance to the
nearest transit stop?
Yes. k mile.
C. How many parking spaces would the completed project have? How many would the
project eliminate? ti
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).
NO
C. Will the project use (or occur in the immediate vicinity of) water. rail, or air transporta-
tion? If so, generally describe.
NO
f. Hwy many vehicular trips per day would be generated by the completed project? If
known. indicate when peak volumes would occur.
4 trips per day.
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
g. Proposed measures to reduce or control transportation impacts, if any:
N/A
15. Public Services
a. Would the project result in an increased need for public services (for example: fire pro-
tection, police protection, health care, schools, other)? If so, generally describe.
NO
b. Proposed measures to reduce or control direct impacts on public services, if any.
N/A
16. Utilities
a. Circle utilities currently available at the site: electricity, natural gas, water, refuse serv-
ice, telephone, sanitary sewer, septic system, other.
b. Describe the utilities that are 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. Electric;'Sanitary sewer, Water, Refuse service
C. SIGNATURE
The above answers rue and c ete to the best of my knowledge. I understand that
the lead agency i relyi on t 1 o a e s a Sion.
Signature: .... ................................
Date Submitted: ....... .... . ................................... .
—10—
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STREET FILE
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CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT owl Pltospect 0-1107 when work.
Is ready.for inspection. (No lnepeo- �p
tions Saturday, Sunday or -holidays.) 'NO fvl A 4
SIDE SEWER PERMIT
ADDRESS..... 1 " Olymp.......................................................c ire
..................................................................................................
owxEit Hilman Hofland................................................ CONTRACTOR .....owner.......
...............
Perrniswion is granted ....... P!'Cem4gX!..... 1 icd 67 for ........................ 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.
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 s -\� tenances except to Insert the pipe into the wye. ewer or its appur-
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