18514 82ND AVE W.PDF111111111111
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18514 82ND AVE W
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TAX ACCOUNT/PARCEL NUMBER: CCDQ--
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BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS 3azoYa= DETERMINATION: F1 Conditional Waiver E] Study Required aiver
DISCRETIONARY PERMIT #'S: XW
DRAINAGE PLAN DA
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
IbERMITS (OTHER):_BbiXJX)�02.�i
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED -
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L-.%TEMP\DSrs\Forms\Street File Checklistdoc
#P20
OV ED&
City. of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
loc. I %geJ 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: It -7 1 OY
City Receipt#:
Critical Areas File #: ZooS - 00 Ll Z-
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant: J -0 V
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
precurs ory 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 (6.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 infi�action 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 cer* that the informat'o and exhibits with submitted are true and correct to the best of my
pp ',be
knowledge and that I am authorized to file �Ya lication on f the I. owner as listed belo
SIGNATURE OFAPPLIcANVAG" ___DATE o
Property Owner's Authorization
By my signature, I certify that I have authorized the above ApplicantlAgent 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.
SIGNATURE OF OWNER
PLEASE PRINT CLEARLY
DATE
Owner/AppUcant: Appficant Representative:
:L�L K) I CL� a 1 t�j N
Name Name
N
Street Address
PL,4 c) rL-) D
'late
City 8 Zip
Telephone: -2-S— 77 L/ -Z
Email address (optional):
I
Z 5�L+ k -P I
Street Address
iAAQ'K I D F, (OR 902
Cdy I S . nt zip
Telephone: 4,-
Email Address (optional):
#P20
CA File NoZ00 i? o o L4 L
Critical Areas Checklist.
Site Information (soils/ topography/ hydrology/ vegetation)
1 Site Address/ Location: 1. '*--
2. Property Tax Account Number: —01 0
3. Approximate Site Size (acres or square feet)". L!
4. Is this site currently developed? yes; _ no.
If yes; how is. site developed?. D ZEL N :,,E
5. Describe the general site topogriaphy. Check all that apply.
V'."'Flat: less than 5-feet elevationchange 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 hori zontal
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: bA/
A Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
L-J /.b-r -Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow shrubs Ne,' mixed
.Urban landscaped (lawn, shrubs etc) 'V
11. Obvious wetland is present on site:
1.
2.
3.
4.
1.1
For City Staff Use Only
Plan Check Num r, if applicable?
.Site is Zoned,, TS " k 0
SCS mapped soil type(s)? Ah
Critical Areas inventory or C.A. map indicates Critical Area. on site?
Site within designated earth subsidence landslide hazard area? IV 0
DETERMINATION
Reviewed by-
R
WAIVER
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
F -il
HE
Name:- -
Date: 12- 6X
Site Address: Lc 4
Tax Parcel:
Project Description: 14'
Plan Check#':
Reduced Site Plan Provided: (YES NO)
Zoning: S- 0.
Map Page:
Corner Lot: (YES
Flag Lot: (YES/ 60
Critical Areas Determination #:
El :Study Required.:
Waiver
SEPA Determination:
Exempt"
El Needed (for.over 500 cubic yards of grading)
0 Fee - 0 Checklist 11 APO List with notarized form
R e c 7 L11're d Se Fb a cks- AJAA
Street:
Side:
Side:
Rear:
ActualSetback5
Street:
Side:
Rear:
D Detached Structures:
El Rockeries:
D F'ences/Trellises:
El Bay Windows/Projecting Modulation:
El Stairs/Deck:
He[
Buildin ql7t
Datum Point:
Datum Elevation:
Maximum Height Allowed:
Actual Height:
other
Parking Required:
Parking Provided:
Lot Area:
MaXimum Lot Coverage: 35% Proposed:
Lot -Coverage Calculations:
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES NO) -
'Comment5
Plan Review By:
Plandhg Data Form 07-14-09
0 PLANNING DATA
4 1 1 F,_ ET FILE 11
SINGLE FAMILY RESIDENTIAL
Name: r\
D te:
Plan Check # ZooF --�D 5—
Site Address:
Project Description:
Reduced Site Plan Provided.- NO) Zoning-. e S—P
Map Page:3 s-6
Corner Lot: (YES /6))
Flag Lot: (YES
Critical Areas Determination ff
Study Required 0 6) q
64%Vaiver
SEPA Determination:
91-Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist El APO List with notarized form
Required
Street: Side Re
e, Z5' /�f S1. (0
Actt1a1_5etb,3cks________
Street.- >
Side:
Side: /V 2 Rear: q;7
El Detached Structures:
11 Rockeries:
0 FencesfFrellises:
11 Bay Windows/Projecting Modulation:
El Stairs/Deck:
pq �t__
Datum Point:
6ov
Datum Elevation: 0 cD
Maximum Height Allowed: 7— �r_ (I Z6, q0J
Actual Height:
Other
Parking Required:
Parking Provided: Z
Lot Area: 1q, 3q -7
Maximum Lot Coverage: 35% Proposed: 1
Lot Coverage Calculations: A d U ol C(a( K"' 2 3c9 Y- it,
ADU Created: (YES (09
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES /01
14 comlwents
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-10/ X7 YO 37,
/0( Vo &Lqv
0-100
Plan Review By: �-o g—
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OWNER/CONTRACTOR IS RESPONSIBLE to (0 1 q
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Other'.
Height
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RECEIVED
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