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18614 SOUNDVIEW PL
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ADDRESS: I ()( j�Z I �J- -Z Z-46!Uxl 1Z.4 cle� I c—_2
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:- DETERMINATION: E] Conditional Waiver Study Required Z Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
mWir, �AFMA
'"'AwwwArl"
, w 0 11
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:— _/Z7,2,
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'Ps\Fomis\Street File Checklist.doc
E NO. qa
Otical 'Areas Chec'Mis,1C
0
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- - - - - - - -- - - - - - - - -- -- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - -
Site Information (soils/topography/hydrology/vegetation)
?L
I - Site Address/Location: U v) d y/ ee--- vVy, v -
2. Property Tax Account Number.-4' 0 -2- U)
3. Approximate Site Size (acres or s quare feet): -.57
4. Is this site currently developed? —yes; ---Y-no.
If yes; how is site developed?
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 1 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
1 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe): ()n ,i-
f
6. Site contains areas of year-round standing water:
7
; Approx. Depth: _
Site contains areas of seasonal standing water: -- k,� Approx. Depth:
What season(s) of the year?
8. Site is in the floodway K/ floodplain of a w ater course.
9
Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? . 0 � — Flows are seasonal? - (What time of year?
10. Site is primarily: forested meadow ..... __;shrubs mixed
urban landscaped (lawn,shrubs etc) C Liz
11. Obvious wetland is present on site: U
City of Edmonds
RECEIVEO
AUS* I G 2CSO
DIIELOPMENT SERVICES CTR.
. CITY OF EDMONDS
NAWF CIRJTICAL 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).
JJJL
PER441T 3 0 1999
COUN�ER
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locatingthe specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g.. site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
p rz
Name
�, i &I 1? 0 !-), , T�- R V -f, t//
Street Address
4a)
City State Zip
7 7 Ll C 1) � �6
Telephone
0- C
Signature
Pate
c:reception\jana\cacI.doc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
NA
PLANNING DATA
NAME: T)A\jjD OL�5EW,
SITE ADDRESS: Wollf 500TOVIEW PL,DATE: 16 16 -00
ZONING:— PLAN CHK#: 00 — 2)z7,
PROJECT DESCRIPTION: NEW 1ST--p"
CORNER LOT NO., - (Yes/No) FLAG LOT NP., (Yes/No)
SETBACKS:
Required Setbacks:
Front: 2% Left Side: Right Side: Rear: A 10G, is
ActualSetbacks: Z
Front: !J] Left Side: Right Side: Rear:
Street map'checked for additional setback required? (Yes/No)
LEGAL -NONCONFORMING LAND USE DETERMINATION ISSUED _(Y/N)
LOT COVERAGE:
Maximum Allowed: -Actual: /-3,90(.
BUILDING HEIGHT:
Maximum Allowed: ZSZ Actual Height: 2*9_75
Datum Point:. -Datum Elevation:
405 /4
P%
A.U.U. Lf MCA I CLj 1: ol I h "177 tf
SUBDIVISION:
CRITICAL AREAS#: 9c) — 0?-2-+
SEPA DETERMINATION: �/A
LOT AREA: 115,4.'L'Z- �5&, V`F,
OTHER:
Plan Review By:
uf_";
2 ts- I
ACi //0, 4
MA)e,
`4 -7
IS15, "
c.-Wdes1permffi-plandadoc
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7.
10�
PERMIT NO: 9302
C i6ty of Edmonds � . . I /, / I
. PERMIT EXPIRES k114Y&01
SIDE SEWER PERMIT
Address of Construction:
�Ie�J LID#
property Ta)� Account Parcel No.
Attach copies of all access and utility easements Verified and Appro ved by
Owner and/or Contractor: bAVG 4 MAU A" I �001) 116GLAIJOIC 6Wfl—, Wc_
Contractor License#: TCE LA C-* 316n. Building Permit #: OD 9 7 7—
jo Single Family
F� Multi -Family (No. of Units
D Commercial (No. of Units
El �uy)c
Invasion into City *Right -of Way: El Yes RNo
*RW Constru ction Permit
Cross other "Private Property: El Yes FA No
"Attach legal description and copy of recorded easement.
Owneart/contractozr sidnature and acknowledgement statement:'
By signing for this permit I certif� that I have read the City's public handout entitled
Side Sewer Specifications,'and shall comply with all City requirements outlined therein.
' /00
Date
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: ryde, Clo eajdg6 Date: IZ-10-00nitial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: lnitial:��,A,, As-bullttoStreetFile:
t- PERMIT MUST BE POSTED ON JOB SITE f�
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg,forms-,sspermitjlg4/00
Side Sewer Drawing
T
The City of Edmonds
EASEMENT NO . .......... - ................................
NEW CONSTRUCTION 04 REPAIRS [] LID NO . .................. ASMT. NO . ..................
OWNER................................................................. . ......................... .. CONTRACTOR ................. ................. ................................................ PERMIT NO. -C.13.0.2
JOB ADDRESS ... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .............. ..... ....
NAME OF ADDITION
30unauie-w '04"). L'.
ro
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Approved:
PWW-0001-11175 (REV. 11/78) DATE.. Z 7: Z- .70D .......... By
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PERMIT
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ADDRE
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qi�N�LU NAME/,NAIE OF rESS
PLAT. NAME/S IBDIVI SION NO. NO, LID NO.
IM MA , ILING ADDRESS 77 LID FEE $
TESCP Appra�rrd 0
z PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
AW Permit Required 0
0 .0 S
tre I Use Permit Req'd C)
!TY. -Zlp�� TELEPHONE EXISTING'— p E nep:.tion Required
C ROPOS
% sidewalk ReqXuidt,,.
FT Underground A4.
2 -6 -76 -z%-,1 REQUIRED DEDICATION "
o —7— Wiring required
LINE SIZE RES% PRV REQUIRED
YES NO 0
A/
NAME �,-.M�TERSIZIE NO. OF FIXTU
P ADDRESS REMARKS z
OW NER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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0 77.6 3 - � 1 —
;09 SHORELINE OR ADB# INSPECTION
STATE LICENSE NUMBER VARIANCE OR dd� BOND
EXPIRATION PATE' 1. CHECKED By
REO'D f POSTED
OYES �qNO
0 ''SEPAREVIEW SIGN,AREA.-�' HEIGHT
- rc
PROPERTY TAX &COUNT PARCEL NO'' COMPLETE EXEMPT PROPOSED ALLOWED PROPOSED
ALLOWED
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EXP
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ADDITION C] COMMERCIAL C] COMPLIANCE OR 1h 1 z
CHANGE -OF USE z
LO1 PLANYI G REVIEWEQJ , BY DATE
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OT�ER
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-ARAGE RETAINING WALL 7 T'
El RENEWA
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P: (TYPE.OF USE. 1300ESS dh ACTIVITY) EXPLAIN:
STRUCTIQN C C�qq
ROUP
04
�CK I E . D 1 B Y TYPE.OF CON PfANT
R NUMBER OF WL 77
w �NUMB E 42 .+' ' CRITICALN,,...' 016q ED
OF DWELLING A SPECIAL INSPECTOR AREA, OCCUPANV;
UNITS IN REQUI RED LOAD
o STORIES &S"Ti DYES 0
DESgF�BE W 0 KTOB D ONji
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lyi R.EMA - RKS.
PROGRESS, INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
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Uric, VALUATION FEE
PLAN CHECK FEE
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BUILDING
14
-PLAN C7,Kjo- VESTED DATE PLUMBING
s co
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NO-TED, THIS PERMIT COVERS W09K TO 11D
IP- BE DONE ON PRIVATE P ROPERTY ONLY. ANY CONSTRUCTION ON TH
E PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE GRADING/FILL
14 7,�`SEIPAIRATEPEIRMISSION.-
F_
ARGE
STATE SUPICH
PERMITAPPLI
ui CATION: � 180 DAYS L')
S
PERMIT LIMIT. 1 YEAR - PROVIDED WORK'IS STAIRTEID WITHIN 180 DAY"'
IR=VIFE-E'S'
SEE BACK OF PINK'PERMIT FOR MORE'INFORMATION
'APPLICANT, ON �EH.�!_�,QF, His OR HER I SPOU I S HEIRS. ASSIGNS AND�SUCCESORS ENG. I.NSPECTION FEE
4Et� TO I�DEMMFY, dEkllib'Mb HOLD HARMLES9':THE CITY OF ' .1
IN INTEREST, AG wtANDS�ArING 0 7777---
M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES; AND AGENTS'FROM 'ANY.AND MwIK" - , t^,v i
INSPE"OWFEE . o n
ALL CLAIMS FOR'DAMAGEs OF WHATEVER NATURE: ARISING DIRECTLY OR INDIRECTLY.
JHIS PER THIS �OERMIT SHALL NOT BE 'SIT' RECfIPT,
FROM THE ISSUANCE OF MIT.- ISSUANCE OF i PLAN.CHECK DEPO
DEEMED to MODIFY, WAIVE OR REDUCE ANY REQ I UIREMENT OF ANY 61TY ORDINANCE'
Obo,w
-WAYTHE CITY?S ABILITY TO ENFORCE ANY ORDINANCE PRO
,?RLIMITINANY eVISION..�
TOTAL AMOUNT DUE RECE.IP I T.
A,,\1!H'1EREBY ACKNOWLEDGE.THAT I HAVE AEAD THIS APPLICATION; THAT THE INFORMATION
"';GIVEN" IS.CORRECT,'AND THAT I AM T ' HE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATIONAPPROVAL
�-_tk'OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This aipplic'ali6n is not a permit until,signed by ithe
TI %N,; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSONWILL BE EMPLOYED Building 9ffi�cial or'his/her Deputy: and Fees are paid. and
IN . OLATION'OF THE LABOR CODE bF THE STATE OF WASHINGTON 'RELATING TO FOR INSPECTION receipt is acknow'! ledged'in space provided.
WOAKMEN'S COMPENSATION INSORANCglAND RCW'1 8.27.
E _WN , E 'Ad
Sl DATE SIGNED
�,O,ICIALS SIGNATURE
7 771, 0r.1rw R D TE
L A,��EID BY
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[ US'
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ADDRE
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MPLOYED
,T,Np To F R
0
XM/m, 7
4YTENTION % EXT�',333
-�, � 1 11
�'11'19:'UNL AWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A'FINAL INSPECTION �HAS BEEN MADE ). AN . D AP , P ; ROVAL, OR A CERTI FI- 771,�.`0221
ORIGINAL - FILE - YELLOW - INSPECTOR
A
.CATE OF OCCUPANCY IA S BEEN GRANTED. . UBC SECTION 109 , %4
FAX PINK - OWNER - GOLD - ASSESSOR
5/98,
'DATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
us
ZO E PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUIf&xPT#
ADDRESS/k bl v S"'Vtw&x�a Ax
OWNER NAME/NAME OF BUSINESS
PLAT NAM E/SUBDIVI SION NO.
LOT NO.
LID NO.
L M
U
0
MAILING ADDRESS
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION FT
TESCP Approved 0
RW Pamit Required 0
Street Use Pe—ft Roq'd 0
Inspection Required 0
Sidewalk Required 0
untiargrouno
Wiring required 0
CITY ZIP
TELEPHONE
7,P
NAME
METER SIZE
NO. OF FIXTURE
PRV REQUIRED
YES 0 NO 0
3
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3
ADDRESS
13o 4. -L cie'c f'l-
REMAAks
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY, ZIT77TELEPHONE
91;j7r/7/
3�0 Y14-411"
NAME
6 "_1S-F'e er T/ "'V
ENGINEERING REVIEWEDIDATE
ADDRESS
/6')
FIRE REVIEWED BY DATE
ILI
V,
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l'-
z
0
CITY ZIP
Jc
TELEPHONE
VARIANCE OR CU
SH08ELINE OR ADB#
INSPECTION
REO 'D
BOND
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
0 YES 0 NO
SEPA REVIEW
COMPLETE I EXEMPT
EXP
SIGN AREA
ALLOWED , PROPOSED
. HEIGHT
ALLOWED PROPOSED
PROPERTY TAX ACCOUNT PARCEL'NO.
Y3 0o 2-- ozo_ 000
M-"'RESIDENTIAL C] PLUMBING MECH
ADDITION COMMERCIAL o COMPLIANCE OR
CHANGE OF USE
REMODEL 0 APARTMENT El SIGN
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
I
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
I .
z
z
5
lL
PARKING
REO'D PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
R PAIR FENCE
E L;YDS X FT)
REMARKS
DEMOLISH TA NK OTNER-v-�.
�X. 6. 0 RETAINING WALL 0 RENEWA L
)RT 'ERY
ROCK
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
K "Z-"
CHECKEDBY
TYPE OF CONSTRUCTION
OCCUPANT
ICODE GROUP
1 '277- ff- ,
uj
0
NUMBER
OF
STORIES'�'�')-7—
NUMBEIR OF
DWELL NG
UNITS
CRITICAL
AREAS
NUMBE R
SPECIAL INSPECTOR JAREA
REQUIRED E] YES
OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D,
z
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'2,)
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VALUATION
FFF
PLAN CHECK FEE
HEAT SOURCE GLAZINg % L: LOPE: %
TZ
BUILDING
KV
40
% /z,
,
PLAN CHECK NO: VESTED DATE
PLUMBING
3
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
a E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
_9TAX&&URCHARGEy1PeA
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
;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
M ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
RECEIPT
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
_j DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
R CE17/
TOTAL AMOUNT DUE
4, '7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
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.
U0 N I N I SURANCE AND RCW 18.27.
DATE
SIGNATU (0 RA DATE SIGNED
(425)
Q61�ALS SVIGNA URE
y
771-0220
RELEASED BY DATE
ATTENTION
EXT/ 333
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
()V ED
UX. CITY Of EDMONDS
4" . g9k) 121 5TH 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 New Single -Family Residence
Proponent: David Olsen
Location of proposal, including street address if any:
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 information on file with the lead agency. This
inforination is available to the public on request.
xx There is no conunent 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.
Responsible Official:
Position/Title:
Phone:
Address:
Date: /� -- 3j- 00,
Chanda Earhart
Planner
425-771-0220
City of Edmonds
121 - 5th Avenue North
Edmonds, WA 98020
Signature:
xx You may appeal this determination to Robert Chave, Planning Manager, at 121 5th Avenue North,
Edmonds, WA 98020, no later than November 14, 2000, 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 October 31, 2000, 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
DNS 00-337 OLSEN.DOC
CREATEDONIO/31/00 9:52 AM
$ 6
Mailed to the following along wIlthe Envirorunental Checklist:
XX Environmental Review Section
Department of Ecology
P.O. Box 47703
Olympia, WA 98504-7703
X X David Olsen
18306 85" Pl. W.
Edmonds, WA 98026
Attachments
pc: SEPA Notebook
Page 2 of 2
DNS 00-337 OLSEN.DOC
CREATEDON10/31100 9:52 AM
,F EDA.
ftrpose of Checklist.
(Iiy OF EDMOND*S RECEIVED
ENVIRONMENTAL CHECKLIST DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
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.
Instructionsfor 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 observation's 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 nonprojectproposals.
Complete this checklist for nonproject proposals, even though questions may be answered "does not ap ply.- IN ADDITION,
complete the SUPPLEMENTAL SBEET FOR NONPROJECT ACTIONS (part D).
For nonproject actions, the references in the checklist to the words "project," "applicant" and "property or site" should be read as
proposer," and "affected geographic area," respectively.
A. BACKGROUND
1. Name of proposed project, if applicable: 0151�' 5;1
2. Name of applicant: _,-0 6i V I' d 0 I_SZ41X_
3. Address and phone number of applicant and contact person:
1 �?,306 S7 -W.
LA/Ar
-70 - I q--S-
J" r
CHUT.DMI-NOV-93 Page I of24
MAMR'SPEA
4. Date checklist prepared: 00
5. Agency requesting checklist: City of Edmonds.
6. Proposed timing or schedule (including phasing, if applicable):
I I — 11— 00 4t'./P f-a *f-' 74
-57w-M,w-e-,r 2-0o'l
(STAFF COMMENTS)
kc- ce
7. Do you have any plans for future additions, expansion, or further activity related to or connected with
proposal? If yes, explain.
(STAFF COMMENTS)-
8. List any environmental -information you know about that has been prepared, or will be prepared, directly rcl
to this proposal.
(STAFF COMMENTS)
9. Do you know whether applications are pending for governmental approvals of other proposals directly aft-'ecting
the property covered by your propo al? N yes, explain.
d 6-es A 3+ 7 11
(STAFF COMMEN
Par 2 of 24
CHKUDMI-NOM
MASTERWRA
0
10. List any government approvals or permits that will be needed for your proposal, if known.
VI 0 AA —
(STAFF COMMENTS)
11. Give brief, complete description of your proposal, including the propose d 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.
12.
. A o 71,P �—Y /i / .— -2— V I eF 3 6. X��
(STAFF COMMENTS)
Lecation 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.
c -,,,S v Lf 3
±:RV- cza+ L14 — 002-- 0-1,0 -- 000
(STAFF COMMENTS)
CHKLT.DCC%I-NOV-93 Pap 3 of24
MASMSPEA
TOBECOM
B. ENVIRO?
1. Earth
a.
b.
bm
(STAFF COMMENTS)
d. Are there surface indications or history of unstable soils in the immediate vicinity? N so, describe.
V) 0
(STAFF COMMENTS)
Page 4 of24
CHMT.DMI-NOV-93
MAS'MRNSPEA
e.
Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source
of fill.
(STAFF COMMENTS)
E Could erosion occur as a result of clearing, construction,* or use? If so, generally describe.
(STAFF COMMENTS)
g. About what percent of the site will be covered with impervious surfaces after project construction (for
example, asphalt or buildings)?
(STAFF COMMENTS)
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
-Ar It CA �- AA.-t4 A
— 4-k?,W 4 /0- .5 A C- /-v /- 1144 A i�� 74--r 4Z) -e" .x I% � /7 ,1A
(STAFF COMMENTS)
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.
.-"7 0 k7 --C
(STAFF COMMENTS)
Page 5 of 24
CHKLT.D=I-NOV-93
MAMRNSPEA
9
0
b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describL
(STAFF COMMENTS)
C. Proposed measurg§ to reduce or control emissions or other impacts to the, if any:
(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 11
seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe.type and provide names.
appropriate, state what stream or river I ows into.
1A -0- -� — J0,1_10 0 4- 7
(STAFF COMMENTS)
(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 plan&
(STAFF COMMENTS)
(3) Estimate the amount of fill and dredge material that would be placed in or removed from ssxrf2ce
water or wetlands and indicate the area of the site that would be affected. Indicate the sourco Of fill
material.
Y) L) Y%
(STAFF COMMENTS)
Page 6 of 24
CHUTD001-NOV-93
MAMR%PEA
(4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known.
(STAFF COMMENTS)
(5) Does the proposal lie within a 100-year floodplain? H so, note location on the site plan.
(STAFF COMMENTS)
(6 Does the proposal involve any discharges of waste materials to surface wate ris? If. so,- describe the
type of waste and anticipated volume of discharge,
(STAFF COMMENTS)
b. Ground:
Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities if knowIL
0
(STAFF COMMENTS)
CHUT.DMI-NOV-93 Pap 7 Of24
MASMR\SPFA
(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 chemiCalL..; 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.
(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.
AA
;.AA 0-A-IJ10" I11,rR—C^-
(STAFF COMMENTS)
(2) Could waste materials enter ground or surface waters? N so, generally describe.
(STAFF COMMENTS)
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any:
A 0 V1 19-
(STAFF COMMENTS)
Pap 8 of 24
LI"T.D=I-N0V-"
MAMMSPEA
Pi
0
4. Plants
a. Check or circle types of vegetation found on the site: Y1, 0 0-'R—
deciduous tree: alder, maple, aspen, other.
evergreen tree: fir, cedar, 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?
(STAFF COMMENTS)
C. List threatened or endangered species known to be on or near the site.
AIRL—
(STAFF COMMENTS)
Page 9 of 24
MUMMI-NOV-0
MAMTRWEA
0
d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the
site, if any:
lor 0 415 .5. j 0 W&Y J-Sc. 0. oe /'L4
I 1 29
(STAFF COMMENTS)
5. Animals
a. Check or circle any birds and animals which have been observed on or near the site or are known to be on
or near the site: VI nvtZ--
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.
(STAFF COMMENTS)
C. Is the site part of a migration route? N so, explain.
0
(STAFF COMMENTS)
Page 10 of 24
CHMT.DC01-NOV-93
MASM%PEA
0
0
d. Proposed measures to preserve or enhance wildlife, if any:
YI 0 AR —
(STAFF COMMENTS)
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 cner need ? Describe whether it will be used for beating, manufacturing, etc.
. . 1 1- - Z :7 q A.,S --_A r UAL134'
(STAFF COMMENTS)
b.. Would your project affect the potential use of solar energy by adjacent properties? N soo generally
describe.
0
(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:
C--t A e- VVA 4-b EC -
(STAFF COMMENTS)
Page I I of 24
CHUTDOLU-NOV-93
MAMM%PEA
7. Environmental Health
2. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and
explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so describe.
(STAFF COMMENTS)
(1) Describe special emergency services that might be required.
Y� 0 V-' R—
(STAFF COMMENTS)
(2) Proposed measures to reduce or control envi ronmental health hazards, if any:
(STAFF COMMENTS)
b. Noise
(1) What types of, noise exist in the area which may affect your project afr
(for example: tr Ic,
equipment, operation, other)?
(STAFF COMMENTS)
Pap 12 of 24
CHKLT.D=I-NOV-93
MASTERWPEA
(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: trafric, construction, operation, other)? Indicate what hours noise
would come from the site.
(STAFF COMMENTS)
(3) Proposed measures to reduce or control noise impacts, if any:
'Y\ 0
(STAFF COMMENTS)
S. Land and Shoreline Use
a.. What is the current use of the site and adjacent properties?
c-c s
(STAFF COMMENTS)
b. Has the site been used for agriculture? If so, describe.
Y'\ 0 v0L—
(STAFF COMMENTS)
Par 13 of 24
CHXLT.DWI-NOV-93
MAWERWEA
C. Describe any structures on the site.
(STAFF COMMENTS)
d. Will any structures be demolished? If so, what?
(STAFF COMMENTS)
e. What is the current zoning classification of the site?
(STAFF COMMENTS)
f. What is the current comprehensive plan designation of the site?
5-e- -e C� 4--A O�
(STAFF COMMENTS)
g. N applicable, what)s the current shoreline master plan designation of the site?
(STAFF COMMENTS)
Page 14 of 24
CHKLTDOC%I-NOV-93
MASTERWEA
h. Has any part of the site been classified as an "environmentally sensitive" area? N so, specify.
ho
(STAFF COMMENTS)
L Approximately how many people would reside or work in the completed project?
(STAFF COMMENTS)
j. Approximately how many people would the completed project displace?
Y) 0 A-9,—
(STAFF. COMMENTS)
k. Proposed measures to avoid or reduce displacement impacts, if any:
(STAFF COMMENTS)
L Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if
any: I J
(STAFF COMMENTS)
Page 15 of 24
CHKLT.DCC%I-NOV-93
MASrER%PEA
Ll
0
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income
housing.
K0 r\,R—
(STAFF COMMENTS)
b. Approximately how many units, if any would be eliminated? Indicate whether h I igh, middle, or low-
income housing. j
(STAFF COMMENTS)
C. Proposed measures to reduce or control housing impacts, if any:
(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?
(STAFF COMMENTS)
Page 16 of 24
CWLTDC01-NOV-93
MAMMSPRA
b. What views in the immediate vicinity would be altered or obstructed?
— �21L-e=c-cd i'I'lle-ti-5 '4-0 ,, h o a Y -e- j, c., crvg, s s 66zt� '40
(STAFF COMMENTS)
C. Proposed measures to reduce or control aesthetic impacts, if any:
(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?
h -0"a—
(STAFF COMMENTS)
b. Could light or glare from the finished project be a safety hazard or interfere with views?
(STAFF COMMENTS)
C. What existing off -site sources of light or glare may affect your proposal?
(STAFF COMMENTS)
Pap 17 of 24
CHKUMMI-NOV-93
MASTERWPEA
Proposed measures to reduce or control light and glare impacts, if any:
(STAFF COMMENTS)
U Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?
(STAFT 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:
(STAFT COMMENTS)
Par 18 of 24
CHKLTDMI-NOV-93
MASMUSA
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. Gcner ' ally describe any landmarks or evidence or 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
2. Identify public streets and highways serving the site, and describe proposed access to the existing street
system. Show on site plans, if any.
SL I IC4 eicce�s4 to e1,r1've-4)ziq
— — /-" c-Z- —
(STAFF COMMENTS)
Pap 19 of 24
CHKUDWI-NOV-0
MAMMMA
b.
C.
Is site currently served by public transit? If no, what is the approximate distance to the nearest transit
stop?
(STAFF COMMENTS)
How many parking spaces would the completed project have? How many would the project eliminate?
Or7.L, A4 c-e
(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).
no
e.
(STAFF COMMENTS)
Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? N so,
generally describe.
(STAFF COMMENTS)
CHKLT.DMI-NOV-93
MASTERNSPEA
Page 20 of 24
How many vehicular trips per day would be generated by the completed project? If known, indicate when
peak volumes would occur.
(STAFF COMMENTS)
g. Proposed measures to reduce or control transportation impacts, if any:
(STAFF COMMENTS)
15. Public Services
JL 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.
/7 L7
(STAFF COMMENTS)
b. Proposed measures to reduce or control direct impacts on public services, if any:
(STAFF COMMENTS)
Page 21 of 24
CHKLT.DOC%I-NOV-93-
MAMRWEA
16. Utilities
a. Qi�i �ities currently available at the site:
Lsanitary !!!!�r�septic system, other.
(STAFF COMMENTS)
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.
- 'r,- 4-4 o -r-
(STAFF COMMENTS)
C. SIGNATURE
The above answers are true and complete to the best of my knowledge.
make its decision.
Signature of Proponent
I understand that the lead agency is relying on them to
0
Date Submitted
Page 22 of 24
CHKLT.DMI-NOV-93
MAMR%SPEA
0 1 0
D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS
(do not use this sheetfor project actions)
Because these questions are very general, it may be helpful toread 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 terrns.
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?
4,Q 4 /!1
Proposal measures to avoid or reduce such increases are:
Y)'0 AA_
2. How would th proposal be likely to affect plants, animals, fish, or marine life?
do �e-j &o + a'ot'k
Proposed measures to protect or conserve plants, animals, fish, or marine life are:
el 0A
3. . How would the proposal be likely to deplete energy or natural msources?
Proposed measures to protect or conserve energy and natural resources are:
Page 23 of 24
CHUT.D001-NOV-93
MASnER%SPEA
P.
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 babitat,.historic or cultural sites, wetlands, floodplains, or prime farmlands?
Proposed measures to protect such resources or to avoid or reduce impacts are:
VI Ck
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?
C14 lec
I .
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:
13 0 AA-
7. Identifyj if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the
protection of the environment
-9.5 0 0
do
Page 24 of 24
CHKLT.DCC%I-NOV-93
MAM7ER%PEA
OF N-NS Zoning and Vicinity Map
Aftachment I
Plan Check No. 2000-337
STREET FIL�
N
CITY CLERK
civic CCHTCR
6MONDS. WA ossoao ORIGINAL
f
When Recorded Return to: 90 ALD A RE11119 N14
"t T 1; at Road
Edmonds. WA
Copy to: BAMER CONSTRUCrIOX. INC.
P.0
M k
U ilet:0.4111A 91372
ACREEMPIT
EASEMNT
Agreement made this Ith day of June. 1911. between RONALD A.
RIMNZ86HM and ANITA C. RSMNZBORM. husband and wife. whole address -7:
Is 0119 Talbot Road, Edmonds, Snohomish County, Washington 98020.
and Badger Construction, Inc.. a Washington corporation. whose
address Is P.O. Sea 4. Mukiltoo. Snohomish County. Washington.
9 9 C I T A L 3
1. The parties have in Interest In adjolaint feel estate
situated In the City of Edmonds, County of Snohomish. State of
Washington. and described. respectively as followsi A
4
Rennebohm:
Lot 1: Lot 20. Block 9. and Lot 4 Black IF. Edmonds San View
Tracts. as recorded In Volume 3 of Flats an Page 78. records
of Snohomish County, W I kqSJECT To an assententAo-c
ash 1:9 on,;,
it, 1 0 and ander the' -th.wet
13.00 feet a( sold
1 1.0" hit Iiiiii a
Lq _I . legal 4 ossoment for
bVitch' acce r 9 outhwas.t. 3.01 feet of Lot 3. Black B.
and the southwest 3.00 lost of Lot 3. Block F. and that
portion of vacated Ocean Avenue lying between, Edmonds Sea
View Tracts. as recorded In Volume 3 of Plate on Page 10,
records of Snohomish County. Washington.
4. Badger Construction, Inc,
Lot 1, ,a,. I and 1, Black 9, end Lot 39 Block ?, Edmonds
g—oa—'new Tracts. as recorded ln�Volumo 3 of Plate. on Page
Is. records of Snohomish County. Washingtons TOGETHeR WITH
lying adjacenti and TOOSTHIIR WITH an -
vacated Ocann Avenue
for Ingress. egress and itilltles nder
ea:ement
th
southwest 15.09'foot of Lot 30. and the soways.411.
feet of Lot 3. Block B. Zdatonds See View Treat$. a-
% recorded In Volume 3 of plats on Page 18. records a
Snohomish County. WAS SUBJECT TO on easement for beach
Sleek B. and.
access over the southwpst 5.00 feet of Lot* 3.
the southwest 5.00 test of Lot 3. Block F. and that portion
at vacated Ocean Avenue lying between. Edmonds Sea View
Tracts . as recorded In Volume 3 of Flats on -Page 70. records
of Snohomish County. WAS and SUBJECT TO a restriction on.
future buildings Ilialting such @tractoriev
to a on# -story
building rambler type house. Maxissee height of sold Issue* 7S
can be no more thou seventeen feet above existing ground
L43EMENT AGRELM11T Page I
AUTHORizED
FOA
0,
RECORDING
My OF EDMONris
70329
407 0
—r-r-ry -A f
2 0 G
z:
W.
X
.4
A.,
P
XXMrr D(CCNrnVM) CITY CLERK
Owe Cg"g'%
0"Vol. WA 080110
a I eve t Ion. Trees can be no higher them the roo( at the
house.
The parties to this Agreement desire to create a common
driveway between the above -described adjoining late owned by then
(or the benefit of each of them.
The per ties agree as follows:
1. Easement. An easement for a common driveway In favor of
Lot I owned by RONALD A. RENNEBORM and ANITA C. RENNEBORM. Is
created over the strip of land 15 feet In width along the South
boundary line of Lot Is and an easement for common driveway In
favor at Lot 2 owned by BADGER CONSTRUCTION, INC., Is hereby
created over th a strip of land IS test In width along the South
boundary line, of Lot I owned by RONALD & ANITA RZNNSWHM. (or the
purpose at creating a common driveway 15 fact In width for the
benefit of both at the above -described parcels at land.
2. Costs and Zxpentes. The parties #hall share the costs
and expenses of maintaining the above -described driveway. The
driveway shall be constructed and maintained of the following
material: Asphalt.
3. Maintenance and Repair*. The repairs and maintenance to
be undertaken and performed under this agreement shall Include.
but not limited to. the tollowinsit filing at chuckholes.
resurfacing/repair to asphalt. Any additional repairs of
maintenance deemed necessary or advisable. but not Included
within the maintenance and repair specified above. shall not be
undertaken under this agreement except with the *zPtetl written
consent of each at the parties **4 an assomptlon by each In
writing of their proportionate shore of financial liability for
the cost of such additional repairs or = latenanes. The partite
hereto agree to beer the costs and espouses of repairs and
maintenance authorixed pursuant to and during the term of this
agreement for sold easement to *qV41 shares as followel
EASEMENT AGRESIMS11? Page 3
AUTHORIZED
'0�'FOR
RECORDINO
CrrY OF EDMOND S
By
W1.4707o326. pegs '0 of
vot.2069PAGE1895
rMelluen MIS I W, Siam immmmomm
-16
'4%
3
CITY CLERK
CIVIC C2"T9R
coma"m WA eme
RZNNRBOIIMS age@* to beat fifty percent (30%) 0( $gall Costs and
QXP44SQS. and SADCRIt. and/or It's assIgns. agpoeg to bear the
rom""'"g fifty Percent (10%) Of Such Costs 464 0XV40801. Should
$NY tOP41ts 10 utility lines be requited the party . requiring the
repair$ shall be liable for the east of repairs and Shell hold
the other harmless therefrom.
4. Notice$. Any notice required under this agreement shall
be Igmt to ths Parties at the addresses 10SPICtIvOly listed
above. VnIoll such addresses chants by written notice to each
P0rS0" concerned. In which event the now address given shall be
used for the sending of Ruch notice. Any required,notlet shell
be ma4e by 4artl(lod moll, Property addressed and postal#
prepaid.
$' personal "Jury and PVGO*Pty 02114ts Liability. Any
liability of the parties fop personal Injury IS gay workmen
4mPIOYGd to make repairs under this agreement. or to third
persons, as well as any liability of the parties top damage to
the property of any such workmen. at of any third persons. go
result Of Or stising out of repairs and maintenance under this
agreement. shall be borne as between the parties, In the same
Percentages so they bear the costs and expenses of each popairg
and maintenance.
S.' Indemnity. Each Of ths Parties agree@ to Indemnity the
other against all liability tot injury to himself Or damage to
his PtoPerty when such Injury or damage shall result treat grief
Out Of . of be attributable to ony maintenance at repair
undertaken pursuant to this agreement.
T. —24sement to Run With -the Lend. This easement Is
Superior and paramount to the rights of &Ny of ths parties hereto
In the respectill.0 firvient estates so areeted. and the parties
further agree that It Is 2 covenant that @bell too with the tend.
9ASWENT AGJLZZMgXT Pega, 3
8747070326
AUTHORIZED
FOR
It, RECORDINO
CITY OF EDMONDS
By &2 � I
rose 7 of r
VOL2069PASEiS96
PROJECr REVIEW CHECKLIST
PROMCT NM PROJECT ADDRESS:
APPLICATION MIFT ME:
COMMENIS
FIRE
SINGLE FAmnY/KmTnLE/ca4-9=M (Circle One)
PLANNING
Reviewed by: (initial/date)
WTR/SWR I STREET ENGMG
BUILDING
111171111
11111117 -T
/T/T//7//
SETBACKS CHECKED - Planning
VARXANCE/SETFIACK AD.T.
=1777RI
CONDMOMAL USE PERMIT
111777111
2
CRECKED
777777777
3
alIfER i6NING RBQUIR99NM
7=
.41
ENVIRONMERrAL FEATURES
77-77-7777
////////
5
SLOPE, & VEHICLE.ACCESS
T777777
6
1 �
DRAINAGE PLAN (On Site) '464 44W kgol"4-.,
777777
777T7-Ml
7
STREET PILE
711111711
7TITM7
8
LEGAL DESCRIPTICN VFRIPICATION
9
go CLAIM/DEDICATICNS Y? 14
117111
10
EASEMM - PUBLTC/PRIVATE
CALCULATE SBM CONNECTION IF NO LID#
77777TI7
.12
PLAT/SUHDIWSTON REQUIREMMM
117TRIII
/////////
13
RIGHT-OF-WAY CONSTRUCTICN PERMIT REDD
77771
77777771
/////////
14
BOND REDD FOR PUBLIC IMPROVEMM
77TRIIII
is
SOILS CONDITIONS & GROUND
WATER FIEM CHECKED
777717
/////////
77
//
-.16
STREET PAVIM REQUIRED
1111177TI777777
17
CURB AND GmM REQUIRED
SIDEWALK REQUIRED
7TT17777
7111111117
18
19.
CURB CUT FOR DRIVEWAY REQD
77T/77
177777777
20:
STREET NAME SIGN REOD
21,
-
MER SIGNING REX)D
77777
//////
TITIR77T
/////////
17TITI-111
7TTTTfTT9
22
SIDE SEWER AVAILABILITY
///W
//////
TfT=l
/////////
23
EXISTING WATER MA.IN SIZE
111711777777777
//////
/////////
1111711111
24
WATER METER SIZE
Tf/77
Ir
25
SERVICE LINE SIZE
7
26
-
HYDRANT REQUIRED
777777777
/////////
11777TI77
27
HYDRANT SIZE EXISTING
111-771
, /,
/ T77177T
77TITIT71 7
28
CROSS CONNEICTICN INSPECTIM REOD
T=
//////
E777777777
29
-
WATER METER CHARM REQD
TTT177
7 7T7TF
////////
7M/71777
30
FIRE'LINE CHARGE REQD - SPRINKLER
111111LI
1111IT77F-
31
STREET CUT
32
OPEN DITCH MaSTING
33
W- CO
0
Lo V-4
cy
W"
--n
MEMO TO: Building Division
Engineering Division
SUBJECT:
After review of the subject building permit application, we have the
-following comments:
1) Connection to City water system required.
2) Connection to City sanitary sewer system required.
3) Right-of-way permit required for any work on City property.
4) Driveway slope not to exceed 14'..
5) Back water valve required if downstairs plumbing is below
.. elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all temporary runoff and
erosion on site and may not impact neighboring properties in a ny
way.
8)
F401
Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
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LEGAL DESCRIPTIONS
Ent-iTe-Tarcel
Lots 3, 4 and 20-,-Stve4;�
as recorded in yalumv-3--of -p
Lot 1
-4-.-,Block F, Edmonds Sea View Tracts,
76, records of Snohomish County, WA;
vacated Ocean Avenue lying adjacent-.
Lot 20 and the southeast 15.00 feet of Lots 3 and 4, Block B, and Lot 4, Block
F, Edmonds Sea View Tracts, as recorded in volume 3 of plats on page 76, records
of Snohomish County, WA;
SUBJECT TO an easement for ingress, egress and utilities over and under the
southwest 15.00 feet of said Lot 20, and the southeast 15.00 feet of said Lots
3 and 4, Block B;
and TOGETHER WITH an easement for beach access over the southwest 5.00 feet of
Lot 3, Block B, and the southwest 5.00 feet of Lot 3, Block F, and that portion
of vacated Ocean Avenue lying between, Edmonds Sea View Tracts, as. recorded in
volume 3 of plats on page 76, records of Snohomish County, WA.
Lots 3-71� 4, Block B, and Lot 3, Block F, Edmonds Sea View Tra;c�t �s recorded
lats on page 76, records of Snohomish C nt
in volume 3
s
EXCEPT the southe�a5.00 feet of said Lots 3 and
TOGETHER WITH vacated Oce-aih-�yenue lying adja
and TOGETHER WITH an easement for r , egress, and utilities over and under
the southwest 15.00 feet of Lot 20 n he southeast 15.00 feet of Lots 3 and
4, Block B, Edmonds Sea View T s, as re ed in volume 3 of plats on page
76, records of Snohomish Co y, WA;
SUBJECT TO an easemen or beach access over the sout st 5.00 feet of Lot 3,
Block B, and the s hwest 5.00 feet of Lot 3, Block F, a that portion of
vacated Ocean A nue lying between, Edmonds Sea View Tracts ecorded in
volume 3'of ats on page 76, records of Snohomish County, �A;
and SUB T TO a restriction on future buildings limiting such structures to a
one-s ry rambler�type house. Maximum height of said house�can*.be.no more:than
17, eet above existing ground elevation. Trees can be no higher than the roof
,,of the house.
SINGLE FAMILY/DUPLEX COVER SHEET
...ohr long: fui!s,are tP conflicts, "'Informselift in jSb8dw1 box@* we her City
use only). This towor Shist 0 , flat "ODiRP&GY @Ask bunifies wielt '"OP1128alwoo for a now slofflo-loolly
PROJECT ADRF19�S " I f-Sleil %4 f IQ i Jk-P C-c-3
PROPEk7Y:TAX idCOUhT PA110EL If
DESCRIPTION OF WORK UP (A V- X-->
OWNER PHONE N2Z
C0j9ACT PERS.0 PHONE
0 FAX*13(.Q-(0-%--9D-T��
MAILINO.ADDREW.
FAX CORREC L TIONS r-VUAIL CORRECTIONS E-MAIL CORRECTIONS
V SIGNING THIS STATEMENT I UNDERSTAN07HAT I AN THE CONTACT PERSON FOR THIS PROJECT. IT 19 MY,
ESPONSIS LITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE
it
STATUS OF THE APPLICATION. I UNDERSTAND IT 15 MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT
.9 MITTAL AM T DISCRETIONARY PERMITS THAT MAT 91 APPLICABLE. TO THIS PROJECT. I ACKNOWLEDGE
U:T r
TH TO HE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION Us ORDER TO MAKE A
COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED.
SIGNATURE DATE
ZONING INFORMATION..
ZONE LOT AREA
NUMBER-,O F DWELLIWONITS' EXISTING DEMOLISHED PROPOSED
DISCRETIONARY APOROVALs CA Determination
SUSDIVISIONf5'7-:Z CUL VARIANCE SHORELINE
SEPA Expires OTHER
CHI US& Only
..LOT COVERAGE INFORMATION
.EXISTING SF-';'�'-- PROPOSED S TOTAL SF
HEIGHT CALCULATION rFORnION
DATUM A. 0 . C1 D
7.
AVEj1t7).S0: MAX! S-". ACTUA
SITBACK INFORMATION
R . gillylillp FRONT SIDE— Slok. REAR
eROP954P FRONT' SPE 6109- RE AR
C.N R . .-L OT NO FLAG' LOT 0 !it 0 NO ---84nF6lC- 0 YES 0
ADIJI STATEMENT FIFOUIR F 0 !f]*ESO'NO� R 66L ORDING 0'
STAFF COMMENTS- -
7
-7-
EN0114EERING INFORMATION
DRIVEWAY SLOPE % G DS
EASEMENTS IN---gPf�S J-0-5.9-IMAL
EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SO.FT
EXISTING IMPERVIOUS AREA INSTAILED 1977-OR-LATER $O�FT.
PROPOSED NEW NET IMPERVIOUS �SURFACE L4G 7-t;�- i
Cltl*Uso Onix ISO,
SIDEWALK REQUIREDI)Y,ES 13 NO ..DRAINAGE PLAN REGUIREDt]YES $1110
UNDERGROUND WIRING,REOUIRED YES '[]NO
STREET DEDI CATION— fidtJ6 _.;_FT. LID#
STAFF COMMENTS:
SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT.(Clty Use Only)
STRUCTURAL:
[:]BTART.OF WORK OPLACEMENT OF REINFORCEMENT
0 EXCAVATION. A GRADING
PLACEMENT OF CONCRETE
SH.ORIN I G.INSTALLATION A MONITORING []-BOLTS INSTALLED IN CONCRETE
PROOF ROL * LING []STRUCTURAL MASONRY
OPLAC . EMENT . OF FILL A COMPACTIO . N 0 STRUCTURAL STEEL ERECTION
[:]SUBSURFACE DRAINAGE. []HIGH STRENGTH BOLTING
y ERIFY SOIL BEARING WELDING (WABO CE RTIFI E D ONLY)
0
[3 PEL I E PLACEMENT 0OTHER-
0EROSION CONTROL
0 GENERAL SITE �MONITORING 13Y THE
GE04ECHNICAL ENGINEER . OFFIECORD.
[]GENERAL SITE MONITORING BY THE
GlEOTECHNICAL ENGINEERI'OF RECORD
-D URiNG WE T W .9; A HER,C
ONSTRUCTION,
FI9AL,GRAqING 4 FIELD REPORT
D OTHER
PLAX CNBCR If
"PLicAm QV7,e-r-\
Ij DAT8 lltzczmy��kof�
BUILDING CONSTRUCTION INFORMATION
CODE EDITION$ 1997 US C. UNIC, UPC. WSFC, VIAQ WITH AMENDMENTS
DESIGN CRITERIA WIND EXPOSURE B WIND SPEED 90 MPH SEISMIC ZONE 3
Floor Live, Land Roof i—ne—WILIve Load ia::Dsy Live Losd_f�o
Root Dead Load So any Dead Load
Floor Deati LOSdM __LD
NUMBER OF STORIES BASEMENTS FLOOD ZONE
E No
ES
LOT SLOPE S SOI0 REPORT a r3y 8
FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL)
Existing Proposed Total
Living Space
Garage
Carport
Dock/Covered Porch
Other —
.ENERGY CODE COMPLIANCE INFORMATION
FUEL TYPF 0 GAS. OIL 11 ELECTRIC OTHER
INFORCED AIR []HEAT PUMP [INYphosilf; OOTHER
ENERGY CODE METHOD QF CQUIPLIANCE
0 PRESCRIP TIVE: List Option 11 FPO ;qY 49PAW
TARGET UA APPROACH: Provide UA Calcusions C6111.00.1niulallars
SYSTEMS ANALYSIS: Provide Computer Analysis W 11 Insulation
Floor Insulation V-1 " I
Window
ENERGYMENTILATION WORKSHEETS PROVIDED Skylight U-Volue
WINDOW SCHEDULE PROVIDED
VENTILATION CODE COMPLIANCE INFORMATION
KITCHEN FAN CFM IGO. BATHROOM FAN(S) CFM LAUNDRY FAN CFM_=
OEXHAUST OPTION
FRESH AIR TO BE PROVIDED TO 0 WINDOW VENTS WALL PORTS
EACH HADITA13LE ROOM WITH: 0
EXHAUST FAN TO BE CONTROLLED WITH 24 HOUR TIMER AND SIZED AS FOLLOWS:
0 1 - I BEDROOMS: 50 - 75 CFM 0 4 BEDROOMS: 100 - 150 CFM
3 BEDROOMS: 60 - 1120 CFM DO BEDROOMS: 120-180 CFIA
VAC INTEGRATED OPTION
UPEDICATED HEAT RECOVERY VENTILATION OPTION
SEPARATE PERMITS (City Use Only)
RIGHT OF WAY CONSTRUCTION PERMIT OMECHANICAL. PERMIT
NCROACHMENT PERMIT EIPLUMBINd PERMIT
STATE ELECTRICAL PERMIT DINATER METER
FENCE PERMIT OSIDE SEVIVER PERMIT
0 RESIDENTIAL FIRE SPRINKLER PERMIT IRRIGATION (SPRINKLER SYSTEM)
0OTHER OOTHER I
Any request for modification, variance. or other odmial'all-AtIve,d . aviation -(birlosthrr *Vuleate") -
must be specifically Called Out And Identified. Approval of any plat or. Olin containing provisloal
which do not comply with the city code end for which a,vorlancWholi not been specifically
Identified. requested Iiad considered. by the appropriate city official in accordance with the
appropriate provIsloa of city coda of etalo:law�doss not approve any Items Got to ends
specification.
.PERMIT ISSUANCE APPROVALS
PLANRING'RSVIBW A APPROVAL
CONDITIONS Of APPROVAL:
(City U6e Only)
DATS
BROINBERING RZVISW & APPROVAL.
CONDITIONII OF APPROVAL:
DAT9
BUILDING RRVIBIV "PROVAIM #1 nifto
CONDITIONS OF APPROVAL:
CITY OF EDMONDS.
SINGLE FAMILY/DUPLEX COVER SHEET
0 Irections: Applicants are to complete the Information In the WHITE BOXES ONLY (Shaded boxes are for City
.1141 onl Y ). This cover sheet must accompany each building permit application for a now single-family
residence. ('\%
PROJECT. ADDRESS jfK,)(c4
PROPERTY TAX ACCOUNT ZAI�CEL If
K
DESCRIPTION OF WOR N)e Lk
OWNER PHONE-
COI&IACT PERSOfC�-,er.�"g )4?C�.Sgq PHONE-24�y) 4z --'4Vfj
4W S(,O -41'9- X7(.,, I FAX -D -7,4�—
MAILING ADDRESS
FAX CORRECTIONS r -AIL CORRECTIONS E-MAIL CORRECTIONS
611j, Lld%,T
:Y SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. 17 IS MY
ESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE
STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT
SUB MITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE
TNA T TO THE 8 EST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A
COMPLETE APPLICATION AND NO DISCRETIONARY APPROVALS ARE REQUIRED.
SIGNATURE DATE
ZONING INFORMATION
ZONE (2-f� C2- LOT AREA( 22---2
NUMBER OF DWELLING IJNITS'EXISTING DEMOLISHED PROPOSED_
DISCRET16NARY APPROVALS CA Determination
SUBDIVISIONfS 7--� CU_ VARIANCE_ SHORELINE_
SEPA_ Expires OTHER
City Use Only
LOT COVERAGE INFORMATION
EXISTING SF----- PROPOSED TOTAL SF 1%
HEIGHT CALCULATION (NFOR�AfION
DATUM �A OL V\ �\Ae B C,: D
AVE :1 In. S70 MAX 1'
ACTUAL''
S2TBACK INFORMATION
REQUIRED FRONT SIDE SIDE REAR
PROPOSE'D FRONT— SIDE SIDE REAR
Dy
CNR.'LOT [jY:Es NO FL46 LOT. .0. . SV�DEDIC� ES, NO 1 L0
STATEMENT RE . OUIRE& ![]YES[:]NO RECO RDING If
STAFF COMMENTS:
ENGINEERING INFORMATION
DRIVEWAY SLOPE % GRADIN CYDS
EASEMENTS (h A
EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 —SO.FT
EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT.
PROPOSED NEW NET IMPERVIOUS SURFACE
City Use Only
SIDEWALK REQUIREOMYES [-]NO DRAINAGE PLAN REQUIR ED YES NO
UNDERGROUND WIRING REQUIRED Y Es [:]NO kTt6mme
N,
STREET DEDICATION ild/Z FT. LID#
STAFF COMMENTS:
SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only)
SOILS, STRUCTURAL,
START OF WORK 1:1 PIL ACEMENT OF REINFORCEMENT
EXCAVATION & GRADING OPLACEMENT OF CONCRETE
SHORING INSTALLATION & MONITORING BOLTS INSTALLED IN CONCRETE
0 PROOF ROLLING EIS TRUCTURAL MASONRY
EIPLACEMENT OF FILL & COMPACTION STRUCTURAL STEEL ERECTION
0 SUBSURFACE DRAINA GE []HIGH STRENGTH BOLTING
[:]YERIFY SOIL 13EARING WELDING (WABO CERTIFIED ONLY)
PILE I PLACEMENT DOTHER
EROSION CONTROL
D GENERAL SITE MONITORING BY THE
GE OTECHNICAL ENGINEER OF RECORD
DGENERAL SITE MONITORING BY THE
GEOTECHNICAL ENGINEER OF RECORD
DURING WET WEATHER CONSTRUCTION
FINAL GRADING & FIELD EPORT
OOTHER'
-7
APPLICANT PLAN CHECK 0
DATE RECEIVED rin
BUILDING CONSTRUCTION INFORMATION
'ODE EDITIONS
1997 UBC, UNIC, UPC, WSEC, VIAO WITH AMENDMENTS
DESIGN CRITERIA WIND EXPOSURE 0 WIND SPEED 80 MPH SEISMIC ZONE 3
Flo., Live Load 4b Root SnowiLive Loa--M-5�—Baicony Live Load
-M Floor Dead Load= Roof Dead Load Balcony Dead Load
NUMBER OF STORIES BASEMENTS FLOOD ZONE
LOT SLOPE % SOILS REPORT PROV)DED No
[] YES
FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL)
Existing Proposed Total
Living Space
Garage
Carport
Dock/Covered Parch
I Other —
'ENERGY CODE COMPLIANCE INFORMATION
FUFL
TYPE 0 GAS, OIL ELECTRIC
OTHER
A4
DFORCEDAIR []HEATPUMP []HYDRONIC [:]OTHER_
ENERGY
CODE METHOD OF COMPLIANCE
PRESCRIPTIVE: List Option a -----
TARGET UA APPROACH: Provide UA Calcuations
Coiling Insulation 77-
SYSTEMS ANALYSIS: Provide Computer Analysis
Wall Insulatio n
Floor insulation
Door U-Valuo
ENERGYIVENTILATION WORKSHEETS PROVIDED
Window U-Valua�.
Skylight U-Value
WINDOW SCHEDULE P ROVIDED
Glazing
I
VENTILATION CODE COMPLIANCE INFORMATION
KITCHEN FAN CFNI BATHROOM FAN(S) CFM 00 LAUNDRY FAN CFM_12,Q
WHO[ F HOUSE VENTILATION SYSTEM
EXHAUST OPTION
FRESH AIR TO BE PROVIDED TO 0 WINDOW VENTS 0 WALL PORTS
EACH HABITABLE ROOM WITH:
EXHAUST FAN TO BE CONTROLLED WITH 24 HOUR TIMER AND SIZED AS FOLLOWS:
1 - 2 BEDROOMS: 50 - 75 CFNI 4 BEDROOMS: 100 - 150 CFM
3 BEDROOMS: 80 - 120 CFM BEDROOMS: 120-180 CFNI
VAC INTEGRATED OPTION
DEDICATED HEAT RECOVERY VENTILATION OPTION
SEPARATE PERMITS (City Use Only)
RIGHT OF WAY CONSTRUCTION PERMIT DMECHANICAL PERMIT
ENCROACHMENT PERMIT OPLUMBING PERMIT
%STATE ELECTRICAL PERMIT DWATER METER
EIFENCE PERMIT 0SIDE SEWER PERMIT
DRESIDENTIAL FIRE SPRINKLER PERMIT DIRRIGATION (SPRINKLER SYSTEM)
0OTHER DOTHER
Any request for modification, variance or other administrative deviation (herinaller *variance")
must be specifically Called out and Identified. Approval of any plat of plan containing provisions
which do not comply with the city COIJO and for which a variance has not been specifically
identified. requested and considered by the appropriate city official In accordance with the
appropriate provision of city code of state low does not approve any Items not to code
specification.
PERMIT ISSUANCE APPROVALS
PLANNING REVIEW & APPROVAL
CONDITIONS OF APPROVAL:
(City Use Only)
DATE
ENGINEERING REVIEW & APPROVAL
CONDITIONS 00 APPROVAL:
DATE
BUILDING REVIEW . APPIRDVAIr�r% gm,
CONDITIONS OF APPROVAL:
0.
9
5TREET AT 5Z. CORNER
IMPERVIOU5 5URFACE rALr,5
PROPOSED BUILDINO PAD: 2455 5F.
PF,OPO5ED OAROAE: q(o& 5F.
r;Z,0PO5ED DRIVEPWr: IlqO 5F.
HE I 6HT rAL C5
A 5.50'
D 15.00'
A\/& ORADE =q.O(o'
ACTUAL = 25..00'
MAXIMUM = 54..O(o'
::�') 1-/,) it
NOTE: 1-#W 'c*-
ALL ROOF DRAIN5 TO DRAIN INTO *45ASIHIMCt"
/. /11-/nll
I o) 1-,o-) 11
A-7' l)"
B rz C 71 0 N A' 7 r;) R I E A A
5CALE: 1 20'
15�' --
APPROVED AS NOTED
t1l r
R E- C E i v E D
Nkrl",,! 1 5 2000
Q,EVFLOPMENT SERVICES CTR-
CITY OF EDMONDS
35--15'(BUILDINS HE16W)
2050'(2nd FLOOR)
11.00'(Ist FLOOR)
FILE,
0.00,
24" CATCH BA61N
INVERT
PLOT PLAN:
THE OL5EN'5 RE51DENCE
TAX ACCOUNT: #454(0-002-020-001
LOT 5LOPE: *o'
LOT AREA: 15,422 s(�. ft.
LOT COVERAOE : 5106 scl. ft. (25%)
EL. 0.0,
EX15TINO CATCH BA51N (5TORM 5EHER)
E L. 1.07'
J, EL. 1.8'
L. 4.2'
<70 EL. 7,04'
IMPERVIOU5 5URFACE CALC5
'PROP05ED BUILDINC-7 PAP: 245a sf.
� PROP05ED OAROAE: q(o,5 sf.
-PROP05ED DRIVEHA"(: 111-10 5f.
HEI&�-,; r.,ALCS
A 5.50'
B. 7.25'
10.50'
.p 15.00'
AVO &RAPE =q.06'
ACTUAL 25.00'
A A %I I LAI ILA =A ^/-I
-1
A
.5.50,
PECK
24545 50. r 1. 05 1; FLOOR)
p
PRO D
51DENCE
-120 t;uv^prc FEE I
16:26 50. FT. (2nd (FLOOR)
q9)4 50. FT. (BA5EMENT)
EL.
6.62'.
OP/
(5ARA(5E
qbi5 5WARE FEET
rl
FILTER
FENCE
TAILI
TO BE
BE
ER
%D
"�OOVER
DRIVEHAY MIL
6 MIL
E
150UEEN
/ I 5OU
El 12 -50'
U IN \/'I kN
L. 0 7 F Lr A
5CALE: I = 20'
B
1.25'
EL. 10.5'
Lu
T-
Lu
Lu
kD EL. 12.0'
x
Lu LEL 14.64'
L. 17.49'
E*L. 20' WTED
F L A C E
-p Dgov M/gz:io, m6t3
fixe-- -n &m joe 62ooc"W
PLOT PLAN:
THE OL5ENS RE51DENCE
TAX ACCOUNT: #4546-002-020-007
LOT 5LOPE: q%
LOT AREA: 15,422 ft.
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VP
o
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(FIZOO-Z MIN
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REMOVEP.NEY3IFY LOCA
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PROVIL2612 0, TO Q0#A1fd UP To
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v
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V TP *'I % k % % PROV164F
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M(Mrr A
HM: Apdroval of this short,
subdivision to subject to tho
canditiond found i cl
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VOL.2069P Gi 92
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-CITY OF EDMONDS
WATER SERVICE AS -BUILT
ADDRESS
18614 Soundview P(
PERMIT
NUMBER 200932
HOMEOWNER Olsen
CONTRACTOR N/A
DATE 03/29/01
DRAWN J eanie McConnell
BY