18908 80TH AVE W.PDF111111111111
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18908 80TH AVE W
NOTICE:
No warranty of accuracy.
The -information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of 'Edmonds does not warrant the
accuracy of anything set forth on these
map(s�). Any person or entity -req uesting a
copy should conduct an independent
inquiry regarding the information shown on
th-e -map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may'not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
emp-l-oyees or officer--) shall be liaol-,I-e for the
information given on this map(s), nor for
any one representation provided based
upon said map(s)..
STREET FILE
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
c� 1;) Public Works o Planning a Parks and Recreation Engineering
LETTER OF TRANSMITTAL
Date: May 19, 1992
To: Max J. Grossman
11423 35th Ave. S.E.
Everett WA
Subject: Critical Areas. Checklist
Transmitting:
For your information:
As you requested:
For your file:
Comment and return:
Note attachments:
Comments:
Planning Division
cc: Mr. & Mr. Crossfield Wane C-Inninghara
0 Incorporated August 11, 1890
Sister Cities International — Hekinan, Japan
LAURA M. HALL
MAYOR
PETER E. HAHN
DIRECTOR
8 90 ..1 gq-
City of Edmonds
Critical Areas Checklist
Ile 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 ftom. observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
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.
With a signed copy of thi's form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Name
Title
/ ; 9'Y Of F,- ��le A,)
Street Address
z 7,-2F-- 9,f2V
City, State, ZIP Phone
Signature '
Applicant Representative:
Name
Title
// 3 ,- -;,� W,��e S--
Street Address
-�72—
City, State, ZIP Phone
Dat�
'T ��
Date S eia
Critical Areas Checklist
Site Information
ProjectName: Cr,,*-'S,77'01,--1e— Permit Number:
Site Location: 4ye Zel Property Tax Account Number.
Approximate Site Size (acres or square feet):
Have you filled out a Critical Areas Checklist for a project on this site before? - a-zP
General Site Conditions
1. Has the site been cleared or logged? Date of most recent action:
�f\c�ef
Soils Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site topography. Check all that apply.
Flat: less than 5 feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
—Hilly: slopes present on site of more than 15% and less than 30% a vertical rise
of 10 feet of horizontal distance.)
— Steep: grades of greater than 30% present on site.
Comments
HydrologyNegetation
4. Site contains areas of year-round standing water
5. Site contains areas of seasonal standing water. A�_ e�' --Approx. Depth:
6. Site is in the floodway floodplain of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? &,�flows
are year-round? Flows are seasonal?
8. Site is primarily: forested meadow shrubs mixed
9. Obvious wetland is present on site: A-'6'
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
For City Use Only
STUDY REQUIRED: Critical areas study is required.
,,CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.
1; %AfA1XfCD r" A
I Ca al �14 4 U 7 4 "1 1
DeterminationNumber.. �7 _'....'Reviewer
Planner
.Rev..3n.7./,9.2....
NaturMGW�
AWb"xjtonEmwCarVcYV
WNG to window
Watermain depth 4-1 "8
2— - gas main .
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamn Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
Key:
-W-
-G-
-SS-
0
q
jort-> 95098?4
SCIO19-180 O&V
I CU-r-
Water
Gas -
Sewer
Water hydrant
Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
vvc� M ffyows I
NaturM Gas"
A Wb1wxjIm Enerw CaTV&N
WNG to window
Vat ermain depth 4-1'#8
2— - gas main
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
Key:
-G-
-SS-
0
N
jolt> CI5Oqe;?-4 -
6906-180 AV
1 cu-r-
Water
Gas
Sewer
Water hydrant
Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
shhwjton
NaturblGas��
Avvhgwxjton Enerw Convew
WNG to window
Watermain depth 4-1 "J
gas main
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
Key:
-G-
-SS-
0
N
,)C,12> 950q874
69019-180 AV w
I cu-r-
Water
Gas
Sever
Water hydrant
Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
- elf'
Ci' of Edmonds
ty
LCONSTRUCTION
E IT V_ U
Lesue Date:
A. Address or. Vicinity of, Construction: 18908 — 80 Av W 9509874
8 9 0, B. Type of Work (be specific): Insta1i New Service
C. Contractor: _'Washington Natural Gas Co Contact: Frank §4an
Mailing Address: 1122 75 St SW Rveratt Phone: 447-129A
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E.' Commercial Subdivision E1 City Project NJ Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family EJ Single Family El Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut Yes []No Size of Cut: X� H. Charg�_$
APPLICANT TO READ AND
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or
claims of any kind or description whatsoe . ver, foreseen or unforeseen, that may be made a�ainst4he City of Edmonds, or any of its departments or
I - : -J'
employees, including or not,limited to the defense ofany legalproceedings including defense cpst.,and attorney fees by reason ofgranting thispermit.
6F� PA*0T
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FO OF ONE YEAR ;&LQNQ175;E FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL B HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED B Y CIT Y FORCES, A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordai��ce with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approveA al prior to the end/
�fking day;
NO EXCEPTIONS.
Ihaye read the above statements a nd understand thepermit requirements and thepink copy of thepermit will be
available on site at all ti for inspection purposes.
Signature: 4 f Date: 02-13-95
"(Mnwt� a c t or o Vir Tt)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR -CITY, USE ONLY
APPROVED BY.
TIME AUTHORIZED: VOID AFTER —'DAYS'
SPECIAL CONDITIONS:
RIGHT OF WAY DEPOSI
DISRUPTION FEE/FUND I I I:
RESTORATION FEE:
PERMIT FEE:
90
TOTAL FEE:
COMMENTS: RECEIPT FEE:
DATE: ISSUED.BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diaaram.:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
D YES
Date:
Date:
E] NO
APPLICATION
MR ow for
The City of Ed SIODE SEWER PERMIT LINE-
S"EET FlU: E'ASUENT No . ..........................................
0,;21 NEW CONSTRUCTION C] REPAIRS
132
VNER ......
OV .. 1;kf ..... N--
Y\ ...... ....... .................. CONTRACT ... ..... PERMIT No.
.......... OR
ADDRESS ... I ... jk ... ..... ....... ........ Wq,�Ft ........ LEGAL DESCRIPTION: LOT No. A.q:t ---- & ........ 69 .. T... BLOCK No . ...... I ....................................
0
0
-- 9
cv'�
k---j
110
NAME OF ADDITION 0-S.C.A44 . ..... ........ S�,]Atl-Lc— - - ACIL. usj.& V.% Zrakr
Approved: r K A
DATE ....... ............. 13Y
17
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
I=STREET
Name: CAD 5_4(dct 00 q T 140 0 (0 0 S-00)__
Site Address:
Date: t
Plan Check#: &/J -2-0
Project Description: A&I16*&L.
Reduced Site Plan Provided: NO)
Zoning:
Map Page:
Corner Lot: (YES
Flag Lot: (YES )9
Critical Areas Determination 9: r,12 A� t(4 4 Zga 5-7
Study Required ICT-7--
09LWaiver
SEPA Deter-mination:
WExempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Required S?tbacks
Stre t:
Side-
to.
Side-
10
Rear:
&.0
Actual Setbacks.
Street:
Side: 3 -7
Side:
Rear:
El Detached Structures:,
Rockeries:
Fences[Trellises:
El Bay Windows/Projecting Modulation:
El Stairs/Deck:
Height
Datum Point:
Datum Elevation:
Maximum Height Allowed: Z
Actual Height: 5-
Other
Parking Required: 2
Parking Provided: 2-,*
Lot Area:
t65S-0 C�
Maximum Lot Coverage: 35% Proposed:
Lot- Coverage Calculations: A0U-r(!!- IC& �oo qS
ADU Created: (YES
.Subdivision: C U_V�j�A5- 5�ctq(c 5L,,6_ rr-s &o-,I-
Legal Nonconforming Land Use Determination Issued: (YES
Comments
Plan Review ByA- -7 It 9 (12-
Piarmmq Data Form 04 -11 -06.doc
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
/If 5,0
CITY ZIP TELEPHONENUM ER
h:
INAME
CITY ZIP TELEPHONE NUMBER
NAME
ADDRESS
0 3 5,
CITY ZIP TELEPHONE NUMBER
I Z
-- -
0 //7
STATE LICENSE NUMBER EXPIRATION DATE
Legal Description of Property - include all easements
/3/-/,( col 12-00 5
USE
ZONE PERMIT
NUMBER
JOB �aO7" E/APT
ADDRESS ty
NEGMaElSSUH4PQTM CoIXIRICKIIISILIMPAVISION NO NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
0
RW Permit Required
0
EXISTING —REQUIRED DEDICATION
Street Use Permit Req'd
0
PROPOSED
I
Inspection Required
Sidewalk Requir,�d
0
0 0
K
REMARKS
a:
W
LU
Z
ENGINEERING MEMO DATED REVIEW BY
M ETER. SIZE IqUILDING SUPPLY SIZE NO. OF FIXTURES
REMARKS
SIGN AREA SEPA REVIEW . , . ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT ------
EXP 1� _IHORELINE
VARIANCE OR CU PLANN NG REVIEW By DATE
W
SETBACKS — FEET
Uj SIDE
Tax*Ac�clunll
Parc I No.
NEW
LZSL RESIDENTIAL
PLUMBING
ADDITION
COMMERCIAL
MECHANICAL
REMODEL
APT.BLDG.
SIGN
GRADING
FENCE
REPAIR
- CYDS.
L_ x _FT)
DEMOLISH
WOODSTOVE
INSERT
SWIM POOL
HOT TUB/SPA
GARAGE
RETAINING WALL/
F
CARPORT
ROCKERY
RENEWAL
(TYPE QF USE. BUSINESS OR ACTIVITY) EXPLAIN
NUMBER OF STORIES NUMBER OF
DWELLING
[UNITS _ _
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
HEIGHT I LOT COVERAGE
REAR
0HECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
I 2L_1 1 835 2.,Sl
�PECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED 0 GROUP LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REQUIRED
VALUATION
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
%
PLUMBING
(
Plan Check No. zio
6 7 r—>
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curts, sideweliks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started,WlthIn 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
PLAN CHECK DEPOSIT
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any ci y ordinanc
nor limit in any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
1 hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
ed thereby, no person will be employed in violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
I INISPECTION
DEPARTMENT
CITY OF
EDMONDS
5IGNATURE (OWNER OR AGENT) FDAT�ESIGNEO
440?__
CALL FOR
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220
�A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-87
Z_ / 8 0
Z.,-7
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
NATURE D TE
71011 6/10 Z_
E E-A ATE
B
OI;IIGINAL —Xie YELLOW — Inspector
PINK — dwner GOLD — Assessor
a:
uj
a
Z
I
Z
Z
<- ez.�-, Z/O
74 Ul
E L E
RECEIVED
MAY 2 1 1992
PERMIT COUNTER
r*", I
Fr
Q�
K
(Z) I -
rn
C=
MC:,
r�':
M
(=7 cr,
rTj
C-)
r-,3
Eli-
M
N�
iA-
-4
--4
V7
Zone S—(0 Comer Fia&.
011 Setback Reguired
p\ Front A-Ctual
Sides /'V/�. —4L �(o "T'
Rear, vi
q q,
Other
OWN INFO
I-Teicrht
APPROVED BY PLA�NING
-7
Leslie Croslstield�
18908 8001 Av, W. Edmonds, WA 98026
Parcel # 00 4816. 0010.'. 0500
Legal? 08 CAR E JENSEN . S SEATTLE SUB TRS 8LK 001 D-00 Lot 5
Lot size 85.4'x 192.96'at 0.38 Ac
Zone S—(0 Comer Fia&.
011 Setback Reguired
p\ Front A-Ctual
Sides /'V/�. —4L �(o "T'
Rear, vi
q q,
Other
OWN INFO
I-Teicrht
APPROVED BY PLA�NING
-7
Leslie Croslstield�
18908 8001 Av, W. Edmonds, WA 98026
Parcel # 00 4816. 0010.'. 0500
Legal? 08 CAR E JENSEN . S SEATTLE SUB TRS 8LK 001 D-00 Lot 5
Lot size 85.4'x 192.96'at 0.38 Ac