19005 SOUNDVIEW PL.PDF11111111111111
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19005 SOUNDVIEW
PL
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TAX ACCOUNT/PARCEL
BUILDING PERMIT (NEW STRUCTURE): F-aQ � y
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: Ej Conditional Waiver E] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED-3::�a Z, SIDE SEWER PERMIT(S) #: 7
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
LATEMP\DST's\Fomis\Street File Checklist.doc
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CITY OF E S
CONSTRUCTION PERMIT APPLICATION
us-, N— PERMIT
ZONE NUMBER V90311
ADDRESS
NAME (OR NAME OF BUSINESS,
A F, JV
GAL DESCRIPTION CHECKI
S1JIIDIVI' ION NO,
ILID 11.
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REGUIREDDEOICATION
PROPOSE15_�O�
:;TY TELEPHONE NUMBER
RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED
STREET USE PERMIT REQUIRED.
ADDRESS
7-q I 59AA� S 4�,
C1r1.—,9 �TELFPHONE NUMBE R
val-, 7
SEE ENGINEERING MEMO DATED
A K
NAME
M I UILDING SUPPLY SIZE
IFIXTURE UNITS
CITY
TELEPHONE NUMBER
z
0
REMfflS
STATE LICENSE NUMBER
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
Le 8' Description of Property - inc I udeal I easements
z
IS hgo. below Or attach four copies)
I
SHORELINi
0
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
FRONT SIDE REARzg
HEIGHT
S1
LOT Co,�n
z
0
iA
WNEW vi AL LJ PLUMBING
D AODIALTER IAL j El MECHANICAL
EJREPAIR 0 RETAINING WALL 0 SIGN
EXCAVATE FENCE
0 DEMOLISH El OR FILL x
E] PRE- OVE INSPJ SWIM
REMODEL —ComkPALIANCE INSP. L__J POOL
HECKED BY
TYP!:SYONSTRUCTION
]HEIGHT
SPECIAL INSPECTOR
R I ED
REQUIRED
0 YES NO
[REMARK
AREA
OC UPANV
GRC
OUP
ODD STO E/ E]
W INSERTV APT.BLDG RENE WAL
M S
P 10 S
PROGRESS INSPECTIONS PER UBC 305
iw& Z11:5LIz 4!X /M Mz"'I cR6V (j7D_c
'Y
NUMBER OF STORIES
BER OF
OWE I
1U1 NU IT,
:LL NG
S
-7 0 1
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (Curt8, sidewp0s,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: I Year - Provided Work is Started Within 180 Days
ENERGY CODE
.. Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agr as to indemnify, defend and hold
harmless the City of Edmonds, Washington. its officials,
5 employees, and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
nor limit in any way the City's ability to enforce any ordinance
provision."
I.hereby acknowledge that I have read this application; that the
I
Information given to correct; and that I am the owner, or the duly
ATTENTION
'
en the owner. I agree to comply with city and
I Z I of
'to "Z '
u I g
In doing the
THIS PERMIT
U, on-, work authoriz-
g all and
B g.lal ng, Construct
r no P Dr. I loyed In violation of the I abor
d I r y DO
§�Ino.fr�nc
AUTHORIZES
ONLY THE
of, S '. I . 0 W tI, n rat JiInsa*
I' S,.,.o n to atingtoWorkmen' Cor;
LN
WORK NOTED
C.
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INSPECTION
IA1U W IE nAll 11 11 D
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DEPARTMENT
CITY OF
C�j
EDMONDSS
ATTENTION I
LLDING
i:
IT IS UNLAWFUL TO USE OR OCCUPY A OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
10247
VALUATION
__fflo
AP:PL�P�ICION APPROVAL
This plication Is not a permit until
eby the Building Official or his
w_y; and fees are paid, and weelpt Is
knowledged In space provided.
;IAL'S SIGNAURE DATE
ORIGINAL — File YELLOW — Inspector U
PINK — Owner GOLD — Assessor
.V"e City'of Edmonds
OWNER......
............
.......
.................. .. ...........
ADDRESS
-14Q".� .............
.........................
...........
APPLICATION
for
SME SEWER PERMIT
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS Z�
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CONTRACTOR ................................. PERMIT No 7,7....
LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ............................................
7(F
NAME OF ADDITION .....................
............................. ........................... -------
Lu
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APPROVED
1968
Approved:
DATE ....... ( rS..� ............ By ....
19006 Sound View Place.
Street -Address
-27-3 described as follows:
Legal descriptions 'RT-28 That portion of SectionU
Beginning at a point 6�O feet N. 664.26 feet W of SE corner of Lot3, thence
0 0 'to.the easterly
S 37 171 W 96.145 feet, thence S 88 331 W 310 feet.more.or less 0
-17
line of Sound View Place, thence N 570 E 96.145,feet, thence N 88 331 E
to ppjn�t of beginning; also known as Lot 11 andnortherly
310 feet more or less
2 Y,ruit-d le on the.Sound, unr000rded.,
of Lot 1 a
!':UTY. OF
CaJI PRospect �71107 when work
CIVIC DEPARTMENT
is readv*for Inspection;, (No Inspec-
tions Saturday, Sunday or holidays;). '0 --2775
S-IDES
EWER' -PERMIT.
19005 Sound View P-14ce
ADDRESS- .......... 7 ..................................................... ......
.................... ------ ................. ....... ................. .... .......................
OWNkR ........................................... CONTRACTOR. Western. Sewer
....................................................................... .......
Pernilssi6n is granted ....... T�!br -ir .29, 1q..6.8 da3is to REPAIR or CONNECT a side sewer
... y ....
------ 4 ........... for ........................
With C-itj Sewers In accordance with apoibation on file.and governing ordinances.
ATTENTION IS CALLED TO THE. FOLLOWING:
- No. I—The".owners of the - property may obtain a permit to construct sewer I . nside propert I y line. I A licensed Si de Sewer Contractor must
be em�loyed to construct. side sewer in street axea. Do not cover any portion of:sewer before it has been inspected. .
N -.No. 2—Obtain full information regarding Ordinance ll:'16,030 and Regulations- governing side sewers when you get permit.
3�Top of side sewer must,have at least 30 inches.coverage at prop ert I . Ine,and 1 1 2 Inches I inside property line; minimum grade of 2%.
.No bends In grade sharper than % will be permitted.
C res
NOTE No. 4—Trenches, ln�street must be,water settled and surface of street restored to. -original condition. Contra tors sball be ponsible for
failure -due to Improper worktwhich may develop within one year of completion.
NOTE 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 sewer or Its appur-
tenances except to insert the pipe into the wye.
C I T Y o f ED M IODS S JOE S E W E R - F'--El Id, I- T
For Inspection Call 771-3202 PERMIT NO.
Address of Construction: / loe)6 So U �J 0 V 1 6— .
Property Legal Description (Include all easements)
Owner and/or Builder: �C_/hqvw Cz_ftSzF3J
—go S
Contractor & License No: R_U-35J0)4TJ.50N
Fpo 3
Singl:e Family Residence V/1
EDMONDS
Mul ti - Fami 1 y (No. of Units ETREATM7ENT PLANT
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No �>( Yes _ (If Yes, Right -of -Way
Construction Permit required. Call* One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No _41, Yes (If Yes, easement required,
attach legal description and county easement number.)
EASE READ THE ITEMS LISTED ON THE BACK
f<�.L;L I v EL)
140V 16 1988
,/ /- 1:5-� V_
NONE MIAWJWWIIJ;k��
STREET FILE
Date
Permit Fee: -30.00 Issued By:
Trunk Charge: G_> �Date Issued: 5-
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
-Za-
00
CD
W
W
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Rejected:
Reason Date Initial
Wh.ite Copy - File
** PERMIT MUST BE POSTED ON JOB SITE **
Green Copy -'Inspector Buff Copy - Applicant
CS
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The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS F� LID NO - ---------- ....... . ASMT. NO - ------------------
OWNER ------------------------------------------------------------------------------------------------ CONTRACTOR ----- 75 0V
�43
------------- -- - ----------------------------------- PERMIT NO.
JOB ADDRESS PD.,L? --- ------- RV d ---------- LEGAL DESCRIPTION: LOT NO - ------ ------------------------------- BLOCK NO - -------------------------- ---------
- N P, T- k� ------------------------------------------------------------------------------------------------------------------------------------------------------------------
PWW-0001-11/75 (REV.11/78
4V-V-e,
1-17-
NAMEOF ADDITION --------- ...................................................................... --------------------------------------
cAt kl I' fj� O�Ao(,
=EDMONDS
M
T TM T
REATMEONT PLANT
0(2)0
Approved:
DATE................. By ------------------
CITY OF ED'MOr4DS
COMMUNITX,,§ERVICES DEPARTMENT
RIGHT-OF-WAY 'CONSTRUCTION PERMIT
A. e Owner: _WashingtOn Natural Gas 11
Name
805 156 Av NE
-Mailing Address
Bellevue, WA 98007
City State Zip
Wermit No. ?LEE- 3
-,) I
Issue Date
FoRrae Name
Mailing'Address
City State Zip
447-0700
State License Number Telephone Number
(�" " Sound View P1
Address or Vicinity of Constfuction:
— 'V
Type of Work to be Done.'// _ermii;Ai�44 fgs��uested to install a 21' plastic gas main in
Sound View P1 from 231N moKhne of'111'St SW N to +/-70'N C/L Water St. P.A.D 893-059,
Work in Connection With: 0 Sub or Plat El Single Family 0 City Projects
F� I . 1 0 Commercial 0 Multifamily Exutility
Z
< Pavement Cut: 0 Y 0 N
APPLICANT TO READ AND SIGN
,t� 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, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments -or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FPR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINA�//INSPEC'�TION AND ACCEPTANCE OF THE WORK.
0
U Funds held from the Security Deposit (estimdtqLdj restoration fee) will be held until the final street patch is completed
by City forces, at which time a dibit� oicre*d'it will be processed for issuance to the applicant.
0
• A 24 hour notice is, required for inspection; Please call Public Works: 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.
oAll street-�ut ditches must.be patchedwith 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: Date: I t-)=281688
Owner or Contractor
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY:
Z Time Authorized: Voils after 30 days.
0
Special Conditions:
Amendments:
U
W.
p" w;,,
PERMIT FEE': -0JQ
Security D&posit:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions:
X
M.
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE,.
tng. viv. juiy iyn
FIELD INSPECTION NNS (F!pd I I I Route cop: to Street Die
y pt.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES El NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY:, Date:
Eng. Div. July 198,
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CITY OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Owner: 1(_10-1461-0 .
Name PL
MVAddrp,
�_ I- ONVIS, 9�0z-o
City State . Zip
W-- �- - �& 9
ermit No. oo
Issue Date
B. 4o Contractor: X&Y—S J;,q AAP N
Name PC) d?6,K 13 >_
M ili g Address
= 14 "'t �W, " Wo Z/
City'r- State Zip
State License Number
Telephone Number
e Address or Vicinity of Construction:
Type of Workto be Done: Z:—,aM=-4Z
Work in Connection With: El Sub, or Plat I�Asingle Family 0 City Projects
13 Commercial 0 Multifamily 13 Utility
Pavement Cut: 0 Y L& N
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, forseen or unforseen, that may
be made against the City of Edmonds,' or any of its departments or employees, including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE, OF THE WORK.
Funds held from the Security Deposit (estimated restoration fee) 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.
• A 24 hour notice is required for inspection; Please call Public Works: 771-3202
• Work is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code. STREET FILE
• Street to be kept clean at all times.
• Traffi6 Control to be in accordance with City, regulations.
.0 All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
no exceptions.
I understand 49above and that this per .. I must b�eavailable at the job site for inspection purposes at all times.
L/ e�b
,t/
Signatu
��Owner or —Coni—ractor—
This Permit Must Be Posted at the Job Site For Inspection Purposes
Call DIAL -DIG Prior To Beginning Work
ISSUED BY:
274)IM/1( 42
Time Authorized: Void after— So —days.
Special Conditions:
PERMIT FEE: -
Security Deposit:
Receipt No.:
Fund I I I Fee:
Amendments: Street Cut Dimensions:
X . =
NO WORK TO BEGIN PRIOR. TO PERMIT ISSUANCE
Eng. Div. July 1985
FIELD INSPECTION, NA (Fuwnl I I Route copy to Street Dept.)
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES ED NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date: -
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
11T005- 'J� jv�
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CONSTRUCTION LICENSE
CITY CLERK
CMIC CENTER
EDMONDS. WA 013020
In consideration of the construction by the City of Edmonds, an
optional code, municipal corporation (hereinafter "City"), and the
Snohomish County Public Works Department, of certain improvowz!nts to an
unnamed creek, hereby grant to the City of Edmonds and the Snohomish
County Public Works Department a license to enter as my be necessary
to construct, repair and maintain the aforementioned improvements, said
license to be on or over the following described property:
That portion of Section 13, Township 27, Range 3 East,
W.M., described as follows:
Beginning at a point 650 feet North and 664.26 feet West
of the Southeast corner of Government Tot 3; thence South
37017100" West 96.145 feet; thence South 88033100" West
310 feet, more or less, to the Easterly line of Sound
View Place; thence North 37117'00" East 96.145 feet;
thence North 88'33'00" East 310 feet, more or less, to
the point -of beginning.
(Also known as Lot 11 and the Northerly half of Lot,
12, Block 2, unrecorded Plat of Fruitdale on the
Sound.)
Situate in the County of Snohomish, State of
Washington.
This construction license shall be, and is, irrevocable for a
period equal and commensurate to the initial construction of said
improvements and shall expire.upon completion of the public
improvements by the Snohondsh County Stream Team. Upon that date,
license shall bE
DATED this
STATE OF MSHINGMN)
COUNTY OF SNOHOMISH)
on this day personally appeared before J�_� a -
this
to me known to be the
individua;�K described in and who executed the within and foregoing
instrument, and acknowledged that 11__1_& signed the same
as free and voluntary act and deed, for the
uses and purposes therein mentioned.
UN9ER MY AND OFFICIAL SEAL THIS ,:23 DAY OF
-1/p -1 , 1. 9
1'. 0
ate of
WTA PUBLIC in and for the St.
7A .1
Was
L r
8512040176
(P
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VOL 19,16PAU2,112
10 CITY CLERK'
elvir. CENTER
EBM(Mbfg- WA 98020
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH)
On this day.personally appeared.before m'
--01 to me known to be the in4dvi�d�ual(�s)��
--P�scribed in and who executed the within and foregoing instrument
and acknowledged that signed the same as
free.and voluntary act and deed, for the uses and purposes therein
mentioned.
UNDER MY HAND AND OFFI AL SEAL THI8 Z 19�f� ohy Qr'.
1,9 FT
0 C) Yo
9
j `2
ARY P6—BM7'1n and for ',thd J
V Fj'tj
shington, residing at
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NOL 193'GIAGE2213
.,. 0 �%; - C17--y CL
1\1 EXCISE TAX
REQLIIRED CIVIC cel�JrcR
t4- R-3,? J it-3MONDS. WA 9a020
Jull 9 M8
KIRKE �ITVEFs COU ty WON
DeNtY
"y
QUIT CLAIM DEED
THE GRANTOR, Richard E. & Carol A. Clausen for and in
of mutual benefits to be derived, convey and quit cl ' aim to
Edmonds, a municipal corporation, the following described
situated in the County of Snohomish, State of Washington,
interest therein which grantor may hereafter acquire':
consideration
the City of
real estate,
including any
C The Easterly 10 feet of Soundview Place,in front of and
abutting upon Lot 11 and the Northerly half of Lot 12, Block
2, Fruitdale on the Sound, according to the unrecorded plat
thereof; being a portion of Government Lot 3, Section 13,
Township 27 North, Range 3 East, W.M., Snohomish County,
Washington.
together with the right to make all necessary cut or fill slopes on the
land of grantor's adjacent to the above -described real property in
connection with the construction, maintenance or improvement of the
above -described real property for purposes of a public roadway.
DATED this /o"r-�-"'dz
STATE OF WASHINGTON)
) ss
COUNTY OF SNOHOMISH)
I
On this day p�rsonally appeared before me �4* 4-4�
t�� ktx
ell, to me known to be t e indivi4dua qs
and U,
described in and who executed the within and foregoing instrument, and
acknowl,edged that _2�1' signed the same as
,er.�t' A � free and voluntary act and deed, for the
uses and purposes therein mentioned.
_7 dag
N under my hand and official seal this 03
2
19pe a
C=
V IV
T 't
NOVARY PUBLIC in'and for the State oK
C,
9 o Washington, residing at
Ao.
FRUITDLE/TXTFORMS MY COMMISSION EXPIRES 6-16.8f.
8806020159
VOL. 2146PAGE0059
Page 3, April 11 15, 1988 DATE DATE *** END
DOC TYPE CH* LEAD AGENCY ** PROPOSAL ISSUED MAILED REVIEW
----------------------------------------------------------------------------------------------------------------------------
DNS 15 Pacific County Fitt, grade and remove vegetation from a fire access area 04-05-aB
adjacent to WiLtapa Say, Santa Monica Addition to Tokes Point,
near TokeLand (Frank Beeghley)
15 Pacific County Construct a 200 ft Long bulkhead along the Bay Center Dock 04-12-a8 04-27-a8
Channel of the PaLix River, WiLtapa Bay (Tom Moore)
17 Cowlitz County Construct a 60x4O ft workshop/storage bLdg in the floodpLain of 04-08-a8 04-25-88
the ToutLe River, 108 Riverview Drive (Eldon McNutt)
17 Cowlitz County Construct a 100x10 ft dock expansion to an existing boat Launch 04-08-88 04-25-88
facility, drive 9 pilings, in the Columbia River, W of the
Weyerhaeuser milt site, Longview (Weyerhaeuser Company)
17 Cowlitz County Place 500 cu yds of crushed rock adjacent to the Columbia River 04-08-88 04-25-88
for a beach access road, Willow Grove Road near river mile 58, 3
miles W of Longview
18 Clark County Construct widening and roadway improvements to NW HiLLhurst Road 04-06-88 04-21-a8
from NW Carty Rd to within 2,100 ft S of the city Limits of
Ridgefield
18 Clark County Credit Union office, construct a 12,623 sq ft office bLdg in an 04-08-88
Apartment Residential zone, SE corner of Andresen Road and Van
Matt Drive (Clark County School Employees Credit Union)
18 Clark County Construct improvements to SE Cascade Park Drive within a new 04-08-88 04-28-88
alignment from SE 142nd Ave, east for 1/2 mile to the W boundary
of Fairview Village, between The Springs Apartments and SR-14
18 Clark County Fitt and grade 6,500 cu yds within a Light industrial District, 04-11-a8 04-28-88
8221 NE St Johns Rd (Bruce Davis Real Estate)
18 Clark County Rezone 1.2 acres to Rural Commercial and convert a Grange bLdg 04-11-a8 04-28-88
to an antique shop, NW corner of Lewisville Highway and NE 319th
St (Wright & Hattershide)
18 Clark County Construct a 12 inch water main across Salmon Creek, along the S 04-11-88 04-28-88
extension of NW 2nd Ave within Salmon Creek County Park
18 Clark County Daybreak Pit Maintenance Station, install a portable office with 04-11-88 04-28-88
a septic system in the flood plain of the East Fork Lewis River,
6613 NE 269th St
18 Clark County Construct a 2-story 21,500 sq ft office bLdg, E side of Highway 04-11-a8 04-28-88
99 between NE 88th and NE 95th Sts (Lee, Mitchetson, Yoseph,
BrintaLL & Langsdorf)
18 Clark County Cold Creek Renovation, construct culvert repairs, place fill, 04-11-88 05-05-88
plant vegetation, clean debris from creek, to enhance stream
side and canyon slope stability, from Highway 99 and upstream
280 ft
18 Clark County Construct a 32,000 sq ft manufacturing bLdg, to produce 04-11-aB 04-28-a8
specialty tape and string products, W side of NW 136th St, 230
ft W of NW 2nd Ave (H B Futter Company)
18 Clark County Construct a 5,000.sq ft bank branch office bldg, SE corner of 04-11-88 04-28-88
Milt Plain Blvd and SE 136th Ave (First Interstate Bank)
1 City of AlternaCare, construct a 40 unit congregate care facility, S 04-07-88 04-26-88
Bellingham side of SR-110, W of 28th St if extended (At Griffone)
1 Whatcom County Fitt and grade 980 cu yds on a residential Lot, 5a8 Larrabee 04-13-88 04-28-a8
Road, Bellingham (James Chaddock)
5 Kitsap County Bethel Station, rezone and planned unit development of 84,260 sq 04-12-88 04-27-88
ft of commercial space on 11.9 acres, SW corner of the
intersection of Bethel Rd and Lund Ave, S of Port Orchard
(Bethel Associates)
qP
16 Page 4, April 11 - 15, 1988
DATE DATE END
DOC TYPE CH* LEAD AGENCY PROPOSAL ISSUED MAILED REVIEW
-----------------------------------------------------------------------------------------------------------------------------
DNS 5 Kitsap County Blackjack Plaza, rezone and planned unit development of 39,400 04-12-88 04-27-88
sq ft of commercial space on 4,9 acres, NW corner of the
intersection of Bethel Rd and Lund Ave, S of Port Orchard
(Claremont Development)
�6, City of Edmondsl Construct a 3,200 sq ft house, stream on site, 19005 Soundview 04-12-88 04-27-88
Place (Mr & Mrs Richard Ctaussen)
6 City of Lynnwood Construct a 100 unit apartment complex with eleven 2-story bLdgs 03-25-88 04-25-88
and recreation bldg on 6.2 acres, fill and grade 7,750 cu yds,
Lunds Creek on site, 16601 - 48th Ave W (Landmark Development)
6 City of Lynnwood Colony Park III, excavate 24,000 cu yds, grade site and 04-13-88 04-28-88
construct a 28,000 sq ft 2-story office bldg, 156 parking
spaces, and a 2,000 sq ft office btdg, 19100 - 44th Ave W
(Murray -Franklin Inc)
6 City of Lynnwood Clear and grade a 99,000 sq ft site, drainage ditch on site, W 04-13-88 04-28-88
side of Highway 99, N of 186th Place SW (Clay Enterprises)
6 City of Lynnwood Construct a used care sales lot and bldg, fill and grade 450 cu 04-13-88 04-28-88
yds, E side of 40th Ave W between 1.94th and 196th St SW
(Aiderwood Sates and Service)
6 City of Lynnwood Demolish existing house and construct a 18,000 sq ft addition to 04-13-88 04-28-88
an existing church on a 4.7 acre site, excavate 739 cu yds, 5266
- 176th St SW (Church of the Nazarene)
6 City of Adopt an ordinance creating a Business Park BP Zoning District, 04-13-88 04-21-88
Snohomish within designated areas in the city
6 City of Operate a Day Care Mini -Center facility in an existing house for 04-13-88 04-25-88
Snohomish up to 10 children, 113 Lincoln Ave (Dyan A Westvang)
6 City of Rezone a 29,185 sq ft parcel to Medium Density Multifamily 04-13-88 04-26-88
Snohomish Residential and construct a 12 unit apartment bLdg, 514 Maple
Ave (MRH2 Partnership)
6 MukiLteo Water Construct a sewer system with collection system, force mains, & 04-12-88 04-27-88
District lift station within ULID S-7, to serve 250 acres, wilt discharge
to Everett's interceptor at 108th St SW and 3rd Ave E, E of Pain
Field
6 Skagit County Fill and grade 5,500 cu yds and construct a drive way, within a 04-12-88 04-27-88
100 year flood plain, E of the confluence of the Skagit and
Nookachamps Rivers (Robert Judd)
6 Snohomish County Allow the 'engineered closure' of an unpermitted landfill on a 5 04-04-88
acre parcel, 7303 - 222nd St SE, Woodinville (Jens Nielsen)
6 Snohomish County Orchard Ridge Apartments, construct 104 units in 7 btdgs with 04-08-88 04-25-88
pool and recreation facilities on a 5.8 acre site, fill 8,000 cu
yds, N side -of 164th St SW at intersection with Spruce Way
(Evergreen Pacific Development)
6 Snohomish County Replace a vehicular bridge with a pedestrian bridge over North 04-13-88 04-28-88
Creek in McCoLtum Park, 600 - 128th St SE, Everett
6 Snohomish County Construct a 4,480 sq ft machine shop with possible future 04-14-88 05-02-88
additions totaling 6,720 sq ft, construct on -site sewage system,
13024 Beverly Park -Edmonds Road, Lynnwood (Cart Peterson)
6 Snohomish County Construct a private 272 sq ft dock with 6 pilings, in Lake 04-14-88 05-02-88
Goodwin, 15333 West Lake Goodwin Rd, Stanwood (Leon W Jones)
6 Town of Granite Construct additions to the High School and Middle School and 04-11-a8 04-27-88
Falls play ground renovations, withdraw up to 6,000 gals/hour for
irrigation, 205 and 405 N Alder Ave, Granite Falls
q1P
MINUTES SUBJECT TO
7, 1988 APPROVAL
EDMONDS CITY COUNCIL MINUTES
May 17, 1988
The regular meeting of the Edmonds City Council was called to order at 7:00 p.m. by Mayor Larry
Naughten at the Library Plaza Room, 650 Main Street, Edmonds. All present joined in the flag
salute.
PRESENT
Larry Naughten, Mayor
Steve Dwyer, Council President
Laura Hall
Roger Hertrich
Jo -Anne Jaech
Bill Kasper
John Nordquist
Jack Wilson
Martha Dubick, Student Rep.
STAFF
Scott Snyder, City Attorney
Peter Hahn, Comm. Svs. Dir.
Jim Barnes, Parks/Rec. Mgr.
Mary Lou Block, Plan. Mgr.
Bob Alberts, City Engineer
Bobby Mills, Pub. Wks. Sup.
Jackie Parrett, City Clerk
Jack Weinz, Fire Chief
Karin Noyes, Recorder
Mayor Naughten commented on the reception just prior to this meeting which commemorated the sign-
Jllt�ing of the sewer treatment facility -agreement with Mountlake Terrace, Olympic View and Ronald
Sewer Districts. He presented a plaque to each of the participants in the agreement and ex-
pressed the City's desire for continued cooperation with this agreement over the next 30 years.
14.6. &14�
,PqA� 174,9-y'
Iry Potter, the representative from the Ronald Sewer District, said they appreciated the coopera-
tion of Mayor Naughten and Peter Hahn, who worked with them on the project. He said that all of
the agencies will benefit from this agreement.
Mayor Naughten read the plaque which says, "In recognition of the long-term cooperative effort to
protect the water quality of Puget Sound."
John Fischer, the representative from Olympic View Water and Sewer District, expressed his desire
for continued cooperation of all partners so the system will serve the area well.
The representative from Mountlake Terrace was not in attendance.
CONSENT AGENDA
Mayor Naughten informed the Council that City Attorney Snyder requested Item (D) be removed from
the Consent Agenda for further clarification.
Councilmember Hertrich requested Item (F) also be removed from the Consent Agenda.
COUNCILMEMBER NORDQUIST MOVED, SECONDED BY COUNCILMEMBER JAECH, TO APPROVE THE BALANCE OF THE
CONSENT AGENDA. MOTION CARRIED. The approved items on the Consent Agenda include the following:
(A) ROLL CALL
(B) APPROVAL OF MINUTES OF MAY 10, 1988
(C) PROPOSED RESOLUTION 675 COMMENDING STUDENT REPRESENTATIVE MARTHA DUBICK
(D) APPROVAL OF FIREWORKS STANDS PERMITS
(G) ACCEPTANCE OF QUITCLAIM DEED FROM RICHARD E. AND CAROL A. CLAUSEN FOR STREET RIGHT-OF-WAY
AT 19005 SOUNDVIEW PLACE
(H) AUTHORIZATION FOR MAYOR TO SIGN QUITCLAIM DEED EXTINGUISHING A PORTION OF THE EASEMENT AT
20314 - 84TH PLACE WEST
PTION OF FINDINGS OF FACT AND CONCLUSIONS OF LAW REGARDING APPEAL OF HEARING EXAMINER
ISION FOR APPROVAL OF SIGN VARIANCE (AP-3-88/V-39-87T TA—PPELLANT: FINIS TUPPER: APPLICANT:
City Attorney Snyder said he included in the Council's packets this evening an alternative set of
findings. He said he was contacted by the attorney for the applicant and was informed that they
WT S CITY COUNCIL
AGENDA MEMO
Item number:
Originator: Planning Division For Action: X For Information:
SUBJECT: ACCEPTANCE OF QUIT CLAIM DEED FROM, RICHARD E. & CAROL A.
CLAUSEN FOR STREET RIGHT-OF-WAY AT 19005 SOUNDVIEW PL.
AGENDA TIME: Consent
AGENDA DATE: May 17, 1988
EXHIBITS ATTACHED:
1. Quit Claim Deed
2. Vicinity Map
Clearances: Dept./Indiv./Initials
ADMIN SVCS/FINANCE
CITY ATTORNEY
CITY CLERK
COMMUNITY SERVICES
ENGINEERING
PARKS &_OR=
PLANNIN III
PUBLIC WORKS
FIRE
PERSONNEL
POLICE
COMMITTEE
MAYOR
COMMENTS:
EXPENDITURE AMOUNT APPROPRIATION
REQUIRED: $0 BUDGETED: $0 REQUIRED: $0
HISTORY AND SUPMRY STATEMENT:
As required by the Official Street Map, Richard E. and Carol A. Clausen
have quit claimd a 10 foot deep strip of property along Soundview Place
to the City of Edmonds, for street right-of-way in conjunction with their
application for a building permit.
Attached are a copy of the quit claim deep and a vicinity map.
Accept quit claim deed.
QOCIAUS/COUNCIL
qPEXHIBIT 1 #0
QUIT CLAIM DEED
THE GRANTOR, Richard E. & Carol A. Clausen for and in consideration
of mutual benefits to be derived, convey and quit claim to the City of
Edmonds, a municipal corpora'tion, the following described real estate,
situated in the County of Snohomish, State of Washington, including any
interest therein which grantor may hereafter acquire:
The Easterly 10 feet of Soundview Place in front of and
abutting upon Lot 11 and the Northerly half of Lot 12, Block
2, Fruitdale on the Sound, according to the unrecorded plat
thereof; being a portion of Government Lot 3, Section 23,
Township 27 North, Range 3 East, W.M., Snohomish County,
Washington.
together with the right to make all necessary cut or fill slopes on the
land of grantor's adjacent to the above -described real property in
connection with the construction, maintenance or improvement of the
above -described real property for purposes of a public roadway.
DATED this /o6-'�dz
STATE OF WASHINGTON)
) ss
COUNTY OF SNOHOMISH) .
On this day personally appeared before me P
- - ( zgt��
and to me known to be the individual(s)
described in and who executed the within and foregoing instrument, and
acknowledged that signed the same as
g��"A � free and voluntary act and deed, for the
uses and purposes therein mentioned.
GIVEN under my hand and official seal this lo day of
19 ps-
N -V
MARY PUBLIC in'and for the State of
Washington, residing at
42
FRUITDLE/TXTFORMS MY COMMISSION EXPIRES 6-16-89.
SE' 303
C. 13 T.27N*R. 3 E.W.M.
EXHIBIT 2
VICINITY MAP
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Submit to County Treasurer of the his njllllh"�,when stamped
county irrwhich propefV Is located. REA T E EXCISE TAX bT , c!�r. It or certified
COER 82.45 RCW chockto "'Owle".
PLEASE TYPE OR PRINT CHAPTER 458-61 WAC
TWIA AFF111AVIT Wil I uny vtp Ar-f-FIDTFIN 111,11 FQQ ITFUQ In TWOnfir-M AIMP C111 I V �AUDI 01%
0
(D
Name Richard E. & Carol A. Clausen
Name City of Edmonds
cc
wo
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W
H
_,
'Z
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CC
0
8410 198th Pl. SW
250 - 5th Ave. N.
Street -
Street
I city Fdwnd-, State WA zip 98020
city Edmonds, ,at. WA 98020
Name City of Edmonds
ALL TAX PARCEL NUMBERS
NEW OWNER'S .
—
250 5th Avenue N.
PERMANENT ADDRESS
132703-4-032-0005
FOR ALL PROPERTY
Street -
TAX RELATED
CORRESPONDENCE
CitylState Edmonds, WA Zip 98,020
LEGAL DESCRIPTION OF PROPERTY SITUATED IN UNINCORPORATED OUNTY 0 OR IN CITY OF Edmonds
The Easterly 10 feet of Soundview Place in front of and abutting upon Lot 11 and
the Northerly half of Lot 12, Block 2, Fruitdale on the Sound, according to the
unrecorded plat thereof; being a portion of Government Lot 3, Section 13,
Township 27 North, Range 3 East, W.M., Snohomish County, Washington.
Is the property currently: YES NO
Classified or designated as forest land?
Chapter 84.33 RCW E] IKI
Classified as current use land (open space,
farm and agricultural, Chapter 84.34 RCW or timber)?
Exempt from properly tax under Chapter
84.36 RCW? (nonprofit organizations)
Receiving special valuation as historic
property under Chapter 449, Laws of 1985? El [K]
Type Property: 93 land only El land with new building
C] land with previously [_1 land with mobile home
used building
SEE TAX OBLIGATIONS ON REVERSE SIDE
(1) NOTICE OF CONTINUANCE (RCW 84.33 or RCW 84.34)
If the now owner(s) of land that is classified or designated all current use or
forest land wish(es) to continue the classification or designation of such land,
the new owner(s) must sign below. If the now owner(s) do(es) not desire to
continue such classification or designation, all compensating or additional tax
calculated pursuant to RCW 84.33.120 and 140 or RCW 84.34.108 shall be due
and payable by the seller or transferor at the time of sale. To determine if the
land transferred qualifies to continue classification or designation. the county
assessor must be consulted. All new owners must sign.
This land ED doe. El does not qualify
for continuance. DEPUTY ASSESSOR
DATE
(2) NOTICE OF COMPLIANCE (Chapter 449, Laws of 1985)
If the new owner(s) of property with special valuation as historic property
wish(es) to continue this special valuation the now owner(s) must sign below. If
I he new owner(s) doles) not desire to continue such special valuation, all addi-
lional tax calculated pursuant to Chapter 449, Laws of 1985, shall be due and
payable by the seller or transferor at the time of sale.
(3) OWNER(S) SIGNATURE
Description of personal property if included in sale (furniture, ap-
pliances, etc.) N/A
It exemption claimed, explain
Type of Document
Date of Sale or Conveyance—MaY
17, 198.8
Gross Sale Price I/
$
Personal Property (deduct) 2/
$
Taxable Sale Price
$
ExciseTax State3/
$
Local 4/
$
Delinquent Penalty S/
$
Total Tax Due
$
(SEE I -BON REVERSE SIDE)
AFFIDAVIT
I CERTIFY UNDER RENALTY OF PERJURY UNDER THE LAWS OF THE
STATE OF WASOVGTON THAT THE Fo GOING IS TRUE AND
CORRECT (see�qon reverse h7aiti
SIGNATURE:
NAME (print). Duane B�wman
DATE & PLACE OF SIGNING:-6//7r/ b- Z-7
SPECIFY (circle): grantor/ grantee/ grantor's
Address of residence or place of business of person signing (specify):
City of Edmonds
2SO - Sth Ave,
Edmonds, WA 98020
0
The following optional questions are requested by RCW 82.45.1 . 20 a. Does conveyance Involve a trade, partial
Is properly at the time of sale: Interest corporate affiliates, related parties. ID 2 1:1
trust, receivership or an estate? -
a. Subject to elderly, disability, or physical Improvement
-1
I E
-
21-1
exemption?
1. Is the grantee acting as a nominee for a third
party?
b. Does building, If any, have a heat pump or solar
1
2.11
heating or cooling system?
g. Principal use:
c. Does this conveyance divide a current parcel of land?
1
2 El
El
d. D include current crop or merchantable
oes sale
I El
213
I agricultural
4 apt (4 + units)
2 condominium
5 El indu "trial
timber?
7 0 commercial
8 1:1 mobile home
FOR TREASURER'S USE ONLY
3 11 recreational
6 0 residential
9 0 timber
S CITY COUNCIL
AGENDA MEMO
to
Item number:
Originator: Planning Division For Action: X For Information:
SUBJECT: ACCEPTANCE OF QUIT CLAIM DEED FROM RICHARD E. & CAROL A.
CIAUSEN FOR STREET RIGHT-OF-WAY AT 19005 SOUNDVIEW PL.
AGENDA TIME: Consent
AGENDA DATE: May 17, 1988
EXHIBITS ATTACHED:
1. Quit Claim Deed
2. Vicinity Map
Clearances: Dept./Indiv./Initials
ADMIN SVCS/FINANCE
CITY ATTORNEY
CITY CLERK
COMMUNITY SERVICES 4��
ENGINEERING
PARKS &
PIANNINGUf W =kX.
PUBLIC WORKS�
FIRE
PERSONNEL
POLICE
COMMITTEE
MAYOR
CONMENTS:
EXPENDITURE AMOUNT APPROPRIATION
REQUIRED: $0 BUDGETED: $0 REQUIRED: $0
HISTORY AND SUMMARY STATEMENT:
As required by the Official Street Map, Richard E. and Carol A. Clausen
have quit claimed a 10 foot deep strip of property along Soundview Place
to the City of Edwnds, for street right-of-way in conjunction with their
application for a building permit.
Attached are a copy of the quit claim deep and a vicinity map.
1v D'aw � 10 12 k, I bi
Accept quit claim deed.
QCCLAUS/COUNCIL
S V1 4, S E' 303
C. 13 T-27N*R. 3 E.W.M.
EXHIBIT 2 1862
VICINITY MAP A,
167
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1, 87 6 10711
0
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OLYMPIC
ELCMENTA
1,30
PLAY rIEL
1309
13 45 3
I
DEPARTMENT OF GAME
1
1600 Capitol Way North
Olympia, Washington 98504
z" VVA.v
ITR Erfk� P R 0 J E C T 4 r x
Y
APPLICATION
(R.C.W. 75.20.100) V1 OF
83024ZARTMENT OF FISHERIES
PLEASE PRINT OR TYPE General Admin. Bldg.'
nO KJOT WRITE IN SHADED AREA Olympia, Washington 98504
LAST FIRST CONTACT PHONE(S)
Xi"
, P
771- 26)--j-
STREET OR RURAL ROUTE
RIA
A D
T -kT> CITY C71 t -L-: COUNTY zip
STATE
H15 S16 n17,
S TREAM 0 LAKE T I-ARY TO
OUARTER SECTION SECTION TOWNSHIP RANGE (E-W)
TYPE OF PROJECT
. t Z j -- .......... .....
Al�. /Lj .............. ........... I.Co. N
N\ ......
'COUNTY
-
'W , T RK ETROMA, MEQUIPMENT, �"K�
E
� �Esc -
_
............
��W-4el .......... ....................
e............................
............................................
(IF NECESSARY USE BACK OF THIS SHEET OR ADDITIONAL SHEETS)
0,"."EM ITE2 V
4FROM.'..
PROPOSED STARTING DATE
PROPOSED FINISHING DATE
ORGANIZATIONS (IF ANY)
n2l SEPA
C3 UNDER $5,000
OTHER PERMITS
El YES 0 NO
ROVER $5.000
IT,..IS UNDERSTOOD THAT NO WORK WILL SIG04ATURE DATE
BE STARTED UNTIL A SIGNED APPROVAL
IL;
IS�RECEIVED. 2
IME':,tIMITATI-ONS
...... VIA
.................... .......... ...........
j
q
f A R
............ ............ .... ..........
.......................
"7
...........
-'A " tit
C-
rl.
............... I .................... ..........
....................... ..........
...... 1�w
AXLA,
1! GAM- 1 12 (Flev, 9-801
DEPARTMENT OF GAME
600 Capitol Way North
Olympia, Washington 98504
WDRAULIC, PROJ
APPROVAL
R.C.W. 75.20.100
May 13, 1983
(Applicant should refer to this date in all correspondence)
PAGE1 OF — PAGES
Ic
IV r (If Y
DEPARTMENT OF FISHERIES
General Admin. Bldg.
Olympia, Washington 98504
D LAST NAME FIRST CONTACT PHONE(S)
F11
B & B Landscaping, Inc.
1 2 3 4 R3
ED STREET OR RURAL ROUTE
WRIA
EE El
4428 - 212th S.E.
A B C D 08.XXXX
CITY STATE ZIP
Mountlake Terrace, Washington 98043
R16
F G
[122 STREAM OR LAKE TRIBUTARY —TO
Unn. Stream - Tributary to Puget Sound
G
R13 QUARTER SECTION SECTION TOWNSHIP RANGE (E-W)
El TYPE OF PROJECT
NE 13 27N 4E
.................................................................
Bank Protection
Snohomish
.........................
Fish Passage Weir
COUNTY
---
I
TIME LIMITATIONS:
JE) THIS PROJECT MAY BEGIN
Immediately
7,DAND BE COMPLETED BY:
May 30, 1983
THIS APPROVAL IS TO BE AVAILABLE ON THE JOB SITE AT ALL TIMES AND ITS PROVISIONS FOLLOWED BY THE PERMITTEE
AND OPERATOR PERFORMING THE WORK.
The person(s) to whom this approval is issued may be held liable for any loss of or damage to fish life or habitat which results from
failure to comply with the provisions or intent of this approval. Failure to comply with the provisions of this approval is a gross misde-
meanor punishable by fine and/or imprisonment.
The Departments of Fisheries and Game reserve the right to make additional restrictions or conditions or revoke the approval if deemed
necessary by the departments for the protection of fish life. These departments cannot be held liable for any property damage which
might occur as a result of this project.
This approval pertains only to the provisions of the Fisheries and Game Codes. Additional authorization from other public agencies
may be necessary for this project.
1. The stream shall -be dewatered.before applyi.ng sealer.
2. Extreme care shall be taken.to Assure that no petroleum products,
fresh cement, concrete or other deleterious material is allowed to fall5
be wasted into or otherwise enter surface waters.
3. All raw and'exposed areas.shall.be mulched and seeded to prevent erosion.
4. Straw bales or filter fabric fences shall be placed downstream to filter
out sediments. Accumulated sediments shall'.be removed from behind the straw
bales before r'emovi.ng the straw bales. Equipment shall operate from the banks.
NOTE: This approval does not relieve the applicant of responsibility for'
unauthorized work performed prior.toMay 12, 1983.
Also, fish passage weirs are for privately stocked salmon.rearing pond.
.PROJECT LOCATION:. 19005 Soundview Place, Edmond s
cc: Bill Sarvey, Agent
DEPARTMENT OF FISHERIES DEPARTMENT OF GAME
-)*
'�
—'_D17QECTOR
"6RECTOR -0
GAM 111 (Rev. 9/77) 100or
CITY OF EADS PROJECT*,E"&L7/
ENVIRONMENTAL ASSESSMENT DATE SUBMITTE
The informatio n on this form will be used to determine the effect tion upon the
environment of the City of Edmonds. Please answer each question as thoroughly as possible.
1. LAND
Area Soils Type Limitations
Description of topography (00 slope)
NOTE: If grading or filling will
Gradin'g: Estimated cubic yards exceed 500 cubic yards a grAding
and filling plan must be sub -
Filling: Estimated cubic yards mitted with the application.
Estimated ar ' ea to be paved (including buildings)
pervious surface)
Estimated area in open space
Strea-r - Estimated flow (cubic feet per second)
Will stream be altered? A/0 if yes, to what degree?
Other water bodies?
Impact on storm drainage Method of handling runoff
Adjacent to shorelines zone? Within 200 feet of MPH..'?
0
3. VEGET"'%T10*;
Type and approximate number of trees Z 'g��2
Minimum diarrieter f trees to remain _3A?'--- % of trees to be removed
Ground cover to be removed
= - r'j -
P r o p o s e d I a n d s c a p i n 9 i f a ny
-1-1 1�7 1 - . X
4. EUSTING LAND USE WIMN 300 FEET RADIUS OF PROPOSED DEVELOPMENT:
Single Multi- .
Vacant Family Family Commercial Other
North
South
—East
—West
5. CIRCULATION
Estimated increase in auto trips daily
Availability of public transportation
6. AREA OF IMPACT
Neighborhood City-wide Regional
7. EFFECT ON AIR QUALITY
B. CHANGES IN NOISE GENERATION
11178)
ENVIRONMENTAL CHECKLIST
Introduction: The State Environmental Policy Act of
1971, Chapter 43.21C, RCW, requires all state and lo - cal
governmental agencies to consider environmental values
both for their own actions and when licensing private
proposals. The Act also requires that an Environmental
Impact Statement (EIS) be prepared for all major actions
significantly affecting the quality of the environment.
The purpose of this checklist is to help the agencies
,involved determine whether or not a proposal is such a
-major action.
T�lease answer the following questions as completely as
you can with the information available to you. Where
explanations of your answers are required, or where you
believe an explanation would be helpful to government
decision makers, include your explanation in the space
provided, or use additional pages. You should include
,references to any reports or studies of which you are
aware and which are relevant to the answers you provide.
Complete answers to those questions now will help all
agencies involved undertake the required environmental
review.without unnecessary delay.
The following questions apply to your total proposal,
not just to the permit for which you are currently
applying or the proposal for which approval is sought.
Your answers should include the impacts that will be
caused by your proposal when it is completed, even
though completion may not occur until sometime in the
future. This will allow all agencies involved to complete
their environmental review now, without duplicating
paperwork in the future.
NOTE: This is a standard form being used by all state
and local agencies in the State of Washington for various
types of proposals. Many of the questions may not apply
to your proposal. If a question does not apply, just
answer it "not applicable" (N/A) and continue on to the
next question.
ENVIRONMENTAL CHECKLIST
A. BACKGROUND
1. Name of Proponent &=,) 0&-"-4r-4
2. Address and Phone Number 0 f P onent
�/.3 7 - X p
3. Date Checklist Submitted
4. Agency Requiring Checklist
5. Name of Prop al, if annJicable
0�
6. Nature and Brief Description of Prop-osalc-flncluding but not limited to
its size, general design elements, and other factors that will give an
accurate understandinq of its scope andinatur.e: A /
7. Location of. Ooposal (describe the physical setting of the proposal, as
well as the extent of the land area affected by any environmental im-
pacts, including any other information needed to give an accurate under-
standing of the envjxowental setlinypf the proposal): 14 /7
8. Estimated Date for Completion of the Proposal zvz?'6�2 '5'eez 1,-2F-5
9. List of all Permits,'Licenses, or Government Approvaes Required for all
Proposal (federal, state, and local — including rezones):
10. Do you have any plans for future additions, expansions, or further
activity related to or connected with this proposal? If yes, explain.
11. Do you know of any plans by others which may affect the property covered
by your proposal? If yes, explain.
A/9
12. Attach any other application form that has been completed regarding the
proposal; if none has been completed, but is expected to be filed at
some future date, describe the nature of such application form:
A41"_11
-1-
0
B. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required).
YES MAYBE NO
1. Earth. Will the proposal result in:
a. Unstable earth conditions or in changes
in geologic substructures?
b. Disruptions, displacements, compaction
or overcovering of the soil?
c. Change in topography or ground surface
relief features?
d. The destruction, covering or modifica-
tion of any unique geologic or physical
features?
e. Any increase in wind or water erosion
of soils, either on or off the site?
f. Changes in deposition or erosion of
beach sands, or changes in siltation,
deposition or erosion which may modify
the channel or a river or stream or the
bed of the ocean or any bay, inlet or
lake?
Explanation:
PA
OR
2. Air. Will the proposal result in:
a. Air emissions or deterioration of
ambient air quality?
b. The creation of objectionable odors?
c. Alteration of air movement, moisture
or temperature, or any change in climate,
either locally or regionally? 41LV
Explanation:
3. Water. Will the proposal result in:
a. Changes in currents, or the course
or direction of water movements, in either
marine or fresh waters?
b. Changes in absorption rates, drainage
patterns, or the rate and amount of sur-
face water runoff?
-2-
F-1
L
5. Fauna. WIll the proposal result in:
1.1
a. Changes in the diversity of species,
or numbers of any species of fauna (birds,
land animals including reptiles, fish and
shellfish, benthic organisms, insects or
microfauna)?
b. Reduction of the numbers of any
unique, rare or endangered species
of fauna?
c. Introduction of new species of
fauna into an area, or result in a.
barrier to the migration or movement
of fauna?
d. Deterioration to existing fish or
wildlife habitat?
Explanation:
Noise. Will the proposal increase
existing noise levels?
Explanation:
7. Light and Glare. Will the proposal
produce new ITght or glare?
Expl anati on:
FM
Land Use. Will the proposal result
in the alteration of the present or
planned land use of an area?.
Explanation:
0
YES MAYBE NO
All
29
FAI
I,
PIN
go
9. Natural Resources. Will the proposal
result in:
a. Increase in the rate of use of any
natural resource? 2-110
b. Depletion of any nonrenewable
natural resource?
Explanation:
I
-4-
0
c. Alterations to the course or flow
of flood waters?
d. Change in the amount of surface water
in any water body?
e..>Discharge into surface waters, or in
any alteration of surface water quality,
including but not limited to temperature,
dissolved oxygen or turbidity?
f. Alteration of the direction or rate
of flow of ground waters?
g. Change in the quantity of ground
waters, either through direct additions
or withdrawals, or through interception
of an aquifer by cuts or excavations?
h. Deterioration in ground water quality,
either through direct injection, or through
the seepage of leachate, phosphates, deter-
gents, waterborne virus or bacteria, or
other substances into the ground waters?
i. Reduction in the amount of water
otherwise available for public water
supplies?
Explanation:
4. Flora. Will the proposal result in:
a. Change in the diversity of species,
or numbers of any species of flora (in-
cluding trees, shrubs, grass, crops,
microflora and aquatic plants)?
b. Reduction of the numbers of any
urfique, rare or endangered species
of flora?
c. Introduction of new species of
flora into an area, or in a barrier
to the normal replenishment of exist-
- ing species?
d. Recution in acreage of any agri-
cultural crop?
Explanation:
YES MAYBE NO
N YA,
15( 5VJ
m
MAF
- 46
IN
- 1/-0
ROF
- -a
-3-
YES
MAYBE NO
14.
Public Services. Will the proposal have
an effect upon, or result in a need for
new or altered governmental services in
any of the following areas:
a. Fire protection?
b. Police protection?
c. Schools?
d. Parks or other recreational
facilities?
e. Maintenance of public facilities,
including roads?
f. Other governmental services?
Explanation:
15. Energy. Will the proposal result in:
a. Use of substantial amounts of fuel
or energy?
b. Demand upon existing sources of
energy, or require the development
of new sources of energy?
Explanation:_
16.
Utilities. Will the proposal result in
a neeTT6-r new systems or alterations to
the following utilities:
a. Power or natural gas?
b. Communications systems?
c. Water?
d. Sewer or septic tanks?
e. Storm water drainage?
f. Solid waste and disposal?
Explanation:
'i
FqArO'
IFIZIN
Mo
10
YES MAYBE NO
10. Risk of Upset. Does the proposal involve
a risk of an explosion or release of hazard-
ous substances (including, but not limited
to, oil, pesticides, chemicals or radiation)
in the event of an accident or upset condi-
tiohs? lko
Explanation:
11. Population. Will the proposal alter the
location, distribution, density, or growth
W6\of the human population of an area?
Explanation:
12.
Housing. Will the proposal affect existing
housing, or create a demand for additional
housing?
Explanation:
13. Transportation/Circulation. Will the pro-
posal result in:
a. Generation of additional vehicular
movement?
b. Effects on existing parking facili-
ties, or demand for new parking?
c. Impact upon existing transportation
systems?
d. Alterations to present patterns of
circulation or movement of people and/or
goods?
6,.,-Alterations to waterborne, rail or
air traffic?
f. Increase in traffic hazards to motor
vehicles, bicyclists or pedestrians?
Explanation:-
Al-o
ON
, Lb
-5-
YES MAYBE NO
17. Human Health. Will the proposal result
in the creation of any health hazard or
potential health hazard (excluding
mental health)? A10
Explanation:
18. Aesthetics. Will the proposal result
in the obstruction of any scenic vista
or view open to the public, or will the
proposal result in the creation of an
aesthetically offensive site open to
public view?
Explanation:
19.
Recreation. Will the proposal result
in an impact upon the quality or quan-
tity of existing recreational oppor-
tunities?
Explanation:
20.
Archeological/Historical. Will the
proposal result in an alteration of
a significant archeological or his-
torical site, structure, object or
building?
Explanation:
C. SIGNATURE
I, the undersigned, state that to the best of my knowledge
true and complete. It is understood that the lead agency
or non -significance that it might issue in reliance upon
be any willful misrepresentation or willful lack of full
the above information is
may withdraw any declaration
this checklist should there
disclosure on my part.
PROPONENT:
-7-
CITY OF EDMONDS LARRY S. NAUGHTEN
MAYOR
250 51h AVE. N. EDMONDS, WASHINGTON 98020 (206) 771-3202
COMMUNITY SERVICES -&ETER E. HAHN
STREET FILL DIRECTOR
f @0j V4 " �0 EMMIN kF(4W W'-W?-VL-
DATE: April 12, 1988
TO: Washington State Department of Ecology
Environmental.Review:Section
Mail Stop PV-11
Olympia, WA 98504
TRANSMITTING: Mitigated Determination of Nonsignificance
Mr. and,Mrs. Richard Claussen
AS YOU REQUESTED:
FOR YOUR INFORMATION:
AS WE DISCUSSED:
FOR APPROVAL:
FOR YOUR FILE:
REVIEW AND COMMENT
COMMENT AND RETURN:
MINUTES OF MEETING:
REMARKS:
PLANNING DIVISION
cc: Washibgton State Dept. of Fisheries Leigh Francis
Washington State Dept. of Game
PUBLIC WORKS PLANNING PARKS AND RECREATION ENGINEERING
FILE#
MITIGATED
DETERMINATION OF NONSIGNIFICANCE
Description of proposal Construction of a single family residence
Proponent Mr. and Mrs. Richard Claussen
Location of proposal, including street address, if any
19005 Soundview 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 probable 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.
There is no comment period for this DNS.
xx 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 March 27, 1988
Responsible Official —Leigh Francis
Position/Title Associate City Planner Phone 771-3202
Address 250 5th Ave. N., Edmonds, WA 98020
Date March 12, 1988 Signature X,
xx You may appeal this determination of nonsignificance
to James Driscoll
at 250 5th Ave. North, Edmonds, WA 98020
no later than -May 9, 1988
by filing a written appeal citing reasons.
You should be prepared to make specific factual objections. Contact
Leigh Francis to read or ask about the procedures for
SEPA appeals.
There is no agency appeal.
0
0
MITIGATED DETERMINATION OF NONSIGNIFICANCE
Conditions of Approval
Claussen Residence, 19005 Soundview Drive, Edmonds, WA.
1. Applicant shall submit a storm water drainage plan for approval by
the City of Edmonds Engineering Division prior to issuance of a
building permit.
2. If any construction is to be done in the adjoining creek, a
hydraulics permit shall be obtained from the State of Washington
Department of Fisheries.
3. Any building foundation,shall be at least 15 feet from the top of
the stream bank.
4. The creek shall be kept clear of building debris during both
demolitio� of the existing 'structure and construction of the new
residence.�
I
a
ENVIRONMENTAL CHECKLIST MAR 7 19815-
cot"Vr
Purpose or ChcckhsI:.
The State Environmental Policy Act (SEPA), chapter 43.21C RCIA1, requires all governmental agencies to consider
the environmenia; impacis of a proposal bcforc making decisions. An environmental impact statement (EIS) must be
prepared for all p7oposals with probable significant adverse impacts on the quality of the environment. The purpose of
I . . ldc information to help you and the agency Identify impacts from your proposal (and to reduce
this checklist is to prov I
or avoid impacts f-.om thc'proposal, if it can be done) and to help the agency decide whether an EIS is required.
Instructions for Applicanis:
This environmental checklist asks Nou to describe some basic Information about your proposal. Governmental apen-
ignificant, requiring
cles use this cht!cklist to determine whether the environmental impacts of your proposal are si_
preparation of an EIS. Answer the questions briefly. with the most precise information known, or give the best de-
scription you car.. should
You must ans%%,-.r -each question accuraLely and carefully, to the best of your knowledge. In most cases, you
re experts. If you
be able to answ--7 the questions from your own observations or project plans without the need to hi I
real]v do not know the ans-wer, or if a 'question does not apply to your proposal, write "do not know" or "does not ap-
unnecessa y
Complete a-,.s�,vers to the questions now m .
pl\ av avol rN delays later.
Some questions as!- about governmental re2ulations, such as zoning, shoreline, and landmark deslimations. Answer
these questions if vou car.. If you have problems, the governmental agencies can assist you.
- i I , ime or on
The check -list c-2stions apply to all parts of your proposal, even if you plan to do tl�cm over a period of ti
difrcrent parcels of land. Attach any additional information that will help describe your proposal or its environmental
effects. The agenzy to which you submit this checklist may ask you to explain your answers or provide additional in-
formation reason2bly related to determining if Lhere may be significant adverse impact.
Use or checklist f-or nonproj . tcl proposals:
Complete this -Inecklist for nonproject proposals. even though questions may be answered "does nol apply." IN AD-
DITION, CoMplett :ht - SUPPLEMENT.-kI. SHEET FOR NONPROJECT ACTIONS (part D). lie"
For nonproj-. actlors.' lhee references in the check-ilsi to the words "project," "applicant," and "property or s
should be read as "proposal," "proposer." and "affected geographic area," respectivelN,
A. BACKGROUND
1. Name of proposed [?roject apphca I b I e:
2. Name of applicant: 1W 15: 1714'e P Zr (��26
3. Address and prione number of applicant and contact person:
.- Gp e� �_ e?^,,,,
�Ilo / -/-4 _S� 1,J , /e� /7
7-e f %_
4. Date checklist prepared:
5. Agency requesting checklist: 6
6. Proposed timing or schedule (including phasing, if applicable):
7. Do you have any plans for future . additions, expansion, or further activity related to or. connected with this proposal?
If yes, explain. 1416
8. List any crivi-.0711,Mlental 'Information you know about that h3s b,:cn prcparocor will be prepared, directly related to
this propo sal.
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.
I
10. List any government 'approvals or permits that will be needed for your proposal, if known.
_�7
11. Give brief. comolete description of your proposal, includin,c, the proposed uses and the size of the, project and site.
There are severa! questions later in this checklist that ask you to describe certain aspects of your proposal. You do not
need to repeat thosc answcrs on this page. (Lead agencies may modify this form to include additional specific infor-
mation on project dtq MD.Iion.)
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
the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map,
over a range of arca. provi
if reasonably available. While you should submit an), plans required by the agency, you are not
and topographic rnap,
required to duplicate maps or detailed plans submitted with any permit applications related to this checklist.
Ea
0 L41 A-,' _J fil
TO BE COMPLETED BY APPLICANT
B. ENVIRONMENTAL ELEMENTS
EVALUATION FOR
AGENCY USE ONLY
1. Earth . .
a. General description of the site (circle one) (90 Iling, hilly, steep slopes, mountainous,
other
b. What is the steepest slope on the site (approximate percent slope)?
/&2 AV7_-
�2-
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY 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.
In
a/,-1 / — 4t/
d. Are there surface indications or history of unstable soils In the immediate vicinity? If so,
describe.
e. Describe the purpose, type, and approximate quantities of any filling or grading pro-
posed. Indicate source of Fill.
-141"
- e Ae&—f
eq
f. Could erosion occur as a result of clearing, construction. or use'? If so, generally describe.
sa. About i what percent of the site will be covered with impervious surfaces after project crmf
construction (for example. asphalt or buildings)" C r-Cr=7���
le�q�d ox V c- OVU
h. Proposed measures to reduce or control erosion. or other impacts to the earth, if any:
� 4 e,- of; �- � ex
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
anv. aeneraliv describe Ind give approximate quantities if known.
b. Are there any off —site sources of emissions or odor that may affect our proposal" If so.
y
generally descri be.
c. Proposed measures to reduce or control emissions or cIther� impacts to air, if any:
0 0
TO III: COMPLETED SY 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
vear—round and seasonal streams, saltwater, lakes, ponds, v.,etlands)? If yes, describe type
and provide names. If appropriate, state what stream or river it flows into.
61
e&,-> A 0 CA) 'A-) -0 K,
4
_Fi --A f- C_-
ATL
21 \Vill the ro'jec require an n, or adjacent to Ov]thin 200 feet) the described
waters? if yes, plcasc describe and attach a , vailable plans.
, r%e7--,
x/ I Z/�
of fill and dredge material that would be laced in or removed
c;l2
.3) LlmaLe L � — t,
from surface wate-, or wetlands and indicate the area of the site that would be affected. In-
dicate the source of Fill material. Ttt to _tg� /6
Vp- �_�Pt4�
4) Will the proposal require surface water withdrawals or diversions? Give general de-
scription, purpose. and approximate quantities if known.
5) Does the proposal lie within a 100—year floodplain9 If so, notc location on the site
plan.
,�� 19 IVO 7-
6) Does the' proposal involve any discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharQe.
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.
2) Describe waste material that will be discharged 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.
0
0
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 now? Will this water
now into other waters? If so, describe.
'//-0 "� '-r— /<��o A-"j
2) Could waste n)aterials enter ground or surface waters? If so, generally describe.
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if
any: If
C)IF: rA7���
4. Plants
a. Check or circle types of vegetation found on the site:
—,�;ciduous tree: alder, maple, aspen, other
V evergreen tree: Fir, c��--qr, pine, other
shrubs
-!�Irass
— pasture
— crop or grain
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
— water plants: water Illy, ---!sz-ass, milfoll, other
— other types of veget2uon
b. What kind and amourit of ve2eration will be removed or altered?
c. List threatened or endangered species known to be on or near the site.
d. Proposed landscaping, use of native plants, or other measures to preserve or enhance
vegetation on the site, dany:
'/ /,,, .
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:
( ird - aw hero eagle, songbirds, other: e�
iei;� ......
mamma Is:C;rb),-,2
,a �r
ejk. beaver, other: ...................................
0 t
Fish: bass, salmon, u herring, shellfish, other: ............................
b. List any threatened or endangered species known to be on or near the site.
TO BE COMPLETED BY �,PPLICANT
c. Is the site part of a migration route? If so, explain.
4:�6 lela 7-- 4-r_�
d. Proposed measures to preserve or enhance wildlife, if any:
6. Energy and Natural Resources
a. What kinds of enerey (electric, natural gas, oil, wood stove, solar) will be used to meet
the completed pr 'eci's energy needs? Describe whether it will be used for heating, manu-
01
facturing, etc.
'47 ( e — .1� 15--
b. Would your prcjt�ct affect the potential use of solar energy by adjacent properties? If so,
P
,enerally describe.
EVALUATION FOR
AGENCY USE ONLY
c. What kinds Of -11.-7ay conservation features are included in the plans of this proposal?
List other propose� mcasures to reduce or control energy Impacts, if any:
C)
7. Environmental Health
a. Are there any trivironMental 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.
1) Describe special emergency services that might be required.
2) Proposed measures to reduce or control environmental health hazards, if any:
b. Noise
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment. operation, other)?
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.
e`c-c> A
M
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
3) Proposed measures to reduce or control noise impacts, if any:
e
—�7 oA40,5z6
8. Land and Shoreline Use
a. What is the current use of �hc site and adjacent properties?
M
b. Has the site been used'for agriculture? If so, describe. �4 7-
c. Describe any struc�t�ures -n the site.
d. Will any structures be demolished? If so, what"
I
c. What is the current zoning classification of the site?
f. What is the current comprehensive plan designation of the site?
Lcw VFr,;�Ty
iz. If applicable, what is the current shoreline master program designation of the site?
h. Has any part of the site been classified as an "environmentally sensitive" area'? If so,
specify. 7 �k
I Approximately how many people would reside or work in the completed project?
j. Approximately how many people would the completed project displace'?
t4At,:-,,
k. Proposed measures to avoid or reduce displacement impacts, if any:
1. Proposed measures to ensure the proposal is compatible \�ith existing and projected land
uscs.and plans, ifany:
4��71 //
,.-7—.
0
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
9. Housing
a. Approximate]\- how man), units would be provided, if any? Indicate whether high, mid- 40�41191
die, or low-income housing.
b. Approximate!%- how man), units, if any, would be climin3ted? Indicate whether high,
middle, or low—income housing.
c. Proposed measures to reduce or control housing impacts, if any:
10. Aesthetics
a. What is the tallest hel'a ht of any proposed structure(s), not including antennas; vvhat is
the principal exterior building material(s) proposed? F16—'le, �41Z ee5�17_111�
b. What views in the immediate vicinity would be altered or obstructed? qe�g /-7—
c. Proposed measures to reduce or control aesthetic impacts, if any: e—'e—e- cg�
/,/,� — , L
.17 ' _;: , L__
1. Light and Glare
a. What type of light or silare will the proposal produce? What time of day would it mainly
occur? UA WU_�- 'P
. � L
b. Could IiQht or elare from the finished project be a safety hazard or interfere with views?
c. What existing off -site sources of light or glare may affect your proposal'7
d. Proposed measures to reduce or control light and glare impacts, if.any:
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity'.) la 7
b. Would the proposed project displace any existing rec reational uses? If so, describe.
W-M
EVALUATION FOR
TO BE COMPLETED BY APPLICANT
AGENCY USE ONLY
n op-
c. Proposed measures to reduce or control impacts on recreation, including recrcatio
portunities to be provided by the project or applicant, if any:
13. Historic and Cultural Preservation
a. Are there any p12ces or objects listed on, or proposed for, national, state, or local preser-
vation registers known to be on or next to the site? If so. eenerally describe.
0 -
s ibe vidence of historic, archaeoloaical. sc'entifi
b. Generaliv de cr any landmarks or e I I c, or
cultural Importance known to be on or next to the site.
c. Proposed m-,asu-es :o --.duc-, or control Impacts, if any:
14. Transportation
a. Identify public szr,-2,Ls and highwa-VS Se7VMS! the 3ite, alld d-eSC7;1be PrOCKISed aCCZSS to [he
lle� — . ��,
existing street s%stcrn- Show on site pians. it' any.
Is site currently served by public crarisl[9 If not. WhaL IS Me approximate distanct: to the
nearest transit stop'.� le9 eo
c.. How many par�inq spaces would the completed project have" How many would the 4-1
project eliminate'?
d, Will the proposal req uire any new roadis or sLrctns. or Improvements to existing roads or A /I��—
streets. not 1nclud;r:,.! driveways., 11' so. gcnerally descilbe (indicate Whether public or
private).
e. Will the project use (or occur In the immediate vicinity of) water, rail, or air trarisporta-
A/ 42
tion? If so, generally describe-
f. How many vehicular trips per day would be -,eneraLed by. Lhe Completed pro'ect'! If
14 -1. - J
known, indicate when peak volumes would occur.
—9—
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
g. Proposed measures to reduce or control transportation impacts, if any:
15. Public Services
a. Would the pro-Ject result in an increased need for public services (for example: fire pro-
tection, police protcction, health care, schools, other)? If so, generally describe. IV411(1�
b. Proposed measures to reduce or control direct impacts on public services, if any.
16. Utilities
a. Cir��Ililities curraa1L__zyaiIable at the site: ectric* natural eas,e,,��atqr �-
I ic __I_ __ f
�C�phh�qn septic s\stem, oth4e.!��D
b. Describe the utilities that are proposed for the project, the utility providing the service,
and the oeneral construction activities on the site or in the immediate vicinity which might
be needed.
C. SIGNATURE
The above ansxe ar tru nd cor#et the s ofA�: knowledge. I understand that
the lead aQencN. yi�g Lhem M its I
Signature: . ..... .0 . ...................... .............
Date Submitted: ...... ........ ........................................
UPPLP,
C ;,-rc vi
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(yr NT)
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SEE PAGE 3 FOR OUTLET CONTROL DETAIL
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-4.7 Z.R F P % P 1E W I —, H C A P5
RUNOFF SPREADER OUTLET
RECEIVED
MAR 28 1988
PERMIT COUNTER
STAN&D DRAIW�G:-:' �:�LAN
DETCI�TION SYSTE-'�-',
PAGE I OF 3
for e- (- /q- t4
A
location lqr>O<' 5--A
plan by
phone
date
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Vngth "ame le r
13
NOTE�
1 . Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resoonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and re -moved from catch
basins to allow proper operation. The
outlet control orifice r-ust be kept
open at all ti S
im
CITY OF EOMONOS
0
DETENTION SY Q 7 � ,I',
D. 1. Add t�-,e- -.:ro-.)osed location of the underground detention
pipe to the site'F_1_a_n �(mLfs't be downhill from impermeable
surfaces which are to drain to it) .
D. 2. Select the outflow location (must be downslope from the
detention pipe outlet):
a. Where a well defined drainage channel drains the
are-= "to be developed, direct the outflow pipe to
that channel (provided the pipe and the channel
at the discharge location are within the. property)
b. Where a public storm drain or public drainaqe ditch
is within or adjacent to the property, direct the out-
flow pipe to these facilities. Vote'that a catch ba-
sin is normally required where pipes connect.
c -f - the previous situations exist, perc
1here neither of
tests must be performed to assess the feasibilitv of"
us..4ng the infiltration system. The infi2tration sys-
te.-., should then be used where feasible. If this S%'S-
te-1 Ls not feasible, the detention system outflow Must
be _92ispersed ove-?- the natural discharge area (s) us-
nc _runo_--_r spread-e-r (s) The runoff-f spreade'r is shown
on the standard plan J:-*o-r detention systems.
I
D. 3. Compute the su.rface area- which will drain to
.the dezention s_ystem .(s) and ente_r on the plan's "Design
Data".
D. 4. Choose. a detention pipe diamete-4- anc fi-nd Ithe required de-
tention oioe 16nath for _impenea*n1= s-urface a,
-ea using
Tab!,= foll
owing Ente_r pipe diame�_er and length
on the pla:1's "Design Data".
D. 5. Find t-'ne -recuired outlet orif-ice size for the imoermeable
surface area us2.ng Table 31 following. Enter the outlet
orifice size on the plan's " Des i an Da ta
D.6. Comolete the olan bv:
a. Showinq tiqhtlines: from -roof dzains to the systen
catch basir, (s); from the focting drains; and from any
drive,.,;aydra_ins. Rco-= dZains may not"- be plped into foot-
ing d.-.ains-
b. Crossinc, Out the s7.reader detzi I if: it is not
to be use-d, or the sysr-em outliet detai I , i = it is not to
be used.'
C. Adding any additional notes you want the builder to know.
d. Filling in the tizie block wit-h required information.
D. 7. Coov the plan and s'-11:m_-z 3 c--.O-;--s wi,:h your application.
0
30g
.7r
41 z
L J
-5�9 a -ell
-7'->Nl3C I �3; 9 -21
z
- Ai-
0 0
v
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'4�7 ---z b, 4/7 C-
0-
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Table 2 De--a--.zion Pij)c Len�jt1l.s x _y,-.... i
Pipe Diameter
impermeable Required
Area Sq. Ft. Vol. cu. Ft.
1511
�94
3011
10.
2000 50
40
2 B
16
2500 62
50
35
20
13 Required
3000 75
60
42
24
15 pipe
3500
70
49
�2 P
length,
18 feet
4000 100
80
56
3 - 2
21
4500 112
90
63
36
23
5000 125
100
70
40
25
Table 3 - Outlet Orifice Sizes
Impermeable
Out-1--t
Area
Oriff-ice Diame-te-r
Sq. Feet,
Tnches
2000
5/8
2500
5/8
3000
3/4
3500
3/a
4000
7/8
4500
7/8
5000
7/6
MEMO TO: BUilding Division
FROM: Engineering Division
SUBJECT:
After review of the subject building permit application, we have the
following comments:
6)
7)
-3
9)
Connection to City water system required.
Connection.to City sanitary sewer system requir ed.
Right-of-way permit required for any work.on City property.
Dri-veway slope not to exceed 14'e.
Back water valve required if downstairs plumbing is below
eleyation of upstream manhole.
Water and sewer lines to be separated by 10 foot minimum.
Builder/owner responsible for containing all temporary runoff and
eroslon on site and may not inipact neig�boring properties in a*ny
way.
Construcf,ion hours from 7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.im. to 6:00 p.m. on weekends and holidays.
Dept.
A
-Al
COMMED 1TS
1
PLAN NING '7
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by: linitial/date)-*tl
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BUILD ING.!'
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CONDITIONAL -USE'PERMITv-
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REVIEWED BY:
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NOTES
CALL. 2 'DAYS
BEFORE YOU DIG
1-800-424-5555