19225 92ND AVE W (2).PDFiiiiiiiiiiii
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19225 92ND AVE W
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER: 003 00(!:� 00
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
DETERMINATION: E] Conditional Waiver
J� Study Required Ej Waiver
215 MOARVIINI�
vri&j � 5t A
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: a L6zu /0 (-p
SEWER LID FEE $: LID ff: 16Z
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: -
SIDE SEWER PERMIT(S) #: d?41
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR -
WATER METER TAP CARD DA
OTHER:
192r7�'5c2.
LATEMP\DS'l7s\Fonns\Street File Checklist.doc
#P20
CA File No:
Critical Areas Checklist
Site Informatio'n (soils/ topography/ hydrology4i7egetation)
1. Site Address/ Location: 1,94 2 J— AI�I_r �PP049 - i jr
2. Property Tax Account Number: Z 7 0 91,19P 2,P a K 01+?)OOGOOD'�)
3. Approximate Site Size (acres or square feet): �Paa
4. Is this site currently develop.edT±1_'*`yes; no.
If yes, how is site developed?.
5. Describe the general site topography. Check all that apply.
Flat less than 5-feet elevationichange over entVe site. -,4
#4 - J zo" / -� a
g- I' C "0 __7 - 'C � .0s"Itae-n' 15 416 h(a914vtertical rise of 10-fe'et over 'a horizontal
Rollin pes on. site generally les
distance of 66-feet).
Hilly: slopes present on site.of more than 15% and less than 30% (a vertical rise of 10-feet
over. a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than .33-feet)..
other (please describe):
6. Site contains areas of year-round standing water: Alo Approx. Depth.:
7. Site contains areas of seasonal standing water Ala Approx. Depth. -
What season(s) of the year?
8. Site is in the floodway 1* floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?'
..Flows are seasonal? (What time. of year?
mixed
10. Site is primarily- forested meadow .;shrubs
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site: 410
For City Staff Use (inly
1. Plan Check Number, if applicable? N DVI -e, c7 V1 OW V1
2. Site is Zoned? P-'�' - 17- ; -
3. SCS mapped soil type(s)? 61 A1AtMVV-DD4 MOAVI IaVld WMF1-eX �sdope,2
+ +0 _eirr_r e;&Opp-
4. Critical Areas inventory,orC.A. map indicates Critical Area on site? OAACCV)'!
Ope, C 1�114 & wILPL-t Irr, HA-I&ITAT
(LAPA-p- e,,ri�MCAtf, Q7. 1601- C�711 ;,jt_r j� 9RMZY_Ajj4 f_161+_. " Q6 8-P- Voa rl 0 14 A-P-eA- 116,
5. Site within designated earth subsidence landslide hazard area? N 10 L;;7 P
2tAodm�j 0��&i I tv
X
i
Reviewed
Yrtiy ICA I I u,_- -_
DErERMINATION
IP MAY 136 APJA(,eN-r TO
WC
STUDY REQUIRED WAIVER FF-OMO
(10 C (I ( CA- Date: 0 5 1 L" I -I- D O(P C,.A-- MAT'
#P20
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this f0r1m, is to
be filled out by any person. preparing a Development
Permit Applicationfor the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklistis to enable Cit . y staff to
determine whether any potential Critical Areas are, or
may be, present on the subject.,property. -.1he. information
rieeded,,,;to complete the Checklist- should - be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, 'or soil
surveys).
Date Received:. -7 - e!� C
City Receipt #:-
Critical Areas File#:
Critical Areas Checklist Fee: $135.00
Date Mailed t6 Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and, submit it
to the City. The City will review the checklist, make A
precursory - s ite visit.:and-inike a determination of the
subsequent steps necessary to complete a. -development.
permit application.
Please submit a vicinity map, along wi th the signed copy
ding and locating die
of thi&formlo assist City -staff in fin '
specific piece of property described on this form. in
addition,,the applicant shall. include other pertinent
i fonmtion
n -.(e.g. site plan, topography map,,., etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersi
gned, applicant and his/her/its heirs, and aissi ' gns,..in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City.of Edmonds harmless from any and all dama es, including reasonable
9
attorney'S fees, arising from, any action or in�raction, based in whole or part upon false, misleadin inaccurate or
9
incomplete information finnished'by the applicant, his/h6i/its agent or enip"loyees.
By mysignature, I cerfify that the information and exhibits herewith submitted are -'true ain&c6ftect to the best of my
'knowledge and that I am authorized to file this application on the behalf of the owner as. listed below.
SIGNATURE oF APPLicANT/AGENT DATE
Property OwnWs Authorization
By my signature, I certify, that. I have authorized the above Applicant/Agentito apply fdr; the subject I and use"application,
and grant my permission forthe public officials and the staff of theCity of Edmonds to enter the subject property f6r the
purposes of *inspection and posting attendant to this application.
SIGNATURE Of OWNER DATE
Owner/Applicant:
Soo e A A��" 4!!�- P," 14?1
Name
9 2-* 2- S-
..:Street Address
4eO 2- 4�
City State .. Zip
Applicant Representative:
Name
Street Address
-City State Zip
Telephone: �12_J-- 2,2,d- S422- Telephone- �Zr- 2 la -
Email address'(optional)- �r-ra,2,k,1V **&6me-,,vztEmail Address (optional):
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location:
19225 92 nd Avenue West
Tax Acct. Number:
18270430060003
Determination:
Study Required
Determination #:
CA-2006-0067
Applicant:
Larry Mason
Owner:
Sue and Ray Gould
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED (CA-2006-0067)
During review and inspection of the subject site, it was fou1nd that the site may contain or be
adjacent to critical areas, including a Landslide Hazard Area and Erosion Hazard Area,
pursuant to Chapter 23.40 of the Edmonds Community Development Code (ECDC). The
LIDAR data indicates that there is a steep slope of approximately 50-percent adjacent to this
property. The minimum 50-foot buffer from the top of said slope appears to be present on this
subject site (see enclosed map). The majority of this site is fairly flat so no erosion hazard
appears to be present — this site requires study materials only because it is adjacent to a steep
slope and it's buffer would be on this property.
GENERAL CRITICAL AREAS REPORT REQUIREMENTS
Critical Areas Reports identify, classify and delineate any areas on or adjacent to the subject
property that may qualify as critical areas. They also assess these areas and identify any
potential impacts resulting from your specific development proposal. If a specific development
proposal results in an alteration to a critical area the critical areas report will also contain a
mitigation plan. You have the option of completing the portion of the study that classifies and
delineates the critical areas and waiting until you have a specific development proposal to
complete the study. You may also choose submit the entire study with your)specific
development application.
Please review the minimum report requirements for all types of Critical Areas which are
listed in ECDC 23.40.090.D. There are additional report requirements for different types of
critical areas (see below).
Note that it is important for the report to be prepared by a qualified professional as defined
in the ordinance. There are options on how to complete a critical areas study and an
approved list of consultants that you may choose from. You may contact the Planning
Division for more information.
General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110
through 23.40.140.
STUDY REQUIREMENT — LANDSLIDE HAZARD AREA �' . . I
It appears that this property contains or is adjacent to a Landslide Hazard Area. To the south
west, there is a slope of approximately 50-percent, and the minimum 50-foot buffer from the top
of the slope would be on this subject site.
A Landslide Hazard Area is any area with a slope of forty percent (40%) or steeper and with
a vertical relief of ten (10) or more feet (except areas composed of consolidated bedrock).
0 Landslide Hazard Areas are further defined and illustrated in ECDC 23.80.020.B.
In addition to the general requirements for Critical Areas reports referenced above, specific
Critical Area report requirements for Landslide Hazard Areas are provided in ECDC
23.80.050.
DEVELOPMENT PROPOSALS ASSOCIATED WITH LANDSLIDE HAZARD AREAS
Development is restricted within a Landslide Hazard Area and its buffer.
• Projects that will intrude into these areas will require a report by a licensed Geotechnical
Engineer.
• The criteria that are applied depend on the amount that the buffer is reduced.
• The buffer can be reduced to a minimum of ten (10) feet (with an additional 15' building
setback per ECDC 23.40.280) if a report is prepared that meets the standards listed in
ECDC 23.80.050). The alteration must also meet the requirements listed ECDC 23.80.060.
• In addition, proposals to reduce the buffer to less than ten (10) feet must comply with the
design standards listed in ECDC 23.80.070.A.3.
ALLOWED ACTIVITIES
Certain activities are allowed in or near c ' ritical area buffers as specified in ECDC 23.40.20. If
you have any questions about whether your proposed development qualifies as an allowed
activity, please contact a Planner for more information.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a
Planner for more information.
Gina Coccia, Planner May 26, 2006
Name, Title Signature Date
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
FA
a
NOTICE:
-ra n-
. . . . . . . . . . .
0__ - , ,
The -information'shown on the'attached
map(s) was compiled for use by the City of
Edmonds/ its Empl-oyees and Consultants.
Th,..e City of *,Edm.onds does. not. warrant the
accuracy of anything set for * th on t. * hese
m a p (�_). A n . y person or entity -requesting a
copy should conduct an independent
inquiry regarding th*e infOrm-ation shown or
-t-Fe -map(s)l including, but not limited to,
'c ion of any sewer stub shown. Suc
the lo* at'
sewer stubs may or may- not e.xist and may
or may not exist at the location shown.
Neither the city of Edmo*nds nor its
t=mpto-yee-s or offi-ce-rs -shal) be 1--ia-b-11'e for the
n on this map(5), nor for
information give' .
'ded based
any one representa.tion provi
upon . said map(s).
CITY OF EDMONDS
Call , PRo poet 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPAIFLT31ENT Is ready flolp�' Inspection. (No inspec-
SIDESEWER PERMIT tions Saturday, Sunday or holidays.) N2 21945
ADDRESS --------------------------- - ------------ 19225 - 92nd Avenue West
----------------------------------------------------------------------------- - --------------------------------------------------------------- ...........
OWNER ............ Ram n--J. .... Gould -------------------------------------------- CONTRACTOR ------ N.ortbwe.sl --- S.ewe-r ... Q.qnsl ...... C-orp-..
Pern-Asslon is granted ---- April ... 30� ..... - ........... 19-6-8., for ------------------------ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The awners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
I No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2%.
No bends In grade sharper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
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.
I
APPLICATION
for
The City of Edmonds SWE 819"Fa r1wabM EASMMNT
9tW"EMSTRUCTION Er--' REPAIRS 0 .......................
OWWER � ....... R&M0n..J--,.Go.uld Northwost So~ Const.
.............. ----- ..... .................. .......................................... .......... CONTRACTOR .............................................................. ........
.... .. . ...
ADDRESS ...... 92rA W08t PERMW No.'
................................................................................. LEGAL DESCRIPTION: LOT No. �A ---------------------------------------- BLOCK No . ............ ��?
...................... 1PE 4
NAME OF ADDITION ......
W LN SXC V 00370 061's F, 983.45 poB TH z 161.341 TH x 1 o 5,
105.141 TH W- 140-24# TH N 3301592499 W. 35.889 TH S
APF
APR 3
Approved:
DATE ...... V
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04
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CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT EMU FLE
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vicinihty�of Constructi
";k�
.,4on
e Owner: !9^#,,0AJ J.
Name
tot Ct %_ LA..;,
Mailing Address
*J~A4( W1..J 4?V01A.0
City, S ta te, Zip Code
0 Contractor: vaAj <-fe At S r—OA
Name
7-1+14 - 5-r- Anit- LL-)
Mailing Address
M-r1!,&K#, rd!Af��� com.
City, State, Zip Code
Xmit No. -1'::) — I L057
Issue Date -4 -U-71a
0 Permit Issued ToW,_AKMNnN gawtp
• Type of Work to be Done:
STQimff
• Work in Connection With:
El Sub or Plat 0 Single Fam, ly
0 Comml. / Ind. 1:1 Apt. Condo.
• Pavement Cut: 0 Yes El No
Q 7-S7+'l 9? 7 -19
State License Number
773 -14- - 47240
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMI1`Y: 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, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's 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.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit
I
Signature:
t be available at the job site for inspection purposes at all times.
or Agent
te 1- —1(—
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: __ I P K) X"
Time Authorized: Vold after 6e2 0 —days
Special Conditions: WtA,,
Ammendments: N N3W--
Permit Fee: W ONUL
Security Deposit: N A!
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions
X —
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
I
17A
RON E L
PUBLIC 'WORKS DEPAR24 AlLsT
BUIT-DING PERMIT REVV ET K::"J#&&00fi ff V, - e i2A 0%7F.
RE I 1L.16w (address)
Street Right -of -Way Existing
15 0 PEw-NA
Z
. .
Access Easements Existing
FA
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���TEQD
p4
Utility Easement Existing
Lot Per Subdivision gone Plat —00"
Assessor Map
Site Plan Checked for Accuracy_
Z
Underground Wiring Reqd.
F4
0
Check Accuracy of Legal Description
Z2
Z
Review by
Date
Existing Water Main Size
sting a e� Main Size --
red
Wate Required
I ce
Service red
S ujreq--
rHydrant
Hydrant Size Exist
y t z t
c4
Reqd Per Fire Code-
Size
Detector Check 1,16-ter Reqd._
Cross Connection Inspection
Fire Department Comm
Water Met ge Reqd.
a te r t
R e b
by.
Date
<
Septic Tank Design Approved
Y
Date
Pe
I ic Tank Permit Reqd.
c T r mi Reqd
Permit No.
ewe A ilab-lity-
Sanit Sewer Availability,
j
1 J�o
D r. aw:w n No.
9
Fi�le �No�-'
I j
Side Sewer Availa i ity_
n4
Sanitary Sewer Connecti Fee Rdeqd.
�3:
_vi
Review by
Rp
Date
Open Ditch Existing
Reqd.
-'��Size
Culvert Reqd.
1:4
Basi qd.-
Indicarunonn Site Plan
0
;Catcdh
ou� r
Shou. r dZinage maintain collection on
swale open runo
0
Ep,
Manhole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date
Revised: lvlO-1977
Page 2 00,
Revised: Iv 10-1977
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MAY 2 6 2006
WILDING DEPARYMEMT
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