20310 85TH PL W.PDF111111 lill 11
8073
20310 85TH PL W
CA FILE NO.
Critical Areas Checklist
- -- -----------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Addres��ocAti6h: 6J".'
2. Property Tax Account Number: 00j6 0,!5�z
3. Approximate Site Size (acres or square feet): �/g A c,,P -e,
4. Is this site currently developed? —)6yes; — no.
If yes; how is site developed? . �" /
41 24&W.4X
5. Describe the general site topography. Check all that apply,
Flat: less thAn 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Alto Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the ye�iir:�
8. Site is in the floodway floodplain_ �W 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? .., &
K) (What time of year?
10. Site is primarily: fore§f6d meadow shrubs mixed
urban landscaped (lawn,shrubs etc) Y
/*
11. Obvious wetland is present on site:
b't'Tt R*MM TION
'va—chkAoc; Rey 10/03/97
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City of Edmonds
Critical Areas Checklist
.0c. IS9"
The Critical Areas Checklist contained on
this form, �s.td:bd_fllidd out by- any person -
ptepahftg� a Development P i
ermit
ApplicbL�bn`fbr the City of Edmonds prior to
his/her submittal of a developm' ent permit to
the City.
Th*&+:u'r 's -6 *'
.po,e f the., Checklis�, is.,.to -enable.�.
Cityl�staff to deit.errnin'e wbeth
_�;r;an.ylppTential 1—
As1qe,Pr,,ma pTpsen.t_�pn:
-su jectpfop6fty rM
j?�� The info ation needed to
complete the Ch'e6kilik should be easily
available from observations of the site or
data available at City'Hall (Critical Areas
inventories, mAp§jbr soil surveys).
"'kn : 40plic I a . nt, of his/.her representative, must
fill, out the checkli§tj sign and date it, and
submit it to the City. The�*zlffity W�`11ft review-
ffi.lechecklist, Make a precut . sor . y. �s ; i 'ie"v . i - s . it
'fth Sub tnt
-eja ori
,..and,,.m4 -.4pterminati -o,. e, sequ
e 16pi`
conipletei'a v'e ent
.,pprm_jt,,aPp1itation.
With a s':l'g*h*'6*d' tb'*P'y 0 this f6rm, the
�:.,dppjicW�40ulda& ;suhmU&-Oicj�;ityMqp
orplopi 1or, . itidividual lots of the parcel
wit h enough detail that City staff can find
and. identify�the subject parcel(s). In
addition, the applicant shall include other
pertinent information (e.g. site plan,
t6o6gfaphy map, etc.) or studies in
conjunct ion- Wit'h this CheMistlo assist
staff in completing their, preliminary
assessment of the_site.
I have completed the attached Critical Area Checklist and:attest that: th, e. answers provided'af&
fadtuAl, to the best of my knowledge (fill out the propriate column below).
ap
Stedt,Addie`gs
City, Statej ZIP e
�Ilo271C
ignahire Date
A poi ht Rib t ti .
presen a ve:
�treet,A�d&c�s
City, 8'tdi Phone
SighatUre
1,14
100,
_U470
.01
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,4 C. 19
May 8,1998
Richard Low
20310 85" Pl. West
Edmonds, WA 98026
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works a Planning/ Building * Parks and Recreation e Engineering - Wastewater Treatment Plant
Subject: Determination regarding Critical Areas Checklist # 98-123
Dear Applicant:
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED. -
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS ORCRITI L-AMSSTUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
mo. You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL .411111111
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Pen -nits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
C:ReceptIonUana\CRLTR.doc
Thank you.
Sharla Graham
Acting Planning Secretary
e Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
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STFIEET FILE
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
NAME (OR NA F BUSINESS)
L-� I & I V P Ma n k Pa V-- 0 � OrAsr
1-7-74q0073
C1 D-�) — I D' 5T
CITY TELEPHONE NUMBER
H --2.4-1 -
NAME
4:1-o ILWE
Z RESS 0
I-101-1 V�-,
CITY TELEPH9NE NUM13ER
t — 11 —
�Aon�') otA'
4CIDI
STATE LICENSE NUMBER CITY LICENSE NUMBER
1*1
Legal Description of Property - Include all easements
(show below or attach four coples)
M#— NEW RESIDENTIAL Lj PLUMBING
ElADDIALTER NON-RESIDENTIAL El MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
DEMOLISH OR FILL (—x—FT)
PRE -MOVE INSP.1 swim
ZONE NUMBER
JOB
A.UUHt5b 1 o
LEGAL DESCRIPTION CHECKI SUBDIVISION NO.
I LID NO. I
PUBLIC RIG WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION Z2
PROPOSED---_9,,��
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
a:
Uj
STREET USE PERMIT REQUIRED C
W
Z
0
SEE ENGINEERING MEMO DATED
Z
Uj
SEE PIW DEPT. REVIEW CHECK LIST DATED-/--Yl
I RE�
NSIDE SEWER
IX WATER LINE
0
P:
9: El
0
El
gr
0
ch NUMBER OF STORIES
NUMBER OF
LU
UWtLLINU
0 �—URE
UN11b
NAT OF WORK TO BE DONE (ATTACH PLOT PLAN)
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Y ear - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
u) successors in interest, agrees to indemnify, defend and hold
u.' harmless the City of Edmonds, Washington, its officials,
m 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
0 modlfy,,walve or reduce any requirement of any city ordinance
x 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
information given Is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
ed thereby, no person will be employed In violation of the Labor
Code of the State of Washington relating to Workmen's Compensa-
tion Insurance.. A
blUT I UHt: (UWN R H �JP 1)
Loma Q Axom, I JDATE SIGNED
METER SIZE BUILDING SUPPLY SIZE
_IFIXTURE UNITS
REMARKS
. SIGN AREA ENV. REVIEW I ADE3 NO.
ALLOWED I PROPOSED I COMPLETE i EXEMPT I SHORELINE
VARIANCE OR CU 1PLA NING REVIEW BY DATE
0
YARDS LOT COVERAG6/ 7- K
Z
FRONT DE REAR Z
7s, 3� Is"
REMARKS CL
CHECKED BY ITYPE OF CONSTRUCTION ICODE I HEIGHT
REQUIRED
0 YES 0 NO
PLA14 CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADINGWILL
i
TOTAL AMOUNT DUE
ATTENTION_
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
OCCUPANCY
GROUP
VALUATION
OCCUPANT
LOAD
row
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged In space provided.
OFFICIAL'S SIGNATURE
771-3202 DATE
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR RIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC DEC 7198if
CHAPTER 3. PINK — Owner GOLD — Assessor
102-78
K-yo, P9 - E. W. - 775
MEM0 TO: Building Division
Planning Department
FROM: EngineeHng*Division
Public Works Department
SUBJECT:
/0
DATE:
Af ter rev i evi o f the subjec t Bu i I d i ng Perini t a PPI i ca ti on , vie have the fol 1 owi . ng
Comments:
1. 'Connection to City wate.,r system -required.
2.- Connection to City sanitary sewer system required..
3.
Right-of-way permit
required
for. any work on City property.
4.
_Lriveway slope not
to exceed
14%
5.- Backwater valve required if downstairs plumbing is below elevation of
upstrea
6. Waterand sewer lines to be -separated . by 10 foot minimum.:
DO 6/82
4
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I
CITY OF EOMONOS
cave C44110, - 1&400"04. "4--a;#Qft "an
SINGLE FAMILY HULTIPLE COME ;C I Al
PROJECT NAAE
ADDRISS /Iti
ACCESS SLOPE AND VEHICLE ACCESS
DRAINAGE PLAN
STREET FILE
MAL DESCRIPTION VERIFICATION
QUIT CLAIM11)[PICATIONS
EASEMENT - PUOLICIPRIVATE
CALCULATE SEWER CONMECTIoti If no LID i
STREET PAVING REQUIRED
CURB AND GUTTER REQUIRED
SIDEWALX REQUIRED
CURB CUT [OR DRIVEWAY REQUIRED
-V.r-WAI LUU)IXUCTION PERMIT REQUIRED
TS
BOND REQUIRED FOR PUBLIC IMPROYEMEN I S
STREET NAME $104 REQUIRED �4
OTHER SIGhING REQUIRED
ENGINEERING &
P R 0 J E C T
C H E C K
PUBLIC WORKS
REV I E V�
LIST
CONTACT NAME I TELEPHONE NWER
(ADDITIONAL COMENTS ON BA(
1xISTImr WATER MLAIII SIZE
WATER KAIN REQUIRCO
SERVICE LINE REQUIRED ol
Lu HYDRAUT 5111 EXISTING
k-
HYDRANT RfqUIRED PER FIRE Cog[
CROSS MINECTION ImSP[cjI0N SIZE
ix
Lu
ui
60
cr
<
z
4c
0
WATER lifTER CHARrE REQUIP[Dc�-r
REVIEW BY6,
DATE /_�2 9 (ADDITIOUAL COOKHTS ON U
SANITARY SEWER MING NUMBER
FILE WIBER
SIDE SEWER AVAILABILITY SANITARY SEWER C0111ECTION FEE REQUIRCD
OPEN DITCH [XISTIlIr% y1c-6 1 ''I'll''I'll''. — REQUIPED
CULVERT RMUIRED A &2&L Z &, ) SIZE
CATCH BASIN REQUIRED 01 e INDICATED Otl SITE PLAN
ShDULD(R MIRAGE IVINTAIN COLLECTION ON SHALE OPEN RUINOff
Immoti: REQUIRED It INDICATED 0.4 SIT[ PLAN
SOIL CONDITION GROUND kA CR FIELD CHECKED
REVIEW by VAT[ (ADDITIONAL COWNTS ON BAC
CATCH ISASIM:
AMO * IS-3,0 (OIL
WSUAL)
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Te E W/ 4'Low. LEGS
SYSTEM CROSS—SECTION
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TRENCH CROSS—SECTION
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STANDA �D DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
location- k�; Aej�lda P K�—� el
plan by
phone - -2.7
da*te
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
NOTES
1. Call Engineering Oivision (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
DEC 71984
CITY OF EOMONDS
v-
75'.0
PLOT PLAN
TZ I V c- E' I- A,-
L 0 7 2 PI NE
0 M 0 N 'D 'Zi
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C I T Y of EDMO _3 02EET FILE SIOE SEWER PERMIT
For Inspection Call 77 PEWJb fty&M 0
-)4�)- -�) I , \Al- � I w I. t 1985
Address of Construction: C
Property Legal Description (Include all easements): PUBU+Man--�
I -FTIRAnALML-
Owner and/or Builder: �4p—u-.F—p
Contractor & License No:
Singl-e Family Residence
Multi -Family
Commercial
1.1�
(No. of Units
(No. of fixture Units
I--,
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 Prope rty: No V/ Yes (If Yes, easement required,
attach legal description and county easement number.)
IREATMENT PLANT
PLEASE READ THE ITEMS LISTED ON.THE BACK
C4� r
I c rtify that I have read and shall comply
with the items listed on the back.
Permit Fee� Issued*B�
Trunk'Charge: Date'Issued:
Assessment Fee: Receipt No.:
I-11 - !@E5
Date
Partial Inspection: Comments Ua —te Initial
Final Inspection Approved:
91 a It linitial
Rejected:
Reason Date _5 i —ti a 1
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant
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The City of Edmonds Side Sewer Drawing EASEMENT NO - -----------------------------------
NEW CONSTRUCTION REPAIRS El LID NO. 161- ------ ASMT. NO - ------------------
OWNER ------ %SjGV-f-.J4SLJLE-(ZEN
--- ---------- C-0-M.
.......... CONTRACTOR ---- E-q' -C
CA ReP f'A ---- :BtXV0ZItAC -------------- PERMIT NO. 72-4-8 ----
JOB ADDRESS -2 ....... 85 T"- 'P-L-W -------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ---------------------------
------- - ---------
------------------------------------------------------- ---------------------------------------------------------------- ---------- EDMONDS -----------
NAME OF ADDITION ----- TREATMENT PLANT
...... I --------------------------
PWW-0001-1 1175 (REV�l 1/78)
Se
ST" PL.
VIC.C.
re suftrAce
Approved:
ATE 19R.5... By ---------
----------- .. ..........
q:,;',.."ASSET INFORMATION SHEET
CITY OF EDMONDS STREET fILE..
aNEW
ADDITION
EIRETIREMENT
e.
ASSET
ADDITION TO ASSE:T NO.
DESCRIPTION
J,4
SERIAL NO.
LOCATION
DEPV N�O.
h
"PURCHASE ORDER NO. PROJECT NUMBER,
PURCHASE ORDER DATE `PROJECT COMPLETION DATE �le -c
�/o
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET �W�IT'�H':'F'*'I:"N'AL"PAYMENT'"R*"EQU'EST:-
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE, OF.- PROJECT::
ACCOUNTING ONLY
VERIFIED BY
ErDEPRECIATE
MONTHLY DEPRECIATION AMOUNT, PROCESSED
ANNUAL DEPRECIATION AMOUNT BATCH NO.
G.L. ENTRY
REFERENCE ..DATE.
INITIAL
IbnP
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