20405 85TH PL W (2).PDF111111 lill 11
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20405 85TH PL W
NOTICE:
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The information on the attached
map(s) w2s compiled for use bythe City Of
Edmonds/ its Employees and Consultants.
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Th,e City of 'Edm.onds does not - wa rra nt t] 1K__
accuracy of anything set for.th on t hese
map(�-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the inform'ation shown on
ff�e -map(s)l Including, but not limited to,
th'e lociation of any sewer stub shown. Such
exist and may
sewer stubs may or may not I
or may not exist at the location sh ' own
o , nor its
Neither the City of Edrn 'nds
ernp-'fo-yee-s o-r offi-ce-rs -sh-a-11 be Via.b-'Fe for the
information given on this rnap(s), nor for
any one representation provided based
upon . said map(s).
4. -
The City qf Edmonds
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APPLICATION
for
SIODE SEWER PERMIT
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NEW CONSTRUCTION REPAIRS EASEMElTT No . ..........................................
/WE-
.......................
...... ..... SAB .\ . . . f) I
OWN ................... A ...................................... CONTRACTOR ... 4
..... ... .......
................. ........................ PERAUT . ......................
LEGAL DESCRIPTION: LOT No . ..... ........... ................ BLOCK No. J� ...................................
ADDR4SS .... ....... ..........
............
NAME OF ADDITION ----- .....................................................................................
ID
2- 5; 1 z G
�07
Approved:
DATE................................................ By ......................................................................
f.
APPLICATION 's-2 C-�/ S-0 C)
for
The City at ERZWET SIDE SEW]= PIMN"
EASEXIENT No . ..........................................
NEW CONSTRUCTION REPAIRS I--
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OWNER CONTRACTOR ...... �5".00 . ............................................................ PERNTr
-------------------------------------------------
............. — BLOCK No - ---------------------- ....................
f ........... g�� ....... ..................... LEGAL DESCRIPTION: LOT No. .13
ADDRESS ....... .. 0 . . ... ::r
NAME OF ADDITION ......... tolNg ......... 9 1-04ric .......................................... . ...........................
...........
....... By
51
4
CA FILE NO.__qAj- 2,2_�
Critical Areas Checklist
RECEIVED
Site Infonnation (WILS/topnraphy/hydrology/vegetation)
1. Site' AddressA"atiou: 20elo,5- _YS4,4 NOY 2 91994
2. Pripperty Tax Account Number-. - -4:;qq (a - 00 0 -73 3 - 6 PLANWIllLi DEPT.
3. Approximate Site Size (acres or squam fed): 4C rc-
4. Is this site currently deMopea __y _yes; _ no.
If yes; how is site
5. Describe the gawral site topography. Check all that apply.
Flat less than 5-feet elevation change over eatim site.
RolliW. slopes 00 site generally less than 15% (a vertical riw of 10-feet over a
horizontal distanm of 6"eet).
Mr. slopes present on site of more dun 15% and less than 30% ( a vertical rise
of 10-feet over a horizontal distance, of 33 to 66-fed).
Steep.- grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distum of less than 33-fed).
Other (please describe):
6. She contains areas of year -mad standing water. Ajo Approx. Depth:
7. Site contains areas of seasonal standing water. lVp Approx. Depth:
What season(s) of the yeal.
S. Site is in the floodway * floodplain No of a water course.
9. Site contains a areek or an area where water flows across the grounds surface? Flows are year-
round? A6 Flo" am seasonar. Mat time of year?
10. Site is primarily: forested meadow _; shrubs mixed
urban landscaped (lawnAuubs etc)
11. Obvious wedand is present on site:
For City staff use
Site is Zaaed?_., I Z
-'M&UW:i"kwy or CA. map iddicaft we&W premat an sito?.
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City of Edmoil,
Critical :Areas..-__Check1ist_:
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for, the City of Edmonds prior'
to his/her submittal of a development
permit to the City.
Ile purpose of the Checklist is to enable
City staff to determine whether any
potential Critical Areas are or may be
present on the subject property. IMe
information needed to complete the
Checklist should be easily available from
observations of the site or data available at
City Hall (Critical Areas inventories, maps,
or soil surveys).
An applicant, or histher representative, ,
must fill out the checklist, sign and date it,
and submit it to the City. Tbe City will
review the checklist, make a precursory site
visit,'and make a determination of the
subsequent steps necessary to complete a
development permit application.
With a signed copy of this form, the
applicant should also submit a vicinity m
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent infonnation (eg. eite
plan, topography !nap, etc.) or studies in
conjunction With this Checklist to assist
staff in completing their preliminary
assessment of the Ate.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best.of my knowledge (fin -out the appropriate column below).
Owner / Applicant:
Narne
0 VO
A
Street Address
L4- 7VI44 0 0 4 WA
City, State, ZIP Phone
t'rjdo I
Signature
Date
Applicant Re i
presentative:
Name
Strad Address
City, State. ZIP Phone
Signature Date
City of Edmonds
Critical Areas Determination
Applicant: I Lester K. Parsons Determination #: I CA 94-222 1
Project Name: Permit Number: F
Site Location: 1 20405 85th. Pl. W. I Property .— Acct #: 1 5446-000-033-01 71
Project Description:
Waiver Criteria (all criteria must be found to apply):
V There will be no alteration of the Criticat Area or its required buffers;
The development proposal will not impact the. Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
The development proposal meets the minimum standards of the Critical Areas
ordinance;
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) - of the Edmonds Community Develo:pm2entC , e.
Kirk J. Vinish / � _ _ / Z -1 94-'
Planner SignatioF Date
CITY OF EDMONDS'
CONSTRUCTION PERMIT APPLICATION
NST
OwEAIME/NAMEOF SINESS
RN
40S�f V
c
LTJ MAILING ADDRESS
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q
CITY /_IP TELEPHONE NUMBER
W -? ) -7
��Wvllh -7� 14 -,
TELEPHONE NUMBER
TA','P?_9
A DDRESS
lq52oo q:5-
cj�� ZIP TELEPHONE NUMBER
q20 1 Y7 75-- a /& -3
STATE LICENSE NUMBER EXPIRATION DATE
UWA)CI 09WA /-/
Legal Description of Property - include all easements
X 7 711 - 5-3-59
w-) Property
Tax Amount
Parcel, No. 5-V516-000 -033 - 0/0/
NEW
RESIDENTIAL
PLUMBING
ETADDITION
COMMERCIAL
MECHANICAL
REMODEL
APT. BLDG
El
SIGN
GRADING
FENCE
REPAIR
CYDS.
(_ x _FT)
EIDEMOLISH
WOODSTOIE
INSERT
SWIM POOL
HOT TUB/SPA
RETAINING WALL/
.0GARAGE
C
ROCKERY
RENEWAL
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN
NUMBER NUMBER OF
OF DWELLING owe
0 STORIES UNITS
D .
7 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
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�y
4!p-j4jv;0V J6&-)tVS — jtC)(41wc
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GLAZING
SOURCE:
CRITICAL
AREAS C?41--Z
NUMBER 1 0 Z2
014
ZONE
ADDRESS
PERMIT r,^
NUMBER 950052
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I It -
PUBLIC'AIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — REQUIRED DEDICATION
PROPOSED
TESCP Approved
D
RW Permit Required
0
Street Use Permit Req'd
C3
Inspection Required
0
Sidewalk Required
0
cc
PRV REQUIRED
W
YES 0 NO C3
Z
-1HtIVItIVIUVAILIJ
rlt:VVL.
SIGN AREA SEPA REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINE
EXP
VARIANCE OR CU PLANNING REVIEW BY DATE
S FRONT SIDE REAR HEIGHT LOT COVERAGE
ETBACKS — FEET
Foll
CHECKED BY TYPE OF CONSTR�CTIO�-, COD
C
13Y
SPECIAL INSPEC 0 AREA OCCUPANT
REQUIRED LOAD
S
EMARKS
PROGRESS INSPECTIONS PER US.0 305
FINAUNSPECTION
�P, PLAN CHECK FEE
BUILDING
% PLUMBING
Plan Check No. q Z/— V
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on priVate property ONLY.
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
17 1
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENO. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
.su ccessors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and ao 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
modify, waive or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
.
I
. I. herewy acanowieuge t aL vv IV. VV — ..1
Information given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPACIVAL
.authorized agent of the owner. I agree to comply with city and
'THIS PERMIT'
This application *is not a permit until
state laws,regulating construction; and In doing the work authoriz-
ed thereby, no person will be employed in violation of the Labor
AUTHORIZES
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Comp ensa-
WORK NOTED.
Deputy: and fees are paid, and receipt is
tion Insurance and RCW 18.27.
INSPECTION
acknowledged in space provided.
4'
WSIGN!%JURE (OWNER OR A ENT) DATE SIGNED'--.
;
DEPARTMENT
NATURE DATE
..
CITY OF
EDMONDS
CALLIFOR
VELW DATE
*.,ATTENTION
INSPECTION
IT IS UNLAWFUCTO USE OR OCCUPY BUILDING OF; STRUCTURE
I UNTIL A FINAL INSPECTION HA§ BEEN MADE AND APPROVAL OR
YELLOW — Inspector
A CERTIFICATE OF OCCUPAb!CY tl�AA.'eBk" PgANTE0,
1U A Mlr�
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