20408 78TH PL W (2).PDFlill lill lill
6757
do-IFITOOM"So 9mlablon,
PY10-pl-e-LI;0(X� (5f--Doe- N013 UO� L'�, PCj 11-0
^1
%olry cop,
Htl'�If
A
Tb:-
c
+cis
10
+- go.
AVE
A4:ru,AL-- = 4 (1 2-,OlB
MA)e AU-CW = + l'Z'6-'ZrO-
cwf� Hf"41,Kj^
V '19 4-- P L w.
Ear-a—k W'c-, qfo;�L,
11
to
lw�
MAN HoL.C-,-
PT +i
MI -::: NEW AovrriN
SCALE I ZO'-D"
P
3Qqog - -7e PEW
lau)flolfil
DEC -
H
r7
r
'05
V1
LOO
PLANNING DATA
NAME:_&Az&n__
SITE ADDRESS:- aoiw ATE:_
ZONING:__ 8 PLAN CHK#:_I����
PROJECT DESCRIPTION:
CORNERLOT 90 ___(Yes/No) FLAG LOT- NQ -(Yes/No)
SETBACKS:
Required Setbacks:
Front: Left Side: Right Side: Rear:
Actual Setbacks:
Front: Left Side: Right Side: 7(0 " Rear:_,120
Street map checked for additional setback required?- (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED Al _(Y/N)
LOT COVERAGE:
Maximurn Allowed: Actual:
BUILDING HEIGHT:
Maximum Allowed: -Actual Height:- &o1w;U - 1:5.,l It
Datum Point: -Datum Elevation:
A.D.U. CREATED?:
SUBDIVISIO
CRITICAL AREAS #: �� - 1,4 5
I SEPA DETERMINATION:
-F-
LOT AREA:
OTHER:
Plan Review By:
cArt1cs\pcffnitkAp1andALdoc
V UJI. I I j I-% I VIJ) VV-V� VII.JLJ A 4 91,11 a 11 1 1 JWUAVI"I I AJLJ - A. V V M. ; V I j I j I . VVI
CA FILE
Cridcal. Areas Checkrist cn-105
- — -----------------------
-iiie InforMation (SoilS/topography/hydrology/Vegetation)
1. Site Addrm/Locaum- - 7-01AID'? -761 PtA<-g- 6JzS7'
2- rroperty Tax Account Number - -Sb (J5- CM - C09- Wo 3
3. Approximaate site. size (acresor wp2are &et): 3 A
no.
4. Is *6 site =rently devdoped? )(Y#--.,. 1-11191>
If yes; how is site developed? Rf��I U014INP&, I 'S I PI) G-L6 - Pw", 0144
5. Describe the general site topography. Check all t1wt upply.
Flat less d= 5-feet elevation dwge over eatze site.
RdIling. slopes on site generally less than 15% (a vatical rise of 104eet over a
horizontal distaxwe of 66-feet).
My'. slopes present an site Of &AWLe d-Wn 15% anij 1CM d= 30% ( al VertMl
rise -of 10-feet over a horizontal distance of 33 to 66-feet),
Steer. grad" of greater than 3o% PWAMt on site (a vertical ri" of 10-feet over
a horizontal distance of less than 33-feet).
Other (plea describe,;
6. Site oontains arw of year-round standing water 4 0 ApproL Dp&-
Site conhdrts arew of seasonal 3tasuling water. ---NQ Apprmc. Dtpth-.
Wbat-sws*s) of the yea?
S. Site is in Me floodway--&O_ floodplidn h10 -cfawater
course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
Year unld? N 10 Flom are 3easonal? 00 (WImt dme of year?
10. Site is primarilr. forested meadow Shrubs Inbcad
urban hauisaTed (lawnshrubr. eW) \1 G:,S
11. Obvious wefiand is present on site: D, E 0 (2
For City -Staff Use Only
SCB?rkipped so.iJ * . . ... . . .
-C-A, nup �r�:weffaiid p�t On -siite? ..
CrifiM Areas in�6toiy'or C-k niap ftidk�� CnfiW Arei-on site?
khdifida hazi.t*r.4 -0"?
6: SftdesIg=WonAe ErrvironnienPW,';�ve Areas Mapj
tf!QEIERED.
WAIVitIV"
M
Nols uo� 19, P(3 110
STREET FILE DEC -
10
\J('m ro
- ek9s,
dr
H-,ek' 15 �q cat c
C, V/
xew��
c +CIS .15
7� ieA4VFXjST,N
4�
'SEW E r�
AVE &)(ZADE�--+96215 OA'�TOM FT +
X:-roAL- -= 4 112-,06
MA)e AULOW = 4- A ROVED BY PLANNING
rnr. NF-w Aovrn
�LOIOF '-7g4l%PtLA.)-
!SCALE I" Zd-0" I
Prc,elt
JUN. -17' 9,7(T LIE) 08;52 AASEY FAMILY PROGR&M TEL;1062704949 P,001
CA FILE NO___�_
Cridcal.'Areas Checkfist 91- 1 C)3
-- ------ -------- 71 --------------------
Site Information (soils/topography� hydrology/vegetation)
1. Site Addrm/Lomfiorr 201AV? W"' E_tA<-0- QeSr
2. Property Tax Amomt Number.
3. Approximate Sibee Size (acres or wpme leet): .3 A aLay
4. Is this site mmtly developed? )(Yes'. — no.
if yes; how is site developed? RE2 U214 1 N A&, I K) 0--� 7_N�I L4
5. Describe the general.site topography. Check an "t appir
Flat less thm 5-feet elevation dumge over affl3re site.
Rolling. slopes on site generally less than 15% (aivertical rise of 10-feet over a
horizontal distanm of 66-feet).
My: alcr?cs present an site of more than 15% mnd Icas than 30% (a vertical
rise of 10-feet over a hoAzontal disum of 33 to Wfeet).
St"p: grades of greater fimn 30% present on site (a vertical rise of 10-feet over
a horizontal disbmee of less than 33-feet).
Other (please desaibe):
6. Site contains -areas of year-round standing water. IJ 0 Approx. Depth:-
7. Site conbLins sirens of =n3onal3baulingwater; Approx. Depth:
What-sms*s) of the year? -
8. SM ts M the tIoodway___hj0_ floodplain—bi 0
of a water course.
9. Site contains a creek or an area whexe water flows across the grounds surface? Flows we
ycer-round? 10 Flom are semnal? 00 (What time of year71
10. Site is pAmarII)r forested ma&IOW — shrubs mixed
urbanlaml pad (lawmshrubrebc) NVS
I
11. Obvious wetliand is present on site: Wo
For City -Staff Use
2. '--_SXM*ppedso.4I
yj*s)?
I": `VJefiMdJrI�'Q�Mt*rY-4W.CA. map ir�:iv�pmknt aiie?_I�
4. ... Crifi6d ATM inV6taiy.or CIA. mia'pf�diaitisCdbW Arei-onsibe? AA-
'6: ..S*designa tedonthe FnvironmenM*��Wdve AwAs Map?
.,.1Q0�MMONAt W.
WAIVEEV.
Ami—Niedl-ij-'
Da D
JUN.-17'97(TUE) 08;50 CASEY FAMILY PROGRAM TEL;,1606-2704949 P.Hi
OAA f e&^ j,0- 14. AA"L-� t& &'OrJ� A-14 q
X'4" -'4.
A& 164E&4
city oYdmonds
Criticat Areas becklist
T1w Critic.-d Axeas CheckUst contafried
on tWS form IS to be filled out by any
person preparing a Development Pennit
Application for t1he City of Edmonds
prior to his/her submittal of a
development mmilt to the City.
The purpose of the Cheddist is to enable
City staff to detenydne whether any
potential Critical Areas are or may be
present on the subject property. The
1 9 mation needed to complete the
Cheddist should be easily available
fi-om observations of the site or data
available at city liall (Critical Areas
hlqa,.dr soil MWVCys).
An applicant, or his/her represmtatave,
M11 t fill out the cheddist, sign and date
it, and subndt ft W the City. The City
will review ffie checklist, make a
precursory she visit; and make a
deU=nination of the 3absequent steps
necessary to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity
map orplotplan for individual lots of
the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant
shaU include other pertinent
Wwmation (e-&- site plan, topography
map, ctm) or ftudles in conjuncHon
with this Checklist to assist staff in
empletinge their preliminary
assessment of the site.
I have completed the attached Critical Area CheckUs+. and attest that the answers
provided are factual, to the best of my knowledge'(fill out the appropriate column
below).
Owner/Applicant:
Name
zo %4Z9 -Vi2 ?L*(*7 L� eqr
S&mtAddrwz
60mc'4 45 L-2 R %�16 —11 S 033
City, State� ZIP phom
Date
Applicant Representative;
Nalft
Sb*et Addr4w
city'stiap'ZIF Phone
sismh= Date
M
8 9 V3
Date:
To:
Subject:
Transmitting
CITY OF EDMONDS BARBARA FAHEY
MAYOR
250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning Parks and Recreation 9 Engineering
Letter of Transmittal' -
June 19, 1997
Jim/Kathy Hewitson
Critical Areas Checklist
Copy of the completed Critical Areas Checklist
For Your Information:
XX
As you requested:
For your file:.
XX
Comment:
This completed Critical Areas Checklist is a
site specific determination, not a project
specific determination. You must bring in a
copy of the completed critical areas checklist
with any permit application, or your
application will be rejected. Permit
applications include Building permits,
Conditional Use Permits, Subdivisions,
Variances, Applications to the ADB land
use applications, or any other
development permit applications.
Note attachments:
Sincerely,
Diane M. Cunningham, Planning Secretary
0 Incorporoted August 11, 1890 9
Sister Cities International — Hekinan, Japan
7'
Clit Af lRdir"ande
890 JCJqy
RIGHT-OF-WAY CONSTRUCTION
oft PERMIT PermitNumber:
Issue 2ate:
A. Address or Vicinity of Construction: 7 9
B. Type of Work (be specific): 44C W C U 6
C. Contractor: r_ Alr&I'Z r4Wnl9c 6 66 01A 1?P C4 A elt'
Mailing Address: qp.? 77& P-1, We Phone: . 7-q.5"— 6774� ", - ':
State License #: -t A 4& CC /,S 3 K 6 Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. 'n Commercial Subdivision F1 fCity Project E] -Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family P'Single Family 07pr
C
INSPECTOR: CTOR:
-70, -7 eV
F. iravemenE or Concrete CuL ; M I es LJI-40 %J. a1ze 01 k-UL; %J x 0 0 n. %-nargr, 41
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harnilessfrom injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeen, that may be n against the City of Edmonds, or any of its departments or employ-
ees, including or not limited to the defense of any legal proceedings includinA Jere costs, and attorney fees by n,��g,tpe?mit.
THE -COA7RACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FO PE ODOFO R FO WING THE FINAL INSPE ON
�R_A ! RI NE YEA LL9 C77
AND ACCEPTANCE OF THE WORK ES77MATED RESTORA77ON FEES WILL BE HELDUAf77L THE FINAL S7REE7JP1A'T0H6 COMPLETED BY
CITY FORCES, AT WHICH 77ME A,DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required yvith permit application. y
A 24 hour notice is required for inspection;. Please call the Engineering Department 0
Work is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street. shall be kept clean at all times N, "
Traffic Control and Public Safety sh 11 be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall bepatched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
I have read. the above statements and understand the permit requirements and'the pink copy of the permit will be available
on site at all timesfor inspection p os S.
7,
—V&te�, ),& Date:
Signature:
(Cordractorlor �-ger�i)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
..................
:�AI`PgOVEDB
y
.......... .......... ..
........... -
TWE AUTHORIZED: XOID AFTER
DATE:'::::- ..........
SHALL BEGIN PRIOR TO PERMIT
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street.Dptj,,,�%
Comments:
Diagram:
11,
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985