20412 MAPLEWOOD DR.PDFiiiiiiiiiiiiii
12240
20412 MAPLEWOOD
DR
0 . . i. 9
0
#P20
Critical Areas Checklist
CAFileNo:. C�_A-M62_
Site Information (soils/ topography/ hydrology/ ve tation)
1.. Site Address/ Location: _ 02 c Q/; 1"n1a 1-JeLZID 0 C/7 Ch /t/'�
2. Property Tax Account Number: 00 5/0 6 --7- C)c C) C>C) yo
3. Approximate Site Size (acres or square feet): 3 _S
4. Is this site currently developed? ��-yes; no.
If yes; how is site developed? (Z Es:.', t�� E_ t-�T i Pt L
5. Describe the general sitetopography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on. site generally less,than 15 , % (a. vertical nise- of.: 10-feet .,over a horizontal
distance of 66-feet).
Hilly: slo es present on site of more thari 15% and less
p 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 c
onbdris areas of year-round standing water- Approx.' Depth:
7. Site contains areas of seasonal standing, water: _N 0' Ap.prox..D
PP
What season(s) of the year?
No
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?.
0. —Flows are seasonal? — (What time of year?
10. Site is primarily: forested meadow ;shrubs >< mixed
urban landscaped (lawn, shrubs etc)
11. Obvious wetland is present on site:
—For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS mapped soil type(s)? .41dvm,-d icmt& 5-mk- lowy 05---Ly-c16 5-low-1
4. Critical Afeas inventory or C.A. map indicates Critical(Area. on site? jC S j e r'Q0 r t
A60-c4rrA - 5'qre-C.1w\ cv^ Lve cm4ce 'V� jAe-
5. Site within/designated earth subsidence landslide hazard area? WO
DETERMINATION
STUDY REQUIRED
-Reviewed by -
Date: )�O -7/-^ 1P
WAIVER
- V. 1 B7 -
City, of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Ile 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 the application to the City.
Ile purpose of the Checklist is to enable City staff to
detem-dne whether any potential Critical Areas are, or
may be, present on the subject property. The 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).
0
Date Received: _4AI45?��
City Receipt #:—
Critical Areas File MCMi9v
Critical Areas Checklist Fee: $135.00
Date Mailed to 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 site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the.
specific -piece, of ptooerty described on'this form. In
addition, the applicant� shall :,include other pertinent
information .(e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing theif preliminary assessment of the site.
The undersigned applican4 and histherlits, heirs, and assigns, in consideration on the processing of the applica'tion agrees
to release, indemnify, defend and hold the City of Edmonds harmle'
ss ftom any and all damages, *including reasonable
attorney's fees, arising from any action or infraction based in whole or- part upon false, . misleading, inaccurate or
incomplete information fiamished by the applicant, his/her/its agents or employees.
By MY signature, I cer* that the. information and exhibits herewith submitted are true and correct to. the best of my
knowledge and that I am authorized to file this application on the behalf of theowner as listed below.
. �) . - - 0Y
SIGNATURE OF APPLICANVAGENT. DATE
Property. Owner's Authorization
By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds '
to enter the subject property for the
purposes of inspection and posting attejxhiqt to this application.
SIGNATURE OF OWNER DATE
PLEASE PRINT CLEARLY
Owner/AppHcant:
2a b, - n �� 1� re C 0 r C
Name
c2c)9/ ri lnal�leiuoorl /,)Y-
Street Address I
(�(_Jrooyq d/J U4
city State zip
Telephone: J PG 7 � 9 — (,-- 6. �/ �7
Email address (optional):
Applicant Representative:
Name
Street Address
City State zip
Telephone:
Email Address (optional):
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location:
20412 Maplewood Drive
Tax Acct. Number:
00506700000803
Determination:
Study Required
Determination #:
CRA-2008-0062
Applicant:
Dali Megiveron-Marchis
Owner:
Dali Megiveron-Marchis
BACKGROUND
During review and inspection of the subject site, it was found that the site contains and/or is
adjacent to critical areas, including Geologically Hazardous Areas, pursuant to Chapters 23.40 and
23.80 of the Edmonds Community Development Code (ECDC).
The parcel slopes gradually from east to west with a grade of approximately 30%, according to the
City's LIDAR data. This qualifies the slope as an erosion hazard.
This study applies to the entire subject parcel. Depending on the location and type of your
particular project relative to the identified critical areas, certain studies and reports may be
required.
ALLOWED ACTIVITIES AND EXEMPT DEVELOPMENT PROPOSALS
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.220.
Similarly, certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you have any questions about whether your proposed development qualifies as an
allowed or exempt activity, please contact a Planner for more information
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 to submit the entire study with your specific development application.
Please review the minimum report requirements for all types of Critical Areas that 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 there is
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.
10 0 - , . t
STUDY REQUIREMENT — EROSION HAZARD AREA
It appears that this property contains or is adjacent to an Erosion Hazard Area. Erosion Hazard
Areas include:
0 Those areas with Alderwood and Everett series soils on slopes of 15 percent or greater.
Any area with slopes of 15 percent or greater and impermeable soils interbedded with
granular soils and springs or ground water seepage.
Areas with significant visible evidence of ground water seepage, and which also include
existing landslide deposits regardless of slope.
DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS
Development within an Erosion Hazard Area must meet additional criteria.
For erosion hazard areas with suitable slope stability, the only critical area study needed is
an erosion and sediment control plan prepared in compliance with the requirements set
forth in Chapter 18.30 ECDC as part of the construction documents. This option is at the
director's discretion, per Edmonds Community Development Code section 20.80.050.G.
In areas where the slope stability is not suitable, projects within Erosion Hazard Areas will
require a report by a licensed Geotechnical Engineer or other qualified professional. Note
that it is important for the report to be prepared by a qualified professional as defined in the
ordinance.
Report requirements are given in ECDC 23.80.050, and more generally in ECDC
23.40.090.D.
0 Development standards are given in ECDC 23.80.060 and 23.80.070.
If you have any questions about this determination, please contact a Planner for more information.
Name
Signature'
23,2(
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.
2
a .6
.t"7 '. 1 S 9 "
July 8, 1999
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Cornelia Brujban
20412 Maplewood Drive
Edmonds, WA 98020
SUBJECT: Request for Expanded Driveway at 20412 Maplewood Drive
Dear Ms. Brujban,
BARBARA FAHEY
MAYOR
We have reviewed your request to widen your driveway and cannot approve the
installation of the 8 foot by 35 foot extension as shown on your drawing. Should you
wish to construct that extension, it must be placed a minimum of four feet from the edge
of the road. The area between the extension and road must be separated by an extruded
curb along the driveway or low growth landscaping between the road and driveway.
Should a five-foot walkway ever be installed on that side of the road, you will be required
to move that extension six feet behind the foglinel
If the water meter box is located in the new asphalt parking strip, it must be changed to a
traffic -bearing box and lid. Some adjustment to the.w'ater meter may be required, and
that work can only be done by City of Edmonds Public Works crews. Approval to widen
your driveway to a maximum of 30 feet wide, per the City of Edmonds Development
Code, is granted.
Before you can work on the driveway, you must obtain a permit. Please contact Lara
Knaak, City Permit Coordinator, to obtain the requirements for the permit. In addition,
any work in the City right-of-way must be done by a licensed contractor, and a right-of-
way permit must be obtained.
If you have any questions, please call Lyle Chrisman at 425-771-0220, Ext. 324.
Sincerely,
e,
JAME S C. WALKER, P.E.
City Engineer
JCW/ALC/cmc
r�_ACKV20%1 V1 �kkri iihnn-tiw Itr rinr 0 Incorporated August 11, 1890 0
I
The City of Edmonds
APPLICATION
for
SIDE SEVVIM PMBM
NEW CONSTRUCTION 0 REPAIRS
EASEMENT No . ......
..........................
OWNER ......... a. izd CONTRACTOR ............. ?O.Y ............. Nlle-jklo, .................................. PERb= No.
................................................................................................. --------
ADDRESS .... 9!�Y.tt;� .......... ........... D.C.- LEGAL DESCRIPTION: LOT No . ............. ................................ BLOCK No . ...............................
NA31E OF ADDITION ....... w-
1-11 . ............................................................................................. ..............
Approved:
ly
po�
DATE ........ �:�62�1 ------------------- By
S
OE A S A N'T F 0 R A E'W
I XGREEmENT, made this 17 day of
J al,�,,, 17t1j, 1969i betweon�-!,'.'i`-!`
0
AseDlb, C.- Platt
artie's 6 th`e�.
j
first part and.owners of S 71.24
0 SA I
Maplewood HJ116
17r 1;
JUL
a n 7; 1 es ci
d gLjrti)yj T-T_ T,�j i rj q n r, T'A, par h
11 SA d
NE U16
YER, "Sn�m un N33A..".
d6hd", pa rt and owners*of: IT. 90. 64 of B 149.38i, 6
se f Lot' 8 :an
d'
lv�
-777 bep* -ii %.i.."
S 9.36, of'E 149, 95 'of'' L 3 1_Tqb1qVqod -Hj Is.,:,.rec6j-_dad :n,� Irni'li?, tl;,
�s
41'� 6,
0��`Pla'ts,' P age reco rds o f S n ohomi sh'-I- ob unt.Z
A
.'WITNESSETH: 'That for and in consideration,of the mutual 'tovenants;.!
rein, expeessed,:.��,'�--
I V, I s -"heeieby agreed between +he-above:partI.es'tliat:
s
I t:' Thib�6'shall be an 'easement s i x' (6) -feet 'w I d eii,,, 3;. o n" e I t h e r s I'd e,'.
e.
of' �he' side sewer along the line of said sewer. as''co"n'structed- for -the Us&-.',
and -benefit of, said properties.'
c
2nd: The cost of maintenance,,repair_o .;xetonstrbit,io' of -that.� po-�t�io�n-`Iof
the
't h e sew6r' "u"sed in'common shall I',shairiqs,. excel.
be, bo r.ne in,,qqpa
V f,
5,'Owners of 6ny lower parcel'shall hot be,respbins-ib se*w'64",_i��,�,",,-/' 1"
I ()-'�for;. the �:part` of ..,'the'
:',above.'their connection; and when necessary"t'O' r6pa I r c 1'ea*
or reconstru6t ".1",
-the sewer, the parties to this agreement shal I have a ri'ght of entry. for
1�,',"�hat:purpose.
�al
Th 5 a"g,
3rd;. I reement'.shal,l be a -covenant'.runn ng with, the.'�'Iand:,and.s
A"
'be' b I hd I ng upon I -parties,and� the i.r he I rs�' and, ass I gns'"',forev I e r,�.
",.IN t nd I th' i4t 'ab6V*e:',)4�r',�-.�,`.',`
"WITNESS WHEREOF'we hereunto e, ourhands a sea e 46y-�and -year':
w tt
rl
--�- 7L,
L)
�,STATE,017 WASHINGTON
COON
1014 's
TY OF.M.
On t appear,d
1969, perk6a I I Y;
i s. day of r e
fill
and 1_,C- CAA9- ila P1,4 7-7-
4 7-7
il''�'know.n to be the individual(s),�described in and who executed the ' within i r7s—trument-i, a
e and voluntary-act�
acknowl,edged that j4g, signed and sealed the same as��_fj.e
and deed for the uses and purposes therein mentioned'.
IN WITNESS WHEREOF, I have hereunto set my hand 1, dffixed my official se-aij',:'t'-,1h'
d a,�
and year in this certificate first written*
fd'
1 41' 9 -
CITY OF EDMONDS Call FRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPART74ENT is ready for inspection. (No inspec- r___0
tions Saturday, Sunday or holidays.) N2 3356
SIDE SEWER PERMIT
20412 Ma lewood Drive
ADDRESS........................................ P .............. ........................................................................................ ....................................................
B.H. Laird Roy Allen
OWNER....................... . . ................................................................. CONTRACTOR ............................ ...................................................
�4�y 28 69., ........................ days to REPAIR or CONNECT a side sewer
Perinissior .. ......
q is granted -------------------- ...... 19 ....... for
with City'Sewers in accordance with application on file and governing ordinanc4es.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. f�—The owners of the property May obtajn 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. 1,
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. 6--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.
0
0
0.
r
8. 9 0 - 1 9 C) -
C �f--Eon#
FILERI G-HT-OF-WAY CONSTRUCTION
PERMIT
Permit Number- r3 SR$/
Lssue Date:
A.'- Address or Vicinity of Construction: 20412 Iftylewood Dr ( 9509047
B. Type of Work (be specific): Trintall NP-w Service
C. Contractor: - Vashipgt:on Natural Gas Co. Contact: Frank Swan
Mailing Address: 1122 75 ST SW Zverett Phone: "7-3284
State License #: 98203 Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable): -,, i
E. F] Commercial F1 Subdivision F] City Project J2 Utility (PUD, GTE, WNG, CABLE, WATER)
E] Multi -Family E] ,Single Family Other
A4
INSPECTOR: INSPECTOR: W�I�tlj
F. Pavement or Concrete Cut 0 Yes - KINo G. Size of Cut: H. Chargq�,$
APPL . ICA N T . TO - READ AND bo-q SON,
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from 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 its depart—P" pr
employees, including or not limited to the defense ofany . legalproceedings,including defense costs, and attorney fees by reason ofgranyIngthispe'rinit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND mATERIALS'FOR A ;ER)OD OF ONE YEAR)�OL36W[ THEFINAL
Ob INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction dra wing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall b'e'kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on site at al�l ti�wfolor",*n§pec)t*orgpurposes.
Signature: Date: 01-76-95
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
.0
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE. Eng. Div. 1994
9
0
FIELD INSPECTION NOTES
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund I 11 - Route copy to Street Dept.)
El YES
Date:
Date:
El NO
0
bshkx n
jW
NatLffN Gm
AvvhOvxjIonErvrWCarpcm
/".N
0
Addendum to: City of Edmonds
Right of Way
Oermit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
d)
A -
Zoe> PL_ ISVII
I
qSC>904'-+
0 cj-yrc--:)
WNG to window Key:
_W_ Water
Vatermaiu depth Kl/-&- -G- Gas
_SS_ Sewer
_& Water hydrant
2m" gas main 0 Water valve
. Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
CTM
AWmhngWErWWCarOWV
f'-N
ri
N 0
Wky to window
Watermain depth ?,I/A-
2�" gas main
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamn Kingsbury
Engineering Aide
Washington Natural Gas
1356-7500 X7596
0
20 4- 1 Z wo�OQD
lz>e-
q5o9c)4-+
JQ 0 CA-Yr S)
ZOE> PL_ isw
Key:
_W_ Water
-G- Gas
_SS_ Sewer
_& Water hydrant
0 Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett. Washington 98203, (206) 355-3331
J�
IMMGas—
AVVhgwxjton Energy COMParTY
K_.\
10
ri
N 0
I
Addendum to: City of Edmonds
Right of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide,
Washington Natural Gas
1356-7500 X7596
ZOS PL_ 'S \Aj
20 4. 1 Z w4aR�00_D
q5o90 4�+
0 CA,
WNG to window Key: _W_ Water
Watermain depth IIJIA- -G- Gas
_SS_ Sever
_& Water hydrant
gas main 0 Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331
CITY OF EDMONDS
121 5'h- Avenue North, Edmonds WA 98020
Phone: 425.771.0220 - Fax: 425.771.0221 - Web: www.edmondswa.go
DEVELOPMENT SERVICES DEPARTMENT - PLANNING DIVISION
" -11 c.. I % 9. "
November 13, 2014
Mr. Dali Megiveron-Marchis
20412 Maplewood Dr.
Edmonds, WA 98026
daliadi(&earthlink.net
Subject: Hazard Tree Removal at 20412 Maplewood Dr.
Dear Mr. Megiveron-Marchis:
Thank you for submitting three ISA Basic Tree Risk Assessment Forms prepared by Paul Thompson with Urban
Forestry Services, Inc. (Certification ID #PN- 183 8A) and a site plan indicating the locations of the two trees and one
stump that you recently had cut on the southern side of your property addressed 20412 Maplewood Dr. For your
reference, I am enclosing these documents that you emailed to me on October 1.4,.2014 as well as my letter of
September 14, 2014 requesting that�you submit documentation related to these trees.
The Tree Risk Assessment Forms prepared by Mr. Thompson indicate ihat the two trees that you recently had cut
were both of a high hazard rating and also indicates that the third "tee" was actually a three to four foot high stump
that you had cut down to ground level. The two trees assessed by Mr. Thompson are located on a slope that exceeds
25 percent, which is considered an Erosion Hazard Area pursuant to the City's critical areas regulations. As such,
the cutting of these trees is subject to the applicable critical areas regulations of Edmonds Community Development
Code (ECDC) Chapters 23.40 through 23.90. Generally the removal of.trees, or any vegetation, within a critical
area or critical area buffer is not an allowed activity, unless it involves the removal of invasive species or hazard
trees. Removal of hazardous tree s in critical areas is regulated in the Edmonds Community Development Code,
(ECDC) Section 23.40.220.C.7.b. Such removal is an allowed activity as indicated by the code below:
b. The removal of trees./rom critical areas and buffers that are hazardous, posing a threat to public safety,
or posing an imminent risk of damage to private property provided, that:
L The applicant submits a reportftom an ISA- or ASCA-certified arborist or registered landscape
architect that documents the hazard andprovides a replanting schedulefor the replacement trees;
ii. Tree cutting shall be limited to pruning and crown thinning, unless otherwisejustfed by a qualified
professional.- Where pruning or crown thinning is not sufficient to address the hazard, trees should be
removed or converted to wildlife snags;
iii. 411 vegetation cut (tree stems, branches, etc.) shall be left within the critical area or buffer unless
removal iswarranted-due to thepotentialfor disease orpest transmittal to other healthy vegetation or
unless removal is warranted to improve slope stability;
iv. The land owner shall replace any trees that are removed with new trees at a ratio of two
replacement treesfor each tree removed (two to one) 'Within one year in accordance with an approved
restoration plan. Replacement trees may be planted at a different, nearby location if it can be
determined thatplanting in the same location would create a new hazard orpotentially damage the
critical area Replacement trees shall be species that are native and indigenous to the site and a
minimum of one inch in diameter at breast height (dbh)for deciduous trees and a minimum ofsixfeet
in heightfor evergreen trees as measuredfrom the top of the root ball;
v. If a tree to be removedprovides critical habitat, such as an eagleperch, a qualified wildlife
biologist shall be consulted to determine timing and methods ofremoval that will minimize impacts;
and
vi. Hazard trees determined to pose an imminent threat or danger to public health or safety, to public
or private property, or ofserious environmental degradation may be removed or pruned by the land
owner prior to receiving written approvalftom the city provided, that within 14 daysfollowing such
action, the land owner'shall submit a restoration plan that demonstrates compliance with the
provisions of this title;
The above referenced Tree Risk Assessment Forms prepared by Paul Thompson of Urban Forestry Services together
with the site plan identify and describe the locations and health of the subject trees. Based on this information, it is
clear. that removal of the two trees was warranted as long as the requirements of ECDC 23.40.220.C.7.b are
followed, including the requirement of ECDC 23.40.220.C.7.b.iv that hazard trees be replaced with new trees at a
ratio of two -to -one. Thus, you will need to replace the two trees that were cut at a ratio of two -to -one.
An exemption for the tree cutting identified above is granted with the following conditions:
1. Only the cutting of the two trees and one stump identified in the Tree Hazard Evaluation Forms prepared
by Paul Thompson and on the site plan you submitted on October 14, 2014 (enclosed) is authorized (this
cutting activity has already occurred).. No additional trees may be cut without further review and approval
by the Planning Division.
2. It is at your discretion whether the cuttings are left within the critical area or removed. All stumps must not
be removed and must remain in place in order to help maintain slope stability. ,
3. All work must be done using hand labor and light (hand-held) equipment, and appropriate erosion control
must be implemented tominimize impacts to the critical areas. The replacement trees must be installed
using the same techniques in the general area that the subject trees are cut.
4. The two cut trees must be replaced at a ratio of two -to -one consistent with ECDC 23.40.220.C.7.b.iv within
one year of tree the tree cutting activity. Replacement trees should be planted in the general vicinity of the
cut trees.
5. Pursuant to ECDC 23.40.220.C.7.b, replacement trees shall be a minimum of one inch diameter at breast
height for deciduous trees and a minimum of'six feet in height f�r evergreen trees as measured from the top
of the root ball.
If you have any questions, you are welcome to contact -me at Jen.Machuga@edmondswa.gov or (425) 771-0220.
Sincerely,
Jen Machuga
Associate Planner
Encl: Tree Risk Assessment Forms prepared by Paul Thompson
Site Plan
Staff s 9/18/14 Letter Requesting Documentation
Cc: Street File for 20412 Maplewood Dr.
Mike Thies, Code Enforcement
ISA Basic Tree Risk Assessment Form
Client Mr. Adrian Marchis
Address/Tree location 20412 Maplewood Drive, Edmonds, WA 98026
Tree species Douglas fir, Pseudotsuga menziesii
Assessor(s) P.H. Thompson, ISA Tree Risk Assessment Qualified
Date 10-3-14, Site 9-24-14
Time N/A
Tree no. 1 Sheet I of 3
dbh 20.3 inches Height Est. 90 feet Crown spread dia. Est. 17 feet
Time frame N/A Tools used visual
Target Assessment I
Target zone
Occupancy
t;
4
EF E
ME
X
X
14
4
X
rate
1-rare
r-
0!�:
U
r
Target description
-X
2 - occasional
, requent
W
:P
-V
U
M
L
Lo I
_c
4 onstant
CL 0
E
lij
= EL
Residence
V
j 4
No
No
2
Adjacent residence
4
No
No
3
4
Site Factors
History of failures Branch failure
Topography FlatO Slope[@ 27 % Aspect W
Site changes None N Grade change 0 Site clearing 0 Changed soil hydrology 0 Root cuts 0 Describe
Soil conditions Limited volume 0 Saturated 0 Shallow 0 Compacted 0 Pavement over roots 0 % Describe
Prevailing wind direction SW Common weather Strong winds N ice 0 Snow 0 Heavy rain N Describe
Tree Health and Species Profile
Vigor Low 0 Normal N High 0 Foliage None (seasonal) 0 None(dead)O Normal 100 % Chlorotic % Necrotic %
Pests Bark beetle Abiotic
Species failure profile Branches.M TrunkO RootsO Describe
F_ Load Factors
Wind exposure Protected 0 Partial 0 Full 0 Wind funneling N Opening in canopy Relative crown size SmallO MediumD LargeO
Crown density Sparse 0 Normal N Dense 0 Interior branches Few 0 Normal E Dense 0 Vines/Mistletoe/Moss R1 Enqlish ivy, Hedera hEb
Recent or planned change in load factors Wind funneling: oi)eninq in canopy
Tree Defects and Condition's Affecting the Likelihood of Failure
L I I I
—Crown and Branches —
r 7Unbalanced crown 0 LCR %
Cracks 0 Lightning damage 0
Dead twigs/branches 0 %overall Max.dia.-
3
Codominant 0 included bark 0
Broken/Hangers Number Max. dia.
Weak attachments 13 Cavity/Nest hole % circ.
Over -extended branches 0
Previous branch failures 0 Similar branches present 0
Pruning history
Crown cleaned 0 Thinned 0 Raised 0
Dead/Missing bark 0 Cankers/Galls/Buds 0 Sapwood damage/decay 0
Reduced 0 Topped' 0 Lion -tailed. 11
Conks 0 Heartwood decay 0
Flush cuts 0 Other
Response growth
Main concern(s)
Load on defect N/A 0 Minor 0 Moderate 13 Significant 0
Likelihood of failure Improbable 0 Possible 11 Probable
0 imminent 0
—Trunk —
— Roots and Root Collar.—
Deacl/�Missing bark 0 Abnormal bark texture/color
Collar buried/Not visible 0 Depth Stem girdliiing 0
Codominant stems 0 included bark 0 Cracks 0
Dead 0 Decay 0 Conks/Mushrooms 0
T
Sapwood damage/decay 0 Cankers/Galls/BurlsO Sap ooze 0
Ooze N Cavity 0 % circ.
Lightning damage 0 Heartwood decay 0 Conks/Mushrooms 0,
Cracks N Cut/Damaged roots 0 Distance from trunk
Cavity/Nest hole % circ. Depth Poor taper 0
Root plate lifting 0 Soil weakness 0
Lean * Corrected?
Response growth None noted
Response growth None noted
Main concern(s) Trunk fail.ure as a result of crack
Main concern(s) Root collar failure as a result of crack
Load on defect N/A0 MinorO ModerateO Significantffi Load on defect N/AO MinorO ModerateO Significantffi
Likelihood of failure
A Likelihood of failure
Improbable[] Possible 11 Probable N Imminent
1\1 ImprobableO Possible 0 Probable N Imminent 0
Page I of 2
r
i Risk Categorization
Likelihood
Risk
rating
Conditions
target.
poll
pill
loll
0111
of part
of concern
(from
2)
Internal crack,
X
[91
RE
X
[91
X
X
[01
rol
WE
R01
Wj
1*1101
R
.-Matrix
propagated to the
C*
X
X
101191
X
EO
191
W
[01
E91
E9
X
N
EO
trunk surface
Ln
MWM�
RAU
1*19
1011911911919
WE
1971
X
W9
9
X
X
co
X
N
[91191
EN
W
N
r*
rx
X
791
W
7W
R
R
N
101
X
[011*1
W
IN
X
roll
W.
rx
X
N
101
W
X
X
X
X
A"
X
1*1191
X
C*
C*
9
9
9
C*
9
A"
mmm�
WNEX
190911091
ro
rORRE
[WIN
WE
X
X
[01
N
N
[91191
WE
R
W
X
191
X
191
X
1*11*11*1
X
79
W
1911*11*1
WE
N
7*1
M
M
M
1*1
X
1011911*1101
N
[01
[91
X
X
1*1101
Matrix/. Likelihood matrix
Likelihood
of Failure
Likelihood of Impacting Target
VerV low
Low
Medium'
High
Imminent
Unlikely
Somewhat likely
Likely
Very likely
Probable
Unlikely
Unlikely
Somewhat likely
Likely
Possible
Unlikely
Unlikely
Unlikely ...
Somewhat likel
11hilprobable
Unlikely
Unlikely
�nrjkely
Unlikely
Matrix2. Risk rating matrix.
Likelihood of
Fa�ilure'&,Impact�
Consequences of Failure
Negligible
Minor'
Sign , ificant
Severe
Very likely
Low
Moderate
High -
Extreme
Likely
I Low
moderate
High
High
Somewhat likely
Low
Low
Moderate
Moderate
. Unlikely
Low
Low
Low
Low
Notes, explanations, descriptions Tree# I has a high risk of failure.
Removal was the correct mitigation action given the defects noted.
North
Mitigation options If required replace this tree on a 2:1 ratio with a native species, Residual risk
at least 1 inch diameter measured at 4.5 feet height for deciduous trees, or Residual risk
a minimum of 6 feet height measured from the top of the root ball for evergreens. Residual risk
Residual risk
Overall tree risk rating Low 0 Moderate 11 High 0 Extreme 0 Work priority 10 2 0 3 0 4 0
Overall residual risk Low N Moderate 0 High 0 Extreme 0 Recommended inspection interval Not applicable
Data 0 Final 0Preliminary Advanced assessment needed ONo OYes-Type/Reason
Inspection limitations ONone OVisibility OAccess OVines ORoot collar buried Describe Tree removed, inspection of fragments and stump.
19
This datasheet was produced by the International Society ofArboriculture (ISA) and is intended for use by Tree Risk Assessment Qualified (TRAQ) arborists — 2013 Page 2 of 2
Client Mr. Adrian Marchis
ISAL Basic Tree Risk Assessment Form
Date 10-3-14, Site 9-24-14 Time N/A
Address/Tree location 20412 Maplewood Drive, Edmonds, WA 98026
Tree species Douglas fir, Pseudotsuga menziesii (3 to 4 foot height stump)
Assessor(s) P.H. Thompson, ISA Tree Risk Assessment Qualified
Tree no. 2 (34 foot stump) Sheet 2 of 3
dbh 1 2.6 inches Height Est. 3 to 4 feet Crown spread dia. Not applicable
Time frame N/A Tools used Visual
Target Assessment
Target zone
ccupancy
Z
E
r
S
C
rate
1-rare
2
0
:3
Target description
C
x
2 - occasional
3 - frequent
V,
4 - constant
M 0
E
a)
cc si
Not applicable
1
N/A
N/A
2
3
4
Site Factors
History of failures, This is a decaying stump, tree removal performed many years prior._ Topography FlatO Slopeffl 27 % Aspect W
Site ch * anges None 0 Grade change 0 Site clearing 0 Changed soil hydrology 0 Root cuts 11 Describe
Soilconditions Limitedvolume[3SaturatedO ShallowO CompactedO Pavement over roots 0 % Describe
Prevailing wind direction SW Common weather Strong winds N Ice 0 Snow N Heavy rain N Describe
Tree.Health and Species Profile
Vigor Low 0 Normal 0 High 0 Foliage None (seasonal) 0 None(dead)O Normal % Chlorotic % Necrotic %
Pests Abiotic
Species failure profile BranchesO TrunkO RootsO Describe
Load Factors
Windexposure ProtectedO PartialO FuII0 WindfunnelingO Relative crown size Small[] Medium0 Large[]
Crown density Sparse 0 Normal 0 Dense 0 interior branches FewO Normal 11 Dense 11 Vinet/Mistietoe/Moss 0 English ivy, Hedera hE6
Recent or planned change in load factors
Tree Defects and Conditions Affecting the Likelihood of Failure
Crown
and Branches
Unbal:anced crown 0 LCR %
7Deadtwigs/branches
Cracks 0 Lightning damage 0
'g 0 %overall Max.dia.—
:1
Codominant 0 Included bark 0
Broken/Hangers Number Max. dia.
Cavity/Nest hole % circ.
Weak attachments 0 -c
Over -wended branches 0
Previous branch failures 0 Similar branches present 0
Pruning history
Crown cleaned 0 Thinned 0 Raised 0
Dead/Missing bark 0 Cankers/Galls/BudsO Sapwood damage/decay 0
Reduced 0 Topped 0 Lion -tailed 0
Conks [I Heartwood decay 0
Flush cuts 0 Other
Response growth
Main concern(s)
Load on defect N/A 0 Minor 0 Moderate 0 Significant 0
Likelihood of failure Improbable 13 Possible 0 Probable
'�o c
0 imminent 0
—Trunk —
Roots and Root Collar —
Deacl/�Missing bark 0 Abnormal bark texture/color 0
Collar buried/Not visible 0 Depth Stem girdling 0
Codominant stems 0 included bark 0 Cracks 0
Is
Dead 0 Decay 0 Conks/Mushrooms 0
Sapwood damage/decay W Cankers/Galls/Buris[I Sap ooze 0
ooze 11 Cavity 0 % circ.
Lightning damage 11 Heartwood decay 0 Conks/Mushrooms 0
Cracks 0 Cut/Damaged roots 0 Distance from trunk
Cavity/Nest hole % circ. Depth Poortaperl]
Root I plate lifting 0 SoilweaknessO
Lean corrected?
Response growth
Response growth
Main concern(s) 3-4 ft Height Stump, Cut to Ground Level
Main concern(s) 3-4 ft Height Stump, Cut to Ground Level
Load on defect N/AW MinorD ModerateO SignificantO Load on defect N/A 0 Minor 0 Moderate 0 Significant 13
Likelihood of failure
Likelihood of failure
Improbable[] Possible 11 Probable 0 Imminent 0
ImprobableO Possible 11 Probable 0 Imminent 0 '/1
Page I of 2
Risk Categorization
Likelihood
Risk
rating
Conditions
Ta
of part
(from
of concern
Matrix 2)
M
101
X
R
101
N
1*11*1
ro,
WE
5*7
NJ
101101
R
R
N
M
M
9 9
X
15 E
101101
N
1*11,01
ro,
roj
rej
R
101
W,
R
[01
mmm�
RX
RX
NUMEN
N007JEW
INNER
M
M
1*19
1*1501101101191
N
ro
WE
7*
5*11*1
R
R
9
M
M
101101
R
41011*1
[011019
ro-11
WE
NO,
501
W
W
6 "M
9
M
M
X
X
X
NO. J
9
X
9:91191
C*
9:919
1919
Eft
wmm�
NNE
1101
1909INN
N
RJER
REWINN
%
[01
R
[01
1101
%
W
X
ro:
WE
NO
R
N
R
NO
R
1*11*1
1101101101101
1101191
W
9
X
R
9
14 011*1191
1011*11#1
N
1*11011011*1
r*
W
R
501
N
1*19
9
M
0
M
5 "s
51 RE
N
Eel
1011*11019
E9
W
10120
N
191
N
X
Matrix/. Ukelihood matrix
Likelihood
of Failuire�
Likelihood of Impacting Target
Nery low
Low
Medium
High
Imminent
Unlikely
Somewhat likely
. Likely
Very likely
Probable '
Unlikely,
Unlikely
Somewhat likely
Likely
Possible
Unlikely
Unlikely
Unlikely,',
Somewhat likely:
Impro 'able
I Unlikely
Unlikely
Unlikely
Unlikely
Matrix2. Risk rating matrix.
Likelihood of
Failure & Impact
Consequences of Failure
Negligible
Minor
Significant
Severe
Very likely
Low
Moderate
High
Extreme
Li keIV
Low
Moderate
High
High
Somewhat likely
Low
Low
Moderate.
Moderate
1`1 Unlikely
Low
Low
Low
Low
Notes, explanations, descriptions Tree# 2 was a decaying high stump.
The decaying 3-4 foot high stump was cut down to ground level.
North
Mitigation options No mitigation required. Residual risk
Residual risk
Residual risk
Residual risk
Overall tree risk rating Low 0 Moderate 0 High 0 Extreme 0 Work priority 10 2 0 3 0 40
Overall residual risk Low 0 Moderate 0 High 0 Extreme 0 Recommended inspection interval Not applicable
Data 0 Final 0 Preliminary Advanced assessment needed ONo OYes-Type/Reason
Inspection limitations ONone OVisibility OAccess OVines ORoot collar buried Describe Stump removed, inspection of fragments and sturn
This datasheet was produced by the International Society ofArboriculture (ISA) and is intended for use by Tree Risk Assessment Qualified (TRAQ) arborists - 2013 Page 2 of 2
ISAL Basic Tree Risk Assessment Form
Client Mr. Adrian Marchis Date 10-3-14, Site 9-24-14 Time N/A
Address/Tree location 20412 Maplewood Drive, Edmonds, WA 98026 Tree no. 3 Sheet 3 of 3
Tree species Douglas fir, Pseudotsuga menziesii dbh 14.3 inches Height Est. 75 feet Crown spread dia. Est. 15 feet
Assessor(s) P.H. Thompson, ISA Tree Risk Assessment Qualified Time frame N/A Tools used Visual
Target Assessment
Target zone
Occupancy
LID E
X
X
S
= .
rate
I -rare
0 W
to
-ro q
C
o -
-E -ra
9 =
C
Target description
:r
.5
X
In
2 - occasional
3 - frequent
0
4'
U
,4
4 - constant
a. E
W CL
1
ResidenGe
4
No
No
2
Adjacent residence
V
V
V
4
No
No
3
4
Site Factors
History of failures Branch failure Topography FlatO Slope[9 27 % Aspect W
Sitechanges Noneffi GradechangeO Sitecl6ringO Changed soil hydrologyO RootcutsO Describe
Soil conditions Limited volume 0 Saturated 0 Shallow 0 Compacted 0 Pavement over roots 0 % Describe
Prevailing wind direction SW Common weather Strong winds E Ice 0 Snow N Heavy rain N Describe
F Tree Health and Species'Profile
Vigor Low 0 Normal N High 13 Foliage None (seasonal) 0 None(dead)O Normal 100 % Chlorotic % Necrotic %
Pests Bark beetle Abiotic
Species failure profile BranchesE TrunkO RootsO Describe
Load Factors -
Wind exposure Protected 0 Partial 0 Full 0 Wind funneling N Opening in canopy Relative crown size SmallO MediumO LargeO
Crown density Sparse 0 Normal 0 Dense 0 interior branches Few 11 Normal E Dense 0 Vines/Mistletoe/Moss El Enqlish ivy, Hedera he4i
Recent or planned change in load factors Wind funnelincl: openincl in canopy
Tree Defects and Conditions Affecting the.Ukelihood of Failure
Crown and Branches
Unbalanced crown 0 LCR % Cracks 0 Lightning damage 0
r 7Deadtwigs/branches 0 %overall Max.dia.- Codominant 0 Included bark 0
Broken/Hangers Number Max. dia. Weak attachments 0 Cavity/Nest hole � % circ.
Over -extended branches 0 Previous branch failures 0 Similar branches present 0
Pruning history Dead/Missing bark 0 Cankers/Galls/BurlsO Sapwood damage/decay 0
Crown cleaned 0 Thinned 0 Raised
Reduced 0 Topped 0 Lion -tailed 0 Conks 0 Heartwood decay 0
Flush cuts 13 Other Response growth
Main concern(s)
Load on defect N/A 0 Minor 13 Moderate 11 Significant 0
Likelihood of failure Improbable 0 Possible 11 Probable 0 Imminent 0
—Trunk — — Roots and Root Collar —
Dead/Missing bark 0 Abnormal bark texture/color III Collar buried/Not visible 0 Depth Stem girdling 0
Codominant stems El included bark 0 Cracks N Dead 0 Decay N Conks/Mushrooms 0
Sapwood damage/decay 0 Cankers/Galls/Burls 0 Sap ooze 0 T Ooze N Cavity 0 % circ.
Lightning damage 0 Heartwood decayN Conks/Mushrooms 0 Cracks N Cut/Damaged roots 13 Distance from trunk
Cavity/Nest hole . % circ. Depth _ Poor taper 0 Root plate lifting 0 Soil weakness 11
Lean _* Corrected?
Response growth None noted Response growth None noted
main concern(s) Trunk failure as a resulf of significant Main concern(s) Root collar failure as a result of significant
decay decay
Load on defect N/A0 MinorO ModerateD Significantffi Load on defect N/A 0 Minor 0 Moderate 0 Significant N
Likelihood of failure Likelihood of failure
Improbable.0 . Possible 0 Probable N Imminent 0 ImprobableO Possible 11 Probable 0 Imminent 13
Page I of 2
Risk Categorization
Likelihood
Risk
Hill
pill
Bill
Bill
rating
of part
Conditions
Target
(from
of concern
Matrix 2)
Basal and lower
0
M
a
[0]
[*]
K
E*]
[9]
E*
[0]
[0]
r*1
.,
*10
r_.j
L7
_j
R
0
R
X
5
Im
trunk decay.
i
9
9
Mo
X,
1*1191
X
L01
1*1191
E01
X
191
X
NO,
LK
0
M
0
191
N
X
[011*1
X
1*1
[91
ro,
re",
RE
X
N
WE
R
N
M�
ERNE
1*11*1101101
N
5759]w
WERE
0
191191
X
R
X
1*129
N
E9
R
X
70
1*1
R
5*7
X
IN
M
M
0
101101
R
1011011*11*11*1
ro,
R
X
W
R
191
%
X
E
M
E
X
X
X
IN
9
X
X
X
191
C*
NN
9
1919
Eft
IN
0
M
N
191
R
X
X
N
191
X
R
r*11
W,
R
X
191
R
N
[01
M
M
0
R
X
R
[911*1
""16
1*1
X
W
rol.
R
20
191
X
X
N
M
M
M
1911*11011011911#1191191
co
R
R
R
191101101191
mmw�
WERE
1911911911*1
ro
WJ9791
EWEN
IN
M
M
M
�
[91101
X
X
[011911*1
N
E9
[91101
N
X
191
X
X
Matrix/. Likelihood matri)c
Likelihood
of Failure
Likelihood of Impacting Target
Ve Io7-
Low
Medium
High
,Imminent
'Unlikely
Somewhat likely
Likely
Very likely '7
Probable
Unlikely
Unlikely
Somewhat likely
Likely
Unlikely
Unlikely
Unlikely
Somewhat likely
Unlikely'
Unlikely
Unlikely
Unlikely �!'
MatriK2. Risk rating matrix.
Likelihood of
Failure & Impact
Consequences of Failure
Negligible
Minor,
Significant
Severe
Very likely
Low
Moderate
High
Extreme
Likely
Low
Moderate
High
High
: Somewhat likely
Low
Low
Moderate
Moderate
Unlikely ,
Low
Low
. Low
Low
Notes, explanations, descriptions Tree# 3 has a high risk of failure.
Removal was the correct mitigation action given the defects noted.
North
Mitigation options If required replace this tree on a 2:1 ratio with a native species, Residual risk
at least 1 inch diameter measured at 4.5 feet height for deciduous trees, or Residual risk
a minimum of 6 feet height measured from the top of the root ball for evergreens. Residual risk
Residual risk
Overall tree risk rating Low 0 Moderate 0 High N Extreme 13 Work priority 10 2 0 3 0 4 0
Overall residual risk Low N Moderate 11 High 0 Extreme 0 Recommended inspection interval Not applicable
Data 0 Final 0 Preliminary Advanced assessment needed ONo OYes-Type/Reason
Inspection limitations []None [Wisibility OAccess OVines ORoot collar buried Describe Tree removed, inspection of fragments and stump.
This datasheet was produced by the International Society of Arboriculture (ISA) and is intended for use by Tree Risk Assessment Qualified (TRAQ) arborists — 2013
Page 2 of 2
'1264-2 M,
plewo od Dr
#2 PsMe 12.6" (Tall Stump)
0
1 PsMe 20.3" �7'r
#3 PsMe 14.3"
Urban Forestry Services, Inc.
15119 McLean Rd
Mount Vernon, WA 98273
Title: Marchis Property - Level 2 Basic Tree
Asse ssment
Prepared for: Mr. Adrian Marchis
20412 Maplewood Drive
Edmonds, WA 98026
Approximate Location of Assessed Trees
Date: October,. 2014
Not To Scale
Location of Trees is Approximate
Only
ASSUMPTIONS AND LIMITING CONDITIONS
Urban Forestry Services, Inc.
15119 McLean Rd.
Mount Vernon, Washington 98273
I Limitations of this Assessment
This Assessment is based on the circumstances and observations as they existed at the time of
the site inspection of the Client's Property and the trees inspected by Urban Forestry Services,
Inc. and upon information provided by the Client to Urban Forestry Services, Inc. The
opinions in this Assessment are given based on observations made and using generally
accepted professional judgment, however, because trees and plants are living organisms and
subject to change, damage, and disease, the results, observations, recommendations, and
analysis took place and no guarantee, warranty, representation, or opinion is oMred or made
by Urban Forestry Services, Inc. as to the length of the validity of the results, observations,
recommendations, and analysis contained within this Assessment. As a result, the Client shall
not rely upon this Assessment, save and except for representing the circumstances and
observations, analysis, and recommendations that were made as at the date of such inspections
It is recommended that,the trees discussed in this Assessment should be re -assessed
periodically.
Urban Forestry Services, Inc. shall not be required to give testimony or to attend court by
reason of this report unless subsequent contractual arrangements are made, including payment
of an additional fee for such services as described in our fee schedule and contract of
engagement.
Sketches, diagrams, graphs, and photographs in this report, being intended as visual aids, are
not necessarily to scale and should not be construed as engineering or architectural reports or
surveys.
Reaction of Assessment
The Assessment carried out was restricted to the Property. No assessment of any other trees or
plantshas been undertaken by Urban Forestry Services, Inc. Urban Forestry Services, Inc. is
not legally liable for any other trees or plants on the Property except those expressly discussed
herein. The conclusions of this Assessment do not apply to any areas, trees, plants, or any
other property not covered or referenced in this Assess rent.
Professional Responsibility
In carrying out this Assessment, Urban Forestry Services, Inc. and any Assessor appointed for
and on behalf of Urban Forestry'Services, Inc. to perform and carry out the Assessment has
exercised a reasonable standard of care, skill, and diligence as would be customarily and
normally provided in carrying out this Assessment. The Assessment has been made using
accepted arboricultural techniques. These include.a visual examination of each tree for
structural defects, scars, external indications of decay.such as fungal fruiting bodies, evidence
of insect attack, discolored foliage, the condition of any visible root structures, the degree and
direction of lean (if any), the general condition of the tree(s) and the surrounding site, and the
current or planned proximity of property and people. Except where specifically noted in the
Assessment, none of the trees examined on the property.were dissected, cored, probed, or
climbed and detailed root crown examinations involving excavation were not undertaken.
While reasonable efforts have been made to ensure that the trees recommended for retention
are healthy, no guarantees, are offered, or implied, that these trees, or all parts of them will
remain standing. It is professionally impossible to predict with absolute certainty the behavior
of any single tree or group of trees, or all their component parts, in all given circumstances.
Inevitably, a standing tree will always pose some risk. Most trees have the potential to fall,
lean, or otherwise pose a danger to property and persons in the event of adverse weather
conditions, and this risk can only be eliminated if the tree is removed.
Without limiting the foregoing, no liability is assumed by Urban Forestry Services, Inc. or its
directors, officers, employers, contractors, agents, or Assessors for:
• any legal description provided with respect to the Pro ertv*.
.p
• issues of title and or ownership respect to the Property;
the accuracy of the Property line locations or boundaries with respect to the Property; and
the accuracy of any other information provided to Urban Forestry Services, Inc. by the
Client or third parties;
* any consequential loss, injury, or damages suffered by the Client or any third parties,
including but not limited to replacement costs, loss of use, earnings, and business
interruption; and
e the unauthorized distribution of the Assessment.
The total monetary amount of all claims or causes of action the Client may have as against
Urban Forestry Services, Inc. including but not limited to claims for negligence, negligent
misrep*resentation, and breach of contract, shall be strictly limited to solely to the total amount
of fees paid by the Client to Urban Forestry Services, Inc. pursuant to the Contract for Services
as dated for which this Assessment was carried out. Further, under no circumstance may any
claims be initiated or commenced by the Client against Urban Forestry Services, Inc. or any of
its directors, officers, employees, contractors, agents, or Assessors, in contract or in tort, more
than 12 months after the date of this Assessment.
4. Third Party Liability
This Assessment was prepared by Urban Forestry Services, Inc. exclusively for the Client.
The contents reflect Urban Forestry Services, Inc. best assessment of the trees and plants on
the Property in light of the information available to it at the time of preparation of this
Assessment. Any use which a third party makes of this Assessment, or any reliance on or
decisions made based upon this Assessment, are made a the sole risk of any such third parties.
Urban Forestry Services, Inc. accepts no responsibility for any damages or loss suffered by
any third party or by the Client as a result of decisions made or actions based upon the use of
reliance of this Assessment by any such party.
5. General
Any plans and/or illustrations in this Assessment are included only to help the Client
visualize the issues in this Assessment and shall not be relied upon for any other purpose.
This report a ' nd any values expressed herein represent the opinion of Urban Forestry Services,
Inc. Our fee is in no way contingent upon any specified value, a result or occurrence of a
subsequent event, nor upon any finding reported.
The Assessment report shall be considered as a whole, no sections are severable, and the
Assessment shall be considered incomplete if any pages are missing. The right is reserved to
adjust tree valuations, if additional relevant information is made available. This Assessment
is for the exclusive use of the Client.
CITY OF EDMONDS
1215 th Avenue North, Edmonds WA*98020
Phone: 425.771.0220 -Fax: 425371.0221 - Web: www.edmondswa.go
DEVELOPMENT SERVICES DEPARTMENT - PLANNING DIVISION
September 18, 2014
Mr. Dali Megiveron-Marchis
20412 Maplewood Dr.
Edmonds, WA 98026
daliadiO,earthlink.net
Subject: Request for Information Regarding Tree Cutting at 20412 Maplewood Dr.
Dear Mr. Megiveron-Marchis:
It was brought to the City's attention that trees were being cut on the property addressed 20412 Maplewood Drive.
Upon a visit to the site this afternoon, it was found that five trees were recently cut. Pursuant to Edmonds
Community Development Code (ECDC) 18.45.020'and 18.45.030, a permit is required to cut trees on developed
single-family lots unless the following exemptions are met:
A. Clearing on an improved single-family lot or clearing on a partially improved single-family lot,
which is capable ofbeing divided into one additional lot, exceptfor:
1. That portion ofthe lot that is located in a designated environmentally sensitive area;
2. That portion ofthe lot that. is located within 25feet of any stream or wetland,
3. That portion ofthe lot that has slopes exceeding 25 percent;
Two of the recently cut trees were observed to be directly south of the driveway on a relatively level portion of the
site. Since this portion of the site has less than a 25 percent slope, a permit would not have been required'to cut
those two trees. However, three trees were observed to have been cut from the southern side of the property in the
area to the south of the house where there is a slope that appears to be in excess of 25 percent. As such,.a.permit
would have been required to cut these trees unless they were deemed to be hazardous under the critical areas '
provisions of ECDC 23.40.220.C.7.b, which allows for the following (without the need for a tree cutting permit):
b. The removal oftreesfrom critical areas and buffers that are hazardous, posing a threat to public
safety, orposi . ng I an i . mminent risk of damage to -private property provided, that.
i. The applicant submits a reportfrom an ISA- or ASCA-certified arborist or registered landscape
architect that documents the hazard andprovides a replanting schedulefor the replacement trees;
ii. Tree cutting shall be limited to pruning and crown thinning, unless otherwisejustified by a
qualfedprofessional. Where pruning or crown thinning is not sufficient to address the hazard,
trees should be removed or converted to wildlife snags;
iii. All vegetation cut (tree stems, branches, etc.) shall be left within the critical area or buffer
unless removal is warranted due to thepotentialfor disease orpest transmittal to other healthy
vegetation or unless removal is warranted to improve slope stability;
iv. The land owner shall replace any trees that are removed with newtrees at a ratio oftwo
replacement t�eesfbr each tree removed (two to one) within one year in accordance with an
approved restoration plan. Replacement trees may be planted at a different, nearby location if it
can be determined thatplanting in the same location would create a new hazard orpotentially
damage the critical area Replacement trees shall be species that are native and indigenous to the
site and a minimum of one inch in diameter at breast height (dbh) for deciduous trees and a
minimum ofsixfeet in heightfor evergreen trees as measuredfrom the top ofthe root ball;
v. If a tree to be removedprovides critical habitat, such as an eagle perch, a qualified wildlife
biologist shall be consulted to determine timing and methods ofremoval that will minimize
impacts; and
vi. Hazard trees determined to pose an imminent threat or danger to public health or safety, to
public or private property, or ofseri . ous environmental degradation may be removed or pruned by
the land owner prior to receiving written approvalfrom the city provided, that within 14 days
following such action, the land owner shall submit a restoration plan that demonstrates
compliance with the provisions of this title;
As stated above, a tree cutting permit would have been required pursuant to ECDC 18.45.020 for the cutting of the
three trees on the southern side of the site on the slope of over 25 percent unless the trees were found to be
hazardous by a certified arborist. A gentleman on the tree removal crew stated that the trees were hazardous, but he
is not a certified arborist. In order to document whether the subject trees would have been exempt from a tree
cutting permit under the above code provisions, the trees will need to be assessed by an ISA or ASCA certified
arborist using the ISA Tree Risk Assessment Form. It is suggested that you leave any remaining debris on site in
order to assist the arborist in making an assessment of the trees. All,three of the trees on the slope of over 25 percent
must be assessed using the ISA Tree Risk Assessment Form. Please also provide a site plan labeling each tree with
a letter/number that corresponds to the letter/number identified by the arborist on the assessment forms.
Any trees that fall under the risk ra ting on the assessment forms of high or extreme would be exempt from tree
cutting permit requirements under the above code parameters. Any trees, however, that do not fall under the risk
rating of high or extreme would have required a permit to be cut and will be subject to potential code enforcement
action. Therefore, please have an ISA or ASCA certified arborist complete an assessment form for each of the trees
that were cut so that we can conclusively determine whether the trees would have been exempt from permit
requirements.
Please submit the requested information to the City of Edmonds Planning Division by September 26,2014. Ifyou
have any questions, you are welcome to contact me at (425) 771-0220 or Jen.Machuga@edmondswa.gov.
Sincerely,
Jeri Machuga
Associate Planner
Cc: Mike Thies, Code Enforcement
P.1 AIN
ADUL-T FAMIL---,Y HOME-l-, U CENSoE
License Number: 497700
Pursuant to the laws of the State of Washington and the Minimum Licensing Requirements
of the Department of Social and Health Services, a license is hereby granted to
CORNELIA BRUJBAN
to conduct and maintain at 20412 MAPLEWOOD DR
City of EDMONDS, Zip Code 98026 County of SNOHOMISH State of Washington
an Adult Family Home for the care and supervision of adults as. follows:
24-hour care for no more than 6 adults
This license shall be in force from the 3rd of December, 1999 subject to suspension or revocation for due cause.
This home has a special designation, to provide service to persons with: Dement ia Mental Illness
Conditions on License, if any:
Licensing Authority
NOTE: The department renewal of a license does not preclude the department from taking any action under WAC 388-76-705, based on inspection.
This license is not transferable, and is valid only for use by the corporation, partnership or individual(s) to whom it is issued and at the location above described.
Issued by Authority of Chapter RCW 70.12
RETURN ADDRESS:
City of Edmonds, City Clerk
121 5th Avenue North
Edmonds, WA 98020 FEB 1 1.2000
DEVELOPMENT SERVICES crR.
CITY OF EDMONDS
NOTICE OF LIMITATION AND COVENANT
ADULT FAMILY HOME
Reference#: 15111t0tVt4W1r
Grantor(s): (1) &&AECIA Additional on pg.—
Grantee(s): City of Edmonds
Legal Descrip . tion (abbreviated): Sec-9 —Twn--Z!--Rn Qtr-5w
OR
Assessor's Tax Parcel ED#(s): (1 5V6-7 - ow - ooY-
_____Assessor's Tax Parcel ID# not 'yet assigned
AUTHORIZED FOR RECORDING
City of Edmonds
By: �-T4 Date:
Page I of 3
r
WHEREAS, the undersigned owners of property located atZ42 "A�&Ete000w
V14- Vb2,6 -1 in Edmonds, Washington legally described
below or on the attached Exhibit A, have applied for a building permit for
compliance and/or to remodel a structure located on the site; and
WHEREAS, the applicant has notified the City of applicant's intention to. utilize the
improvements and/or to convert an existing single family structure to an adult
family home; and
WHEREAS, under the Uniform Building Code the number of occupants of a
structure trigger certain requirements relating to the fire suppression and. exiting
requirements; and
WHEREAS, the City has notified the applicant that the permit will be issued
conditioned on limitation of residents to fewer residents and their
caretakers; and /
WHEREAS, the City has issued a permit based upon such representations;
NOW, THEREFORE, the undersigned property owners (hereinafter
"Owner") in consideration of the issuance of a building permit and in order to
confirm the promises upon which such issuance is based while providing notice to
any future owners or mortgagors of the property does hereby stipulate, covenant
and agree as follows:
1 1. Covenant: Limitation on Residence, The owner hereby stipulates
and agrees that occupancy of the structure as an adult family home shall be limited
to 6(.51,K)-or fewer adults and their caretakers as allowed by applicable
provisions of state law. The owner acknowledges that in the event that the applicant
seeks revision of the applicant's state license to operate an adult family home with
an occupancy of greater than' 6�-514) residents or attempts to rent, lease or
otherwise rovide residence ior additional residents above the
5AX 41) permitted in the current occupancy classification, the structure shall
be vacated and all residential use ceased until such time as the property is brought
into compliance with the provisions of the State Building Code, under the edition of
the Uniform Building Code then in effect. The owner further stipulates that this
covenant touches and concerns the land so long as the present structure and use
continues and shall run with the land to all future purchasers and assigns.
2. Subject Tract, The above stipulation and promises shall apply to and
run with the land with respect to a residential structure located at 20-1k-q
I ye- Edmonds, Washington and legally described as:
3. Notification to Future Purchasers and Assignees. This notification
and covenant has been recorded in the records of Snohomish County, Washington
in order to provide notice to any and all future owners of the property of the
limitation at the current level of improvement to single families and adult family
home residents fewer than RMAN)n number.
4. Enforcement, In addition to any and other remedies civil or criminal
which the City may have, the property owner hereby agrees and stipulates that this
grant of covenant shall entitle the City to enforce by injunction the provisions of this
code and, in so doing, to recover its reasonable attorney's fees and costs.
AUTHORIZED FOR RECORDING
City of Edmonds
By: JZ6 Date: 7--9-00
Page 2- of 3
// 7H /�mu#+'&y
DATED this - day of
ACCEPTED BY:
OWNER:
J Kne L. Graf L*'
Building Official
AocH Z 4y 49 7-7W
&jl,yar 1eAAj1r #
NOTIFICATION
NOTARY FOR OWNER SIGNATURES
State of Washington )
County of 5�0& )ss
mt�,�
APPLICANT/PROPERTY
Applicant
A
Owner C/
Owner
COVENANT AND
ACKNOWLEDGED:
Mortgagor
I certify that I know or have satisfactory evidence that 000"17iffiq- 1'3rtf- I' ovy,
signed this instrument, on oath stated that he/she was authorized to execute the
instrument and acknowledged it as the 0 60/? e.1- -(title) of 72le-
af 11� (name of party on behalf on whom instrument was executed) to be the
free and voluntary act of such party for the uses and purposes mentions in this
instrument. Subscribed and sworn to before me this aM* dayof
I O.-PC-00 .
"le -A Q r 14 __
N'ota6 Public in d for the State of Washington.
My commission expires el"_ / �, — 03 —
I certify that I know or have satisfactory evidence that Col'welle?_'
signed this instrument, on oath stated that he/she was authorized to execute the
instrument and acknowledged it as the 00_"'Yel�_ -(title) of Ve
&ld,,A fiae 7r- (name of party on behalf on whom instrument was executed) to be the
free and voluntary act of such party for the uses and purposes mentions in this
instrument. Subscribed and sworn to before me this - day of
.919
Ro
..-40N Notary Public in and for the State of Washington.
co
opy 0 My commission expires
�%P
�o
0
AUTHORIZED FOR RECORDING
lot
City of Edmonds
OFa By: jZ6 Date: &2-6-CrO
Page 3 of 3
L:VrEMP\BUILDING\FORMS\ADF-COV.DOC
RETURN ADDRESS:
City of Edmonds, City Clerk
121 5th Avenue North
Edmonds, WA 98020
NOTICE OF LEWITATION AND COVENANT
ADULT FAMILY HOME
Recelver)
FEB 1 12000
DEVELOPMENT SERVICES
CITY OF EI)MONDS CTR-
Reference#: Idy lmwt� lawr # zool%
Grantor(s): (1) Additional on pg,--
Grantee(s): City f Edmonds
Legal Description (abbreviated): Sec—j--Twn—zz--Fn Qtr-5w
OR Lot-------Block--?la�A—
Assessor's Tax Parcel ED#(s): (1 5067 - 000 - OoY- Q0
Tax Parcel ED# notyet assigned
AUTHORIZED FOR RECORDING
City of Edmonds
B X-4 Date: -2--ZOW
y: L -- -
Page / of 3
WHEREAS, the undersigned'owners of property located a
-Q110,A/ba, V14q - 76"026 , in Edmonds, Washington legally described
below or on the attached Exhibit A, have applied for a building permit for
compliance and/or to remodel a structure located on the site; and
WHEREAS, the applicant has notified the City of applicant's intention to utilize the
improvements and/or to convert an existing single family structure to an adult
family home; and
WHEREAS, under the Uniform Building Code the number of occupants of a
structure trigger certain requirements relating to the fire suppression and exiting
requirements; and
WHEREAS, the City has notified the applicant that the permit will be issued
conditioned on limitation of residents to ---.;51:5iX1r fewer residents and their
caretakers; and /
WHEREAS, the City has issued a permit based upon such representations;
NOW, THEREFORE, the undersigned property owners (hereinafter
"Owner") in consideration of the issuance of a building permit and in order to
confirm the promises upon which such issuance is based while providing notice to
any future owners or mortgagors of the property does hereby stipulate, covenant
and agree as follows:
1. Covenant: Limitation on Residence. The owner hereby stipulates
and agrees that occupancy of the structure as an adult family home shall he limited
to k(six) or fewer adults and their caretakers as allowed by applicable
provisions of state law. The owner acknowledges that in the event that the applicant
seek9 revision of the applicant's state license to operate an adult family home with
an occupancy of greater than' g6f.5�4) residents or attempts to rent, lease or
otherwise provide residence io r additional residents above the
VX AJ permitted in the current occupancy classification, the structure shall
be vacated and all residential use ceased until such time as the property is brought
into compliance with the provisions of the State Building Code, under the edition of
the Uniform Building Code then in effect. The owner further stipulates that this
covenant touches and concerns the land so long as the present structure and use
continues and shall run with the land to all future purchasers and assigns.
2. Subject Tract, The above stipulation and promises shall apply to and
run with the land with respect to a residential structure located at
Edmonds, Washington and legally described as:
-N
(5D AZC QRJL)6-2P- 0?'-- LO-f n 4 7hOEWCZ 5 0,0 O'M ' 4/1 * V/ A -6006 7v-
'r-7 61AIE c9,F- ZWD-r- q ',' MZ, 93 -F?5-F-1 7V V/6- 77.1-00e ?TV/A/-r 07P-
6"'? � o2 3'5-/ " &- 100 4--E� I-D -r#E7 E &MIC- CW6D7 cF,,
1-1-WCE AJ 00 a 01? 11 (e! I? eE A-60A)C, UAlf- /0,0 ;:L� 7-
-t - 1r- D t-1 I A P7-- I-% ?-- n I � 11 A 1�- I
-S
MIS
3. Notification to Future Purchasers and Assignees. This notification
and covenant has been recorded in the records of Snohomish County, Washington
in order to provide notice to any and all future owners of the property of the
limitation at the current level of improvement to single families and adult family
home residents fewer than
f. "N)n number.
4. Enforcement, In addition to any and other remedies civil or criminal
which the City may have, the property owner hereby agrees and stipulates that this
grant of covenant shall entitle the City to enforce by injunction the provisions of this
code and, in so doing, to recover its reasonable attorney's fees and costs.
AUTHORIZED FOR RECORDING
City of Edmonds
By: -:J26 Date: ?--2y-00
Page 2— of -3
pp, &
/ 7H Z050
DATED this — day of fim WXY
ACCEPTED BY:
OWNER:
V_ te,
Jeannine L. Graf
Building Official
AFH Z lt&vte 4 49:7-7W
#
NOTIFICATION
NOTARY FOR OWNER SIGNATURES
State of Washington )
)ss
County of 5�0_&M/C)1�
APPLICANT/PROPERTY
Applicant
AM&
Owner , U
Owner
COVENANT AND
ACKNOWLEDGED:
Mortgagor
I certify that I know or have satisfactory evidence that 000"Al-fig
signed this instrument, on oath stated that he/she was authorized to execute the
instrument and acknowledged it as the 0 6( e_ —(title) of 7�1c� d Icle,?
q-e IC (name of party on behalf on whom instrument was executed) to be the
free and voluntary act of such party for the uses and purposes mentions in this
instrument. Subscribed and sworn to before me this 4z day of
I oa�_-
. '— Q� " Ze'�'4 __
Nota6 Public in Ad for the -State of Washington.
My commission expires - (�'-/ f-0.3 _.�_
I certify that I know or have satisfactory evidence that
signed this instrument, on oath stated that he/she was authorized to execute the
instrument and acknowledged it as the 06e__>'�1VC1r Atitle) of ive
&ld,,ti 7r- (name of party on behalf on whom instrument was executed) to be the
free and voluntary act of such party for the uses and purposes mentions in this
instrument. Subscribed and sworn to before me this day of
'19
no
Notary Public in and for the State of Washington.
"\O
NRY My commission expires
0
% AUTHORIZED FOR RECORDING
1#0
9 19, City of Edmonds
4X z_
fit
%%%\\OF By: j26 Date: 2-2-6
Page 3 of 3
L:\TEMP\BUILDING\FORMS\ADF-COV.DOC
RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
C
oe
W
/(7
MAP-ING ADDRESS
CITY ZIP TELEPHONE
61(fO,96
NAME
ADDRESS
CITY ZIP I TELEPHONE
NAME
ADDRESS
CITY ZIP I TELEPHONE
STATE LICENSE NUMBER
0 NEW
0 ADDITION
0 REMODEL
0 REPAIR
0 DEMOLISH
oGARAGE
CARPORT
(TYPE OF US�, BUSI
PARCEL NO.
— 0,0
RESIDENTIAL
COMMERCIAL
C3 APARTMENT
GRADING CYDS
TANK
RETAINING WALL
onflvcov
DATE I CHECKED BY
PLUMBING / MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
FENCE
E] ( X FT)
OTHER Amlytl
RENEWAL
.5/c - 1-74111 / / y
, /C/ ,oqrj 14 1 r
& K,(
_�jf —
NUMBER
NUMBER OF
CRITICAL
OF
DWELLING
AREAS
414
I
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
�6VP /
ij
HEAT SOURCE I GLAZING % I LOT SLOPE %
PLAN CHECK NO:
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. 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: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, 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 MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE
NOR LIMIT IN ANYWAY 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 CONSTRUC-
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
S)(!rN�TURF (OW4ER OR NT) DATESIGNED
0-2/
r
r
A17ENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98
022
PERMIT EXPIRES
USE PERMIT
ZONE
5 — I Z, NUMBER
JOB J)e ')S
ADD x1rca) C -2
RESSZ�/�Q / 41�rZ�(
I )em - q T62)6
PLAT NAME/SUBDIVI SION NO. LOT NO. LID NO.
LID FEE $
TESCP Approved 0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pemit Required Q
Street Use Pe-ft Req'd 0
EXISTING — PROPOSED Inspection Required 0
Sidewalk Required 0
REQUIRED DEDICATION— FT Underground
wiring required 0
METER SIZE LINE SIZE NO. OF FIXTURES �. 1, PRV REQUIRED
YES 0 NO 0 z
uj
z
REMARKS z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 0
z
&JIld,W6 W
ENGINEERING REVIEWED/DATE
FIRE REVIEWED BY DATE I _U_
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
REO'D
POSTED
0 YES
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT.
ALLO . WED PROPOSED
ALLOWED PROPOSED
EXP I
,
,
I LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
z
zz-
PARKING
LOT AREA
PLANNING REVIEWED BY DATE 1 5
CIL
REO'D I PROVIDED
CHECKEDBY I TYPE OF CONSTRUCTION I CODE 111U 1A
197 Pk3l
GROU
11%F1_1 _
SPECIAL INSPECTOR JAREA OCCUPANT
REQUIRED [:] YES LOAD
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 6
_j
51—,4 le 41' 7-7 700
ges bf I vi�-Vlsve� #
VALUATION I FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
STATE SURCHARGE
ENG. REVIEW FEES
ENG. INSPECTION FEE
LANDSCAPING
INSPECTION FEE
RECEIPT
PLAN CHECK DEPOSIT
RECEIPT 149o&
12 0'ao— 14,
TOTAL AMOUNT DUE
APPLICATION APPROVAL
CALL
This application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid. and
FOR INSPECTION receipt is acknowledged in space provided.
OFFICIALS SIGNATURE DATE
(425)
0-2 0 -0
771-0220
RELEASEDW DATE
EXT 333
771-0221
ORIGINAL - FILE YELLOW - INSPECTOR
FAX
PINK - OWNER GOLD - ASSESSOR
0
� 0
.
J
1.-04
06-c-,K-
,BCD P-ooml#
Alk- x
FRON r-
DOok
KzjPLACE
01)
20�1.9, 1"�4pz-=I-VIOOD ole. q(?02-6
0
'�XIN D 0 LX-1 S -
Of4�M-St;E
C47i-/P -
C) C)/'� # _j
- * '22
* 3
* 4�
ILJ
312')
/.�3 x �2 J
I -
1 /30 lo2 3
:�' 5 / 3 o x /'�?' 3
WW2
CITY OF EDMONDS
BUILDING DEPARTMENT
IWORK Pe
ADDRESS
OWNER
APPROVED DATE:
BLDG. OFFICIAL
PERMIT N U
ci
�� - S-5
97 UBC
Ifec
FES
of�
Cll� OF QW crit
E
0
*A RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
60jeA161-111 6)e(1764Aj_T11_6_ C
MAILING ADDRESS f
,294 /-Q 1*40,01f (x/00_/b bP-.
CITY ZIP TELEPHONE
f�>4ov,Ds . ?,fo,�26 L1697-4-249
NAME
ADDRESS
CITY ZIP I TELEPHONE
NAME
ADDRESS
CITY ZIP I TELEPHONE
STATE LICENSE NUMBER EXPIRATIONDATE I CHECKEDBY
-ROPERTY JAX ACCOUNT PARCEL NO.
2`06 7 — 000 — 00 9— 0
0 00
NEW RESIDENTIAL
PLUMBING / MECH
AUDITION C] COMMERCIAL
o COMPLIANCE OR
CHANGE OF USE
REMODEL 0 APARTMENT
SIGN
REPAIR C:] GRADING
CYDS
FENCE
( X FT)
DEMOLISH E] TANK OTHER
Of 16VAJ41vit
oGARAGE C] ROETAIENRING WALL
CARPORT R CK Y
0 RENEWAL
(TYPEOFUS BUSINESS OJACT;YgY) EXPLAIJ:
U Yo
NUMBER
OF f
NUMBER OF
DWELLING
"4c
CRITICAL
AREAS
40
STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
HEAT SOURCE GLAZING % I LOT SLOPE %
PLAN CHECK NO: IVESTED DATE,.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. 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.
cc
Lu PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
tu ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
cc
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 MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANYCITY ORDINANCE
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITYTO ENFORCE ANYORDINANCE PROVISION."
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECTAND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZEDTHEREBY, NO PERSON WILL BE EMPLOYED
IN VIOL.�TiON;.OFjHE LABOR CODE OF THE, STATE OF WASHINGTON RELATING TO
WORKMEN'S COM�EIN19ATION INSURANCE AND RCW 18.27.
SKN�TQRE ('0 ER OR.642-, kT),.
DATE SIGNED
10-2//o/0'a
PERMITEXPIRES
UtE PERMIT
ZONE -NUMBER
JOB
ADDRESS��-Q S
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
LID FEE $
TESCP Approv7d_0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Penrift Required 0
Street Use Penrift Req'd (3
EXISTING - PROPOSED Inspection Required 0
Sidewalk Required 0
REQUIRED DEDICATION- FT Underg
Wiring =d 0
METER SIZE LINE SIZE __[7�Of FIXTURES �11 PRV REQUIRED
Y6 13 NO C3 3
Lu
REMARKS z
z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE (3
z
ildiv6 wt- /15�Le Z�vsoe (- 7� av-r ul
ENGINEERING REVIEWED/DATE
FIRE REVIEWED BY I r IDIE S
WVIVIIwL E I 1UL1 I
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REO'D
I PBOND
OSTED
0 YES (:) NO
SEPA REVIEW
SIGN AREA,
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
EXP I
I ,
I
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR
z
z
PARKING
LOT AREA
PLANNING REVIEWED BY DATE
REO'D I PROVIDED
I
I Aiwt 4 1q. fi-r-I (vt A PLI, k4 (ALC '�, A rv',
aw�Ij
50W 16.j.
A17ENTION —
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98
CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPAN1. I
197 GROUPg3//6,
SPECIAL INSPECTOR JAREA OCCUPANT
REQUIRED [3 YES LOAD
REMARKS
z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 5
5)'x le -�V 7 700
kshotfivy 6ove-41A4##
VALUATION I . FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
STATE SURCHARGE
ENG. REVIEW FEES nr.L i F
ENG. INSPECTION FEE
LANDSCAPING
INSPECTION FEE
RECEIPT
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
RECEIPT
loo&
ou
12o— f,
APPLICATION APPROVAL
CALL
this application is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid. and
FOR INSPECTION receipt is acknowledged in space provided.
(425)
OFFICIALS SIGNATURE DATE
ejq
771-0220
'_RELEiSEDW
DATE
EXT 333
771'0221
FAX
ORIGINAL - FILE - YELLOW - INSPECTOR
PINK - OWNER - GOLD - ASSESSOR