206 8TH AVE N.PDFiiiiiiiiiiii
8638
206 8TH AVE N
CITY OF EDMONDS
PUBLIC %10M — MINEERING
ET I L E
ACTION REPORT
SUSPENSE DATE:
Date: Time:
File #
Attachments:,
SUBJECT:
REQUEST RECEIVED BY:
TELEPHONE
CONTACT IN OFFICE
OTHER:
RECEIVED BY:
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NAME
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DATE
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ACTION: G I C (') 1.
All Concerned Notified
-tion Completed/File
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PLANNING DATA
NAME: �Irlej 6/
41 1,o6— [�� z, /-).
SITE ADDRESS:— 14 DATE:
ZONING. Rf-b PLAN CHK#:_ 2,7 3
PROJECT DESCRIPTION:
CORNERLOT e-;, (Yes/No) FLAG LOT. Iv,6 —(Yes/No)
SETBACKS:
Required Setbacks: Zl<
Front: ?,O� Left Side: Right Side: Rear: 57
Actual Setbacks:
Front: 7VV Left Side: 1T( Right Side: :0 55Rear:
Street map checked for additional setback required? YA, —(Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE: L5 5
Maximum Allowed: Actual:
B UILDING HEIGHT:
Maximum Allowed: Actual Height: fag2�E
Datum Point: Datum Elevation- —
A.D.U. CREATED?: Ao
SUBDIVISION: ___
CRITICAL AREAS k/"q f VtA
SEPA DETERMINATION: F ye',N el
LOT AREA:
OTHER:
Plan Review By:—
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Commercial
BUILDING ADDRESS
'IT.
C/ A�
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BLDG. DE1 SUSPENS E DATE INITIAL DATE
11 OFFICE ADMIN. — PUBLIC, WORd LOG"IN
��CITY ENGINEER (check)
STM"'EET FILE
Access Slope and Vehicle Access t;;1N k5( k�j
0 Drainage Plan
0 Street File
ElLegal Description
E]Quit Claim
ElEasement
Calc�il ate -Sewdr.Connection
ETWA�TER/'S'EWER DIVISION
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D ermine,..Meter Size_
et'
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REK, YIVISION
Com,p 1 e t e'-�Pui 1 ding Permit',Re'v`iew
[]OFFICE A'DMI N.' LOG OUT -'TO BLDG -.-' DEPT.
-------------------------------------------------------------------------
r,-"-I�-ILDING PERMIT APPLICATION (COMPLETE).
2 COPIES OF SITE PLAN
2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY -REVIE11ED BY -FIRE DEPT.)
3 COPIES OF DRAINAGE PLAN 141TH CALCULATIONS
REQUIRED BY SUBDIVISION 0
GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN 2,000 So. FT.
0 CHECK ZONING'REnuIREM�ENTS (SETBACKS)
11 1 COPY OF ENGINEERING CHECK LIST
1 COPY OF PUAr'LIC 14ORKS ME110
MULTIPLE OR CO101ERCIAL
YES (ATTACH:COPY OF ADB APPROVAL INCL. ALL DR*TINGS)
NO Q
SUBDIVISION YES[] NAME . .. ....
DATED RECORDED
NUMBER ' * ' :
NO (ATrAc.q 'COPY'OF -REQU"IR0,124TS)
CHECK SEWER DRAWING AND ATTACH COPY
IS DEDICATION REQUIRED' YESQ (OBTAIN QUIT CLAIt-0
0 ( CITY CODE
No []
DOES CITY HAVE EASEMENT ON PROPERTY
--- -- - . -Y-E!S-11--(AT-TACIi-C'OP-IES--O-FI DRAW-INGS)
NO
CHECK LEGAL ACCESS INGRESSF] UTILITIESF1
YES YES
NO NO
HAS SEWER ASSESSMENT BEEN PAID
YES L.I.:D. NO.
PLAT NO.
..—SUBDIVISION-MI.
El
7 . I
0 IF MULTIPLE: INCLUDE NUMBER OF UNITS'"
I1F'-C*0MMERCIAL: INCLUDE NUMBER OF FIXTURE UNITS'
. 44&-
mmwlilman� USE 1WPERMIT
CITY OF EDMONDS ZONE NUMBER
L
CONSTRUCTION PERMIT APPLICATION
Q,
NAME (OR NAME OF BUSINESS) ADDRESS
(0
VLEGAL
DESCRIPTION CHE K SUBDIVISION NO! ID NO,
W MAILING ADDRESS
Z I
1:
V7�
0 (�-06
CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
W r EXISTING REQUIRED DEDICATION
17 F0
PROPOSED
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 1-1 Uj
ADDRESS Z
t 0
SEE ENGINEERING MEMO DATED Z
M E NUMBER SEE PIW DEPT. REVIEW CHECK LIST DATED
CITY TELEPHON
REMARKS
NAM,E
a: ADDRESS
0 METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
Cl CITY TELEPHONE NUMBER
Z
0 REMARKS
STATE LICENSE NUMBER CITY LICENSE NUMBER
SIGN AREA ENV. REVIEW ADB NO�
Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT
(show below or attach four copies) SHORELINE N
Z
617
VARIANCE OR CU PLANNING REVIEW BY DATE
0 L 0/t4 CIA)
YARDS LOT COVERAGE
Z
FRONT SIDE REAR Z
REMARKS CL
Ll NEW
U RESIDENTIAL
LLffPLUMBING
ADDIALTER
NON-RESIDENTIAL
El MECHANICAL
REPAIR
RETAINING WALL
SIGN
EXCAVATE
FENCE
DEMOLISH
OR FILL
I- x _FT)
PRE -MOVE INSP.1
El
swim
COMPLIANCE INSP.
POOL
SIDE SEWER
WATER LINE
El
0
E]
NUMBER OF STORIES
NUMBEROF
DWELLING
I
UNITS
NATURE OF WORK TO
BE DONE (ATTACH PLOT PLAN)
Ili-5-1'lml-
eerlljeL,�q 5 �,5 ?nt
ED BY I TYPE OF CONSTRUCTION
I HEI
SPECIAL INSPFCTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP LOAD
[*J YES I'NO I I I I
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit ' covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
_�ermit
Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
- "Applicant,-on-behalf-of-his-or-herspouse,-heirs,.assigns-and-
LO successors 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
x of this permit. Issuance of this permit shall not be deemed to
0
, modify, waive or reduce any requirement of any city ordinance
0 nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
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
ATTENTION
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance.
INSPECTION
SIG A =UWNER�Y'AG,�" DATE S NE
DEPAR TMENT
CITY OF
EDMONDS
VALUATION
M
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees arepaid, and receipt is
acknowledged in space provided.
OFFICIAL's SIGNATURE
4THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX 775-2525 DATE
ATTENTION SHOULD BE CODED 31.04.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBIb
CHAPTER 3. CT 1 1 1982 PINK — Owner GOLD — Assessor
102-78 E. W.
0
Z
The City of Edmonds Side Sewer Drawing EASEXIENT NO - ----------------- ------ .. .........
213 -D1.350 NEW CONSTRUCTION REPAIRS P IJD NO . ................. ASMT. NO
OWNER------ 7—ELPIIA --- V-,—WRIGH-T --------------------------------------------- CONTRACTOR ------------------------- ........................................................ .. PERMIT NO . .. .................
JOB ADDRESS . ................... I ................... LEGAL DESCRIPTION: LOT NO . .............. ----------------------- BLOCK NO . ................... ................
.............................................................................. .............................................................................
NAMEOF ADDITION ............................ ....................................................................... ..................
DYE TESTED 014 SE!'.FER
Approved:
PWVV-0001-1 1/75 (REV.1 1/78) DATE . ............................................ 3y -- --------- -------- -------------- -- ------------------
APPLICATION
ror
SEDE SEWER PERMIT
The City of Edmonc 7 P.-T FILE EASEMENT No . ..........................................
NEW CONSTRUCTION C] REPAIRS 0
115-01350
... . ... ..... ... .. ..
OWNER ............ R.o- s - c .. o - e .... E ...... W.ri.g.h-t ................................................ CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... 2.0.6 .... 8.t.h .... A.v.e ....... N ....................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
Ll
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ......................................................................
cA FmE ivd�g - 4-
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soil s/topo graphy/hydrol o gy/v e getation)
I Site Address/Location:
2. Property Tax Account Number: Y -2 �2 �2 Q.3 7 -60 00
7
-1 Approximate Site Size (acres or square feet):-
4. Is this site currently developed? yes; no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15 % (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe): 7- MZ-,"10-�-
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: _;Approx. Depth:
What season(s) of the year?
8. Site is in the floodway A) floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? Flows are seasonal? _ (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
1 L' Obvious wetland is present on site: /�j
------------------- ------- --------- --------- For City Staff Use Orrly�wmm ---- -----------------------------------
S ite is Z oned?
SCS maDDed soil tvDe(s '9
We'tland inventory or C.A. map indicates wetland present on site? /�o
4]�:, , Critical Areas, inventory. or.C.A.-map . indicates Critical Area.onsite?.....A/o
'Site within designated, earth. subsidence landslide.hazard area?,
6.* 8itedesignate4 the.Environme'
on I ntally.. Sensitive Areas. M4 ?
P . �
MTEkMINATION
^ca_chk.doc� Rev 10/03/97
CONDITIONAL WAIVER
C E, I 'V F
—7
bate 1. ILI
PEAW COUNTEPLi
City of Edmonds
RECEIVED
J U L 0 6 998
CRITICAL AREAS CHECKLIST "'FIRG DEPT.
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.
The 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. 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).
An applicant, or his/her 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 property 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 assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
Name
Street Address
�2
city State
zip
��S- za
Tel5hone
<7
Signature
Da(e
Applicant Representative:
Name
Street Address
City - State Zip
Telephone
Signature
Date
creception\janakad.doc
(over)
IP C —.1 Sq 11
July 9, 1998
Clinton J. Wright
th *
206 8 Ave. West
Edmonds, WA 98020
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works - Planning/ Building - Parks and Recreation * Engineering - Wastewater Treatment Plant
Subject: Determination regarding Critical Areas Checklist # 98-184
Dear Applicant:
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
IMPORTANT INFORMATION TO BE NOTED. —
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHfC19J_SX OR CRITICAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
010, You must submit a copV of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
I I Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
C:ReceptIonUana\CRLTR.doc
Thank you.
Sharla Graham
Acting Planning Secretary
Incorporated August 11, 1890
Sister Cities International — Hekinan, Japan