20610 88TH AVE W (2).PDFIIIIIIIIIIII
8474
20610 88TH AVE W
NOTICE: NO WARRANTY OF ACCURACY The Information shown on the
rr,.,,n wa,-, c�vnplled tor use by the City of Ed=70.s, im emp!oyees
ano cxi-ju'liants. The City of Edmonds does not warrant the accuracy of
anyming set forth on the map. Any person or entity requesting a copy
shcj!d conduct an independent Inquiry regarding the Information shown on
the map, Including, but not limited to, the location of any sewer stub
shown. Such sewer stubs may or may not e)dst and may or may not e)dst at
the location shown, Neither the City of Edmonds nor its employees or
off icers shall be liable for the Information oven on ft map, w for any
nprese"an provided bmd upon sid map
1
1206101
PO
1"COPPER
00 00 MIMMIUM
\—EXIST 1" P.E.
W/TRACER
CITY OF EDMONDS WATERLINE AS -BUILT
A
C� ADDRESS:
u-1 1 20610 88TH AVE W
PERMIT
NO. XXXXXXX
CONTRACTOR: HOMEOWNER: SCALE:
CLASSICO HOMES I xxxxx I NTS
DATE INSPECTED: INSPECTED BY: DATE DRAWN: DRAWN BY:
08-11-1998 1 SAIGHLAND 1 07-18-07 J.TRIEU
c A R
o
N 89'2641" W
v 10430'
CZNTROL
eL
A� — — — — — — — — — — — — — — — — —
Ro
— — — — — — — — — — —
. ..........
— - — — — — — — — — —
-j — — — — — — —
71
TYP'C7
'Y'
DFZVEU)AY
sed A
R Oeme
FIN1W COZ ELEY
IMME
- - - - - - - - - - -
W-0.
- - - - - - - - - -
PATIO
EFROSION
FENCE
- - - - - - - - --- K- - -
102.2&
NORT14
�7�p- '' t Plan
`�A � Plo
SCALk; I- - 20'-V-
HEIGHT CALCULATION
PONT 'A'
IM,00'
Pow 15,
101or
F-004T'C
�
106JW'
PONT 10
111ro,
---------------
AVERACE
10515'
C.QADE
ACTUAL WEr.14T
30.15,
:30.15,
MAXIMUM WEi044T
LOT COVERAGE CALCULATION
--------------------
LOT COVERAGE 3083 Sa FT.
LOT AFEA 13.311 m Fr.
--------------------
LOT COVERAGzE PEFW-ENtAGE 21.54%
��(��L/i�eSCR!�TION
LOT I. 4&cas ADDITION
CITY 95PtDMONDS, U&%4NGTON
d O/V
1-9
CICHTIRM
FS1XZ
JA)
cov Frivate Road
c qOFCUF�RD
AT CATCH BASIN
N 852641" W
101
a
15% MIMLIM
0 .=14Y
EROSION
CONTROL
PENCE
I vll�oo
. ............. .......... — — — — — — 71
Y/
C40NCFM-M
DPJVE=Y
pbsed
B io'ence
FNL-44 OM FLEV.—A219"...-
RDC%E 12e,15*
— — — — — — — — — —
ck"
PATIO
V----------------
EROSION
CONTROI.
FENCE
=-67-
TYPICT
UTILITY
nil
Z.
446
IL/o/v
.191
Ll
CONTROL
FE1,110E
Q)
5 Se'2815" E
Eb =L� -- - - -- �
A --FMbL= I IGHTLINE MATERIAL�
CCE W-12 ADS
Sch 40 PVC
SDR 35 ( STM.D3034)
NORTH
HEIGHT CALCULATION LOT COVERAGE CALCULATION �EO FL/EgR T,'620/V 9YSTE-M
--------------- -------------------- --------------
POINT W 105.": LOT C40VERAGE 3,&a3 Sa FT. Lot 1, CLASSICO'S ADDITION
POINT 10100 LOT AREA 13,311 Sa Fr. CITY OF EDMONDS, WA5HW.TCN
PONT C, wboo — — — — — — — — — — — — — — — — — — — —
PONT ID, 111mo, LOT COVERAGE PERCENTAGE 21-15,4%
---------------
AVEIZAGE M.15'
CsRADE
ACTUAL HErA-ff wie,
MAXIMLIM WErkl-ff W.15'
SetbacksNariance/Setback Adjustment
.............
3"
Conditional Use Permit
AD13 Requirements
. . . . . . . . . . .
Other Zoning Requirements
A"
Underground Wiring Required
............
g.
'7/1
5
Lot Sjo pe 15%
. . . . . . . . . . . ....... ...........
6
SEPA Environmental Checklist/Hydraulics Permit
7-�
Tree Cutting Plan
Plat/Subdivision Requirements
....... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
- - - - - - - -
Legal Description Verification
10
Quit Claim/Street Dedications
............
-1
Easements - Public/Private U
..........
WC
Engineering Storm Drain Review Fee
13-.
14..
Engineerin 2.2 Inspection Fee
9 3e-)
Drainage Plan (On -Site)
........ ------
Setback - Top of Bank, Stream, Water Courses
Setback - Storm Drain Line
Open Ditch - Existing
Culvert Required
Culvert Size
20.
Shoulder Drainage/Shale Open Runoff
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............ .......... . . . . . .
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required
Curb & Gutter Required P-q-7
......
Curb Cut For Driveway Required f qj�Sj
. . . . . . . . . . . . . . . . . .
Street Paving Required p-9-7,S-i�-
2..,.
7"
Right -Of -Way Construction Permit Required 00
:...:28
Street Name Sign Required
Other Signing Required
Bond Required For Public Improvements
3
FEMA Map Check/Water Table
Side Sewer Availability ----
q4�5
.....
Calculate Sewer Connecfjon Fee If No LID # 914-
Create Street File
Existing Water Main Size
......
Water Meter Size
Service Line Size
Water Meter Charge Required
375.
Hydrant Required
Hydrant Size Existing
Fire Line Charge Required - Sprinkler
A�A
Street Cut
MIA) Al/ I
Miscellaneous
Reviewed By: --I- , /, /, ,
FIRE PLANNING ENGINEERING PIJBCIC'WOF-7tS
"no
R E C 0 R D OF C 0 N T A C T S
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT DATE ISSUED RECEIPT #
9,
29
10
30
11
31
32
I
PAID $ RECEIPT DATE
33
SS PERMIT_f DATE ISSUED �lnjlv- RECEIPT #/ zolf
14p,
PAID $ RECEIPT DATE
34
15
35
36
A
17
37
721 F ff PAID DATE RECEIPT
METER. SIZen
38
39
20
40
NOTICE:
Y.
No---W.ar.ra.._1
The -information on the attached
map(s) was c0m piled for use by the CitY Of
Edmonds-, its Employees and Consultants.
Th,.e City of Edmonds does. not.warrant the
accuracyof anything set for.th on these
Map(s). An . y person or entity a
copy should conduct an independent
inquiry regarding th-e information shown on
t5e -map(s)., including, but not limited to,
er stub shown. Suc
the lotation of any sew
sewer stubs may or may- not e.xist. and may
at the location shown
or may not exist
Neither the City of Edmonds nor its
empl-o-yee-s 0-r offi-ce-rs s.h.all be 1--ia-b-1--e for the
information given' on this map(5), nor for
any one representation provided based
upon said-map(s),
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION ff REPAIRS F� LID NO . .................. . ASMT. NO . ..................
OWNER.............. ................................................................................. CONTRACTOR .................................................................................... PERMIT NO. aa57�z
2.q6./ 68T'11,�lue_ "'
JOB ADDRESS .... . ......................................................... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
NAMEOF ADDITION ....................................................................................................... ...............
rc. d --1
Approved:
STO 6
EDMONDS'
I
rT
6- 1 TkF-Al Flt
PWW-0001-11175 (REV. 11/78)
DATE........ 0113.-M ................. By ......... ....................
---------------------- 7
/7 '?0
CITY OF EDMONDS
9 0
Address of Construction:
Property Legal Description (Include all �asements):
Owner and/or Contractor:
State License No.
_K�ngle Family
Mlulti-Family
El Commercial
El Public
SIDE SEWER PERMIT
PERMIT N2 VC 9 52
Building Permit No.
Invasion into City Right-of-Way-.,)RfNo 11 Yes
(No. of Units—) RW Construction Permit No.
Cross other Private Property)(T'No 11 Yes
Attach legal description and copy of recorded easement
I ceJiyJhAt I have read and shall comply with all city requirements
as i dic t on the back of the Permit Card.
9 Iza
DatV
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
0FF,10E USE ONLY
FOR INSPECTION CALL 2, PUBLIC WORKS DEPT.
Permit Fee: Issued By
Trunk Charge:— Date Issued:
Assessment Fe Receipt No. 0,/
Lid No.: —
Partial Inspection: Date —Initial
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Date 1 n i t i a I _CjL_J C4,6
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
1,2
USE
CITY OF EDMONDS ZONE
CONSTRUCTION PERMIT APPLICATIOINjo,3
OWN
,,77. ME/NAME OF BUSINESS
ADDRESS
NAM
ZIP I TELEPHONE NUMBER
NAME
ADDRESS
CITY -I- . — ZIP I TELEPHONE NUMBER
STATE �ICENSE NUMBER EXPIRATION DATE
on of Property -
Tax Account
Parcel No.
NEW
R A
LAJ RESIDENTIAL
PLUMBINGMEC.H
ADDITION
EJ COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
El APT.BLDG.
SIGN
FENCE
EIREPAIR
DEMOLISH
C,Yos.
WOODSTOVE
INSERT
X FT)
SWIM POOL
HOT TUB/SPA
r;Mt GARAGE
RETAINING WALL/
U CARPORT
ROCKERY
RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
PERMIT
NUMBER
Lr I IUN Ilt:LKI
5U6DIyI5ION "I
LID NO.
a Y'.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCPAppravedpA-r 4T_
RW Permit RequiredpAl G3'-
EXISTING REQUIRED DEDICATION
Street Use Permit Req'cltv. a -
Ins6ection Required/,F? -G��
Sidewalk Requiredp,,3, -i:a-
PROPOSED
Cr
Y7ER7Tq
LINESIZE,,
NO. OF Fla uRE§
PRVRE UIRED
T
NOP
R EVAR K,
Elk 1ALP�kIm-26,,1 Zel;,, 1)
W
IZ
i� 77&,,l Z
4a, - 3
Ui
4EERING MEMO DATED
e -, h b / � i
REVIEWED BY
VARIANCE OR CU
ADB
SHORELINE #
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED IPROBGS6�
ALLOWED
I
IPROPOSED
5-
EXP
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR SIDE REAR 0
2 k
of K
10 Z
P_ Z
LOT AREA
t�ANNING REVIEW BY
E
-1121"
rrji.J7'rr7 i al
(a /,?;717
CHECKED BY TYPE OF
� I A I
SPECIAL INSPECTOR V
0045 obcU
REQUIRED 0 YES - :Z.0&147 LOAD
REMARKS a 2 5j 4
I PROGRESS INSPECTIONS PER LIBC 108
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS I I
CRITICAL
AREAS
I NUMBEF(/4:4L7
mtl-=
r4Wj1At_ livwi,
DESCRIBE WORK TO BE DONE,(ATTACH PLOT PLAN)
LEW
FINAL INSPECTION IREOUIRE'D
VALUATION
FEE
PLAN CHECK FEE
T 0
BUILDING
-71
*7
-7:1 70
HEAT SOURCE:
GLAZING
PLUMBING
Plan Check No.
MECHANICAL
GRADINGWILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewolks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
4 11 J--J%
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
3e)
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
ENG. INSPECTION FEE
34)
i harmless the City of Edmonds, Washington, its officials
employees, and agents from any and all claims for damages oi
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
-PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
provision."
a k A Oki [1 41 th *#I,
I IIIIIIIII
I hereby acknowledge tHat aVV IVQ . FF .. 9 . .
information.given is correct; and that I am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
state laws?jgulating construction; and In doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application is not a permit until
ed thereo Y, PO erson wi!.l be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
.
C d I h e e of Washington relating to Workmen's Compensa-
e o It"ia
WORK NOTED
Deputy; and fees are paid, and receipt is
Jr F36V 18,�7. . ,
t, 0% Ins an
INSPECTION
acknowledged in space provided.
SIG RE( r 0- NE lk� GEN,). D�ATE /SIG 'D
DEPARTMENT
CITY OF
I A
OFF4qI It' SIG 4RE D�TE
j
EDMONDS
-7/1 q
CALLFOR
4- t LAT,
ATT, �;NTION
INSPECTION
71Y
?t
!,IT ISILiNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW — Inspector
VNTTIIL
ERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC
S 8 TION 109
PINK — Owner GOLD — Assessor
J�
I
ivate Road
4#14
IM f&\FA- ov- N 4---- 1
JE��CAV-Aj LpQ
NORTI,4 73 -5-13
Plot Plan c
Lt-IS
HEIGHT CALCULATION LOT COVERA GE CALCULATION LEGAL DESCRIPTION
--------------- -------------------- --------------
POINT W 051m, LOT C40YERAC-E 3,6a3 Sa FT. LOT 1. CLAGOICO'S ADDITION
PONT 13, 1010a LOT AREA 13.311 Sa FT. CITY or Er>MOKC>S, U45WW.TON
POINT :C. 1,06,0,0, - - - - - - - - - - - - - - - - - - - -
PONT 0- 111". LOT COVERAGE PERCENTAGE 21.54%
- - - - - - - - - - - - - - -
AVERAGE 05-15-
CARADE
ACTUAL ME16W
mAximuM WE *,W Z0.15'
covFrivate fRoaci
OF CUF�R5 ACCEprA
N-
N 6c326'41* W
IN
r'GlITUNS
_A
fol
Nil
wo
15% M�Imum
om
SLC��
r
Th#CZNTROL p3os
PENCE
UTILrrr
-------------------------
- - - - - - - --- ---------- it /6"ll
8 8e'28'V3'E
10220,
Ivi
EFROSION
WNTIRM
FENCE
ACE
TYPIC
Qj
qTERIAL
WNTROL
FENCE
NORTH
OWCAM 2v-v
ro
/ f /'-F FL/E9R4lTI/0N'/o/L/
HEIGHT CALCULATION LOT COVERAGE CALCULATION �EG
--------------- -------------------- --------------
PONT :A' 106"' LOT COVERACSE 31683 Sa FT. LOT I, CLAIMICO'S ADDITIC14
POINT B, 101mv LOT AFREA 13,311 EQ Fr. CITY Or EDMONDS, WASHMTON
POINT 'C W690' --- ---
POINT lm� Illmol LOT WVERAGE PERCENTAGE 21B4
AVERAr4E hz�-;
GRADE
ACTUAL 14EW.WT W.19,
MAXIMLM 14Er-44T W.15'
Q)
4RI:;4-
9 Y5 T6 M
c 0
T CURB
A CATC34 BASIN
wo",
101
; 6
W9
Frivate Fcad
EROSION
COIRTROL
is% M
D`4=14�r
1.
-�"& - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - -
- - - - - - - - Z - . - - - - - - - - -
......
FM
r
TYPq
I
CONCRETE
L -I
DRIVEIL14Y
bsed
R (�eme
7-4- FIXISW OM ELZV- WM04Y
- - - - - - - - - -
RIDGE
2S.-s 14.
-
G 4) V<2
f
r
25 -19 �1
N
..... .. .... ... ....
PATIO
I JILL
. . .........
EROSION
CONTROL
PENCE
09"8"3,8
log
01
NORN NO TREES OVER e' DIA.
, � �r'
Tree Cutting Plan
SCALE, V - 201-4V
HEIGHT CALCULATION LOT COVERAGE CALCULATION
POINT :A, 105,00-
LOT COVERAGE
00. PT.
PormT.B: 10100'
LOT AREA
13083
3,311 Sa FT.
PONT 0 0600,
- - - - - - - - - - - - -
- - - - - - -
POINT ID, HUM,
- - - - - - - - -
LOT COVERAGE PERCENTAGE
21.54%
GR4OE
ACTUAL WEIGHT 130J51
MAXIMIJI WEIGWT 130.15,
LEGAL DESCRIPTION
--------------
LOT 1. CLA66ICO'S ADDITION
CITY OF EDMONDS, WASHINGTON
EROSION
CAONTROL
PENCE
C;C"TROL
PENCE
ml�x
Frivate f;Road
TOP
AT4
NOR714
�f' fil
H ght Calculabon Pla,
5r- E
HEIGHT CALCULATION
LOT COVERAGE CALCULATION
LEGAL DESCRIPTION
---------------
PONT :A. 109,W'
--------------------
LOT C47VERAGE 31603 60, FT.
--------------
LOT 1, CLAS61CO'S ADDITION
PONT 8 101j"
LOT AREA 13.311 sa Fr.
CITY OF EDMONDS, WASHINGTON
POINT 'C 10600'
- - - - - - - - - - - - - - - - - - - -
PONT '01 11",
---------------
LOT COVER -AGE PERCENTAGE 21D4
AVERAGE 105.15'
GRADE
ACTUAL HEIGWT 3019,
MAXIMUM WEIG147
4
Olt
T
Q)
:3
'4,
S--
+-3 1
ol
co
Frivate Road
TOP Cr- CURB
AT CATCH BASIN
1wro, N Se'26'41" W - - - - - - -
WUW
ER.
C.CNTIROL
FEMCE
15% M��
DR=Y
OL
LmLiTy
EA-1471EW
'A� -- ---------------------------- /
05 - - - - - - - - -
EROSION
CONTROL
F84CM
F. - - --- - -
UVADE
TYF4r-4 L
r
. ................
DRIVEWAY
'a z
FMW COZ El" WAMAY
F40M 2sm 25'-b 1
- - - - - - - - - -
C4M4TfWL
PAT110
EROSION
CAONTROL-
FENCE
102.2&
101
NORT;4
,� �r'
Pl,ot., Plan
I" - 20'-
HEIGHT CALCULATION LOT COVERAGE CALCULATION LEGAL DESCRIPTION
POINT'A' 10540'
LOT WVERAGE 3,683 Sa FT. LOT 1. CLA661co'S ADDITION
POINT Ivigm.
LOT AFREA 13.311 5a Fr. CITY OF EDMONDS, ULASWINGTON
F-004T 10600,
- - - - - - - - - - - - - - - - - - - -
POINT 111201
---------------
LOT COVERAdE PERCENTAGE 21.54%
AVERAGE 05.15'
GRADE
ACTUAL 14EhCA4T 1-160191
MAXIMIJM WE rkWT 130.15'
PLANNING DATA
NAME: sc� L/ 5 ,
SITE A DDRESS:— 70 "'-'(DATE:
ZONING- k5 - I'L PLANCHK#:-
PROJECT DESCRIPTION: �/y -e -, 51--it �
CORNER LOT-IL5—(Yes/No) FLAG LOT X/ U (Yes/No)
I
SETBACKS:,
,Required Setbacks:
Front: '2'�' Left Side: ID Right Side: Rear:
Actual Setbacks:
Front: -� Z 6 Left Side: /0 Right Side: Rear: 10
Street map ch�cked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED — (Y/N)
LOT COVERAGE: r
Maximum Allowed: Actual: zy /.
BUILDING HEIGHT: f 'zq'.4 ""
Maximum Allowed: Actual Height:- W
Datum Point:]%- Datum Elevation: /Oc,
A.D.U. CREATED?: Q v
SUBDIVISION:
CRITICAL AREAS #: Izi— ZI-7— I,/P, STRE
SEPA DETERMINATION: t-yl—i ri -
LOT AREA. /3/ -�-fl
OTHER:
41
Plan Review By:
c.T1ej\permit%Ap1and2Ldoc
I-
RVICEIVED
NOV 1 4 1994 CA FILE NO. C14-
Critical Areas Checklist
PLANININIU DEPT.
Site Information (soils/topography/hydrology/vegetation)
I . Site Address/Location: --,,9 6 e -j-
2. Property Tax Account Number: 6_0 6 f— _-�Z 6 , :P,::l 'Ci 2--
3. Approximate Site Size (acres or square feet): 6 oz;r;. -
4. Is this site currently developed? ��-yes;_no.
If yes; how is site developed? jao�,cg,-Age_ 14
5. Describe the general site topography. Check aTI that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-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 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 contains areas of year-round standing water: )t--) ; Approx. Depth:
7. Site contains areas of seasonal standin- water:
10 _; Approx. Depth:
What season(s) of the year?
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-
Z�
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested — 1-"' 1; meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
----For City Staff Use Only—
S e s 0
it i Z ned? AS 12-
2-.: :SC&*rnavoM. soil. types? 7
W r 170: G'At,
J.
W"flin,&-invent C.A. inap.indicates Wetland present on siteT
e... ory.or
4. ,Critical.. Areas inventory or C.A. map, indicates Critical Area on site?
:earth subsid ce landslide hazard area? /11/0
en
6. Site.desilmated on the Environmentally Sensitive Areas Map? Al/o
DETERMINATION
STUDY. REQUIRED
y WAIVER
Reviewed by:
Pynner
CONDITIONAL WAIVER
Date
Rev 00/2p/93
0
ly 9 0 - 194 -
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on and submit it to the City. The City will
this form is to be filled out by any person review the checklist, make a precursory site
preparing a Development Permit visit, and make a determination of the
Application for the City of Edmonds prior subsequent steps necessary to complete a
to his/her submittal of a development development permit application.
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,
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include
other pertinent information (e.g. site
plan, topography m I ap,. 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 Area Checklist and attest that the answers provided are
factual, to, the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Na6e
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Street Address
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City, State, ZIP Phone
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
;��r=igatur Dafe� Signature Date
City of Edmonds
Critical Areas Determination
Applicant: ne Thompson I Determination #: I CA 94-217
Project Name: Permit Number: F
Site Location: 1 20605 Maplewood Dr. Property Tax Acct #: 1 5067-000-020-0002
Project Description:
Waiver Criteria (all criteria must be found to apply):
There will be no alteration of the Critical Area or its required buffers;
V The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
The development proposal meets the minimum standards of the Critical Areas
ordinance;
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds Community Development Code.
Kirk J. Vinish A�� I. 1��- Z I t— I
Planner Signa6re Date