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20710 80TH AVE W.PDF111111111111 7142 20710 80TH AVE W STREET FILE 20710 WINDOW X-X-X FRONT IN :)OW 00 INDOW DOOR L--�. 5' COPPER LINE, 18" DEEP wm Ell - -80thAVE W- - 0 f E.D* CITY OF EDMONDS WATERLINE AS BUILT 0 ADDRESS: PERMIT 20710 80th AVE W No- BLD20070442 CONTRACTOR: HOMEOWNER: SCALE: xxxxxx xxxxx NTS DATE INSPECTED, INSPECTED BY: DATE DRAWN: DRAWN BY: &t. 1890 4/23/07 1 J. HAWKINS 4/23/07 1. ABILA TIME QUOTE SINGLE FAMILY ROUTING FORM ***FOR INTEROFFICE USE ONLY*** App licant Date Plan Check # Address IAJ Type wmw) /ftmow PLANNING Taraet To Oil Back ADD? Days Mail/Fa RESUB #1 Taraet - - To Oil Back ADD? Days Mail/Fax RESUB #2 Target To On Back ADD? Days Mail/Fax RESUB #3 Target To On Back ADD? Days Mail/Fax ne —Comer /Flag �.treet Map Width _Dedication? Z-3r �VA R cul SM LLA 5, Building Pad: Existing Proposed 4, SEPA _Expires 6, Lot Areal 0A Lot Coverage r)p\, C� eight Calcs: Datum (9)Grade Max Actual gAeq'd Parking 2 Provided 9. C.A .#. T5' M9 *�Deterrni nation wuw CA Is CONSULTANT Target Mailed To Back ADD? Days Mail/Fax RESUB #1 Tamet Mailed To B ack ADD? Days Mail/Fax PLANNrNQ COMMENTS& NOTES BUILDING FEMA Map Soils Report Lot Slop IAQ Worksheets Retaining Wall RockerieAK? Shown on site / civil plains'? Top & Bottom wall e"'re _ \- , AL-�X* IN-HO USE T a r g e t To Oil Back Days Mail/Fax #I Target to On Back ADD? Qay� Mail/Fax RESUB,.#2 Target To On Back ADD? Days Mail/Fax RESUB #3 Target To On Back ADD? Days mail/.Fax RESUB #4 Tamet To Oil Back ADD? Days Maif/Fax CONSULTANT Tarizet Mailed To Back ADD? Days Mail/Fax RESUB #1 Target Mailed To Back ADD? Days Mail/Fax RESUB #2 Target Mailed To Back ADD? Days 'Mail/Fax .BUILDFNG COMMENTS & NOTES [.,\TP.MP\D,gT'�,,\Fc)rm.s\Routing Sheet SFR 3.4-04 ENGINEERING Target To On Ba�k ADD? Days Mail/Fax, RESUB 41 Tamet To - On Back ADD? - - Days -Mail/Fax RESUB #2 Target- To Oil Back ADD?- Days Mail/Fax _.,,�rainage Plan & Calcs OK 2, Grading Plan/CYD's SEPA? 3, Step Footings? Y/N? 4.. Driveway S lope 11/ozi OOK_Waiver Apprv'd" I ',..-�reet Dedication Req'd? FT asement Type t�2L 1, Proposed Impervious 8, Existing Impervibus (Pre 1977) Iqlat-"(Post 1977) Hydraulics Pen -nit ,��Check Plat Requirements I 1,Sidewalk R equired Fon-n COMMENTS/NOTES *REVIEWERS: PLEASE CALCULATE BUSINESS DAYS* PLANNING REVIEW TIME TOTAL DAYS **** ENG REVIEW TIME —TOTAL DAYS PW REVIEW DAYS*** *BUILDING: In -House Outside TOTAL DAYS I RTG .—DAYS PERMIT ISSUE DATE *CONTACT PERSON STATEMENT* BY SIGNING THIS FORM I UNDERSTAND THAT I AM THE ACKNOWLEDGED CONTACT PERSON FOR THI . S PROJECT, IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE PERMIT. I UNDERSTAND THAT IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO. THE BEST OF MY ABILITY I HAVE SUBMITTED ALI, NECESSARY DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLICATION. Signed Date Phone Contact Person (Print Clearly) CORRECTIONS: Fax to: E-mail Items reciuired prior to permit issuance: 1. Mail to: 2. 3. 4. SWET ADDR!�Sl(j% FI"IFBARBARA FAHEY CITY OF EDMON MAYOR 7110-210TH ST.S.W. - EDMONDS, WA 98026 - (206) 771-0235 - FAX (206) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION 411�' S t . 1 S ') "' July 3, 1996 Guy Johnson 20710 - 80th Ave. W. Edmonds, WA 98026 RE: Ventina of Your Plumbina Fixtures Dear Mr. Johnson: The city's sewer cleaning records show that the home at this address is experiencing problems with the venting of some of your plumbing fixtures when the city crew is conducting cleaning operations of the city sewer line in front of this address. The city's cleaning operation is essential for both you and your neighbors. It cleans debris in lines to prevent plugs, prevents corrosion and potential future collapse, and achieves a better flow characteristic in the public sewer lines. We need to do this often -- perhaps even 3 times a year -- in some critical areas. The city's cleaning operations typically involves the utilization of a high pressure water j et. The problem which occurs at. the home is the result of a highpressure surge through your internal plumbing system. A properly constructed plumbing system is designed to easily vent this additional pressure without any visible impact at your residence. An undersized venting pipe (or not having enough vents) cannot handle the pressure surge, and the only release that's available is then through your toilet (or another fixture). The Uniform Plumbing Code typically requires a 2" vent, and further requires a separate vent for each plumbing fixture which is connected to the sewer (a toilet, a sink, a shower). Your home may not have an adequate venting system (you either have a 1-1/4" vent, or not enough of them), and you therefore may continue to experience the pressure surges or you may be experiencing a plugged vent. The city does not have a choice as far as discharging its responsibility in cleaning the public sewer line. It is therefore up to you to take corrective measures as to how to improve your own venting system. e Incorporated AUgtiSt 11, 1890 0 c,i,-tor (-ific,- Intprn,�ifinnal --- Hekinan Janan The city has come up with two options that will remedy your problem: Option #1 Upgrade stack vents for toilets and other fixtures which are experiencing problems to required sizes. Option #2 Install a cleanout outside of house per attached specifications. Enclose box so it can vent properly when excess pressure is put on house lines. This option would be the cheape - st and simplest way of correcting this problem. At the same time, it would allow access to sanitary sewer lines if stoppage should occur. This vent cleanout would allow a place for backup in lines to go before entering your house and causing costly damage. The city would appreciate your expeditious cooperation in this matter. The city must continue proper maintenance of its sewer lines, but we obviously do not wish to see continued problems occurring on your property because of poorly designed vents. A plugged vent will be your responsibility to correct these deficiencies. We cannot keep notifying you each time we come out to clean the line. It's up to you to have a plumbing system that conforms to code. �Option #2 is a relatively simple one to construct. Should you have any questions on these options, please call Everett Akau, Scott Highland or myself at 771-0235, extension 645 or 647. Sincerely, Ron, Holland Water/Sewer Supervisor Enclosure word ata\sewer�oh nson The Elder Valve, Sewer shutoff and clean out Serves both as a clean out and a disconnect. We've installed them many times ourselves. As a disconnect they encour- age slow paying customers to make sure their check really is in the mail. The Elder Valve can be screwed down to reduce flow by 95%. The shutoff feature is also valuable in areas of the coun- try where flooding can cause lift stations to fail and when jet truck sewer main cleaning can blow sewage back into homes. Highest quality. The body of the Elder Valve is equivalent to Schedule 40. It is designed to accept 4" SDR35 No. 3034 PVC pipe. COMPLETE UNrr 17112 $56.50 PLUNGER ONLY 17114 10.80 HOUSING ONLY 17116 45.80 FOR PACKING MATERIALS SEE HARDWARE SECTION. It'] Plastic Backwater Valve Non -corrosive flexible PVC flapper provides seal against backflow. Plastic cover is secured with four bolts and a gasket. Designed for use with Schedule 40 DW pipe size. 3 17104 $39.44 4 17106 41.46 'ASS, 1110D;Mwmo 6W '-NMI KiAtli 3 1 7108 $41.52 A 17110 43.64 VALVESSEWER UNE SPECIALTIES Opens in emergency situation Sewer Relief Valve & Cleanout • Stops sewage from entering house • Stormwater applicable - Automatic Designed to release waste to outside of building in case of sewer line blockage. It can also prevent water from entering the house from high rain backflow conditions. It unlocks and relocks automatically, and the lid is removable to provide full access cleanout. While not specifically approved by any code, many health departments would rather have diluted waste outside a dwelling instead of insideAn many locations this can be a fantastic product. It's easy to install as it is designed to simply solvent weld over 4" Schedule 40 DWV pipe. SEWER RELIEF VALVE & CLEANOUT 17118 $37.82 Congratulations! National award winners David Sneed, second from left, and Larry Brown, third from the left, are flanked by TRWA Board President Dwayne Jekel, TRWA Executive Director Tom Duck, National Rural Water Association President Ernest Faucett, and TRWA District 4 Representative Richard Gist. W000 For more information about joining MOO the Nafional Rural Water Association a call or write: _NNW . =AO NRWA (405) 252-0629 P.O. Box 1428 - 2915 South I 3th Street Duncan, OK 73534 Order by FAX 1.-708-272-8914 I blS 71,Z -A-r Nc�l -drr� v7p e,\ j�,-r. oi . r Or,4 j CI) 1.43 o-Ir w r4 0 7) -)Ad Y� V4 e!l 0 NAA . �7/,;- )� �J) JQ I I -On, -)Ad X(t) "-�l V O� AJ " k, NOTICE: No warranty of accuracy. The information'shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The� City of �Edmonds does not ' warrant the accuracy of anything set for ' th on these, map(.s-). Any person or entity-reque sting a copy should conduct an independent inquiry regarding the information shown on t-Fe'-map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may, not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its emp-'I-o-yee-s or offiCers -shall be I.iak"-)'I-e for the information given on this map(s), nor for any one representation provided based upon said map(s). � 0 11-70 AOPLICATION PLAW for The City of Edmonds OincET FILE S111)E SEWER PERMIT EA EMENT No NEW CONSTRUCTION REPAIRS [:] Q ; 1-119 432 ........................... E MI OWNER--:,? ... LA ............ M, ........... ......... CONTRACTOR_14..A.A..T.rl._P .... �#.// ..... ........ . .. .... P R T No. e; . . ....... ADDRESS .......... :7-:! --__ 44.1 . .......... ................ LEGAL DESCRIPTION: LOT No . ............................................. BLOCK No . ..................... ...... 7 .......... NAME OF ADDITION ia'.Ir . .......... El 9 7 6 # 40 APPROVED ' JUN 9 1967 Approved: . ................ DATE 4j.? ..... �r.27 ............... By ... CITY OF EDIWONDS': R— WATER -SEWER DEPARTMENT Call PROSPect 6-1107 when work is ready for Inspection. (No Inspecon tions Saturday, Sunday orholidaYs.) 2336- SEWER PERMIT A'7--.-.ADDRESS ................ 20-71CL, ... 8.0.th.-Avenue ... Rest .................................................................................. --------- John ... M.--Beeson .... I .......................................... CONTRACTOR.. Allied Septic..Service ..................... Pern-tis�ion Is granted ....... J.une ... 9 ...................... iq..67., for ........................ days to REPArR or CONNECT a side sewer with -City Sewers in accordance with application on file and governing ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain 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. NOTE 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. 4 T, 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. 5—It Is unlawful tb 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 except1to insert the pipe into the wye; Y (Sn C-z_- -t—w Yo 4. �0_.J_Vtj 4 e S' Z C40 0 4v V ff"n" LfAll 00 I . Z.Of . 1. - I Z-b I F 1 0 r U- Z CD 0 0 w I-- C) w W. U) 11-7 5- e, fz-.. m 2Z::Z -to, LLJ Q 17T� 1010 -V Lau 01 0 LU z Z* &AeA.(,r-- 0 0 -j ca LL LO "2'1 D\;4 fl rc-z- [>Olcle AD o e- F-� S 5 ?-o-7 i o e��" A,,t C> LeC-:,AL 14 e�>+i o-F. c> -f-r o r- 7-p-Ac-, :35- W.1 LLOW aALE >ivis4c))-( AD I, -r-rPL7-Aer- IN \/OL 10 OF- 7Z P-Ec, OP SNb. Co L-IA - F"X V� C=5 LLJ C=) CC CL CL CD ui Ur".Ir( -; - - K—V �., vw,- ?"T7 City. pf Edmonds - RIGHT. -OF -WAY CONSTRUCTION PERMIT' Permit Number. -17 Wue Date: A. Address or Vicinity of Construction:— -?0 7ZQ 900 Outl_ It? C. lsc)� B. Type of Work (be specific): aoajel< C. Contractor: Mailing Address: State License #: D. Building Permit # (if applicable): Contact: Phone: Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. F1 Commercial Subdivision El City - Project /SrUtility (PUD, GTE, WNG, CABLE, WATER) F] Multi -Family E] SingleFa ily F Im Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: El yes . []No G. Size of Cut: x H. Chargq�_$ APPLICANT TO READ AND SIGN INDEAINITY: Applicant understands and by his signature to this application to hold the City ofEdmonds harmlessfrom injuries, damages, or claims,ofany kind or description whatsoever, foreseen or unforeseen, that inay be inade against the City of Edmonds, or any qf its departments or employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfiees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKAIANSHIP,AND AIATERIALS FORA PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TION AND ACCEPTANCE OF THE WORK. EST11VATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCH IS COAIPLETED BY CITY FORCES, At WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required with permit application. 'A 24 hour notic� is,reqpired for inspection. Please call the Engineering Division, 771-0220. Work and-mater ' ial is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street -shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit wi/I he available on site at all timesfor inspection purposes. Signature. Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVEDBY: ... . .... . .. RIGHT OF..WAY.FE.E:_ TIME, AUTHORIZED: VOID AFTER DAYS DISRUPTION FEEIFUND III:. CONDITIONS: RESTORATION F TOTAL FEE: RECEIPT NO.: ISSUED NO WORK SHALL BEGIN PRIOR' ISSUANCE Eng. Div 1997 FIELD INSPECTION NOTES Comments: Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION .. 1:1 YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: STREET FILE,,O SE ZONE PERMIT CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION oe NUMBER OWNER NAME/NAME OF BUSINESS AUURLbS g�C R,,nojo-4 LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO, w MAILING ADDRESS Z � 'Z 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCIP Approved [3 CITY ZIP TELEPHONE NUMBER EXISTING — REQUIRED DEDICATION RW Permit Required 0 Street Use Permit Req'd 0 L Eofvi000l-, PROPOSED inspection Required 11 NAME Sidewalk Required 0 REMARKS LU 'LL)i ADDRESS 4�v r77-w s, Z Z cr CITY zip TELEPHONE NUMBER NAME ENGINEERING MEMO DATED REVIEW BY ADDRESS 'F/<- ( 2, METER SIZE BUILDING SUPPLY SIZE NO. OF FIXTURES c CITY ZIP TELEPHONE NUMBER r uj 0 to) 6 t.AUflV-L DP_ E1AVZrr/_ lv�; REMARKS STATE LICENSE NUMBER EXPIRATION DATE e, I C> SIGN AREA SEPA REVIEW ADB NO. ALLOWED PROPOSED COMPLETE E:7 Legal Description of Property - include all easements LINE 2 EXP VARIANCE 0 G REVIEW BY DATE Q _j SETBACKS — FEET E LOT COVEBA H IGW 0 Z < i, ; 01 _� - — Z Lu FRONT_7-�> SIDE —7 REARle _j Property REMARKS .,TaxAccount �0 L/ 0CD 0 �S 0 10 3 Parcel No. I �EW 'RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL REMODL F� APT. BLDG. SIGN P/S <_ I I 1 0 GRADING FENCE CHECKED BY TY E OF CONSTRUCTION CODE HEIGHT REPAIR� CYDS. El I x _FT) '? / /,-5-1 7 7Dn-,1/ I DEMOLISH WOODSTOVE SWIM POOL SPECIAL INSPECTOR JAREA Z_ OCCUPANCY OCCUPANT INSERT HOT TuB/sPA REQUIRED GRO LOAD I 13YES. UP EARAGE RETAINING WALL/ 1 �Qwkw&., El AOCKERY El RENEWAL —REMARKS Z Z 0 PROGRESS INSPECTIONS PER UBC 305 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: 0 Wa NUMBER , NUMBER OF CRITICAL 0 OF 0 . WELL . ING IVA AREAS W STORIES IONt 16NITS NUMBER 2., .0 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) CSU(Lo 6A6!k-6�tF 'tMll* I FINAL INSPECTION REOUIRED VALUATION FEE PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING % PLUMBING Plan Check No. MECHANICAL 7 C>1, This Permit covers work to be done on private property FN_LY GRADING/FILL Any construction. on the,public domain (curbs, sidewpiks, driveways, marqueesl, etc.) will require separate permission. STATE SURCHARGE Z/ Permit Application: 180 Days I STORM DRAINAGE FEE Permit Limit: I Year - Provided Work Is Started Within 180 Days . "Applicant, on behaif of his or her spouse, heirs, assigns and ENG. INSPECTION FEE successors in interest, agrees to indemnify, defend and hold to harmless the City o:f Edmonds, Washington, its officials, m employees, and agents fron) any and all claims for damages of < whatever nature, arlsirig directly or indirectly from the Issuance of this permit. Issuan6e of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or redu6e any requirement of any city ordinance 0 x nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I I hereby acknowledge ithat I have. read this application; that the Information given is correct; and that I am the owner, or thlb duly ATTENTION APPLICATION APPROVAL authorized agent of thelowner. I agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no person W'Ill be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Wash'ington relating to Workman's Compensa. WORK NOTED Deputy: and fees are paid, and recelpt'is tion Insurance. acknowledged in space provided. I NSPECTION SIGNATUR W e1:F,,9R AffNIT) DATE SI NED DEPARTMENT PFFJCIAL�2�TURE DATE CITY OF _4 MONDS E D 5/0--7, CALL FOR DATE ATTENTION INSPECTION IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECT16N HAS BEEN MADE AND APPROVAL OR 771-0220" ORIGINAL -Aile YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, USC r-WAOTC0 'I I STREET FILE CitY Of Edmonds Critical Areas Che ckfist Thl: Qitical Areas a"MMist contained on, d& fOm is to be filled Out by -Y Person Prcparmg a Dcvclq�mcnt permit Application fOr the a1yof Edmonds prior to his&cr submittal ofa development PC[Mit to the atya . I 11C PUTOSC Of the Cheddist is to enable CitYstaff to da=3inc whether any potential Critical Areas arcormay be present on the 'bject PrOPCItY- lh� inforuntion needed to MW'CW the Chcddist should be, easily available from obscr6tions of the site or data available at City, EWI (Critical Areas inventories, maps, or! soil surveys). An applicant� or his/her representative, must fill out thechecidist, sign and date it. and submit it to the City- Ike City Will review the cheMist, m2alm a precursory site visit and Make- a daerinination of the subsequent stcPs n==111Y to complete a development permit application. With a signed copyof this- form. the applicant should 21so submit a vicinity map of the pwxl Vith enough dettil, that City staff Can find and ideritify the, subject parccl(s)- In addition. the applicant is encouraged to include any other pertinent information or stddics in coniunctiOn with this Checldist to assist staff in completing their Preliminary assessment of the site. I have completedt'he attached Critical Area Chcckli - st and attest that the answers provided -are fachW1, to the best of my knowledge (fill Out the appropriate column below). Owner/ Applicant: 0 V Name Title Ntreet Address F-0 M C) City. State, Zip Signature ) A 7? Y t/2, Phone 7 Date Applicant Representative: Name ----------- Title Qo i Co L Ak) fa 6 c az F—V 52 rrr 5 f 2q) Street Address City. State, Zip Signature z �:-5 / 3 �/ Phone c///3 -1 Date Critical Areas Checklist Site Information ProjectName. RA"DLI 0010:� Permit Number. Site Location: 2-0-7 / 0 50" A-,f L,,� Property Tax Account Number bno- Approximate Site Size (acres or square feet): q600 5F - Have you filled out a Critical Areas Checklist for a project on this site before? General Site Conditions 1V 0 1. Has the site been cleared or logged? Alc> Date of most recent action: Yr--&05 Soils / Topography MCV-f10A.,1/+ 6aZUELC--Y' 2. In the Snohomish County Soil Survey, what is the mapped soil qpc(s)? LEE- 1-0.4-- 3. Describe the general site topography. Check all that apply- .5 Lo PF- S L,-' Mat 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 fee of horizontal distance-) Steep: grades of greaW dian 30% present on site.* )5 Hydrology/Vegetation. - 4. Site contains areas of year -'round standing water /k/ S. Site contains areas of seasonal standi ng water A-1 0 Approx. Depth: 6- Site is in the floodway M 0 floodplain /V V of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? flows. are year-round? Flows are seasonal? 8. Site is primarily: forested - meadow ;shrubs ;rnixed 9. Obvious wetland is present on site: NO 10- Wetland inventory or map indicates wetland present on site., 11. Critical Areas inventory or map indicates any Critical Area on site- f;6e,City:.P- s.e Onily Rev 3127/92 es'o -I qq'�' City of EdnOnd.-§ Criticciii Areas Che' I cklist mist this f contained on orm,s to be Mea Out by any person reparing a Dcvc1op�ncrtt Permit Aff lication for the City of Edmonds p&r 'CO hidhcr MbmitW -of a development Permit to the city. 7he Purpose Of the Checklist is to enable City staff to dctcrmmewhcthcr any potential Critical Areas are or may be present on the sabject property The information needed to COMPIctc the Cheddist should be easily available from obscr�afions of the site or data available at CitvHall (Critical Areas invcntorick Maps. or.soil surveys). An applicant. -or his&cr rcprcs=tW,,r 10 out '. must .the choddist, sign and date it. and submit it to the City- 1-he City WM review thecheeldist,ma aprecumiy, site visk and make a dctcrmination of the sxIbseVent steps necessary to complete a development permit application. With a signed copy of this form. the applicant should also submit a vicinity map of the parccl Vith Mough detail dw city staff can find and identify the subject Parccl(s)- In addition, the Vplicat is encouraged to include any other pertinent information or swdics in conjunction with this Checklist to assist staff in completing their preli - InInarY assessment of the site. I have Completed the attached Critical Area Checklist and attest that the answers providcd'aTci facblaL to the best of my knowledge (fill out the appropriate column below) ()Wner/ Applicant: Name Title 0c)-wo a 4- btreet Address Enmom os WA. City. State, ZI 7? Le2jhOne 7 Signature Date Applicant Representative: Narne Title Street Address City, State, Zip Signature (23 Ls6Aj 2�� /3�/ Phone Date &'A*. TREE-r FILE Critical Areas Checklist' Site Information ProjoctNarne.- -. RA"C)i b0)(-L-- Permit Number Site Location: 2-D-7 / 0 E30*�'A,-f L,-,� Property Tax Account Number. 0 Y3 - Ono- 0'-3-c� - 6) 0 -3 Approximate Site Size (acres or square feet): qtbiot) 5F Have you filled out a Critical Areas Choddist for a project on this site before? IVO General Site Conditions 1. Has the site been cleared or logged? A/6 Date of most recent action: Y6&25 Soils / Topography 6aaQFU-�l 2_ In the Snohomish County Soil Survey, what is the mapped soil type(s)? SILT L-0,4- 3- Describe the general site topography. Check all that apply. V"�- Flat: less than 5 feet elevation change over entire site - Rolling: slopes on sift generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet-) Hilly.- slopes present an site of more than 15% and less than 30% a vertical rise of 10 feet of horizontal distance-) Steep: grades of greaLter than 30*/* present on site. comments 441:4 15