20712 82ND AVE W.PDF111111111111
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20712 82ND AVE W
CITY 0FjE YEtW; CEIVED
SIDE SEWER PERMIT
9 0 19 ST R EY F _'32 81994 PERMIT No 3565
PUBLIC WORKq.
(62 J\J t)l IDEpr
Address of Construction: J L'J
Property Legal Description (include all easements):
— r IV—)-rl\ — ?,Y\ ^ _-) —
Owner and/or Contractor: L t5
LVA)r�w.'�-r 6j,3 0 C>Z-Z
State License No. 69 6 O�' Building Permit No. I () :T
O'Single Family
El Multi -Family (No. of Units—)
El Commercial
0 Public
EDMONDS
TMENT PLARf
Invasion into City Right-of-Way.xNo 0�es
RW Construction Permit No
Cross other Private Propert y: 0 No 14 Yes
Attach legal description and copy of recorded easement
I certify that I havvread and shall comply with all city requirements
as indicated on the back of the Permit Card.
I;? - ;?- i, - '? q
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
* FOR INSPECTION CALLUM
Permit Fee: c�6 771
Trunk Charge:
Assessment Fee: bl�
Lid No.,:—
y
U B L I C R S EPT.
-0220'
Issued Bv 7, 074P
Date Issued:
Receipt No.:
Partial Inspection: Date —Initial
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Date2:a#_Initiall:�4
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
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 �Edm.qnds does not ' wa rra nt the
accuracy of anything set forth on these
map(§-). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
t-He -m a p (s) , including, but not limited to,
th-e 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
.ernp'fo-yee-s o-r offiCe,rss sh-ali-I be 1.1-a-b-1--e for -ILhe
information given on this map(s), nor for
ion provided based
any one representat*
upon . said map(s).
a
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------- ----------
NEW CONSTRUCTION REPAIRS F� LID NO - ------------------ - ASMT. NO - ------------------
OWNER --------------------------------------------------------------- -------------------------------- CONTRACTOR -------------------------------------------------------------- --------------------- PERMIT NO.
----------------
JOB ADDRESS .... R0 ------- 7 --- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
---- -- - - ----- ...............
------------------------------------------------------------------------------------------------------------------ --- --- -- - ---------- -----------------
Eavlcmos
IN 7 ,
NAME OF ADDITION ----------------------------------------------------------------------- 1E
----- .....
I
PWW-0001 -11/75 (REV. 11/78)
V - c-
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to'
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t, q-
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Approved:
2—
DATEe� . ........ ------- By ------------------------
we
OF— Q�
1 9 C�
City of Edmonds
RIGHT-OF-WWCONS'TRUCTION
PERMIT 'Permit Number:
Issue Date:
SOMEET FILE 14
A. Address or Vicinity of Construction: 20712 82ND AVENUE W.
B. Type of Work (be specific): GTE TO PLACE TELEPHONE SERVICE DROP FROM
TERMINAL 3746 TO STUB OUT AT 20712 82ND AVE W. SEE ATTACHED SKETCH.
C. Contractor: -GTE NORTHWEST INCORPORATED - Contact: BARBARA TOLLEFSON, PERMIT COORDINATOR
Mailing Address: 22118 20TH AVE, SE SUITE 18bone: BARB 488-1642
State License #: Liability Insurance: Bond:$
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. 0 Commercial E] Subdivision 0 City Project ER Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family E] Single Family [] Other 2100-9POOODB 242310
INSPECTOR: INSPECTOR: �.Nkl-re_u-rT
F. Pavement or Concrete Cut: D Yes Wo G. Size of Cut: x H. Chargq�_$
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to hQ", he City ofEdmonAds harml 8 r9 b�� ' age"
claims of any kind or description whatsoever, foreseen or unforeseen, that may b TaX�Jinst the City of Fdnwndsl,*oan ��Tment. orr
employees, including or not limited to the defense of any legalproceedings including defense costs, and attorney fees by reason of granting this permit.
C
PERIOD OF ONE YEAg FOLL6`W]�G"IITHE FINAL
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A/1
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEE 'Alt ?#'4
HELD UNTIL fHE(WN, S ETPATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing 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 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 ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above Itat' entsand nderstand the permit requirements and thepink copy of theperm it will be
s
, ti
available on site at all ti es for &intion Epurposes.
Signature: — A*. I — Date: 4/18/94
(eA7 tractor. 'rX
g
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: J.4JH 114-VIT
TIME AUTHORIZED: VOID AFTER
itge- 15
J)AYS
SPECIAL CONDITIONS: 0 0 MAE) drUl 5,
RIGHT OF WAY DEPOSIT
DISRUPTION FEE/FUND'111-.
RESTORATION FEE:
I �t PERMIT F EE:
TdTAL.FEE:
COMMENTS: RECEIPT. FEE:
0
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date: —
Date: —
El NO
PHONE#:
CONTRACTED:YES
t��-c % k
GTECREW: AvkLl�
pERMIT SUyHjrTEB BY
19rc
p E 'OS (s)
p OPI07L ES 0
'
RVAD BORES
a A
jgvCRiifo4V LINCS
,r..D, UrILITY PgrhVl—r
F,
U6 TRENCHIN6
GTE CONSTRUCTION NOTES
8—WIRE PLACEMENT lr\ f"i qq
-A
�k�'Api�LOCATE #:
PERMIT REQ'D: "4
ROW FOOTAGE: ty—'of CALL BARB 488-1642
a- V&
CUSTOMERNAME:
!Z�
4,ar4
D
4
0
OL
.Owner.:-- G. & L. Enterprises
9405 218th St SW
Edmonds, WA 98020
Contact: Ga MT4
STREL� I
Contractor: Pacific Northwest Development
5312 23rd Ave W
.Everett, WA 98203
Contact: Keith Welch 711-2911
License # PACIFND088LJ expires 6/10/94
Zoning: RS-8 0�
Lot Area: 5, 3 5 8. 5 + 14
�L)6'0
IDD-1
i10
Liw-tLEW 103
10Z - S-
0 FM ./01-5
0
Tax Acct. # 4311 QOO 002 02
Legal: The West 65' of theEast �66'—'
of the South � of Lot 2, East Edmonds.
Acres, per plat recorded in Vol. 12
of Plats, page 33, records of
Snohomish,County, Washington
TOGETHER WITH AND SUBJECT TO:
A 20'. easement for ingress, egress, -
and utilities per document recorded
under Snohomish County Auditor's'
file #2002437.,,. 1
Zo
Height CaIcs:
102+1024-105+107 = 104
4
Maximum Height=129
sjok,' AM tffts 10(aRcL
I A- f J&r\ tb
0�.DOL/
nmml DI AKINIMr-1
Impervious Area:
Building 32.5x43=1397.5 /Zcl/o
Walkway 3xl3= 39 3?
Driveway 16x25= 400 5-aes ('14xr'03)
Patio 8xl4= 112
TOTAL 1,948.5
-Iiasz feet-
119. DRAiNAGH PE)AN -R-r-14EQ
*EXCAVATION AND GRADING ARE INCIDENTAL
TO CONSTRUCTION, AND EXEMPT FROM
SEPARATE PERMIT, AS ALL GRADING AND
EXCAVATION WILL BE DONE IN CONJUNCTION
WITH A VALID BUILDING PERMIT.
RECEIVED
NOV 0 8 1993
PERMIT COUNTER _7
WA-Mik SCAv4e
The City of Edmonds Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION M REPAIRS Fj LID NO . .................. . ASMT. NO - ------------------
OWNER------------------------------------------------------- ---------------------------------------- CONTRACTOR .................................................................................... PERMIT NO - --------------------
Q n
JOB ADDRESS _711 1�40 AV. W.
.... . . ........... ------------ ------------------------------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
list, Wb
I.
rn
L
PWW-0001-1 1/75 (REV.1 1/78)
-r.p.,-1
.3-5,
NAME OF ADDITION
SuftlkLaw 'POL-Ij
W/tpp4aa. Wilke
APPpay.. G" so. c or AsPoAu i.T o/wAy
,2.,o ri 1 2� IR 2.N 0
us,
I.S' C�cvm r.,
)4.5
Ap�Z;ed-
DATE............................................ By - - --------- ---
.0ty, of Edmonds
RIGH F-WAY CONSTRUCrION
I
PERMIT
Permit Numbev.
Usue Date: 1/_ 15 1741
A. Address or Vicinity of Construction: 20710 & 20712 82 Ay W 9 1 211)
B. Type of Work (be specific): Install lk" Plastic IP Main in 82 Av*W from
.890 J9q
10'E to 301W centerline of 82 Av W. Install 5/V PE IP Service to
20710 & 20712 82 Av W.
C. Contractor. Washington Natural Gas Company Contact: Frank Swan
MailingAddress: 815-Mercer St. ggat im UA Phone. 224-2278
State license #: 98111 Liability Insurance: Bond . :$
D. Btuildmig Permit # (if applicable): Side Sewer Permit # (if applicable):
E. [3 Commercial 0 Subdivision 0 City Project (g Utility (PUD, GTE, WNG, CA13LE, WATER)
Multi -Family 0 Single Family Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: idYes L]No G. Size of Cut: 1 (2 x4) H. Chargq_$
APPLICANT TO READ AND_$1,GN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold t Oty ofEd-onds hri-Al ln,�—�., or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be madehgaWVt the City of Edmonds, or any of its depaitments or
employees, including or not limited to the defense ofany legalproceedings including defense costs, and attorneY fees by reason ofgranting thi8permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND ALA TERIALS FOR A PERIOD OF ONE YE_ARtjq0LPqT1N, THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTImATED RESTORATION FEES WI&Bk HELD UNTIL THE WT PA TCH
IS COMPLETED B Y CITY FORCES; A T WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
T�raffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit will be
available on site at !ll (imes for inspection purposes.
Signature -
Date: April 7, 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORk
INV WunA bnAlulj "EU11N YRIUR 11) FEHMFF IbSUANCE
Engrg. Div. 1991
PERAHT APPLICATION REQUEREMYMS
TO: ' Permit Coordinala JtRUJg%$ioC I L.L;
FROM: Lyle Chrisman, Eingineenng Inspector
OWNER: XJkb 94UfAZr1UG0--!�' PLAN cK # 73 -1q&
ADDRESS: 'ZV11V 'ROW&& W DATE: 13 49Ze—'
After review of the subject permit application, the following requirements mustbe met.
1. Construction hours are: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOLIDAYS ..... 10:00 A.M.-6:00 P.M.
2. A separate RIGHT-OF-WAY- Construction Permit is required for all work on Publicproperty. (.ECDC 18.60)
3. Truck haul route plan must be submitted and -approved prior to permit issuance.
4. Builder/Owner is responsible for containing adiemporary runoff and erosion control on site. (ECDC 1.8.30.030d)
5. NO WORK SHALL BE DONE WITUINIS FEET OF STRE"S OR 10 FEET FROMANY CLOSED DRAINAGE FACIL-
ITY. BVILDERIOWNER IS REPSONSIBLE FOR MEM7FYING COlVD177ONS ON 77TE DRAWING. (ECDC18.30.50G)
6 FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONS7TUCTION
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEM, TIGHTLINES, FOUNDATION DRAINS, AND
CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter, and sidewalk adjacent to the property. If an intersection is involved a
handicap ramp may be required. Contractor shall meet with the City Engineering Staff to determine the extent of repair prior to
issuance of the permit. (ECDC 18.90)
9. Driveway slope shall not -exceed 14 % without a waiver. Every attempt should be made to keep the slope below 1-4
Waiver granted to _%. (ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate perimit is required. (ECDC
18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING.
(ECDC 18.30)
12. No burning of construction refuse without a permit from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7.30)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18. 10)
16. Connection to the City sanitary system is required. A separate permit.is r i ed.
LID# /&/ - Fees paid: Yes 'No Charg (ECDC 18.10)
17. Underground wiring is required on all new construction; and for additions, alterations, and repairs that exceed 50 % of the totaJ
assessed value oi the structure. (ECDC 18.05.010)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU-
PANCY OF THE BUILDING OR STRUCTURE. (ECDC18.90)
19.-
20.
V !77-
S-TIREET FILE
MaKel
DATE: November 17, 1993
TO: File 93-198
FROM: Ann Bullis, Planning Division
RE: 20712 82nd Avenue West, Edmonds
Based on the Warrety Deed for the sub ' ject property, this lot was created in 195 1, prior to annex ' ation into
the City of Edmonds in 1958. According to Metro Scan, the Surrounding lots are not owned by the'same
property owner as the sublect lot. Nor does it appear, after review of our records, that this lot was
owned by the owners of the contiguous lots. Therefore, ECDC Section 17.40.030.0 does not apply to
this lot. This lot is considered a buildable legal nonconforming lot as defined in ECDC Section
17.40.030.A.
MW
AU
..993935 DPW a...
The steetw 8 *EDWARD CLI17ORD H, R, CtInt
RD his He
STUART 3 TU:.Loca & Jissis X.-THLOCRIVnis vif a'
of the dty of Seattle W of King
for and Is madderada of 9 in4T HMAI"D FIrTy ...............
------ and no/100--� ----------------------_-- 6_ 0 .......
V 850000 ) dom, %
'a h!bd PaK em"Y aW wumt ts C - M. WILKINS & VIOLA WTLXINS, his' vIf a
the tonew(ng dej"Ibed M1 allte, eltute is tm c*nty at Sno'homiah state of waad"00".
The South 1/2 of -Tract 2, EAST EDMONDS ACRE89-as
per plot recorded In Vol. 12 of Platd on pag6
records of Snohonish County.
SUBJECT TO esotortent to Pacific Telop:ionv & Tool e-
30, 1929, filei Feb-
grrpl, Co-npany dated December
ruAry 19, 1930 undor File #4 15359 in Volume 252 of Deeds
7
qn Page 243.
,_1 nI- - -1�
Uf
Won
SUBJECT TO reservations 0ontalned In deed from Snohomitqh
County to Alderwood Manor Watar T)Istr.lot dated Harch 11,
1946, filed April 4, 1946 under File #807944 and recorded
In Volume 366 of Deedsp page 35.
.The Grantors hereby reserve to themselves and to their
heirs and assigns 4n undivided 1/2 interest in amd to all of
the oil, gas and min,4zals In, on or under no surfaae of
said lands, and all the righte or ownership therein,
This deid is given in fulfillment or -4 real estate contract of 9ple
dated Janu;ry 2, 1947 between Edward Clifford & M. Ro Clifford his.
wife and 8 uort S. Tulloch & Jessie M. Tullochl,-his-vife as 3efiers,
subjwttoand Eric Turnquist, as Purchaser (Purchaser' s , interest subse-
quently asstn"d to C. H. - Wilkins & viola W ilkirii i and Is accepted by
the Purch nsors as such, and is subject t.
o any taxes or assessments
that have accrued against the provertr since thit d a te, and Is also
subject to any li*ns or encumbrancoa that may have been placed on the
property through the act$ riginal Purchiser or his Assigns.
Dated" 16th &yet October�!_1�8
ze
�Ode
NEW.
STATZ OF WASMOTM
camty of
V 14 SC in do stabs ad
of �.w ww"000% fift*Y oftft &M am ads
Lily %Veared beta ow
EDWARD CLIFFORDa Me _R9 CLITVORD So TULL H4
i—STM OCR & Jit,
TULLOO.'
k ead vie ft@W4 ft kArv&%&A, and ack�-aw
0.4 4A mW the saw a__tbA1r__ _hw @W vo%mwy ad ftj dak.tar the em
eedaxiw Sea the dii.
zi 4
_21
A. WO
JAI
COUNft- M CAP
's :A
husband And 5. wn. th
and Rather Mirion.
individuels vtho s"outod'th,!-,Y4tbLn-. 4 M-11
and acknowledged tholt thliv,Isltp4d'tHa 'a .:&s*,.th9lr-P�*�s
voluntary stat and'deedg':16A the -.Uses' AndNoul"kes -th6rain *0
ulven under my hand and.nffiaial sg%gl this IS
ef In5le
0 t
of IV shington re s:MLZ,�t
14 C,
n
row hw Record jull V R-5L
Suebeaukh . Co. WaLh
.Mxh.
GRGI P- IDUMOUIL 90"My
V4
-7
AK
"*4
' , lzo
'A,
4.!
41'
Y
�34
STANDARD DRAINAGE DETENTION SYSTEM
PR
� �K��T
)VVNER G
CALC BY:
LLI�-:A-A
UDDRESS
PHONE:
DATE:
"DESIGN DATA
MPERVIOUS AREA
PIPE DIA
PIPE LG
ORIFICE
�V
z Z
Zee
ELEV
4" 0
'ENTION PIPE LENGTH
COVER Mitt SFILC
2*MAX COVER RIM LEV
.5% - r�. SLOM
MPER CA rCH
BAPN
0 PrE 601K
%--INV ELEV-
CONMOC CAMN
&ASW
WASHED GRAVEL
OUTFLOW TRENCH, MIN 10- LONG
TOP AND 4"PERF PIPE TO BE LEVEL
FROM
CONTROL
-OUTLET
.-PERF PIPE W/CAPS
RUNOFF SPREADER
OUTLET
/2*x 6- DEEP, 4--9- QUAWZY SPALLS
SYSTEM CROSS SECTION r DEEP, 3/4- CRUSHED ROCK
FROM CONTROL
OUTLET
RIPRAP OUTLET
D)WNS SHALL NOT BE CONNEMD 70 DETENTION SYMM
NOTES:
Call Engineering Division (771-0220) for a tightline and detention system inspection
before backfilling and for final inspections.
Responsibility for operation and maintenance of drainage systems on private property is the
responsibility of the property owner. Material accumulated in the storage pipe must be flushed
out and removed from the catch basins to allow proper operation. The outlet control orifice
must be Pt open at all times.
2/92 Page 6 of.6
41 W-401e-��
APPROVED BY
bse- P-5
DATE
Tax Acct- 4311 000 002 02
9405 218th St SW
Ndmonds, WA 98020 Legal: The West 651 of the East 2601
Contact: Gary Alston @ 546-5731 of the South4 of Lot 2, East Zftonds
Contractor: Pacific Northwest Development Acres, per plat recorded in Vol. 12
of Plats, page 33, records of
5312 23rd Ave W
Everett, WA 98203 Snohomish ' County, Washington
Contact: TOGETHER WITH AND SUBJECT To -
Keith Welch 771-2911
License # PACIFND088LJ expires 6/10/94 A 20' easement for ingress, egress,
an'd utilities per document recorded
under Snohomish County Auditor's
file #2002437.
Zoning: RS-8
Lot Area: 5,358.5+/-
L)
M�xz,
f "We6-1 afor Am*,.*
14sn-
Twcl
-T, rk, I L a 1�, r4
)b! X
� tvyl
6UA q4k�-
V)
N
Lb'AA�- DeW 103 1� Height Cajcs:
L c)(V I I Z, 102+1024105-;107 =-104
g -tf 4
IV rIJ5
k Maximum Heiaht=129
'y ve-
r-A AA\ -ty-fn, lou4tk
oco
t
DOL-1
E 6k,
ACCEPTABLE TIGHTLINE MATERIAL
e�44 e N-12 ADS
fth 40 PVC Cie
Impervious Area: SOR 35 (AMU
Building 32..5x43=r3494-..� *EXCAVATION AND GRADING ARE INCIDENTAL
Walkway 3xl3= 39 lr,,e 0 TO CONSTRUCTION, AND EXEMPT FROM
Driveway 16x25= V&� S';�a SEPARATE PERMIT, AS ALL GRADING AND
Patio 8xl4= 112 EXCAVATION WILL BE DONE IN CONJUNCTION
TOTAL 7z.0 f r WITH A VALID BUILDING PERMIT.
Less than 2000 square fee
6TRECT FILE
M
V`+ AP OTED
lkx f km�,
Out_ A -to
ymkA
SETBACKS:
Required Setbacks:
Front: 2Z2' Left. Side: Right Side: -7'1z, Rear:
Actual Setbacks:
Left Side: Right Side: Rear:
Front:
FLOOR AREA:
LOT COVERAGE: -75
Required:_ -SF: Actual:
BUILDING HEIGHT: AW
Maximu m Allowed:
(Lf5'� Actual Height -
SUBDIVISION:
CRITICAL AREAS #:
SEPA DETERMINATION:'
OTHER
Plan Review By
PROJECT REVIEW CHECKLIST
PROJECT- NAME:
PROJECT ADDRE41*W�w N�d- !qw, k)
PLAN C'HECK'#-:���4�46
RECEIPT DATE:
REVI W
E
D
m ial/Date).
PLAN.'WATER'
COMMENTS
FIRE
BLDG.
SEWER
STREET7.
E G
NJ
Setbacks/Variance/Setback Adjustment
Conditional Use Permit
AD13 Requirements
....
Other Zoning Requirements
Underground Wiring Required
/gAr 17A:
5
Lot Slope 15%
SEPA Environmental Cl)ecglist/Ffydraulics Permit
Tree Cutting Plan
Plat/Subdivision Require�nents
............ ............
..........
Legal Description Verification
10
Quit Claim/Street Dedications
Easements - PublictPriva
...... ..............
01
1
-13
Engineering Storm Drg-in-. Review Fe
Enjineenhg 2.2 Inspection Fee
. . . . . . . . . . . . .
. . . . . . . . . . . . . . . .
-
Drainage Plan (On-Sitd)
01-
.14
.15:
Setback - Top of'Bank, Stream, Water Courses
. . . . . . . . . . . . . .
m0r,
Setback, Storm Drain Line
. . . . . . . . . .
----------
'17
Open Ditch - Existing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
K. . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . .
'18
Culvert Reluired
. . . . . . . . . . . .
R*
.19.
Culvert Size
x�
1%, ............. .......
Shoulder Drainage/Shale Open Runoff
I . . . . . . . . .
Catch Basin Required
.
..... . . . . . . .
Driveway Slope &'-Vehicle Access dne
Sidewalk Required
Curb & Gutter Required
...........
Curb Cut For Driveway Required
............
Street Paving. -Required
I
f.'27:
flight -Of -Way Construction PerrWit Re4uired Acito
Strppt Narne Sign Required -,orv4p- J!5�
29
Other Signing Required
�l 0
Bond Required For Public ImproVemdnts
FEMA Map Check/Water Table
--------------
W
.32
Side Sewdr Availabjlit
........
Calculate Sewer Connection Fee If No LID
Create'Strebt File -5
............
Ekisting Water Main Size
. ......
Water Meter'Siid
3-114
- - - - - - - - - - - - - - ---
Ser4lbe Line Size
3114
38'
Water Meter Charge Required
750**
39:
Hkdrant Required
Hydrant -Sizb Existing .
. . . . . . .
-
6 1/y .............................
41
Fire Line Charge Required - Sprinkler
................. . . . . . . . . . . . . . . . .......
N 0
Street Cut
............
:43
Miscellaneous
44�
Reviewed By:
FIRE PLAWING
"too
ENGINEERING �kj Vlt�VRKS
REM
rlU
feloV 0-
PlIAI Ir Mimic; NP4
I
PERMIT
z11,,W
CITY OF EDMO Nb8b I MCC
NUMBER '930"
CONSTRUCTION PERMIT APPLICril,11%."1411
JOB
ADDRESS tt A,., VE.;APT #
OWNER NAME NAME OF BUSINESS
G. & L. Enterprises
LEGAL DESCRIPTION CHECK
SUBDIVISION NO
LID NO
M
LU
MAILING ADDRESS
0
9405 218th St SW
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 11
RW Permit Required 0
CITY ZIP
TELEPHONE NUMBER
Edmonds, WA 98020
546-5731 (Alston
EXISTING REQUIRED DEDICATION
Street Use Permit Req'd 0
...OPOSED
Inspection Required 0
Sidewalk Required 0
a:
W
NAME
ZavaleS Design
MEj"I
. Z
VItE
NO. OF FIXTURES
PRV REQUIRED
,u
-77
7
/Z
YE NOO
ADDRESS
NE 152nd ST
REMARKS
a:
ratm,,iI` Altn!�qnmdl 17,q &^�z
w
Lu
CITY ZIP
TELEPHONE NUMBER
Seattle, WA 98155
362-2992
1 1 - V
>Z�hm A&S zwe Ae*�,
NAME
*1400
Pacific Northwest Development
ADDRESS
0
I'_
5312 23rd Ave W
ENGINEERING MEMO DATED REVIEWED BY
0
CITY ZIP
I
TELEPHONE NUMBER
FIRE MEMO DATED REVIEWED BY
W
Z
Everett, WA 98203
771-2911 (Welch)
0
Lr
STATE LICENSE NUMBER EXPIRATION DATE
SION AREA
ALLOWED 'PROPOSED
SEPA REVIEW
COMPLETE EXEMPT
1,
_P 0
ADB NO,
SHORELINE
PACIFNDo88LJ.
Legal Description of Property - include all easements, VY
. '! . .
Z
I
of the- Ea, ti 260'':: qf,,,.t
The West xx he
65'
'k
0
South of Lot 2, East--"EdmQn4!s:-Ndres'
EXP
VARIANCE.OR:cU P N I Y / DA
Q
JG$E LEB
-Z
Together with and.'s. ., j.ed&1tc': A i20 `:es
. u
SETBACKS'��Fcrl HT oT COJ E2E
.it
Z
i
w
I
Snohr)migh Am9if-nr q99009417
0 � , . I .
:FR Nf�-` ��'SIDE REAR- I:d N C
Z
Property
Tax Account
4311 0,010�-00,�-�,O`-:
REMAK
Parcel No.
F77
NEW pi.J RESiDt�.TIAL,'; ii0iii PLUMBING'
ADDITION C�OIVI M Eklb-iAl C., ME' C` HA_ ICA4IL
APT BLDG. El
REMODEL SIG-114,
CHECKED BY
-M
TYPE OF CONSTF tUCTION
CODE
OCCUP&Wj
OR
Of
FIENCE
REPAIR '76 -CYDS FT)
--- 1-77
ElDEMOLISH WOODSTOIE` L
INSERT'- 'E, I sH�Ov T`TOUOKS�P'A
SPECIAL INSPECTOR JAREA'
REQUIRED
13
0
-oojzg�EOA
OCCUPANT
LOAD
GARAGE F14TAN'I N
EIROC RENEWAL
YES
REMARKS�
CA :
K RY.
(TYPE OF USE. BUSINESS OR,ACTIVITY EXPLAIN-"',':-,
'PROGRESS INSPECTIONS PER UBC 305
Single Fam
CC.
140e4, /4 qlrl IV31!5� Ile U1
NUMBER NUMBEF1 OF 6RIT'ICAL:,
W
0
OF '2 DWELLING!',' AREAS.7,
* b
—25
I NUMBER 1?3
�: . . ,
STOF UNITS I
. . . " I I
1, � ".
DESCRIBE WORK TO BE DONE (ATTACH:�LOTPLAN)..,,� .......
�FINALANSPECT16N REQUIRED
Construct new Single:-Famiiy residence:r
with attached 2 car g`a-r' a g e
VALUATION
FEE
:PLAWCHECK FEE;.'
at) iLD N6,-,,' -
HEAT SOURCE:
GLAZING
611",
I
Gas Forced Air
16.7 0,
�1�
PLu,F�,B_I,N,G
eck No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
G . RADINGIFILL
10;11< 15Z
Any construction on the public domain (curbs, sidewalks,
=L—fl -Z /
STATESURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days .
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
26
harmless the City of Edmonds, Washington, its officials,
i
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
PLAN CHECK DEPOSIT
0
modify, waive or reduce any requirement of any c1t, ordinance
I
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
law
provision."
,O�
I hereby acknowledge that I have read this application; that the
ATTENTION APPLICATION APPROVAL
information given is correct; and that I am the owner, or th.e duly
authorized agent of the owner. I agree to comply with city and THIS PERMIT his application is not a permit until
state laws regulating construction; and In doing the work authoriz- AUTHORIZES T
.
ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
ion insurance and RCW 18.27. INSPECTION acknowledged in space provided.
IGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT
OFFICIAL'S S19NATURE DATE
CITY OF
EDMONDS
W
0e.
CALL FOR ARELEASED 22 o TE
TENTION INSPECTION 71-3
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
771-0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owrer GOLD — Assessor
flue CA FILE NO. q
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetation)
1. Site Add ress/Location:
2. Property Tax Account Number: 6bb 062- 02- 01-
3. Approximate Site Size (acres or square feet): 53-30 q
4. Is this site currently developed? —yes; 4— 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 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: V11Z Approx. Depth:
7. Site contains areas of seasonal standing water: Y\J) 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-
round? 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. Site is Zoned?
2. SCS mapped soil type(s)?
LUjf�50t;;,
3.. Wetland inventory or C.A. map indicates wetland present on site?
4. Critical Areas inventory or C.A. map indicates Critical Area on site? lb:;; E�H 'CO 1-
.5. . Site within designated earth subsidence landslide hazard area? N 0
6. Site designated on the Environmentally Sensitive Areas Map9 _ N %0
DETERMMATION
STUDY REQUIRED
WAIVER
Reviewed by: 6.
Planner
CONDITIONAL WAIVER
to/z,-�h,5 -
f Datt
Rev OV29/93
V 90 - 19'
City of Edmon&
Critic'al Areas. Checklist
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 s.66mit 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.
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 map, etc.) or studies in
coujunction 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:
100TIATMI xv&1171'�
PKV-111C M
630- ;sA
Street Address
C--VeyM 0 q S)43
City, State, ZIP Phone
Signature
Applicant Representative:
Ju-Lke.
Name
Yb
Street Address
3YI6, kbml�k UA 9 3)-91—
City, State, ZIP 95+a�z- Phone
Date ggnature Date
City of Edmonds.
Critical Areas Determination
Applicant: I Gary Alston Determination #: FcA-93-25 1 6
Project Name: Perinit Number:
Site Location: 1 20712 82nd Avenue.West Property Tax Acct #: 1 4311-000-002-02
Project Description:
unknown
Waiver Criteria (all criteria must be found to apply):
xx There will be no alteration of the Critical Area or its required buffers;
xx 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;
xx The development proposal rneets the minii-nurn standards of the Critical Areas
ordinance;
xx The above findings are based on the following conditions of approval:
1. The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
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 Coi unity Develigment Code.
Stephen F. Bullock ZZ '; Oct. 22, 1993
Name SiXature Date
El
STRIEFET FILE
71819 9 1� 11�
City of Edmon&
Critical Areas Checklist;
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 su-6mit 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.
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 map, etc.) or studies in
conjunction with this Checklist to assist
staff in completing their pmliminary
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:
63 1 L - --20 Aj�L 0
Street Address
- t-�veyfA 0- qS)43
City, State, ZIP Phone
Signature I Date
Applicant Representative:
Narne
Street Address
'SY16 k6ml�k WA 93)-91
City, State, ZIP P
9g n/a /t4u rge Date
CAFILENO. q3-z5(,p
Critical Areas Checklist
Site Information (soils/topography/hydrology/vegetafion)
1. Site Address/Location: 13;�4 NK
2. Property Tax Account Number: bb 0 0 Z- 0 2- 0
3. Approximate Site Size (acres or square feet): 5-!?m)
4. Is this site currently developed? _yes; 4- 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 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: rk-o Approx. Depth:
7. Site contains areas of seasonal standing water: P-0 _;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-
round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow _; shrubs mixed
urban landscaped oawn,shrubs etc)
11. Obvious wetland is present on site:
..For City Staff Use Only
1. Site is Zoned?
22, SCS mapped soil type(s)?,4L9eW45Vr;;-' 641WVC��-c 10 t/L90M
1. Wedand inventory or C. A. map indicates wetland present on site?
:4. Critical Areas inventory or C.A. map indicates Critical Area on site? I CEO?
5. Site within designated earth subsidence landslide hazard area?
6. Site designated on the Environmentally Sensitive Areas Map?
.DETERMWATIO
STUDY REQUIRED CONDITIONAL WAIVER
WA)VER
ReViewe d by:
Planner Da&
Rav 0"193
";A" . 'j - '�4
A
City of Edmonds
Critical Areas Determination
Applicant: I Gary Alston Determination #: I CA-93-256
Project Name: Permit Number:
Site Location: 1 20712 82nd Avenue West Property Tax Acct #: 1 4311-000-002-02
Project Description:
unknown
Waiver Criteria (all criteria must be found to apply):
XX There will be no alteration of the Critical Area- or its required buffers;
XX The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirein e*fits of the Critical Areas ordinance;
XX The development proposal meets the minimum standards of the Critical Areas
ordinance;
XX The above findings are based on the following conditions of approval:
1. The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
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 Cyounity Development Code.
Stephen F. Bullock q-ZAW-.APW4GV'& Oct. 22, 1993
Name Sig(ature Date
\JJ
CITY OF EDMONDS-
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning Parks and Recreation * Engineering
go
LETTER OF TRANSMITTAL
Date: December 8, 1993
To: Department of Ecology
Environmental Review Section
PO Box 47703.
Olympia, WA,98504-7703
Subject: F2&71-2--�2nd 'Ave. W-.--,—Edffi-6—nd-s-�
Transmitting: Determination of Nonsignificance & Environmental
For your information: XXX
As you requested:
For your file:
Comment and return:
Note attachments:
Comments:
LAURA M. HALL
MAYOR
0 "'TREET FILE
Planning Division
cc: G & L Enterprises Jeffrey S. Wilson, Current Planning Supervisor
Incorporated Au_qUSt 11, 1890
Sister Cities International — Hekinan, Japan
MEMORANDUM
CITY OF EDMONDS
PLANNING DIVISION
250 5,r11 AVENUE NORTH, EDMONDS, WASHINGTON 98020
TO: BUILDING DEPT. PLAN CHECK NO. 93-198
FROM: Ann Bullis, Code Enforcement Technician.
Jeffrey S. Wilson, AICP
DATE: DECEMBER 2, 1993
SUBJECT: ENVIRONMENTAL DETERMINATION FOR A NEW SINGLE-FAMILY
RESIDENCE AT 20712 82ND AVENUE WEST, EDMONDS, WASHINGTON
I have had the opportunity to review the environrnental checklist, and Critical Areas
Determination, a copy of which are filed in the official file for this permit.
Based on my review of all available information and adopted policies of the City, I recommend
that a determination of nonsipnificance, be Issued.
Specific concerns associated with the project include:
1. The Critical Areas Map shows that this lot has Sloj)e E /-o.s./*o/I PotentiaL However,
this has been accounted for in the Critical Areas Determination by requiring the applicant
to follow the requirernents of the Engineering Division for erosion control (ECDC Title
18).
2. Pine Ridge Park borders the Subject property to the west. The site slopes
approximately 10% in the westerly direction toward the park, however the Engineering
Division's erosion control requirements should adequately protect possible impacts of the
proposed construction.
Review by Responsible Official:
I concur
I do not concur
Comments:
't 1 TZ
Jeffi-ey S. Wilson, AICP Date
Responsible Official
Attachments
PC: FILE NO.
Robert Chave, Plannin- Mana,,er
0 11)
RECE:IvED
CITY OF EDMONDS
NOY 3 0 1993
ENVIRONMENTAL CHECRUST.
PFRMIT COUNTER
Purpose of Checklist:
The State Environmental Policy Act (SEPA), - chapter 43.21C RCW, 'requires all
governmental agencies to consider the environmental impacts of a proposal before making
decisions. An environmental impact statement (EIS) must be prepared for all proposals
with probable significant adverse impacts.on the quality of the,environment. The purpose
of this checklist is to provide information to help,you and the agency 'identify impacts
from your proposal (and to reduce or avoid impacts from the proposal, if it can be done)
and to help the agency decide whether an EIS is required.
Instructions for Applicants:
This environmental checklist asks you to describe some basic information about your
proposal., Governmental agencies use this checklist to determine whether the environmental
impacts of your proposal are significant, requiring preparation of an EIS. Answer the
questions briefly, with the most precise information known, or give the best description
you can. -
You must answer each question accurately and carefully,.. �p the best of your knowledge.
In most cases, you should be able td answer the questions from your own observations or
project plans without the need to hire experts. If you really do ndt-kfiow-the�answer, or
if a question does not apply to your proposal, write "do not know" or does not apply".
complete answers to the questions now may avoid unnecessary delays later.
Some questions ask about governmental regulations, such as zoning, shoreline, and
landmark designations. Answer these questions if you can. If. you have problems, the
governmental agencies can assist you.
The checklist questions apply to all parts of your proposal, even if you plan to do
them over a period of time or on different parcels of land. Attach any additional
information that will help describe your proposal or its environmental effects. The
agency to which you submit this checklist may ask you to explain your answers or provide
additional information reasonably. related to determining if ihere may be . significant
adverse impact.
Use of checklist -for nonproject proposals:
complete this checklist for nonproject proposals, everr' though questions may be
answered I'does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR - NONPROJECT
ACTIONS (part D).
For nonproject actions, the references in the checklist to the words "project,"
"applicant," and "property or site" should be read as "proposer," and "affected geographic
area," respectively.
A. BACKGROUND
1. Name of proposed project, if applicable: a oe�e
2. Name of applicant: 14 )e 11 4,1< 70,L2 Ad 3-
CHKLT/1 2-19-9 1.MASTER Page I of 23
3.
4.
5. Agency requesting cnecxiist: city or Edmonds.
6. Proposed timing or schedule (including phasing, if applicable):
(STAFF COMMENTS)
7. Do you have any plans for future additions, expansion, or further activity
related to or connected with this proposal? If yes, expla
IWA
.051110
(STAFF COMMENTS)
S. List any environmental information you know about that has been prepared, or will
be prepared,.directly related to this proposal.
(STAFF COMMENTS)
9. Do y�u know whether applications are pending for governmental approvals of other
proposals directly affecting the property covered by your proposal? If yes,
explain.
4 2�
(STAFF COMMENTS)
CHKLT/1 2-19-9 1.MASTER Page 2 of 23
10. List any government approvals or permits that will be needed for your proposal,
if known.
(STAFF COMMENTS)
11. Give brief, complete description of your proposal, including the proposed uses
and size of the project and site. There are several questions later in this
checklist that ask you to describe certain aspects of your proposal. You do not
need to repeat those answers on this page.
(STAFF COMMENTS)
12. Location of the proposal. Give.sufficient information for a person to understand
the precise location of your proposed project, including a street address, if
any, and section, township, and range, if known. if a proposal would occur over
a range of area, provide range or boundaries of the site(s). Provide legal
description, site plan, vicinity map, and topographic map,- if reasonably
available. While you should submit any plans required by the agency, you are not
required to duplicate maps or detailed plans submitted with any permit
applications related to this checklist.
(STAFF COMMENTS)
TO BE COMPLETED BY APPLICANT
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site (circle one) Flat rolling, hilly, steep
slopes, mountainous, other:
d 1 .1
CHKLT/1 2-19-9l.MASTER Page 3 of 23.
(STAFF COMMENTS)
b. What is the steepest slope on the site (approximate percent slope)?
(STAFF COMMENTS)
c. What general types of soils are found on the site (for example, clay, sand,
gravel, peat, muck)? If you know the classification of agricultural soils,
specify them and note any prime farmland.
. TV 10 1' C' A-V Al. r *"L,�A -f
(STAFF.COMMENTS)
d. Are there surface indications or history of unstable soils in the immediate
vicinity? If so, describe.
Alo Y- --7'0 -*," i /
(STAFF COMMENTS)
e. Describe the purpose, type and approximate quantities of any f illing or
grading proposed. Indicate source of filli
4 1 6 A S -7. A-? --1,4 'P I &.,;, �( 'IV -C /
e �, Arl 0 "07*;;�M.1 &'VL 7 &
(STAFF COMMENTS) XA do- /-.�
a &-�'
f. Could erosion occur as a result of clearing, construction, or use? If so,
generally despribe.
ZLF a
r-V-U
(STAFF COMMENTS)
CHKLT/1 2-19-9 1WASTER Page 4 of 23
g. About what percent of the site will be covered with impervious surfaces after
project construction (for example, asphalt or buildings)?
(STAFF COMMENTS)
h. Proposed measures to reduce or control erosion, or other impacts to the earth,
if any:
(STAFF COMMENTS)
2. AIR
a. What types of emissions to the air would result from the proposal (i.e., dust,
automobile, odors, industrial. wood smoke) during construction and when the
project is completed? If any, generally describe and give approximate
quantities if known.
(STAFF COMMENTS)
b. Are there any off -site sources of emissions or odor that may effect your
proposal?, If so, generally describe.
0
(STAFF COMMENTS)
c. Proposed measures to reduce or control emissions or other impacts to the, if
(STAFF COMMENTS)
CHKLT/1 2-19-9 1.MASTER Page 5 of 23
3. WATER
a. Surf ace:
(1) Is there any surface water body on or in the immediate vicinity of the
site (including year-round and seasonal streams, saltwater, lakes,
ponds, wetlands)? If yes, describe type and provide names. if
appropr�ate, state what stream or river it flows into.
0
(STAFF COMMENTS)
(2) Will the project require any work over, in, or adjacent to (within 200
feet) the described waters? If yes, please describe and attach
available plans.
4AIv
(STAFF COMMENTS)
(3) Estimate the amount of fill and dredge material that would be placed in
or removed from surface water or wetlands and indicate the area of the
site that wjftld be affected. Indicate the source of fill material.
(STAFF COMMENTS)
(4) Will the proposal require surface water withdrawals or diversions? Give
general description, purpose, and approximate quantities if known.
/1/19
(STAFF COMMENTS)
CHKLT/1 2-19-9 1.MASTER Page 6'of 23
(5) Does the proposal lie within a 100-year floodplain? If so, note
location on the site plan.
(STAFF COMMENTS)
(6) Does the proposal involve any discharges of waste materials to surface
waters? If so, describe the type of waste and anticipated volume of
discharge.
V-49
(STAFF COMMENTS)
b. Ground:
(1) Will ground water be withdrawn, or will water be discharged to ground
water? Give general description, purpose, and approximate quantities if
known.
(STAFF COMMENTS)
(2) Describe waste material that will be discharged into the ground from
septic tanks or other sources, if any (for example: - Domestic sewage;
industrial, containing the following chemicals ... ; agricultural; etc.).
Describe the general size of the system, the number of such systems, the
number of houses to be served (if applicable), or the number of animals
or humans the system(s)-are expected to serve.
(STAFF COMMENTS)
CHKLT/1 2-19-9 LMASTER Page 7 of 23
c. Water Runoff (including storm water):
(1)
Describe the source of runoff (including storm water) and method of
collection and disposal, if any (include quantities, if known), Where
will this water flow? Will this water flow into other waters? If so,
(STAFF COMMENTS)
(2) Could waste materials enter ground or surface waters? If so, generally
describe.
A49
(STAFF COMMENTS)
d. Proposed measures to reduce or control surface, ground, and runof f water
acts, i any:
A/ ZA
(STAFF COMMENTS)
4. Plants
a. Check or circle types of vegetation found on the site:
deciduous tree: alder, maple, aspen, other:
—X—evergreen tree: fir, cedar, pine, other:
shrubs
--X—grass
pasture
____,crop or grain
wet soil plants: cattail, buttercup, bulrush, skunk
water plants: water lily, eelgrass, milfoil, other:
other types of vegetation:
(STAFF COMMENTS)
cabbage, other:
CHKLT/1 2-19-9 1.MASTER Page 8 of 23
b. What kind and amount of.vegetation-will be removed or altered?
(STAFF COMMENTS)
c. List threatened or endangered species known to be on or near the site.
(STAFF COMMENTS)
d. Proposed landscaping, use of native plants, or other materials to preserve or
enhance veaetation on the site. if anv: .1
(STAFF COMMENTS)
5. Animals
a. Check or circle any birds and animals which have been observed on or near the
site or are known to be on or near the site:
birds: hawk, heron, eagle, songbirds, other:
� �_____pammals: deer, bear, elk, beaver, other:
61� fish: bass,- salmon; trout, herring, shellfish, other:
(STAFF COMMENTS)
b. List any threatened or endangered species known to be on or near the site.
(STAFF COMMENTS)
c. Is the site part of a migration route? if so, explain.
A/O
CHKLT/I 2-19-9 1.MASTER Page 9 of 23
(STAFF COMMENTS)
d. Proposed)deasures to preserve or enhance wildlife, if any:
(STAFF COMWNTS)
6. Energy and Natural Resources
a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be
used to meet the completed project's energy needs? Describe whether it will
be used for hepting, manufa ing, etc.
C—
N1-
(STAFF COMMENTS)
b. Would your project affect the potential use of solar energy by adjacent
properties? If so, generally describe.
Ale
(STAFF COMMENTS)
c. What kinds of energy conservation features are included in the plans of this
proposal? List other proposed measures to reduce or control energy impacts,
if any:
20
(STAFF COMMENTS)
CHKLT/1 2-19-9 1.MASTER Page. 10 of 23
7. Environmental Health
a. Are there any environmental health hazards, including exposure to toxic
chemicals, risk of fire and explosion, spill, or hazardous wa ste, that could
occur as a result of this proposal? if so describe.
441a
(STAFF COMMENTS)
(1) Describe special emergency services that might be required.
(STAFF COMMENTS)
(2) Proposed measures to reduce or control environmental health hazards, if
any: , /9 1
A
(STAFF COMMENTS)
b. Noise
(1) What types of noise exist in the area which may affect -your project (for
exampl : traffic, equipment, operation, other)?
(STAFF COMMENTS)
(2) What types and levels of noise would be created by or associated with
the project on a short-term or a long-term basis (for example: traffic,
construction, operation, other)? Indicate what hours noise would come
from the site.
A/ v o e- -vk- dc do~, -5 �7� L-_ _T
-74 e `0
PAll- 7 Veo e 4t dr j&.1 a� Aw'7L e
CHKLT/1 2-19-9 1.MASTER Page 11 of 23
(STAFF COMMENTS)
(3) Proposed measures to reduce or control noise impacts, if any:
(STAFF COMMENTS)
S. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
(STAFF COMMENTS)
b. Has the site been used for agriculture? If so, describe.
(STAFF COMMENTS)
c. Describe any structures on the site.
/tAll A.' C'
(STAFF COMMENTS)
d. Will any structures be demolished? If so, what?
,(STAFF COMMENTS)
CHKLT/1 2-19-9 1.MASTER Page 12 of 23
e. What is the current zoning classification of the site?
0
(STAFF COMMENTS)
f. What is 7th current comprehensive plan designation of the site?
7�,
.(STAFF COMMENTS)
g. If applicable, what is the current shoreline master plan designation of the
site?
(STAFF COMMENTS)
h. Has any part of the site been classified as an "environmentally, sensitive"
area? if so, specify.
(STAFF COMMENTS)
i. Approximately how many people would reside or work in the completed project?
.p4
(STAFF COMMENTS)
j. Approximately how many people would the completed project displace?
"J'o
CHKLT/1 2-19-9 1WASTER Page 13 of 23
(STAFF COMMENTS)
k. Proposed measures to avoid or reduce displacement impacts, if any:
A)6 -- $(f,
(STAFF COMMENTS)
1. Proposed measures to ensure the proposal is compatible with existing and
nroiected land uses and nlans. if anv:
(STAFF COMMENTS)
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether
high, middle, or low-income housing.
(STAFF COMMENTS)
b. Approximately how many units, if any would be eliminated? Indicate whether
high, middle, or low-income housing.
!1�0 d2 a
(STAFF COMMENTS)
c. Proposed measures to reduce or control housing impacts, if any:.
CHKLT/1 2-19-9l.MASTER Page 14 of 23
(STAFF COMMENTS)
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including
antennas; what is the principle exterior building material(s) proposed?
(STAFF COMMENTS)
b. What views in the immediate vicinity would be altered or obstructed?
,too, &
(STAFF COMMENTS)
c. Proposed.mea'sures to reduce or control aesthetic impacts, if any:
e- I,- C -r 0, &?�� a-2:2 e-
C*-- 5 oe %,0
(STAFF COMMENTS)
11. Light and Glare
a. Wha * t type of light or glare will the proposal produce? What-tike of day would
it mainly occur?
. p- 2� =222,0 dt &LIP U- A-11'..",^V aur &- ,00- C
09 4o�el, /r
(STAFF COMMENTS)
b. Could light or glare from the finished project be a safety hazard or interfere
with views?
CH KLT/ 12-19-9 1. MASTE R Page 15 of 23
(STAFF COMMENTS)
c. What existing off -site. sources of light or glare may affect your proposal?
(STAFF COMMENTb)
d. Proposed measures to reduce or control light and glare impacts, if any:
(STAFF COMMENTS)
12. Recreation
a. What designated and informal recreational opportunities are in the immediate
vicinity?
df
(STAFF COMMENTS)
b. Would the proposed project displace any existing recreation uses? If so,
describe.
(STAFF COMMENTS)
c. Proposed measures to reduce or control impacts on * recreation, including
recreation opportunities to be provided by the project or applicant, if any:
CHKLT/1 2-19-9 1.MASTER Page 16 of 23
(STAFF COMMENTS)
13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed for,.. national, state,
or local preservation registers known to be on or next to the site? If so,
generally describe.
(STAFF COMMENTS)
b. Generally describe any landmarks or evidence of historic,* archaeological,
scientific, or cultural importance known to be on or next to the site.
00 e-
(STAFF COMMENTS)
c. Proposed measures to reduce or control impacts, if any:
(STAFF COMMENTS)
14. Transportation
a. Identify public streets and highways serving the site, and describe proposed
access to the existing street system. Show on site plans, if any.
(STAFF COMMENTS)
b. Is site currently served by public transit? If no, what is the approximate
distance to the nearest transit stop?
—r— A'. /,a .0 to M 'd g-�*
CHKLT/1 2-19-9l.MASTER Page 17 of 23
(STAFF COMMENTS)
c. How many parking spaces would the completed project have? How many would the
project eliminate?
(STAFF COMMENTS)
d. Will the proposal require any new roads or streets, or improvements to
existing roads or streets, not including driveways? If so, generally describe
(indicate whether public or private).
(STAFF COMMENTS)
e. Will the project use (or occur in the immediate vicinity of) wateri rail, or
air transportation? If so, generally describe.
(STAFF COMMENTS)
f. How many vehicular trips per day would be generated by the completed project?
If known, indicate when peak volumes would occur.
(STAFF COMMENTS) 4.wt>T- .+-A
( S--4,h u'a. %
CHKLT/1 2-19-9 1.MASTER Page 18 of 23
g. Proposed measures to reduce or control transportation impacts, if any:
(STAFF COMMENTS)
15. Public Services
a. Would the project result in an increased need for public services (for
example: fire protection, police protection, health care, schools, other)?
If so, generally describe.
(STAFF COMMENTS)
b. Proposed measures to reduce or control direct impacts on public services, if
any:
(STAFF COMMENTS)
16. Utilities
a. Circle utilities currently available at the site e �ec�tricit <nat�ural gas,
t
ot
a use servi elephon 3 L �ar y s �ew s i5
se s em,
/022
(STAFF COM4fiNd).
CHKLT/1 2-19-9 1.MASTER Page 19 of 23
b. Describe the utilities that are proposed for the project, the utility
providing the service, and the general construction activities on the site or
in the immediate vicinity which might be needed.
(STAFF COMMENTS)
C. SIGNATURE
The above answers are true and complete to the best of my knowledge. I understand
that the lead agency is relying on them to make its decision.
-e-eke'.ege A9 2
;�S�inature of Proponent D6/te Submitted
CHKLT/1 2-19-9l.MASTER Page 20 of 23
owner:- G. & L. Enterprises
9405 218th St SW
Edmonds, WA 98020
Contact: Gary Alston @ 546-5731
Contractor: Pacific Northwest Development
5312 23rd Ave W
.Everett, WA 98203
Contact: Keith Welch 771-2911
License 4 PACIFND088LJ expires 6/10/94
Zoning: RS-8
Lot Area: 5,358..5+/-
+ C)O
Ito
Tax Acct..# 4311 000 002 02
Legal: The West 65' of the East 260'
of the South 4 of Lot 2, East EdmondE
Acres, per plat recorded in Vol. 12
of Plats, page 33, records of
Snohomish.County, Washington
TOGETHER WITH AND SUBJECT TO:
A 20'. easement for ingress, egress,
and utilities per document recorded
Under Snohomish County Auditor's'
file #2002437. 1
,Z' FAAira�
3�
Liwtk-Dw 103
111- 11 --
UT C
S-
ry FF 10?,
I E 6 t"?g
('P� .00L.,
Impervious Area:
Building 32.5x43=1397.5
Walkway 3xl3= 39
Driveway 16x25= 400 :5-ze X 4 5-
Patio 8xl4= 112
TOTAL 1,948.5.
_Le-ss--tban 200G—sqi6��
NG BRAf NAGE PbAN 4WbeUj4Wa
$ 5ez� 1 . -)o %
T
........ .
r4
(4
Height
Calcs:
102+102+105+107
4
-104
Maximum
Height=,129
E)u f1j.1.5
*EXCAVATION AND GRADING ARE INCIDENTAL
TO CONSTRUCTION, AND EXEMPT FROM
SEPARATE PERMIT, AS ALL GRADING AND
EXCAVATION WILL BE DONE IN CONJUNCTION
WITH A VALID BUILDING PERMIT.
R E E I V E D
N OV 0 8 19 9 31
P C P r� ril T P () I I r �! T PIP
v nq i i
p, 04 1.-
4?
401e.-
VOLUME 12. PAGE 33
401
.2
N
20' EASEMENT FOR INGRESS,
IGRESS & UTILITIES PER A.F. NO. 2002437, SNOHOMISH COUN 7y
cli
OD
NORTH LINE OF S 112 OF LOT 2
Set 518 Reber wlYPC #4596
Set 518 Rebar w/YPC f4596
Flush
in Asph. Ddveway
W - agrys.11r,
CaWON.DRNEW
AY EASBAWT
130.=
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zi Co
65.002
N 89'7 4
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Lf
U
N ag3B50' w 795' DEED
N .100 16-1
PARCEL "B"1615 10
N
N
i3
lSet, 518" Rebar w/VPC #45196
5.4 So. Old Wood Fence to West
Old 5' Wood Fence
North side prop. une--\
,-65.002
,;;:I '1� — L 2L
(626.74 P)
Set 518 Rebcr w/YPC if4596
SO- side imVe Boulder and
E.-side Wood Fence I
com� "nt "f *,. #� 9'-- P--k—f
E
coo
In 0 0
04
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97
5'