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20818 80TH AVE W.PDF111111111111 7149 20818 80TH AVE W QT,0.,=T F:11_F PLANNING DATA SITE ADDRESS:-2c)515 - PrO-Avv-L- uhsr ATE:, ZONING: PERMIT#: q-,3 -2� 9 PROJECT DESCRIPTION: SETBACKS: Reauired Setbacks: Front: 2- -7' Left Side: Right Side: Rear: Actual Setbacks: Front: —Left Side: ,�--Right Side:__�R r: FLOOR AREA: LOT COVERAGE: Maximum Allowed: 0�qqo.Actual: /99,17n z-z-z9 BUILDING HEIGHT: 16, // / 3 1/ Maximum Allowed:- Actual Height: SUBDIVISION: CRITICAL AREAS #: ()13-2--78 SEPA DETERMINATION: �Lr- aQjci--� LOT AREA: oz OTHER: STRFETTRLE-­ -7 �eo-1 sqJie, o, ae- TO PR(::)?O. L4t :;�, ZI 114 c;2 APP.;RpyfiD AS NOTED 70WING PA C, 5ACK-2., SIDEWALKS_— STREET DEDICATIC SUBUIVISiON REQ. APPR VED PLAN ING V�77&4oR c;TP.TEMcNT GUdv;THUUsE STATEMENT FL010D AREA OTHER— V 9 0 - -L 9 '4 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 submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. 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 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: /OV 4&�ee.s Name Street Address Z!�; ,07 _11f City, State, ZIP Phone Signature Date Applicant Representative: Name Street Address City, State, ZIP Phone Ivsignature Date CA FILE NO. SIR Z�=EJAUA- reas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): 76--� 4. Is this site currently developed? no. z -Y—yes; If yes; how is site developed? ELis 'oe &-5 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: Approx. Depth: 7. . Site contains areas of seasonal standing water: /t,"O ;Approx. Depth: What season(s) of the year? 8. Site is in the floodway flood'plain _ of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? WC9 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: ..... . ForCity.Staff Use;Only :4. Site is Zoned? :2. SCS mapped soil type(s)? L2a)�ooq:;? LA1tT=,At+ L-AM12 OWLiX t-f- 3. Wedand inventory or C.A. map indicates wetland present on site? ---4 4. 'Critical Areas inventory or C.A. map indicates Critical Area on site? S. Site within designated earth subsidence landslide hazard area? 6. Site designated on the Environmentally Sensitive Areas Map? DETERMWATION STUDY REQUIRED W41VER tX nAU-QDk/� Reviewed by: C Planner CONDITIONAL WAIVER tt,-- b-5 Date Rev OMM93 9 9 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 map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preluininary 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: AMI&�Ws Name Street Address City, State, ZIP Phone Signature Applicant Representative: Name -7c?l,etl- -.2- 7U9 Street Address City, State, ZIP Phone ,,Oe Date ignature Date STREET FILE C-A FILE NO. - Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: ;Z&791 2. Property Tax Account Number: 00 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? yes; —?r— no. If yes; how is site developed? ELis 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 greatei than 30% present on site (a vertical ris6 of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: /VO Approx. Depth: 7. Site contains areas of seasonal standing water: /4ZA0 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? WC2 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 StaffUse Only I. Site is Zoned? en 2. SCS mapped soil type(s)? L/qz-T,�,Ilt-� LAM32 C&MrLar. t-f- 3. Wetland inventory or C.A. map indicates wetland present on site? �fc> 4. Critical Areas in v*entory or C. A. map indicates Critical Area on site? /k4� S. Site within designated earth subsidence landslide hazard area? 6. Site designated on the Environmentally Sensitive Areas Map? DETERMINATION STUDY REQUIRED CONDITIONAL WAIVER W41VER Reviewed by: 1jALt_0at__ — / ) / Zv b3 Planner t Date Rev M9193 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 �Eclmonds does not warrant the accuracy of anything set forth on these map(s-). Any person or entity -requesting a copy should conduct an independent inquiry regarding the infor,mation shown on th-e -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-l-oyee-s or officers -shall be Hab-11-e for the information given on this map(s), nor for any one representation provided based upon said map(s). APPLICATION '%,The City of Edmonds" for EASEMENT NO - ------- ............ ....... SIDE SEWER PERMIT NEW CONSTRUCTION F1 REPAIRS 0 LID NO . .... V�� ----- ASMT. NO - ------- --------- OWNER....... ............... ............. ................... ...... CONTRACTOR .......................................... -------------------- ----------------- ... PERMIT NO . ...... ............. p— JOB ADDRESS ------- \'K . ...... LEGAL DESCRIPTION: LOT NO . ......... .................. ...... .-- BLOCK NO - ----------------------------------- ------------------------------------------------------------------------ .......................... .............................................................. -7 E—= - "�� I:V rE_ NAME OF ADDITION ---- P-752� .......... .......................... ---------------------------------------------------- iD , MOS Nh TY"OVE0, SIEWME C1 P-MMA14F A �4 -DEPWRT - ----- ;A-T-1; 'WrIqV A SE 0, ..PEIR 2: A �the- ;Copstruction -2525. for- side* sewer Inspections BEFORF coveringi any,. pollon of; (Call: 715 11 a Ihipection,,.*Will.lbe,:provided� within:,24 hours, after -requsL- :,NO�!Sat., .�un­,�6r-:ho d y inspectlon�,f... Vest . ........................................ 1Q8f8.,.-z 80th Aveniie DBSS'�.,LIOCA'nON,,OF,lCONSTRUCTION.,-.� ................................... ........................................ ..................... ................ . Rpbi�rt IS Thonfaa, 'EGAL ..... ..... ...... : ...... ... ...................... ........................................ ................................................................ . ....... ....... DESC RIPT-10M.. ..................................... ................... ...... ............................................................ ......... ..... . .................... ......... ................. ................... R ................................ .... ................................. .. . ... ..... . 6WNERAND/Ok BU-1EJ)E ....... V.............. ....................... Russ Jobns .!C,QN,TW,kCTOR!S�'.,N�A,M,E�"&i-AMDRESS�.,: ................... : ........ ............. ...... ........................ ............ ........................ ............... .............................. ilsslon,lsigr� i�tobibr 9 -'and "citPisafik. 110.,- .,sewer anted . ......... ............................ �-r ....... ......... 19! .......... for repair,; Vok,,6onn�6etibit:rof,",a, side -Sem�,46ir.,;6 th6,' t 4AnAn, accorftnceuith,�Clty- of Edmonds ordinances. R, C. �flfll ENTION! IS,.,CALLED1,TO THE FOLLOWING: 'tractor inuei, mplo , ye'd4ollcongtruct" WOTEt No., �owpers*,.'-,q'jf4hei p�operty. mayl' e% e T�el, obtain a perifdt to� construct sewer Inside property,oline. Alceiisedl Side S emi� &r glde�,BeWer,%nf�#reet- ea., Do not cover'any portion -of',sewer ibefore it-.L'has,�been' inspeete'd., 2�'��AIII�-,,�,oik',�6r'fGrmed''in, city right-of-w-�LY,.requires�;ani�l,nVaston,of Rlght-of!Way -Perl�ir.Zbtalnable the,�City :h'agineer's offl6e. n , _d`-�sewc s when, you!,ge 'Obi�i�t�flill�,i�i6rm�tfon',,regarding.�Ordinaiice-,1,1�.16.0301,and1 Regulations oye g si e r perl?� .. .. L ! g �nl -��n :gqtde, 4 'NOTE* No —Ti>p�lo slde�:sewer must',have, at least 30, incheii'Lcoveraje%at property Illnetfamd'.12Anches Jnslde�.property L ine; ..minimumf. grade f shafpee,�than - 'A'i,will: be permttted� No."-5-��tren�hes:�iii',I"itreet must'be wat6rL settled, and�.surfacc of'.street restore& —to original4conditlow-* Contractors shaliz.be-responsible for .'may develop within one; year of completim, workLwhIch 6ept: to in- or4o.doany wt3rk.orL.thc:,Majn sewer or Its,Appurtenancestlex in NOT ;Y'�L—jt.:Isi�uiiliiwfLLIt,to,alter,,orI do.Iany other.*work tharrAs provided -,for* in the,.�,e'rinIt+,. pq9t 61 wye. he pipefinfo, the .......... D ......... ............................ . B Date ... ............ 1. B ... ...... ...... Date ........ Ate Y1_­ "VI)ISATPROVED1, :IE11', - ------ Y.- ........... ...... . ........ ... ................... DaW ....... . ........ ............................ "'ANPP" 1�' 1 r.:.p A'rTni t nrljv'� Rbinalliks:1 ...... .................. . .. I ................ ............ ............... ........................ ....................................... ............ . .... .... . . ........ 77 ................. I ................. ...................... . .................... ...... ...... ............. . ............... 7 eqixe To' R st For. In9p ib BqTS Be, Signedl*.By 0�vffen'of.,Firm, Perforn H" J, " ....... ...... ........ hereby cerltify,lhifAhb: side;tsr6wer iiigtalle�tion,�6onstr�ucted...und�r�,thi!�-�p.e�mI 01 e iob" ntra, j,`,-Ftr rming, �Constructlon, 0 'W18CAnsialled'In e6u CeL� th,alfgpverninx brdihanoes:,of -the City V,Edmori��& '0V .... ......... ........ atedWs— ... .. .. ..... "Y Or -MO e Check;BEFORE: you -i�,Water-'E], , : Gthe J I dig, for as ii;[], APPUCATJON lhe City of Edmonds for SIDE SIEWER PERmff EASEMENT No - ------------------------------ ------------- NEW CONSTRUCTION E] REPAIRS Er' LID NO. ASMT. NO OWN ER ----------------- CONTRACTOR --- PERMIT NO.,5---RJ� JOB ADDRESSa.2 F/-9 --------------- LEGAL DESCRIPTION: LOT NO - ------------ ------------- ----------- BLOCK NO - ------------------------------------ --------------------- ................. ------------------------------------------------------------ -------------------------------------------------------- NAME OF ADDITION — ........ Approved: DATE---------------------- --------------- ..... By ------------- APPLICATION for e Cit; of Edmonds Li SEDE SEWER PERMIT ILJ�EW CONSTRUCTION [- REPAIRS e--- - OWNER --------- if ........... W.. .............. .................................. CONTRACTOR ...... * --- ADDRESS ...... LEGAL DESCRIPTION Z061A 1J. NAME OF ADDITION L-7z, JEC4 -7 5- (LYNN PLANT EE 1, MENT No . .......................................... 1,3 -S�7 ... am .. . . ............................................... PERMIT No. -c-�/ -.191 LOTNo . ............. ...................... BLOCK No . ............................................ ................ 04 . ..... ............. ................................ APPROVED APR 481867 Approved: DATE -q ---- ... ......... By .. ...... ..... ............................ CITY OF EDMONDS CIVIZ",�Z MeER WATER -SEWER DEPARTMENT S.PE-SEWER PERMIT Call PRospect 6-1107 when work Is ready for inspection. (No Inspec- 7. 0 tions Saturday, Sunday or hol - � N2. 2139 200 - 21st Avenue South ADDRESS......................... ............................................... ....................................................................................... ....................................... OWNER ............................ R..Jla.daen ......................................... CONTRACTOR ............... Ro.y..Allen ....................................... Per liission is granted ............. :4Trll ... 28.1 ...... jq.�T, for ....... ------- I days to RIEPAIR 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 sharp6r than 'A will be permitted. N No. 4—Trenches in street must be water settled and surfa, e of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop weithin one year of completion. NOTE No. 5—It Is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appur- tenances except to insert the pipe into the wye.