20829 78TH AVE W.pdfL
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CITY OF EDMONDS File Noc7V --7'2-/
EDMONDS, WASHINGTON Date
EXHIBIT 2,
Fee
APPLICATION TO HEARING EXMINER APO'S
Rect. No .
FOR CONDITIONAL USE PERMIT
HEARING DATE
0
Robert J. Nels n &
APPLICANT, Evelyn M. Nelson ADDRESS 20829 78tb W-PHONE776-50
Indicate type or degree of interest in the property; Owners
OWNER: Same ADDRESS PHONE
'LOCATION OF PROPERTY(ADDRESs) 20829 78th Ave. W.'LEdmonds� wA 98 2o,
0
LEGAL DESCRIPTION OF PROPERTY
To be completed by the Planning Division: Use Zone
Legal description checked and approved by:
VICINITY SKETCH: PLEASE SHOW BELOW A VICINITY SKETCH AS PER EXAMPLE,,
INDICATING NORTH.
ExamDle: 'sw LIA
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/pal i4�0� W
CONDITIONAL USE REQUESTED: Rental of mother-in-law apartment.
DETAILS OF PROPOSED USAGE: Living quarters f or not more than
3 non -family members.
S i gn a t urp / o t ��P:ff
RepreserVative
RELEASE/HOLD HARMLESS AGREEMENT
The undersigned applicant, his heirs and ass.igns, in consideration for the
Ciry processing,the application agrees to release, indemnifv, defend and
hold the City of Edmonds harmless from any and all damazes and/or claims for
damages, including reasonable attorneys' fees, arising from anv action or
inaction of the City whenever such action or inaction is based in whole or
in part upon false, misleading or incomolete information furnished bv the
applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY
The undersigned applicant grants his, her or its Dermission for public
officials and the staff of the City of Edmonds to enter the subject
property for the purpose of*insDection and posti�g at;endant to this
application.
�PM
gm,
-504030221
Robert J. Nelson and Evelyn M. Nelson state and
I
affirm that they have resided in the single family dwell -
in with the attached mother-in-law apartment at 20829,-
9
78th kve. W., Edmonds, Wk 98020, for over twelve years
prior to the date of this doctLment.
ks a condition to the issuance of a Conditional Use
Permit by the City of Edmonds, WA for the rental of*the
mother-in-law unit, the aforenamed parties or at least
one of them promises and covenants that such party will
continue to reside in the main dwelling as long as the
accessory dwelling unit is used as a separate dwellin unit.
9
. .. ................ . .
7,
Date �R-bTer J. e s`onc
Date -Evelyn &T. Nelson
Subscribed and sworn before me,
a Notary Public for the county of King,
State of Washington, this ;zw4 day of 17:ff-:4- 1985.
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SlhG EAM RES ACCOUNT NUMBER rIg A
(00) FIELD MAN 4 5 (01) BUILDING NUMBER (54) DEPRECIATION% 18 STYLE 1 STORY
2 DATE BUILT (0!) REMODEL DA EFFECTIVE AGE 2 4 (05) NDITION (06) % UNFINISH I ED
07 QUALITY
0
13 FLOOR
-(04)
FIREPLACE
STUCCO 3
89FOUNDATION Y S
C CABIN I
I ST CONC I
2245ING I STRY
Ply/HDBD. 4
PORCH -DECK -PATIO
SUB -STD 2
CPT./VINYL 2
C F I V N L
23#DBL I
SIDING 5
48 OPEN SIAB
LOW 3
WOOD SUB 3
24#siNr, 2 STRY
CONC BLK 6
49 OPEN WOOD
FAIR 4
2ND CONC 4
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2- S T Y
43 GARAGE QUALITY
06
50ROOFED
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AVG. 51
A VG
CPT./VINYL 5
6# PLUMB. Fix
SUB�STD 1
51 CEItED
GOOD 6
WOOD SUB 6
APPLIANCES
tow 2
52 PORCH DECK,PATIO QUAlITY
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VERY GOOD 7
3RD CONC 7
27# BI-RO GAS
fAIR 3
LOW I
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SPECIAL 8
CPT./VINYL 8
28# 81-RO ELEC
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FAIR 2
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08 CONSTRUCTION
WOOD SUB 9
29# Dl�RO GAS
GOOD 5
AVG 3 AVIG
BRICK VEN 1
XJX AAAK
30# DI-RO ELEC
VERY GOOD 6
GOOD 4
>
BRICK 2
15 HEAT
31 INTERCOM
SPECIAL 7
VERY GOOD 5
STUCCO 3
NONE 1
32 MASH COMP
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53 OTHER I MRS
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44# SO FT 264
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SIDING 5
SIDING
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34# rARB DISP
45 CARPORT ROOF
83 COMM.
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CONC BLK 6
B.B, ELEC 4
35# EX HD FAN
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HOT WATER 5
36#EXFAN
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BUILT UP 21
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46 CARPORT CEILED
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39 ATTACHED
47 CARPORT QUALITY
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19 UNDEV.
42 GARAGE CONST.
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AVG
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20 DAYLITE
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FULL
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MISS TILE 51
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.(Sg) (60)
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TOTAL VALUATION
FULL VALUE $
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DATE
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UNFINISHED
DATE
REMODELED
....... . . ... ..
DATE
MOVED
VALUATION
ACRESOR
LOT NUMBER LAND
BLDG IINITIAL� DATE
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SALES
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SALE DATE
ANSTRUMENT
RECEIPT
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DWELLING
HIGHEST AND BEST USE VALUE�
DATE
CONDITION EFFECTIVE
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IMPROVED UNIMPROVED i
TIMBER", 'T TOT'
AGE
DEPRECIATIO N
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A?
ENVIRONMENTAL CHECKLIST
purpose or 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),)m'ust be
prepared for all proposals with -probable significant adverse impacts on the quality of the environment. The purpose of
agency identify impacts from your proposal (and to reduce,
this checklist is to provide information to help you and the
cy decide whether an EIS is required.
or avoid impacts from theproposal, if it can be done) and to help the agen
Instructions for Applicants:
This environmental checklist asks you to describe some basic information about your proposal. Goverhmerftal agen-
determine whether the environmental impacts of your proposal are significant, requiring
cics use this checklist to
preparation of an EIS. Answer the questions brieflv, with the most precise information known, or give the best de-
scription you can.
You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should
be able to answer the questions from your own observations or project plans without the need to hire experts. If you
ot know" or "does not ap--
really do not know the answer, or if a question does not apply to your proposal, write 'do n
w may avoid unnecessary delays later.
ply".. Complete answers to the questions no
I regulations, such as zoning, shoreline, and landmark designations. Answer
Some questions ask about governmenta
these questions if you can. If you have problems, the governmental agencies can assist you.
Ian to do them over a period of time or on
The checklist questions apply to all parts of your proposal, even if you p be
different parcels of land-. Attach any additionaf information,that � will help descri, your proposal-.o� its environmental
ide additional in -
effects. The agency to which you submit this checklist may ask you to explain your answers or prov,
ficant adverse impact.
formation reasonably related to determining if there ma\ be signi
Use of checklist for nonproject proposals:
Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." IN AD-, ,
omplete the SUPPLEMENTAL SHEET FOR NONPROIFCT ACTIONS (part D).
DITION, C
ty or site"
For nonproject actions, the references in the checklist to the words "project," "applicant," and "proper
should be read as "proposal," "proposer," and "affected geographic area," respectively.
A.BACKGROUND
1. Name of proposed project, if applicable: Conditional Use Permit for tha
rental of mother—in—law apartment
to non —family members.
J
2. Name of applicant: ROBERT J. NELSON & EVELYN M. NELSON
3. Address and phone number of applicant and contact person: Marsba DeValdez
20829 78th Ave. W. 19001 - 44tb Ave. W.
-9338
Edmonds, WA 9qO2O 776-5090 Lynnwood, WA 98036 776
4. Date checklist prepared: A-2-85
S. Agency requesting checklist: Hearing Examiner f or Conditional Use Permit.
6. Proposed timing or schedule (including phasing, if applicable): May 2, 1985 Hearing Mtg.
Planning Division.
ou have any plans for future additions, expansion, or further activity related to or connected with this proposal?
7. Do y
If yes, explain- No.
'AF
5 5
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TO BE COMPLETED BY APPLICANT
AG
C. What general types or soils arc found on thc,site (for�cxnmplel clay, sand, grave Peat
P
muck)?, If you know the classification of agricu tural soils; specify them and note �any,prirner
farmland.
Clay.
d. Are there surface indications or history of unstable soils in the immediate
describe. �No
e. Describe the purposc� type, and approximatc. quantities of any filling or,,gradin -
pro
Posed. Indicate source of'fill None.
F. Could erosion occur as a result of clearingi construction..or use? If,so general y escr e.
�No:.
0 K','
Abotit,what percent of the*site will be covered with impervi us surfaces after project
0
construction (for example. asphalv6r.buildinUs)' 4b,
No� project- construction.
h. Proposed: measures to reduce or.control erosion., or other impacm to the earthAf anv:.
:None
2. Air
What types or 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
aencrally describe a nd give approximate quantities if known.
Automobile, if renters own any. 4
b. Are there any off -site source s of emissions or odor that may affect your proposal'! If so,
generally describe.
No.
c. Proposed measures to reduce or control emissions or othe r impacts to air, if any:
None.
-3-
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... .. . .
M,
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TO BE COMPLETED BY APPLICANT
%"A L TT
3, water
MAI
`AGENCY�AJI
a Surface:-, ,
1) Is there any surface water body on or in the immediate vicinity of the site (iricludin
...... .
year—round and seasonal streams, saltwater, lakes, ponds, wetlands)? lf,�ye's, descrilJi type
and provide names. If appropriate, state what stream or river it flows into.
No.
2) Will the project require any work over, in, or adjacent to (within 200 feet) the de.qcr*b' d
waters? If yes, please describe and attach available plans.
No.
J J�
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3) Estimate the amount of fill and dredge material that would be placed, inorremoved
from surface water or wetlands and indicate the area of the site that,would be-arf6cted.',Inm.
dicate the source of fill material.
None
4) Will the proposal require surface water withdrawals or diversions? Give�genera de-
scription, purpose, and approximate quantities if known.
q
No
5) Does the proposal lie within a 100—year floodplain? If so note location on the site
plan.
0
No.
6) Does the proposal involve any discharges of waste materials to -surface wate,rs?'If so,
K) VI
describe the type of waste and anticipated volume of discharge. -
No.
b. Ground:
I) Will ground water be withdrawn, or will water be discharged to, ground, water?'Give
,
general description, purpose, and approximate quantities if known., u! 0,
No.
2) Describe waste material that will be discharged into the round 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 ot
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.
Not more than 3 people, domestic se wage.
0
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77.:
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TO BE COMPLETFD BY APPLICANT
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.. . .. . .. ....
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c. Is the site part of a migration route? If SO, explain.
No.
d. Proposed measures to preserve or enhance wildlife, if any:
6
None.
6. Energy and Natural Resources
On
a. What kinds of encrg� (electric, natural gas oil, wood stove, solar) will. be used to. meet
the completed project's energy needs? Describe whether it will be for heating,
used manu-7,
,
facturing, etc.
electric, natural gas for lighting, heating andcooking.
b. Would your project affect the potential use of solar energy by adjacent properties? If so,.
generally describe.
No.
U
c. What kinds of energy conservation features are included in the plans of this propos al?
List other proposed measures to reduce or control energy impacts, if any:
None.
7. Environmental Health
a. Are there any environmental health hazards, including, exposure to toxic chemicals, risk,
of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal?
If so, describe.
No.
1) Describe special emergency services that might be required.
r
None.
2) Proposed measures to reduce or control environmental health hazards, if any:
None.
b. Noise
c!l
1) What types of noise exist in the area which may affect your project (for ex am
pie:
traffic, equipment, operation, other)?
None.
2) What types and levels of noise would be created by.qr,�ssociat ed with the project on a,
short—term or a long—term basis (for example: traffic, construction, operation, other)? Indi-
cate what hours noise would come from the site.
Not more than two additional automobiles,'if any.,
—67
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TO BE COMPLETED BY APPLICANT
AGENCY UsE)�b
3) Proposed measures to reduce or control noise impacts, ir any
verbal agreement, with frenters�.
. . .... . .
8. Land and Shoreline Use
a. What is the current use or the site and adjacent, properties?
One family residential.
fQY1 ,
b. Has the site been used'for agriculture? If so, describe.
�Family garden in back of main house. None now.
c.' Describe anv structures on the site.
Open storage shed.
d. Will any structures be demolished? If so, what.
No.,
e. What is the current zonina classification of the site?
Residential.
f. What is the current comprehensive plan designation of the site?
Rental of mother—:�n'law apartment to 'non.—f amily memb6rs',
g. If applicable, what is the current shoreline master program designation of the site?.
NA
?
h. Has any part of the site been classified as an "environmentally sensitive" area, 0
speciry.
No.
i. Approximately how many people would reside or work in the completed project?
Three or less.
j. Approximately how many people would the completed project displace?
One.
k. Proposed measures to avoid or reduce displacement impacts, if any:
None.
1. Proposed mensuresto ensure the proposal is compatible with existing and projected land.
uses and plans, if any:
See drawings and papers attached to Conditional.Use,Permit:
application.
—7—
T0'11 E COMPLETED 111' APPLICANT
E US
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9. Housing
a. Approximately how many units would be Provided, ir,any?:Indicate whether high
dle, or low—income h ousing.
One middle incomef.�h
T
b. Approximately ]to%%, many units, if any, would be eliminated? Indicate. whether'fiigh,'
middle, or low—income housing- None
c. Proposed measures to reduce or control housing impacts,. if any:
None.
10. Aesthetics
a. What is the tallest height of any proposed structure(s), not including antennas, what1s.
the principal exterior building material(s) proposed?
No new structures.
b. What views in the immediate vicinity would be altered or obstructed? R"r
None.
c. Proposed measures to reduce or control aesthetic impacts, if any:
None.
Vi,
'H. Light and Glare
a. What tyoe* of light or glare will the proposal produce? What time or day,would it mainly
occur.
None.
b. Could Ii ht or glare fFoEnjhe finished pr�je re it
�t b� 4 safiqy hazard or inter fe w* It"
9 y ewsr:
i� JI
No.
c. What existing off —site sources of light or glare may: affect your proposa I?
None.
d. Proposed measures to reduce or control light and glare impacts, if any:
None.
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity'l
None.
b. Would the displace any existing recreational uses? If so, describe.
proposed project.
No.
—8—
took
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TO BE COMPLETED BY APPLICANT
FV ' ALU TION�,F(
AGENCY. USE�M-Y
c. Proposed measures to reduce or control impacts on recreation, including recrciation.op-,
portunities to be provided by the project or applicant, if any:
None.
13.' Historic and, Cultural Preservation
a. Are there any places or objects listed on, or proposed,for, national,.state, oribcal prcs r-,
vation,r,cgistcrs known to be on or'ncxt to the site? If so, generally dcscrib6.
J
No.
b. Generally dcscribe'any landmarks or evidence of historic, archaeo, ogical. scientific, or,,,.
9 wal importance knowr�to be.on'or next to,the site.
ult
_y
Vone,.
6. Proposed measures to reduce or control impacts, if any-
i� �-x i
None
1 14. Transportation
a. Identify public.streets and highways servin the site, and descriibe� proposed access::to�' the:,
X isiin street system. Sh
, 8 ow on site plans, if any.
Existing, St3�66'ts
e ed by public transit? If not. what is the approximate distance to the
b Is site curr ntly sery
nearest transit stop?
Witbin walking distance.
c. How many parking spaces would the completed project have? How many would the
project eliminate?
None..
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).
No.
e. Will the pr 'ect use (or occur in the immediate vicinity oo water, rail, or air transporta.
01
tion? If so, generally describe.
No.
f. H vehicular trips per day by the comple
ow many would be generated tcd project" I f
known.,indicate when peak volumes would occur.
Unknown.
—9—
X, �t0R _,W,
r771
TO HE COMPLETED BY APPLICANT
g. Proposed measures to reduce or control transportation impacts, if any:
Nono.
iz A�
15. Public Services
a. Would the project result in an increased need for public services (for example: firc� pro-
care, schools, other)? If so, generally de§6rib
tection, police protection, health e.L
Unknown.
b. Proposed measures to reduce or control direct impacts on -public services, if a ny;
None
16. Utilities
----------
irc I the sit, refu�sses�erv-�;
C' Ile ut t available e electricity, natural jag, ater�
�ava
�illiies �currenflly
S
�Ice� eptic system, othe .
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.
Maybe one additional telephone.
C. SIGNATURE
The above answers aretrue and complete.to the best of my knowledge. I understand, that:
an
a enc I relyin the o ke its decision.
the lead S
Signature: 71�
4 85
Date Submitted: ..... ................ ............ .................
C)Y��
Qliv i
"10—
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ADJACENT PROPERTY
OWNER LIST
.............
PLEASE LIST ALL STREET ADDRESSES
OF RESIDENTS OF PROPERTY
WITHIN 80 FEET OF THE PROPERTY LINES
OF THE SITE. ALSO
LIST NAMES AND MAILING ADDRESSES
OF OWNERS OF THESE SAME
PROPERTIES, (THIS INFORMATION MAY
BE OBTAINED FROM THE
...................... . . . . . . . . . . . . . .
COUNTY ASSESSOR S OFFICE.)
NELSON, Robert J. & Evelyn M.
APPLICANTS
20829 - 78th W.
Edmonds, WA 98020
CADIM, Donald & Rita
20823 - 78th W.
Edmonds, WA 98020
Neighbor North'
BRADY, Jack W.
Neighbor South
20903 78th W.
Edmonds, WA 98o2o
REYNOLDS, Kathleen
Across 78th West
1908 S.E. 154th Ave.
Vancouver, WA 98664
JOHNSTON, Michael W.
Behind on 77th Pl.
W.
229 Queen Anne N.'
East,
Seattle, WA 98109
FOLDEN, Norman J.
Behind East
20900 - 7'Ttb Pl. W.
Edmonds, WA 98020
:�9� q,
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CITY OF EDMOND�'
PUBLIC WORKS DEPARTMENT
TO:
Lu
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SUSPENSE DATE:
SUPERINTENDENT
OFFICE ADMINISTRATOR
Investigate
and Report
Take Appropriate
Action
Prepare
letter/memo
for my signature
7%—
For Information
Previously Ref'd
Status of Action? —
Return to*
BUILDINGS & GROUNDSDIV. SUPERVISOR
EQUIPMENT RENTAL DIV. SUPERVISOR
STREET DIVISION SUPERVISOR
WATER/SEWER DIVISION SUPERVISOR
TREATMENT PLANT DIV. SUPERVISOR
SECRETARY
UORK ORDER COORDINATOR
COMMENTS:
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