210 8TH AVE S.PDFlill lill lill
8707
210 8TH AVE S
CITY OF EDMONDS
ASSET INFORMATION SHEET
E W
ADDITION
RETIREMENT
ASSET NO. lzz-�ls
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECTNUMBER
PROJECT COMPLETION DATE
'7
COST ell,
B.A.R.S. ACCOUNT NO. 0 4-3
ESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
M//DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
ktnp INITIAL
DATE
VERIFIED BY
PROCESSED
BATCH NO,
DEPARTMENT FILE
""r.4 'Y c>710
6//7y 6opy STREET FILE F I L
kyloalc
MITIGATED
DETER1,11NATION OF NONSIGNIFICANCE
Description of proposal Single family dwelling at 210 Rth Ave- S , Fdmnn WA, 98020
t
Proponent_ Mark Himmplman, 1816 N 54th, �-attlp� WA qP103
.,.Location of proposal , including street address, i-F any
210 8th Ave. S., Edmonds, WA 98020
Di V4
Lead agency *City of Edmonds Department oil Community Services, Planning Ision
erM4
The lead agency for this proposal has det I ned that i t does not have a prob-
able significant adverse impact on 'the environrnen-l An environmental imoact
.statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was
made a.flter review of a completed environmental checklist and other information
On file wit-h 'the lead acency. This information is available to 'the public on
request.
There is no comment period for this DNS.
[x x x1 This DNS is issued under 197-11-3410C.2); the lead agency will noL act on
L-- . , -
this oropos I for 15 days from the date below. Comments must be submitted
by_ Note : See attached mitigating
Responsible official Leigh Francis measures
Position/title Code Enforcement Technician Phone 771-3202
Address 250 5th Ave. N., Edmonds, WA 98020
Date Sionature_
may appeal 'this determination oil nonsignili:icance
You
to
no later than
by
You should be prepared to make specific factual objections. Contact
to read or ask about the procedures for SEPA appeals.
/-717here is no agency appeal.
LIST OF MITIGATING CONDITIONS
FOR CONSTRUCTION OF A SINGLE FAMILY DWELLING AT
210 8th Ave. N, Edmonds, WA
1. Prior to issuance of a building permit, a Hydraulics
Permit shall be obtained from the State of Washington
Department of Fisheries.
2. Prior to issuance of a builidng permit, temporary and
permanent erosion and storm water control plans shall be
submitted and approved by the City of Edmonds Engineering
Division. The temporary plan shall indicate erosion
control devices and a storm water channelization system.
Permanent erosion control and stormwater systems shall
4
Indicate post -construction erosion control measures and a
storm water channelization system.
ENVIRONMENTAL CHECKLIST
Purposc of chccklisl:
The S,,?ic Environmcnial Policy Act (SEPA), chapter 43.21C RCW. requires all govcrnmcnial 2gencics to consider
the environmental impacts of a proposal b--forc making decisions. An crivirorimcnial impact statement (EIS) must be
prepared for all proposals with probable significant adverse impacts on the quality of the crivirorimcrit. The pu.-pose of
this checklist is to provide information to help you and the acency idcntif), impacts from your proposal (and to reduce
or avoid impacts from theproposal, if it can be done) and to help the agency decide %&-hcthcr an EIS is required.
Insiructions for. Applicanis:
This environmental checklist asks you to describe some basic information about your proposal. Governmental agcn-
cits use this checklist to determine wheth-cr the environmental impacts of your proposal are significant, requiring
prcpration of an EIS. Answer the questions briefly. with the most precise information known, or give the best dc-
scription you can.
You must answer each question accurately and carefully. to the best of your knowledge. In most casts, you should
b-- able to answer the questions from your own obstrvations or project plans %vit.hou ' t the need to hire experts. If you
reaflv do not know the answer, or if a question does not apply to your proposal, write 'do not know" or "dots not ap,
pl,\,". CompIcte. answers to the questions now may avoid unnecessary delays later.
Some cluestions ask about gc�ernmental reQulations, such as zoning. shoreline, and landmark designations. Ar,.s\,%,-.r
these que�tions if you can. If You have problens, the eovernmental agencies can assist you.
The checklist questions ap�ly to all parts of your proposal, even iFvou plan to do them over a period of time or on
diff-crent parcels of land. Attach any additional information that will help describe your proposal or its environmental
effects. The agency to which you sibmit. this checklist may ask you to explain your answers or provide additional in-
formation reasonaiily related to determining if there may be significant adverse impact.
Use orchtcklist fornonprojeci proposals:
Complete this checklist for nonproject proposals. even though questions may be answered "dots not apply." IN AD-
DITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part 6).
For nonproject actions, the references in the checklist to the words "project,* "applicant,' and 'property or site*
should be read as 'proposal," 'proposer," and 'affected geographic area," respectively.
A.BACKGROUND
1. Name of proposed project, if applicable:
&�' -�- N�Opb- — LAWIt-md'i
2. 7\1amc of applicant:Mc%rl/ '�'Pvimelkvl6vi
3. Address and phone numbcr of applicant and contact person:
4. Date checklist preparcd:
5. Agency requesting checklist: r��kll-ds 0�.
6. Proposed timing or schedule (including phasing, If applicable):
544e+ rne � 4-zul, Uzel_�(
7. Do you havc any plans for future additions. expansion, or furthcr activity related to or conncctcd with this proposal?
If ycs, Cxplain. 'n 1)
6. List anv cri-ronnicril3l Mformailon you kno,,, abou! ihal
1",Ls t)c-,n prCparcd. 0! PTCP:1-,1:d, di-irC11)' TC121cd 10
this propo sal. 5Z)1k
SA
(r111k1+;0h'S
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Do -IDi, 4-v;:: p,-F ,
L.- -7 -1
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9. Do you Kno\A.* whether applications are pending for govc-rimcnial approvals of other proposals, directly affecting . the
properi), covered by your proposal? If yes. explain. ti on -C
I
10. List any government , approvals or permits that 6%-Ill bc nczd-.d for your proposal, if known.
--Washington State Department of
Fisheries Hydraulics permit
--Declaration of Non -Significance
(SEPA)
Give brief, complete description of vour proposal, including th: P706OStd uses and th-- size of tht project and site.
There are several questions later in this checklist thal ask you to d:scribt C=77.ain aspzcts 01' YOU7 DrOPOS21. You do not
need to repeat those answers on this page. (Lead agtricits mav modifv this form to include additional sptcific infor-
maiion on project description.)
Single family dwellirCA)2 stories,
a 4, approx.. 3500 square feet
12. Location of the proposal'. Give sufficient information for a person to understand the precise location or your pro-
posed project, including a street address, if any, and section. township. and range. if knou-n. If a proposal v.-ould occur
0
over a range of area, provide the range or boundaries of the sitc(s). Provide a legal description, site plan, vicinity map,
0 -
and to . pographic map. if reasonably available. While vou should submit any plans required by the agency, you are not
required to duplicate maps or detailed plans submitted 11;ih any permit applications related to this checklist.
C 0 ?,1'4 S3
MV 't
TO BE COMPLETED BY APPLICANT
B. ENVIRONMENTAL ELEMENTS
EVALUATION FOP
AGENCY USE ONLY
1. Earth
a. General description or the site (circle one): Flat, rolling, hilly. s1ccP slopes, mountainous,
other J'J- F w(jdl-e Site slopes down in a northwest
direction from 8th and Maple.
b. What is the steepest slope on the site (approximate percent slope)?
J -La f L,- I-, �.� / . ,
-2-
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
c. VVhat general types or soils arc round on the site (ror CXOMPIC, clay, sand, gravel. ficit.
muck)? If you knou, the ciassiFication of agricultural soils, spccif)- them and note an), prime
farmland. f h According to a soils report prepared for
the project, soil.consists of medium
dense, fine to coarse sand and gravel
near the northwest corner, and silty
d. Arc there surface indications or history or unstable soils in the immcdiatc vicinity? irso. fine sand and gravel near
describe. j, D the middle of the site.
The soils report indicates that the street,
embankment is relatively stable. 8th
Ave. S. is constructed on fill that may
c. Describc*the purpose. type. and approximate quantities of any Filling or grading pro- not have been placed in
posed. Indicate sourc.- of ri il. � I . a controlled manner.
r_ — � 7 / k-, S & i L r /%.I e Z- t,
0 /1'q 6t E 60 1 -e xi"�
J
1P "V
f. Could erosion occur as a result of clearin-, construction. or use'? If so. Dencrallv describe.
0 An erosion control:system must be in
place with clearing and grading. This
system has been approved by the City of
Edmonds Engineering Division.
g. About what percen-, of the site will be covered with impervious surfaces after project
construction (for example. asphalt or buildings)? (D
h. Proposed measures to reduce or control erosion. or other impacts to the earth. if any-
CLI-A,Vf S4"a/- durjm� c_cejir__c_*o,t — i4ay bods Fedq,,�
These erosion controls are required
by the Edmonds Engineering Division.
2. Air
a. What types of emissions to the air would result from the proposal (i.e.. dust. automobile,
odors. industrial wood smokc) during construction Lind when the project is completed'? If
anv. 2enc-,ally describe and give approximatc quantities if known.
f 7+6b
. 1— 1.,^1)4- 0 c
b. Are there any off —site sourccs or emissions or odor that may affect your proposal*! If so,
generally describe.
�1 C P1
c. Proposed measures to reduce or control emissions or other impacts to air. if any:
k7 C) -$Liz
-3-
TO IIL COMPLETED M' APPLICANT
3. Water
a. Surfacc:
3) Is thCTC Zn\' SUTfBCC watcr body on or in the immediate vicinity or the site (including
VC21-1—Tound and scasonal streams, sahwaicr, lak-cs, ponds, v.-cilands)? If yes, describe type
and provift names. If appropriate, state what stream or river it nov, into.
EV&LUATION FOR
AGENCY USE ONLY
4�CIOA41
J"4 J( C_� r 1,o, s:< uev-
2) \VIII the proJeci require any work over, in, or adjacent to (within 200 feet) the described
WZICTS? If yes, des.cribc and attach a%'311ablc plans.
See building plans for drawing. During
Ye constructi.on , water wi I I be cul verted .
through the si'te.to reduce the potential
for erosion.
3) Estimate tht amount of fill and dredge material that would be placed In or removed
from surface %valc-, or wetlands and indicate the area of the site that would be affected. In-
dic?.i-- the source of Fill material.
P? L. fix No fill or dredge material is planned
around the creek; however, the applicant
estimates that 499 cubic yards of fill
4) Will the proposal require surface water withdrawals or diversions? Give general dc- wi I I be brought onto I ot
scription, purpose, and approximate quantities if known.
As noted above, the stream will be
qj.lverted during construction. No
Withdrawals will occu r_'.
5) Does the proposal lie within a 100—year floodplain? If so, note location on the site
plan. n 0
6) Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the tvpc of waste and anticipated volume of discharge.
110 V, e
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.
V1. D
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; ctc.). Describe the general size of the system, the number of
such systcrns, the number of houses to be served (if applicable). or the number of animals or
humans the sysLem(s) arc expected to serve.
)I D tl-P—
TO BE COMPLETED BY APPLICANT
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). Nklhcrc will this water no%%,?Will this water
flow into other waters? If so, dcscribc.
-I k7 Y-
EVALUATION FOR
AGENCY USE ONLY
Storm water system will be
designed to channel
surface water into existin�
drainage course across sitc
2) Could waste materials enter ground or surface waters? If so, generally describe.
D Erosion control measures will be required
during construction by the City of
Edmonds Engineering Division.
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if
any: C �.-% u-e
4. Plants
a. Check or circle tvpcs of vegetation found on the site:
deciduous tree: alder, maple, aspen, other
evercyreen tree: Fir, cedar, pine, other
shrubs
crass
pasture
crop or grain
wet soil plants: cattail. buttercup, bullrush, skunk cabbage, other
water plants: water lily, eelgrass, milfoll, oLher
other types of vegetation —
b. What kind and amount of ve2etation will be removed or altered?
b kc�k
c. List threatened or endan , gercd species known to be an or near the site.
0 a ��
Possible control measurEs 'include hay
bales and filter cloth fence5. In
addition", creek wil-I be culverted during
construction, as.noted above.
A permanent storm water control system
has been approved by the City of Edmonds
Engineering Division.
d. Proposed landscaping, use or native plants, or other measures to preserve or enhance
vegetation on the site, i(any:
Re-PI007L
5. Animals
a. Circle any birds and animals which have been'observed on or near the site or are kno�vn
to be on or near the site:
birds: hawk, heron, eagle. songbirds, other:
mammals: deer, bear, elk. beaver. other:
Fish: bass, salmon, trout. herring. shellfish,
.tj 0 X�e
...................................
other: ............................
b. List any Ll-ireatened or endangered species known to be on or near the site.
n 0 rt-4-' ,
TO 11L COMPLETED 11V IXPLIC,1.1�1
c. 1% the siic part of 2 mirrailon route? If so. explain. //?
d. Proposed measures to preserve or enhance wildlifc, if anN: 0 )1
6. Energy and Nalu;21 Resources
a. What kinds of cnergy (electric, natural gas, oil, wood stove, solar) will be used to meet
C7
the completed project's entroy needs? Describe wheiber it will be used for heating. manu-
Z� a
faciurin,,, cic.
Z 9
b. Would your project affect the potential use of solar energy by adjacent properties? If so,
gentrally 0-_sCl-ibe.
c. 'A,'hat kin6s of energy conservation features are included in the plans of this proposal?
List other proposed measures to reduce or control energy impacts, if any:
si o4e Itp C04 e
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.
1) Describe special emergency services that might be required.
1,7 C I'U
2) Proposed measures to reduce or control environmental health hazards, if any:
J9
b. Noise
1) What types of noise exist in the area which may affect your project (ror example:
trafFic, cquipmcnt, operation, other)?
Y1 D L44
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)? Indi-
cate what hours noise would come from the site.
Do�;Zev-i SAtui, P/ e, �" kt? ey 5
EVALUATION FOR
AGENCY USE ONLY
TO BE COMPLETED BY AXPLICANT
3) Proposed measures to reduce or control noise impacts, if any: 0 0 /1 -,e
8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
b. Has the site been used 'for agriculture? If so, describe.
'00
c. Describe any structures on the Site.
d. Will any structures be demolished? If so. what'! n o
e. What is the current zonins! classification of the site?
R S- 6 5 /' ,,, & A/ t-('-s &11 /
f. What is the curTent comprehensive plan designation of the site?
S/ 1 "51,z IGAI,117),
g. If applicable, what is the current shoreline master program designatio . n of the site?
A),:�4 -,/ (
EVALUATION FOR
AGENCY USE ONLY
h. Has any part of the site been classified as an "environmentally sensitive' area? If so,
specify.
Yes. The site is in a "Water Environment"
according to -the City's Environmentally
i. Approximately how many people would reside or work in the completed project? Sensitive Areas Map.
Approximately how many people would the completed project displace'?
0
k. Proposed measures to avoid or reduce displacement impacts, if any:
V7 ") yz e
1. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any: Applicant received variance approval
for a bridge.to garage in order to
preserve creek flowing through site.
Residence will thus be set back from
creek to avoid lon'g-term downstream
impacts.
TO BL COMPLETED BY APPLICANT
9. Housirin
b
a. Approximate]), how many units would be provided, if any? Indic3ic %k,hcthc,- high, mid-
dle, or low—income housing. I
b. Approximately how man), units, if any, would be eliminated? Indicalc Nk-hclhc-, high,
middle, or low—income housing. J1 n �-e
c. Proposed measures to reduce or control housing impacts. if any:
il Z� r1le
10. Aesthetics
a. What is the tallest heistht of an), proposed SITUMUTC(S), not including antennas; what is
the principal -xicrior building material(s) proposed?
7' u _ s4,-e,, e, ooA
b. What views in the immediate vicinity would be alt.-Ted Or obstructed?
1104 q
c. Proposed measures to reduce or control aesthetic impacts, if anN-
EVALUATION FOR
AGE-NCY USE ONLY
11. Licht and Clare
0
a. What type of light or glare will the proposal produce? Whai time of day would it mainly
occur? 4 DY0 New residence will be a new so . urce of
light and glare in the area. Impacts wil-
b. Could liaht or glare from the Finished project be a safety hazard or interfere with vic\vs?
Z primarily be at night.
a
c. What existing off —site sources of light or glare may affect your proposal?
d. Proposed measures to reduce or control light and glare impacts, if any:
k, 0 YL,�
12. Recreation
a. What designated and informal recreational opportunities arc in the immediate vicinity?
Frances Anderson recreation center, two
blocks northeast; Yost Park, three blocks
east.
b. Would the proposed project displace any existing rcdreational uses? If so. describe.
M
TO ISE COMPLETED BY APPLICANT EVALUATION FOR
a ACENCY USE ONLY
c. Proposed measures to reduce or control impacts on recreation. including rccrcation op-
portunitics to bc provided by the projcct or applicant, if any: J4 D
13. Historic and Cultural Presereation
a. Are there any places or objects listed on, or proposed for. nati onal. state, or local preser-
vation registers known to be on or next to the site? If so. generally describe.
M o 1%4
b. Generallv des'cribe anv landmarks or evidenct- of historic, archaeolo5!lcal. Scientific. or
cultural importance known to be on or next.LO the site.
c. Proposed mcasures to reducc or control Impacrs. if any:
ii 0 0'u
1J. Transportation
a. Identify public strccis and highways serving the site. and describe proposcd access to the
existinQ strc::c syszem. Show on site Jans. if any.
f, M P 1r, If
'b. Is Site currently served by public transiC If not. what is the upproximaLe distanc.- to the
nearest transit stop'!
c. How many purk-'IM! spac::s would the comple-cd project have'? How many would the
project Clirninutc? :I- KZ Lj — cur� C-,,
d. Will the proposal rcquire unv ncw M.-ds Or suects. or improvements to existing roads or
not i ling drive, VS" If SO. -�rncC�dlv dCSC.-1bC (Irid'ICUL wheher public or
sErc�:,s. inc!ud Va. c
private).
e. Will the project use (or occur in the Irrimcdlatc- vicinicy on %vutcr. rail. or air transportu-
Lion? If so, generally describe.
f. How many ve�icular trips per dal %%wuld '--t: -,--icrutcd by Lhe Completed prujc,,:['-' If
known. indicate whcri peak volumes would occur. ?
Approxiinately 8-10 trips/day would be
created. Peak times would be AM and
PM cominute hours .
TO HE COMPLETED BY 'J')'LICANT
EVA,LUATIOK FOR
AGENCY USE ONLY
9- Proposed measures to reduce or control transportation impacts. if any: P) 0 P? -('
Project includes a 2-car garage for
off-street parking.
15. Public Services
a. Would the project result in an increased need for public scrviccs (for example: Fire pro-
iection, police protection, health care, schools, other)" if so, atner?II), dtscribc.
." h G
b. Proposed measures to reduce or control direct impacts on public services, if any.
4 0 Y? C,
16. Utilities %'r'eFU's: stiv:�
a. Circle u,.iii-ti-.s_cu.=n_t vailable at the
icr_'(� �ephorn_ �san�,a�ryse_-_�. Septic s%IsILeir.' other.
b. Describe the utilities that are prODOSed for the project. the utility orovidins! the service,
and the -crieral construction activities on the site or in tht ,mmeaiate vicinity which might
0
be needed.
1 �4 7 t L 11 -T 0
/7 C A-e
C. SIGNATURE
The above answers are true and complete to the best or my knowledge. I understand that
the lead agency is relying on them to M)akt itsdecision.
-W �(-/' - �f / ��,: ..........................
Signature: ......
Date Submitted: .... 2�. 7.11.7 ............ ..............................
_10—
4:
STREET FLEV 9)
MITIGATED
DETERMINATION OF NONSIGNIFICANCE
F I . L E 7Z
Description of proposal Single familY dwelling at 210 Sth Ave S . Fdmnnd-,- WA, 98020
Proponent Mark Himmplman, 1816 N 54th, Seattlp, WA qR101
Location of proposal, including street address, if any
210 8th Av e. S., Edmonds, WA 98020
Lead agency *City of Edmonds Department of Community Services, Planning Division
The lead agency for this proposal has determined that it does not have a prob-
able sionificant adverse impact on the environment. An environmental impact
L - (PIS) is not required under RCW 43.21C.030(2)('c). This decis-i'on was
.statement L
made a-Fter review of a completed environmental checklist and other information
on file with the lead agency. This information Js available to the public on
reauest.
2�1 There is no comment period for thi's DNS.
�x This DNS is issued under 197-11-340(2); the lead agency will not -act on
LhIS propo I for 15 days from the date below. Comments must be submitted
bv
Note: See attached mitigating
measures
Re s Pon.s i b i e o f f i c i a 1 Leigh Francis
-.Po.s . iLion/LiLle Code Enforcement Technician Phone 171-3202
Address 250 5th Ave. N., Edmonds, WA 98020
Date Signature
You may appeal Lhis determination of nonsignificance
to,
a t
no later than
by .
You should be prepared to make specific factual objections. Contact
to read or ask about the procedures for SEPA appeals.
= There i.s no agency appeal.
LIST OF MITIGATING CONDITIONS
FOR CONSTRUCTION OF A SINGLE FAMILY DWELLING AT
210 8th Ave. N, Edmonds, WA
1. Prior to issuance of a building permit, a Hydraulics
Permit shall be obtained from the State of Washington
Department of Fisheries.
2. Prior to issuance of a builidno permit, temporary and
permanent erosion and storm water control plans shall be
submitted and approved by the City of Edmonds Engineering
Division. The temporary plan shall indicate erosion
control devices and a storm water channelization system.
Permanent erosion control and stormwater systems shall
indicate post -construction erosion control measures and a
storm water channelization system.
CHECKLIST
ENVIRONM"
Purpose or Checklist:
. The State Environmcnial Policy Act (SEPA), chapier, 43.21C RCIA'. requires all go-crnmental agencies to consider
the crivirorimcnial impact.; of a proposal b--forc making decisions. An environmental impact statement (EIS) must be
prepared for all proposals with pr ' obable signiricani adverse impacts on the quality of the environment. The purpose or
this chccklisl is to providc information to help you and the agency identify impacts from your proposal (and to reduce
or avoid impacts from theproposal, ir it can be done) and to help the aacricy decide whether an EIS is required.
Insiruciions for Applicanis:
This environmental checklist asks vou to describe some basic Information about your proposal. Governmental agen-
cies 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 de-
scription you can.
)'ou must answer each question accurately and carefully, to the best Of VOUT knowledge. In most cases, you should
be able to answer the questions from your �wn obscrvations or project p!ans %vithout the need to hire experts. If you
realiv do not know the answer, or if a question does not apply to your proposal. write "do not know' or "does not ap-
ply'. Complete answers to the questions.now may ?void unnecessary delzys later.
Some questions ask about governmental reaufations, such as zon�ing, shoreline, and landmark designations. Answer
these questions if you can. -If you have problems, the governmental Peencies can assist you.
'The checklist questions ap�ly to all paris of your Proposal, even iFyou plan to do tl�em over a period of time or on
diffcrent Parcels of land. Attach any additional information that will help describe your proposal or its environmental
effects. The agency to which you st�bmii this checklist may ask you to explain your answers or provide additional in-
formation Teasonablv rtlaied to determining- if there mav be si2nificant adverse impact.
Use of checklist for nonprojcci proposals:
Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." IN AD-
DITION, Complete the SUPPLEMENTAL SHEET FOR NONFROJECT ACTIONS (part 6).
For nonproject actions, the references in the checklist to the words "project," "applicant,' and 'property or site"
should be read as "proposal," 'proposer," and "affected geographic area," respectively.
A. BACKGROUND
1. Name of proposed project, if applicable:
N�L**'-j� �omL &"' --� �6pL — F-Imumb
2. Name of applicant:Mcitk 1� I kil m el 1416 0
3. Address and phone number or applicant and contact person:
4. Date checklist prepared: 6
5. Agency requesting checklist: 1�4yv.-dS
6. Proposed timing or schedule (including phasing, ir applicable):
7. Do you have any plans for ruturc additions, expansion. or furthcr.activity related to or connected with this proposal?
If yes. explain.
-1-
S. Lis You kno%A about Iliat has bccn prcparcd. or bc prepared, directly related 10
,i any cnvironnicntal informai'on \ -
this PTOPOS21- -5 Z) 1 *"OK O'P.4 5 '4-,C- cvk I +)Ohs
P i t� 0 q se— — Z e i'h 4, '�l 5"0 C "
-1 Z) I- 4-V LIE I 16 "_ 8'0 '1- 0
PZy I I p V ( g tV rovals of other proposals directly affecting the
9. Do vou kno- whether applications arc pcnding for govcrnmcnial app
If vcs. cxplain. il 0 11 �E
properiv covered by your proposal?
I
10. 1*-Isi any govcrnmcnt , approvals or permits that will bc needed for your proposal, ir known.
--Washington State Department of
Fisheries Hydraulics permit
--Declaration of Non -Significance
(SEPA)
complete description of your proposal, including the proposed uses and the size of th: project and site.
1. Give brief, later in this'checklist that ask you to describe certain asptcls of your proposal. You do n6t
There are several questions rs on this page. (Lead a--_ncic� may modify this form to include additional specific infor-
need to repeat those ans-r-
mat,ion on project description.) Single family dwel*lirg) 2 stories,
'acl I'U Mew 61Q ..approx. 3500 square feet
c"Son to understand the precise location or your pro
12. Location of the proposal. Give sufficient information for a pe. I occur
s, if any, and section, township, and range, if known. if a proposal wou d
posed project, including a street addres a
0 r boundaries of the sife(s). Provide a legal description, site plan, vicinity m p
of area, provide the range o
over a range a bmit any plans required by the agency, you are not
and to . pographic map, if reasonably available. While you should su 0 -
C, s or detailed plans submitted with any permit applications related to this checklist
required to duplicate map
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
*NIENTAL ELEMENTS
ENVIRO-,
Earth
Ic one): Flat, rolling, hilly, steep Slopes. mountainous,
a. General description of the si * Ic (cirC Site slopes down in a northwe
other direction from 8th and Maple.
oximatc percent slope)?
b. What is the steepest slope on the site (appr
-2-
TO BE COMPLETED BY APPLICANT
EVALUATION FOP
AGENCY USE ONLY
c. What general types or soils arc found on the site (for example, clay, sand. gravel, peat.
muck)? If you knov., the classification of agricultural soils. specify them and note any prime
farmland. Ya vc h (2 According to a soils report . prepared for
the project, soil consists of medium
dense, fine to coarse sand and gravel
near the northwest corner, and silty
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so. fine sand and, gravel near
describe. the middle of the site.
. h C)
The soils report indicates that the stre(
embankment is relatively stable. 8th
Ave.'S. is constructed on fill that may
c. Describe the urpose. type, and approximate quantities of any filling or grading pro- not have been placed in
p
posed. Indicate source of rill. a controlled manner.
�e "l 11"10 Z' C &If I.
-o- W (f k 6?.5 S' 0 RP
f. Could erosion occur as a result of clearing, construction. or use'? If so. generally describe.
Some- O'l s4e�p S/ . DP<-r An erosion control system must be in
place with clearing and grading. This
system has been approved by the City of
Edmonds Engineering Division.
About what percent of the site will be covered with impervious su'rfaces after project,
construction (for example. asphalt or buildings)?
h. Proposed measures to reduce or control erosion. or other impacts to the earth, if any:
C141V-trt S-�Va,41 9(4r/ki� ccP4j1,v--r,--h',2" — i4ay bols 'F R4,1."ff
These erosion controls are required
by the Edmonds Engineering Division.
2. Air
a. What types of emissions to the air would result from the proposal (i.e.. dust. automobile.
odors, industrial wood smokc) during construction and when the project is completed? If
any. gencrally describe and give approximate quantities if known.
'I f4l'
b. Arc there any orr-iite sourccs or emissions or odor that may arrect your proposal? If o.
s
:generally describe.
o kq
c. Proposed measures to reduce or control emissions or other impacts to air. if any:
P7 6 -YLC
-3-
TO HL COMPLETED HY &PPLICANT EVALUATION FOR
3. AGENCY USE ONLY
Surface:
)) Is there anv surracc V.'2ICT body on or in the immediate vicinity Of the Site (including
vcar—round and seasonal streams, slltwaicr, lakes, ponds, wctlands)? If yes, describe type
and providc names. If appropriate, state what strcam or river it flows into.
2) \Vill the project require any ork over. in, or adjacent to (within 200 feet) the described
" If ves. plcasc describe and 21.13ch available plans.
waters.
See building plans for drawing. During
ye construction , water will be culverted
through the Site.to reduce the potential
for erosion.
3) Ektimate the amount of fill and dredge material that would be placed in or removed
from Surface \%-2ter or \veflands and indicate the area of the site that would be affected. In-
dicate the source of fill material.
P? Z, lix No fill or dredge materialis planned
around the creek; however, the applicant
estimates that 499 cubic yards of fill
4) Will the proposal require surface water withd-iawals or diversions? Give general de- wi 11 be brought onto I ot
scription, purpose, and approximate quantities if known.
As noted above, the stream will be
Culverted during construction. No
Withdrawals will occur--.
5) Does the proposal lie within a 100—year floodplain? If so, note location on the Site
plan. n 0 1
6) Does the proposal involve an): discharges of waste materials to surface waters? If so,
describe the type of waste and anticipated volume of discharge.
kj 0 t, (2
b. Ground:
1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general diescription. purpose, and approximate quantities if known.
2) Dcscribe waste material that will be discharged into the ground from septic tanks or
other sources, if any (for exampic: Domcstic sewage: industrial, containing the following
chcmicals . . . ; agricultural; ctc.). Dcscribc the gcncral size or the system, the numbcr or
such systems, the number of houses to bc served (ir applicable). or the number or animals or
humans the systcm(s) are expected to serve.
)I 1D rl -0—
-4-
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
C. Water Runorr (including storm water):
1) Describe the source or runorf (including storm water) and method of collection and
disposal, if any (include quantities. if known). Where will this water now? Will this wa - ter
flow into other waters? If so, describe. Storm water system will be
D 0, k7 7�j� 0 5 copy 14 /4 4- 1 C -TL to -Z V designed to channel
surface water into existin
drainage course across sit
2) Could waste materials enter ground or surface waters? If so. generally describe.
Erosion control measures will be required
D during construction by the City of
Edmonds Engineering Division.
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if
any: Cx b " U-f- P—sihle control measures 'include hay
4. Plants
a. Check or circle types of vegetation found on the site:
deciduous tree: alder, maple, aspen, other
evergreen tree: Fir, cedar, pine, other
shrubs
orass
pasture
crop or grain
wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other
water plants: water lily, eelgrass, milfoil, other
other types of oetat n — �� lblvck
v c., 10 -4� L , -r /,
b. What kind and amount of vegetation will be removed or altered?
b I eec k
c. List threatened or endangered species known to be on or near the site.
P) D PLIZ
balesand filter cloth fences-.-'. In
addi.tio'n*, creek will be culverted during
construction, as.noted above.
A permanent storm water control system
has been approved by the City of Edmonds
Engineering Division.
d. Proposed landscaping, use or native plants, or other measures to preserve or enhance
vegetation on the site. if any:
_91-,PS-S
5. Animals
...a. Circle any birds and animals which have bcen*obscrved on or near the site or are known
io be on or near the site:
birds: hawk, heron, eagle, songbirds, other: ..................................
mammals: deer. bear, clk. beaver. other: ...................................
fish: bass, salmon, trout. herring, shellfish, other: ............................
Ub. List any threatened or endangered species known to be on or near the site.
n 0 tt-v- .
-5-
TO TIE COMPLETED BY AVPL1C&KT
c. Is the site part of a migration route? If so. explain. 1/7 0
d. Proposed measures to prcscr%,c or enhance wildlife. if any: M 0 M -P-
6. Energy and Natural Resources
b.
a. �Vhat kinds of cncrg)" (electric, natural ops, oil, wood stove. solar) will be used to meet
V
the completed project's energy needs? Describe whether it %k-ill be used for heatin-. manu-
facturinn, etc.
C, 9
b. Would your project affect the potential use of solar energy by adjacent properties? If so.
generally jescribe.
c. "Alhat 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:
S-�,4e_ Exe,
.:� y Co4 e-
7. Environmental Health
a . Are there any environmental health hazards, including exposure to toxic chemicals, risk -
of firc and explosion, spill, or hazardous waste, that could�_occur as a result of this proposal?
If so, describe.
1) 1 --scrit< special emergency services that. might be required.
!/,, 0 I'U
2) Proposed measures to reduce or control environmenta I health hazards, if any:
b. No i s e
1) What types of noise exist in the area which may affect your project (for example:
traffic, equipment, operation, other),?
Y1 0 (44
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)? Indi-
catc what hours noise would come from the site.
Do.;zey-j SAtoi, / b <, to., t+p ei,
EVALUATION FOR
AGENCY USE ONLY
TO BE COMPLETED BY &PPLICANT EVALUATION FOR
AGENCY USE ONLY
3) Proposed measures to reduce or control noise impacts, if any: 0 0 n -P,
8. Land and Shoreline Use
a. What it the currcni use of i,hc site and adjacent properties?
r e s cm CQ
b. Has Lhe site been used,ror agriculturc? If so, desc-ibc.
'M 0
c. Describe any structures on the site.
d. Will any structures be demolished? If so, what? n C)
e. -What is the current zoning classification or the site?
17.
)y
r. What is the current comprehensive plan designation of the site?
7y
g. If applicable, what is the current shoreline master program designation of the site?
If so,
It. Has any part of the site been classified as. an 'environmentally sensitive* area..
specify. D Yes. The site is in a "Water Environment
according to the City's Environmentally
i. Approximately how many people would reside or work in the completed project.? Sensitive Areas Map.
j. Approximately ho%v many people would the completed project displace?
k. Proposed measures to avoid or reduce displacement impacts. if any:
1. Proposed measures to ensure the proposal is compatible with existing and projected land
uses and plans, if any:
Applicant received variance approval
for a bridge.to garage in order to
preserve creek flowing through site.
Residence will thus be set back from
creek to avoid lon-g-term downstream
impacts.
TO BL COMPLETED BY APPLICANT
9. Housing
a. Approximatcly how many units would be provided, if any? Indicate whether high, mid-
dle, or low—income housing. I
b. Approximately how many units, if any, would be eliminated? Indicate whether high,
mi,ddlc, or low—income housing. J1
c. Pr . oposed measures to reduce or control housing impacts, if any:
�7 Z� rle
10. Aesthetics
a. What is the tallest height or any proposed structure(s), not including antennas-, what is
the principal exterior building material(s) proposed?
71 s4 ieet+ /5
b. What views in the immediate vicinity would be altered or obstructed?
c. Proposed measures to reduce or control aesthetic impacts, if any:
h 0 Kf . .
EVALUATION FOR
AGENCY USE ON'LY
1. Lialit and Clare
a. What type of light or glare will the proposal produce? What time of day would it mainly
occur? n z) Yu New residence will be a new source of
light and glare in the area. Impacts wi'
b. Could light or glare from the finished project be a safety hazard or interfere with views? primari ly be at ni ght .
P7 yl R
c. What existing off —site sources of light or glare may affect your proposal?
d. Proposed measures to reduce or control Ii ht and glare impacts, if any:
9
ki 0 YLk
12. Recreation
a. What designated and informal recreational opportunities arc in the immediate vicinity?
ki t Frances Anderson recreation center, two
blocks northeast; Yost Park, three block!
east.
b. Would the proposed project displace any existing recreational uses? If so, describe.
0
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
c. Proposed measures to reduce or control impacts on recreation. including recreation op-
portunities to be provided by the project or applicant, if any: 14 D
13. Historic and Cultural Presery'ation
a. Are there any places or objects listed on. or proposed for, national. state, or local preser-
vation registers known to be on or next to the site? If so. generally describe.
ki o k%e
b. Generally describe any landmarks or evidence of historic, arch2coloeical. scientific. or
-to the Site.
cultural importance known to b. on or next �40 11-C
c. Proposed measures to reduce or control impacts. if any:
141. Transporracion
a. IdentiN
, public strects and highways servir.2 the site. and describe proposed access to the
exiszina szrc::t system. Show on Site plans. H any.
t, M P 14 hf
-b. Is site currently served by public transit'! If not. what is the approximate distance to the
nearest transit stop'!
c. How m any parking spaces would the completcd project have'? How many would the
project eliminate? 0 Q U r � CC(
d. Will the proposal require any new ro-.,ds or strcuts. or improvements to existing roads or
strec,s. not includint! �Irivc%ays? If so. -_,enerully describe (indicate whether public or
priva Ee). LD
I
e. Will the project use (or occur in the immcdiate vicinity oO wutcr. rail. or air transporta-
tion? If so. generally describe.
F. How munv vehicular trips per day would be veneruted by the completed project! If
known. indicate %Yhci peak volumes would occur. ? Approximately 8-10 trips/day would be
created. Peak times would be AM and
PM commute hours.
TO BE COMPLETED BY APPLICANT
EVALUATION FOR
AGENCY USE ONLY
g. Proposed measures to reduce or control transportation impacts, if any: 0 11 -e
Project includes a 2-car garage for
off-street parking.
15. Public Services
a. Would the project result in an increased need for public services (for example: fire pro-
tection, police protection, health care, schools, other)? If so, generally describe.
" h C)
b. Proposed measures to reduce or control direct impacts on public services, if any.
/1 0 �? e,
16. Utilities
a. Circle utili�tis_cur=xQ
�,available at the
ice, septic system, other.
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.
-7/,F -rvR8r_-p —1 0 P,-C 6 y
FE(QJ�
C. SIGNATURE
The above answers are true and complete to the best of my knowledge. I understand that
the lead agency is re ying on them to �nake itsdecision.
Signature: il�� ..........................
Date Submitted: .... �?. 7.q.—. ............................................
_10-
RITTENHOUSE-ZEMAN & ASSOCIATES,
RZA Geotechnical Consultants
MEET FILE
ELIN 1400 140th Avenue N.E.
M Bellevue, Washington 98005
Z=OO&-%ZM (206) 746-8020
/ October 1986 W-4949-1
Himmelman Constructi6n
1816 North 54th Street
Seattle, Washi.ngton 98103
Attention: Mr. Mark Himmelman:
Subject: Consultation
Site Drainage, Building Foundations
8th Avenue South and Maple Street Property
Edmonds, Washington
Dear Mr. Himmelman-
At- your request, a geotechnical engi neer f rom our f i rm vi si ted the subject property.
on 16 September 1986 to examine site conditions following installation of a curtain
drain, as recommended in our letter report W-4949, dated 23 July 1986. The purpose
of our. site visit was to evaluate curtain drain performance. and subgrade soil
conditions for foundation bearing, and to provide geotechnical engineering
recommendations for site preparation and. foundation design. This work was
authorized by you on 15 September 1986 and has been completed in accordance with
generally accepted geotechnic.al engineering practice.
SITE CONDITIONS
The property is situated in a topographic depression with ground surface elevations
on the order of 15 to 20 f eet bel ow adj oi ni ng street 1 evel . The street embankment
along 8th Avenue West slopes downward onto your property at an inclination of
approximately 1.5H:lV (Horizontal :Vertical), and presently appears to be relatively
stable. Based on our observations of the surrounding area and conversations with
Himmelman Construction
7 October 1986
W-4949-1
Page 2
one of the local residents, it appears that the site is located within a former
stream valley, with the two adjoining streets and several houses constructed on
fill . that was reportedly placed some 20 years ago. The pavement s ection of
8th Avenue South shows considerable evidence of settlement, indicating that the
fill may not have been placed in a controlled manner (i.e. compacted uniformly to
a specified density).
At the time of" our site visit on 16 September 1986, a curtain drain had been
installed along the east and north sides of the property. The water that was
intercepted by this drain was directed to the northwest corner of the site, where
it formed a small pond. Due to site constraints, the northwest corner could not
be further ditched to expedite drainage of this water of'fsite
A drainage tight -line had also be installed for the purpose of capturing surface
water which emanated from an existing culvert located at the southeast corner of
the property, as recommended in the previous letter report. This water was directed
across the property and discharged into an existing creek channel at the west side
of the site. This creek channel was topographically higher than the pond located
at the northwest corner, by approximately 2 to 3 feet.
An embankment had been�constructed at the south end of.the site providing access
for construction equipment from Maple Street. Within the building footprint a
surface layer of saturated, anHj�c-rich topsoil had been stripped and stockpiled
along the west side of the property. The exposed subgrade was generally soft to
7_de_pthof_Zou�ghly 6 inch'es, a�ndse`veral ground water seeps were observed. The
water which drained from the stockpile and the seeps also collected at the northwest
corner of the site.
Several shallow holes.were dug using hand equipment within the building footprint
area, i n an ef f ort to eval uate the sui tabi 1 i ty. of . the subgrade f or * foundati on
S-
Himmelman Construction W-4949-1
7 October 1986 Page 3
beari ng. At a depth of approximately. 6 inches, the soil consisted of medium dense,
wet. to saturated, f i ne to coarse sand wi th some gravel This material was generally
consistent across the building site.
SITE DEVELOPMENT
To avoid anticipated problems associated with ground water, both during and
following construction, we recommend, raising the. grade of the building site by
placing a layer of quarry spalls (4 to 6 inch crushed rock) and an overlying section
of structural fill , separated from the quarry spalls by a layer of geotextile
fabric. The purpose of doing this is to provide a passive d rainage system beneath
the house which, in turn, would help to minimize accumulation of moisture in the
crawl space area. The geotextile fabric would serve to prevent filling of the_
void spaces between the. rocks, thereby maintaining a free -draining layer.
Drainage Layer
To minimize the thickness of the drainage blanket, the quarry spalls should be
plac ed on a subgrade which has been stripped of the soft, saturated layer of
disturbed soils (approximately 6 inches in thickness). To accomplish this, we
suggest using a trackhoe or backhoe with a smooth -bladed bucket to minimize traffic —
on the saturated subgrade. Given this condition,—t�e quarry.spall drainage blanket
should have a minimum compacted thickness 12 -in. hes. If the disturbed soils
OL
are not stripped, the minimum compacted thickWnould be increased to(..24 inches.
�P'
In both cases, the drainage blanket should extend at least 5 feet outside of the
building footprint.
Geotextile Fabric
The quarry spall layer should be covered with a geotextile fabric such as Mirafi
140N, or equal. The fabric should be placed in parallel strips with a minimum
overlap of 6 inches on each side.
C?
Himmelman Construction
7 October 1986
W-4949-1
Page 4
Structural Fill
All fill placed over the quarry spall layer should be placed in accordance with
the following recommendations for "structura 1 fill". Structural fill should be
placed in loose lifts not exceeding 8 inches in thickness. Individual lifts should
be mechanically compacted to a density of at least 90 percent of the modified
Proctor maximum dry density using ASTM:D 1557 as the standard. We recommend that
a qualified engineer or technician be present during the placement of structural
fill, to observe the work and perform a representative number of insitu density
tests. In this way, the adequacy of the earthwork may be ev aluated as grading
progresses.
The suitability of the soils for use as structural fill depends primarily on the
gradation and moisture content of the soil when it is placed. * As the amount of
fines (that portion passing the U.S. No. 200 sieve) increases, the soil becomes
increasingly sensitive to small changes in moisture content and adequate compaction
becomes more difficult or impossible to achieve. Soils that contain more than
.about 5 percent fines by weight cannot be consistently compacted to a firm, non -
yielding condition when the moisture content is more than a few percent above
optimum.
The stockpiled site soils (along the west side of the property) are very wet to
saturated, and organic -rich in composition. These soils are considered unsuitable
for use as structural fill. It appears that no other onsite soils are available
for construction of the structural�fill layer.. We therefore recommend importing
11clean" non -moisture -sensitive granular material for structural fill use. Such
imported soils should contain no more than 5 percent fines by weight, that portion
passing the U.S. No. 200 sieve when measured against the minus No. 4 sieve fraction.
Material of this type may be successfully.placed over a wide variety of moisture
conditions.
immelman Construction
7 October 1986-
W-4949-1
Page 5
For this project, we recommend a layer of structural fill ranging from 18 to
24 inches in thickness, as a minimum. Following construction, an impervious
moisture barrier should be placed over the structural fill within the crawl, space
area, and code provisions regarding minimum clearance should be strictly followed.
FOUNDATIONS
Driveway bridge foundation recommendations were presented I in our previous letter
report. The following paragraphs specifically address the building foundation
system. The proposed structure,may be supported by conventional spread footings.
These foundation elements may be supported by the quarry spall drainage layer or
by str"uctural fill , prepared in accordance with our previous recommendations,
placed above the quarry spall drainage layer.
We recommend that foundations be designed with a maximum allowable. bearing pressure
of 2500 psf (pounds per square foot). This allowable bearing pr essure may be
increased by up to one-third to accommodate seismic and transient loads. Exterior
footing s should penetrate at least 18 inches b elow f inal exterior grade, for frost
protection. Interior footings need penet�rate 1 12 —below—Unal grade.
Footings should have a minimum dimension of 16 inch All footings must penetrate
_i-nto—t1YV prescribed bearing stratum and,the foundations should not be set in or
above loose or disturbed soils, topsoil or any exl-`q fill.
We anticipate total settlements may be on the order of 3/4 inch with differential
settlements equal to roughly half of the total If loose or soft materials are
left within the foundation areas, settlements may be increased. Therefore, it
would be appropriate to have the condition of all footing subgrades observed by
the soil engineer's representative immediately prior to concrete placement.
CLOSURE
The conclusions and recommendations presented in this report are based on visual
e xamination of this site and conversations with the contractor. The integrity of
himmelman Construction
7 October 1986
W-4949-1
Page 6
the foundations depends on proper site preparation and construction procedures.
We are available to provide geotechnical engineering services during earthwork and
foundation construction phases of the project. If variations in the subsurface
conditions are observed at that time, we would be able to provide additional
geotechnical recommendations to minimize delays as the project develops. We
appreciate this opportunity to be of service to you. If you have any questions,
please do not hesitate,to call.
Respectfully submitted,
RITTENHOUSE-ZEMAN & ASSOCIATES, INC.
Peter R. Moon
Geotechnica.1 Engineer
Aw- GRo "%%
gr to
VIA C,
Ar 04
Kurt W. Groesch, P.E.
Associate
0 t,
RITTENHOUSE-ZEMASTUELFILE
RZA-'Geotechnical Consultants
i In
6x1400140th Avenue N.E.
Wis Bellevue, Washington 98005
—000 (206) 746-8020
23 July 1986
Himmelman Construction
1816 North 54th Street
Seattle, Washington .9.8103
Attention: Mr. Mark Himmelman
Subject: Consultation
,271
Driveway Bridge Foundation/Site Drainage
Northwest Corner Property
8th Avenue South and Maple Street
Edmonds, Washington
Dear Mr. Himmelman:
W-4949
At -your request, a geotechnical engineer from our firm visited the subject property
on 16 July 1986 to examine existing site conditions and provide recommendations
for constructing street level access to the proposed house from 8th Avenue South.
At the time of our visit we were also asked to provide recommendations f6r improving
site drainage during construction. This work was authorized verbally by you on
16 July '1986 and has been completed in accordance with generally accepted
geotechnical engineering practice.
SITE CONDITIONS
The property is situated in a topographic depression with ground surface elevations
on the order of 15 to 20 feet below adjoining street level . The street embankment
along 8th Avenue West slopes downward onto your property at an inclination of
approximately 1.5H:lV (Horizontal :Vertical), and appears to be relatively stable.
Based on our observations of the surrounding area and conversations with one of
the local residents, it appears that the site is located within a former stream
Himmelman Construction
23 July 1986
W-4949
Page 2
valley, with the two adjoining streets and several houses constructed on fill that
was placed roughly twenty years ago. The pavement section of 8th Avenue South,
shows considerable evidence of settlement, indicating that the fill may not have
been placed in a controlled manner (i.e., compacted uniformly to a specified
density).
,,_your helper duq a shallow
At the location of the proposed driveway bridqe str3Lq'Ik!-rIt
hole approximately one-half way up the embankment slope. The excavated soils
consisted predominantly of medium dense, fine to coarse sand and gravel ., A second
hole was excavated approximately 10 feet west from the toe of the embankment slope.
These excavated soils consisted of medium dense to dense silty fine sand with
scattered gravel. No ground water was encountered in the first hole whereas a
considerable amount of ground water was present in the second hole at...a depth of
An existing stream emanates from a by-pass culvert located near the southeast
corner of the property. The stream channel crosses the site in a west-northwest
direction, passing close to the southwest corner of the proposed house'. The water
originates from a storm w�ter drainage system located in 8th Avenue South, and the
A
amount and rate of discharge are controlled by the restricted size of the by-pass
culvert. You indicated that two smallgrdrain-l-.i-n.es-al-soAa;)(-14-gt�t-al-o-rig-t-he-e,&st----.-
77--
p nqp a ry rL _Qerall.y.-we. ditions.
kqqR_4__ __4_ q., contrJ byte to the q
Driveway Bridge Foundation
To gain street level access to the proposed house you plan to construct a bridge,
approximately 20 feet in length.by 21 feet in width, connecting the house to
8th Avenue West. To accomplish this, we recommend that you use a foundation system
consi sti ng of one (or two) pai r(s) of shal 1 ow spread footi ngs wi th Sonotube col umns
located adjacent to the house (and mid -span), and one pair of deeper drilled piers
located at the top.of the embankment slope. The spread footings should have a
minimum dimension of 2 feet by 2 feet and should extend at least 1 foot into dense
native soils, with a minimum depth of 18 inches below final grade for frost
Himmelman Construction
23 July 1986
W-4949
Page 3
protection. The footings may be designed using an allowable bearing capacity of
2000 psf (pounds per square foot). The drilled piers should have a minimum diameter
of 18 inches and should extend at least 3 feet into dense native soils at depth.
The drilled piers may be designed using an allowable bearing capacity of 6000 psf,
assuming A pier depth of 15 feet. We recommend that a representative from our firm
be on -site at the time of excavation to confirm the presence of suitable bearing
materials. A structural engineer should also be consulted for design of the
foundation elements.
Based on the observed site conditions, the shallow spread footing excavations may
be accomplished using a conventional,backhoe, provided that adequate drainage is
installed, as discussed below. The foundation soils are likely susceptible to
disturbance from foot traffic and therefore it may be appropriate to slightly
overexcavate the footings and place a gravel mat or lean concrete pad in the
excavation prior to forming and reinforcement bar placement.
The drilled piers may be excavated using a truck -mounted "Hiway" Auger, Bucket
Auger, or similar type drill rig. The sandy soils at depth may be susceptible to
flowing conditions below the ground water table. To prevent undermining of the
roadway and to minimize the need for excess concrete, the driller should be prepared
to install casing to the total depth of the hole. Concrete placement should be
initiated immediately after drilling is complete to minimize the potential for
caving and loss of ground. The concrete should have a high slump and an excess
head of concrete should be maintained within the casing as the casing is removed.
If water is present in the bottom of the hole prior to concrete placement,. the
concrete should be installed using a tremie pipe or "elephant trunk" extension from
a concrete pump truck.
Afoundation system such as this would tend to resist lateral thrust resulting
from settlement or displacement of the roadway embankment. Nevertheless it may
be appropriate to employ j�a%9_naj_conn.e_ctj.o..ns,. if the double span foundation
alternative is selected. The diagonal members could extend from the base of the
Himmelman Construction
23 July 1986
W-4949
Page 4
center span columns to the top of the columns located adjacent to the house. It
should also be noted that continued differential settlement of the embankment fill
with respect to the bridge may result in a perceptible "bump" at the bridge entrance.
Drainage Considerations
Prior to clearing the site.and excavating the foundations, we strongly recommend
that a drainage system be installed to minimize the presence of surface water and
to lower ground water to a depth below the maximum depth of adjacent foundation
excavations. To accomplish this, we recommend first that the surface water
emanating from culverts be intercepted and directed around the site, and second
that a curtain drain be installed along the east side of the property. By
intercepting and directing the surface water around the site, this water could be
kept away from site operations, thus improving general working conditions, and
could simultaneously be kept clean of silt and debris. This drainage system could
be installed on either a temporary or permanent basis.
The curtain drain should be installed along the east side of the site, and should
be no closer than 5 feet to the toe of the existing roadway embankment. The trench
may be excavated using a backhoe with either a 12 or 18 inch bucket, and should
extend to a minimum depth of 2 feet below the maximum depth of adjacent foundation
excavations. The trench should be excavated and backfilled in segments not
exceeding 10 to 15 feet in length. A perforated drain pipe should be installed in
the bottom of the excavation and should lead to a tight -line located along the
south side of the site. The perforated pipe should be surrounded on all sides by
at least 4 inches of trench backfill consisting of clean, coarse granularmaterial
(i.e. free -draining) such as pea gravel or washed rock. If the curtain drain is
installed as a permanent drain, the backfill material should be encapsulated in a
geotextile (filter fabric) material such as Mirafi 140 N, or equal . If the curtain
drain excavation is greater than 4 feet in depth, it would be appropriate to brace
the excavation or slope the sidewalls or both. In all cases, the excavation work
should be conducted in accordance with State, County, and local safety codes and
provisions.
Himmelman Construction W-4949
23 July 1986 Page 5
If, after installation of the curtain drain, additional drainage is warranted,
.this may be accomplished by installing transverse drains through the building site
and/or installing sumps with submersible pumps. The transverse drains may be
constructed in a similar fashion to the curtain drain previously discussed. To
minimize future potential problems associated with moisture accumulation in the
crawl space area of the house following construction, it may also be appropriate
to install shallow transverse drains on 15- to 20-foot centers during construction
of the foundations. These drains should discharge by gravity to an appropriate
outfall.
CLOSURE
The conclusions and recommendations presented in this report are based on visual
examination of the site and conversations with the contractor and a local resident.
The integrity of the foundations depends on proper site preparation and construction
procedures. We are available to provide geotechnical engineering services during
earthwork and foundation constructfon -phases of -the project., 'If variations in the
subsurface conditions are observed at that time, we would be available to provide
additional geotechnical recommendations to minimize delays as the project develops.
We appreciate this opportunity to be of service to you. If you have any questions,
please contact us at your earliest convenience.
Respectfully submitted,
RITTENHOUSE-ZEMAN & ASSOCIATES, INC.
Peter R. Moon, Geotechnical Engineer
Groesch, P.E.
Associate
SION
N
00
C>
cz�
C 1 T Y of EDMON DS S-I D E S'EWER' PERMIT
For Inspection Call 771-34TREETHLE PERMIT NO.
Address of Construction:*,
Property Legal Description (Include all easements):
Owner'and/or Builder:
Contractor & License No:
Single Family Resi.dence V"' EDMONDS
TREATMENT PLANT
Mul ti - Fami 1 y. (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes -(If Yes,, Right -of -Way'
Construction Permit required. Call One -Call -Center (17800-424-5 555) before a� ny
excavation.)
Cross other Private Property:, No Yes (If Yes, easement required,
attach Tegal description and -,county easement number.)
PLEASE READ THE-ITEMS.LISTED ON THE. BACK..
I certify that I have read aa shall comply Date
with the items listed on the back.
;2'
Permit Fee: Issued By: __J
T'runk Charge: Date Issued:
Assessment Fee: Receipt No. r
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
Rejected:
Reason. Date --Initial
PERMIT MUST BE POSTED ON JOB SITE
Wh.ite Copy File Green Copy Inspector Buff Copy Applicant
Side Sewer Drawing
The City of Edmonds EASEMENT NO - -----------------------------
--------------
NEW CONSTRUCTION REPAIRS F LID NO - ------------------ - ASMT. NO - ------------------
OWNER VKO&A'�� ------ ------------------------ CONTRACTOR ---------------- PERMIT NO.
JOB ADDRESS --- — --- — ------
- -- ------- -S: -------------------------- LEGAL DESCRIPTION: LOT NO - ------ ------------------------------- BLOCK NO - ------------------------------------
4
At>
NAME OF ADDITION -------------------
----------------------------------------- - ----------
EDMONDS
TREATMENT PLANT
1 /4,% A-" sw%eewos-v) 4
,-W , t-
Approved:
.........
PWW-0001 -11/75 (REV. 11/78) DATE ............ ------------------------
STANDARD DRAINAGE PLAN
U PPF-: R
C xrc"
BAB%N
DIETEWrION PI LENGTH COWROL CArCH
I
mi w , 2* mAx COVER.
% SLOPF---w
I
. SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
OLrr LET
CONTRoe
4-
TO OLITLE"T
(N P RAP OR
RUNOFF
51PREADER)
2' - 2' V' Vz�?, 4L & " SPALLS 6L WGU^L)
2� 2' D F r I P, cv-uswEv Ror-K
40.
FROM
0 �TL�T
LITLET
CON'rROL
RIPRAP OUTLET
&PLAVEL OLITFI.Ow TRENCR,_,00" 10' LONG,
r-rof, 4 4- PF;kf,�-PtPE -TO 66 6F-VKL
IL
0Lrr6ET
CON-rROL
.. PERF PIPE WITH
RUNOFF SPREADER OUTLEf
DETENTION SYSTEM
PAGE I OF 3
for FlarK fiLpiofe ifto
location 54 kh2oi� Ah W. ce rA e o-
plan by
phone
date
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameterg.-
9-41- - -
��1111111111113 M21I
CITY OF EOMONDS
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resDonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
z
FAIN
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resDonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
z
FAIN
lool G
orto /0
OUT _�LHPER CAN-ril-EVF fk .15. -Lr)
STRUC KA -ro 5,7%w 0,2 -j .4 4
4th F - -. - - - - . - r-.,- 9 180
98193 WTEt ALL �DWN sPW3
rl
710T L-WE 70 DM M d
I AND DRIVE-W*y LX 15 r1A1
co �vVA L L
EcK
PROPVED
I Ott
4 HOO�E
151
(o ()TT-E R
5\MD I IALLEY
OD
91'rip
A -1
13-6
P�7(- H A/
ISS. NSo o �j
10
r I q -r-o P- C-6- COV E K- i -
C.8 ��-.,-MVEWAY BRI
;S7-ZOM46 AU 5 70 �,O
E! Ij t a N
STRU00-11
Lu L)e
-T TO CIT'r
0;
5(
BVIi
8y,
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: '-�16) C?7'# &6- S-
After review of the subject building permit application, we have the
following comments:
I . 1) Connection to City water system required.
2) Connection to City sanitary sewer system required.
.-3) Right-of-7way.permit required for any work.on City property..
.4) Driveway slope not to exceed 14%.
5). Back water valve required if downstairs plumbing is below
. elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner respdnsible for containing all temporary runoff And
erosion on site and may not impact neighboring properties in any
way.
9E
Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
A/10 /-5z/
S L 0 P E E A S E M E
TU 11
CO SIDEPUMLOIN or henerits to accrue to the grantors he ' rein by reason of
the construction and establishment of an improved right-of-way, the undersigned,
E.T. ROSHOLT and— LORRAINE E. ROSI-IOLT, his wife.,
hereby grant to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement
for the installation and maintenance of a-ala;W, for cuts or fills on the following
described property, and the further right to remove trees, bushes, undergrowth and
other obstructions interfering with the construction and maintenance of said slopes.
The easement and right-of-way hereby granted is located in the County of
Snohomish, State of Washington, and is more particularly described as follows:
The Easterly 25 feet of Lot 21, Block 89, City of
Edmonds, as recorded in Volume 2, Page 39, records
of Snohomish County, Washington.
L F I I be 1-46 ',-,L P /e
iek "I eo e 0A C- 'U 7-,
DATED this 5th day of JU ly 19 67
STATE OF WASHINGTON)
)ss
COUNTY OF SNOHOMISH)
on this day personally appeared before me E. T. Rosholt
and Lorraine E. Rosholt TS-T—
___Fo_ , his wife, to me known to be the individual
pr 8 -F
described in and w executed the within and -foregoing instrument, and acknowledge d
r
that they signed the same as their free and voluntary act and deed, for
3:
the and purposes therein mentioned.
C
0
E
c:: I
'4 -4
?
Ld - -
'OTARY P LIC i
v4: L) M i. '0 RY P
S t te of W
2 E_1� A State of Washington, residing at
;! - 7D M 0
Edmonds
0
SALES TAx
: . REQUIRED
A; o4 7
C-5 C�--
Lu
JUL
OF FICIAL RECORDS
Pro= RMEW CmxndzsT
Ile
]PROJIA-Cr NAMEi RWECT ADDRESS: Ale
APPLICATION RECEIPT DATE -
Reviewed by: (initial/date)
COMMENTS
PLANNING
wrwsm STREET I ENGNRNG
FIRE
BUILDING
/77777777
17777777
77777777//
sjNGLE FAMILY/KILTIPLE/COMMERCM - (Circle One)
SETBACKS CHECKED - PTZT—ing
777777TR7
VARIANCE/SFMACK AW.
7717 7 7 7
7777 7 71 F1
CONDITIONAL'USE PERMIT
2
77777 �77
77777777
ADB MXURUMMS CHECKED
3
,OTHER ZONING RE=REMENTS
7777
7777T=
4
ENVIRONMENTAL FEATURES
5
ACCESS SMPE VEHICLE ACCESS
711
7/777777
6
777777777
777777777
1111111T
DRAINAGE PLAN,(On Site)
7
777777777'77777777T77777777
STREET FILE
/////////
/////////
////////
8
LEGAL DESCRIPTION VFRIFICATICN
777TI7777TRIII
9
QUIT CLAIM/DEDICATIONS
7777777777777
10
EASEMENT PUBLIC/PRIVATE:�&
7TI777177
7/77T/T/T
T1777TIT
77717
CALCMATE SUM CONNECTION IF NOILID#
12
111177
11171111
PLAT/SUBDIVISION REQUIREIAENTS
13
Rimmaeofty CONSTRUCTION PERMIT REU) 4ZE
14
777777/7
R PUBLIC IMPROVEMENTS
15
Tr�__CMMITIONS - VIGRI OUND,
77RT[
777 f=
77T/77T/7
7 7 7 7 7 7 7 7
WATER FIETD CH]XN=*',
16
STRWY PAVING'REQUTRED'
7TR7
7777777
7 7 7 7 7 7 7 7 7
17
C!UiB��'A'N6 REVI"_�' t4l'
77777='
18
SIDEWALK REQUIRED'Z,
_17T7T
171111111
TW11111
19
7T/77777T
CURB CUT FOR DRIVEWAY'REW
20
777TFIIII
SVREET NAME SIGN REQD
21
OTHER SIGNING REL)D
7TIT17TIT177TI7
22
11117[77TITITH
SIDE sEm Amwmm
23
EXISTING WATER MAIN SIZE
7TITIT
//////
777TTT17
/////////
111117
77717777'
24
777T77
77T/7777
f
7T77
WATER METER SIZE
25
SERVICE LINE SIZE-
7777T777
77777777
77T/777
26
MRAN'r REQUIRED
27
_17TRI
HYDRAYr SIZE EXISTING
28
CROSS CONNECTION INSPECTION REQD
177TIT9
/////////
TITRT177
29
ITTF17
WATER METER CHARGE REQD
W1,5-
30
FIRE LINE CHARGE REQD'- SPRINKLER
111171117777777777
31
STREET CUT
32
OPEN MICH EXISTING
111771
f11111
33
777TIT
7777717
7TFITR 7 7
RECX)
34
7TRII,
777777777'777T77777
CULVERT REM
35
777777
771777777
SIZE
36
CATCH BASIN REQD
77777
37
INDICATED CN SITE PLAN
111711
111111177
38
SHOUMERR _DWdWG9 MAINTAIN
SHALE OPEN RUNOFF
39
777-777777
ITITIT17T
MISC:
40
REVIEWED",AY:
"'�P'LANNING MGR. ENGINEERING MGR. PUBBIC WORKS MGR.
USE NWPERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION joe
NAME (OR NAME OF BUSINESS) AUIJKLSS '2 -'h
gio.
Mor� to e.1014* 11 LEGAL DESCR TIP ION CHECKI SUBDIVISION NO. LID NO.
MAIL' NG ADDRESS
1916 N,
CITY C ---T-TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
"e,q N-e 9glo 3 3,t -S&?.o/ EXISTING REQUIRED DEDICATION
NAME
Mark RIGHT OF WAY CONSTRUCTION P ERMIT R EOUIRED 0
7DDRESS STREET USE PERMIT REQUIRED 0
_% SEE ENGINEERING MEMO DATED'
�:"ITY
ITELEPHONE NUMBER
NAME
ADDRESS
CITY I TELEPHONE NUMBER
LICENSE NUMBER
V41,--6 Y2301771-1
Description of Property - include all easements
below or attach four copies)
n
a3 I-ock ai.
2=
rN. W, Gene, 87q#-
NEW
17-17
RESIDENTIAL
PLUMBING
ADDIALTER
COMMERCIAL
MECHANICAL
E] REPAIR
E] RETAINING WALL
SIGN
DEMOLISH
[:] EXCAVATE
OR FILL*
FENCE
E] FT)
REMODEL
PRE -MOVE INSP.1
COMPLIANCE INSP.
swim
E] POOL
WOOD STOVE/
INSERT [:1 APT.BLDG
E] RENEWAL
i NUMBER OF STORIES NUMBER OF
DWELLING
[UNITS
NATURE OF WORK TO BE DONE fATTACH PLOT PLAN)
A/ + g711
METER SJ2E IBUILDING SUPPLY SIZE
REMARKS
SIGN AREA COMPENV. REVIEW
ALLOWED I PROPOSED LETE I EXEMPT
VARIANCE OR CU PLAP
YARDS
FRONT SIDE REAR
NING REVIEW BY
'HECKED BY TYPE OF CONSTRUCTION
SPECIAL INSPECTOR AREA
REQUIRED
. 0 YES 0 NO
REMARKS
/AZQS� JA64IM-f 4>1 A2&
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
ENERGY CODE
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
w
successors In interest, agrees to Indemnify, defend and hold
ow)
harmless the City of Edmonds, Washington, Its officials,
.m
employees, and agents from any and all claims for damages of
ir
<
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of. this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify,. waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
0
x
nor limit In any way the City's ability to enforce any ordinance
provision."
I hereby acknowledge that I have read this application; that the
Information given Is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and In doing the work authoriz-
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor
ONLY THE
Code.of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tio Insurgnce..
INSPECTION
I NATURE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
CITY OF
EDMONDS
ATTENTION
771 3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-78
0,
Z
F"
W;
UJ;
Z
a
Z
Uj
UNITS
cr
ADB NO.
I SHORELINE #
DATE
HEIGHT I LOT COVERAGE
Z
Z
(L
CODE
HEIGHT
.
I R917
OCCUPANCY
OCCUPANT
GROUP
LOAD
D
VALUATION
14
APPLICATION APPROVAL
.�'This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged In space provided.
OFFICIAL's SIGNATURE I . DATE
RELEASED BY: DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD Assessor
CITY Oq, EPWONDS3
CONSTRUCTION AtEfIMIT APPLICATION
NAME (OR NAME OF PUSINESS)
Mark 4o4Pn_e11ZA7
MAILING ADDRESS
I a / 1, /V S; -I �-Jl
EPHONE NUMBER
CITY _Lh q
Se.,?TTte- Id, 9103 JJV _56 V4
TELEPHONE NUMBER
ZONE NUMBER
I �36RESS 2-10 X` 14VE I
SUBDIVISION NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING 4 V REQUIRED DEDICATION
PROPOSEKZ��
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 0
SEE ENGINEERING MEMO DATED
REMARKS
NAME
tepl
J_t) V
ADDRESS
sdkn4c 14-36VE
METER SIZE
BUILDING SUPP7F77IXTURE
UNITS
CITY
TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
ImMMEC-4-a3 0
SIGN AREA POSED
ALLOWED PRO
COMP ENV.
LETE
REVIEW MPT
I EXE
Legai'Description of Property - Include all easements
(show below or attach four copies)
tLl VARIANCE OR CU PLANNING REVIEW BY DATE
N, W. coqjae ,i� 5 1 le
YARDS HEIGHT ILOT COVERAGE
FRONT SIDE REAR
NEW
ADWALTER
REPAIR
DEMOLISH
EIREMODEL
RESIDENTIAL
COMMERCIAL
RETAINING WALL
EXCAVATE
OR FILL
PRE -MOVE INSPJ
COMPLIANCE INSP.
PLUMBING
MECHANICAL
El SIGN
'FENCE
x _FT)
swim
Ej POOL
CHECKED . By
TYPE OF CONSTRUCTION
CODE
HEIGHT
SPECIAL INSPECTOR
REQUIRED
0 YES ONO
AREA
OCCUPANCY
GROUP
occu
LOAD
WOOD S . TOVEI
INSERT
[:]
APT.BLDG
F-1 RENEWAL
REMARKS
NUMBER OF STORIES [NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
SIP-- VALUATION F
vq(a Ind /or I
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGWILL
Any construction on the public domain (curbs, Sidewalks,
driveways, marquees, etc.) will require separate permission.
STATESURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
ENERGY CODE
u)
two
2
ir
<
"Applicant, on behalf of his or her spouse, hilrs, assigns anck
successors In Interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, Its officials,
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
modlfy,,walve or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
I hereby acknowl;dge that I have read this application; that the
Information given Is correct; and that I am the owner, or the duly
ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
ed thereby, no person will be employed In violation of the Labor
Code of the State of Washington relating to Workmen's Compensa-
tion Insurance.-
THIS PERMIT This application is not a permit until
AUTHORIZES
ONLY THE signed by the Building Official or his
WORK NOTED Deputy; and fees are paid, and receipt is
'INSPECTION acknowledged in space provided.
SIG TURE (OWY OR E T) DATE SIGNED
DEPARTMENT OFFICIAL'S SIGNATURE DAtE
CITY OF
A
EDMONDS
ATTENTION
-RELEASED BY: DATE
771-3202
I
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
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED.
UBC
CHAPTER 3.
OINK — Owner GOLD — Assessor
cc
Uj
Z
Z
0
Z
102-78