210_SUNSET_AVE_N.PDF11111111111111
13348
210 SUNSET AVE N
A
ADDRESS
TAX ACCOUNTIPARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: F1 Conditional Waiver 0 Study Required r] Waiver
DISCRETIONARY PERMIT ff'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: —
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
SHORT PLAT FILE: LOT: -
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LID
BLOCK:
L-.\TEMP\DS'Ps\Fonns\Street File Checklist.doc
-'�',-�,--CITY OF EDMONDS
FOR INSPECTION CALL
DEPAR1,
Permit 69612
775-2525 Issue Date
.,.SIDE SEWER PERMIT
E-4
04
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44
PERMIT MUST BE POSTED ON JOB SITE
XWAWAW EDMONDS
l.., Address of Construction TREATMENT Pi
2. Pr operty Legal Description (include all easements)
3. Single Family Residence Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No.
6. Invasion into City Right -of -Way:
way Construction Permit Required
No Yes (If Yes Right -of-
- Call Dial Dig (434;2'_-�'5*G`4(41) before
excavation).
7. Cross other private property: Yes No Easement required,-�'.,'
attach legal description and county easement number. A
READ THE FOLLOWT.KG AND SIGN.:
a. Property owners must obtain a permit to install side selwers-on
their property. A licensed side sewer contractor must be qmployed:to'
construct side sewers in the public right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year.
c. Commercial establishment requires a minimum of -a six inch:(6")
side sewer line.
d. Side sewers may not be installed closer.than thirty inches (30"
to any structure.
e.. Side sewer lines must be laid at a minimum grade. of,2% (1.15 0
and maximum grade of 100% (450). 0
f. No turn in side s8wer greater than 45 (1/8�bend).,is 0 allowed
between cleanout. All 90 turns must be constructed of a ;45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor,drains can be connected
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit line
and at minimum intervals of 1001�along sewer 'line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k.. Side sewer must be left uncovered until inspected and approved
by the City.
1. Inspection during normal, working hours only. Two (2) working
days notice required.
DATE: STtil FILE:
I certify that I have read
and shall comply with the abov(
PERMIT FEE:
CONNECTION FEE:
* PERMIT
DISAPPROVED BY: Date:
B Date:
APPROVED By'
Date:,4.21.S3
T BE,PQSTED__ON JOB S I TE
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS [:j LID NO . ................... ASMT. NO . ..................
OWNER .... H ObOR Yl� ---- -------- ............................ CONTRACTOR --- Axj�iN ------------------ ---------------------- PERMIT NO. 09 .. (o-2---
JOB ADDRESS -2--�,O ---- SONSET ----------------------------------------------- LEGAL DESCRIPTION: LOT NO. ....11 --------- -- -------------- BLOCK NO. —11 ..........................
M/14'7-62A ---------------------------------- PLAT ----- OF ---- F-M.M.M.D-S ------------------ --------------- -- EDIVIONDS
'TR��MENT-- PLANT
NAME OF ADDITION
43'
VIA"
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PWW-0001-11 1 /75 (REV. 11
2:1
L11JE:
12-5
4'PVC.
15
D P.
4 Cj0- WYE
Approved:
DATE4
-------------------------------------------- Bljlr.4-§Aq ------
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lop
-Agri"
Ai-cEv
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APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION C] REPAIRS EASEMENT No . ..........................................
112-04900
OVVNER .......... J.ame.s....F Re-dma-n ------------------------------------------------------------ CONTRACTOR ....................
-- ------- -- --- ---- ------- A .... ................................................................... PERMIT No . ......................
ADDRESS ...... 21.0 --- Suasat..Ave . . ............................................................ LEGAJ, DESCRIPTION: LOT No . .............. ----------------------- ------- BLOCK No . ......
NAME OF ADDITION .....................................
Dye Tested On Sewer 1972
Approved:
DATE� ............................................... By ......................................... ........... ................
tms
ifistf,
644—
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Fl�- - .
EE
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CITY OF EM",�MDS
I
EtMING C"ARTMENT
vloax/
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ADDP2-E':'3'Ca/A
3 L D NG. C F: 7, C I Z:
Any request for modification, variance or other
administrative deviation (hereinafter "vaniance")
must be specifically called out and identified.
Approval of any plat or plan containing provisions
which do not Comply with city code and for which a
variance has not been specifically identified,
requested and considered by the appropriate city
official in accordance with the appropriate provision
Of city code or state law does not approve any items
not to code specification.
F(W 10 A
NO [J. M
CITY OF EDMONDS
PUBLIC- WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or vici of Construction
,;Z / 0 r- S -e7
e Owner: 11- 1409 A2 R I -S 0
Name
Mailing Address
City, State, Zip Code
Z
U
0
U
W
go
0
Z
0
W
V)
0
9 Contractor:-130 b
Na;y
0
Mailing Address
)ZA --, ,-, .15 41 Ko 1-,P
City, State, Zip Code
Wmit No. — I:S q
Issue Date
0 Permit Issued To: 13o A r-) t.</ t
e Type of Workto be Done: 1/1,57,91/ A
9 Work in Connection With:
0 Sub or Plat U��ingle Family
El Comml. / Ind. 0 Apt. Condo.
e Pavement Cut: 0 Yes 0 No
n ki i r- L2 i- I o!v J3
State License Number
.A—V 2- - A' 4 / -7
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE, * *
B. APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal
proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering.
Call 775-2525, extension Q44. ) S9
I understand that this permit must be available at the job site for inspection purposes at all times.
Signature: Date
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB . SITE FOR INSPE&ION PURPOSES
CALL DIAL - DIG PRIOP, TO BEGINNING WORK
C. Issued By
(4, Permit Fee:
Time Authorized: Void aftA !k.2 U days Security Deposit:
Special Conditions:
STP F P T
Arnmendments: 41 a a., &6, r -FILE
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions
— X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
(Fund
FIELD INSPECTIOIM� ES ill We cony to Street De-pt
Comments.-
Dia
Contractor called for inspection Y es
Work Disapproved By: By: Date
Work Approved By: Date:
Inspector:
Ena. niv. Decambar 1978
7
CITY VV tUMUNDS 1P PIPit No. 95-11 ID
POSLIC WORKS DEPARTMENT Issue Date
RIGHT - OF - WAY CONSTRUCTION PERMIT
U
0
U
0
Z
0
0
A. *Address or vicinity of onsLructiori. 0 Permit Issued To:
Owner: , �lEOMONOS OEN- CO 0 Type of Work to be Done:
Name )� Gope Q_C_�)f "AID
SZ9MA) t_j S 1, Work in Connection With:
Mailing Address 0 Sub or Plat —'§iv�$ingle Family
CA) \t"Jo 20 El Comml. / Ind. 0 Apt. Condo.
city, S ta te, Zip Code Pavement Cut: El Yes -.Ia—,N 0
9 Contractor:
Name Z k (D \ (e> � W'J C-f I
14ailigg Address
City, State, Zip Code
State License Number
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal
proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required. for inspection by Engineering.
Call 775-2525, extension 220.
I understand that this periopit must be available 9,t the job sitr&-r-irispection purposes at all times.
I I ff IT I I 1L"_'_ V-=
Owner or
THIS PERMIT MUST BE -POSTED AT THE JOB SITE FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By: Vf�lLpal4td?
Time Authorized: Void / after 30 days
Special Conditions:
'(V':Sb C3
Permit Fee: —
Security Deposit:
Receipt No.: .
Fund 111 Fee:
Ammendments:_ _QT9? Street Cut Dimensions
'Will FILE _X_
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
Ena. Div. December 1978
"Wig
1018 VIALIC UTILITY DISTRICT- IlIft I of Sn6bon0sh cjjm� COU Q_V Arom
FIEV. 5181 _AZ 14 0; . , 1 1510.1.1
9!
�OCATJON DATE
POLE NO '/A s T
REVISION xe-No
111 AT F xff QUIGA4
Q2 woltv, .-ENG04EER w:G. FILE NO.
C�,SF,To SCALE
APPROVA
N"
A I L
Ls
lyy* i A
PERMIT REOUIRE E SIT
IR
%pe M" 'r ONMENAL ANALYSIS
IdREQUIRED ON R,
OT R TRIMMING., .0; L - - , ONOT EXEMPT
TYPE ATER E4PT
ADDIAL DIG 4Mr-wER A. ITEM
f I-Q InCATC)
DATE GRANTED QCALW 4ik*s 0. H. 'U-G, COND. KV
DATKELEASED MACK HOF, 0 ADD _CKT_ FT —PH.
FEES REOUIRED FORE IGN'CONTAC TS POLE STENCILING
REMV.._CKT FT. —PH.
TYPE 5A$ GTNWNO. FROM _ TO NET — CKI FT.
DATELIL-23AMOUN'T 41—ICI CATV NO. TAKE OFF POLE- 'LOGS POSTED
SUBSTATION CIRCUIT NO. TRANSF CARDS U-MAPS
DATE WORK COMPLETED BY FOREMAN POiE DEPT CIRC,
DATE PRINTED
0
I CIP
I TZ Y. Z5' -7
...........
Zs le vi r-
v t 5T
:5c- Q #
�Ap,Nq ZG
N (E- <OW
T
N aol
N C.�4 -Z-c8' 4Z:;OL)TH �t-�ST 3S'-
P<, u N D ) I-;z-t i�C�i -7 t:>OIJT�A) ZS' WZST)T�AEN V
DISPATCHER POSTED
MAP PAGE
WO. NO
P1 MLIC 11,'ORMS DEPT. C MCK LIST
I'MILDING PY.IMT PJ-Vrr-.M
Street Right-of-Ilay Exis
Access Easements Existin
Utility Easement Existin
Lot Per Subdivision
........ w Plat a --
Site Plan Oiccked for Accuracy
-Iuio�n
REOD
RFOD
Assessor ilan
Underground I.Viring Rcnd. . N L-1- Mt
Cher*'A"raq !rfLp-qal
RCView by Datc
Exi.11tin,a flater Main Size
Water �hin R(MUired
livdnint Size Existing
0
leof
I 1\ drant rcquire(.i per Fi(e Codp- , Iv.,4. !.,3izc
Detector Mccl, �';'Ctcr Rcouired
CC&31; C6nne-CJibn fh�,1>6(jibrl A-.-' J1q
Fire 11cpartinent C.Op.111011ts,
OliN- Ale � i- OxOr e-
Rovict.: b%, %�=
te
Septic Tanl, Design Approved Date
Septic Tmil: Permit Pequired— --Pennit "o. ---7--
11roi.
Sanitary cev.,er Availaldli ty
P4 1 1
Drawing No. j"i I C To.
Side Sev.ler Availabilit,
Swnitary Sever Coiinection F-ce Pequired—
Datc--379-7,7
Rewiew bN
qIC"11 Ditdi T."Xisting A7 —Require(I
Culvert Pequired ze
0 1 —
E4 Catch Ba-in RO(Mired Al/7 Indicate on !7ite Plan
sbou&r dro"Maqp- Mby�,Tao- Collp On in swair, 4a!
Opzil ra r, -o e f' I
Hanhole requircd IV �z Tndicate on Site I'I,-ui
Soil Conditions F, Growid W ater Field Giecked
Review b —Datc
Y
E-
P"
Street 11aving Requirc(I
A4C—'
Cu rb and Gutter Requircd
Sidcv-iall� 1-1,equired I Ae 1-7--
Curlb Cut for Driveway- Required
Ri-alit-of-Ilay Construction Pcimit Reouired"
Bond Rcquirc(l for Public Improvements
Street Name Sign Required
Otlicr Siming Required
Pro Permit Site Ins
C
r-4 BY: Scv,7er
U WatCT
Stree
Engin
Special Requirements listed in memo to Building Fk-,pirtmont
By rD AA TEFMArD Date
All items filled in on Building Pcniit Application
Rate
BX-- ) - - -
Drawin,gs Stamped and ",'OtatiOTIS NadC
By
Approved by Public Vlorks Department
Dato
1-o T
4 �jr
-,166 c2, DATE 7//
1� A?3
CITY OF EDMONDS
COMPLAINT RECORD 77f-_ 1:2"
Complaint, voiced by: /A
Name: � M C L A L) & H L_ i Bl�rl c, L A H A_ IE71 /c/J
Address: A a,
Property owner: Yes No
Where .56 M r, 4—
Address of property
to be investigated: PVZO vt-r �-f Ot:::
2-luO Avg ii,ut) X6/1 :��+l
Name of owner: L_ Coolt 0 16 &0:7
Address: ekj\4. of C. �. � �,6, 't))oy ")123 'S'EA7a Phone:
Description of complaint: A
L) 1)055 � (eu, k- d) I /J 6
M
0�v ICA r*z '00A k.)IIA4,Vc— , _/C �Jelfe_.S
C C, pae,
1j,5
Result of invdstigation:
7// IV� - U�TAc
#1 t I � -_-, . 6 J I L�b I I-) & I
1!!PP9P- 51-0 --M-
I M11
Pl�
lc� CITY OF ED"iOND NO.
WORK ORDER
LOCA71 0!'i' DIRECTIONS
'P(-t� t) I CL
Gt to :� G-T— C)
Connection Char-�ie
s
S Installation Deposit
ME
—MEMO
VE 01, � 101 � I � PA .00, � PA
TOTAL MATERIALS
Benef its:
�Subtotal:
�Overhead:
TOTAL LABOR COST:
EQUIPMENT:
8]
CAPITALIZATION REDUCTION
TOTAL COST
MAINTENANCE
DEPOSIT
AMOUNT DUE
INVOICE DATE
r,Tr'tr:n-
1 71-1
j
CITY OF EDMONDS
APPLICATION
MAR 14 1980 to the
ARCHITECTURAL DESIGN BOARD
Dir. Of Public WorkS
Q*v�",o&Ad w1t400l-r
DATE �� FILE #A,-Qe-at-5n
14W SITE PLAN
BUILDING PLANS (3): ELEVATIONS
LANDSCAPE PLAN
ENVIRONMENTAL DATA Receipt #
SIGN EXHIBITS (3)
PLAN MODIFICATIONS TO FILE NUMBER: k
HEARING DATE 79-
OWNER/REPRESENTATIVE. &A16 9k9jQ1SQAJ -PHONE-776 - 474,�
ADDRESS A Iq Vc-. MojU f) J* ZIP CODE �9'0 -2-e)
CONTACT PERSON 413OV6 PHONE -7 -7 tl- 4 4 6
ADDRESS ft * ZIP CODE
ARCHITECT/DESIGNER *412vc- PHONE -7
PROPERTY ADDRESS ZONING
LEGAL DESCRIPTION Lo -r
PL-A -r 0,t4 0 A/
PLANS SUBMITTED FOR APPROVAL:
1. Building Plans — Preliminary Final
Site Plan. Landscape Plan Elevations
2. Sign Elevations Site.Plan Landscape Plan
3. Modification of previous approval
EXISTING USE OF PROPERTY UAr-A&I 7
DESCRIPTION OF PROPOSAL r= r-
9-�
2
APPROXIMATE DATE WORK WILL BEGIN ON PROJECT &
ESTIMATED TIME FOR COMPLETION'OF WORK
I (we) hereby certify to the best of my (our) knowledge, that the statements and
information contained herein are, in all respects, true and correct.
(Signature of App
12/78
RE C'—PTVzD
N 2 9.8n
Prr CF
PIA ripq - `-'JIVL�s
'I DEPi.
A a
Nk
ENVIRONMENTAL CHECKLIST
Introduction: The State Environmental Policy Act of
1971,'Uh--apter 43.21C, RCW, requires all state and local
governmental agencies to consider environmental values
both for their own actions.and when licensing private
proposals. The Act also requires that an Environmental
Impact Statement (EIS) be prepared for all major actions
significantly affecting the quality of the environment.
The purpose of this checklist is to help the agencies
involved determine whether or not a proposal is such a
major action.
Please answer the following questions as completely as
you can with the information available to you. Where
explanations of your answers are required, or where you
believe an explanation would be helpful to government
decision makers, include your explanation in the space
provided, or use additional page.§. You should include
references to any reports or studies of which you are
aware and which are relevant to the answers you provide.
Complete answers to those questions now will help all
agencies involved undertake the required environmental
review without unnecessary delay.
The following questions apply to your total proposal,.
not just to the permit for which you are currently
applying or the proposal for which approval is -sought.
Your answers should include the impacts that will be
caused by your proposal when it is completed, even
though completion may not occur until sometime in the
future. This will allow all agencies involved to complete
their environmental review now, without duplicating
paperwork in the future,
NOTE: This is a standard form being used by all state
and local agencies in the State of Washington for various
types of proposals. Many of the uestions may not apply
to your proposal. If a question 5oes not apply,'just
answer it "not applicable" (N/A) and continue on to the
next question.
41
-&A
ENVIRONMENTAL CHECKLIST
A. BACKGROUND
I. Name of Proponent__#_AqVE HARR 1JQ &/
2. Address and Phone Number of Proponent-2-/o Svvraf Ave t7_f>MOW1r__*)S
_7-7� - 4 -74S
3. Date Checklist Submitted
4. Agency Requiring Checklist 6j>A4t,9A)1>_r PIAAjA;IAJK
5. Name of Proposal, if applicable oj;�r(cC- 13LOD6.
6. Nature and Brief Description of Proposal (including but not limited 'to
its size, general design elements, and other factors that will give an
accurate understanding of its scope and nature:
t->"MiD F&Dcoe __La_--yca_ If _&Wrtpgr=,L�� PAo_kjAjK
224 Fz_vvp I -
s eOA�'MtAJ Apogye 26co 5F OF 01=Frr-& SP~ C44V
Location of Proposal (describe the physical setting of the proposal, as
well as the extent of the land area affected by any environmental im-
pacts, including any other information needed to give an accurate under-
standing of the environmental setting of the proposal):
I Lr)- 24 Ave .-Al. rAm.,jos
Do a),u Tp B-0-ft've-S5 7_0,VE_
8. Estimated Date for Completion of the Proposal___QA)�
9. List of all Pemits,'Licenses, or Government Approvals'Required for all
Proposal (federal, state, and local — including rezones):
/2 C 14 / Tr--C'rOP-.A- e-- D&S-1 6 AJ A -IC 0
r
10. Do you have any plans for futureadditions, expansions, or further
activity related to or connected with this proposal? If yes, explain.
ll.-I'Do you know of any plans by others which may affect the property covered
by your proposal? If yes, explain.
12. Attach any other application form that has*been completed regarding the
proposal; if none has been completed, but is expected.to be filed at
some future date, describe the nature of such application form:
B. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required)..,'
YES MAYBE -NO
1. Earth. Will the proposal result in:
a. Unstable earth conditions or in changes.
in geologic substructures?
b. Disruptions, displacements.,compaction
or overcovering of the soil?.
c. Change in topography or ground surface
relief features?
d. The destruction, covering or modifica-
tion of any unique.geologic or physical
features?
e. Any increase in wind or water erosion
of soils, either on or off the site?
f. Changes in deposition or erosion of
beach sands, or changes in siltation,
deposition or erosion which may modify
the channel or a river or stream or the
bed of the ocean or any bay, inlet or
lake?
Explanation -
2. Air. Will the proposal -result in:
a. Air emissions or deterioration of
ambient air quality?
b. The creation of objectionable odors?
c. Alteration of air movement, moisture
or temperature, or any change in climate,
either locally or regionally?
Explanation: K60 -R-ere vii It be- -&.P, aJdvfig,,, P-7-c hf Ca ex
J
3. Water. Will the proposal result in:
a. Changes in currents, or the course
or direction of water movements, in either
marine or fresh waters? coo
b. Changes in absorption rates, drainage
patterns, or the -rate and amount of sur-
face water runoff?
-2- 1
AA'
YES MAYBE NO
c. Alterations to the course or flow
of flood waters?
d. Change in the amount of surface water
in any water body?
e. Discharge into surface waters, or in
any alteration of surface water quality,
including but not limited to temperature,
dissolved oxygen or turbidity?
f. Alteration of the direction or rate
of flow of ground waters?
g. Change in the quantity of ground
waters, either through direct additions
or withdrawals, or through interception
of an aquifer by cuts or excavations?
h. Deterioration in ground water quality
either through direct.injection, or throu;h
the seepage of leachate, phosphates, deter-
gents, waterborne virus or bacteria, or
other substances into the ground waters?
i. Reduction in the amount of water
otherwise available for public water
supplies?
Explanation: Is 7%,e aZ/,
4z. 64049
49-14 'b &L I /d 1 01 q Ay, J
A.Vb 4 a, I -� Vg�eki,e. 4,rf
4. Flora. Will the proposal result in:
a. Change in the diversity of species,
or numbers of any species of flora (in-
cluding trees, shrubs, grass, crops,
microflora and aquatic plants)?
b. Reduction of the numbers of any
unique, rare or endangered species
of flora?
c. Introduction of new species of
flora into an area, or in a barrier
to the normal replenishment of exist-
ing species?
d. Recution in acreage of any agri-
cultural crop?
Explanation:
-3-
A�
YES MAYBE
NO
5. Fauna. WIll the proposal result in:
a.- Changes in the diversity of species,
or numbers of any species of fauna (birds,
land animals including reptiles, fish and
shellfish, benthic organisms, insects or
microfauna)?
b. Reduction of the numbers of any
unique, rare or endangered species
of fauna?
c. Introduction of new species of
fauna into an area, or result in a
barrier to the migration or movement
of fauna?
d. Deterioration to existing fish or
wildlife habitat?
Explanation:
6. Noise. Will the proposal increase
Tx-f—st-ing noise levels?
Explanation: e- XIdl J/ e�, el JE 9' CA I-S 7'�6 -e
/ QEr
7. Light and Glare. Will the proposal
produce new light or glare?
Explanation: ajd", -f tf.,
k-
8. Land Use. Will the proposal result
in the alteration of the present or
planned land use of an area?
Explanation:
9. Natural Resources. Will the proposal
result in:
a. Increase in the rate of use of any
natural resource?
b. Depletion of any nonrenewable
natural resource?
Explanation:
-4-
YES MAYBE NO
10. Risk of Upset. Does the proposal involve
a risk of an explosion or release of hazard-
ous substances (including, but -not limited'
to, oil, pesticides, chemicals or radiation)
in the event of an accident or upset condi-
tions?
Explanation:
11. Population. Will the proposal alter the
location, distribution, density, or growth
rate of the human population of an area?
Explanation:
12. Housinq. Will the proposal affect existing
housing, or create a demand for additional
housing?
Explanation:
13. Transportation/Circulation. Will the pro-
posal result in:
a. Generation of additional vehicular
L1101
movement?
b. Effects on existing parking facili-
ties, or demand for new parking?
c. Impact upon existing transportation
systems?
d. Alterations to present patterns of
circulation or movement of people and/or
goods?
e. Alterations to waterborne, rail or
air traffic?
f. Increase in traffic hazards to motor
vehicles, bicyclists or pedestrians?
Explanation:
/ �
-5-
YES MAYBE 'NO
14; Public Services Will the proposal have
an effect upon, or result in a need for
new or altered governmenta'I services in
any of the following areas:
a. Fire protection?
b. Police protection?
c. Schools?
d. Parks or other recreational
facilities?
e. Maintenance of public facilities,
including roads?
f. Other governmental services?
Explanation:
15. Energy. Will the proposal result in:
a. Use of substantial amounts of fuel
or energy?
b. Demand upon existing sources of
energy, or require the development
of new sources of energy?
Explanation: I'a) dfLt -i�z -zleo S P:7 0
16.
Utilities. Will the proposal result in
a-T-r new systems or alterations to
a nee o
.the following utilities:
a. Po wer -or natural gas?
b. Communications. systems?
c.-Water!
d. Sewer or septic tanks?
e. Storm water drainage?
f.- Solid waste and disposal?
Explanation:
ce) 14 a 4f, le, e- CL,-f Ip&-, '74� e Ma IP1
e- m e-e- e- s s&L,�z
I
-6-
17. Human Health. Will the proposal result
Tn the creation of any health hazard or
potential health hazard (excluding
mental health)?
Explanation:
18. Aesthetics. Will the proposal result
Tn the obstruction of any scenic vista
or view open to the public, or will the
proposal result in the creation of an
aesthetically offensive site open to
public view?
Explanation:
19. Recreation. Will the proposal result
in an impact upon the quality or quan-
tity of existing recreational oppor-
tunities?
Explanation:
20. Archeological/Historical. Will the
proposal result in an alteration of
a significant archeological or his-
torical site, structure, object or
building?
Explanation:
YES MAYBE NO
Ll�
C. SIGNATURE
I, the undersigned, state that to the best of my knowledge the above information is
true and complete. It is understood that the lead agency may withdraw any declaration
or non -significance that it might issue in reliance upon this checklist should there
be any willful misrepresentation or willful lack of full disclosure on my part.
PROPONENT:
-7-
71
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March 25, 1980
I 'El
I J -10 TO: PLA"47NING DEPARTMENT
FROM: E'MI'NEETRING DIVISION
SUBJECT: A.D.B. MMENTS OF APRIL 3. 1-980 MEETING
ADB-20-30 IXIAIWE 11ARMS014 - 115 Ind Ave. No. , Edmonds, WA.
Parking appears adequate for office building option.
T
Possible off site parking may be required if res-
taurant option is exercised.�reliminary Engineering
requirements attached are subject to r�vision with"
final review submittal.
A T)3, - 2 1 - L80 I'l"ESE - 18604 76th Ave. W., Edmonds, 14A.
Insuitf"ficient detail submitted for free-standing sign
por CodL, 18.85.06. There is a Possibility of a visi-
bility blockage by the free-standing sign per Code
9-0.50.040 A. Free-standing sigrs in -.on'e' MT are dis-
courased arid this would be the only one in the im-
dinte area. 6. 1 o 7
AD3-23-30 (M _'_*n JOY FOODS CORP. - 7207 2112th S.W. , Edmonds, WA.
Plans submitted do not reflect existing steep topography
or Possible retaining walls. Gridinp - r� I
drainage, curbs
arid Isi.de.walks subject to further reviow when topography,
grading and drainage plans arc submitte
d. Engineering
requirements attached.
AD'3-24-30 LINEBERRY ENTERPRIIES, INC. 2127 76th W. , Edmonds, I -IA.
35 parking stalls within building are six inches (6")
narroi.,7er than code due to presence of round concrete
columns. However, Engineering would not oppose a
variance for this. Engineering requirements are attach-
ed.
ADB-26-30 MIZS. MASTERJOHN - 700 Main St. , Edmonds, WA.
No Comment.
.dp
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