21010 SHELL VALLEY WAY.PDF111111 lill lill
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21010 SHELL
VALLEY WAY
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BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
/V�-�-(71
CRITICAL AREAS:- C.,� DETERMINATION: []Conditional Waiver )&dy Required 0 Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):- Iff-5 noa)6 fi�vllo�, �a�
,��x , 4��
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S) #:-
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER
LOT:
LID #:
BLOCK:
LATEMP\DST's\Fomis\Street File Checklist.doc
CITY..'�DMONQS
CONSTRUCTION'WERMIT AIPPLICATIqN.
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APPLICATIDN APPROVAL
ipfotmalicn,�.ven S correct: and inal I am :r'd 0—irl.
11 city And
auloorIzea m of the o*ner I agree lo-ccmOr
This ap.-Ca".011 is not j�palwi,-
tate la*s recwatmg.�onstNctlor. and in cc-n� Me o4crt autnot.':-
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//T H iTE iS LOCATED IN TPiE CITN
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CERTIFICATE OP OCCUoANcN "AS BEE-, GPA",,1E,� uBc
P.. j O.rie.,' GOLID
CHAPTER 3
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14
CAFILENO.
40tical Areas ChecklisA
------- ------------------------------------------------------
Site Information (soils/topographyJhydrol.ogy/vegetation)
1. Site Address/Location: S�,�C,1� U)4(4
2. Property Tax Account Number: Zc��)[ ce)?)O e)j�-2 _j
3. Approximate Site Size (acres or square feet): �A
4. Is this site currently developed? V/ no.
yes;
If yes; how is site developed? &
- 2Vve—_
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway Plk) floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? — No . - Flo7ws re seasonal? (What time of year?
10. Site is primarily: forested _; meadow shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: IJC)
_AO&WA. V-!n, -.ft, �z _v
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Critical Areas File C/-\ —oo — Q I
City of Edmonds Critical Areas Checklist Fee: $45.00
Development Services Department Date Received by Dev. Serv. Dept: --I �Z/ =b'!�
Planning Division City Receipt No: / 6 //I� f L
Phone: 425.771.0220 Date Mailed to Applicant: 16-OL,3_2000
Fax: 425.771.0221 1
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds Prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the sub ect prop
j erty. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist� make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site.
I have completed the attached Critical Areas Checklist and attest that the answers provided are . factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
�\� Q- �— -�- V�cv�OA(-�'
Name �J
�-\o U
Street Address
city State Zip
Telephone'
CJ
Signature
'\ (,\. i (v�
Date
d:receptiorulana/CACLHandotA.doe
Applicant Representative:
Name
Street Address
city State Zip
Telephone
Signature
Date
ReVIW NI Gr2M
City of Edmonds
Critical Areas Determination
Applicant: Robert Nagode -1 Determination #: I CA-00-171
Project Name: Permit Number:
Site Location: 21010 Shell Valley Wy. Property Tax Acet #: 1 72010000
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears to contain
and/or is adjacent to a number of critical areas, including a Steep Slope Hazard Area, and a
Erosion Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development
Code (ECDC).
Based on these findings, prior to submission of any development permit, you will be required
satisfy the requirements of ECDC 20.15B by completing the following:
Steep Slope Hazard Area Delineation Requirements:
To deten-nine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a
Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed. Any slope of
40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50-
foot buffer is required from both the top and toe of the slope. A 15-foot building setback is
required from the 50-foot buffer.
For development of any kind which is proposed within the critical area, 50-foot buffer or 15-foot
buffer setback, it must be shown that the development will not adversely impact the Critical Area
or its buffer, by doing one or possibly both of the following depending on the outcome of the
study:
I . For development proposals which will occur within the 50-foot buffer, but no closer than
10 feet from the top or toe of the slope, the 50-foot buffer requirement may be reduced to
10 feet if a study is completed by a licensed geologist or geotechnical engineer which
clearly demonstrates that the proposed buffer alteration will have no adverse impact upon
the site, the public or any private party. All Critical Area Studies, except those done by a
licensed geotechnical engineer, must be completed under a three party contract where the
City hires the professional required, and the applicant pays for the study (pursuant to
ECDC Section 20.15B.140).
1
2. If development must occur within the critical area, buffer, and/or buffer setback, and is
not identified as an exception per ECDC Chapter 20.1513, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20.15B. I 70A and 20.15B.040C.
Erosion Hazard Area
The site is also in an area designated on the Critical Areas inventory as Slopes with Erosion
Potential. All proposed development must have an erosion control plan approved by the City of
Edmonds Engineering Department.
Both the qualified critical areas consultant and the Land Surveyor shall enter into a three party
contract with the applicant and the City of Edmonds as required in ECDC 20.15B. 140(D), where
the applicant pays for the study. All Critical Areas Studies shall be performed as a three -party
contract agreement, with the City selecting the consultant, and the property owner or applicant
paying the fees.
If the results of the Critical Areas Study determine that the lot may not be developed, the
applicant may apply for a Reasonable Use Exception and Variance pursuant to ECDC
20.15B. I 70(A) and 20.15B.040(C).
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on the site, they may submit their proposal to
the Planning Department for review. If the Planning Department finds that the proposed
development permit will not adversely impact Critical Areas or its buffers, a conditional
waiver may be issued on a project by project basis.
Name Signature Date
2
CITY OF EDMONDS
PUBLIC WORKS DEPAR% FOR INSPECTION CALL %-,Permit N? 6993
;I -"DE SEWER PERMIT ItStb Issue Date i
PEP -MIT MUST BE POSTED ON JOB SITE
1. Address of onstruction,;�z 0 1 -EDMONDS
1AM-4% 1. tri lu t1jW I
2. Property Legal Description (include all easemeritfi) T
',4
3. Single Family Re'sidence Multi -Family No. of Units
Commercial
4. Owner and/or Builder
5. Contractor & License No. �4 7
6. Invasion into City Right -of -Way: No Yes (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation).
7. Cross other private property: Yes No _)_( Easement required -
U attach legal description and county easement number.
H
�4 READ THE FOLLOWT.NG AND SIGN:
a4
a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed 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.
0 d. Side sewers may not be installed closer than thirty inches (30")
U to any structure.
N 0
M e. Side sewer lines must be laid at a minimum grade of 2% (1.15
0 and maximum grade of 100% (450). 0
E-4 f. No turn in side s8wer greater than 45 (1/8 bend) is allowed
between.cleanout. All 90 turns must be constructed of a 450 (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 100' along sewer line run.
j. Trenches within City right-of-way must be restored to original
conditions. Contractomftm" ible for right-of-way failure
due to poor compaction;btf ;18E�T TILE
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:
I certify —that Ilhave redd
and shall comply With the above
PERMIT FEE:Zlr'-�-V DISAPPROVED BY: Date:
B Date:
042 CONNECTION FEE: APPROVED By �_Date:
44
0
�P*E�RM��I�TM�UST BE POSTED ON JOB SITE
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION F1 REPAIRS LID NO. — ------- ----- .-.ASMT. NO - ------------------
OWNER MF—LA&J-0 ------ I-A01AF-5 ----------------------------------- CONTRACTOR --- Kowm-'--
- - --- ----------
G ----------- PERMIT NO. -6993
JOB ADDRESS .9-1-0-10. ------- GIAELL --- VALLE� ---- WAJ LEGAL DESCRIPTION: LOT NO - ----- ---------------- — ------- BLOCK 0.
------------------------------------
---------------------------- --------------------------- --------------------- ------------------------------- ......... EDMONDS
---- NT-
-;T PLA
------------
TREATMENT PLANT -- ---------
NAME OF ADDITION ---- MAPL5�� ---- C-R-S-CK ---------- ---------- -- -- --------- t
1 0 _ ........
21010 SvAu-L
LoIrs""S
2'
PWW-0001 -11/75 (REVA 1/78)
VALLVY WAY
z
0
Approved:
DATE .... 6 ------ ByYF�---
CITY OF EDMONDS
ASSET INFORMATION SHEET
5 NEW
FIADDITION
0 RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
c
SERIAL NO.
LOCATION DEPT. NO.
21olo R ec 'L t) 4 cc zj �t 1.,40
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER
PROJECT COMPLETION DATE 12- -31 - R '3
COST t, 7 2-
B.A.R.S. ACCOUNT NO. tj It - &o o 3 oo
ESTIMATED LIFE '2
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
E;�DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
VERIFIED BY
PROCESSED
BATCH NO.
STfZg: riT—r-1
I -VTL;bw�v -" L E
INITIAL
trp)
DEPARTMENT FILE
DATE: `5h-3
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT: '�7 /,�) /
After review of the subject Building Permit application, we have the following
comments:
I . Connection
to
City
water system required.
2. Connection
to
City
sanitary sewer system required.
3. Right-of-way permit required for any -work on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve required if downstairs plumbing is below elevation of
—Ep—streammanhole.
6. Water and sewer lines to be separated by 10 foot minimum.
7. Builder/Owner responsible for containinq all temporary runoff and -erosion
11
on site_,and may not impact. neighborinq properties.,in any -way.
BD 6/82
'N
VM* & . 1 12 0 *�
qb
(address) t (da—te-r—
Street Right -of -Way Exist C.) T'EQD 0
Z
1
Access Easements Existing,
#-4
Utility Easement Existing, —REQD
LDt Per Subdivision Plat //-9--_;3�--J-_,;?-Assessor Mp
94
Site Plan Checked for Accuracy 04
Z
1-4
Underground Wiring Reqd. If L:.;�
U
Check Accuracy of Legal Descr4tim_
Z
Review by Date L71�_�6_
Existing Water I -lain Size r
Water Main Required A11,4
Service Line Required
Hydrant Size Exist
Hydrant Reqd Per Fire Code- —Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Depar=xmt ComnEnts-
Wa t er Yle t er Reqd# 3
ReviE-.,, by, Date
Septic Tank Design Approved Date
Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availability._ o Proj.
Drawing No. ;�&Iff 06 1, 01,45 e. No.
—File
Side Sewer Availability/
W
Sanitary Sewer Connection Fee Reqd.
:x
Review by LZ Date
Open Ditch E d.
Culvert Reqd!m���'���
e
w
Catch Basin Reqd. I Indicate an Site Plan
Shoulder drainage maintain collection on swale opcn runoff
Manhole reqd. Indicate an Site Plan
Water Field Checked
Soil Conditri!
Mdund
RMew by Date 2
Ftev�sed: MO-1977
0 PY C7 7
0 7
:17 a6111V
1Y Y 7c:Z -/- C? 7d
/ �2Z' = / 7 7 �/ :;) L5-
:�' -,- V/-/ -? �/ /? d
0' -y,�
. , i iIII a Y /? 4::7L
,Y -7 7 7 -7 5-
,Y -7 7 7 -7 S-
z
I
CATC-H BASIN:
AM5 a IS30(01L TRENCH LWNG-rH
WOUAL) 0
L)
0 0,;
Lry rL TR� NCH
-rRK?ACH covrR-k
WNCLL --- A-
r r PI= P I P9 CAP
G"TFHE: W/ (." LOW, LEGS
SYSTEM CROSS—SECTION
-Tp,FW_vA COVER-
3/48— 11/2" WASWED
GRAVEL
G" DIAM FERF P1
TRENCH CROSS—SECTION
MA� 1 81983
bSTAND,
INFIL'
for vktll
location--/-�,
plan by
pGe
date -
DESIGN
Trench Perc
Number Rate
J. =,:) _s-
NOTES
1. Call Engin
for prebac
2. Responsibi
maintenanc
private pr
of the pro
maintenanc
soil and o
trench dur
after cons
be cleaned
sediment a
twice per.
CITY C
�bl�b
tz -I
� V11 own V� P
-n ' 47 '(/
SITE PLAN, SCALE:
VOTE:
DO NOT USE
INFILTRATION
SYSTEM
M! ql
noC'(� ()\/Crl
1r, nr- -"I
. nnr r
'Ir- .—P.4 linol
-CITY OF EDMONDS
NEW
C] ADDITION
RETIREMENT
ASSET INFORMATION SHEET
ASSET NO. ca"1141
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
1 21 o lo cc zfy Ir
'1,40
"PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
'PROJECTNUMBER 603J;-i7 /je
PROJECT COMPLETION DATE -31 - F 3
COST 7 2—
B.A.R.S. ACCOUNT NO. it - oo o 3
1 1-,-
ESTIMATED LIFE '2 5
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
1;31DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
Gl. ENTRY
REFERENCE DATE
VERIFIED BY
PROCESSED
BATCH NO. -
(vp)
INITIAL
FINANCE
CATCA4 BASIN:
AM a
(OIL
IMUA,_ I
TKKMCW LWNGrH
Cavra
............................. . ..........
LrVx-L Tpk�N"
4,� FrKF PIPW / CAP
ra"-I-EF- w/ (." LoNG Lr-GS
SYSTEM CROSS—SECTION
TP,ENC" COVER -
3/40- 0/1" WASWED
GRAVEL
4;'OIAM FERF P1
TRENCH CROSS—SECTION
W
MAY 18-1982
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for A, -=,,�.C—
location -'5-. ci�t—
plan bv
pGe
date -
DESIGN DATA
Trench Perc LF per Imperm Trench
Number Rate 1000 sq.ft. Area Req.
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 responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
e-, or, / / r, S7
SR Z L ER
-P 41,C C" -T 4 �
P V R c ILIA? -7 F-
-9 (!�� P -Z A- / = 2,� /
MAY 18- OW
pzo�- - I. -� re
L 0 7-
4 -D " 0