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21226 SHELL VALLEY RD.PDF111111 lill lill 13064 21226 SHELL VALLEY RD 0 0 TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS:- 7 f DETERMINATION: E] Conditional Waiver dy Required [j Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: L 76KO.)"e:12 GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: . t � 4 LATEMP\DST's\Fomis\Street File Checklist.doc t FILENO. 6 0 4tritical Areas Checklist -------------------------------------------------------------- Site Information (soil s/topography/hydrology/vegetation) ; / / ; 6 Vjg,) I Site Address/Location: , _ / ,c- Z )?o 1�2 P 2. Property Tax Account Number: 6q5ol coo 0Z_y 0o 3. Approximate Site Size (acres or square feet): '7 0 4. Is this site currently developed? X yes;_no. If yes; how is site developed? 14 0 U 5�E 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of I 0-feet over a horizontal distance of 3 ) 3 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a 0 horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: A10 Approx. Depth: 7. Site contains areas of seasonal standing water: /1/0 Approx. Depth: What season(s) of the year? 8. Site is in the floodway /y/ o floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? A/ 0 Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) -5 11. Obvious wetland is present on site: A/0 -------- — --------------------------------------------- For City Staff Use Only— -------------------------------------------------- 1. Site is Zoned? 2. SCS mapped soil type(s)? :�;IAIIIJ 0 Wetland inventory or C.A. map indicates wetland presen on site? 4., Critical Areas inventory or C.A. map I i . ndicates Critical Area on site? mk� 5. Site within designated earth subsidence landslide hazard area? — �Jo 6. Site designated on the Environmentally Sensitive Areas Map? WeL - DETERMINATION STUDY REQUIRED CONDITIONAL WAIVER e.WA 17 AA/ Reviewed b F�Iann_e6 6ate' ,'ca_chk.doc: Re� 10/03/97 RECEIVED City of Edmonds MAR 2 9 1999 PLANNING DEPT. N�W CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. 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: a V � &'// Name '� / / -�Z6 ), //12 /- /- Y I? Street Address I:-- �*Novo S a'119 city State Zip J-/ �2 5- - 7 /75- -6?a�1_57 Telephone Signature 3 /,-z-- 9 '9 Date c:reception\j anakac 1. doc Applicant Representative: Name Street Address Citv State Zip Telephone Signature Date (over) 0 0 City of Edmonds Critical Areas Determination Applicant: I Paul Wiederhold Determination #: CA-99-79 I Project Name: N/A Permit Number: I N/A I Site Location: 1 21126 Shell Valley Road Property Tax Acct #: 1 6499-000-024-0 Project Description Non project specific Determination: Study Required During review and inspection of the subject site, it was found to contain a Steep Slope Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC) and that Shell Creek runs in an open channel across the street. Our information here at the City also indicates that the property has been designated as having erosive soil and habitat potential. State I al environmental review (SEPA) is also required of any development proposal on your property because it has been designated as Environmentally Sensative. I Steep Slope Hazard Area De -lineation Requirements To determine the extent of a Steep Slope Hazard Area. a topographic survey of the property, prepared by a Licensed Land Surveyor must be obtained. Any slope of 40% or more with at least 20 feet of vertical rise will be classified as a Steep Slope Hazard Area. From the toe or top of the Steep Slope Hazard Area. a 50-foot buffer plus a 15-foot building-, setback is required. 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. The following options may apply: C� A licensed -eolo-ist or geotechnical en-ineer mav provide evidence to demostrate that a buffer alteration down to 10 feet plus a 15-foot buffer setback will have no adverse impact upon the site, the public or any private party. This effectively reduces the requirement from a total of 65 feet from the top or toe or slope down to 25 feet. 2. If development must occur within the critical area. buffer and/or setback and is not identified as an exception, a variance or Reasonable Use Exception and variance may be possible. If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Area located on the site, they may submit their proposal to the Planning Division for review. If the Planning Division rinds that the proposed development permit will not adversely impact a Critical Are its buffers, a conditional waiver may be issued on a project by . projec�,basis. Karissa Kawamoto Name 4/20/99 Date -( PC. 189") April 20, 1999 Paul Wiederhold 21126 Shell Valley Road Edmonds, WA 98026 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering Subject: Determination regarding Critical Areas Checklist # 99-79 BARBARA FAHEY MAYOR Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. .............................. . . ..... :­­ ............. ................................... ....... ........ -NOT ......... I ...... - ..... ......................... ............. .......................... WIN .3RFAN FORMATION T.O'BE:' . ...... . ................... ............... ......................... :.. ................ .... ...................................... ..... .. ....... . . .. .... ...... ........... .... ......... PLEASE EXAMINE THIS" DETERMINATION" FOR ADDMONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. mo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board Thank you. Shada Graham Planning Secretary C:Reception\Jana\CRLTR.doc Incorporated August 11, 1890 Sister City - Hekinan, Japan . L t2.\N 21OL I 21001 Af 21100 lei PIP tile vo 2/020 9 2 1& .14 2jf3n 2JO30 "Z cl �V Ak 10. #I, t�o --( Jill 21107 cl c 2 12.4 rp I DIOS C3 M- V. q Fly. �,,h 21224 UL 141 410 309 'o 21314 -0 % 40 "g. 9 p V. N 14 TH 408 R 14 4, % 31 2141A PJ502 ZJ42 21503 1102 ;05 W. Ok PRO 1p" *-,0 r. Usla !!F13 11411 21SIS Will 5 21514 21511 Z1425 �/rfx sz, 'Is, U521 Ilk 00 VS12 21S14 ?)Sit ilsov �29 to 215?7 (p to ST. T—W--j in to 10 J524 v fy No z 0 ST. no CO 1608 c: , &. t 21611 AM I % hi 1414 Go CNASE 21614 LA KI 21629 16 risis 21424 PLEM 2IA29 IT. w Is —217 M IT. co 21623 21714 m 0 on 707 Jr, 21719 1 21707 -j 0 ?17/Z 1L 40 ao co Wit 009 CIS go 2172 JZEI�7 �Q; 1729 on 21912 21 ft ac eq ,a to W. Vier. ob 21 11 co to /6 4 -j 0 Z1923 IV *:'f 'r CD 0 21627 Go a, 2 OD l4FLftft , ja t/830 i 906 21905 21904 219041219 co ?J912 21915, 21914 19 o" t-A cc 71413 i3 N 10 22or" ST. S.. 220 S T. w Cob 2 22014, a rat W ch 2025. I%oz+ co 0 220 22031 APPLICATION the -City of Edmonds for EASEMENT NO - ------------------------------------------ SIDE SEWER PERMIT NEW CONSTRUCTION 0 REPAIRS E] LID NO - ------------------ - ASMT. NO . .................. OWNER ----------------------------------------------------------------------------------- CONTRACTOR '5;m.:!�-_JA ----- 1—=.XC—_ I -------------------------------------------------- PERMIT NO. Z_ JOB ADDRESS LEGAL DESCRIPTION: LOT NO. = ----------- I ---------- ------------- BLOCK NO - ---------------_-- --------------- 0 0 0 NAME OF ADDITION ----------- F;,NFtw--, ------------------------------------------------------------------------------- Approved: 00" DATE ... ---------- A EM Ka "T, YJ /7 I � -1 -1 - �, ­ - -1 T? 5632 "'U""" FILE PERMIT STK t, I cait 774-111411% for A& sewer loopeoti9as Barvan-, "Vooft, my portion 'of the construction. Inspection will be provided within 24 hour* after rwtud, NO W, aan..'or holiday Inspections) ADDRESS DWATION OF CONSTRU02ION ...... ............................ . ........... .......................................... PROPERTY LEGAL DESCRIPTION .......... Lot—HO—.21 ..... Diviaian..42.-Shall ... Rark ..... . ................................... . . ................ .................... . .......................... . ...................... . ........................................................................ . ............... .................................. . ........................ ......................... ........ ....................................................... 0`01i'M XND/O]& BUIWER ...... Walc.ker.-Home.s ....... In.c ............ ................................ . . ................... ...... .. .. ......... .......... .. .. . ...... ... . COMISACTOR'S NAM ....... UQ15 ... ... ... X,-,.-Jyn K ........................... PermhWou to granted .......... blaUe.W4er .... % ................ 19.7.6-, for repair amd/or connection of a side sewer to the chy sanitary sewer �—vn In accordance with City of Edmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line, A licensed Side Sower Contractor must be ontybyed to construct x side sewer In street area. Do not cover any portion of sewer before It has boft Inspected, NOTE No, 2—All work performed In city right-of-way requires an Invasion of ItIght-of-Way Poirmit obtainable from the City Engineer's office. NOTE No. 3--Obtaln full information regarding Ordinume 11.16.030 and Regulations go"rolng side sewers when you got permit. No. 4—Top of side sewer must have at least 30 inches coverage at property line and 13 inches Inside property line; Minimum grMs of 2%. Me bends In grade sharper than % will be permitted, r No. 5—Trenches In street must be water settled and surface of street restored to original condition. Contractors shall be responsible for falluft am to Improper work which may develop within one year of completion. NOTE No. 6--It to unlawful to alter or do any other work than Is provided for In the pormit, or to do any work on the main sewer or Its appurtansimas except to in. sort the pipe Into the wye. DISAPPROVEDDate ... ................................... By ................ Date ...... . ................... By ................ Date ........... ...................... By ................ -- 70" APPROVEDpate..—.40 ........ A By. . ......... . .. . .. ............................... . ................................. I .................... Remarks: ....... . .. . .. . .......................... . ...................................... ...................... . ...................................... . ...... . .. ........................................................ BOTH Permit -Qopies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection 0 mer of Contractl ... ... hereby certify that the side sewer installation constructed under this permit e, i is rforTmi Xg Ord 1. i( Was nS, ed , C Ith rove in L �(ionraccordancewthii governingordin es of the City of Edmonds. Datedthis ........................... day of ........................................................... ..... 19 ......... Check BEFORE you dig for: Ws$w Gas D TA000" 13, Power 0, Sewer 0, OUW �d- e .1 The City of Edmonds APPLICATION for SIDE SEWER PE NEW CONSTRUCTION 7 REPAIRS Fj EASEMENT NO - --------------------------------- ---------- LID NO . .................. . ASMT. NO . .................. OWNER -------- 1��Yqlrk-er ----------- 1,�pne-4 ........................ CONTRACTOR ----------------- C ----------------------------------------------- PERMIT NO. �elt ()q BLOCK NO . ......... JOB ADDRESS ..... ----------------------- LEGAL DESCRIPTION: LOT NO. ..... ....... 4-1 --------------------- ----------------- 045 ................................... 5 - ---------------- 11 ------------ NAMEOF ADDITION ---------------------------- .......................................................................................... Is Lu —j am-ft" LJL. uj uj C/3 0 0 �4 Approved: DATE............................................ By ............................................................ 11/75 8 9 0 - 1 9 C� - City of E ds RIGHT-OF-WAY C I NSTRUCTION PERMIT Permit Number. L-sue Date: -3-3() 9Z F A. Address or Vicinity of Construction: - 21226 S',IE'(,L VALLEY 'ROAD B. Type of Work (be specific): GTE TO PLACE BUKIED SE11VICE 141'Rh" TEM11-0\Ki, TO SUSTO.LtS'A, PL^GW1i1Q 30-!?T & ROAD PUS!-% SEEi SxLETCR-1. C. Contractor: GT):? NORTh1,TFST 1'\1C0';Q0RATE)) Contact: T�A:gpAgA IFlz�ITp (�f)n-�IjjjyA O-q Mailing Address: 22 1� q F. q —,, 1 Nbone: BLU 438-1642 I In 2 tiTyl Av*. - . ,iTTT State License #: 30TH—Ei,�u, ��!A 98021 Liability Insurance: Bond:$ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. 0 Commercial El Subdivision E) City Project [B Utility (PUD, GTE, WNG, CABLE, WATER) E] Multi -Family E] Single Family [:] Other W.O.# 242310 INSPECTOR: INSPECTOR: �-Aj L � 4 F. Pavement or Concrete Cut: RlYes []No G. Size of Cut: — 2 x 2 H. Chargq�_$ APPLICANT TO READ AND SIGN INDEMNITY. Applicant understands and by his signature to this application, agrees to ha� (�e City ofEdmonds harmlZs�j� 'ries,,Aqqtages, or 8 d claims of any kind or description whatsoever, foreseen or unforeseen, that may be mad I against the City of Edmonds,-dra 1! �O 10'Z 4aAments or employees, including or not limited to the defense of any legalproceedings including deMnse cosis, and attorney fees by reason ofgranting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERZAILS FOR A�PgRfOD OF ONE YEAR F04LOJVING tuf FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL hE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. T'raffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City ap�roved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the abovestatements and understand the permit requirements and thepink copyof thepermit willbe available on site at all times for inspection purposes. Signature: Date: 3-14-94 (Contractor or Agent'l, CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER M W? a 0 MDAYS DISRUPTION FEE/FUND III: SPECIAL CONDITIONS: Izn AD c—Q-r 6M. wXTF"�L c>tZ�--Y - COMMENTS: 460mp RESTORATION FEE: PERMIT FEE: TOTAL FEE: RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 - I " Od, I � k, v MA