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21230 SHELL VALLEY RD.PDF11111111111111 13066 21230 SHELL VALLEY RD ADDRESS TAX ACC( BUILDINC COVENANTS (RECORDED) CRITICAL AREAS: DISCRETIONARY PERMIT #' DRAINAGE PLAN DATED: PARKING AGREEMENTS DN EASEMENT(S) RECORDED FOR: PERMITS ( PLANNING DATA CHECKLIST DA' SCALED PLOT PLAN DA SEWER LID FEE $: SHORTPLAT SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DA DETERMINATION: 0 Conditional Waiver LID LOT: BLOCK: Study Required ,",*aiver LATEMP\DSTs\Fom-is\Street File Checklist.doc BUILDING DEPARTME Z8NE PERMIT NT Applica t Fill GER PERMIT APPLICATI 111riside He vy Li r E (OR NAME OF ADDRESS d.16 tf A LIN- z LOT LOT AREA T; DDRESS YES No ?: _6 Y-1 ' . . I V— C) - I D' VARIANCE OR 0 ELEPHONC NUMBER COND. USE NO. P'OPOSC- YARCI 0 N HEIGHT K FRO_ S z z ALLOWABL DO SIGN AREA P POSED �IA RESS SI AREA J 071 1 Orr I ZICITI R - < Umerp al�-* - �� P AN,, NAME DATE STI.­ 0 ADDRESS I- EXISTING STREET R./W 4­0 FT. DEFICICNCY THIS PR OPERYY U < COMP. PLAN ST. R/W & Cj FT. , FT. r) REMARK7 Driveway slopes not to excee -those 0 U STATC LICENSE N 4ndicated on Standard 1�efq 140. 103 z CITY LICENSE NumaE: BY W 7— z Legal Descript on of Prooerty (Show i;elow or Attach Four Copies) STREET AND/OR UTILITY YES z WORK REd-D VIN P UNDERGROUNO z >9�- E S WIRING REO'D NO all Se PTIC SYSTEM D YES 1PER.I-. NUMBER APPVD By CITY ENG. 0 No REMARKS W ME R S'Z" ISERVI '�IZE [CLEARANCr ICHCC-KE 9 New RESI.r.T:AL E]-AS R LINE E] N.N-R.S....Tj., SIGN AD- FIRE ZON. STR ON - CODE -.T..NIN. SP CIAI /77-3 WALL ALTER IN REQUIRED A 01CUPANCY GROUP OCCUPANT I E]EXCAVATE FENCC OR FILL f] S YE 3�� 0 LOAD X_Fr) El ..PAIR PRIE-MOVE PLAN CHEC E By IN THE CITY b I L 15 LOCATED ': it's, SWIM POOL OF EDMONDS. LOCAL SALES TAX N BE F STORIES NUMBER OF R Z DWELLING UNITS Al" a NATU RX OF WORK TO 13C DON, z -11 1 - C' N PLAN CHECK C M EC VALUATION FEE 4. . rgz�-- PI-OT PLAN ONUICAT BUILDING SE NO.. ABU Ti N G STREETS) U CUILDING L D I N G W M PLU MOING I N G 6a IRUTAINING MCA T GAS LINE FENCC SIGN WALL SWIMMING POOL I, herebi, acknowledg, that r have ,ad th, tPPlIcation: �t ITOTAL AMOUNT DUE :Jij 01 Ized ;'e' ts C­­t: a,id that I = the ._,r, 0, the d, 0: the o—er. r "", to com;lly with �:ty etad stat. law ILnd In do:ng the work a.Lborl.td th—by. no Penon AT-ENTICN ".O"d violation of the Code of the State of Waebuirt., APPLICATiON APPROVAL ­jby 'oru""St� " of 'Wnobp'�O' 1c,titIng to Wolkiren'. Comp,,,.tl.a jo,,,�­. THIS PERIVIT AUTHORIZES This application is not a perinit linlil NOTE: Permit Limit One Year (E—Pt DEMOLITIONS ­hl,h ONLY THE eigned by the BUJ!dlng 0ff;cjjI Or his Dep- ehall be C=.Pleted li� W.,ty day,: blOVE, be h7 3'UjLj)I.,;OS �hitll be ORK NOTCO utY; atnd fees arc Phid, and receipt is ac- SI E low knuwledged in space provi I Led. C S' . 11 SIGNED -C 0" z TC- T ',S'r 171,'..T T" ;711:;1 CITY .1 EDMONDS O'zT r. 11PPlica,it Subject This Permit Covers Work to be dorI 775-2525 e on Private Property ONLY. Any construction Or� the Public donIain sidilwalks, driveways, z marquees, etc.) will require "Parate perrilission. COLL 'n J. -ly p) \v CITY OF EDNIONWS Ef':GALERING DCPT r �Karnifled by Dato— f 10, R.cmarks.a ge--- 0 C*E NO. qc/ -113 Critical Areas checklist -------------------------------------------------------------- Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: 72 56 2. Property Tax Account Number: — �, 'Y Z 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed?C,� yes; _ no. If yes; how is site developed? - a ( 5. Describ e general site topography. Check all that ap' ly. �r_ p Flat: less than 5-feet elevation change over entire site. �Mml APR 2 1999 PLM6�imi DEPT. 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 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: Approx. Depth: 40 7. Site contains areas of seasonal stand 7>10r: Approx. Depth: A/0 What season(s) of the year? 8. Site is in the floodwayi_z�(_K floodplain./4 of a water course. 9. Site contains a crep� or an area where water flow. across the grounds surface? Fl�Ws are year-round? Flows are 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: For City Staff Use Only--- 1. 540:is Zoned? MD -7T I. S.CS,: mapped soil type(s)? -7. A sLaLl I :3. Wetl4fid.mv'entory or C.A. map ffi dicates t�ietland present on site? Cri iti d' -0 ry Are ais invento �-or C.A.: map- indicates Critical Area on site? 21,5 6 k-.,, 5.:: Site"ithifi desi�hated-e'a'rth subsidente landslide hazards area? OV EIIAf City of Edmonds Critical Areas Checklist 10--downw— i) , C. 1 S9 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. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/ Applicant: - . Name ,2 1 1 20 '�, VA L�L;=—V VA Street Address f 16nfni J.5� q <�O -2- City, State, ZIP,,. Phone Signature Date Applicant Representative: Name �tr­eet �kddress L /,, a &, � � �, 7 Cit�' State, ZIP Phone Signature Date I--�- (3 tic. 1,8 9 Deck Crafters 1030164 1h Steet SW Lynnwood, WA 98037 Subject: Dear Applicant: 0 6 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 DEVELOPMENT SERVICES DEPARTMENT Planning - Building - Engineering May 6,1999 Determination regarding Critical Areas Checklist # 99-113 BARBARA FAHEY MAYOR 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. PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHEE�� OR CRITICAL AREAS STUDY, The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. mio, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION MTH ALL .411111111 PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Enc: Determination cc: Coburn Douglas 21130 Shell Valley Rd Edmonds, WA 98026 Architectural Design Board C:Reception�Jana\CIRLTIR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Planning Secretary Incorporated August 11, 1890 Sister City - Hekinan, Japan APPLICATION The City of Edmonds for EASEMENT NO . ............................ --------------- SIDE SEWER PERMIT F--- NEW CONSTRUCTION 0 REPAIRS LID NO - ------------------ - ASMT. NO . .................. OWNER W KEE;2i ....... I -�.. t, AE -=- �-Z � -------------------------------------- CONTRACTOR ��.A� --- M ..... ------------------------------- PERMIT NO. ZkZ'3� zl�5 JOB ADDRESS ---- -------------------------------- ................................................ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------ ----------------------- 0 [A ........................ ......................................................................................................................................... NAME OF ADDITION . ...... RPh-RIA ..... DI-V I S;1-1 (P ... . ........................... ui -j ftm�w U. f-- Lu Lu cc co .) 4, DATE ... 0411 ------------- By --- TUY�y ----------- low - ma Y-I T ary, wowotm SEWER PERMIT PERMIT Call 7Wsals, for side sewer. inspectioro VWFV= eav" any portion of the construotion. (Inspection will be provided within 24 1 hours &Mr Most. SO "t-, SO., Or holiday lasPOcil"O.) 21230 Shell Vallev*--'R'oad ADDRESSLOCAUON OF CONOMUCTION .. . ...................................... ­..­­_.J� ........................................ ............................ .................. PROPERTY LEGAL DESCRIMON ............ 2�00�1 .... DiViS.ion..A� .................. ............................ LU ............... ... ........... . . .......... ... 1. ....... . ........................ Iz ..... I ........... . .............. . .. . .............. . ...... . ........ .................................................. ........... . .......... . ..................................... .............. 211: 0,0112M.46ND/OR BY ............................. & M Excavators, 15-015 - 2nd Ave. W. , jyn ��q2d CONTRACTOR'S NAME &-ADDRESS. .. ...... . .................................... I ......... . .......................... ............. I .......... ... . .... ............................. Parnwon is granted Mr ... 9 ....... ............ 19_1� for repnk wWor connection of a *we sower to ale cuy seamw sewer w—tern In &e0orftum with City of Zdmom% ordinanme. ATTENTION IS CALLED TO THE FOLLOWING: be osayiny" to construct NOTE No. I —The owners of the property may Obtain A, permit to construct sewer Inside property Una. A licensod Side Sewsr Contractor must side sewer in street area. Do not cover any portion of sewer before it has be" JIM"WtOd. NOTE No. 2—All work performed In city right,01-way reWires an Invasion of Right -Of -WILY Portnit obtainable from the City Engineer's office. OTE No. 3—Obta-in full information regarding Ordinance II-16,0W and Regulations 901troing NIAO 0swas when you get permit - No bonds in grade ?PM No. 4—Top of side sewer must have at )east 30 inches coversge at property line wA 12 inckwo inside property 1100; minimum grUds Of I% - #harper than 'A will be permitted. Ition. Contracton shall be responsil" for j&UVft d" to improper TE No. 5—Trenches In street must be water *Atltd 444 surface of street restored to oricinal cood worlt which may develop Within 040 YOU Of COMPlstl0n- to do any work on the maln sewer or Its ASOU111MA&M WOW to In - NOTE No. 6--It in unlawful to alter or do any other work than is provided for in the permit, or sort the pipe into the wYe. 1W.............. DISAPPROVED [:] Date ... . ........ ... 44 .................... BY ................ D&t111L ............ ]3y ................ DMO ............... -ffrjDate ........ . ...... . .............................. . ............................. . . ........ . ........... ................ AMADVED Roemwks: ....... . .. . .. . ...................... . .................................................................. . ...................................... ....... . ...... . ................................................... ................. . ......... ......... ......................................... . .............................................. . .. . ................ ... ...................................................... . ............................... BOTH Permit Copies XUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection ation constructed under this permit hereby certify that the side sewer instaU ;;�� �'O'n'tracttus' ';rer .4fGrm g ordinances of the City of Edmonds. WS& Instaned acc�Idance wiffi a overnin DatedthIS ...... . ................... dAW of ................................................................ 19 ......... Check BEVORE youft for: Water Gem ri, Telepbaft Power El, sewer a OtbW [3 -4 -1 hTC APPLICATION .ie City of Edmonds for EASEMENT NO - -------------------------------------------- SIDE SEWER PER NEW CONSTRUCTION REPAIRS n LID NO - ------------------ ASMT. NO - ------------------ OWNER ------ . ..... --------------------------- CONTRACTOR --------------- 4�) -------------------------------------------- PERMIT NO. 0 .. . ......... JOB ADDRESS --------- 2.t-2,3ja --------- LEGAL DESCRIPTION: LOT NO - ---------- ............... BLOCK NO - ------------------------------------ Mk ............................................ ------------------------------------------------------------ - --e - ------ - .4 ------- w NAMEOF ADDITION ........................ ............................................................................................ 0 E 0 0 zq Approved: uj .-j LL- Lu cc DATE............................................ By --------------------------------------------------- j-j7.yg