21405 82ND PL W.PDF11 lill lill 11
7673
21405 82ND PL W
-
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT 99—V I
Permit Number.
Issue Date:
A. Address or Vicinity of Construction:
In
B. Type of Work (be specific): ylip JOVV A rlDov�_t2
OYI
C. Contractor: &kv� C'O'Aj�- Co.,TYIC. Contact:
Mailing Address: Gt)C)CJ— a Bt�--A Phone: (L).'RI-) J
State License #: �70 IBT Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
e
E. [?q Commercial 0-Subdivision City Project [J Utility (PUD, GTE, WNG, CABLE, WATER)
EJ Multi-F�rnily. E.3 Single Family EJ Other
' W 14 rrCuTr
INSPECt,0R- INSPECTOR:
F. Pavement or Concrete Cut, 0 Yes ;kNo G. Size of Cut: x H. Chargq�_$
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by.his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany
kind or description whatsoever, foreqeen,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 defensecosis and afforneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE. FOR WORKMANSHIP AND MA TERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC-
TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL, ' BE 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
Two sets of construction drawings of pfoposed work required with per�fiii'application.
A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220.
Work and material is t6 be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut trench ' work shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS-.
I have read the above statements and un �stand e permit requirements and the pink copy of the permit will be
available on site A16imes faP-1ftDect11VDurDos)s.
Signature:
Date: -I— I 9_61L�
(C.-Offractor or Agent
I
CALL DIAL-A-DICF PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
4f
APPROVED BY:
TIME AUTHORIZED: VOID AFTER —DAYS
SPECIAL CONAI f(0LN'1S-:_C,-T0J2M SVSIEM " ON
RIGHT OF WAY FEE: 70
DISRUPTION FEE/FUND I 11:
RESTORATION FEE:
T OTALFEE:_ _70—
RECEIPT NO.:/___'� 4-
ISSUED BY:C�
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng, Div 1997
FIELD INSPECTION NOTES
Comments:
Diagram
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
CH" rvc ��teD16 cl
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WUME WNSMUCTION CO.
DRAMGE SYSTE,"43
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STEVE BODINE
(425) 778-2557
FAX: (425) 672-2434
EASTSIDE: (425) 881-2577
BODINE CONSTRUCTION COMPANY, INC.
Drainage Consultants / Drainage Contractors
Ctawfspitce Dminfields, Basements. Sit@ Drains
60D9 - 212th St. S.W
BODINC*332BT Lynnwood. WA 98036
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APR 19 1999
DEVELOP14ENT SERVICES
CITY OF EDMONDS CTR'
BODINE CONSTRUCTION COMPANY, INC. OFFICE,: (425) 778-2557
Drainige Consultints/ Drainage Contractors / HODINC-332BT (125) 881-2577
I-AX: (425) 672-2434
Victoria Wright
St. Albans
21405 - 82nd Pl. West
Edmonds, WA. 98026
Ph: 425-778-0371
Church Office: 425-778-0371
Fax: 425-423-6008
EMAIL BOCO N@i x. netcom. coin
0001) 212111 St. S.W.
July 31, 1998 1-vimwood. WA08030
Bid B-0731AB
Property Address
21405 - 82nd Pl. West
Edmonds, WA.
Drainage System 16 Tight/Closed Downspout System
Connect 9 each downspouts into 4 inch pvc rigid tightline
drain pipe. All lines with greater than 3 each 90 degree
bends shall have an accessible clean out cap for drain
flushing. outlet to storm drain. Upon completion of job,
landscaping, walkways and building site to be reinstalled as
close as possible to original condition.
Warranty and Certification: This drain system located at
21405 - 82nd Pl. W. Edmond, WA., shall be under warranty for
15 y�?ars from date of completion. Bodine Construction
company, Inc., will make any necessary corrections to the
above said drain system in the unlikely event of malfunction
to this drainage system.
Special Notes: A) Bid includes columns installed
rafters to accomodate new downspout installation
B) Bid includes permit from City of Edmonds
C) Bid includes saw cutting walkway where needed,
needed.
Bid Amount: $4,310.00 Plus Tax
from roof
replace as
Terms: Upon bid acceptance please sign and return one copy
of bid with all accepted items circled and initialed. A 30%
deposit is required to schedule work, balance is due upon
completion.
Acceptance Date:
Accepted By:
Si erely,
Ste ve Bodine
Bodine Construction
Company, Inc.
1___`,CATIONS
0 INTER -OFFICE COMMLI,.,-. DATE April 20, 19 72
STREET FUE
TO Harry Whitcutt FROM William J. Nims
Building Official Assbtc-mt Engineer
FORM 41 - LITTLE'S
8UBJECT: Fill Permit for St. Alban's Church, 21405 82d Place W.
The fill and grading on Lots 12 6 13 Hawarden Tracts meet
City Standards. Also, the drainage is channelled properly.
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APPROVED BY PLANNiNG At466- ta.�4* pi WA E-
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PLANNING DATA 'ITW
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NAME: 51- M6,,,k �—g,-scgog 64-�
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SITE ADDRESS: —DATE:
ZONING: PLAN CHK#: Z ZZ-
PROJECT DESCRIPTION: C4,fsr—f fL
CORNERLOT lvc (Yes/No) FLAG LOT NO _(Yes/No)
SETBACKS:
Required Setbacks:
Front: 2� Left Side: Right Side: T�,' Rear: 1�5-,
Actual Setbacks:
Front: 135' Left Side: Right Side: t 55' -Rear:—
Street map checked for additional setback required? A)- (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED NO (Y/N)
LOT COVERAGE:
Maximum Allowed: 3 5V� Actual:
BUILDING HEIGHT:
Maximum Allowed: 2-51 Actual Height:
Datum Point: r,.ok m4vA-A Datum Elevation:
I
A.D.U. CREATED?: N13
SUBDIVISION:
s
CRITICALAREASM (3z -
SEPA DETERMINATION:
LOT AREA:
- R 2 - 17
-4,k re-DUW-vu- ;S &t&- aluoeA 04.
AS- 4 1"k, AW-A 9/ft/17
Plan Review By:
cAftleApermit\1plandaLdoc
-CITY OFUMONDS
PUBLIC W& DEPARTMENT, ENGINEERINAIVISION
APPLICATION FOR RIGHT—OF—WAY CONSTRUCTION P
EET FILE
THIS PERMIT MUST BE AVAILABLE AT THt JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and B 0
A', Permit to be issued to:
For Work at:(address or vicinity) -
Type of Work to be done: �v 6_0 u%A
(attach drawing when applicable) Q
Time Required Start: Finish:_72—(,,-2,9
Owner:
Name
(4a q�a P k. 0_�)
Mailing Addres S
City Stqte Zip Telephone Number
Contractor: D�As U-�Q
Name
to - :) &
ailing Address
City(o State Zip
-01 -OL- 31-1 1�)
State License Number
-ns - --� 1Q 4
Telephone Numb�r
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE **
Be 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 applicant or 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 subject to inspection and restoration in accordance with City Code. A
24-hour notice is required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permit must be available at the job site for inspection
purposes at all times.
Signature:_(-/)'k-'L'6
Date:
Owi(er or Agdaitr__ V
I TO BE COMPLETED -BY ISSUING AGENCY:
/ --
Date Issued: Permit No.:7,e — 4 Fee:
Security Bond: A -
Time Authorized:-'
10 __ 7 -7 1- (T) - '_ _,1)
APPROVED BY
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D a t e : -) A
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CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PESTREET FILE
A. *Address or vicinity of Construction
2 q
Owner:
Name
Mailing Address
NOS 10A-
City, S ta te, Zip Code
Contractor: -
Name'
,Zt () I �?-) �- t VJ v
Mailing Address
�A�W pf� n"I
A
City, State, Zip Code
Permit No.
Issue Date
0 Permit Issued To:
Type of Work to be Done: I ENY IA;
2f
WPork'in Connection With:
El Sub or Plat El S31 ngle Fam I ly
^---05mml. / Ind. 0 Apt. Condo.
0 Pavement Cut: 0 Yes 0 No
State License Number
717 4 -?, t
Telephone Number
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: 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 it's 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 permit must be available at the job site for inspection purposes at all times.
A_A
A ate.
Signature: I — D
Owner or Age�t'Q\ r N
--A
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Void after CO days
Special Conditions:
Ammendments:
Permit Fee:
Security Deposit:
nO
Receipt No.:
Fund III Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
;z 1-4
FIELD INSPECTION NOTES (Fund 111 - Route conv to Street Dent.
Comments:
Diagram:
Contractor called for inspection Yes No
T
Nork Disa.pproved By: Date:— Bv: Date:
Work Anoroved Bv: Date -
Inspector:
Encr. Div.. December 1978
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PUD LOCATOR.
DATE rRAkfED
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CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION PERMIT
A. *Address or viciF� of Construction
2, 1 440. VZrud PL. U.) L--WetA,
0 Owner: _—s
Name
2,1 L4 0 5' 92. PJ_0 PL-_U A,7PP
Mailing Address �Vr� 'VS'02-0
City, State, Zip Code
* Contractor:
(L
FILE Permit No.
Issue Date
e Permit Issued To: S2�q76--"'
9 Type of Work to be Done: 11A15 1144— 4- —7
e Work in Connection With:
E) Sub or Plat 0 Single Family
er—Comml. / Ind. El Apt. Condo.
Pavement Cut: El Yes 19--Zo—
Name
/7,2,2�S--_ 1-�71e-J!l /'� / Z/ PC
Mailin Add tate License Number
z1 9 ;7 � � 2&1 'r6 S D
_.V/A/ I'le 75
City.( State, Zip Code 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 permit u t b ailable at the job �t'e/for inspection purposes at all times.
Signature: Date
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SITE FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued Byl'��
Time Authorized: Vold after —days
Special Conditions:
Ammendments:
:---2,
Permit Fee �' 6
Security Deposit:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. Decembcr 1978
FIELD INSPECTION NOTES
(Fund. 111 - Route conv to Street Dent.
Comments:
Diagram:
Contractor called for inspection Yes No
v PT) a
Nork DisaPproved By: _tp,: Bv: Date:
Work Aporoved Bv: ;!f� D a t e
Inspector:
Ena. Div. December 1978
APPLICATION
40
0
The City of Edlmw:6 for
SIDE SEWER PERMIT EASEMENT NO . ............ -------------------------------
NEW CONSTRUCTION REPAIRS D LID NO. .:c2� ........ ASMT. NO . .........
OWNER . .... CONTRACTOR ... Wlm�.P�
.............. . ........ ....... PERMIT --------------------
NO. —21� I
JOB ADDRESS '44�� T EGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO - --------- -------------------
- ------------------------ —
....................................................................................
Approved:
DATE .... I . ........... ---------------
APPUCATION
Tfft Chy of Wmands for EASEMENT NO - ----------- ------- ------------------------
SIDE SEMR PERMff
NEW CONSTRUCTION f-1 REPAIRS LiD NO . ..... �.?2-ASMT. NO - ---------------
OWNER CONTRACTOR ---- ---------------- .......... PERMIT NO.
JOB ADDRESS
--------------- ----------- ------------------ --- LEGAL DESCRIPTION: LOT NO - ------------------ ----------- - ------ BLOCK NO - --------------------- .......
NAME OF ADDITION -------------
Approved:
.......... ------
FEB 2,6 1976
eUblirl Works bept.
DATE------------------------------------------- � By ------
4t
Ot. Zffban'5 (Eptoropal Cburrb
21405-82ND PLACE WEST
EDMONDS, WASHINGTON 98020
PROSPECT 8-0371 13ERNARD F. YOUNG
February 26, 1976 , RECTOR
County Parcel: 3736-003-oo8-000l
Legal Description: Alderwood Manor 9
Blk 003 D-00 -
That Ptn Lots 8 & 9 ly E of Lot17 & S of Lot 25
Hawarden Trs & Ly Sly & Ely of Roberts Rd Aka
Vac Lots 18-24 Incl except the S 1001 also Except
the N 501
0
9
CITY OF EDMONDS SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
Call 775-2525 for side sewer inspections BEFORE covering any Portion of the construction.
Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections.)
ADDRESS LOCA17ON OF CONSTRUCTION ------- �jt, 5.:.
......... .
PROPERTY LEGAL DESCRIPTION ...... IS
................. . :��:! ........................................ ................ I ..............................................................................................
---------------------------------------- * ......... - -------------- ** ------ - -------------------- * ----- * --------------- * -------------------------- 1-1 ----- I ---------- - ----------------------- I— -------
---------------------------------------------------------------- 01' VNER,4jLND1OR BUI1.,DER ..... ....... PIRM'S F2 Pill cl-I'Mi
,T . ........................... .. HS00
CONTRACTOR'S NAME & ADDRESS .......
------------------
Permission is gTanted ...... 26,
--- .................... for 'repair and/or connection of a side sewer to the city sanitary sewer
system in accordance with ... d-m'- *on'_'d_ s o r d i n a n c e s.
A'—d;NTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a per / 'it to c nstruct sewer inside Property line. A licensed Side Sewer Contractor must be employed to construct
m
side sewer in street area. Do not cover any portion ofosewer before it has been inspected.
NOTE No. 2—All work performed in city right-of-way requires an Invasion of RJght-of-Way Permit obtainable from the City 1�ngineer's office.
NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2% No bend n gr e
sharper than 1/8 will be permitted.
NOTE No. 5--Trenches in street must be water settled s I ad
and surface of street restored to original condition. Contractors shall be responsible for failure due to improper
work which may develop within one year of completion.
NOTE No. 6--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appurtenances except to in-
sert the pipe into the wye.
DISAPPROVED E] Date__ BY ------_------- Date .......... BY ---------------- Date.__�'
B.......... ; .. ..............
APPROVED -7 ..... 'BY ----------------
Date -------- By ......... .. . .......................................................................................
-_ -
Remarks: ........................ X/
................... . ............................................ ..... ................................................................... ....................................................
..................................................................... . ............... ........................................................................ . ................................
.. . ............................................. .........
BOT Permit Copier MUST Be Signed By Owner of Firm Performing Construction To Request For Inspection
-------- ------ ..... .... hereby certify that the side sewer installation constructed under this permit
(0, --- ----- ---- - - --------- * ----- -----
vme,r -oi Cont cting Firm Performing Construction)
installe in accordance with all governing ordinances of the City of Edmonds.
Datedthis ---------------------------- day of ................................................................ 19 .........
,V V Check BEFORE you dig for: Water [:], Gas Telephone E], P Sewer 0, Other 0
Saint Rlban's Church Fax : 206-778-1583 Se 15 '71 15:48 P03
ft. ; 9-10-98 11 5-102PM CITY OF EDMO68-6 NO V10 MOIR 4
SENT P'y"
CA FILE NO.
Critical Areas Checklist
Site Inforraation (soils/ topography/ hydrology/ vegetation)
I. Site Address/Location: -i� "4 aAL, 1
2. Property Tax Account Number-,
3. Approximate Site Size (Rer" or squay@ feet):
4. Is this site currently developed? V yes; _ no.
X
If yes; how is site developad? -%fi
3. Describe the general 9fte topography. Check all ftt apply.
V/ Flat! . less +1= 5-feetdevation change over entirt site..
Rolltng- slopes on site generally less than 15% (a vertical rise of 104astover a
horizontal dietarce 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 distanct of 53 to 66-feet),
Steep: grades of greater tl= 30% present on site (a vertical rise of 10-feet over
a horf2ontal distance of lesis then 33-feet).
Other (please describe):
6. Site contaftu Arm of year-rourid stAnding water., Approx. Depth:
7. Site contains areas of seasonal stapding water, XQ70 Approx, Depth:
What season(s) of the year? jila
8. Site is in th@ floodw*L�— floodplain-ALO— of it Water course.
0. Site contains a r k or art area whers Witter il oss the grounds surfaee? flows are
year-round? A1711 Flows are smonal? (What time of year?
10. Site is primarily: forested UUadow shmbs niixed
urban landscaped (lawr4shrubs ate)
11. Obvious wetland is present on site-. -A) A-
1. ' 11 . .
W,
'ck A '40
X6
"10-h*- 04
140
V.
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S01
Saint Rlban's Church Fax : 206-778-1583
Sep 15 '71 15:48 P02 d
City of Edmonds
---"wpm
1W CRITICAL AREAS CHECKLIST
The Cri�cal Areas Checklist contained on this form is
to be filled out by any person prepahn& a
Development Permit Application for the ChY ' of
Edmonds prior to his/her subn�ittal of a development
permit to the City,
The purpose of the Checklist is to enable City staff to
detern-Ane whether any potendal Critical Areas aret of
may be, present on the subject property. The
irLformation needed to complete the Checklist should
be emily available from observations of the site or
data available at City Hall (Critical Areas inventories,
W,jps, or soil surveys).
An applicant, or his/her representative, MuSt fill Out
the checklist, sion and date it: and submit it to the
City. The city will review the checklist, mako a
precursory site visit, and make a determination of the
subsequent steps necessary to cQmplete a d;veloprnent
permit application,
Please subr-Ut a vicinity mp along with the signed
copy of this form to assist CitY 1%ff in finding and
locating the "cif,,c picce of property described on
this form. In addition, the applicant she include
other peranew 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
bAve completed the &=ched Critical Aram Checklht and attest that the answats provided are factual, to the
best of my Imowledge (fill out the appropriate column below).
Owner/A#p#*szV
L /A
sc�
Name
,a 14 a diA-,
Street Address
Q��O-Ivk �k)ft: 6V 0
City state Zip
M� - 22IL-0
Telahone—
Sipature
Appliclut Represontative:
Name
�--? 2-9'- Ici �Lw� L4, <'.UJ
Street Address
q aA
0 4�- �')_P , u
RM
CH state Zip
Telepho
Si atur','
Date
(over)
cmeptionVOW0901-dod
11IC-CO
.19
September 30, 1998
CITY OF EDMONDS BARBARA FAHEY
121 5TH AVENUE NORTH - EDMONDS, . WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning/Building * Parks and Recreation * Engineering - Wastewater Treatment Plant
St. Alban's Episcopal Church
2140582 nd Place West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-233, 98-234 & 98-235
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.
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENWRONMENTAL CHECKLIST 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 WITH ALL _4111111111
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permi ' ts
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.
Sharla Graham
Planning Secretary
C:ReceptIonUana\CRLTR.doc
0 Incorporated August 11, 1890 e
Sister Cities International — Hekinan, Japan
—Ch -a( -15-171- 15
Saint Rlban's ufth Fax : 205-778-1583 ep
SENT..§Y,' ; 5:02PM ; CITY OF EDMON054 ZU0 T10 120404 0
CAMINO. U-7134
Critical Areas Checklist
-----------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/Location: P1 16,4 almmA - -(,J -12-0- 2,4
2. Property Tax Account N=ber-
3, Approximate Site Size (acres or squave feet); I T04 S-6—
I i
4. Is tWssite currently develQped?'—V 7es; _no,
If yes; how is site developed? --- � 1 11, 1':-
3. Describe the geneml site topography, Check all that apply.
Flat: . less t1= 5-feet elevation change ove; entire site.
Rolling: slopes = site generally less than 15 1% (tk verteal ri-se of I 04ast ever a
horizontal dietmnce of 66-feet),
MiUy-. slopes present on site of more than 13 % and less than 30 % ( a vertical
rise of lWast over a horizontAl distance of 33 to 66-feet)..
Steep- grades of greater than 30% prevent on site (a vertical rise of 10-feet over
a horizontal cUstance of leas ffist 33-feef).
Other (please describe):
6. Site contakw arsm of year-round awding watev Approx. Depth:
A) 4r-
7. Site contains areas of seasonal stainding water. --fio �U-Approx, Depth:
What season(s) of the year? Ka
8. Site Is in the floodw*L21— floodplain of a water course.
9, Site contaim A.C; gk or art area whert water flo cross the grounds surface?. flows are
year-round? Flows are aseaonal? twhat time of year?
10. Site is primar:uy: forested nuadow shrubs rrixed
urban landacaped (Iawnshrubs etc)
11. Obvious wetlandis present on afW N A-.
#
1E
W
@
V;:'
M, -bi -4
�5aint Hinan's Uriurcm Fax : 205-'�TS-1583
0CM P11
�4
Sep 15 '71 15:48 P02
City of Edmonds
C I RITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Applicadon for the ChY Of
Edmonds prior to
perinit to the City,
his/her submittal of a development precwsory site'visit, and make
T6 purpose of the Checklist is to enable City staff to
determite whether any potential Critical Areas are, or
may be, present on the subject property. The
information needed to complete the Checklist ahould
be easily available from observations of the site or
date avallable at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicimt, or his/hor re-gresewativo, must fill Out
th� checklist, sisn and date it. a;nd submit it to the
City� The City will review the checklist, make a
a dejerminatiOn Of the
subsequent steps necessary to cQmplete a d;veloprnent
permit application,
Please subnut a vicinity rnap along 1xith the Signtd
copy of this fom to assist City staff in fluding and
locatin,g the specitle pie -we of proptT-ty described on
this forin, 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
haye coxnploted the attached Critical Areas Checklist and attest tbAt the answers provided am factual, to the
best of my knowledge (fill out the appropriate column below),
Owner/A#pM**nU
Name V
Street Address
&04
city stato zip
To hone
Date
Applicint Repressatative:
Name
G-3 ICI �L j' <'
Street Address
aA
L-14 A) R)'u� q0U 0
t — V —
CIV state Zip
Uez
r
Telepho
Signature
9h64
Date
(over)
eateeptlonVoWcool-doo
loc. 18913
September 30, 1998
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works - Planning/Building * Parks and Recreation * Engineering Wastewater Treatment Plant
St. Alban's Episcopal Church
2140582 nd Place West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-233, 98-234 & 98-235
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.
r a
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADD&IONAL 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.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL -4E
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.
Sharla Graham
Planning Secretary
C:ReceptionUana\CRLTR.doc
9 Incorporated August 11, 1890 0
Sister Cities International — Hekinar, Japan
Saint Alban's Church Fax : 206-778-1583 N 15 '71 15:48 P03
SENT.V', ; 9-10-96 " 5:02pm ; CITY OF EDMO 054 'Jut 'I'10 lzaj�w 0
cla -jn5
CA FILI JVO--k Cr
Critical Areas Checklist
-------------
site inform'ation (soils/topography/ hydrology/ vegetation)
0-1 L
_7r �
I. Site Address/ Locit tion:
2. Properiy Tax Account Number: -Oo�,-m --co
3. Approximate Site Size (acres or square feet)*..' I Z06 S e, - 'I - -
4.
Is this site c=ently developed?V
If yes; how is site develo led? -�M
3, Describe the gem:sl site topovaphy, Check all ftt apply.
V" Flat,. . les's ti= 5-feet elevation chAnSe over entirt- site,
Rolling: slopes ort site generally Im than 15% (a vertical rise of 10-fast ever a
horizontal distance of 66-feet),
Hilly: slopes present on site of more than 15% and less than 30% (a vertical
rise of 10-fiet over a horizontal distance of 33 to 66-feet),
Steep: grades of greater than 30% present on sit* (a vttrtical rise of 1OL-feet over
a horizontal distance a lass than 33-feet),
0ther (please describe):
6. Site contaL-w areas of yeatr-ro=d stamdin$ water: Approx. Depth:
7. Site co-nb&e areas of seasonal ding water- U; Approx, Depth:
Whitt semon(s) of the year?
S. Site is in the floodwayl-)1— floott'lain of it water course.
9. Site contaim a cask or in areet where water fl oss the grouncU surface? flows are
year-round? -ALa Flows are seasonal? (What d= of year?
10. Site is primarily. forested --- . Meadow sltmbs mixed
urb= landscaped (jAwrshrubs ate)
11. Obvious wetland is present on site! 11) A-
-;A A: 14W-, LVV�
All fi-H�Rmaffimll `5
A
f
1"AVA �01- ill'*
-.Comm* �M.
-� WA.-M. r.
-,04k, 4-Z, -
Saint Rlban's Church Fax : 206-778-1583
Oem
Sep 15 '71 15:43 P02
City of Edmonds
IMF CRITICAL AREAS CHECKLIST
The Cridj:al Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for tbe ChY ' of
Edmonds prior to his/her vabmittal of & development
permit to the City.
T6 purpose of the Checklist is to enable City staff to
detennine whether any potential Critical Areas arep or
may be, PrOdInt On the Subject property. The
informaLtion needed to complete the Checklist ahould
be easily available from observations of the site or
ditto available at City Iiall (Critical Areas inventories,
wAps, or soil surveys).
An applicant, or his/her represeatative, must fill out
th� checklist, sign and date it, and submit it to the
City, The City wiU review the checklist, make a
precursory site visit, and make a determination of tht
subsequent steps necessary to complete a dqveloprnent
permit application,
please submit a vicinity rrLap along with the Signed
copy of this fonn to usist City stoLff in fluding and
locating the specif,,c piece of property described on
this form, In addition, the appl1=1 shall include
other perdnent Information (e,g., site plan, topography
map, etc.) or Studies in conjunction with this Checklist
to assist staff in completing their prelfininary
assessment of the site
I have completed the attached Critical Arem &cklbt and attest that the ans 'wars provided are factual, to the
best of my knowledge (fill out the appropriate column, below).
Owner/AppMe*mV .0
N=e
alqo�
Stmet Address
City State zip
A 00 — -) -7 1� — 0 12
MTo hone
Sipature,
Date
Applicant Represents fivel.
N=e
2-9-- Ic
<1
Street Ad&ess
aA
o o3Jo
64 State Zip
Telepho
Date
e:?&4dpdOnVjn&k0xc1.doO
(over)
-t -(),)
�Oc. 18
September 30, 1998
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning/Building - Parks and Recreation * Engineering * Wastewater Treatment Plant
St. Alban's Episcopal Church
2140582 nd Place West
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-233, 98-234 & 98-235
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.
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL 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.
You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL AM
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:ReceptIonUana\CRLTR.doc
9 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan