21629 88TH AVE W.PDFiiiiiiiiiiii
8494
21629 88TH AVE W
City of Edmonds
h6i.
rezeLr, ve
JUN 2 6 1.9.97
— %fly I
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 hisiher 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: Applicant Representat' e:
"Z ?_1
Name Name
Street Address
city State Zip
Telephone
Signature
Date
c:reccption\jana\cac1.doc
7L Az 42
Street Address
z f, � � let),
City State Zip
i�� 72- 7
Telephone
i *ge
K,, -7 7
Date
(over)
CA FILE NO. 9u
-ED
V
Critical AraAc rhp klict i
------------------------------------------------------ J_U L J 4 jo 7
Site Information (soils/ topography/ hydrology/ vegetation) COUNTER
1. Site Address/ Location: 4:�' '2
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): Fr
4. Is this site currently developed?Yies; no.
If yes; how is site developed? __6 F 7Z_:'_
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site. lilt
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: /__k ; Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year? - Z�A
8. Site is in the floodway��V) floodplain of a water course.
I I
9. Site contains a 5reA� or an area where water flows across the grounds surface? Flows are
Vear-round? Flows are seasonal? (What time of year?
10. Site is primarfly: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) >!
11. Obvious wetland is present on site:
For City Staff Use ---- — -
1. Site is Zoned?
2. SCS mapped soil type(s)? 5- A, (Aff wna LLI- 6 la4 110f"�Je k j
3. Wetland inventory or C.A. map indicates wedand present on site?
A.: Critical Areas inventory or C.A. map indicates, CriticalArea,on. site?
5 Site within designated earth subsidence landslide ha.zard area�
:6o: Site designated on the Environmentally Sensitive Areas Map?
DETERMINATION
^ca_chU*c; Rev 02/11/97
10.00,
WILDA51-E! AREA
NOTE,
PIRDPOSED
TIE NEW ROOr AND
DECK
FOOTING DRAINS TO
EXISTING ONES. RESPECTIVELY
P
Agosed
ot Ion
IST
EX STING
DECK
E
Rex%tdnence
EXISTING
PORC
EXISTING
WALrIUY
L
1000,
RECEIVED
JUL 14 1997
PER"T COUNTER
1AR.t
AF 1981 r
EXISTING -q
DRIVEWAY I -
EXISTING
=RI5
88th Avenue W,
Legal Description
Lot Coverage
Cat.
LOT 6, OLYMPIC HE16WTS NO.2
ADDITION TO TWE CITY OF EDMONDS
Plot Plan
EXISTING WCUSE
PROPOSED ADDITION
1,116 5OPT.
2W SOFT.
SCALE, Tax Account
DECKS
TOTAL
LOT AREA
240 SOFT,
2244 SOFT.
S'600 SOFT.
N=ber:
PER--ENTAGE
022S
Zoning Rs.a
STREET FILE
CP �_ 15�
PLANNING DATA
NAME:.
-7
SITEADDRESS: 99_11IA4�DATE:
ZONING: PLANCHK#: LZ-2-0f
PROJECT DESCRIPTION:
CORNER LOT IJO -Yes/No)
SETBACKS:
Required Setbacks:
Front: 751 LeftSide: RightSide:71/1- Rear: /5'
Actual Setbacks:
Front: q(pl Left Side: 26. Right Side: Rear:
Street map checked for additional setback require�9�(Yes/No)
I
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED- (YIN)
LOT COVERAGE: 1 35��
Maximum Allowed: Actual:
BUILDING HEIGHT: 5-/ //"
Maximum Allowed: 2 Actual Height: 13'lo
Datum Point: 51f
Datum Elevation:
61
A.D.U. CREATED?: All'� /,,
SUBDIVISION: U�a,,V'(, kvA/V4 -W-Z--
CRITICAL AREAS #: U61 VWL-
SEPA DETERMINATION: k7Ke.'r7
LOT AREA: �0 a
OTHER:
_F Plan Review By: o a-:Te-i_ L, 9-r
Ofiles\permit\�plandaLdoc
CA FILE NO.
Critical Areas Checklist
-- -----------------------------------------------------------
` Site Inf ormation (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: -2 4�5, ak--TY k) , 0
fE�7_2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed?�6es; no.
If yes; how is site developed?6 E7Z_"_.
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 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: Z__Jo ; Approx. Depth:
7. Sit e contains areas of seasonal standing water: XA? ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodwav��C_2. floodplain of a water course.
I I
9. Site contains a cxeek or an area where water flows across the grounds surface? Flows are
year-round? Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) I zl::�
11. Obvious wetland is present on site:
Use
1. Site is Zoned?
2. SCS.m.appedsoiltyp�(s)? -Aldel-woA 6 i-v.,pte k 2- -8,07,, <,aeaj i
3. Wetland inventory or C.A. map*indicates wetland present on site?
4. Critical Areas inventory or C.A. map indicates Critical Area. on. site?, No
5. Site within designated earth subsidence landslide hazard area?
:6, Site designated on the Enviroinmentally Sensitive.-ATeasMap?.
:DETERMINATION
STUDY REQUIRED CONDITIONAL WAIVER
WAiVtk.
y
:Reviewed b 7
Vnner Date
^ca_chk.doc; Rev 02/11/97
City of Edmonds
NAW 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
pen -nit 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).
Ave' 0
CLWIVC
JUN 2 6 1997
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: Applicant Representat'
. 4/4115-P-
Name Name
.2— 3�� 7clL 4-2
Street Address Street Address
city State Zip City State Zi . p
Telephone Telephone
ig e
Signature
Date Date
c:reception\jana\cac1.doc (over)
C-91)
.19
City Builders, Inc.
23005 76th Avenue West
Edmonds, WA 98026
CITY OF EDMONDS
250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning * Parks and Recreation * Engineering
July 10, 1997
Subject: . Determination regarding Critical Areas Checklist # 97-112
Dear Applicant:
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.
11,14PORTANT INFORMA TION TO BE &6-ttb.-
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.
61111111110- You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINA TION WITH ALL _411111111
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Note Attachments: None
Architectural Design Board
C:ReceptionUana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Diane Cunningham
Planning Secretary
* Incorporated August 11, 1890 0
Sister Cities International -- Helkinan, Japan
CA FILE NO.- LD
Critical Areas Checklist
-- --------- : ---------------------------------------------------
Site Information (soils/ topography/ hydrol*ogy/veg*etation)
I. Site Address/ Location: �),?w:4t'li. 1. ',:� .171, 6-1. _�_ � � hV a V/ , 1�� L M, � 0'kV ko -
2. Property Tax Account Number: 72, 005- 0/
07
3. Approximate Site Size (acres or square feet): 7 0
4. Is this site currently developed? yes; no.
If yes; how is site developed?
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 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): F- L_ j- E-)4 La �P T- ft- 5., M 4' L_ L C �V G_ YZ_
I 's L' o %P C-
6. Site contains areas of year-round standing water: 0 ;Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway__)L�0 floodplain N 0 of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? U 0 Flows are seasonal? VJ t (What time of year? " 0 W E ).
10. Site is primarily: forested meadow -shrubs mixed
urban landscaped (lawn,shrubs etc)
.11. Obvious wetland is present on site:
----- -- — ------ — — ---- ---- For City Staff Use
.......... ..
te Ls Zon
ed?
mapped soil ty e ? A cod V e 11?4
p I'le 4v 2�'4-
:3. Wetland inventory or C.A. map indicates wetland present on si e.
:4. Critical Areas* inventory* or Lk m ap indicates Critical Area on site? --'z=
c-,
Site within designated earth subsidenice'landslide hazard area? it"c,
Site designated on the Environmentally Sensitive Areas Map?_ X/1)
:DETERMINATION*
U Q�VIRED
CONDMONAL �VAIVER
WAI
Reviewed by:
-V311 7
Planner bate
Aca—chkdoc, Rev 02/11/97
City of Edmonds
N,W CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this fon-n 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 invento I ries,
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 assi ' st staff in completing their preliminary
assessment of the site
I have completed t he 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:
b(k �J Y,
Name
-1 V2_1 1 7 &-� 'I -A\) tz '1-V
Street Address
CLYJ_C)K)x ' \/\/4— 700zio
City State Zip
7 ? 5'*- 92- c� 2—
Telephone
ature
Date
c:rcccpfion�janakaddoc
Applicant Representative:
�rn M � e-_.
Name
— .'P 6 f�' 0 �< r�' / �L
Street Address
4�vel 0 Vio-o-Z' �eo?_6
city State Zip
__ 77�Z, 12ZO
Telephone
V
'-� o—1 k , —
Signatu/r,,,
Date (over)
0007
t
47 _,q`)
C. 19
Tom R. Belt
Applicant ' Representative
P.O. Box 314
Edmonds, WA 98020
,,4J�'7 IcAlol
11_��
CITY OF EDMONDS
250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works a Planning * Parks and Recreation o Engineering
July 3, 1997
Subject: ADetermination regarding Critical Areas Checklist # 97-115
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.
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOUMAYNEEDTOSUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL affECKLISI OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
#mop, . You must submit a copy of the CRITICAL AREAS CHECKLISTand DETERMINATION INITH.ALL _41111111111111111
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the AD13 ' * Land Use Applications
Any other development permit applications.
Thank you.
Diane Cunningham
Planning Secretary
Copies to:
Dan King
Owner/Applicant
18211 76th Avenue West
Edmonds, WA 98020
Note Attachments: None
* Architectural Design Board
C:ReceptionUana\CRLTR.doc * Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
APPLICATION
TREET HLE for
The City of Edmona SIDDE SEMrER PERAJIT
A OUTSIDE [:] INSIDE [-] REPAIRS 0
OWNER.................. 14A.A...A.A-0-1 ..........................................................
HOUSE No. .......... ......................................
A f - - 0ea r�w Aar d.
0
KI
Date
BACKPILL WORK ORDER ISSUED ....................
SEWER WORK ORDER ISSUED ...........................
CARDNo . ......................................
EASEMENT No . ......................................
CONTRACTOR.................................................................................................... PERMIT No.
STREET
AVENUELOT No . ...................................................................... BLOCK No . ...............................................
NAMEADD . ......................................................................... ....................................................................................
DEPOSIT, $ ..........
Approved:
DATE................................................ By ...................................................................
h
LU
co
ZONE
SETBACKS:
F R 0 T --a�:PaL
s i !-It
OTHER
HEIGHT -,,2SI fiv
,;7tlVl 7-
7/v
N I
0
NOTICE:
No--Wa ntly'...01 -SCUM, Y--."-
The information on the attached
map(s) was'cOmpiled for use by the City Of
Edmonds/ its Employees and Consultants.
Th,�e City of Edmonds does. not . wa rra nt the
accuracy of anything set for.th on these
rnap(s�. An . y person or entitY,requesting a
copy should conduct an independent
inquiry regarding th*e inform'ation shown on
ffie.-rnap(s)., including, but not limited to/
th . e lociation of any sewer stub shown. Suc
sewer stubs may or may, not e.xist. and may
or may not exist at the location shown
Neither the City of Edmonds nor its
t=:mp1*oyee*s or office-rs -sh-all be 1--ia-bl.-e for the
information giVen' on this map(s), nor for
presentation provided based
any one re
upon'said map(S)o