Loading...
21919 80TH AVE W.PDF111111111111 7211 21919 80TH AVE W AG STREET FILE RECEIVED,,.,.N Critical Areas Checklist' J LIN 14 1993 Site Information PERMIT COUNTER Project Name: '�;C," 0 YA Permit Number. SiteLocation: 'a\(-\\Ck Ck Property Tax AccountNumher. QQ2_- oil Approximate Site Size (acres or square feet): 0 1 ­7 0 'Have you filled out a Critical Areas Cheddist for a project on. this site before? General Site Conditions L' Has the site been cleared or logged? -e S Date of most recent action: _0cA- f Vk 0 Soils /Topography &-4L_,—.­'AC-'-.<\�� 2. In the Snohomish County Soil Survey, what is the mapped soil typc(s)? 1, Y, C�, 3. D7tgcnetal site topography. Check all that apply. t: less than 5 feet elevation change over entire site- Iling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 fceL) IM13r. slopes present on site of more than 15% and less dian 30Vp a vertical rise. of 10 feet of horizontal distance.) Steep: grades of greater than 30% present on site. Comments Hydrology/Ve&tation 4- Site contains areas of year-round standing water- 5. Site contains areas of seasonal standing water-- Y'V-0—Approx. Depth: 6- Site is in the floodway . 1,n4 t floodpl ain , t\'� of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? AL�Iflows are yearround? —Flows are seasonal? 8. Site is primarily: forested meadow -shrubs mixed --------------- 9. Obvious wetland. is present on site: 10. Wetland inventory or map indicates wetland present on site: 11. Critical Areas inventory or map indicates any Critical Area on site: 111, For,Gty -Use Onli 0 CitY of Edmonds Critical Areas Chec* Mist UC Critical Axcas ChmMist contained on this form is to be filled oult 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. Ile purpose of the Checklist is to cnable CitY staff to determine v'vhcthcr any potcntial Critical Areas am or may be present on the subject property. Ite information needed to cOMPIctc the Checidistshould be easily available fiom observations of the site or data available at City Hall (Critical Areas .inventories, maps, or soil surveys). An applicant� or his/her representative, must fin out the C'hccldist- sign and date it, and submit it to the city -Ihc Citywill review the chocidist, make a precursory site visk and a dammination of the Mbsequent stcPs U==arY to complete a development Permit application - With a signed copyof this form, the applicant should also submit a vicinity map of the parcel vidi enough dctal that City staff can f ind and identify the subject parcel(s). In addition, the applicant i Is encouraged to include any other pertinent information or saidies in con unction with 9 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 n�.k,, A n.-- Tide - Street Address Applicant Representative: Name Title Street Address (�7 6 City, State, Z�Ip Phone C't S zip % , y, ale Phone Signature Date Signature Date PERMIT CITY OF EDMONDS ZONE CONSTRUCTION PERMIT APPLICATION Jul:$ NUMBER SUITE/APT OWNER NAME/NAME OF BUSINESS ADDRESS c <" z vv\ a h LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO MAILING A�CIR!S�. _ _ I --) \ - III, C� T, , V�- V<- �&) - TPUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0 CITY NUMBER 0 T11.111111 :W Permit Required 7 -STING — REOUIRED DEDICATION ilreet U80 Permit Req-d 0 PROPOSED mpection Required 0 NAME Sidewalk Required 0 C ADDRESS -7 2, IS­ ITELEPHO14E NU.BIER NAME \4 -T Ir\ ENGINEERING MEMO DATED REVIEW BY ADDRESS 72--� (�A \ G, M ETER SIZE IBUILDING SUPPLY SIZE I NO. OF FIXTURES <:�l - U ) (\ - -t -("L)4k- I / ) (\ - / -1 -� REMARKS STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA ALLOWED I PROPOSED SEPA REVIEW COMPLETE E . XEMPT r�h Legal Description of Pro - iincl 11 Its _,party / We a easempn 7 (',So �� V\ 81 It A VARIANCE OR CU PT7 G REVIEW BY n H- a j- e -s, SETBACKS - FEET - PRO I-'5!IOE-7 —CREAR EIGHT ��7x7wcloun"H W (�- 6,02-- Parcel No. REMxA NEW ADDITION PLUMBING MECHANICAL # ElREMODEL SIGN FENCE CHECKED BY TYPE OF CC GRADING L-J REPAIR Li CYCIS. Li , X— I --V/- - /J I q1 1 zs-, DEMOLISH OOD$TOVE $WIMPOOL INSERT HOT TUB/SPA 1:1 1:1 SPEC INSPECTOR AREA OCCUPANCY OCCUPA NT 1 . Oultli. .6 ED C3 YES GROUP X^ \ LOAD. 0 AR AGE RETAINING WALL/ CARPORT RENEWAL MARKS . .. ROCKERY k c (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN PROGRESS INSPECTIONS PqR VBC 305 z M&f1IAL-Z(-U11- NUMBER OF STORIES NUMBER OF DWELL NG 0 UNITS DESCRIBE WORK TO 13E DONE (ATTACH PLOT PLAN) v-,e Ir(jt--- INAL INSPECTION REQUIRED \r, (-)o Y-Y, L (I u v, c ri n t 0 VALUATION FEE Ck PLAN CHECK FEE 0 c� (A rA (A C 0 HEATSOURCE* GLAZING BUILDING --.) C— PLUMBING Plan C.heck No. �7 97. 1.7--, MECHANICAL This Permit covers work to be done On private property ONLY,,* GRADINGIFILL Any construction on the public domain (curbs, sidewolks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse. heirs, assigns dird ENG. INSPECTION FEE successors in Interest, agrees to Indemnify, defend and'hold harmless the City of Edmonds, Washington, its officials, 2 employees, and agents from any and all claims for damages of �< whatever nature, arising directly or Indirectly from the issuance x of this permit. Issuance of this permit shall not be deemed 0 t PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance ox nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the Information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL :uthorized agent of the owner. I agree to comply with city and THIS PERMIT tate laws regulating construction; and In doing the work authoriz. AUTHORIZES This application is not a permit until ad thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Com WORK NOTED Deputy; and fees are paid, and receipt is Von Insurance. INSPECTION acknowledged In space provided. III U E,(OYVNER OR AGENTI DATE SIGNED DE PARTMENT C1 CITY OF S NATURE L' TE EDMONDS 711011-3 ATTENTION-- CALLFOR INSPEC FIE 1:!'A DATE IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-0220 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL - File YELLOW - inspector A CERTIFICATE OF OCCUPANCY HAS BEEN 'GRANTED. USC CHAPTER 3. PINK - Owner COLD - Assessor coo CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 774-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public orks * Plannina * Parks and Recreation e Ennineerinn go LETTER OF TRANSMITTAL Date: June 14,, 1993 To: Karl Schorzman 21919 80th Ave. W., Edmonds WA 98026 Subject: CRITICAL AREAS CHECKLIST Transmitting: CA-93-158 For your information: As,you requested: For your file: Comment and retum: Note attachments: Con ments: x **YOU MUST BRING A COPY.OF�YOUR CRITICAL AREAS CHECKLIST WHEN YOU SUBMIT YOUR BUILDING PERMITAPPLICATION** Planning Division Cindi Cruz, Planning Secretary LAURA M. HALL MAYOR e Incorliorated August 11, 18§0 0 Sister Cities International,— Hekinan, Japan 9 9 CitY of ]Edmonds Critical Areas Checklist ne- Crifical,&Cas Checklist contained on this form isto be filled out by any person pi paring a MvelopmCnirermh Application for the City Of Edmonds prior to his/her submittal of a development permit to the City. 11C Purpose of the Checklist is to enabic City staff to dcterminc whether any potential Critical Areas are or may bc; present on the subject property.'1he information needed to complete the Chccidist should bc easily available fiorn observations ''of the sitc, or data,Aywilableat City Hall (Critical Areas inventories, miaps-,or soil surveys). An applkan� or his&cr representative, must —f ill -*ut.thc.ch-=Mist,- sign- and date kand submit it to the City. The City Will review the cheddist, make a precursory site visit� and make a determination 'of the subsequent steps necessary to complctc a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel vith enough debul that City staff can find and ideatify the subject pareel(s)- In addition, the applicant is encouraged ' to inclu& any other pertinent information 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 :facbW, to the best of my knowledge (fill out the appropriate column below) - Owner / Applicant: Name Title c', A Street Address Applicant Representative: Name ritle Street Address W cp-617 6 /v I Y, Uty, State, Zip Phone City, State, ZIP Phone Signature Date Signature Date RECEIVED Critical Areas Checklist JUN 14 1993 Site Information. PERMIT COUNTER Project Name: 0 (-?,MGL pi Permit Number Site Location: .a'\C-\ \ 6� Property Tax Account Number. 0 2- -0 j .C-- CX vv--, a Approximate Site Size (acres or square feet): lUvc you filled out a Critical Areas Checklist for a project on this site before? General Site Conditions 1. Hm the site b= cleared or logged-? \, I - '� 0 -es Date of most recent action: -Pot V "Y P-- V11 a- \-N 0 11) 5sle- V01 Cks Soils /Topography 2- In the Snohon2ish County Soil Survey, what is thcmapped soil typc(s)? A Y�'ucc"� 3. D!71WI'd ha \� ��gcneral site topography. Chacball t t apply. C '--C� C,' C'- less than 5 feet elevation change over entire site- L Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet-) Ifilly.- slopes prcscnt on site ofmort d= 15% and less thatt 30'0/,p a vertical rise of 10 feet of horizontal distance.) RECEIVED Steep: grades of greater than 30% present on site. JUN 1 7 ISS3 Comments PONT CoUNTeg Hydrology/Vegetation. 4. Sitecontains areas of year-round standing water: 5. *Site contains areas of seasonal standing water V\--0 Ap rox- Depth: 6. Site is in the floodway 1,!!� b floodplain t\ � of a water course. 7- Site contain - s a creek or an area where water flows across the grounds surface? h-�'Aows* are year-round? Flows are seasonal? 8- Site is primarily: forested meadow ;shrubs mixed 9. Obvious wetland is present on site: C) 10- Wetland inventory or, map indicates wedand present on site: 11. Critical Areas inventory or map indicates any Critical Area on site: VIV APPLICATION The, City of Edmonds for EASEMENT NO . ............................ -- ---------- - SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS 7 L I D N 0. A S M T. N 0. OWNER -TCD ------------------------------- .................................................... CONTRACTOR P-) ---------------------- --------------------------- PERMIT NO. -74 2- JQB ADDRESS ...... 7. C73.CD ------- . ....... NN4!— LEGAL DESCRIPTION: LOT NO - - ------------------------------------ BLOCK NO - ------------------- ------------ r2-1 C�)p t-�4 Cl> I <=*=- �—C) -V I � --------------------------------------------------------------------------------------------------------------------------------------- NAMEOF ADDITION ........ ------------------------------------------------------------------------------------------------------------ J7 17—' , o- Approved - DATE By- ---------------- ----------- C . I A nni 10' 71^M for 'Th'6 City of Edmonjs SIDE SEWER PERMIT NEW CONSTRUCTIONg REPAIRS 0 OV*rNER . ...... ---------------- ....... D ADDRESS ..... ....... .. . .. .... ....... .. �; ........ I RECEI.Vp JUN 11,-"" 79, EASEMENT No . .......................................... — �- j 0 /�,z N) CONTRACTOR ----- -- PERMIT No. /Y- LEGAL DESCRIPTION: LOT' No . ...................................... ....... BLOCK No . .......... ?;z . .......... .............. .. ...... ..... ........................................... I ON .......... i"'. 7? NAME OF ADDIT .............................. . ..... I - Approved: DATE.... ........................................... By ...................................................................... NOTICE: No warranty of accuracy. The information'shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of �Edmoncls does not warrant the accuracy of anything set for ' th on these rnap(�-). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on "----fh-e -map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may, not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its emplo-yees or officer-,-) Shall be liab-le for the information given on this map(s), nor for any one representation provided based upon said map(s). r CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of the constru tion. Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspecetions.) '­519 - CoSth �xalu 1,10st ADDRESSLOCATION OF CONSTRUCTION -------------- ............................................................................................ . ....................................................... 72' pj' S q? Lot 11 � 13-x-c% 2� NaQnv'r� ..................... PROPERTYLEGAL DESCRIPTION ------ ----------------- ! ........................................................................................................................................ .................................................. . ...................... . ........................................................................ ................ ...................................................................................... ................................................................ OWNER AND/OR BUILDER __-_ Scc-u-ri-ty --- Savc-sc-a --------------------- I ---- - --------------------------------------------------------- _avawn . 21S Pppioy Rozd � SoNM I � tla 91"T 1 CONTRACTOR'S NAME & ADDRESS --- ...... E.Y':�t .................................. ---------------------- - ------------------------------- --- --- -------------------------------------------- I, - lAssion is granted ............... U ............... - ----------- 1 19..&, for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. A7­7TION IS CAT I D TO THE FOLLOWING: N, No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct 1�� side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer'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—Tap of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of. 2%. No bends in grade sharper than % will be permitted. NOTIE. No. 5--Trenches in street must be water settled 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. B, ............... te .... DISAPPROVED E] Date --- - ---- --------------------------- --------- ------ Da . e ............. BY ---------------- Date ............... . ................... By. ....................................................... By ......... ... ............. . .. . .......................... APPROVED Da;te...- --- -------- ­X ------- ... IZ ........... V e I V/ . .......... Remarks: ....... . . --_-------------------------- . ....................................... ................... . ....................... -------------- - --------------- --------------------------------------------------- ..................................................................... . .................................... ................................................... . .................................. . .......................................... .. BOTH P rmit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection I_ '('0­ _w, _n -------- i­ ---- - ------- hereby certify that the side sewer installation constructed under this permit Co ctin er 0 i g Firm Performing Constr ion) wp-- ristalled in accorda ce with all governing ordinances of the City of Edmonds. Datedthis ................ ........... day of ................................................................. 19 ......... Check BEFORE you dig for: Water E], Gas Ej, Telephone E], Power [:J, Sewer E], Other E] -V