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22024 99TH PL W.PDF9771 22024 99TH PL W 0 0 A D D R E S S: g,,9- 0 2 q 6?? 7�1 // TAX ACCOUNT/PARCEL 4: 040&6V2 BUILDING PERMIT (NEW STRUCTURE) #: COVENANTS (RECORDED) FOR: CRITICAL AREAS #: ETE RM I NATION: El Conditional Waiver El Study Required jkwaiver CRITICAL AREAS #: DETERMINATION' F) Conditional Waiver Study Required Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORD FOR: PERMITS (OTHER — list permit #s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: q SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: OTHER: LATEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc s �- R c- f,- -r — 10 cl 'r t- I �, 'r s vvo, qi I 0 C� qr�f APPROVED X; NOTED 0 P,4 H on prwo roperty. P�kq4y be 10cst'v etermlains ,ace foust prwdy OW vroperty lines. .0cloe Dir p"ve"t ecem to *ace oell tkot ST Clty ;�jstljaod WHO" (I V T" 61-P e N ve Z- -7- e) 77- T H � L 14/ S TREET FILE rye, I A e v N s 'E? - 8 2001 BUILDING DEPT. 0 020% Efton MC w/WAC Amw6nwu 132006 Edition JBC w/WAC AMM&nants 02006 Eftion UpC w/W , AC Amwdrawft and AppwJm A, B, Q 1 132006 Mition JMC wjWAC Ammdmenft 132006 Edition EFGC w/WAC An=b&n=U 132006 Editi(m EFC w1WAC AmcndmwU E32006 Edition VIAQ WAC 51-13 132006 Edition WSEC WAC 5 1-11 41Wbio 40 A, ;7511! "Nothing be interpreted as allowinj.—'�tru),Qing the maintenance of any CIL-re-litly existing illegal, nonconfo in unvermnittep. building, structm 'rm g or or site condition w!lw-h is , to rside the scope of the rit application, t)f whether such uilmg, structure or -I-1,M)dit.l.0i, is shown on the site plan or drawing Such building, structure or condition may be th! W�Ject of a separate enforcement --qv BUILD�NG DEPARTMENT WORK V ADDRES,E�� 0 C WNER, APPROVEDIDATZE UDG. OFFICIAL: f��UMBER RECEIVED SP - 8 ?008 BUILDING DEPT. S " r-% 1 3 MEET FILE CA FILE NO. Crit6al Areas Checklist 0 Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: 2. Property Tax Account Number: — WU 00 1 CAD3 00 3. � Approximate Site Size (acres or square feet): C> 4. Is this site currently developed? yes; no. If yes; how is site developed? -z- 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. 7411c, Rolling: slopes on site generally les s 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 3 0% present on site (a vertical rise of I 0-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: 4- Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Jg-.4 — Flows are seasonal? , (What time of year? 10. Site is primarily: forested ju--0 meadow ;shrubs V-U mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: S.. Site within designated earth subsidence' landslide hazard area? 6. Site designated on the Environmentally Sensiti. ve, Areas Map? DETERMINATION Ai:k_chk.&,, Rw 1W"7 0 . . ORECEIVED City of Edmonds NOY 1* 7 1999 -Icw CRITICAL AREAS CHECKET 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, oir 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 tht 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 devel'opment 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: . &�,� Name Street Address 0M 0105; WA Ygeov-g city State zip 4,4 4 Lto Telephone Signature Qt" Date c:n=pdonVana\cac1.doc Applicant Representative: Name Street Address city State Zip Telephone Signature Date (over) F1 0 SLOPES WITH EROSION POTENTIAL WAIVER ATTACHMENT During review and inspection of the subject site, it was found, that the site is within an Erosion Hazard Area (see definition below) pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). Please be aware that the following regulations may apply to the Er6sion Hazard areas on the property that this Critical Areas Determination has been done for. 1. Alterations within identified Erosion Hazard Areas shall not be authorized without an approved erosion control plan pursuant to ECDC Chapter 18.30, which includes staged clearing, where appropriate. The erosion control plan must be approved by the City of Edmonds Engineering Department. 2. Clearing or disruption of the soils within an Erosion Hazard Area shall be kept at the minimum necessary to provide reasonable use of the site. 3. Any project shall be constructed in compliance with the City of Edmonds approved plans and code requirements. 4. A Tree Clearing Permit shall be required for trees proposed to be cut on any portion of the lot that has slopes exceeding 25 percent. If you have any further questions about this, please call and talk to a planner at (425) 771-0220. For questions on the city's erosion standards, please call the above number and ask for Don Fiene, Assistant City Engineer. Erosion Hazard Areas are those areas of the city ofEdmonds containing soils that may experience severe to very severe erosion hazard. 77iis group ofsoils includes, but is not limited to, thefollowing when they occur on slopes of 15 percent or greater: i. Alderwood soils (15 to 25 percent slopes); ii. AlderwoodlEverett Series (25 to 70 percent slopes); iii. Everett Series (15 to 25 percent slopes). 1,�_ . . �.. r C. November 22, 1999 Edward Bossly . 22024 991h Place West Edmonds, WA 98020 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 # 99-302 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. 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 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:RecepfionUana\CRLTR.doc Incorporated August 11, 1890 Sister City - Hekinan, Japan No. 5505 Engineees Computation Pad MM :To C) 0 c _-, U5 r;l 0 M qq-rH U I L 1) 1 N-1 Gi �'N itvl WUH1, AU)"Psc c it .: -- ",— -- �� AP, !,,I Y,, OFFICIAL P. E r MIT MIU "i t"N # 1--- � -- r vv vj A-rr,, K t4-6 .......... .... . . ................. ................. "I' roAk 0��V�,WA� STRE 1 Aj 'MAY MR. P go P 1� Af � 0 C, / AIXA I' \r0HW 6'�Wj IV A 0 Ae fi rV A A /I A e',-- e- ' -7 -7 It,