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CA FILE NO. CJ�
Critical Areas. Checklist
--------------------------------------------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location:
0j
93
Property Tax Account N
Approximate Site Size (a
Is this site currently developed? -Xyes; _
no.
If yes; how is site developed? I't') ea-1 -e-
J
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: ; Approx. Depth:
7. Site contains areas of. seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway---J,�Q floodplain MQ of a water course.
9. Site contains A creek or an area where water flows across the grounds surface? Flows are
year-round? MQ Flows are seasonal? 90 - (What time of year?
10. Site is primarily: forested meadow shrubs mixed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site:
butRMINATION
Aca_chiLdoci Rev 02/11/97
RECEIVED
MAR 2 3 2001
City of Edmonds DEVELOPMENT SERVICES
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 his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the che'cklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a develo'pment
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
..,z_zzz �
Street Address
City State Zip
Telephone
03
Date
vreception\janakacl. doe
Applicant Representative:
WersTo-
Street Address
city State Zip
Telephone
Signature
Date
(over)
105+ 10&4- NJ +(4
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42401
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STREET Fl E
-----`�E D
19"Tv FL )A MAY -.1 2001
PERMIT COUNTER
DATE RECEIVED
Y li
PERMIT EXPIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE PERMIT
ZONE 5 got/, 2 IN U M B E R,:
JOB
ADDRES�,U a C�?
SUITE/APT.#
-P2
OWNER NAME/NAME
OF BUSINESS
PLAT NAME/�UBDIVI SION NO.
LOT NO.
LID NO.
LID FEE $
MAILING ADDRESS
Z_ ZZ
q
PUBLIC RIGHT OF WAY PER OFFICIAL
EXISTING — PROPOSED
REQUIRED DEDICATION _�__
STREET MAP
FT
TESCP Approved 0
RW Penrift Required 0
Street Use Perntit Req'd D
Inspection Raq ired 0
Sidewalk Required 0
Underground
Wiring required 0
CITY ZIP
607� jj y 5;1 1�wl? C
TELEPHONE
1
-2.
&125 770- /6-33
NAME
METER SIZE,.
LINE SIZE
I NO. OF FIXTURES
PRV REQUIRED
YES 0 N 0
M
ADDRESS
5T Sk,_)
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
W
z
e2l�ITT2 yAnw/-*�) a,
CITY ZIP .1TELEPHONE
NAIOE
j_�jCE j C---,
ENGINEERING REVIEWED/DATE
s/--s-A)
ADDRESS
FIRE REVIEWED BY
DATE
CITY ZIP
TELEPHONE
STATE LICENSE NUMBER
EXPIRATIONDATE I CHECKEDBY .
PROPERTY TAX ACCOUNT PARCEL NO.
00-5-4
3000c'i / 6040
0 NEW
RESIDENTIAL
(!�BING4AkCH
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
REMODEL
APARTMENT
SIGN
n REPAIR
CYDS
FENCE
( _ X FT)
DEMOLISH
TANK
n OTHER
GARAGE
CARPORT
0 RETAINING WALL
.... c—
n RENEWAL
(TYPE OF USE. BUSINE R ACTIVITY) EXPLAIN
W NUMBER NUMBEROF CRITICAL
OF DWELLING A
UNITS N
o STORIES
DESCRIBE WORK TO BE DONE A
HEAT SOUFGI� UL Y. LOT S
611a:_ / 6,,,45 1 _W 1z -
PLAN CHECK NO: STED DATE
VE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 18D DAYS
PERMIT LIMIT- I - PROVIDED WORK IS STARTED WITHIN 180 �Aii
SEE.=OINK PERMIT IcO' " MORE INFORMATION
APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS ANDSUCCESORS
N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANYWAYTHE CITY'S ABILITY TO ENFORCE ANYORDINANCE 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 AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S 59Z&FENSATION INSURANCE AND RCW 18.27.
UR (0 NE R AGE DATE SIGNED
e - .� ell
.0 V.I. J��_ . j T C, A- -2 11,
ATTENTION � .
IT IS UNLAWFUL TO QJSE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
REQ
I PBOND
OSTED
kD
0 YES 0
SEPA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
I
as I I(.,
EXP
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/R SIDE REAR
1.61-71
[5
I
-!50 Y15, go'
Z
2
I AIJ
1
z
PAftING
REO'D PROVIDED
LOT AREA
REV17EVY dDATE
P%
' 2
21
!20. -3851
/
:0�
CHECKED BY TYP=7N C OCCUPANT
I GROUP e -�2
SPECIAL INSPECTOR- JAREA OCCUPANT
REQUIRED LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'
P
a,
VALUATION . . I FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
STATE SURCHARGE
121
ENG. REVIEW FEES
ENG. INSPECTION FEE
LANO&CAPJAIG
INSPGOT4" FEE
PLAN CHECK DEPOSIT
AMOUNT DUE
RECEr�TOTAL
`A_
APPLICATION APPROVAL
This application is not a permit until signed by the
CALL
Building Official or his/her Deputy: and Fees are paid. and
FOR INSPECTION receipt is acknowledged in space provided.
0 CIALS SIGNATUFJE DATE
(425)
tkjA
771-0220
SED BY DATE
4RE�E
EXT/333
771-0221
ORIGINAL -FILE - YELLOW - INSPECTA
FAX
PINK - OWNER - GOLD - ASSESSOR
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