22702 98TH AVE W.PDFlill 11111111
9723
22702 98TH AVE W
PROJECT REVIEW CHECKLIST
ECT NAME:
PAW, �L �\ PLAN CHECK #-(q�
t It
PROJECT ADDRESS: RECEIPT DATE.
..... ....
§1 ..... .....
. .
-------- ...
........
. .
. . . . . . . ......... ....
Setbacks/Variance/Setback Adjustment
Conditional Use Pern*
ADS Requirements
Other Zoning Requirements
Underground Wiring Re
nuired
YES
Lot Slope 15%
SEPA Environmental Checklist/Hydraulics Permit
Z/o
Tree Cutting Plan
Plat/Subdivision Requirements
YVA
Legal Description Verification
Quit CWm/Street Dedications
Easements - Public/Private
Engineering Storm Drain Review Fee
Engkveetiog 2.2 Inspection Fee
A11.4
Draingg e Plan (On-2Ltej
Setback - To p of Bank, Stream, Water Courses
A/
Setback - Storm Drain Line
Open Ditch - Exisirmg
Culvert Required
X -o",3
Culvert Size
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
Driveway Slope & Vehicle Access
Sidewalk Required
SeE-pt-+N,
yes
Curb & Gutter Required
Curb Cut For DdvewW Required
Street Paving Required
Right-Of-W Construction Permit Required
lle5
/A A11A
�w
Street Name Sign Required
Other Signing Required
Bond Reg ired For Public Improvements
FEMA -Map Check/Water Table
Side SeWer Availablifty
Calculate Sewer Connection Fee If No LID #
Create Street File
Al
Existing Water Main Size
Water Meter Size
Service Line Size
..... .....
Water Meter Charge Required -,3) V
Hydrant Required
Hydrant Size Existing
Fire Line Charge Required - Sprinkler
Ifteet Cut /14 1
IMiscellaneous
11771-17Y
Reviewed By: FIRE PLANNING REC 0 (,/j -31t;lff Z C so
It LNUIRERINU m 4 FICnW AR K S
MAR 2 3 1998 MAR 'I $ 1998
PUBUG WORKS Der
ENGINEERIVi.
R E C 0 R D OF C 0 N T A C T S
1
21
2
22
3
23
4
241
Al
5
25
6
26
7
27
8
28
RW PERMIT I DATE ISSUED RECEIPT 1
9
29
10
301
31
32
13
PAID S RECEIPT DATE
33
SS PERMIT I LATE I SSUED RECEIPT I
14'
PAID RECEIPT DATE
34
15
351
36
37
METER SIZE PAID $ DATE RECEIPT
38.
20
40
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PHONE NO. : 425 481 7282
Mar. 10 1998 03:45Pm Pi
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FROM : I NTENSUS
PHD4E NO. : 425 481 7282 Mar. 10 1998 03:45PM P3
INTENSUS
ENGINEERING - SURVEYING
P.O. BOX 14M - Snahomisk WA SM
OW 481-7M - 90 W&M4
z6k.4 A'.0 4
PFIOJ ?,?70,?- 9gf e W.
PROJECT No. 25.2
DATE J. 9- 7s -BY
7—
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FROM INTENSLIS
PHONE NO. : 425 481 7282 Mar. 10 1998 03:4-,PM P5
I
U PVE F,
C A:rc,W
MoN LENGTH
pipe
M1 &a , 2' KA, COVEK
% SL�Dpe-.&
SYSTEM CROSS SECTION
JL SEE PACE 3 FOR OUTLET CONTROL DETAIL
OvrL-.T
cc%rrRoL*
-4-
'To 0LjrrL-ET
(;ti P RAP OR
Kul-40FT
5,P ItEADVIL)
2' . 2' VWP. At 16' $,$P^Lj-s (a& "WAJ-)
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FROM
okmer
C0&4yA0L
RIPRAP OUTLET
ovrrL.OW to' LONCO.
V*V 4 A* P.06 To OW
VQ%%V PIPK WST14
SPREADER OUTLET
STANDARD DRA.(NAGE PLaN
DETENTION SYSTEM
PAGE I OF 3
e$vAnr Cood
for
location
plan by 7,—./rcm&W
phone 4f-ps- Wet- 700Z
date. -" 9 7yj -
DESIGN DATA
System
Imperm
Pipe
Pipe
Orifice
%A*er
Area
Viam
Length
Diameter
NOTES
I . Call Engineering Division (771-3202)
for prtbackfill and final inspqctions.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resDonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operatiam. The
autlot control orifice must be kept
Open at all times.
FROM INTENSuS PHONE NO. : 425 481 7282
Table 2 - Detention Pipe Lengths
Mar. 10 1998 03:46PM P4
Pipe Diameter
Impermeable Required
Area Sq. Ft. Vol. Cu. Ft.
15"
18"
24*1
30"
2000 so
40
28
16
10
2500 62
50
35
20
13
3000 75
60
42
24
15
3500 87
70
49
28
18
4000 100
80
56
32
21
4500 112
90
63
36
23
S060 125
.100
70
40
25
Table 3 - Outlet orifice Sizes
impermeable Outlet
Area orifice Diameter
Inches
Sq. Peet
2000
5/8
2500
5/8
3000
3/4
3500*
3/4
4000
7/8
4500
7/8
5000
7/8
>-Required
pipe
length,
f eet
KOCKERY-
121, Mu
APR "1 0 1998
A
'S5 '—P-:5EZ2URLj4A RG P—
.IF OTY copy
11
1 A
0' To
rq o,r i: s:
I . Roek jhdjj bu -.vulld uirry ruck
of near rectangular shape9 2-M.a.1 min.
rock.
'2. Not more than 20% voids.
1 2"-411 spalls in voids while placing
rocks.
4. Safety factor against olverturning= 1.5
5. Backfil) with 4" minus rock spalls.
4;. Min. roil preccuro 2,000 pcf.
7. Eq. fl. Wt = 35 pcf.
8. Install ftg. Orain only, if rcq'd by
bldg. department.
all]
-.74,5" AYE-: E ID M 62�-1 -0 -!S , uvA,
226 T11 PL SW
Tral L. Anderson & Laurie K AndersoA hl
rt,
F 8707100200
8L OCK 7
— 2774 sf
N 880 a"W TRACT 998
TRACT 999 - 3884 SIF
All",04'77
W. �00
56" J-0
I1 0- 4-11- -
7e
Z� -'a
l7f
/VGO cu C.7 re
4j
7f,
IZ M. 00
i7f
LOT 2 'Ili
LOT 3
8252 sf
10021 sf gr; 9141 sf net:�Zl
eedo
A PRIVATE ROAD
- TR. 999 t Id-f -10
/'? so - 01
aN ILI, a Ad 14?5" w
pl?
LOT I
10209 sf
; :7"1,t R1W Dedication , —
� �� \z # AA PIN f rf#MAflf&
'44
00
t.
�5'
#880,10'J8"N 31710
Robert A. Snyder Carrie J. Snyder, h1w
AF 12261359
'tp
8LOCK 8 Mt:!
70 2
ui
pe,
B L
City of Edmonds
117 C.-
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. qq - F ' 7 1
Lssue Date:—("-?&
A. Address or Vicinity of Construction: Z_47r, a Z��
B. Type of Work (be specific): f1re, e# j,; -j- e fde jL- len
C. Contractor: j./Contact: All
Mailing Address: Phone:
StateLicense#: Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. Commercial eSubdivision City Project E] Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family.. jo Single Family E] Other
INSPECTOR: Wnzxyrr INSPECTOR:
F. Pavement or Concrete Cut: 0 Yes []No 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, 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 and attorneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS 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 STREETPATCHIS 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 proposed work required with permit application.
A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220.
Work and material is to 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 understand the permit requirements and the pink copy of the permit will be
available on site qt all times fo?:��urposes.
Signature:
Date.,
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
1:181 .1ral i WAfi&qMJ;""
APPROVED Bl".
TIME AUTHORIZED: VOID AFTER 0— DAYS
SPECIAL CONDITIONS:-R-)( A00cchled *�?Vi
R I IGHT OF WAY FEE: 10.0 1 h I CW
DISRUPTION FEE/FUND I I t:
RESTORATION FEE:
T OTAL FEE*
RECEIPT NO,:
ISSUED BY
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:
Citv of Edmonds
RIGHT-OF-WAY CONSTRUCTION e-, "' \
PERMIT Permit Number. 58
Lssue Date:
— ,
A. Address or Vicinity of Construction: )�X7 0 b"v it I K\J C W
in rr 4r W-41 ;r-, Mv, \�A el\' , (10ae 1'kQbV?_
ype o
S KM
C. Contractor: Contact: Q\�,"
A\�
Mailing Address: 4, ) \ b 9 "i Phone: (6-70-
State License #: =OtJIUMA�i 98CO,\0 Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. El Commercial 0 Subdivision [-] City Project 0 Utility (PUD, GTE, WNG, CABLE, WATER)
EJ Multi-Farnily OK Single Family F] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut 0 Yes JN(No 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 harmlessfrom injuries, damages, or claims ofany
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 and attorneyfees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS 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 STREETPATCHIS 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 proposed work required with permit application.
A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220.
Work and material is to 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 understand the permit requirements and the pink copy of the permit will be
available qu-s.4e at a
ya time>.�or inspeftio
,Apurposes.
Signature:
Date: 6 - i C) -9 6
or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY,'— LA RIGHT OF WAY FEE:
* _413
TIME AUTHORIZED: VOID A R t�±-J DAYS DISRUPTION FEEIFUND I 11:
SPECIAL CONDITIONS: RESTORATION FEE:
T OTAL FEE: $
C01-7 RECEIPT NO..,
ISSUED By�
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997
FIELD INSPECTION NOTES
Comments:
Diaaram
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES 0 NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
.�A)OLC
did \,j-
WC=
Ndl,
0" j
I
6
ck
5 0
®r, 226TH PL SW
8 L O�'K\
SE 1/4 SECTION 25, T. 27 N.9 R. 3, E.9 W.M.
�01 �11'
10
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227TH PL SW
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CA FILE A10.
Critical Areas Checklist
----------------------------- --------------------------------
Site Information (soil s/topography/hydrology/ve getation)
I S ite Address/Location: 22 2 o,; �g Z4 & c-
2. Property Tax Account Number: 74570 2 - on -) -- 006 -,03
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; 4-no.
If yes; how is site developed? 12 ;�— Ap /�-7 t-
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change ove�ie ite.
Rolling: slopes on site generally less than 15% (a'vertiiYal r et over a
horizontal distance of 66-feet). ... "-eA it
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):
-C A` "'fi t
C S:
an,;:j-qy.pntor of:s:% .. �p W., IA d mn: on.31
.y 4p
a,e r
s V ni t h tV
rta:.' p.- rcates:c-r-11 n.
4e- 'car,
.y
a� . .
S. :s. . . 1t.pi: t -6
M d ' 'a .... d:
.q e ...arth 4.F,- an s..i. ei azu. :,
. . . . . . . . . . . . . . . . .
-S ye ....eas
.'d Af6 A .0
D-E-TA-AMINAM N-
fts—chk.doc� Rev 10103/97
RFcRIVED
MAR A FE B 1 7 1998
MALGI- I L7 City of Edmonds
PLki'"'J"tu DEPT.
ftT 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 Ell 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 Checldist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
-10—, - (�nrp--r)
Name
-Pn �16�' /-�-( '1�
Street Address
L M D k) _b!!� CAQA . .. ... ..... . !�
City State Zip
E!50r---W"A:W
1-1
7 700
Date
Applicant Representative:
Name
Street Address
city State
.1 -2
Date
Zip
c:reception\jana\cac1.doc (over)
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Hoojzftm"Ko:) %WERCLove JADIM0009
4403 -
Id W":20 8661 01 '-AleW ZBZ.L TBr SZ17 : 'ON 3NOHd SnSNB.LNI W08-1
FROM INTENSUS PHONE NO. : 425 461 7282 Mar. 10 1998 03:45PM P3
INTENSUS
ENGINEERING - SURVEYING
P.O. Oox 14a - Snabomisk WA Mg
MM 461-7M - M 6W7W4
Eloo�
PROJECT PAGE
PROJECTMO. 2$. 27vjAZ
DATE J. 9- 7s -BY
FA
L
L—L
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4—j
7
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--------------
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FROM 4 INTENSLIS
PHONE NO. : 425 481 7262
Mar. 10 1998 03:4-tPM P5
U PIPEF%
olytNTION pipe LXNGTH COWODI. cAV-CV4
ENT) Oka 94
I I - 1:4IL"COWM
r— s' mim , 2" "A% CDVM
ovrLrOT
CQ%rrRoL16
All ffl% 4-
0 oLff L-Wr
-1770 �K, T 0 r"
(air R&P OR
ILUKOFF
SYSTEM CROSS SECTION
SEE PACE 3 FOR OUTLET CONTROL DETAIL
V .9 2' ro" 01mr, A! to W.V*,LA.S
2! - 2- 37 0611P, %'- r-ILUSIARD ROCIL
FVVA
co%rrItoL
VWszArp
--Q� J.
FROM
ovr6rr
C094YAOL
RIPRAP OUTLET
ov"Low Imemr-tv.1, "IT4 to' 6ONCO.
"t- 4 A- off URVWL-
vrr.stv pipp- W-TH CAPA,
SPREADER OUTLET
STANDARO DRA(NAGF- PLAN
DETENTiON SYSTEM
PAGE I OF 3
C-*Vt!:t4;q4/ 4vmery aw-11
for 4.1or
location-e.eyot— W-V",4--e-W
plan by
phone 7-
DESiGN DATA
System Imperm Pipe Pipe Orifice
*A*er Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
sainte-nanCe of drainage systems on
private property is the resoonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from ;atch
basins to allow proper coorition. The
outlet control orifice must bt kept
OW at all times.
FPOM INTENSLIS PHONE NO. 425 481 7M
Table 2 - Detention Pipe Lengths
Mar. 10 1998 03:46PM P4
Pipe Diameter
Impermeable Required
Area Sq. Ft. Vol. Cu. Ft.
15"
18"
24
30
2000 so
40
28
16
10
2500 62
50
35
20
13
3000 75
60
42
24
is
3500 87
70
49
20
is
4000 100
so
56
32
21
4500 112
90
63
36
23
5000 125
100
70
40
25
Table 3 - Outlet Orifice Si2eS
:Empermeable
Area
Sq. Feet
Outlet
orifice Diameter
Inches
2000
5/8
2500
S/8
3000
3/4
3SOO'
3/4
4000
7/8
4500
7/8
5000
7/8
>-Required
pipe
length,
f eet
PLANNING DATA
NAME:
SITE ADDRESS:— 2-2,7 0 2- - 98,,- A-c 0 - DATE: 314 ��t
ZONING: 0-� -e PLAN CHK#: qe- 7z
PROJECT DESCRIPTION:
V
CORNER LOT NO .(Yes/No)
SETBACKS:
FLAG LOT NO (Yes/No)
Reguired Setbacks:
Front: 2,151 Left Side: -7 /?-' Right Side: 7"�,' Rear: 15'
Actual Setbacks: 75.
Front: 3v'-S'- Left Side: -7&' RightSide: Rear:
Street map checked for additional setback required? M- - E�e (Yes/No)
9 -
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
LOT COVERAGE: 2-1190 -7 f,
Maximum Allowed: 3 5'Z —SZA/,dtual: 31 7-"'
BUILDING HEIGHT:
Maximum Allowed: Actual Heiglit: /��2r Xz-'
Datum Point: Datum Elevatio
A.D.U. CREATED?: Plss�`6L, - 2 (
ryr^-' AA:5*�., (- raD--N "11� I 'Wth qko� " V-�-� 06-c. 5.4,',(.t -A- �1 2=6
-7A pn�& � 5
V V
SUBDIVISION:
CRITICALAREAS#: 9-7-Z4 " 9E--49 - 6^ w,,-vzr
SEPA DETERMINATION: -9"+-
LOT AREA: 110-,?-94 � 3 1. z- -10 ,
OTHER:
Plan Review By:
cAfi1cs\pcm ift^p1mdat.doc
NI
I
RV, 4-q
CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation)
1. Site Address/Location: ;222n,2_�RZI doi-
2. Property Tax Account Number: 41�_o 2 - 00 - 006 -10 3
3. Approximate Site Size (acres or square feet): __ 3/,40 4�
4. Is this site currently developed? yes; -*-no.
If yes; how is site developed? Amp
5. Describe the general site topography. Check all that apply -
Flat: less than 5-feet elevation change over entire site.
X Rolling: slopes on site generally less than 15% (a vertical rise of I 0-feet over a
el horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of
I 0-feet over a horizontal distance of 3 3 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: k�p- _; Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway t�p floodplain 1-20- of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? AX) Flows are seasonal? _ (What time of year?
10, Site is primarily: forested meadow shrubs X mixed.
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: M
fts_chk.doc; Ray 10/03/97
"0
1 *0
City of Edmonds
RF'r- FIVED
FEB 1 7 iggs
PlAftnurvu Q&T.
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 checklist, make a
precursory site visit, and make a determination of the
subsequent steps neces . sary to complete a development
pen -nit 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:
G
Name
V n. 25z' 4-16
Street Address
city State Zip
T
'--/ .. o-27
Date
Applicant Representative:
Name
;6� 2. -
Street Address
City State
-2-15 -
Date
Zip
cxeception�ana\caddoc (over)
/� C. 1 S9,3
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
February 18, 1998
Bruce Goodnight
P.O. Box 669
Edmonds, WA 98020
Subject: Determination regarding Critical Areas Checklist # 98-49
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.
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.
mo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION MT14 ALL .40
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Enc: Determination
* Architectural Design Board
C:ReceptIon\Jana\CRLTR.doc
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Sharla Graham
Acting Planning Secretary
e Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
I -
CA FILE NO. "'_tP
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: QQ_�9�A' CIP-,T-k A\Jct--- WEST
2. Property Tax Account Number:
3. Approximate Site Size (acres or square feet): 00 S F
4. Is this site currently developed? 'V"',
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 I 0-feet 'over, a...,
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 150//0 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).
2
7
A
Other (please describe):
Site contains areas of year-round standing water: C) Approx. Depth:
?
Approx. Depth:
Site contains areas of seasonal standing water: L
What season(s) of the year? (�-Yr4fr-
Site is in the floodwav Q(,--)
, - floodplain- of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? Flows are seasonal? - (What time of year?
10. Site is rimarily: forested meadow ;shrubs mixed
p
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
es" oh
i e: d igh#ed ''4h e"* Ehvii6 i��ta S �nsitiv
y L e
. ..... Areasiviapr
DETERMNATioN
Ace _chkdoc, Rey 02/11/97
City of Edmonds
N�W 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 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:
Name
Street Address
city State Zip
Telephone
Signature
Date
c: recepfion\jana\cac1. doc
Applicant Representative: r-:--(2--
(-arn ex,
Name
(0'-� � 3 L A ILe�V i rz-,/W () ei ue-
Street Address
L � P-,,V- LA(\� VU (A CiEC33
city State Zip
D';- 73 9 - r-�
e
Signalcure
Date
(over)
1 SCO
12-5-97
Kristi Kramer
Kramer Engineering
6713 Lakeview Drive
Kirkland, WA 98033
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
Subject: Determination regarding Critical Areas Checklist #97-226
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.
IMPORTANTIMPORmATION TO BE Ndlftblo_
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAYNEED TO SUBMIT
ADDITIONAL INFORMA TION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
rAlo.. You must submit a copv of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL -400
PERMITAPPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Note Attachments: Drawing
* Architectural Design Board
C:ReceptIon\.Jana\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
0 Incorporated August T1, 1890 0
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
March 10, 1999
Intensus Engineering and Surveying
P.O. Box 1486
Snohomish, WA 98291
Attn: Vern Bower
SUBJECT: Proposed Goodnight Short Plat at 22702-98" A —venue West (S-98-119)
Dear M� Bower:
The Engineering Division reviewed the proposal and has the following corrections/
revisions.
Please see the comments in the attached drainage report.
BARBARA FAHEY
MAYOR
Show how water and sewer service will be provided to all lots.
Provide asphalt ramps/tapers at each end of the proposed sidewalk improvements.
Maintain minimum two feet of clearance between proposed concrete wall and
proposed extruded curb.
When using extruded curb, provide asphalt "gutter" by widening roadway by one
foot.
When the necessary revisions are completed, please submit two sets of revised plans and
the enclosed red lines for additional review. If you have any questions regarding
drainage, do not hesitate to contact Don Fiene at (425) 771-0220, Ext. 323. If you
have any questions regarding utility service, do not hesitate to contact Jim Waite at
(425) 771-0235. If you have any other questions, do not hesitate to contact me at (425)
775-7744.
Sincerely,
GO ON C. HYDE
Development Services Engineer
GCH/cmc
Enclosures
\\C1TY2\SYS\ENGMG0PDY\81 19.doc Incorporated August 11, 1890
Sister City - Hekinan, Japan
0 0
CITY CLERK
CITY OF EDMONDS 190LO30110
121 5TH AVENUE NO. 06/03/98 10:27
EDMONDS, WA 98020 P-0001 Recorded
Snohomish County
STATEMENT ON ACCESSORY DWELLING UNITS
CD
Property Address.- &ZE - 4421��-5Z—
Edmonds, Washington
M Legal Description-,-\-- 6 F- ace :a LK 2 M�
ot)f? k'�- eD3 - -
L-ILY 2-84 - Q MW 0 - R4 -F�r �M; ELP- 4M 59 +'T- :59ij
Q0
00 Assessor's Parcel Number:�
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code and understand that an accessory dwelling
unit, including a second kitchen, is prohibited for two years after occupancy by the
current owner (unless a waiver is granted by the Community Services Department) and
until after a conditional use permit has been approved by the City of Edmonds Hearing
Examiner.
I also understand that approval of a conditional use permit is subject to a public
hearing, and neither this statement nor the issuance of a building permit shall act to
limit the discretion of the City in the review of any analication for a conditional use
permit.
Property Owner Signature:
Date: (—
STATE OF WASHINOTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that 611CL4C,.c- 9ozaZA/J(-'T/47-
signed *this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary'� pressure seals must be smudged. Dated: /0 lq!��ff
Signature of
014 E -1/ '11%, 1-1
Notary Public: - L,
Residing at:.
11b
My Appointment
VPA% J k
0
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
CITY CLERK
CITY OF EDMONDS IM0301110
121 5TH AVENUE NO- 06103198 10:27
EDMONDS, WA 98020 P-0001 ReCorded
Snohomish County
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 2 0,4
Edmonds, Washington
Legal Description:,,�- 7j� 1� <)nt? ng :5;: aoZ :g L.L 2 M�
I—OLY 284 - Q -r;r— 71i MW I R4 -F!Lr -T-tA* E-L.�-? Z861* 39 +vr-
111. 14. ![F!T -r 1:1 1 1
Assessor's Parcel Number:- no) (-X)
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code and understand that an accessory dwelling
unit, including a second kitchen, is prohibited for two years -after occupancy by the
current owner (unless a waiver is granted by the Community Services Department) and
until after a conditional use permit has been approved by the City of Edmonds Hearing
Examiner.
I also understand that approval of a conditional use permit is subject to a public
hearing, and neither this statement nor the issuance of a building permit shall act to
limit the discretion of the City in the review of any application for a conditional use
permit. 7;
Property Owner Signature:
Date: 4/41—ys (—
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that 616-4 C-L-: 490pZA1JG1W-r
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary's pressure seals must be smudged. Dated:
Signature of
Notary Public:
0 %
X
SL
. qW.1%
Residing at: z1,
My Appointment
Expires:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
CITY OF EDMON.bs
CONSTRUCTION. PERMIT APPLICATIQJIN"
USE PERMIT
ZONE
NUMBER
*
JOB Avc ki SUITE/A . P
ADDRESS
---- 7--
PVV_WE� NAME/NAME OF BU&W
z
0
it JI/P
L GAL DESCRIPTION CHEC
E KI
IL
SUTDIVISION NO.
JL
LID�NO:
'"PlI.F46-AD-DRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
i EXISTING Z-15' REQUIRED DEDICATION 5
PROPOSED
TESCP Approved 7f- ir
RW Permit Required.YJ575 W
Street UsePermit Req "M
'd4l
Inspection Required Y4F3 01
Sidewalk Required *AFS W
Cl IT lit,
TELEPHONE NUMBER
NAME
uj
M
1INE SlZg
NO.j:)F FIXTURES
PRV REQUIRED
YES K NOO
ADDRESS
REMARKS
0, pez - IZ&1� '4> - G" 67
0V I Z ee C-)
CITY ZIP
TELEPHONE NUMBER
Z , 0 - $41 L) &7�) e /4 7-7 v L�o
NAME
0
8
<
A�em IT- 1A01 2
ADDRESS
ENGINEERI G MEMO DATED REVIEWED Y
77
1
CITY ZIP _17F�E
N UMBER
z
0
FIRE MEMo_OATED Plalaaaaa
REVI ED BY
STATE LICENSE NUMBER EXPIRATION DATE
00-01 - 4WT)
VARIANCE OR CU
ADB#
SHORELINE #
z
a.
cc
W
_j
Legal Description of Property - inclucdbi all easemen'
SEPA REVIEW
COMPLETE EXEMPT
EXP X
SIGN AREA
ALLOWED I-PAbPOSED
HEIGHT
ALLOWED 11 PROPOSED
44-
�Vlz
LOT COVERAGE
ALLOWED I PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
1Y
PROPOSED SETBACKS
FRONT L/R SIDE REAR
Property
Tax Account
Parcel No. nog o 3
/tr)p R'11,
I /,0091y
NEW RESIDENTIAL PLUMBINGfMECH
4P
COMP�ANCE OR
11 El
A.RK
ADDI�IQN I i COMMRA91A
11 REMODEL ED APT. BLDG. E] SIGN
HECKED BY
TYPE OF 7SIRqCTION
I
COD
OcCu T
GROUq3
GRIVIO FENCE
M REPAIR 54 X —FT)
- WOODSTOVE SWIM POOL
E] DEMOLISH INSERT HOT TUB/SPA
FxGARAGE RETAINING -WALL/
CARPORT
. El R6dKERY1 1:1 RENEWAL
SPECIAL INSPECTOR
REQUIRED
13 YES
OCCUPANT
LOAD
REMARKS
z
0
V)
U)
0
W
0
PROGRESS INiPECTIONS PER UBC 108
(TYPE OPUSE. BU'SINESS.OR ACTIVITY) EXPLAIM.
3rA&.,V
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
CRITICAL
AREAS :
NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOf PLAN)
SPECTION REOUIRED
VALUATION
FEE
1311111111111
FEE
sujj��'A% &&w6-
ROO
HEAT SOURCE:
rw 1,0
_4A 45 Lb
, I
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any Construction on the public domain (curbs, sidewelks,.
driveways, marquees, etc.) will require separate permission.,
STATE SURCHARGE
<
Permit Application: 180 Days
Permit LlmIt:.1 Year,- Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold,
'Uni
harmless the City of tdmonds, Washington, its Officials,.
2
.. employees, and agents: fromeany and�all-claims for, damages�� ' of
5
', in Uance
�vfiaievor n6t u rej a�iiili6 d lirectly oil rid Irectl�_ f ro -thelsi
this IssudribWof this shall not be deemed to
PLAN CHECK DEPOSIT
01,7,
01:
of p pJ4- permit
_1
modify, 1111veior reduk6/,4hy requirement of any city ordinance
0
:r
nor limit in ailfiyWa�,the�tityA pbil'(ty to/enfprce;4nyC dinIance
TOTAL AMOUNT DUE
provision." X
I hereby acknowledge that I have read this applicatldb;t�a�oe
information given is correct; and that I am' the owner,or 6.clluly
ATTENTION.
APPLICATION APPROVAL
C
authorized agent of the owner. [agree to comp.ly wl cl ty and.
th't
THIS PERMIT
state laws regulating construction;, and in doing the work authoriz-
AUTHORIZES
T.his application is not a permit until
Ed 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 , V - MI�hgton relating to kVo*men's Compensa-
WORK NOTED
Deputy-, and fees are paid, and receipt is
tion Insijranc . e aria R, *,,2K
INSPECTION
acknowledgedin space provided.
IGN0X9AE:(QNNER,.OR Tj .9ATEoSIGNED
DEPARTMENT
CITY OF
OFFICI .1 FIE DAT
EDMONDS
4AkA
VEN;1110V
CALL FOR
REL Y:
TE,
INSPECTION.
I S UNLAVFUL/tO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FIII INSPECTION HAS BEEN MADE AND�APPROVAL OR
771-0220
ORI"I AL File ELLA Inspector
A'CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
—
��h 0-
—
PINK Owner
— GOLD — Assessor