22830 EDMONDS WAY.PDFIIIIIIIIIIIIII
11000
22830 EDMONDS
WAY
0.. 0
TAX ACCOUNT/PARCEL NUMBER: �2 7n,�3�000mo7a2
BUILDING PERMIT (NEW STRU
COVENANTS (RECORDED)
CRITICAL AREAS:— 41)a-z 't89 DETERMINATION: E] Conditional Waiver F] Study Required O-Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
F
�ERMITS (OTHER): ALQ�& &,0)
PLANNING DATA CHECKLIST DATED: -1.1.99
SCALED PLOT PLAN DATED: (919-99
SEWER LID FEE $:
SHORTPLAT
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LID #:
LOT: BLOCK:
LATEMP\DSTs\Fonns\Street File Chocklist.doc
10 W.1k I
NAME:��-ro*wa
SITE ADDRESS: DATE: —
ZONING: PLAN CHK#: Aq - I a
PROJECT DESCRIPTION:. WY��� C/UU, U-) �(M CU/Vlf
CORNERLO (Yes/No) FLAG LOT / YP,:� _(Yes/No)
SETBACKS:
Required Setbacks: /0/
Front: PC( LeftSide: )C� RightSide: Rear:
Actual Setbacks:
Front: 7--6/ Left Side: Right Side: — N Rear:
Street map checked for additional setback required?7�
A (Yes/No)
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LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /Vn -(Y/N
A� - -d'
LOT COVERAGE: Wt�s, --
Maximum Allowed:-�-(t /0 -Actual:
BUILDING HEIGHT: . / (I
Maximum Allowed: Actual Height: 6 —
Datum Point: J;�� � L91-dj LU, L Datum Elevation: 360/
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #:
SEPA DETERMINATION
LOT
q- V
FROM : MALKE CONSTRUCTION INC PHONE NO. : 206 742 2799 Jul. 01 1999 07:29PM P2
ITY OF EDMONDS 4257?10221 P.06/06
0 0
CL�Dca� Areas checkg= U
--------------------------------------------------------------
Site Jaform3fion (soil s/topography /hydrology/vegetation)
I Site Address/locailon: -21 P,; 0 tnDjD S LA/Jq� ;�;hrl m4l),S
2. Property Tax Account Number: n_11 - oQ-7 — 000!�-
3 Approximate Site SiZe (acres or square feet): (060 sr.
4 Is this site curnntly developed? \ W2 C
yes; no.
Ifyes;howissiledcveloped? E171c-MLI(O R�s 1bfqj(A5
5. Describe the general site topography. Check all that apply.
IN
Flat: less than 5-feet elevation change over entire site. C
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-fect over a horizontal distance of.33 to 66-feet).
Steep: grades of greater than 301/6 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: Approx. Depth:
7. Site contains areas of season3l standing water: KI n%Ar- ___; 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 arn where water flows across the grounds surface'? Flows arc year-
round? Flows are seasonal? (What time of year?
10, Site Is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) _X
11. obvious wetland is present on site: &I P.-A-c— -
-777.77 — -------------------
-------------------- ........................ -_For city Staff e-only ----------- 7 ------------- 7
I . Site is Zoned?
2.
3.
4.
5.
6.
SCS..m;ipped s<
Weiland inventory or C-A. rciap indicates wettand pleStnt On site,f / v r)
Critical Areas.invtniciry or C.A. map ifidiwis Critical Arei on site?
Site within designated earth �svtnidrncc lBqdslide hazard arei?
Size designated On the Enviroamentally.Semsffive Areas Map?
DETERMINATION
STUDY.REQUIRFD. CONDJTI.QNAL., WAIVER
—7
,7- WAfM�R
Reviewed by:
ate
TOTAL P-06
WNIINUt �-KUM I'KtV1UUD �'Hbt UU1
21. Will RFOEIVED
JUL 0 11999
city of Edmonds MELopmENT SERVICES CTR.
cITY OF EE)MONDS
CRITICAL AREAS CHECKLIST
The Critical Arta$ Checklist contained on this form is
to be filled out by any pmon preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
pennit to the City.
'Tbe purpose of the Chcckli5t is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the sxibjcct 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
th� 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 'nent information (e.g., site plan, topography
Peril
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 Artas Checklist and attest that the answers provided am factual, to the
best of my knowledge (fiU out the appropriate colu= below).
Owner/Applicant:
p 53�-
Name
)0-- -C> PA VC
Street Address
T 0 -)Hal- L'i /�- - 98,011
City State Zip
7/,
Date /
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date (over)
C:rCCCF(;0UVW18'W-.=W0C
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
July 6, 1999
Dean Dariotis
Malke Const.
10408 E. Riverside Drive
Bothell, WA 98011
Subject: Determination regarding Critical Areas Checklist # 99-189
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.
........... I— ......... ......
... ................. .. .................
... I .... ... IMPORTANT INFORMATION70*
................................
............................. ......... ......
................... - . . . . . . . ........... . . I ........... ......... .
................ ....... ............
...... ...... - ....... ......... ............... ............
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.
I=> 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 ADIB* Land Use Applications
Any other development permit applications.
Thank you.
Sharla Graham
Planning Secretary
Enc: Critical Areas Determination
* Architectural Design Board
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