22905 74TH AVE W.PDFIIIIIIIIIIII
5882
22905 74TH AVE W
Critical Areas ChceUst-
site information
Project Name. HrZ 6� 4Wt;I1v t-) Permit Number i
Site Location: zlfd:!� 7,51 Property Tax Account Number- Y Y/ 5r- 00-Y - -017- e0c
Approximate Site Size (acres or square feet): '7jroc
Have you filled out a Critical Areas Cliccidist for a project on this site before? /L)O
General Site Conditions
1. Has the site been cleared or logged? P 0 Date of most recent actiow.
Soils / Topography
2- In the Snohomish County Soil Survcy� what is the mapped soil type(s)?
,q L Ase -7— L.4 x-,P
3. Describe the general site topography. Check all that apply.
t,-' 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.)
)MI13r. slopes present on site of more than 15% and. less than 30"/,p ( a vertical rise
of 10 feet of horizontal distance.)
---$teV: grades of greater than 30"/* present on site.
Comments
Hydrology/Vegetation.
4. Site contains areas of year-round standing water. /1 0
5. Site contains areas of seasonal standing water P 0 Approx- Depth:
6- Site is in the floodway Po floodplain P 0 of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? &-.�—flows-
are year-round? _g P Flows are seasonal? P
8. Site is primarily: forested meadow ;shrubs mixed /Y
9- Obvious wed'and is present on Site: tio
10. Wetland inventory or map indicates wetland present on site: P 0
11. Critical Areas inventory or map indicates any Critical Area on site: 1-16
.f ;o r--G ty se - Only
Te
KEQPIREQ-��:q- HU61,4� studiis';" i ' A
quir
Planner . . . . '. Date
Rey - 3/27192
a
CRY of Edmon&
Critical Areas Chec* Mist
The Critical Areas ChwMist contained on
dl,sf
orm,s to be ffiled out bY any person
preparing a Development Permit
APP"catiOn for the City Of Edmonds prior
tO histher submittal of a development permit
to the City.
110 purposcof the Checklist is to enable
City staff to da=2inc whether any potential
Critical Areas are or mmay be present on the
subject property. 7he information needed to
complete the CheMist should be easily
available from observations of the site or
data available at City Hall (Critical Areas
invcntorics� maps, or soil surveys).
RECE:IVEI:)
JUN 2 4 1993
PERMIT COUNTEF1
An applican4 or his/her representative, must
f ill out the checHist, sign and &te it, and
submit it to the Oity. 1he City will review
the chocidist, apremu-sory site visk
and malm a dammination of the subsequent
stePs necessary to Complete a development
permit application.
With a signed copyof this forn36 the
aWlicau Ann1d also aubmit a vicinity map
.of the parcel with enou& debil that City
staff can find and identify the subject
parccl(s)_ In addition. the applicant is
encour4ged to inclu& -�ny other pertinent
information or studies in conjunction with
this Chc&dist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and aftest dtat the answers provided -are
factual, to the best of my knowledge (fill out the appropriate column below) -
Owner / Applicant:
Name
PIC "Z '5
Tide
2 z lo 5
Sh-eet Address
1-19 .34 C/7
City, itate, ZI—P"— Phone
Applicant Representative:
ps .9 'J
Name
14g64 i
Title
13 oX 1" -7"
Street Address
.5 Z;4 71111t 4-114
city. si;t`e. ��
Phone
61
Signat Date
Signature
Date
F=L—CD7—
I/all = I I - cyl
Q�
-I
d
aX1is7-II,-J(FV
E =- '=-B I = F--- !`� C=—
SS90--', -7-4t""A1/eVV
C).,JM
15d)s
d
,F
CEIVF.D
3 14%03
30L 2 40Q
?CRMIT COUNTER
rE3L-0C-W-' 00B , 7T4Za4=r 1-7
CITY OF EDMONbs
CONSTRUCTION PERMIT APPLICATION
USE PERMIT
ZONE
NUMBER
06 Sul
ADDRESS 01APT
t
0 WNER NAME/NAME OF BUSINEISS D
LEGAL DESCRIPTION CH
SUBDIVISION NO
LID NO
0
o7
7
M
7,41'k Ave" li
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING - REOUIRED DEDICATION
PROPOSED
TESCP Approved 0
RW Permit Required 0
Street Use Permit Reci 0
Inspection Required 0
Sidewalk Required 0
0
Z
CITY ZIP
TELEPHONE NUMBER
NAM
5KXr,__�;_4 tj, _,a Nj
REMARKS
If
ADD*
T
Z
CITY ZIP �TELEPHOLIE
f5c�4771_6 9elci
NUMBER
NAME
9 A JI� 61ZM,4,)
ENGINEERING MEMO DATED REVIEW BY
ADDRESS
6., q3 / Z_ P'opef,�
.5
METER SIZE
7""
UPPLY SIZE NO.
OF FIXTURES
M
Ur
CITY ZI P
P
TELE HONE NUMBER
z5flf-f7tt-
4.1A 16/
6 7 t" ee 2
REMARKS
STATE �!!��NSE NUMS�! EXPIRATION DATE
SIGN AREA
ALLOWED I PROPOSED
SEPAREVIEW
COMPLETE EX7
EXP
ADS NO.
SHORELINEJI
0
I
'rc
U
I
Legal Description of Property - include all easements
F_.1Vr_::J�rZFZt1_j AC1715�1170M
To L,,A-,I<-S
VARIANCE OR CU
NING.,REVIEW
BY
OLoCK 005 TiZ�' 1-7
SETBACK FE HEIGHT
7(
SIDE REAR�
LOT COVERAGE 7—
-j
Z
Property
Tax Account 003 017 OOJA�;
Parcel No. L
REMA KS
NEW RESIDENTIAL PLUMBING
OADDITION COMMERCIAL ME—AINIM
ElREMODEL APT. SLOG. SIGN
CHECKED BY
ITYPE OF CONSTRUCTION JCOD15
'J
9
N EIGHT
REPAIR GRADING CYDS. E] t FENCE X
W OODSTOVE IM POOL
DEMOLISH ' T TUB/SP
INSERT SW A
Ho
GARAGE RETAINING WALL/
CARPORT L_J ROCKERY RENEWAL
SPECTO _tEA
ap ECIAL IN R
EQUIRED
OYE S
0 C UPANCY
V GROUP
, I
�) ._ Z
JOCCOPANT
ILOAD
R MARKS
li
(TYPED ACT11ITe
17P1T70kJ
PROGRESS INSPECTIONS PER 111305
NU4111ER OF
DWELLING
UNITS
CRITICAL
AREAS
NUMBER
VCRIBE W RK TO BE DONEgTACH PLLO L;�j
—roo
FINAL INSPECTION REQUIRED1
VALUATION
FEE
PLAN CHECK FEE
Z0
BUILDING
2,0
HEATSOURCE:
7
P LUM
.00
Plan Check No.
193-
MECHANICAL
This Permit covers work to be done on privdte property ONLY.
GRADINGIFILL
Any const ruction on the public domain (curLS,' sidewpiks,,
driveways, marquees, etc.) will require separate permission.
STATE SUR04ARGE
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 and
ENG. INSPECTION FEE
successors in 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
PLAN CHECK DEPOSIT
X
whatever nature, arising directly or Indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
XO
modify, waive or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any Ord I nance
provision."
TOTAL AMOUNT DUE
_35Z 17,
1 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
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction: and In doing the work auIhOrIz- AUTH ORIZE 5 This 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 Washington relating to Workmen's Compensa- WORK NOTED Deputy: and fees are paid. and receipt is
tion Insurance. INSPECTION acknowledged in space provided.
SIGNATURE 4OWNER OR AljtNT� DA I N DEPARTMENT -
CITY OF
EDMONDS 7AA 1101 A E /,?/�DA TE
CALL FOR —.ELI�Y PAT�
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A F:NAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL File YELLOW — Inspector
A CERTIF CATE ()!' r,,—C!iPANC.Y HAS BEEN GRANTED. UBC Li
0 1 IF FILE
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 774-0220 FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works * Plannino * Parks and F�ecreation e Encineerinn
890 . 19 0),
LE=R OF TRANSN=AL
Date: June 28, 1993
To:
Kent Johnson
921 N.E. Boat St.
Seattle WA 93105
Subject: CRITICAL AREAS CHECKLIST
Transmitting: CA-176-93
For your information: x
As you requested:
For your file:
Comment and return:
Note attachments:
Comments "YOU MUST BRING A COPY OF YOUR CRITICAL
AREAS CHECKLIST WHEN YOU SUBMIT YOUR
BUILDING PERMIT APPLICATION"
cc: George & Carolyn Held
22905 74th Ave. W.
Edmonds WA 98026
Planning Division
Cindi Cruz, -Planning Secretary
LAURA M. HALL
MAYOR
0 Incorporated August 11, 1890. 0
Sister Cities International — Hekinan, Japan
City of Edmon&
Critical Areas Che'
ckfist
Ue Qitiml Anas Checklist contained on
this EOMI is W be fillod out by any person
Preparing a Devc1opmcnt Pcrmit
Application fOr the CitY OfEdmonds prior
to hislher submittal of a development permit
to the City.
The purpose of the Checklist is to enable
City staff to detctmine whether any potcatial
Critical Areas are or may be present an the
subject property. Ike information nce&d to
Complete d1c Checklist should be easily
available fmm Observations of the i�fti or
data available at City Hall (Critical Areas
inventories, m;aps, or soil surveys). -
REcEwEr)
JUN 2 4 1993
PERMIT CouNTER
An applicant. or his&er represmtative
fill out the checidist. sign and date it. and
submit it to the city. -rhe City will review
the ch=Uist, make a precamry site Visit.
and nuke a determination of the subsequent
stcPS necessary to complete a development
PCrmit application.
With a signed copy of this form. the
3PPlicant should also submit a vicinity map
of the pawd with enough debu-1 that Qty
staff can find and identify thesubject
parcel(s)- In addition, the applicant is
encouraged to include anyothcr perdnent
information or studies in conjunction with
this Checklist to assist staff in completing
their Preliminary assessment of the site.
I have con�pleted the attached Critical Area Checklist and attest that the answers provided -are
factual, to the best of my knowledge (MI out the appropriate column below).
Owner / Applicant:
Name
Tid�
2 7- lo 5 ld
Street Address
41< '39 e17
City, state, Zip Phone
Applicant Representative:
C2
Name
A g
Title
13,),4 1" 7-
Street Address
e, 5-
City, State, ZrP
Phone
Signat Date
Signature
Date
Critical Areas Checklist'
Site Information 4'ZO
231
Project Name: - Hrl ol� A..4,11 pemit Numbw. 993
F7,
SitcLocation:Zz1fO:5' 7,51�tI4 _Property Tax Account Numbw. YYI,�rs_py
Approximate Site Size (acres or square feet): 73�'oc
Have you filled out a Critical Areas Cheddist for a project on this site before? /UO
General Site Conditions
1. Has the site been. cleared or logged? P 0 Date of most recent action:
Soils / Topography
2. Indic Snohomish County Soil Survey, what is the mapped soil type(s)?
3. Describe the general site to&graphy. Check all that apply.
k"" Flat: less than 5 feet elevation change over entire site.
Rolline: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.).
)ffilly: slopes present on site of more than 15% and-Icss than 30% ( a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greAW than 300/a present on site.
Comments
Review(�*�'-* I
CA -
Determination* - Number
Planner
'Rev'N27/92
M. .. ... ....
0 'V
tv
tv
I
I
I
FM
WA-F-A JWJ IA/
En
F"If
>
>
> >
tv
A
*MN -
to
o�-' WCE,
NO WARRAMY OF ACCURAcy The Informer, r
Map Us COMPRed for use by the City at Ed,-�'i:�'
con
sultants, The CftyGf WmOnds does not warrjai'y C�
3�r
�9 set forth On the m2n
EVI �.%' �-"h /
ra
conduct an Independent Y Parson, or entity rdqikZ�r
ng the Intoi, j,
M4% Inc Wd In 9, but not 1IM-1dVo, V, -2Z
V;
;l Ocatiorl of an,
ay or
not Ust and may
10"'dioul" shown Aelth or 17-;4�, �-I;
11 monds no its c
T. of Ed
Off"e- sl,� -7! b e li&b 11`0 for th e in t Ct
on given On this map, nc"*"
Proviided baus r J�N Cr ,I
upoli aid ma'D
M
t
F
Cr)
F-1
F=
M
13
13