22910 EDMONDS WAY.PDF11111111111111
11003
22910 EDMONDS
WAY
ADDRESS:
TAX ACCOLJNT/PARCEL NUMBER:,2
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:— DETERMINATION: [] Conditional Waiver �Vtudyl= 0 Waiver
DISCRETIONARY PERMIT #'S:, 2106 Al 0, 5120J-�2
DRAINAGE PLAN DA:
PARKING AGREEMENTS DATED:
EASEMENT(S)RECORDED
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT F
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA'
LOT: BLOCK:
LATEMP\DSrs\Fomis\Street File Checklist.doc
0 0
Critical Areas Checklist
Site Information (soils/ topography/ �ydrol
1. Site Address/ Location:
2.
3.
4.
5.
Property Tax Account Number�
9__�
CAFI]eNo:
I D110 00 0 q
Approximate Site Size (acres or square feet):
Is this site currently developed? yes; — no.
G
If yes; how is site developed? iAA
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: _AJQ ; Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the y
8. Site is in the floodway water course.
9. Site -contains a creek or an a 11 In
10.
11.
1.
2.
3.
4
5
.�. VV ene water ows across me grounds surface? Flows are year-round?
Vol Flows are seasonal? (What time of year?
Site is primarily: forested meadow shr bs n-dxed
urban landscaped (lawn, shrubs etc) gv�& VA( X
Obvious wetland is present on site:
------- City Staff Use Only
Plan Check Number, if applicable?
Site is Zoned? -Ma tfl -_ I LA 2es t de_-P,-h,
�M
SCS mapped soil type(s)?
14
C!rit'ical Areas inventory or C.A. map indicates Critical Area on site?qot�7 Lq
Site within designated earth subsidence landslide haza d area? Met P'>-1 pe-W A-�Tus- -
DETERMINATION
X STUDY REQUIRED WAIVER
Reviewed by: D
Critical Areas Checklist.doc/4.22,2003 p-, 6-oj,4 A-o5.04,5
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City% Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
425.771.0221
.. . 1� I'll, I 1 -1
"tc ist contained on this form is to
-"I �1;11 I �
The I I �e s)'&' ki
be filled out by any person preparing a Development
Permit Application for the City of Edmonds pnior to
his/her submittal of the application 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. ne 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).
I
Date ReWived:—* 114 t DH
City Receipt #: '239 3�
Critical Areas File #:
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant:
A property owner, or his/her authorized 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
pennit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in firiding 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 assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, 'in consideration on the processing of the application agrees
to release, inderrinify, defend and hold the City of Edmonds harmless fi7om any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applica -hi - er/its; agents or employees.
'y the applica ' is' er/i's
By my signature, I certify that the info at and exh its herewith submitted are true and correct to the best of my
to f
knowledge and that I am authorized to fi a on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT DATE 01
Property Owner's Authorizatio*n
By my signature, I certif� that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my perri-iission for the pub_4c officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posti a endant to this a
SIGNATURE OF OWNER
DATE
Owner/Applicant;
Name
Street Address A
X
City late zip
Telephone:
A41215)
Email address (optional):
Ap licant )Representative:
6(60� 0 Air P �k*
Name
/, M 4
Stree�Address
�, (V k Ail
City State Zip
Telephone:j � U; 5 -) V7 9 - 5 q L 07D�
Email Address (optional): -61wsfa
Q
Critical Areas Check] ist.doc/4.22.2003
0 UTY OF EDMONDS
CR�T�CAL AREAS DETERWNAT�ON
Sitel-ocation: 2291OEdmondsWay Tax Acct. Number: 27033 001 020 00
Determination: Study Required Determination #: CA-04-12
Applicant: AD Shapiro Architects Owner: Hans Lammersdorf
CRITICAL AREAS DETERMINATION: STUDY REQUIRED (CA-04-12)
During review and inspection of the subject site, it was found that the site may contain
or be adjacent to a Steep Slope Hazard Area, pursuant to Edmonds Community
Development Code (ECDC) 20.15B.06OA3c. A Critical Areas Study will be required to
delineate the boundaries of the critical area, buffers, and setbacks.
STUDY REQUIREMENT — STEEP SLOPE HAZARD AREA
Prior to submission of any development permit, you will be required satisfy the
requirements of the Critical Areas Chapter 20.1513 by completing the following Steep
Slope Hazard Area Delineation Requirements:
A topographic survey must be prepared by a Licensed Land Surveyor to
delineate any Steep Slope Hazard Areas.
A steep slope hazard areas is defined by ECDC 20.1513.060 as ground that rises
at an inclination of 40% or greater within at least 20 feet of elevation change. In
order to delineate a steep slope hazard area, it is necessary to locate the top
and toe of the slope. The inclination of the slope is established by averaging the
inclination over at least 20 feet of vertical relief.
A 50 foot wide buffer plus a 15-foot building setback will be required from both
the top and the toe of the steep slope hazard area. Refer to ECDC 20.1513.080C
and 20.1 5B. 11 OA.
2. In order to complete the Study Requirement, a map must be submitted to the
Planning Division for review and approval.
DEVELOPMENT PROPOSALS ON A SITE WITH STEEP SLOPE HAZARD AREAS
Development is restricted within the Steep Slope Hazard Area, its buffer, and/or
building setback. If development must occur within these areas, the applicant may
pursue certain processes provided in the Critical Areas Chapter of the Edmonds
Community Development Code. The applicable process depends on the specific
development proposal and site but may include one of the following:
Buffer Reduction. For development proposals within 65-feet (50-foot buffer plus 15-foot
building setback), but no closer than 25 feet (10-foot buffer plus a 15-foot building
setback) from the top or toe of the slope, the 50-foot buffer requirement may be
reduced to 10 feet if a study is completed by a licensed geologist or geotechnical
engineer. The study must clearly demonstrate that the proposed buffer alteration will
have no adverse impact upon the site, the public, or any private party. Essentially,
Pdevelopment could be a iowed as close as 25 feet from the toor toe of the slope. The
15-foot building setback always applies no matter how much the buffer is reduced.
Refer to ECDC 20.15B. 11 OA.
Steep Slope Exemption, Critical Areas Variance, or Reasonable Use Exception.
Development proposals closer than 25 feet from the top or toe of the slope may be
allowed through the approval of a steep slope exception, critical areas variance, and/or
a reasonable use exception. These Land Use Permits that must be obtained through
the Planning Division. Refer to ECDC 20.1513.1 IOD2, 20.1513170A, and 20.15B.040C.
PROJECT SPECIFIC CONDITIONAL WAIVERS
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Areas located on the site, they may submit their proposal
to the Planning Department for review. If the Planning Department finds that the
proposed development permit will not adversely impact a Critical Area or its buffers, a
conditional waiver may be issued on a project by project basis.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements.
Refer to ECDC 20.1513.040.
If you need additional information, please contact a Planner.
Cited sections of the Edmonds Community Development Code (ECDC) can be found
on the City of Edmonds website at www.ci.edmonds.wa.us.