23107 102ND PL W (2).PDFiiiiiiiiii
212
23107 102ND PL W
City of Edmonds
Critical Areas Determination
Applicant: I Craig Reimer Determination #: I CA-00-178
Project Name: I I Permit Number: I
Site Location: 23107 102nl pl. W. -1 Property Tax Acct #: 1 6107002
Project Description
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears to contain
and/or is adjacent to a Steep Slope Hazard Area pursuant to Chapter 20.15B of the Edmonds
Community Development Code (ECDC).
Based on these findings, prior to submission of any development permit, you will be required
satisfy the requirements of ECDC 20.15B by completing the following:
Steep Slope Hazard Area Delineation Requirements:
To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a
Licensed Land Surveyor delineating Steep Slope'Hazard Areas must be completed. Any slope -of
40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50-
foot buffer is required from both the top and toe of the slope. A 15-fobt building setback is
required from the 50-foot buffer.
For development of any kind which is proposed within the critical area, 50-foot buffer or 15-foot
buffer setback, it must be shown that the development will not adversely impact the Critical Area
or its buffer, by doing one or possibly both of the following depending on the outcome of the
study:
For development proposals which will occur within the 50-foot buffer, but no closer than
10 feet from the top or toe of the slope, the 5 0-foot buffer requirement may be reduced to
10 feet if a study is completed by a licensed geologist or geotechnical engineer which
clearly demonstrates that the proposed buffer alteration will have no adverse impact upon
the site, the public or any private party. All Critical Area Studies, except those done by a
licensed geotechnical engineer, must be completed under a three party contract where the
City hires the professional required, and the applicant pays for the study (pursuant to
ECDC Section 20.15B.140).
2. If development must occur within the critical area, buffer, and/or buffer setback, and is
not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20.15B. I 70A and 20.15B.040C.
Erosion Hazard Area
The site is also in an area designated on the Critical Areas inventory as Slopes with Erosion
Potential. All proposed development must have an erosion control plan approved by the City of
Edmonds Engineering Department.
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 Areas or its buffers, a conditional
waiver may be issued on a project by project basis.
Name
Signature
Date
PA
CA FILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/ve tation)
I . Site Address/Location: Oznj- PL— 2
2. Property T * ax Account Number: 61n ool oul
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed?_ 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 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: NO Approx. Depth:
7. Site contains areas of seasonal standing water: JV 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 area where water flows across the grounds surface? Flows are year-
round? JV Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: (\9
------- For:City: Staff Use:Only��--m ------
tz ......
eis. oned?:,.
SCS mapped, soil,type(s)?.- AUD04LW61
3. Wetland inventory or C.A. map indicates wetland present on site?
4- di t C �.SL�6:pe�s! :.q:
Critical:Ardag inventory or C.A. map m ica es ri cal Area on si e.
Site..within designated. earth, subsidence landslide, hazard-area?:.......K[b
s NO
...... Site designated on the Environmentally Sensitive Area Map......,
MMMINATION
fta�_chk.doc; Rev 10/03197
ED
.....
City of Edmonds
.......
1p
Development Services Department
Planning Division
Phone: 425.771.0220
ax: 425.771.0221
Critical Areas File #:
Critical Areas Checklist Fee: $45.00
Date Received by Dev. Serv. Dept: —a C> - 2,C)06
City Receipt No: --- 4-149 6� 2- 4
Date Mailed Ap 4pplicant:
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 Priorto 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).
I - PLEASE PRINT CLEARLY I
Owner/Applicant:
CM
Nam�,
Street Addressl
aN-&� Wh ft�o
City State Zip
TAephone
Sig re
/ayu
100/Do
Dafe
Applicant Representative:
Name
RECEIVED
Street Address NOY 2 0 2000
DEVELOPMENT SERVICES
City State Zip
Telephone
Signature
Date
d:reception/jana/CACLHandotA.doe Revised 4/1012000
C
P_
r-
&
DECLARATION OF SHORT SUBDIVISION AND OF CDVMAM.
Z(
S. P/3
Know all men by these presents: C&
'4 F# -7.40YI4032Z
That we, the undersigned, having a real interest in the tract of land dea�
cribed by this declaration; and do harqby declare the herein descrLbld division -
of
,,..land approved as short plat numbei n the day of
a--%x by the Planning Department of Snohomish
County,4subject to the following covenants and conditions:
1) That the land described by this declaration may not be further sub-
divided In any manner exceeding a total of four (4) parcels by anyone within
five (5) years of the above date of approval without a final plat, having
been filed for record with the Auditor of Snohomish County, pursuant to the
provisions of Lt. 58.17 RCW, and the resolutions of Snohomish County, and
subject to the penalties attendant thereto.
2) That all subsequent deeds will contain provisions for private roads
In the manner described herein.
31 That -11 —4
ntenance of any private road described by this declaration
shall be by the owners of, the parcels having legal access therefrom or their
heirs, assigns, or successors. unless and until such roads are Improved to
Snohomish County standards, and dedicated to and accepted by Snohomish County.
4) That any private road will be subject to a utilities easement in favor
of the grantor or his successor and of any electric$ telephone, television cable,
gasp water, or sewer company, public or private, or their permittees or assigns
to install, construct, operate, maintain, alter, and repair their respective
utilities, together with the right of ingress and egress for said purposes.
5) That with respect to any private road described by this declaration
whather it remains private or becomes a dedicated county road, there is the
additional right to make all necessary slopes for cuts and fills; and the
right to continue to drain said roads and ways over and across any lot or
lots where the water might take a natural course upon reasonable grading pur-
suart to improvement for dedication of the roads and ways shown herein. Fol-
lowing reasonable grading pursuant to improvement for dedication of the '
roads and ways shown herein, no drainage waters on any lot or lots shall be
diverted or blocked from their natural course so as to discharge upon any public'
road rights -of -way or to hamper proper road drainage.
6) rhat the legal description and the illustrative map attached hereto of
this short subdivision(are) (aine-not) based upon accurate surveys.
7) That the legal description of the land herein subdivided Into not more
than four (4) parcels is attached hereto and lncorp�rated by reference as though
fully set out herein.
8) That additional covenantas easements, and restrictions, if amys solely .
for Lhe benefit of tha grantor. and his heirs, successors and assigns enforceable
only by such persons, are attached hereto as exhibits 'L Al'
and incorporated by reference as though only set out herein.
MqW314
M
CD
%a
- rr
S
Au 40
J! ru 0
z
RSCEIVED
JAN 2 3 ZUU1
DEVELOPMENT SERVICES CTR-
CITY OF EDMONDS
air
WC;,"i
LM AA0
V011100
contained in peregraph* (8) above, these fors
That. but for the excSOLOS grantor and his halt@$ fucc*o
Covenants axe for the mutual benefit Of the c.pliance with the res6lu-
axe for the further purpose Of
and &$signs and SnOhmish County a;d the county and such Persons
tions and regulations of ght to enforce these restrictions and reserv&tiO"
are specifically given the ri procedure sod to recover any daug*s resulting
by injunction Or other lawful
from such Violation. 19--L-jl-.
-beh day of
Dated this
�(Gr-tOl) -AAA-
�IG
.1
'Z", (Gr tor) Grantor)
�,' �(Grtntor)
State of Washington) as.
County of Snobmiah) Berths S. vinum in
on this day Personally appeared before us
th
known to be the individualadescribOd in I
to ustrument and ackrowledged to me that ad for the
and foregoing i free and voluntary act and d
sisnea the Same as --SmLr—
purposes therein mentiOued' ember' -
&I this 30th day of septa
C,ven under my hand and official se
19-27
RDTARY PUBLIC in and for the state
� r�L.,_C in
of Washington$ residing
Zdmonds
000
..........
4j
0 if B k.
AAQ 8
VOL110
77093onJI4
LARM Ur VIA"le
1976 MN 4 05
VAn=Ka9LAG&MM
MEN
IM
ti at* wilpsce 61--the
V,
cost. of the wastery 270 feet, 99 TV&4t Pos
All at this W"t4tI7 135
stock 20 Plat of Westgate P. % Division go. 20 accoiaLng to the
&to, Pages 40 and 41LO records ex.,
thereof recorded to VOIUMO -I Of 71
Snohomish county$ Wo'shingto I EXCEPT the MGCtb6CIV 30 goat tus"691
set 01 Cho Westerly 135 940 9
TO=7HER WITH the Nott"Cly 'a f $at* Per,, cov.
USCOV17 270 fast Of Uses : 6, Plot . of.wast
All of the Easterly 135 fee I of Tract 170 stock 2. plot of Westgate, Park
Division No. 2; =VT tbo.-arth4fly 2S fast of the 9"COV17 95 foat' '
. 9 the Westerly 40 goes of 04 244841917 &V
AND Z=rf tb4 VC'rth*C'7 So fast a Tr , 1j'. -:L.'
east of said T:"t Ile "t
TOGZTEMR WzM the Northerl 10 fact of the ustatly 335 fast 09
IS. Stock 2, not of Vastgato Pat%
KM Cs All of tb& Easterly 175 fGc'- Of Tract
Division No. 2; ALSO the luctharty 25 feet of the xast4rI7 95 goat of
17, Block 2 of said Plat.
FAACZL 0: Tract 190 Block 20 Plat of Westgate fack Division 110* 20
the ;ojut perpetual r ght to Uss the roa&ny described bstav
They shall have cost of maintaining slid 10,6dws'll
and that they shall &bar* equally the
IoArjAy V-SCR TTOK: The motth4ril 33 feet of Tract 17, Block 2, flat Of V*Stl&"'
Park Division K - 2; IASS Cho Zestarly 95 '*at thereof
1by the vajorft7'af tU
The need for maintenance ArA/or rePait sho�ll be dstsrmL"@� I number of owners'abalt,
owners of said roadway-, bmaver, in ti a event that &a aqua ReA of
c be against any particular maLatenA
b-o in favor Of &Ad an equal numba such work vill. be dOVA
to&$ -Of g-coin whether Of not
it shall then be decided by 4 however, no liability Go Cho Pact of
&rd the cost shared equally by all Ps ties; intenance and/or repair shall begin -1XIttil.
parcel for said roaclAY mA
tt.e owners of any of Cky excavation of any kind to build a base On
lly begun any work a for any
they have actuA uwner uf any parcel be 11,bl
their particular parcel. In no case %III the
the da age caused to said roadway by the OwAOC Of
roadway repair necessitated by
another parcel.
Core and &&signs am
This agr #ment shall to binding on our haiTso 4x64u described AM&*
I Awd by Me v
shall be construed as a covenant runoLas with the land* W and 06&j* thLe
IN WITNESS VHRUQP, WS have batsuiatV Sgt,our bonds
-"y of October, 1976.
-K
d 44 f
'? ,,
A
AS�
15'1�66
IVY* ......
- .110
Votscy Tubt a t actabows
SUBSCRIBED and swro, to before "s 17,
1.
No SALES TAX ka
REQUIRED Cary Pubt c in and for Cho St-at-
V"bLogtous resUing, at 14mon"
Nov 51979'
b)MA CM4 11
402
VaLI188. W7
"A
77093On3l�
.i
.A
�U
SHORT SUBDIVISION APrl6Lun&&
Snohomish County Planning Dep
Snohomish County Court House
Everett. Washington 98201
Phone: 259-9311
IvEli
4U G 3 11977
UCG 31
Co. I'LANNI\G OFFICL
feu. 1.4
ILE NUKIER 122 (4-761
(Home)-778-1862
ounuvo tBusiness)
NANE: Be-tha S. wincem
ADDRESS: 23029 102nd Pl. W. FAmOnds. WO- 98020
I
So,. 36 Twp. 27 Range 3— Zoning of Propect
Source*of Water Suppl Public
Name of Water District. if any �lvmltc Vi
Nethod of qew&ge Dispose sanitary Sever
MM: Health District signature does not indicate suitability Of these lot*
for septic systems; This review applies only to the Plat ' 92 & whole, and that
sewage disposal requirements for each lot shall be subject to soil analysis as
determined by tests performed on individual lots.
Name of Sewer District. if an
To be signed by the applicant:
I hereby c a rtify that the legal description Of the land being divided
and accompanying this appltca tion shows the entire contiguous land in which
there is an interest by reason of ownership, contract for purchase, earnest
momey agreement, or option by any person, firm or corporation in any manner con-
nected with the development, and listed below are the names, addresses, and
telephone numbers of all such persons, ftrms or corporations.. (If same &a
applicant named above, leave blank.)
Phone:
(111 Name
Addres
Phone:
(2) Nam
Address /?57
(Date Property Acquired)
kbignaLUrC ot Applicant) ............... ..
--------------------------------------------
VICINITY MAP
�fl.ld L�soeCtOv to locate Bit@)
I
zk-
I A
t
I
r
nu
77ae& 1.6-17-14
A4Ffrrv4 72r A.4RX AQA-0 10
MS#lAlf MAI
9 2 7
19
45z. 90
30
In
QD d
df
%
10 Z6 7 Z, 79 SO 7'
r
Z07- eo, &coo -To Fr�
L07- V 1P
"C
4,97' 4-- 1Z,,9ZSr
Vt�.
0-� 13% ke,
MEYRING & ASSOC., INC.
�k "io 1.423 Highway 99
cc
L-Anionds, WA 99020
0. Box 32 Iyqfi*vL-J, WA 91016
'1-4 L -778-1101
Do not write below this line
. ...........................................................................
I hereby certify that this short subdivision complies with the conditions as se;
forth in.$hq Snohomish Cam
.uty Short Subdivision Code, Title 20, and is approved
this d y of 19 -7:2 subject to recording
a
Sn
with the Auditor of ohomisWCounty and under�the conditions set forth in the
attached Declaration of Short Subdivision.
GEORGE SHERWIN. A by: ICL-g.
Director of PlafinPlg
VOLI188 FAcE721
7709300314
k
7411tusiber 132 (4-76)
LEGAL DESCRIPTIONS
OVER-4LL IECAL
All of the Easterly 175 ft. of Tract 10, Block 2, Plot Of Westgate Park
Div. No. 2, records of Snohomish County, Washington.
All of Tract 17# Block 2, plat of Westgate Park Div. #2.
All or the North 10 ft. of Tract 16, Black 2@ plat of Westgate Park 0Ivq #20
*TRACT I
All at Tract 17, plat of Westgate Park Div. #21
EXCEPT the Easterly 270 ft. thereat.
EXCEPT the Northerly 30 rt. thereof.
TOGETHER WITH the Northerly 10 ft. or Tract 16, Black 2* plat of Westgate
Park Div. No. 21
EXCEPT the Easterly 270 ft. thereof.
TRACT 2
All or the Westerly 135 ft. of the Easterly 270 ft. of Tract 17, Block 2,
Plat Of Westgate Park Div. �rftj
EXCEPT the Northerly 30 ft. thereof;
TOGETHER WITH the Northerly lo rt. or the Westerly 135 ft. of the Easterly
270 ft, or Tract 16, plat or wostgate Park Div. 12.
TOGETHER WITH 1/4 interest in a private road for ingress, ogress and utilities
described as the North 3o rt. or Tract 17, Block 2, plat of Westgate Park Div. 12,
lose the Easterly 95 ft. thereat.
TRACT 3
All of the Easterly 135 rt. or Tract 17, Black 2, plat of Westgate Park
Div. ;2;
EXCEPT the Northerly 25 ft. of the Easterly 95 ft.
AND EXCEPT the Northerly 30 ft. of the Westerly 40 ft.'of the Easterly 135
ft. of said Tract 1?.
TOGETHER WITH the Northerly 10 ft. of the Easterly 135 ft. at Tract 160
Block 2, plat or Westgate Park Div. 12.
TOCETHER WITH 1/4 Interest In a private road for ingress, egress and
utilities over and unan the Northerly 30 ft. of Tract 17, Black 2, plat of
Westgate Park Div. J2, less the Easterly 95 ft. thereof.
TRACT 4
All or the Easterly 175 rt. of Tract 18, Block 2, Plat Of Westgate Park
Div. 12;
ALSO the Northerly 2S rt. or the Castarly 95 ft. of Tract 17, Block 2,
of said Plat.
T3GETHCR WITH a 1/4 interest in a prlvaL�. rnad for Ingress, agrees and
utilities over# upon and undor the Northerly 30 ft. of Tract 170 Block 2, plat
at Westgate Park Div. No. 2, lose the Easterly 9S ft. thereat.
EXCEPT the West 20 rt. or the Easterly 175 ft. of said Tract 10 for a
private driveway to Tract 19 for ingress and egress and utilities a0er, upon
and under same. Said 2o rt. drivuway includus 1/4 interest In a Private road
for ingress, egress anj utilities over and upon tho Northbrly 30 ft. of Tract
17, Block 2g Plat of Westgate Park Div. #2, lose the Easterly 95 ft. thereof.
hereby certify that the above vritten descriptions of the property contained
to this Short Subdivision are accurate and correctly described, the Individual
tracts contained therein.
R. 2. Moyring # 26
770930n314' VOL 1188 FACE I
If
City of Edmonds
Critical Areas Determination
Applicant: I Craig Reimer 77] Determination #:. I CA-00-178
Project Name: I I Permit Number: I
Site Location: 23107102 nd pl. W. Property Tax Aect #: 6107 002 016:02
Project Description:
Non -Project Specific
Determination: Study Required:
During review and inspection of the subject site, it was found that the site appears to contain
and/or is adjacent to a Steep Slope Hazard Area pursuant to Chapter 20.1513 of the Edmonds
Community Development Code (ECDC).
Based on these findings, prior to submission of any development permit, you will be required
satisfy the requirements of ECDC 20.1513 by completing the following:
Steep Slope Hazard Area Delineation Requirements:'
To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a
Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed. Any slope of
40% or more with at least 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50-
foot buffer is required from both the top and toe of the slope. A 15-foot building setback is
required from the 50-foot buffer.
For development of any kind which is proposed within the critical area, 50-foot buffer or 15-foot
buffer setback, it must be shown that the development will not adversely impact the Critical Area
or its buffer, by doing one or possibly both of the following depending on the outcome of the
study:
For development proposals which will occur within the 50-foot buffer, but no closer than
10 feet 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 which
clearly demonstrates that the proposed buffer alteration will have no adverse impact upon
the site, the public or any private party. All Critical Area Studies, except those done by a
licensed geotechnical engineer, must be completed under a three party contract where the
City hires the professional required, and the applicant pays for the study (pursuant to
ECDC Section 20.15B.140).
2. If development must occur within the critical area, buffer, and/or buffer setback, and is
not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception
and Variance must be obtained pursuant to ECDC 20.15B. I 70A and 20.15B.040C.
111
Erosion Hazard Area
The site is also in an area designated on the Critical Areas inventory as Slopes with Erosion
Potential. All proposed development must have an erosion control plan approved by the City of
Edmonds Engineering Department.
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 Areas or its buffers, a conditional
waiver may be issued on a project by project basis.
Name Signature Date
2
q5 7-1
ell-
e'o
It ioiAo ;6(..
t
W%:N
TE Eo 5091L ql4f�eq'
W
C)
cn
C=3
I— I %Ttm'Po FlAAlAof-TON ENTRANCE DETAIL)
C..3 a.0 &CK;k'4,4�
LU ccw�
CL. L-%%
.J L I I D' A 3 N IL
01
C-11 cg' wo\ . 0
C:i
c
g=
It"'
CZ
uj
lb\.'C%i'
PW v\N, JOWRW
JID
ALI, \Al, 17S.11,
(�Et UNM\�)� ��
W'vl- li"LA
124
RECERVED
FEB 2 0 2001
J'�
DEVELOPMENT SERVICES CTR.
CITYOFEDMONDS
STANDARD DRAINAGEDETENTIONSYSTE114'
WORKSHEET
OWNER
AMDRESS
IMPERVIOUS AREA
=�-A'�AG2-77
FROM CONTROL CB
FINISHED
CALC BY -
PHONE:
DATE:
*****DESIGN DATA *** **
PIPE DIA
PIPE LG
DOTENTION PIPE LENGTH
LOCKING L11
XTYPICAL)
r4L MINIMUM
UPPER CATCH BASIN
ZY TO ly SLOPE
ORIFICE
6WENOWPOINIpp OF
CONC BOX OR RISER
------TO_GUTLET
OUTLET CONTROL
141 N,
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2'X2'X6* DEEP, 4-6' SPALLS OR EQUAL
'X 3- DEEP, 3/4' CRUSHED ROCK RADE
AIPRAP 0177"LEF
FROM CONTROL
RzCEn1r,--D
FEB - 2 0 2001
DEVELOPMENT SERVICEs CTR.
CITY OF EDMONDS
W t
ROCK
II
75TFLOV TRENCH, MIN 10' LdMG.
CRF PIPE TO BE LEVEL
ERr PIPE W/ END CAPS
IMALLC&LI"Sp
A 0 PLA N 'iN ROCK
PR50'A"T WASHMEMD1A?A
RUNOFF SPREADER. TRENCH
FOOTING DRMNS SHAU NOT BE CONNECTED TO DETENTION SYSTEM
NOTES.-
L Call Engineering Division (771-0220) for a tightline and detention system inspection
before backfilling and for final inspections.
APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on private property i: the
responsibility of the property owner. Material accumulated in the storage pipe must b flushed '01
out and removed from the catch basins to allow proper operation. The outlet control orifice DATE
must be kept open at all times.
0 - .
lfbmt� \ap� WX
ca
4
-j
[EXPRES
4c?,
1% NOW"/
I
a/
----
.
1011 2 1.
uj
1 4 rIl-k Kit
Kvim CAVO.'.
b0i I
PW 10b.R4'
10 1. A'
k D5,0,
100.(Ja'
MNY- M. M\O�t'
100115
Acl� V\-\,
lo7h\-: 403,14
(�u �LNmmf> u)
N-Tl IV'%,% 7nill NVINNA W4104". tkwI-lL)vAj
IWO\
o
N
cis
9q 0
101
yo�t
- m,
-j c"
i1-C
f-
ECEIVED
JAN: 2 3 2001
�VELOPMENT SERVICES CTR.
CITY )DF EDMONDS
'CO, *'
(�'A) 10bR4'
loo.��
ft*t m, \75,0�k'
I
100.15
An, vi, 17S.T),
40�.Ik
(�K �LNN\tl� ��
WNIMN
V 'y
' 'Z4
Lmm_� L��
ul� Orr C�5
FK0
k%O") OLYML Yatl W
*-- 10
\10,) wri V\,.
IA
3,q
cis
L
ch ol
0
Lp
0
0
ao
PW v\N, 10bR4'
lo I. k D5,0,
�t 100.vo ft\P* M.
16D,15 I An� 0),
101K 403,lLk U)
"Wort, T,$ E D
FEB 2 0 2001
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
\O)A �\,\4
PATE RECEIVED
AL A!., PERMIT EXPIRES
CITY OF
USE . ....... PERMIT
ZONE
k15—
EDMONDS
NUMBER
[)I
CONSTRUCTION PERMIT APPLICATION
j68 I
SUITIE/APT#
ADDRESS
1�1 XAla?
OWNER NAME/NA E F BUSINESS
C�ISX119
PLAT. NAME/tUBDIVISION NO.
LOT NO.
LID NO.
evix-D
132- (4 - 7�
LID FEE $
W
MAIL14GADDkESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP App�ed 0
RW Permit Required 0
z
0
04t�NL Vow bf
EXISTING PROPOSED
REOUIREDIJEDICATION_ FT
Street Use Pennit Req'd (3
Inspection Required 0
Sidewalk Required 0
Undergmund
CITY IP
LEP
47E _� ,
0) f
FF
—
I
Wiring req . utred 0
NAME,
Ntok fNS�4(N
METER PIZE,/
LINE S1,ZE
I I
NO. OF FIXTURES
PRV REQUIRED
YESx_ NO C3
--
—
M
U,
ADDRESS
REMA S
OWNE /CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
z
z
0
C'�zo sw of�
z
W
ZIP
TELEPHONE
V &—)O\
VI
fi_&IN _%tl)l My
tvr(*-ru (sp xn�,Dt� A) r�MA(,�-
NAME
ENGINEERING REVIEWED/DATE
ADDRESS
FIRE REVIEWED BY DATE
W
CITY ZTIP
TELEPHONE
z
0
cc
IL
4!—�
VARIANCE OR CU
rSHORELINE OR ADB#
INSPECTION
D
IPBOND
OSTED
sees
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
`E 4/MLO I
0 Y NO
SEPA RPVIEW.-
COMPLETE]' EX.�MPY'
SIGN AREA
ALLOWED
HEIGHT
kLOWED.., hPfIPPO§ED
-j
PRO ERTY TAX ACCOUNT PARCEL NO.
w
M1 —016-0)
EXP
NEW RESIDENTIAL PLUMBING MECH
LOT COVERAGE
ALLOWED POSED
REQUIRED SETBACKS (FT.)
FRONT SIDE R . EAR
PROPOSED SETBACKS (FT.)
FRONJ REAR
C] ADDITION COMMERCIAL c3 COMPLIANCE OR
0
AV
L
__!J�I§IDE
z
CHANGE OF USE
C] REMODEL C] APARTMENT SIGN
z
CL
PWING
RE VIDED
LOT AREA
P/L:AN REVIE�,EDB E
10
JA Gen C3 FEN
REPAIR CYDS X FT)
REMARKS
DEMOLISH TA14K, OTHER
z
GARAGE RETAININGWALL RENEWAL
CARPORT 0 ROCKERY
I=
0.
(T�E�E�SIVESSO ACT Y) EXPLAIN:
CHECKED BY
-TION
S.TRUC
C OCCUPANT_
'717
GROUPe
ZMBEA JI
OF
NUMBER OF
DWELLING
CRITICA
AREAS
W
0
/V
SPECIAL INSPECTOR JAREA 15T-t�7ttfL41 1511P WCCUPANT
0'
STORIES
UNITS
NU
REQUIREDY-- &r) _ CAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
5
L4r-
_j
5
qe
Ff_ 0
I'Llfe- H [AI�IAIW!. DUNAJ 1`5s Z*lvet IlYh
n. FAVTON -R1)LL-_-,t(L -77E�q
A
VALUATION
FEE
PLAN CHECK FEE
1!57
Z,
HfiAT SOURCE GLA BUILDING
70
PLAN CHECK NO' VESTED DATE PLUMBING 157 etl�
MECHANICAL
R I
THIS PERMIT AUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK *0
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
M
SEPARATE PERMISSION.
t _0
STATE SURCHARGE
s
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT' I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE
Ul
I IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND A5: 0 0
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY A
RECEI T
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT (Z
01 7
_j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 6
, sss�
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
TOTAL AMOUNT DUE
1 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 APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH,61TY AND STATE LAWS REGULATING CONSTRUC. This application is not a permit until signed by the
CALL
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid. and
IN VWTION OF THE LABOR CODE,bF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
W COMPENS�;If)N INSURANCE AND RCW 18.27.
,9RKYE�N'S
IG URE qW G T) D4TE N ID OIF "ALS S.IGNATURE DATE
O-W PIGN (425)
771 0220
ATTE)MON EXT 333 LEASED BY J DATE
ITISALAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL pu
771-0221
1
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI-
ORIGINAL -FILE - YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK - OWNER - GOLD - ASSESSOR
5/98