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PLANNING DATA
SITE ADDRESS:
15 44
PROJECT DESCRIPTION: -/-I a/lj-7 —PLAN CHK#: 03-
REDUCED SITE PLAN PROVIDEW: (Yes / No
MAP PAGE: 025 CORNER LOT: MG-211 MO FLAG LOT: LyhesktQ
ZONING: P-9 - 13- CRITICAL AREAS DETERMINATION #: 02- - c i
U study Reaulred:
�UN,Lfver
UConditional Waiver
SEPA DETERMINATION:
UFee
Checklist
L3APO list w/ notarized form
LJ (Needed for 500 cubic yards of grading, Shoreline Area. site within 200 ft. of Puget Sound or Lake Ballinger)
/�64empt
SETBACKS:
Required Setbacks:
Street: '
2=5 LeftSide: RightSide: Rear:
Actual Setbacks:
Streetq:7- Left Side: -�2 Right Side: ar:
Street map checked for additional s ck required? Yes No NA
--@-SE*AGHED-&MCTURES: 7!,e�a s47
-Z)-R0eKER1E-6- h,177 _"'�
_-L3-FE*GE&q:Rsu4SES: 64�-�
Q BAY WINDOWS 1 PROJECTING MODULATION:
r%:r A
_1 AIRS 1 DECKS -
PARKING:. Required --;;,L_ActuaI:,&/0 A
-4- 14-7 / -4- 11 zo -+-
BUILDING HEIGHT:
Datum Poir
Maximum Allowed: ' '/ &S
A-D.U. CREATED?
-4-
Height: 4�*� e--
SUBDIVISION:
LEGAL NONCONFORMING LAND USE DETERMINATION. ISSUED: LY—GS 670)
OTHER:
f:i�
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NewBPP1anningDataForrn.D0C
02
CA, File No�
i ica�'[ Areas,,,- hecklist
Site Inforn��fion (6oils/16' gr4ph�/�ydro�W-v�eje!A#oxi):'
PO
233111-4umbpr L4ne Edmonds, WA980.20
1 Site Address/.Loca,0,
2. Property Tax Account Number: 0 57 --�l 3 0 -a2 0-0 8 0 0
t1A
3. AP'i5roximate-Slie. Size (acres. or. square feet):, 1,` 4,,, 8-5 0 S. F.
4. Is tl�ds site currently developed? X yes; no.
-7-
7
'ily. Res.idence,._
If yes; how is site developed? :Single',�, �4iq'
5. Describe the general site topography. Check 0, ihlaeapply-
X Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally les's than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Pay: sl6p`o'� a vertical., nse of 10-feet
than 15% and'less� than:.30%
dis e4 �3
over a horizontal l'tanc to �046.et).
Steep: grades 4 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: No Approx. Depth:
7. Site contains areas of seasonal standing water: No Approx. Depth:
What season(s) of the year?
8. Site is in the floodway No floodplain No of a water course.
9. Site contains a creek or an area where water flowsacross -the grounds- surface? Flows are year-round?
No Flows are seasonal? (What time of year ?_
10. Site is primarily: forested ; meadow ;shrubs mixed
urban landscaped (lawnshrubs etc) Yes
11. Obvious wetland is present on site: No
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Critical Areas Checklist.doc/3.19.2001
'-City of-Edm0Ud&':,-
Development Services Department,
Planning Div'isi on"
Phone: 425.771.0220
Fax: 425.771.02'� 1
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 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. The information
needed to complete the Checklist should be easily
availableF from 6bg6tvati-oids-bif -the- -site -or data availabl_e%�t
City Hall (Critical areas inventories maDS. or soil
surveys). Pt E CE IV I—EeD
%ith's' 2 2 2002
Date, Received: 7,-
City Receipt#: 19,60
Critida'l-Arda'-'s' File#.",. -CA-�2,0
'Critic,?il Areas Checklist Fee: $45.00
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
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
sp�dcific_ piece of property deiscribed7'on this for -in. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in copiunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
PEM"H+ 8@HH+ER
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from 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 applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANT/AGENT —DATE 5/13/02 ___
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the pAlic officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and po; Wat9md4�F.66't—h�i application.
SIGNATURE OF OWNER
Owner/Applicant:
Barry & Diane Faigel
Name
23313 Humber Lane
Street Address
DATE 5-- /'r— 0Z_
AppUcant Representative:
Erin K. Neil/Patricia Brennan Arch.
Name
2618 Eastlake Avenue East
Street Address
Edmonds, WA 98020 Seattle, WA 98102
City State Zip city State Zip
Telephone: (425) 542.7-8324 Telephone: (206) 328-2886
Email address (optional):
Critical Arcas Checklist.doc/3.19.2001
Email Address (optional): pbarch@earthlink.net
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
May 29, 2002
Erin K. Neil/Patrician Brennan, Arch.
�6118 Eastlake Avenue East
Seattle, WA 98102
Subject: Determination regarding Critical Areas Checklist: 2002-0108
Dear Applicant:
Enclosed please find a copy of the Critical Areas Checklist you submitted.
GARY HAAKENSON
MAYOR
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
"DETERMINATION" FOR YOUR RECORDS.
Please examine this Determination for additional requirements. You may need to submit
additional information 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.
YOU MUST SUBMIT A COPY OF THE CRITICAL AREAS CHECKLIST and DETERMINATION WITH
ALL PERMIT APLICATIONS OR YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
*Architectural Design Board
Enc.
c: Barry & Diane Faigel
23313 Humber Lane
Edmonds, WA 98020
D:iTiydocuiTients/spelliTian/CACLietter.doc
L: tern p/j a na/CAC Llette r. doc
Thank you,
Planning Secretary
RECEIVED
JUN 1 0 2002
BUILDING DEPT.
Incorporated August 11, 1890
Sister City - Hekinan, Japan
-v. 157
City of Edmoudsl:.
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
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 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. The information'
needed, tG complete the Checklist should be easily
available ftom observations of**t-h'e' site or data avdilab . le'at
City Hall (Critical areas inventories ma or soi
surveys). R E C t I V DEs - Q
kill A'1' 2 2 2002
Date"Ri6ceived: '00 7"
City Receipt #:
.Critibal,Arda�flle T19A
Critical ' Areas Checklist Fee: $45.00
Date Mailed to At)Dlicant:'.5%-,29__a_
A property owner, or his/her authorized representative,
must fill out the checklist, sign' and, date it, and subn-dt it
Iotthe City. The City will review, the checklist,:make a
precursory site visit, and make a deternnination of the
subsequent. steps necessary to complete a development
peimit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
�sp&ifib piece of property described 6n this form.; In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in corijunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
PERNIff 08HWER
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from 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 applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best *of my
knowledge and that I am authorized to file this application on the behalf of the owner as listed below.
SIGNATURE OF APPLICANVAGENT DATE 5/13/02
Property Owner's Authorization
By my signature, I ceftify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the pAlic officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and po;, W*atqrnd4#fX65_t_h�i application.
SIGNATURE OF OWNER
Owner/Applicant:
Barry & Diane Falgel
Name
DATE C )Z—
Applicant Representative:
Name
Erin K. Neil/Patricia Brennan Arch.
23313 Humber Lane 2618 Eastlake Avenue East
Street Address Street Address
Edmonds, WA 98020 Seattle, WA 98102
City State Zip city State zip
Telephone: (425) 542-8324
Email address (optional):
Critical Areas Checklist.doc/3.19.2001
Telephone: (206) 328-2886
Email. Address (optional): pbarch@earthlink.net
CA File No:
Critical, Are8 �QhecRlitt
Site Information (soils/topog*raphy'/hydrolog . y/veg'etation)
1. Site Address/ Loca . tion:, 23313 Hu mbpr Laine Edmonds., WA,98020
2. Property Tax Account Number: 0057-130-Q20-0800
3. oxfinate. Site! Size (acres or square fee
14: 8:50
4. Is this site currently developed? X yes; no.
If yes; how is site de*veloped? Sin 1 ii ;',Res' idence.,
q e -,F�aro y
S. Describe the general site topography. Check all fliat apply.
X 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).
HUY: 1.5% and� less ff=- 30% a vertical. rise of 10-feet
over A horizontal distance of -33 W6.6-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 contam*s areas of year-round standing water: No Approx. Depth:
7. Site contains areas of seasonal standing water: No
Approx. Depth:
What season(s) of the year?
8. Site is in the floodway No floodplain No of a water course.
9. . Site contains a creek or an area where water flows:across the grounds surface? Flows are year-round?
No Flows are seasonal? (What time of year?
10. Site is primarily: forested - ; meadow ;shrubs mixed
urban landscaped (lawnshrubs etc) Yes
11. Obvious wetland is present on site: No
eas,
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SrEEDYRE
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. 7
Critical Areas Checklist.doc/3.19.2001
CITY OF EDMONDS 19801
DEVELOPMENT SERVICES
DATE: 15 —,2,J —o2,
Recelvedof:
Address: Phone:
Project Location: J+L) MaF—p— L�q
Check No. 10578 Cash Total Received
s 49�5, (Do
Water Meter Size:
Amount
Water Connection Fee
Street Cut/Restoration Fee (620 Fund)
Sewer Permit/Repair
Trunk Charge
Sewer Connection/LID Fee
R/W Constuction Permit Pee
Street Disruption Fee (111 Fund)
Engineering Inspection Fee
Engineering Specs & Plans Fee
Storm Drainage Fee
Street Use Permit
Building Permit Fee - Type
Plan Check Fee #
State Surcharge (622 Fund)
Zoning Application Fee - Type
-n�
Landscape Inspection Fee
Shoreline Permit Fee
SEPA Review Fee
Recording Fee
Maps/Books
Photocopies
Traffic Mitigation Fee
Sidewalk Contribution
Received by: Permit No.
3
ATER EIVED
C
S
PERMIT EXPIRES
CITY OF EDMONDS
LfSE PERMIT
ZONE
NUMBERCft-3]����
CONSTRUCTION PERMIT APPLICATION
J66 SVITE/AFr#,
ADDRESS
pyl hel� L.I\j
OWN R NAMEMAME 00 6USINESS
r3A1Z1Z-f i mAwle- F-A,%emv-
PLAT NAME/SUBDIVISION
No. LOT NO._
LID NO.
MAILING ADDRESS
LID FEE $
to 1.5's IS 14 0 M z-f-M L-A, t-4 E-
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCIP'Approved
RW Permit Required
Street Use Peffnit ReWd
CITY ZIP
TELEPHONE
EXISTING PROPOSED
Inspection Required
sidewalk Required
S41 8114
REQUIRED DEDICATION FT --
Underground
WWII required 13.
NAME
METER SIZE LINE
SIZE
NO 0 R S
PRV REQUIRED
0
YESO No_
;k11
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ADDRESS'
REMARKS�
IOWNERICQNTFiACTOR,,RESP�NSIBLE F9'R EROS104"CONTROL/DRAINAGE
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PITY ZIP
TELEPHONE
FqAc,
NAME
CBL#
ENGINEERING REVIEWED BY DATZ
ADDiRESS
D.
J;740 S9T-AVl5- W&
461
FIRE REVIEWED BY DATE
CITY ZIP
TELEPHONE
0
0
45 EATTt-e- 98105
r;f%'5--79<o4
VARIANCE OR CUI SHORELINE
OR ADB#
INSPECTION
REO'D
BOND
POSTED
STATE LICENSE NUMBER EXPIRATION DAT E-
drAL U 5 C? 4(- 0 88 1!4? 0) -0�:
I
[3YES WO
$
$EPA REVIEW
SIGN AREA
- HEIGHWT
PROPERTY TAX ACCOUNT PARCEL NO.
COMPLETE
ALLOWED
ALLOWER ED
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,P.ROPOSED
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rp
1.
EXP
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NEW
RESIDENTIAL
LUMBIN MECH
LOT COVERAGE
REQUIRED SETBACKS (FT.)
PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT UR S E REAR
r
ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
13 , /,, I
Ir .
5771!;' 75.0
z
REMODEL
MULTIFAMILY
SIGN
PARKING LOT
REII PROVIDED
AREA
Zi
LANNING REVIEWED BY DATE
'S
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E] DING FENCE
REPAIR CYO ( _ X _ FT)
RKS Addii i I (
k+
.
OTHER
DEMOLISH'"' [3 TANK
1p 01F
A/0 1 h e- i e-,A-7c �s OW
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CARPORT ROCKERY F:RE ALARM
1!9 - I & 1`L4V1
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OWE OF USE. BUSINESS N:
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CHECKED BY TYPE C T CTION
OCCUPAINQ_
GROUP W—:5
NUMBER NUMBER 0 CRITICAL t
OF
DWELLING
AREAS A
SPECIAL INSPECTION JAREA
OCCUPANT
STORIES
UNITS
NUMBERC
REQUIRED
0 YES
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
43
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PROGRESS INSPECTIONS PER �BC I 08/FINAL INSPECTION REO'D
14 0 SF F.4nw&Y t-100K AVOIT11014
&91MA�3,3M Tim
FLJ5 WTP-ItIOM ALTEtZ.&,TI0N5 6&
J:�4 lr*
VALUATION
$
I
fin
Description
FEE
Description
FEE
Plan Check
State Surcharge
I -CIO
HEAT SOURCE
47AS
GLAZING %
LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO:.
03 )J �
VESTED CKTE
4= ?�
Plumbing
.
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PiRurr'COVERI
23
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t:
SEPARATE PERMISSION.
Engr. Review
11
PERMIT APPLICATION: 180 DAYS
ERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
-7
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
0
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
S
GIVE IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
N4
APPLICATION
APPROVAL
THE 0 ER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Foes are paid, and
IN VIOLATION OF THE LAB9WTWE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
WORKMEN'S COMPENSAT19RINSUPANCE AND RCW 18.27.
SIGNATURE (OWNER OR
rDATE SIGNED
IAI
14,25
PFF11 N DATE
/ 0; 0
771-0220
E A BY DATE
ATTENTION
Off 1333
hAl-AIJIVA'A
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
44
All
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
7�
CATE OF OCCUPANCY HAS 13EEN GRANTED. UBC SECTION 109
ORIGINAL - FILE - YEI I ON - INSPE&OR
04/02
PINK - OWNER - GOLD - ASSESSOR
9
PRESS HARD -YOU ARE MAKING 5 COPI ES GREEN - ACCOUNTING