23823 74TH AVE W.PDFIIIIIIIIIIII
5921
23823 74TH AVE W
Pentec
NTAL
July 13, 1999
Mr. Roy Gorud
2382374 th Avenue W
Edmonds, WA 98026
* Wetland Delineation Letter Report
23823 74hAvenuo West, Edmonds, Washington
Dear Mr. Gorud:
ReCE�,V,eo
JUL 2 6 1999
PERMIT COUNTER
At your request, Pentec Environmental, Inc. (Pentec), performed a wetland delineation at
23823 74th Avenue W in Edmonds on July 1, 1999. The site is on the shore of Lake Ballinger.
The methods used to delineate wetlands on the site and the results of the delineation are
summarized in this letter report.
Methods
Routine onsite.wetland delineation methods described in the Washington State Wetlands
Identification and Delineation Manual were used to determine if juri I sdictional wetlands exist on
the site. Methods described in this manual have been adopted into state law and all local
governments are mandated to. adopt them. Wetlands extending onto adjacent pgcels were not
delineated. Delineated wetland boundaries were flagged with sequentially numbered, fluorescent
orange flagging (e.g., A-1, A-2, A-3 ... A-6).
Two sample plots were established on the site. One was located in the lake -shore vegetation
conununity, which is a narrow band of vegetation approximately 3- to 12-ft wide. The second, a
maintained lawn, was located approximately 8 ft upslope of the water's edge.
Delineation Results
The vegetation, soils, and hydrology in the two sample plots are described in the following
sections.
Pentec Environmental, Inc. *120 ThirdAvenue South, Suite 110 - Edmonds, WA 98020 - Phone: (425) 7754682 - Fax: (425) 778-9417
Mr. Roy Gorud
July 13, 1999
page 2
Lake Shore
The lake shore of the'site is characterized by a narrow (3- to 12-ft) band of emergent wetland
vegetation. Sample plot I was established in this emergent vegetation community. The dominant
plants in this community are yellow -flag iris (Iris pseudacorus — OBL) and morning glory
(Convolvulus sepium — UPL). The morning glory is generally rooted in adjacent uplands and
grows out over the top of the iris. The abundance and distribution of yellow -flag iris is indicative
of a hydrophytic vegetation community. It is the only dominant species rooted in a saturated soil
(i.e., 100 percent of the dominants are FAC, FACW, or OBL).
Soils in the lake -shore community are characteristic of wetland soils. Soils are a (I OYR 2/1 —
2/2) muck. They appear to be permanently saturated and an odor of rotten egg (hydrogen sulfides)
was apparent in this soil. Low-chroma, accumulation of organic matter, and hydrogen sulfide odor
are all positive indicators of hydric soils.
Although this lake -shore community was about 0.5 ft above the lake surface, clear signs of
wetland hydrology were apparent. Soils were saturated at the surface and standing water was
observed at a depth of about 3 inches. Saturation and standing water within 12 inches of the
ground surface are positive indicators of wetland hydrology.
Because all three jurisdictional wetland criteria (hydrophytic vegetation, hydric soils, and
wetland hydrology) were satisfied, the lake -shore community is classifi ed as wetland. This
cornmunity continues off site to the north of the investigated property. A bulkhead is present on
the lake shore on the property to the south.
Lawn
Upslope'and west of the lake shore is a long expanse of lawn. Sample plot 2 was established in
this community (Figure 1). Although yellow -flag iris is scattered in the lawn, the dominant plants
are colonial bentgrass (Agrostis capillaris—FAC), owl clover (Trifolium repens—FAC), annual
bluegrass (Poa annua—FAC), and morning glory. The dominant species in this community all
have wetland indicator statuses of FAC or UPL. If the FAC-neutral test is applied, 100 percent of
the dominants are UPL, and therefore the vegetation is nonhydrophytic.
Mr. Roy Gorud
July 13, 1999
page 3
Soilsin this community have some hydric indicators but appear to be relatively well -drained.
About 12 inches of very dark, grayish -brown (10YR 3/2), gravelly sandy loam overlays a dark
brown (7.5YR 3/4) peat. The surface horizon, which is apparenily fill material, contains many
medium to coarse mottles, distinct, dark yellowish brown (10YR 4/6) mottles from about 8 to 12
inches. Although a chroma of 2 and mottling are positive indicators of hydric soils, soils beneath
the lawn near the lake -shore community are more, indicative of transitional conditions land lack the
stronger hydric indicators of the lake -shore community (i.e., muck and sulfide odors). Surface
soils were considered nonhydric.
Lawn areas are relatively well -drained and lack strong, positive indicators of wetland
hydrology. Soils were saturated at a depth of 12 inches at the interface between the gravelly sandy
loam and the underlying peat. Standing water was present at a depth of about 20 inches. There is
a lack of strong, positive indic6tors of wetland hydrology.
Because there is no hydrophytic vegetation, hydric soils, or wetland hydrology, the lawn
community is classified as upland.
Regulatory Implications
According to the City of Edmonds, Lake Ballinger is a Category I wetland, which requires a
I 00-ft buffer. In addition to the wetland buffer, Chapter 20.15B of the Edmonds Community
Development Code (revised in 1996) stipulates that a 15-ft building setback is required. Using a
fiber -glass tape, the distance to the existing concrete pad on the east side of the existing house
from the wetland boundary was measured. The distance from the wetland boundary to the closest
point of the existing concrete pad is about 121 ft (Figure 1). Provided that all clearing, grading,
and construction is outside the buffer and setback, no significant adverse impacts to the wetland or
its functions (which'are primarily limited to shoreline protection and natural biological support)
would be anticipated.
Potential impacts to the wetland and its buffer must follow the mitigation sequence specified in
20.15B. 150A of the Edmonds Community Development Code or compensatory mitigation may be
required. You will need to have the delineated wetland boundaries surveyed. Furthermore, the
City of Edmonds may require that the wetland and wetland buffer be placed in a critical areas tract
Mr. Roy Gorud
July 13, 1999
page 4 1
and a notice be placed on the property title, as indicated in 20.15B. 160 of the Edmonds
Community Development Code.
If you have any iquestions regarding this delineation, or if Pentec can assist you with permitting
or other aspects of your project, please do not hesitate to call me at (425) 775-4682.
SAL/cjm
435-001%Draft Report 71399.doc
4�tX A
Sincerely,
Pentec Environmental, Inc.
Scott A. Luchessa
Senior Wetland Ecologist
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FENCE NORTH
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-EXISTING
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#23823
6
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Lj
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0
ELEV.= 297.5
BSM'T FLOOR
1B
ELEV.= 289.4
IS c.w.
LS LS
CONC. DRIVE GARAGE
3.9'
F H OUSE
No. 23829
SET
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AND
CAP #28409,
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(4 PLACES)
(4/16/1999)
of
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3.2'
FOUND EXISTING 4"x 4" CONC '
MON. WITH TACK IN LEAD, TYP.
(3 PLACES) N OF LOT LINE AS
NOTED (4/16/1999)
1 71.32' (171.31' PLAT)
0. 1'N 0. 2'N
WOOD
FENCE
— —(191.0')— — — —
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0
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0
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U CO
0
FIR TREES
—121' FROM DELINEATED
WETLAND BOUNDARY TO
NEAREST EDGE OF EXISTING.
CONCRETE PAVEMENT
2 1�
(110. 5')
C,
S89*45'30"E
SET 2% 2" WHITE—/
LINE STAKE
Ln
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(LAWN)
4
01�
0
COMPOST/YARD WASTE
NOTE: THIS PORTION OF SITE
-0 NOT INCLUDED IN LOT 2
[NC ON PLAT MAP.
3' HIGH WIRE
MESH FENCE
A [A
1 11 11 ' — SHORELINE
X i1 (EDGE OF VEGETATION)
i XX
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42
3' HIGH
CYCLONE C)
c;L
FENCE SP-2
X (�)
WOOD DOCK
A-3
U1
X
V
A-4
SURFACE ELEV.= 277.1
(4/19/1999)
A-5�_ APPROXIMATE
I WETLAND BOUNDARY
(88.2') A-e
185.97' (185.95' PLAT) —R.R. TIE
BULKHEAD
Ln PUMPHOUSE---___j
Ln C5
LEGEND
SP-2 Approximate Sample Plot
Location
A-30 Approximate Wetland Flog
Location
APPROXIMATE SCALE IN FEET
0. 10,
Pentec Environmental, Inc. Gorud Wetland Delineation I Figure 1
ftntec Edmonds, WA 98020 Edmonds, Washington Approxim I ate wetland boundaries.
ENVIRONUENTAL (425) 775-4682 for Roy Gorud
07XBM Cvmjd.CKW
Rreuv WEIR
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4 2'06" 1"
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
ELEVATION CERTIFICATE
Read the in*ucdons on Pam I - 7.
SECTION A - PROPERTY OWNER INFORMATION
O.M.B. No. 3067-0077
Expires July 31, 2002
ROY GORUD
BUILDINGSTIR—EET ADDRESS (Including Apt, Unk Suite, andfor Bldg. No.) OR P.O. ROUTE AND BOX NO.
pan
—CITY STATE
EDMONDS WA Zi
PROPERTY DESCRIPTION (Lot and Block Ntimbers, Tax Parcel Number, Legal Descrow, etc.) - M G�. g" I
LOT Z BLOCK 7, LAKE BALLINGER LAND OOMPANYS PLAT SUBDIVISION No. 1, VOL. 9, P. 57 & 58, t � I/ P
USE (e.g., Resklential, Non-residential, Addition, Accessory, etc. Use a Comments area, I necessary.)
LATrrupmowiTUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):
( #f-##- or 0 NAD 1927 [1 NAD 1983 J@ USGS Quad Map 0 OlhW.
47-47W.00"/ 122-1951.00"
SECTIONS - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION
BI. NFIP COMMUNITY NAME & COMMUNITY NUM3ER B2. ODUNTY NAME B3. STATE
EDMONDS, WA 530163 1 SNOHOMSH I WA I
84 MAP AND PANEL
B5. SUFFD(
87. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMBER
B6. FIRM INDEXDATE
EFTEC nVEFEVISED DATE
1
88. FLOOD ZONE(S)
qmAO,u9eds0of1Do*d
530163 OW5
D
8.&78
2-19-78
A&C
280.0
B10. Indicatethe source of the Base Flood Elevation WQ data orbase flood depth entered in B9.
E] FIS PONS E] FIRM 0 Community Detenined [3 Other (Descrbe):
B1 1. Indicate the elevation datum used for to BFE in 139: 19 NGVD 1929 EINAVD19M [30therpesorbe):
812 l6the bukling boated in a Coastal BarrierResoumes System (CBRS) areacirOtherwise Protected Area 2 UA? F-]Yes ZNo DesignatioriDate
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Bulding elevations are based on: n Construction DwNW 0 BuHdhg UnderConstruclion* El Finished Construction
*A row Elevation Ceffc& will be required when construction of the bulding is completa
C2. Building Diagram Number I (Select the bulding diagram most siMlar to the Wing forwhich this certificate is be completed - see pages 6 end 7. If no diagm
accurately represents to building, provide a sketch or photograph.)
C3. Elevations - Zones Al AX, AE, AH, A 6ft SFE), VE, V1430, V (with BFE), AR, ARA, ARAE� ARAI AM, ARIAH, ARIAO
Complete Items C3.-a4 below aocorft to the building diagram specified in Item C2. State the datum used. If to datum is different from to datum used tr the BFE in
Section B, convert to datum b that used forte BFE. Show field measurements and datum conversion calculation. Use the space ptovidedorthe Ccmmentsareaof
Section D or Section G, as approprials, tb document tie datum conversion.
DatumNGVD29 ConversionComments SEE SECTION
Elevation reference mark used Does the elevation reference mark used appearon to FIRM? n Yes Z No 8 L M0f9-1:-%11+"-
• a) Top of botlorn floor(including basementorenclosure) 289. 4t(m)
• b) Top of next higherfloor �i7 - OLN
CI c) Bollom of lowest horimntal structural member (V zores only) NA. __A(m)
• d) Attached garage (top of dab) WA. __ft(m)
• e) Lowed devation of machinery andibrequiprTent
swvi*g the building (Describe in a Comments am) WA.. F;
* 0 WNBSt ad*ent (finisl* grade (LAG) 289. ift(m)
* g) Highest adjacent (finishad) grade (HAG)
CI h) No. of permanent openings (flood vents) within I I above adjacent grade 0 A 241mey-pl
Q Q Total afeaof all permarentopenings (flood vents) in C3.h g_sq in. (sq. an)
SECTION D - SURVEYOR, ENGINEER: OR ARCHITECT CERTIFICATION
This certification is to be's�necl and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information.
I certify that the information in Sections A, B, and C on this certificate represents my best efforts to interpret the date available.
I understand that any false statement may be punishable �y fine or imprisonment under 18 U.S. Code, Section 1001.
CERTIFERS NAME DAN MOEHRKE UCENSENULIU280
TITLE LAND SURVEYOR COWANY NAME Ammeld, Baden &Amm, Ine
ADDRESS CM STATE ZIPOODE
rdAl NP PMM I MN� KRJUDRE WA QRWA
SIGNATIM DATE 1111,1�
AMPORTAN'T: In these spam, copy the cormsponding information from Section A.
BUILDING STREET ADDRESS Pnl&g Apt, UnIL Suils, mxft Bldg. No.) OR P.O. ROUTE AND BOX NO.
23823 - 74TH AVENUE W.
STATE ZIPCODE
EDMONDS
WA 980268510
8ECTION D -SURVEYOP, ENGINEER ORARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation CerIfficate for (1) oommunkyoftial, (2) Insuraw agenYbompany, and (3) building owner.
COMMENTS
BENCH MW USCGS IvIDNUMENT'047", FOUND BRASS DISK SET' IN FOUNDATION OF BUILDING No 23423 HIGHIWAY99.
ELEVATION =404.36
SEE ATTACHED SITE PLAN
ROOD BLEVATION PER CITY OF EDMONDS BUILDING DEPARTMENT. 100 YEAR EVENT ELEVATION = 280.0, HIGHEST OBSERVED EVENT = 2W
13 Check hem 9 glWmwt
SECTION E - BULDING B"ATION INFORMATION (SURVEY NOT REQURED) FOR BM AO ZUZ—DNE A "MUT ME)
ForZione AO aid Zone A *InA BFE), complete Items El through E4. If Me Bevatim Cerifficate is intended for use as supporting inbrmation for a LOMA or LOMR-F,
Section C must be axnpleled. -
El. Building Diagram Numberi.(Select to building diagram most similar to the building brwhich this cerifficate is being oompleted -seepages 6 and 7. lfriodiagramacourately
represents the building, provide a sl�etoh orphotograph.)
E2. The top ofthe botlorn floor (including bawnentorenclosum) ofthe building is 6fL(m)§in.(om) M above or Z below (deck one) the highest ad0oard grade, Pas
natural grade, I avallable).
E3. FDrBuDding Diagram 6-8 wOh openings (see page 71 Ifie ne)d hlgherfloororelev� floor(elevalion b) ofthe building is _fQm)_in4qm)abDvethehlghestadjaoent
grade, Complete lbamsC3.h and C3.1onfrordofform.
E4.ForZoneA0only: If no flood depth number is avaL-&, is the top of to bottom flDorelevated in aocordance with to oDmmunkys floodplain management odVenoe?
C1 Yes El No F1 Unknom, The local oftial must oertfy this kftmaUon in Section G.
SECTION F - PROPERTY OWNER (OR OWNERS REPRESENTATIVE) CERMCA11ON
The properly ower oramWs aMvized repnawtaM who completes Sections A, B, C (Items C3.h and C3.1 onlyj and E for Zone A (,wftut a FIEMA4asuied or community -
Issued BFE) orZone AO must sign hem. The statements In Se*nsA. B, Q and E are oDnect to ft bestofmy howledge.
PROPERTY OWNERS OR OWNERS AUTHORIZED REPRESENTATIVES NAM
ADDRESS CITY STATE ZIPOODE
SIGNATURE DATE TELEPHONE
D E r_ -M, 71 7M
SEC11ON G - COMMUNITY wmam pmomw
The lood oftial who Is &Aviwd by law orordhanoa b administerthe oommunIVs floodplain management oidinam can complete Sections A, 8, C (or Ej and G of this Ela�
Cerlifloah Complete to applicable "a) and sign bebw
G1. 0 The Informalion In Section C was W= ftom other doournentatiDn M has been signed and embossed by a kensed surveyor, engineer, or aifted who is authorized by
state or local low to oerfify eWc*n InbrmatiDn. oriftle ft source mid date of the elavaAlon data In the Comments area below.)
G2. E] A oxnmun�y dW completed Section E for a building located in Zone A Wftut a FEMA4saued or oommunly-issued EIFE) or Zone AO.
G3. [I The fbilowing Information (Items G4-G9) Is piovided for comunity floodplain management pupses.
G& EWation of as-buft lowest floor (including basement) of the bulift is: _fL(m) Dalum:
G9. BFE or (in Zone AO) depth of floocling at the building site is: a(m) Datum:
LOCAL OFRCIAL'S NAME
TITLE
W,e
COMMUN11'YNAME 617-1 a1c ZZ_V~.'� TELEPHONE �02,r- -7 -7 1-�9 7- 2 0
ElCheckhereff0ichnwis
Jr E z 13
iVE
FEDERAL EMERGENCY MANAGEMENT AGENCY
NATIONAL FLOOD INSURANCE PROGRAM
O.M.B. No. 3067-0077
Expires July 31, 2002
ELEVATION CERTIFICATE
Read the instrucdons on oanes 1 - 7.
&tV"Xb=hM UTM SEC71ON A - PROPERTY OWNER INFORMATION �Sx. IrMuranob Corrq*W.Usk
BUILDING OWNERS-94ME �:'Pbhpy Nu-m ber-:,.,
ROY GORUD
BUILDING STREET ADDRESS (Including Apt, Unit, Sub, and/or Bldg. No.) OR P.O. ROUTE AND BOX NO.
066yoNAIC Number
23823 - 74TH AVENUE W
CITY STATE ZJP CODE
EDMONDS WA 98026-8510
PROPERTY DESCRIPTION (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.)
LOT Z BLOCK 7, LAKE BALLINGER LAND COMPANYS PLAT SUBDIVISION No. 1, VOL. 9, P. 57 & 58,
BUILDING USE (e.g., Residential, Non-residential, Addition, Accessory, etc. Use a Comments area, If necessary.)
RESIDENTIAL
LATrrUDE/LONGITUDE (OPTIONAL) HORIZONTAL DATUM: SOURCE: 0 GPS (Type):
( #f - #9 - ##.##" or ##.#XW) 0 NAD 1927 C1 NAD 1983 USGS Quad Map 0 Other:
47-47W.09'/ 122-1951.00"
SECTION 8 - FLDOD INSURANCE RATE MAP (FIRM) INFORMATION
B1. NFIP COMM.INITY NAME & COMMUNITY NUM13ER 132. COUNTY NAME
EDMONDS, WA 530163 SNOHOMISH W�
B4. MAP AND PANEL
B5. SUFFIX
. FIRM PANEL
B9. BASE FLOOD ELEVATION(S)
NUMER
136. FIRM INDEX DATE
EFFECTIV611EVISED DATE
B8. FLOOD ZONE(S)
(ZoneAO, use deo oflooft)
530163 OW5
D
8.8-78
2-19-78
A&C
280.0
B10. Indicate to source of the Base Flood Elevation (BFE) data orbase flood depth entered in B9.
[] FIS Profile [] FIRM Z Community Determined [I Other (Describe):
B1 1. Indicate the elevation datum used for ft BFE in B9: 0 NGVD IM nNAVD19M E10ther(Dewte):
B12 Is the building located in a Coastal Barrier Resources System (CBRS) area or OthenNise Protected Area 2 UA? ElYes ZNo DesIgnationDate
SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED)
C1. Building elevations am based on: El Construction DrawIngs* 9 Building Under Construction* F-1 Finished Construction
*A new BevatiDn Certificate will be required when construction of ft building is complete.
C2. Building Diagram Number 1 (Select ft building diagram most similar to ft building forwhich this oefficate is being completed - see pages 6 and 7. If no diagram
accurately represents the building, provide a sketch or photograph,)
C3. Elevations— ZonesAl A30, AE, AH, A (w1th BFE), VE, V1430, V (With 8FE), AR, AR/A, ARIAE, ARAI -A30, ARIAH, APJAO
Complete Items C3.-&4 below according to te building diagram spedlied in Item C2. State the datum used. If the datum is ciffarent from ft datum used for the BFE in
Section B, convert to datum to that used for the BFE. Show feld nwwren-ents and datum oomrsiDn calculation. Use the space providedorthe Comments area of
Section D or Section G, as appropriate, to document the datum conversion.
Datum NGVD CDnversion/Comments SEE SECTION
Elevation reference mark used Does the elevaton reference mark used appearon the FIRM? Ej Yes Z No 8 L moe0lv
• a) Top of bottom floor (Including basement or enclosure)
289. !Lft.(m)
I
• b) Top of next higher floor
297. §jt(m)
(0
V
• 0) Botbm of lowest horizontal structural member (V zones only)
NIA. ___fL(m)
• d) Attached garage (top of slab)
NA. ___ft(m)
• e) LoNest elevation of machinery arKVor equipment
servicing the building (Desabe in a Comments area)
NIA.
E
• f)I Lowest aq0oant (finished)l grade (LAG)
• Highest
289. AfL(m)
296.
:3
z 0
g) adjacent (finistwo grade (HAG)
2.ft(m)
• h) No. of permanent openings (W vents) within I fL aboveadooentgradeO
1 24/z�ll
• I) Total area of all permanent openings (flood vents) in C3,h gsq. in. (sq. cm)
SECTION D - SURVEYOR, ENGINEER OR ARCHITECT CERTIFICATION
This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information,
I certify that the information in Sections A, B, and C on this cerifficate represents my best efforts to interpret the date available.
I understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 100 1.
CERTIFERS NAME DAN MOEHRKE LICENSE NUMIER 28409
TITLE LAND SURVEYOR COWANY NAME Ararnald, Borden & Am., ft
ADDRESS CITY STATE 23P CODE
Al 41 NIP Anrn I KEMMI: WA agroA
SIGNATURE DATE TELEPHONE
9;t� &A-APRA71 i
IMPORTANT: In thm spaces, copy the corresponding InfoRnallon from Secdon A.
BUILDING STREET ADDRESS OncWrg Apt, Un[L Suile, andibi, Bldg. No.) OR P.O. ROUTE AND BOX NO. '.Poliq
23823 - 74TH AVENUE W.
CITY STATE ZIP CODE Cdffparry NAIC Nuhriber
EDMONDS WA 98026-8510
SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION (CONTINUED)
Copy both sides of this Elevation Certificate lbr(l) oommunityofficial, (2) insiaraw agentloompany, and (3) building owner.
COMMENTS
BENCH M4RK: USCGS MONUMENT"Q47", FOUND BRASS DISK SET IN FOUNDATION OF BUILDING No. 23423 HIGHWAY 99.
ELEVATION =404.36
SEE ATTACHED SITE PLAN
FLOOD ELEVATION PER CITY OF EDMONDS BUILDING DEPARTMENT. 100 YEAR EVENT ELEVATION = 280.0, HIGHEST OBSERVED EVENT = 282.5
9 Check hem ff attachments
SECTION E - BUILDING ELEVA71ON INFORMATION (SUM NOT REQUIRED) FORZONE AO AND ZONE A PITHOUT BFE)
For Zone AO and Zone A (wftut BFE), compWha Items El through E4. If tie Elevation Certificate is intended for use as &AWrting inlicrtnation for a LOMA or LOMR-F,
Section C must be completed.
El. Building Diagram Number i (Select the bulding diagram most similar to the bulding brwhich this oertificeits is being completed — see pages 6 and 7. If no diagram aocuralely
represents the building, provide a sketch or photograph.)
E2. The top of the bottom fm (including basement or enclosure) of the building is 6t(m)gn.(cm) []above or Zbebw(dieckone)teh�hestad*mtgiWe, (Use
natural grade, If available).
E3. For Building Diagrams 6-8 with openings (seepage 4 the ne)d higher fibororelevated Door (elevation b) of the bulding Is _ t(m)_in.(crn) above the higheadjacent
grade, Complete items C3.h and C3.i on front of form.
E4. For Zone AO only: If no fb od depth number is available, is the top of the bottom floorelevated in accordance with the oommunity's floodplain management ordinance?
El Yes El No [I Unknown. The local officiall must oe* this hliormation in Section G.
SECTION F - PROPERTY OWNER (OR OWNERS REPRESENTATIVE) CERTIFICATION
The property owner orowner's authorized representative who completes Sections A, B, C (items C3,h and C3.i only), and E fbrZone A (Without a FEMIA-issued or community -
Issued BFE) or Zone AO must sign here. The statements in Sections A, B, C, and E are correct to the best of my knowledge,
PROPERTY OWNERS OR OWNERS AUTHORIZED FORIESENTATIVE'S NAME
ADDRESS CITY STATE ZIP CODE
SIGNATURE DATE TELEPHONE
COMMENTS
SECTION G - COMMUNITY INFORMATION (OPTK)NAL)
Check here ff aftwhirierds
The local official who Is autatmd by law or ordinance to administer the communitys floodplain management ordinance can complete Sections A, B, C (or Ej and G of this Elevation
Certificate. Complete the applicable itern(s) and so below.
G1. 0 The information in Section C was taken from other documentation M has been signed and embossed by a licensed surveyor, engineer, or architect who is authortzed by
state or local taw to car* elevation h0ormation. (indicate ft soume and date of the elevation data in the Comments area below.)
G2- El A community olfical completed Section E for a building located in Zone A (without a FEMA-issued or communlywissued BFE) or Zone AO.
G3. [I The follavving Information (items G4-G9) is provided Ibr community floodplain management purposes,
G4. PERMIT NUMBER G5. DATE EERMITISSUED G6. DATE CERTIFICATE OF COMPLIANCEfOCCUPANCY ISSUED
1-2 0 0:;X0 z- I e-29-00 1
G7. This permit has been &%W IbrE] New Constinuction E] Substantial Improviament
G8. Elevation ofas-bult lowest floor (including basement) ofthe building is: —ft(m) Datum:
G9. BFE or (in Zone AO) depth of flooding at the building site is: — ft(m) Datum:
LOCAL OFFICIALS NAME C;QWV
IV
"We, TITLE
7 '�w
1 6,619
LAJNMNI I T MWit 07-1 a,-- 2"d1",q�df I Mtrrivllt 4z2--Y-- -7 -7 1-4!9 -Z 2 0
-'/� , 2-000
[I Check hem ff aftachrrients
APPRQYJMATE WETLAND
BOUNDARY PER PENTEC
25' Ci
40 ENVIRONMENTAL
%AETLAND DELINEATION
WETLANDS SETWK REPORT
S59'46'30'E 0.1'N o.2,N 171.321 (171.31'PLAT)
X —.19A-
X
12
2W 288 6CY
IEXIe I 1 4
2'6 DECK 1(y :�.' EXIST
SEWER
EW LINE
a 22'
1 * 1% C %I
COVERED 2 V40W
now 0 ENTRY lzi % 00
b porch & 1p
12'. PORCH %
roof 22'
(LAV�"
REVISED SP-WEFRI18
-S ORY #
DITIO LINE LOCATION
-6 2
SUFFACEELEV.. 277.1
Ai
-j-
CONG, CPVE
O.H. 18;
10,
9
20.04'
SBS*46'30*E- —RRTIE-
WOOD 18S.Or (186.95'PIAT)
7 6L4J0iEAD
FENCE
PKDXUJSE 288.00r
N No
o.23820
OVED BY PLANPING
D1 r)T PI AKI
30'
P
TAX LOT NO. 4888007-002
M&x' Auou.16D; 5
ZONE: RSW-12
OWNERAcm�' 3(2,6'
CRITICAL AREAS DETERMINATION NUMBER: CA-99-175
RECF-IVED
ROY GORUD
SECTION, TOWNSHIP, RANGE:
i U L 0 5 2000
ADDRESS:
NW 1/4 OF THE SW 1/4 OF SECTION 32,
'T. 27 N., R. 4 E., WM.
DEVELOPMENT SERVICES CTR.
23823-74TH AVE. W.
LEGAL:
CITY OF EDMONDS
EDMONDS WA 98026
LOT 2 B O�K- 7, KE BALLIN R ND $?;&PLAT
V 18 AUPORDI
) V Vo - I T%
11 H�N P& 8
R F ) 3�
R ?A
SITE: SAME
OF 0
ROND 8 . .0mil9c Nf,WA
T EJEH W1�03110RELANDS IN FRONT OF AND
A NYTH ETa.
AS?
ONE:
FlLfol
JIT
,�JYJPE COUNTY OF SNOHOMISH, STATE OF
AVff
-640-70
25 75
JUN 18 199 09:24
42577102-23. P. W."VAS
Critical Areas Checklist "I Cl
Site Jnibrffi-ition (soils/topographv!hydrologyilvegetat,'Lon)
1. Site Addr.�ss/Loca�ion: 23823 74th AVe. W. Edmonds 98026
ax Account Number 010-1 0_0
4, PICIpe'lly
'tie Site Size (acres or- square: fe-,.):
j Approxima. _13 , 12 0._..§R. t
4, Isthis site iCurrently devi-loped? _ X
Yes; no.
If yes-, how Is site developed" Single family residence
5. De�cribe the genera).sitt topography. Che;-.k all that apply.
Flat: less rhall 5-feet eievatwn change over entire site.
X R.o I I i. ii slopes On site generally less than '15% (a vertical rise of I 0-feet overa
horizontal distance of 66-&tt).
i I "'V; slopes pr!:,,en,. on site of more than 15% and less than 30% a vertical rise of,
I 0-feet ove- a horizontal distance of 33 to 66-f-.et).
Szeep: grades ofo=ter than 30% present on site (.-. vertical rise of 10-feet over a
horizontal distance of less than 33--feet).
Pther (please descTibe):
RatuFi�__
6. Site contairps areas ofvm,ourid s-mallm.); water: �,hnre x. Depth.
i n,_; App,0
i - S contaip.s areas of seasona', standing water. Approx. Depth:
te.
Wh�t seasan(s) of rhe yearl
8. Sitq; is ia Lhe fl-�)odway hoodplain of a (MiLer course.
0. Site contaitks a creek or an area where water flows across the grounds surface? Flows are year'-
rcuhV 'F;ows are seasonal? ('v�liat time of year�'
10. Sitd is prirrilarily, forested eadm ijbs
In shy, ruixed
urbtn landscaped (lawn,shrubs et-1) X
11. Obvious w0and is present or, Site', La]Se Ballinger
- - - -- - - - - - - - - - - - - - - - - - - - - - - -
For C*ii�-stakljn
1. -Site is ZonW
K�M Is
appe oil typ ks
L/
3. V-'Oarld invtnton, or C.A. meD ind-dafes wettand'pre-
.�Cn. t
4. CTirkA AreAs Invent , r-y or C frao jh*dfcai�s 'ek ea. -.on
&A4
ith:.n d;esfimazed earth 51jbddnce landslide hqz4rd*ai .17
re
6� S;rt.''d6ianarid or. :he Er�*6=e'm i feas
DETERM)NATION
4"
U ED
�,17j�.Y RE ON IT, IONA Af V E R
L W
W /2. f
. , /2. f A
JUN 18 1913 013: 2J woo rue
City of Edmonds
cwriCAL
AREAS
CHECKLIST
DO
The Critical A ftia . s Checkli�-,. contained on this fbrm is
to be filled : cut by any person Preparing a
Developmear Permit: Application for the City of
Edmonds prior:;to hisPher submittal of a dev��Iopment
permit to the City.
The purpose otlt�e C'meck-list is to -enable Cizy staff to
determine wheth.-r any potential Ciiticaj Area_q , *r
axe, o
q
may be, presin� On, the subj!�'ct property, The
I
information nedd-�d to'complete the Checklist
should
be easily avail4ble from observwdons Cf the site or
data available 4 City Hall (Critical -A-reas inventonies.,
maps) or soil
An applicant, or hisiler representative, must fill out:
the checkdist, sien- and date it, and subxn,,LT it to L%e
City, The City will review the checklist. make a,
precarsory site visit, and make a deten-nination of the
subsequezat ste;)8 necessary to cam
plote a de�eloprnent
pennit application.
Please submit 4 viCinity map &)ng with the sig'ned -1
copy of this fbi-m to assist Citv staff in finding and
locating the specific piede Of Droperly descTibed ou
tW$ fomn. In addition, the
aulic.anr sh,01 inchide
other perLment irifn mr tation (e,g.' site PI . an, topograr-hy
map, etc.) orstudies in c0"junctioxx th this' Check -list
Wi
to assist stiff. in compleiing their prIefinnin1w
as, essment of the site
I have COMPI-0e.0 the attached Critical , Areas Checklist and anest tl�at the answers provided are facwat, to. Lhe
best of my kbo%4ledge 'fill out the appropriate colunin below).
Owner/Appliea�,.t.
Roy W. G04ud
Narne
. 1
23823 74t Ave, W.
StreerAddress
Edmonds 9 d 0 2,14 a
City stalte
Zip
425-6401-7045
Telephone
C5
SIgna=e
411710,9
Date
Applicant Representative;
Greggs BUilding DeSARn
Name Elaine Gr',eggs
1006 N.E. Ravenna Blvd.
Street Addresq
Seattle WA 98105
State Zip
206-524-2808
Telephone
L-z4il
Signature
-Date
a er)
v
It.'? C. 18 9",
June 28, 1999
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Roy W. Gorud
23823 74" Ave. West
Edmonds, WA 98026-8510
Subject: I Determination regarding Critical Areas Checklist # 99-175
Dear Applicant:
BARBARA FAHEY
. MAYOR
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" f . or your records.
..... ........
OR AN* INFORMA T16N'TO BE NOTED:
PLEASE EXAMINE THIS"DETERMINATION"FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENWR TAL C=K1 IST OR CRITICAL -AREAS . STWY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
No, You must submit a coDv of the CRITICAL AREAS CHECKLIST and DETERMINATION VWTH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. 4111111111
Permit applications include the following:
, Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
I Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
C:ReceptionUana\CRLTR.doc
Thank you.
Sharla Graham
Planning Secretary
[ncoipwnt,�,dA1i!p0 7 1: le5910
Sister City - Hekinan, Japan
City of Edmonds
Critical Areas Determination
Applicant: [
Roy Gorud
Determination #:
�A99-175
Project Name:
Permit Number:
LN/A
N/A
Site Location:
Property Tax Acct #:
L4888-007-002-00
L23823 74" Ave I nue We st
- — 11
Project Description:
Non project speciflc
Determination: Study Required ECDC Section 20.15B. 130.
As we have discussed in the past, the subject property adjacent to Lake Ballinger has been
designated as Environmentally Sensitive. Lake Ballinger itself has been idenfied as a Class I
wetland. Development adjacent to wetlands are regulated under the Critical Area section of the
Edmonds Community Development Code. SEPA will be required of all development pen -nit
applications.
Wetland Study
To determine the location of the I 00-foot wetland buffer and 15-foot building setback, a wetland
delineation performed by a wetland scientist must be done on -site. A licensed surveyor must
then prepare a drawing that identifies the wetland boundary and associated buffer and setbacks
on a site plan.
If the property owner wishes to apply for a specific development permit which they feel
would not impact the Critical Area located on the site, they may submit their proposal to
the Planning Division for review. If the Planning Division 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.
Karissa Kawamoto -9
6/28/9
Name Sioature
Date
Greggs Building Design
1006 N.E. Ravenna Blvd.
Seattle, WA 98105
voice 2o&s24-28w, fax 206-523-1019
fax transmittal
of Pa es (including this sheet):
9
From -
(if transmittal Is In error, please call.)
Affr
Catt tb it", tta
7� .4
PERMIT NO: 9C0_,-
C i6ty of Edmonds,,.,�,,..
PERMIT EXPI S
Address of Construction: �9, 1318 .9- LID #
Pro efty Tax Account Parcel No. qj11 Ia-, a- 6,
p
all access and utility easements Verified and Approved b
Attach copies o
Owner and/or Clontractor:- LZLJA�� v-c P UAAA16
Contractor License L. A N 6- FPS 6 44 k? Building Permit
0 All &,1:4
'single Family
Invasion into City *Right -of Way: 0 Yes N No
Fl. Multi -Family (No. of Units �RW Construction Permit
Commercial (No. of Units Cross'. other **Private. Property: Yes No
F1 Public, .**Atta'ch legal desqription and copy of recorded easement.
Owner or contri6tor signature and acknowledgement statement:
By signing for this permit I certify that I have -read the: City's public handout entitled'
comply with. all City requirements outlined therein.
Side Sewer Specifications, and shall
1 92
Date
EDMONDS
TREATMENT PLANT'
CALL DIAL -A -DIG (1-800'425-,5555) BEFORE ANY EXCA
FOR INSPECTION CALL 425-711"0220wexten�i6nl_Wjg
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REOUEST�
UFT
..NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45.RE-INSPECTION FEE WILL BE CHARGED'.'
JobSite Ready YES NO -Date: Initial:
Partial Inspection:
Date: Initial.
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED- Date:- 1!- 11 0 lnitial.9_;�. As -built to'Street File:
T5 PERMIT MUST BE POSTED ON JOB SITE T57
White Copy: File 'Green Copy:, Inspector Buff Copy: Applicant
L-,temp;bld.g,forms;sspennitjlg4/00
The City of Edmonds Side Sewer Drawing EASEMENT NO . ................... ............... ..
NEW CONSTRUCTION itEPAIlkS 19-11" LID NO. - ................ ASmT. NO . ..................
OWNER------------------------------------- ....................... ... . ........ .... ....... CONTRACTOR ............... ................ .................................................. PERMIT NO. .9-A-U0 ----
JOB ADDRESS I ..�Z 3 ol 3 ....... r ........ ......... LEGAL DESCRIPTION: LOT NO. .— ...... -------------------- BLOCK NO - ------------------------------------
.7..q
......................... . . ...... .....
PWW-0001-1 1175 (REV.1 1178)
............................................................................................................................ ............... - ..............
NAMEOF ADDITION ................................. — ...................................................................................
Approved:
.......................................
DATE I- 1:t ....................... B
Y --------------
R"
A
Permit No:
City of Edmonds
RIGH . T-OF-WAY CONSTRUCTION PERMIT
Issue Date:'
-2
A, Address or Vicinity 0 onstructi
k b sp
B. T e of Wor ( e ecifici: V e- E-Al
yp
L
C. Contractor:
Mailing Address: N-71a
State License #:
D. Building -Permit,# (if applicable): 7e;L
Liabilitv Insurance: nc
Side Sewer Permit # (if 'applicable
E. Commercial Subdivision City Project EUC (PUD, GTE, PSE, CHAMBERS, OVWD)
Multi -,Family Single Family F-1 Other
INSPECTOR- 1\J ELL
ha ge: $
-X
F. 'PAVEMENT:. []YES G.' SIZE OF CUT, - H.0 r
CONCRETE.tUT:, E] YES NO'..
APPLICANT TO READ AND SIGN
IDEMNITY: Applicant understands, Py hislher signature to this applicati n 41she holds 'the City of-E4monds h 'armless from injuries,
damages or,claims of any kind or description whatsoever, foreseen or u�foreseen, that may b'.made against the City of Edmonds or
any of its departments or employees, � including but not limited'to the defense of any legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.,-,�,g
J�OR WORKMANSHIP AND mA rERJALS FOR A PERIOD OF ONE YEAR FOLLOWING, THE FINAL
7AE-CONTRA CTOR': IS � RESPONSIBLgq
p� . ESTImA TED RESTORA TIONTEES WILL BE RELI?� UNTIL THE FINAL STREiT PA TCH IS
INSPEdION ANb) A eCEPtANCE OF, E WORK
TED KCITY
COMPLE FOR AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
vr City.'Euginee'r.�* Every
. p , ublic-satty'ig�ll"b�;in"iccordai�ice�with City regulations as' eqpired byt e
&r;-mustFhiF'trained as flgiquired by (-WAC) 296-155-305 and must have certification verifying completion of the
ifi'their poss�gls'sion.
beln accor&nce witli Cityr codes. All street -cut trench work shall be patched with asphalt or City-
*'�*ResioraiionAsto
approvedmat�tiaFprlor to the end of th V-orkday_-' NO EXCEPTIONS.
Three sets of construction drawings of'&O'posed work are required with the permit application.,
THAVEREAD THE ABOVE STATEMENTS AND UNDERSTAND THE PERMITREQUIREMENTS AND ACKNOWLEDGE
CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
EDMONDS
INSPECTION.IS REQUIRED PER CHAPTER 18.00 OF THE
r:,:COMMUNI VDEVELOPMENTC
t ODE.
.0,
FINAL'APPR9-V .0 PERMITTED�-W,9AX�,
�IIVSPECTOR-SSIGNATURE,:,DATE.�-.�*��.I.�,,
For inspection requirements see Engin�e.king:lnfgtmation-,HaiidbUt..,
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
APPLICATION TO
JOIN DRIVEWAY
TO RIGHT-OF-WAY
WITH ASHPHA LT PAVING
APPROX. 20'WIDE BY
8'DEEP
TAX LOT NO. 4888007-002
ZONE: RSW-12
ASPHALT ------- � ss ss -------- �
PAVeANT 74t h AVtNUE W -------
N3*SS'43'rz (BRADLEY ROAD)
------------------------------------------
300 0
. CQ
298
j
m 0
zo
OX
R 4 T -< m
IF m
Q
CRITICAL AREAS DETERMINATION NUMBER: CA-99-175
SECTION, TOWNSHIP, RANGE:
NW 1/4 OF THE SW 1/4 OF SECTION 32,
T. 27 N., R. 4 E., WM.
LEGAL:
LOT 2, BLOCK 7, LAKE BALLINGER LAND CO'S PLAT
SUBDIVISION No. 1, ACCORDING TO THE PLAT
RECORDED IN VOLUME 9 OF PLATS, PAGE 57 AND 58
RECORDS OF SNOHOMISH COUNTY, WASHINGTON;
TOGETHER WITH SHORELANDS IN FRONT OF AND
ADJACENT THERETO.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF
WASHINGTON. .
SUBJECT TO EASEMENTS, CONDITIONS, RESERVATIONS
AND OTHER MATTERS OF RECORD, IF ANY.
PARTIAL
PLOT PLAN
OWNER:
ROY GORUD ill = 20'
ADDRESS:
23823-74TH AVE. W.
EDMONDS WA 98026
SITE: SAME
PHONE:
425-640-7075
RECEIVED
APIR 19 2001
PERMIT COUNTER
-o
1006 n.e.
Ravenna Blvd
Seattle WA
9810S
voice
206-524-2808
fax
206-523-1019
GRE99S
building
DESiGN
PLANNING DATA
NAME: —
SITE ADDREss:;Z?�gz�� - '741A AVAIDATE: -7
ZONING: —PLANC,HK#:-
PROJECT DESCRIPTION:
CORNER LOT (Yes/No) FLAG LOT- (Yes/No)
SETBACKS:
Required Setbacks:
Front: Left Side:— h� Right Side:
Actual Setbacks -
I - 4F
Front: Left Si Right Side: ear:—/
it
1�
0
Street map checked for additio es/No)
Addin. We W rKe �4- re ourrg�
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED Y/N)
LOT COVERAGE:
Maximum Allowed: X As
Actual: q11 Xo&ek,
BUILDING HEIGHT:
Maximum Allowed:2,!:_� ?_ 7. Actual Height:
Datum Point: M441 40V "VO'4-�' Datum Elevation:—;2A L1. &&
(1-W McAleew—
A.D.U. CREATED?:
/VO
SUBDIVISION:
CRITICAL AREAS #: reltare-d
SEPA DETERMINATION:
LOTAREA:
OTHER:
Plan Review By:
C.'T11eSVeMit%'P1W&Ldoc
The City of Edmomh
Appu(',-nON
for
SIDE SEWER PERMT
alril-EET riLSU,�,D, E3
Q I INSIDE REPAIRS 0
OWNER ..F,.4� --- S.Afrko-r.kt. ................ ..................... ......................
HOUSE No. A39A3 . . ... ........ 4F..;/ PI!e4f .......................
Date
BACKFILL WORK ORDER ISSUED ......... ................ -
SEWER WORK ORDER ISSUED ................................
CARD No.�.� ... ....... .
EASEMENT No . .................. ..........
................. CONTRACTOR ...... .-r ................. PERMIT N(
STREET
................. AVENUE LOT No . ........... -.1 ...... ............ ................... - ........... ......... BLOCK No.
NAME ADD O.'s ... ... .... ......
iieet(uviu
40, 9 W2
Approved: (7
.... DEPOSIT, $-./o ............................ ............
DATE�)'�.� ..... BY.
APPLICATION
for CARD No . .........................
The City of Edmonds SIDE SEVOM PERIVM
EASEMENT No . .........................
OUTSIDE E] INSIDE REPAIRS E]
Q/, 7QQ
-----------
OWNER ........... 6F ZJ .............. .......................................... CONTRACTOR .................. PERMIT No. fl�.'
STREET
HOUSE No . ..... ---- — ------- Z�/Z// ...... ....... AVFJ%TUE LOT No . ...................................................................... BLOCK No . ...............................................
Date
BACKFILL WORK ORDER ISSUED ...
SEVVER WORK ORDER ISSUED ..........
NAMEADD . .........................................................................................................................................................
/Vxl'�
7�4 Xe 4,�-
DEPOSIT, $ .................................
Approved:
DATE ...
By ...
IVED
F
PERMIT LX�FteS
CITY OF EDMONDS
USE PERMIT
ZONE 12 NUMBER ;�0'0 0;2-
JOB SUITE/APTs,
'Q NSTRUCTION PERMIT APPLICATION
ADDRESS @ Cd #
? '� R ') 1 7 th, 4� N va
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.,
LOTNO. 2
LID NO.
1WY W. � G 0 R TJ D
Jk Bal.l.i.-n9er
B J1 k 7
LID FEE $
cc
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Appi—ed 0
RIN Pernilt Required Is
W
z
�:
23823 74th Ave. �,Al.
0
EXISTING — PROPOSED
Street Use Permit Req'd o
Inspection Required El.
Sidewalk Required 0
CITY ZIP
TELEPHONE
'Edynonds WA 98026-
425-640--7,045
REQUIRED DEDICATION FT
Underg.und
Wiring requIred 0
NAME
METElaS
_)ZE
LINE SIZE
OF TIRES
7 7e. -
PRV REQUIRED
L)
(-,regyjs Buij1d1djhj9Dt_- s y 1
YE NO
S
z
M
uu
Uj
ADDRESS
REMARKS
z
z
1006 s%�avenfia bivd
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
a
_z
- - ` - '._� 4- -1
f�, i IT I P
w
cc
4
CITY ZIP
TELEPHONE
t` e wi 9 3 10
0 6 8
NAME
m i -1. a n Co,.- s l.-. r a e L o.-k-1
ENGINEERING REVIEWED/DATE
cc
0
ADDRESS
0
1 '7 6, N.E�, 107t4`1 St,,
FIRE REVIEWED BY DATE
ILL!
4
—
CITY ZIP
TELEPHONE
z
Lr
LL
0
S �� at 1- 9 Lii 25
12".0 6- - 3 t6' S 2 9 9 6
. —
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTIO�,
REO'D
YES
BI OND
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
kCHECKED BY
X1 I L L 1 1. 116 0
0 ONO
SEPA REVIEW
COMPLETE
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO.
uu
_j
4888007-002
EX15
IAL
NEW RESIDENT PLUMBING MECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE, . REAR
PROPOSED SETBACKS (FT.)
FRONT' UJ+-SME'�'\REAR
o COMPLIANCE OR
ADDITION 0 COMMERCIAL
, " , I&.
-1!o
z
CHANGE OF USE
z
PARKING
LOT AREA
PLANNING REVIEWED BY
E]� REMODEL C] APARTMENT SIGN
REO'D 1PROVIDED
?
FENCE
REPAIR GRADINra CYDS X FT)
REMARK5
r-1 DEMOLISH C] TANK [3 OTHER
t7 __
Z
GARAGE
E] RETAINING WALL RENEWAL
CARPORT ROCKERY
ITYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
P:
dHEC
E BY TYPE
/ T!! 0 N
OF C;M
COPE OCCUPANT
GROUP
11.
L)
e, 1.71
S j. in i r, rZ
NUMBER
NUMBER OF
CRITICAL
u w
)
SPECIAL INSPECTOR JAREAmmij,
REQUIRED
OCCU PANT
. I 0�1
LOAD
a
OF
STORIES 2
DWELLING
UNITS 1
AREAS
NUMBER 9 17 5
o
YES
L,,O�f)Cjf�,. 1, T
DESCrIff WORK TO BE DONE
j_ i (j 11 t J�
REMARKS
PROGRESS INSPECTIONS PER UBC 108/171NAL INSPECTION REQ'D
�o
ri�l_Liblu_i: aund C arage. L,.> ry a d i t
Y_L�-Q -)f3i
:@Uvk�, [Ki5w_ 19�i' . It i Alrz-)
Lo i�ast, cuid 1`11. C-_' ct
ci�i�! add to (52 2 4,
K1 b, A.) C�M (e "M _2
Rcn�,
VALUATION
FEE
PLAN CHECK FEE
I oo
HEAT SOURCE GLAZING % LOT SLOPE %
f
BUILDING
GAS 18.9 12. 5
PLAN CHECK NO: VESTED DATE
PLUMBING
t
MECHANICAL
70
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t:
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL —
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
.j
SEPARATE PERMISSION.
STATE SURCHARGE
cc
ILI
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. 1 YEAR: PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
(Wo
'i 5
'APPLICANT, ON BEHALF OF HIS 0 HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
W
F
I N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
/I
-LAf4BSGAR4NG
2
D
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM I ANY AND
9
cc
L Y
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
E
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
RECEIPT
PLAN CHECK DEPOSIT
PL'
E
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0
x,
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
RECEIPT/
TOTAL
Tol DUE
AMOUNT
1'21
ON
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
OF
GIVEN IS CORRECT,AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
ID
APPLICATON1013ROVAL
J C_
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
This application is/Tno�a permit until signed by Me
CALL ,
E
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official �,r his/her Peputy: and Fees ate Da�:. A.,-_
To
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION rqceiptills aknowledged in spare prov�o&z.
FO
WORKMEN'S ah��,ENSATION INSURANCE AND RCW 18.27.
OFF LS SjQN U
SIGNATI. (OWNEO) BIGN
DATE 7E�
(425)
o
771-022G..,
ATTEN'TION
ELEAq'y-,--
EXT 3�3t,`!�r'!'
iT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
Vor
-0221
A
FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFI-
J71
CATE� OF OCCUPANCY HAS BEEN GRANTED. UBC-SECTION 1106
FAX
iiv
SCALE: 20
MERIDIAN: PLAT
DATUM: NGVD 29
BENCHMARK: USC & Gs *0-407 - FOUND
BRASS DISK'SET IN FOUNDATION
OF BUILDING No, 23423 HWY 99
ELEVAnoN 404.36
SITE Tom: WESTERLY HEADBOLT ON FIRE
HYDRANT AT SE -COR. INT.
74TH AVE W AND MCALEER WAY
(SEE PLAN) ELEV. 297.00
t(MTOURS: 2' INTE9VALS
SURVEY OF:
LOT 2. BLOCK 7. LAKE BALLINGER LAND CO'S -PLAT
SUBDIVISION No. 1, ACCORDING TO THE PLAT �;
RECORDED IN VOLUME 9 OF PLATS, PAGE 51 AND.,.5B-'-..'..
RECORDS OF SNOHOMISH COUNTY, WASHINGTON;
TOGETHER WITH SHORELANDS IN FRONT OF AND
ADJACENT THERETO.
SITUATE IN THE COUNTY OF SNOHOMISH. STATE%--O�-
WASHINGTON.
SUBJECT TO EASEMENTS. CONDITIONS. RESERVATIONS
AND OTHER MATTERS OF RECORD, IF ANY.
LEGEND-
M
WATER VALVE
m
WATER METER
GAS VALVE
0
LAMP POST
-0-
U11LITY POLE
LS
LANDSCAPING
mo
df WA
WALK
Cw
CONCRETE
+
SPOT ELEVATION
Ei
PO 4r,
Lma SURVEYORS NOTM p
EQUIPMENT UgED: TOPCON GTS 303 ELECTRONIC TOT ' AL
STATION (6 SECOND DIRECT READING ELECTRONIC -SEAL
TMEODOUTE AND INTEGRAL DISTANCE MEASURING METER). C;-409
300 FOOT STEEL TAPE. DISTANCE MEASURING EQUIPMENT
HAS BEEN CALIBRATED AT AN LSAW BASEUNE ANNUALLY. 1977
TA
RELA11VE PRECISION RATIO OF FIELD TRAVERSE DAr PH Io
MEETS WAC 332-130-090.
IND61NG DATA:
1/4 OF THE SW 1/4 OF SEC-nON 329 T. 27 N.9 R. 4 E.9 WM-
NW 1 -
.57
FOUND
MTH ll—WW.10 OR=
DISK Am-pUM:14, 04
CASE ("mit"m
I V E D
JUL 05 20p6
DEVELOPMENT SERVICES CTR.
Ss CITY OF EDIAONDS
"014-OD-W &S.M.".
SISAL". TOP a 284.5
00* (170.16- INV. a 273.0
TOP 294.e$ PLAY)
INV. 28&30 S_
WA Y —,_�ss z
I STE TOM
SEE NOYE)
WATER
VALVEJ VACMED
in
NO
(137.74-
PtAr)
vi
0GER
L0
KE 9X- pLAT NOTE: LOT I AS VM ON
LA C;O,s - 1 PLAT MAP DDES NOT
Si oN 0. CLOSE MATHEMATICALLY -
LAN D N
U60 51
9t
j 5
OL.
v
Z NOIL- THIS POIRTION OF SIX
FOUND EXISTING NOT INCLUDW Of LOT
"K FENCE NORTH—\ MON. VATM TACK IN LEAD. TyFl- ON PLAT MAP.
OF LOT LINE' Q PLACES) N OF LOT LINE AS
25* 20' NOTED (411611"9)
i X "M WE
Tlf"CAL FfR TREES MESH FtNCE
2.1 S139*45*300E 171.32' (171.31' PLAT)
goo
ATM)
-&2*N
(EDGE OF VEGET
EkISTING J.
HOUSE
lid #23823 CYCLONE
FENCE cm
2
ne
z Z
MAIN FLOOR .09 V
I it
+
ELEV.- 297.5
(LAWN)
IM*T FLOOR_..
I
ELEV.--289.4--- 0 R a
Q.
w I
It �vx l! I J 4!p WRFACE ELIEV.- 277.1
C?
IV
vi CONC. 0�4 GARAGE
m
_rm
I% TIE
20.04' V_ool'
9 o WOOD /s89*45'300E 185.9-r 085. PLAT)
V Ir
FENCE
LA YEJ
HOUSE SET 2ax 2" WHI
No. 23829 LINE STAKE
SEt 1/2*0 RERAR
AND CAP #28409-
TYP, (4 PLACES)
RECORDING CERTIFICATE SURVEYOR'S CERTIFICATE
FILED FOR RECORD THIS DAY OF THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME
OR UNDER MY DIRECTION IN CONFORMANCE WITH THE
AT M. IN BOOK OF REWIREMENTS OF THE SURVEY RECORDING ACT AT THE
REQUE ROX G
MD
AT PACE AT THE REOUEST OF ABA. INC.
I I ���
BY:
A GE R
DANIEL Ml
Mir k1lituarp.
PREPARED FOR
'ROY GORUD
23823 — 74TH AVE W
EDMONDSt WA 98026
TEL: 425-640-7045
6141 NE BOTHELL WAY
borden KENMORE, WA 98028
TEL: 425-485-9711
2RAWNs6_2a_
:
CHE�0: jDRM__
SCALE :
lot =I12
28409 DATE
SCALE: 1 20'
0 25 50 75
MERIDIAN: PLAT
DATUM: NGVD 29
BENCHMARK: USC & GS "0-407" - FOUND
BRASS DISK SET IN FOUNDATION
OF BUILDING No. 23423 HWY 99
ELEVATION = 404.36
SITE TBM: WESTERLY HEAD13OLT ON FIRE
HYDRANT AT SE COR. INT.
74TH AVE W AND MCALEER WAY
(SEE PLAN) ELEV. = 297.00
CONTOURS: 2' INTERVALS
SURVEY OF:
LOT 2, BLOCK 7, LAKE BALLINGER LAND CO'S PLAT'
SUBDIVISION No, 1, ACCORDING TO THE PLAT
RECORDED IN VOLUME 9 OF PLATS, PAGE 57 AND 58
RECORDS OF SNOHOMISH COUNTY, WASHINGTON;
TOGETHER WITH SHORELANDS IN FRONT OF, AND
ADJACENT THERETO.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF
WASHINGTON.
SUBJECT TO EASEMENTS, CONDITIONS, RESERVATIONS
AND OTHER MATTERS OF RECORD, IF ANY.
LEGEND
N WATER VALVE
m WATER METER
M GAS VALVE
0 LAMP POST
-0- UTILITY POLE
LS LANDSCAPING
CW CONCRETE WALK
+ SPOT ELEVATION
R
%E�3 / �24/011
LAND SURVEYOR'S NOT -IS:
EQUIPMENT USED: TOPCON GTS 303 ELECTRONIC TOTAL
STATION (6 SECOND DIRECT READING ELECTRONIC
THEODOLITE AND INTEGRAL DISTANCE MEASURING METER).
300 FOOT STEEL TAPE. DISTANCE MEASURING EQUIPMENT
HAS BEEN CALIBRATED AT AN LSAW BASELINE ANNUALLY.
RELATIVE PRECISION RATIO OF FIELD TRAVERSE DATA
MEETS WAC 332-130-090,
FOUND (2) CONC. MON.
WITH 1-5/8"0 BRASS
DISK AND PUNCH IN
CASE (10/06/1998)
Al�
S.S.M.H.
Nal-74-00%,V
S. S. M. H.
TOP = 294.66 TOP = 284.5
INV. = 28B.30 00'
(170-16' PLAT) INV. = 273.0
uc/
SS'\
FIRE HYD.
SITE TBM
JIM WATER (SEE NOTE)
VALVESj VA CA TED
in
9C, —
(13;7,
PLAT)
LING
HAL
V) O,S PLAT
C N 0.
NOTE: LOT 1 AS SHOWN ON C;
PLAT MAP DOES NOT
LA I V, 51 ON CLOSE MATHEMATICALLY,
57
SU13
CL 9,
r� OL.
v
Ln
U) NK - FOUNID EXISTING 4"x 4" CONC.
2 5' 0 C i-�T [ANE 'MON. W'ITH TACK IN LEAD, TYP.
6 20' (3 PLACES) N OF LOT LINE AS
NOTED (4/16/1999)
ROCK'RY, TYPICAL
2. 1'N FIR TREES
4530"E 171.32' (171.31' PLAT) "\v
Q 0.1 ,,1 0. 2'N
, it, or
EXISTING
I�OLJSE
f-) # 23 8 2
3' HIGH
f'n Cy
CLONE
NCE
FE E
2
MAIN FLOOR
U
FLEV-= 297.5 80 t")
0 fl)
(J-)
BSM'T FLOOR
ut - (LAWN)
'-LEV.= 289.4
\ I '\ 1 10, 1 --1* 1 -
E. N & --'r i! � b 1 01 0 co
A BASE FLOOD ---4b
LS ELEV. = 280.0 J
PO
PER CITY CF
0 EDMONDS f
+
Ln
SEAL
C' 4
C-409 CONC. D R I �-E CA -PACE I CO
r
J
1977 d"—
.04' 88.2')
12'
INDEXING DATA:
NW 1/4 OF THE SIN 1/4 OFF SECTION 321, T. 27 N., R. 4 E., WIN1.
RECORDING CERTIFICATE
FILED FOR RECOPT�- �j- IS
DAY OF
AT M, IN BOOK --�>� OF
AT PACE AT 131�OUEST OF ABA, INC
BY:
FILE NUMBER: REF: 199908201.5008
(185.95' PL'AT)
185.97
COD
/ S89'45 30"E
F E N C E
PUMPHOUSE
No. 23i� SET 2"x 2" VAHITE-1 0
29 LINE STAKE HIGHEST OBSERVED FLOOD
SET 1/2"0 REBAP EVENT ELEVATION = 282.5
ANE; CAP i,28409. 3 PER CITY OF EDIMONDS
TYP. (4 PLACES)
U)
(D REVISED- 8-01-2000 ADDED FLOOD 'ELEVATION DATA PER CITY OF EDMONDS
SURVEYOR'S CERTIFICATE
THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY �vlE
OR UNDER MY DIRECTION IN CONFORMANCE WITH THE
REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE
REQUEST OF ROY GORUD ON 5-25-1999.
DANIEL MOEHRKE, PLS 28409 DATE
PREPAREDFOR
ROY GORUD
23823 74—'1*H AVE W
EDMONDS, WA 98026
TEL: e425-640-7045
araThaki
borden
associates
INCORFORATEE)
(41 C-1
i0l-t miliNt
14� FEIVED
AUG 2 12000
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
NOTE: THIS PORTION OF SITE
NOT INCLUDED IN LOT 2
ON PLAT MAP.
3' HIGH WRE
MESH FENCE
SHORELINE
(EDGE OF VEGETAlION)
WOOD DOCK
SURFACE ELEV,= 277.1
(4/19/1999)
R.R. TIE
BULKHEAD
6141 NE BOTHELL WAY
KENMORE, WA 98028
TEL: 425-485-9711
DRAWN: CRC I DATE.: 5L03Z1999 PROJECT: 3099
CHECKED: TCS/DR LE: 1 " = 20' SHEET1 OF1
SCALE: I " = 20'
0 25 50 75
1 1 1 1 1 i I I I I I I I I I I
MERIDIAN: PLAT
DATUM: NGVD 29
BENCHMARK: USC & GS "0-407" — FOUND
BRASS DISK SET IN FOUNDATION
OF BUILDING No. 23423 HWY 99
ELEVATION = 404.36
SITE TBM: WESTERLY HEADBOLT ON FIRE
HYDRANT AT SE COR'. INT.
74TH AVE W AND MCALEER WAY
(SEE PLAN) ELEV. = 297.00
CONTOURS: 2' INTERVALS
SURVEY OF:
LOT 2, BLOCK 7, LAKE BALLINGER LAND CO'S PLAT
SUBDIVISION No, 1, ACCORDING TO THE PLAT
RECORDED IN VOLUME 9 OF PLATS, PAGE 57 AND 58
RECORDS OF SNOHOMISH COUNTY, WASHINGTON;
TOGETHER WITH SHORELANDS IN FRONT OF AND
ADJACENT THERETO.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF
WASHINGTON.
SUBJECT TO EASEMENTS, CONDITIONS, RESERVATIONS
AND OTHER MATTERS OF RECORD, IF ANY.
UE -0 E N D
N WATER VALVE
m WATER METEP
m GAS VALVE
0 LAMP POST
-0- UTILITY POLL
LS LANDSCAPING
C W CONCRETE WALK
+ SPOT ELEVATI
0
Y'
a-pru';3 3 j 2-4.1
LAND SURVEYOR'S NOTES: �Or�t �11.
EQUIPMENT USED: TOPCON GTS 303 ELECTRONIC TOTAL
STATION (6 SECOND DIRECT READING ELECTRONIC
THEODOLITE AND INTEGRAL DISTANCE MEASURING METER),
300 FOOT STEEL TAPE. DISTANCE MEASURING EQUIPMENT
HAS BEEN CALIBRATED AT AN LSAW BASELINE ANNUALLY.
RELATIVE PRECISION RATIO OF FIELD TRAVERSE DATA
MEETS WAC 332-130-090.
/C.)
SEAL
_"4 0
X_
INDEXING DATA:
NW 1/4 OF THE SW 1/4 OF SECTION 32, T. 27 N., R. 4 E., WM.
FILED FOR RE
AT
RECORDING CERTIFICATE
S
M, IN BOOK
DAY OF
OF
FOU1`0 (2) CONC. MON.
W1 T i_� ' 1-5/8"0 BRASS
DISK AND PUNCH IN
CASE ('10/06/1998)
. 03 A
A.
S. S. M. H. N81-14 '00,,W
TOP = 294.66 S. S, M. H.
7 17-1 00. (170.1
INV. = 288.30 TOP = 284.5
6 PLA T) INV. = 273.0
UCA
f
F I R" H YD.
S11- TBM
(SFE NOTE) tn
WATER 71-
VALVE5
VA CA TED
1,35.2-3*
74'
C) PL A T)
HAL I�GEF U-)
14Q is --i
KE L A
N DC 0 NOTE: LOT 1 AS SHOWN ON
o 0 - PLAT MAP DOES NOT
A CLOSE MATHEMATICALLY.
<
SUB[)
a 97
Vol t
C�.
Lai co�
�D
NCE NORTH FOUND EXISTING 4"x 4" CONC I _j NOTE- THIS PORTION OF SITE
LOT I INE r- NOT INCLUDED IN LOT 2
25' 31
(3 PLACES) N OF LOT LINE AS ON PLAT MAP.
20' MON. WITH TACK IN LEAD, TY� A
I NOTED (4/16/1999)
POL I �_'AL
2. 1'N
C� 2'N
I i-52, (1 i.3; �'i A
1'N
3�3' ED[, avv, 0,
SHORELINE
F XI S TI N G (EDGE OF VEGETATION)
I -I OU SE �.n
#23821) 3' HIGH
CYCLONE
Ln t
C) L�j a: 0 FENCE
1 2 7 Of
y () Lj WOOD DOCK
c) 6
C) z
Ld 0
MAIN F LOOR
0 ELEV. 00
297,5 _j
L
WOOD DOCK
C
0
BSM'T PLOO t'j
R CO (LAWN)
ELEV.= 2,99.4
I (D
x-
U0,
BASE FLOOD
t 0, 0 ELIV = 280.0
PER CITY OF
< < 3.3' i C. p
EDMONDS
SURFACE ELEV.= 277.1
(4/19/1999)
-ARA
CONC. DPIV G GE
z
<
120.04 (110. 5)
3.2' (88.2'
I—R.R. TIE
S'B9'45'30'1 185.97' (185.95' PLAT)
—WOOD BULKHEAD
FENCE
SET 2"x 2" WH I TE PUMPHOUSE
LINE STAKE HIGHEST OBSERVED FLOOD
SLT 112"0 REBAR EVENT ELEVATION = 282.5
PER CITY OF EDMONDS
AIID CAP
T'�P. (4 PLACES)
(4 1/11 6 /19 9 9)
Q�) REVISED: 8-01-2000 ADDED FLOOD ELEVATION DATA PER CITY OF EDMONDS
SURVEYOR'S CERTIFICATE
THIS MAP CORRECTLY REPRESENTS A SURVEY MADE BY ME
OR UNDER MY DIRECTION IN CONFORMANCE WITH THE
REQUIREMENTS OF THE SURVEY RECORDING ACT AT THE
REQUEST OF ROY CORUD ON 5-25-1999.
AT PAGE AT T=BA, INC.
R BY: SUPT. OF RECORDS--,,,, (I C) C)
FILE NUMBER: REF: 199908205008 DANIEL MOEHRKE, PLS 28409 DATE
PREPARED FOR
ROY GORUD
i<23823 - 74TH AVE W>y
EDIMONDS, WA 98026
TEL: 425-640-7045
aramaki
borden &
associates
INCORPC&ATED
6141 NE BOTHELL WAY
KENMORE, WA 98028
TEL: 425-485-9711
DRAWN: CRC I DATE: 5�03Z1999 PROJECT: 3099
CHECKED: TCS/DRM I SCALE: 1" - 20' 1 SHEET 1 OF 1