24007 EDMONDS WAY.PDFIIIIIIIIIIIIII
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24007 EDMONDS
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ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:"(a��Wnb4U�
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: gs. pa3 DETERMINATION: E] Conditional WaiVer 0 Study Required �rWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: 4 BLOCK: 171
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:—
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DS'Ps\Fonns\Street File Checklist.doc
0 ILE NO.
Pritical Areas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 2,�l 0 0,7
2. Property Tax Account Number: - Z
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? _�_Yes; no.
If yes; how is site developed? 0M
5. Describe the general site topography. C�eck 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 1 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 10-feet over a horizontal distance of 33 to 66-feet),
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over
a horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: ;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? Flows are seasonal? - (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site: 4,1r)
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DETt�MNATION
Aca_cM.doc, Rev 02/11/97
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City of Edmonds
R- Er C -I-,:, I V E ED
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JAM 2 9 1098
41 11-
PERMIT UOU i.,11: -�:
'kW CRITICALAREAS 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 prior to 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).
Owner/Applicant:
Name/
2�1o,-)7
Street Address
city State Zip
71,P - 17
Telephone
I Zell IR,?-
Date
Applicant Representative:
, ZL
Name
Street Address
city State Zip
Telephone
Signature
/Z—J- /--4 �
Date - ' /
cxeceptionyanakaddoc
(over)
I — C)
0C. is
�e'brua*ry 5', 1998
0 9
CITY OF EDMONDS BARBARA FAHEY
MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works - Planning/ Building * Parks and Recreation e Engineering * Wastewater Treatment Plant
Clyde & Janet Mott
24007 Edmonds Way
Edmonds, WA 98026
Subject: Determination regarding Critical Areas Checklist # 98-33
Dear Applicant:
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" for your records.
IMPORTANT INFORMATION TO BE NOTED..
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHE��S � 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 4*1
PERMIT APPLICATIONS 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.
Enc: Critical Areas Determination
* Architectural Design Board
Thank you.
Shada Graham
Acting Planning Secretary
C:ReceptIonUana\CRLTR.doc
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DEVELOPMENT SERVICES
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ALL WORK SUBJECT
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STREETHLE
All changes in plans and field
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the local jurisdiction. The design
professional shall prepare drawings as
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Sound/noise originating from
temporary construction sites as a
result of construction activity are
exempt from the noise limits only
during the hours of 7:00arn to 6:00pm
on weekdays and 10:00am and
6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all
other times the noise originating from
construction sites/activities * must
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DEVELOPMENT SERVICES
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DEVELOPMENT SERVICES
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RECEIVED,
NOV 17 2014
DEVELOPMENT SERVICES
COUNTER
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AUG 14 2014
BUILDING DEPARTMENT
CITY OF EDMONDS
"Nothing in this permiL approval process shall be
interpreted as allowing or permitting the
maintenance of any cu,-rently existing illegaL
nonconforming or unpermitte.-i buildin& structure,
or site oonditioin whwh is oucbwe the scope of the
permit application, regardim. of whether such
building, structure or condition is shown on the
site plan or dravAing. Such building, structum or
condition may be the subject of a separate
enforcement action."
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