Loading...
350 SUNSET AVE N.PDF11111111111111 13362 350 SUNSET AVE N -SITE' PLA-,W CIT-f OFr �VMOW773 COMM4014LY Kh)OWN J645JS'O ;5())00FT_ D&,ru-"- 1pIr.= )0060- T'Op OP COWC Wfj.�t�L 10' �xLtTti,14­ 177ZIVEFWA�'j OMS-5 T-) N4.- Iva rEc" s T-A.1 1% 5 . ro 13 er 0 Ex)�,Tlmc, R5-51DEENCE L L) F X00.0 I I o E x ) Is r I N c_ GYA, )z A-c-M, ro Ma rzs"movffx7 6 go IN 1=07Z r 0 '44,-o 9 H�lc-,H-r *.9 c!,bl-c--jo - 1 I-cm6or LOT COVER)�,GE, - ic;, -13, 1 oo, a -5' C' I o 1. 85 LOT' ATZ.G7A ' SC.000 Y, 35' = 3C)1092 MA�X In . I ol. (;,.<;> HOU15E 4FORCH ='J7'X'3"A M5-W WeENv Gr)s.�9A,.c-Ez= 11-109, - + 15,000 - W -ZUN 00 CA ,I TO TA, L 2845ro OCT 2 2 1996 ?ERMIT COUNTER FLAT- LOT- (NO aTZ4t,,-VlKG-fZE,2k:-v) APPROVED BY PLANNING X oc ui P Z D V) SITE- PL/,,I,,J- CITY OF- ElUMOND3 COMMONLY KNOWN AS 3S'0'5UWZST AdCM- 13 CAL IF: i r,:p DATUM FT� 100-0 T40 10 012 C, 0" C.. WA. L- L to' m.,w5riNc� 13 rz) v e- %In to 1�7.x 113ro" c- HE)C,H-T CALC�5 A, 1. 19 7. 4 0 r3 100. 3T c 10 1. 8sr 10 t 0 1. cbo —403-40 100-85 HUAN 'rorAL 2 15*1 8 Is m A. X. FILE A-n N r.- a, sl .LOT COVERA-G-F 1-0 T b� n EE A, 8 & 0 0 A X .3 5- = 3 0 10 kd MA-X HOUZE AWV POnCH 1725- 96 a /A, rE A. <r S, it A.DIDL710�4 46 # 'rorl-10- :17 6 7 9b X L A.,r j. OT - 1-4 0 &RA."D I Nc, M E G�p BY PLANNING W. I -.�V--LOPLIEWI, SERvicEs 0,7 0 PLANNING DATA NAME: V-4c-xr-,w- DATE:- C1 - Ll - ()I SITE ADDRESS: AV!R NJ PLAN CHK#: PROJECT DESCRIPTION: L-ALxqc,�iEtj Ocot-&-) REDUCED SITE PLAN PROVIDED?: (M / No MAP PAGE: -1 F-5 n. CORNER LOT: (y2s FLAG kOT: (Yes U ZONING: MS-( CRITICAL AREAS DETERMINVION El Studv Reauired: 2) Waiver L) Conditional Waiver SEPA DETERMINATION: U Fee El Checklist Q APO list w/ notarized form *eeded for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) Exempt SETBACKS: PS AL 2-3. 10 150 Required Setbacks: � f Street: 1 6' Left Slde:_��; Right Side: F2 Rear: 192 Actual Setbacks: Street:2..X' LeftSlde.108" Right Side: A.75 Rear: Street map checked for additional setback required? (Yes Mb U DETACHED STRUCTURES: Q ROCKERIES: LJ FENCES/TRELLISES: BAY WINDOWS / PROJECTING MODULATION: STAIRS/ DECKS: PARKING: Required: .2-,Actual: LOT AREA.&00 Mf LOT COVERAGE - Calculations: Acp. sq.2 laf * ;j&%,j4&gj. PW�_ru I I.Ig zi 4 2-0 9�-e:AeAgw, '7 8 74d BUILDING HEIGHT: Datum Point: Datum Elevation: Maximum Allowed: Actual Height: A.D.U. CREATED?Q /Yes) SUBDIVISION: LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes / No OTHER: Plan Review By: �M*L. QA"Pae3 J_ NewBPPlanningDataForm.DOC kg�-) CITY OF EDMONDS USE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION .a EYAPT ADDRESS i —T Aue- OWNER NAME/NAME OF BUSINESS b1liIjikk 1­1 %- 4t (opt.., —s a,.)_,,. LEGAL DESCRIPTION CHECKI SUSDIVISION NO LID NO MAILING ADDRESS 3 �-b � . ') �� 41�� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION OPOSED TESCP Appmed 0 :W Permit Required 0 Street Use Permit Asa'd 0 Inspection Required '21 Sidmalk Required 0 zip 24 TELEPHONE NUMBER 7 2.71 NJ NAME C METER SIZE LINE SIZE I NO. OF FIXTURES PRVREOUIREO Yes D No 0 ADDRESS ARKS CITY ZIP, Ai 'A 1, 1 Lo li� �27 ELEPHONE NUMBER -7 LI lo�rlb, r c-1 NAME CIA E, A 04.., ADDRESS of(_ //J/77- SCLA) ENGINEERING MEMO DATED 7;=,yf,.L CITY ZIP TELEPHONE NUMBER FIRE MEMO DATED REVIEWEDBY STATE LICENSE NUMBER EXPIRATION DATE i�WA L Ztl_,� L 17 f SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE ADS NO, Legal Description of Property - include all eat�ni_S I JEXEMPT SHORELINE 9 z 0 EXP V VARIANCE OR CU PLANNING RE E ' By DATE SETBACKS — FEET HEIGHT FRONT SIDE REAR -7 �-j LO �ERAGE 3 z M Property Tax Account Parcel No, 01, 3 ;L) 0 3 - 1 0 0-z - 0 0 os- REMARKS 4 NEW 12 RESIDENTIAL PLUMBINGIMECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEL APT. BLDG. SIGN CHECKED BY TYPE OF CONSTRUCTION CODE I - Al 9y as OCCUPANT GROUP /I GRADING FENCE El REPAIR CYOS, I X _FT) WOODSTOVE SWIMPOOL DEMOLISH INSERT HOT TUMPA OGARAGE RETAINING WALL/ CAR11110". 1:1 ROCKERY RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPL&IN' S; yl - j"O'k LW_ 9 SPECIAL INSPECTOR REQUIRED DYES IMMUc- li)Atvijillacy) �� 14-)9 OCCUPANT LOAD MAKAD PROGRESS INSPECTIONS PER UBC 108 a z NU SER OFM STORIES E=GOF NUM U CRITICAL d. A — 9 't . ANREMABSER I le I it, X I 0.e: I y 1" 1 r--,;-s DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECT16N REQUIRED ion e I I VALUATION FEE PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING % PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewelks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permill Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, On behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE z successors in Interest, agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, Its officials, employees, and agents from any and all claims for damages Of PLAN CHECK DEPOSIT 5 z 0 OX 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 ordinne nor limit In any way the City's ability to enforce any Ord In rice provision." TOTAL AMOUNT DUE 4z I hereby acknowledge that I have read this application; that the Information given 13 coj�raCt; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL :Uthorized. agent of the owner. I agree to comply with city and THIS PERMIT late laws regulating construction; and In doing the work authorlz. AUTHORIZE 5 This application is not a permit until ad thereby,'no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is Won Insurance and RCW 18.27. INSPECTION acknowledged In space provided. 11 ATURE OWNER OR A DATE S1 DEPARTMENT Cl OFF� L' �IG DATE TY OF ::D EDMONDS CALL FOR RELEASED BY: AAE ATTENTION INSPECTION IT 8 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORIGINAL — File YELLOW — inspector 771-0220 Li A -CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UoR EIC SECTION 109 /2-- PINK — Owner GOLD — Assessof AU. CITY OF EDMONDS USE ZONE < PERMIT 9GO7579 NUMBER CONSTRUCTION PERMIT APPLICATION ,a UITE/ ADDRESS ;r 5.oA) 4 ),�F OWNER NAMEINAME OF BUSINESS Ntmo q C� kOL cj,� OF LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO Z MAILING ADDRESS —7 "�n 5t I A )�Sr­r '406 PUSLIC:IGHT OF WAY PEA OFFICIAL STREET MAP. EXISTIN REQUIRED DEDICATION PROPOSED TESCP APWO,ed (3 Rw Permit Floqui,ed 13 BOOM U90 ftrmil Req-d 13 Inspectian Requirod .13� SJd*Im4Ik Req&ed 0 CITY Z IF 17 159M&IJA�s TELEPHONE NUMBER -77 NAME. MITER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED YES E3 NO C3 ADDRESS REMARKS Z CITY ZIP ITELEPHONE NUMBER NAME ADDRESS t4 //,7 ENGINEERING MEMO DATED REVIEWEDBY JL CITY ZIP TE LEPHONE NUMBER FIRE MEMO DATED REVIEWEDBY STATE LICENSE NUMBER EXPIRATION DATE E:)9x1_5C,e,4 /1/,� 4*7 �,- /- -97 SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE ADS NO. --r-OFIEL-NE, Legal Description of Property - Include all easements I [.E.PT EXP I VARIANCE OR CU LANNING REVIEW BY DATE SETBACKS — FEET HEIGHT LOT COVERAGE FRON DE REAR 7 % T4 a, PTA.=,,I # -� Z To Pamell NcL NEW El PLUMBINGIMECH COMPLIANCEOR ADDITION CHANGE OF USE C-1- REMODEL SIGN CHECKED BY TYPZt:�jONISTRUCTiON OC OR CUPANT 0/p/ P:EPAIA GRADING FENCE x CYOS. DEMOLISH El WOODSTOVE SWIM POOL INSERT NOT TUB/SPA GARAGE' RETAINING WALL/ CARPORT 1:1 ROCKERY D RENEWAL SPECIAL INSPECTOR JAREA REQUIRED 13 yes OCCUPANT ILOAD MARKS PROGRESS INSPECTIONS PERUSC 108 (TY USE. BUSINES 5 OR ACTIVITY) EXPLAIN: NUMBER OF . STORIES UM �E. O�V DWE: 'IN. 4 UNITI CRITICAL EAS .7w MEER OESCR!" WORK TO 86 DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING Z —.5-- HEAT SOURCE-- GLAZING % PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. aRmNalmi. . Any construction on the public domain (curbs, 3idewolks, STATESURCHARGE driveways, MarQUO03, 6tC.) Will require separate permission. Permit Applicatilon. 180 Days Permit'l."t; I You - Provided Work Is Started Within 180 Days STORM DFUUMAGE FEE "Applicaril, on behalf of hie or her spouse, heirs, assigns and ENG. INSPECTION FEE 5 I 0 successors In interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, Its officials, -employees, and agents from any and all C18IMS 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 nor limit In any way the City's ability to enforce any Ordinance provision." PLAN CHECK DEPOSIT TOTAL AMOUNT DUE I k hereby acknowledge that I h7119 read this application; that the Information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL 'authorized. agent of the owner. I agree to comply with city and THIS PERMIT State . laws reCulatingconstruct]On; and In doing the work authoriz. AUTHORIZES This application is not a permit until ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her Code Of the State of Washington relating to Workmen's Compenes- WORK NOTED Deputy; and fees are paid, and receipt Is rtion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. SIGNED DEPARTMENT . _kl; ZATUW JDAT 1 0" CITY OF :XNATURE 0 )S EDIVI ND A2' 6 CALL FOR 'REASED BY: DATE ATTENTION INSPECTION Ji IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC 771-0220 SECTION 109 PINK — Owner GOLD — Assessor 10247 -51TE CIT-y Or COMMOkLY KNOWN A15,350 5UJ�00EF- Ri�L'15'6o M&TUM lurz 100, rop 4or cow4c "h.. F x I Is T i N c- 13, A, lz AXII-Lol ro Ma lZEMOVE17 I L omi'l lull a 00 W* 1 -3 ?4 4- snm n u or PECK- 0,01 F. - LEX) T I M C, R5-0 IDE t4CE D 0 AN OL go T Ix I ICIR'66 LOT CON/ EJZ 16, Gr E 'G LOT ATZ.G7 A C. 00 10 Y, 3 5' 3 010 91 "A-X C' I C) 85' P* 10;1. (4 Q I HOL) PORCH 72'�-'A T T A-, L -0 10 lbf'T M 5 W c-, 4.:R "" c� a 15,000 OE W 'SUN, *0 r:;.,CK 2-OOCA '(15, 85T "so, TO TA- L ;Z 8 Aj 5 rj6 FLAF LO'r (NO STREET FILE OCT 2 Z 1996 T COUNTEF APPROVED BY PLANINii- PLANNING DATA NAME:__P1X1Vd -k :�1-cr-z SITEADDRESS: 3fO So-wei- AV. DATE: ZONING. PLAN CHK#: PROJECT DESCRIPTION: 0 &v&_te_ hJzL4 CORNERLOT Al —(Yes/No) SETBACKS: Required Setbacks: - Front: 7- v Left Side: Right Side: 1- Rear: I 5'_ Actual Setbacks: Front:. Z Z Left Side: A Right Side: -Rear: 5-3 Street map checked for additional setback required?-- 141 __ —(Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED _(Y/N) LOT COVERAGE: Maximum Allowed: -3 5-Pa', Actuak I 3f- BUILDING HEIGHT: Maximum Allowed: I Ar' X — ctual Height: Datum Point: C­jc"�C-44 100. Datum Elevation: 100. SUBDIVISION: CRITICAL AREAS #: Ct - 77. -1 � 6 SEPA DETERMINATION: LOT AREA: iff,(� 00 OTHER: Plan Review By: fla yu- (M CL E cl Co to m 0 0 CD r- cp CD LIJ. IT m kD (s) 0 z Lli z 0 Ln F- z Ln z 0 U z Ln w 'I 0 M U. 0*% Ll Ix Zu -D&Y.V.".�wra J00,0- r4a F or 040 L) C WN1,11 I IGO; QQ, 4q, r CPT A(a 5'. 2 0 + sirE PL— 6,, t-j C—tj,rll 0 PC' FpmaH?7,t) C014 040"Lt LK04OWN A5.3 5'0 oap�)$Vr '44 vi se tq '-0/4/ e-lf� EX Wrowc- ah-ZA4-er ,r-.o Gou- L-OT COVERA"WE: L 0r #-TkE;-A to 00 9$ x 9 Of 0 * MA-X 1-1003 F 4 rO R CH 7 2 q' 10 N tr W rzr -w r I - oh'J, & c := I A 0 vi NEW 2UNiorciAL 2.00qd TOTXt. Z8450 LO T- (N-0 4- RP-V I KCi- riL k: q:D) i /0 /) 16 j /� ( f,- 4�e- XrT /0 PERMIT APPIJCATION REQUIREMENTS To: Applicant From: Jamal Mahmoud, Engineering Inspector Owner Q6V4C,(J J Ca,-OL- Plan Check No: Address: 35 o yt4 mfet A!np. - - 1'7 Q Z Date: tt� <:�+ After review of the subject permit application, the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.IVL-10:00 P.IVL;WEEKENDS/HOLEDAYS — 10:00 A.IM-6:00 P.1VL 2. A separate RIGHT-OF-WAY CONSTRUCMON PERMIT is required for aH work on public property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner is responsible for containing all. temporary runoff and erosion control on site (ECDC 18.30.030d). 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 18.30.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30) 8. Repair or replace aH defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit. (ECDC 18.90) 9. Driv slope shaH not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to ';NT %. (ECDC 18.80.060D) 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C) I I - INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SEDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refuse without a permit from the Fire Department. 13. Connection to City water system is required. There is a separate charge for the water meter (ECDC 7.20). 14. A back water valve is required if downstaiis plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) 16. Connection to the City sanitary system is required. A separate permit is required. LEW Fees paid: Yes— No. Charge 3 0 (ECDC 18.10) 17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) i 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) PPhffA"DW ENGINEERING ROUTE TO 9--hl On %/ Back id I& -Add? 'A-eA Total Days —Mailed 1 RESUB #1 ON 16 TO Back Add? Total Days Mailed RESUB #2 ON TO Back Add? —Total Days�__Mailedt%!r�m FT, 1. Site/Drainage Plan & Calcs, PK & (-0— 'Va - 2. Grading Plan/Calcs/CYG SEPA? A-L' OK e-- 3. Driveway Slope % kq-"- Profile OK 4. Truck Route Plan OK N./ 5. Street Dedication? FEET e__ 6. Easement — e e— _OK OTHER COMMENTS: 'ro jrraqtK5 P-OL4- r-'r Corrections Required Received I. a) 2.- 3. Dr i (,V S Lotlp e3tqj 4. PW REVIEW Date Sent — Back FIRE REVIEW Date Sent Back PLANNING REVIEW TIME TOTAL DAYS *** ENG REVIEW TIME TOTAL DAYS FIRE DEPT REVIEW TIME. TOTAL DAYS *** PW REVIEW BUILDING DEPT REVIEW TIME: In -House ORDINANCE COMPLETION DATE PERMIT # Outside TOTAL DAYS, TOTAL DAYS COMPLETION DATE . TOTAL REVIEW TIME . DAYS ISSUE DATE *CONTACT PERSON STATEMENT* BY SIGNING TEEIS FORM I UNDERSTAND THAT I AM TBE ACKNOWLEDGED CONTACT PERSON FOR TMS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE PERMIT. I UNDER STAND THAT IT IS my RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERNMS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF My ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A COMPLETE APPLICATION. Signed *'_�Xnu 4c'k:�' 9 C' Date Contact Person (Print Clearly) S5'k__b1 CLY / 4 _ 7 Phone Number FAX Number - Mailing Address ROUTEDOC/Urenip/Bldg/Forms-5/96 F4&27�_ 111S_- 11117 U0.1"F N W� .j k, W,XC ORWA.d.-I ?OzOi 4'- oil I- to I -oil r I -oil r 71 LF(7AL. DESCRIPTION That portior. of Government Lot 1, Section 23, Township 27 North, P in Snohomish County, Washington, described as follows: Beginning at the Northeast corner of Front and Edmonds Streets in Washington, running I THE14CE Northerly along the East side of said Front Street to the tj beginning; THE14CE Easterly at right angles to said Front Street i9a feet; THENCE Northerly at right angles 43 feet; THENCE Westerly at right angles 198 feet; THENCE Southerly at right angles along said Front Street 431 feet tj beg i rm i r.g. Situate in the County of Snohomish, State of Washington. pl�i 11492 890.199- City of Edmonds Critical Areas Checklist The Cfifical Azcas Checldist 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 obs ervations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). FILE 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. W-ith a signed copy of thi's form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant: Applicant Representative: Ter -,z 14� C1. Narne Name Title Title '- I Y\ Sr--t Street Address A V"--� C� s, City, State, ZIP Pho `1 C/ Signaiure Date Street Address City, State, ZIP Phone Signature Date Critical Areas Checklist Site Information Project Name: 4��Xxc- Number: Site Location: I " -n --,� 30�3� Property Tax Account Number. Q 3 a -76 1 - I -COD - 0 0057 'Nsn Su - Approximate Site Size (acres or square feet): 25 f X 199' Have you filled out a Critical Areas Checklist for a project on this site before? i�1:4 General Site Conditions 1. Has the site been cleared or logged? Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? C-.wE;her-3 anzsalslj I rick M 3. Describe the general site topography. Check all that apply. �---Flat: less than 5 feet elevation change over entire site. Rolling- slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet.) Mr. slopes present on siteof more than 15% and less than 30% ( a vertical rise of 10 feet of horizontal distance.) -Steep: grades of greater than 30% present on site. Comments Hydrology/Vegetation 4. Site contains areas of year-round standing water: 5. Site contains areas of seasonal standing water: prox. Depth: 6. Site is in the floodway tl 0 floodplain_______--pf a water course. 7. Site contains a creek or an area where water flows across the grounds surface? -&-�iows are year-round? Flows are seasonal? 8. Site is primarily: forested - meadow shrubs _;rnixed 9. Obvious wetland is present on site: --q-CL- 10. Wetland inventory or map indicates wetland present on site: tsl n 1. Critical Areas inventory or map indicates any Critical Area on site: For.0ty Use On.1y 4 City of Edmonds Critical Areas Determination Applicant: Ardis Santwire Determination #: CA-92-166 Project Name: I N/A I Permit Number: I N/A I Site Iocation: 1 350 Sunset Avenue Property Tax Acct #: 1 232703-1-002-0005 Project Description: None given. Waiver Criteria (all criteria must be found to apply): xx There will be no alteration of the Critical Area or its required buffers; xx The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; xx The development proposal meets the minimum standards of the Critical Areas ordinance; Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B. 150 (B) of the Edmonds Community Development Code. Jeffrey S. Wilson Cx—S)-I-I Name Sig/n&re ' Da e m9216&9-M-( M=idc0&tc= I �, 0 2,5 , N S.W Cor. Go " Lot 'J— mw Cor Go, Lot 2 Z07— o R D E R N 0. ESCROW NO. MORTGAGOR:,5A'*2ZW—r/C'4E Sec C2`3 Twn Rg- SIE M.C. EANz�ws% (J C7 N. 2 8 - 4 2'29 0" 86.2 S6a NW Sec24-27 3 Ab 0 /IC 0& N, 0. 41 C)c A� 00.> 9 0 N, 00 N, 7 4 A� 0// 4. 4b 8 0, 0/5 19 4Q1 r 4f 0 N, b 12 '0 13 '2 0 14 15 16 17 �14 Sac- Cor S.E.Cor Gov. Lo! N. E. Cor. Gov. Lo! This map does not purport to show all highways, roads or easements affecting said property; APPLICATION for The City of Edmonds SEDE SEWER PERMIT NEW CONSTRUCTION [] REPAIRS Ej EASEMENT No . .......................................... 112-OG900 OWNER .......... Edward D. Tusty ............................................... --------------------------------------------------- CONTRACTOR .................................................................................................. , PERMIT No . ...................... ADDRESS ...... a5p ... S.un.s.et .... A.y.e ............................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ......................... ................... .. .... .. .... ...... 0 NAME OF ADDITION Dye Tested On Sewer 1972 Approved: DATE................................................ By .................... ................................................. DATE RECEIVED 0/ ffil" RMIT EXPIRES [PE CITY OF EDMONDS USE ZONE PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT, ADDRESS V '�V OJER NAMFJNAME OF)KSINESS PLAT NAME/8UBDIVISION NO. LOT NO. LID NO. , wk) I L \-r- 6 r M MAILING ADDRESS LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 RW Permit Required 0 0 Street Use Pannit Req'd (3 CITY� ZIP 'l TELEPHONE EXISTING — PROPOSED Inspection Required 0 7- -n , REQUIRED DEDICATION— FT Sidewalk Required 0 Underground Wiring 1`1 required NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I.Ve YES 0 NO A cc ADDRR9j REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z z CITY zip ITELEPHONE NAME f k 0h (y) lakjA4 ENGINEERING REVIEWED/DATE ADDRESS cr FIRE REVIEWED BY DATE Lu CITY Z7P7ELEPHONE 0 OR CU � SHORELINE OR AOB# INSPECTION RE I'NIOND PON sees STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY [3YESSNO I SEPA REVIEW SIGN AREA HEIGHT PROPERTYJA* ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLO ED PROPOSED ALLOWED PROPOSED Soot 0 0 0 I EXP rl NE "ZeRESIDENTIAL PLUMBI�G MECH LOT COVERAGE ALLOWED REQUIRED SETBACKS (FT.) FRONT REAR PROPOSEDSETBACKS (FT.) FRONT UR SIDE REAR PROPOSED SIDE N COMP�IANC� OR I C3 COMMERCIAL ADDITIO CHANPE OFfU§E"- z z PARKING RELaD I PROVIDED LOT AREA PLANNING REVIEWED By DATEOF f_* —OrREMODEL 0 APARTMENT E:1 SIGN REPAIR GRADING FENCE CYDS X FT) J4_ 1 0 C] TANK E:] OTHER GARAGE 0 ROETAINING WALL RENEWAL 0 QARPORT 8 CKERY jn& USE, BUSINESS OR ACTIVITY) X IN: P CHECKED BY TYPE OF COM JC-j� OCCUPAPj GROUPIC 3 4A t&d f -4 YD &-s- '�Cjt W N MBER NI IMBER OFf CRITICAI.Vrjjtt.� SPECIAL INSPECTOR OCCUPANT 4ft q2- .0 DWELLING A iCRIES L 0 UNITS N I REQUIRED YES C] JAF�) !to� I LOAD DESCRIF6 W RK TO BE DONE V11- REMARKS z PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RECI'D 6 [G. Ljz='A,) ro P, tip IL-12U. T rzoa Opp :0 VALUATION FEE PLAN CHECK F5§,. H LAZING % ,�LAT SPURCE LOT SLOPE % e".1"'I't- 17 1 4er BUILDING -7 PLAN CHECK 140: VESTED DATE MEC�W.0 L AL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO a E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARG PERMIT APPLICATION: 180 DAYS PERMIT LIMIT, 1 YEAR - PROVIDED WORN 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 Lu IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF _j LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY F ROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL 190T PE/ PLAN CHECK DEPOSIT RECEIPT OEEMEDTON IODIFY,WAIVEORR tj:E#NYREQUIRE� TQF ANY CITY ORONLS�'tV E U U NOR LIMIT IN ANY IYVTOENFORC- NY69DINANCEPROVIS/tN. WAYTHE CITY�'�A zi li— TOTAL AMOUNT DUE R CEIPT � 5� I HEREBY ACKNOWLEDGE THAT LHAVI READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THEOWNER. I AGREE TO COMPLY WITH CITY 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 Fees are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. race,, RKMEN" COMPENSATION INSURANCE AND RCW 18.27. 0 CIALS SIGONATU DATE C N L DVIGNED (425) J 401 ��LbME .0:", I I 771-0220 I , RELEAS DATd ENTION EXT 1333.' IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 -0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- V ORIGINAL - YELLOW - INSPE60 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK-Ci�NER_' GOLD -ASSESSOR RPAR