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400 HOWELL WAY (2).pdf(n — : (/) W LU Cn U. 0 L 2 U LL. W Z i— �- 0: Z �-� UJ LW 0 LU LUI X U Z LU (t) U -F F- 0 Z ��M ME IIILK%%�Axx K JUA� A V 1%t&ALd JL1FrJ01%Y1'4 ""t1ruv STAFF REPORT August 30, 1996 ADB-96-96 REQUEST FOR FINAL APPROVAL OF A NEW SIX UNIT APARTMENT BUILDING A. Applicant/Property Owner Architect/Representative James R. Irwin 2507 NW 202nd Shoreline, WA 98177 B. Site Location: 400 Howell Way C. Introduction: The applicant is proposing to construct a new six unit apartment building on one existing lot. The lot currently contains one single family residence which is to be removed. D. Background: 1. Zoning: The property is zoned Multiple Family Residential, I unit per 2,400 square feet (RM 2.4) which allows one dwelling unit per 2,400 square feet of lot area. The subject lot area is approximately 14,980 square feet. Thus six dwelling units are allowed for this project. 2. Environmental Review: The proposal of four dwelling units is not exempt from the State Environmental Policy Act (SEPA). The applicant has submitted an environmental checklist which has been reviewed by the City. The City has issued a determination of nonsignificance (DNS). Therefore, the applicant and the City have completed the SEPA review process. 3. Issues: Design of the building, site, and landscaping have all been addressed by the applicant in their proposal, and the Architectural Design Board must determine the appropriateness of the proposal. E. Staff Analysis: 1. Building Design: The applicant is proposing one new building for six units. The parking will be under the proposed building. The applicant has proposed a roof design with gable end roofs on all four sides. The applicant has attempted to add visual interest to each side of the building through modulation of windows, decks and doorways. The east side of the building has a well accented entrance, but is void of windows except for glass block at each end. This creates a large bare wall , 0 The applicant has proposed dryvit siding for the body of the building. Textured LP siding with cedar battens is proposed for the third floor and for the gable ends. A z roof of composition shingles is also proposed. X UJI b) Lighting: < The applicant has proposed eight inch tall, low voltage lighting along the walkway on the east side of the building. The applicant has not indicated the type of the lighting. W! -J c) Colors: cn u. W 0 Gray is proposed for the body of the building with black for the roof. 2 �: 9 -J d) Signing: LL 9 Cn No signing is proposed. C) :C UJ! 2. Site Design: z a) Access / Parking: Z The proposed development requires the installation of 12 off street parking stalls. W LV MI All of these stalls will be provided under the proposed building. Pedestrian access will be provided directly from the street along the east side of the building. 0 a b) Landscaping: W 3: U1 The applicant has proposed a wide variety of landscaping throughout the site which �- i=i U. 0! includes ground cover, lawn, shrubs and trees. The landscaping on the street side Z! .. i and on the east side appears to provide effective screening of portions of the W vy proposed building. 0 z 3. Technical Review: a) Engineering Division 0 Handicapped accessible ramp needs to be provided at the comer of 4th and Howell * On street parking revisions and signage will need to be shown. * A site plan that has been stamped by a Professional Engineer will be required to be submitted and approved by the City Engineer. 0 Civil Engineered Drawings must match the architectural drawings. 0 The project must comply with storm water quality and quantity requirements 0 per Ordinance 3013. Drains in underground parking garages are to be routed to sanitary sewer system. 0 Provisions for power transformer to provide power for elevator must be made. Pole mounted transformers are not allowed. * Parking plan will be required to meet the requirements of the ECDC. b) Building Division t 0 0 Compliance with the ADA requirements must be met. & Civil Engineered Drawings must match the architectural drawings. 2 0 4� LU ul U) LL w 0 LL D ci LIJ z ;7. Z LU LLJ cr 0— a �- UJ u L c 2 ui 0 z t 0 ow NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THA -THIS NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. :ix N he I NOTICE: IF THE DOCUMENT -_THI$ !OTICElT 1,S DUE TC AE C�) (D ol- 00 1 0 o o (D (D(D L 01�%: 10 G c >K 00 W.Q VE" A WeW & zwrr e.44wAv4ta% Oil 4v AveW-E JAMES R. IRWIN & ASSOCIATES —.**ARCHrFECr* ua,- 32X 13 25x1L m" m.° ` . | rt ARCHITECT ADB-96-101 NEW FOUR UNIT MULTIPLE FAMELY BUELDING Mchel Construction Inc. 536 Walnut (Final Aunroval) 7. DISCUSSION OF ITE MS APPROVED BY STAFF WITHOUT ADB APEROVAL There was no discLssion of this item required. 8. ADJOURN 0- I.I... MINIM-4 ArddteMual Daign BoW SepAmber 4. 1996 Pap 2 (C-7 0�0 Oil 41 Ali m sanq SVAWMPG,.WA. MIZO 3 2XIII 25X Z Z" 0 (n 0 U) LU Uj LL 0 cc U_ Di Uj z �_ 0 z �- U.1 (n 0 a Uj z Uj (n y 0 z Y" r 0 APPLICATION ROUTING FORM FILE: ADB-96-95 AND CHECKLIST FROM: PLANNING ROUTED TO: Engineering 7/18/96 Fire — — — — — Public Wor Staff Comments: AL W *Additional Information Requlaire� RETURNED Public kA Parks 8z 10 JUL 18 *Additional Studies Required to Complete Review 4�p— �-M(, r,001-5 e Owner Property Add Date of Application- 7/17/96 Type 6 UNIT CONDO Hearing Required:Yes X NcL— Date of Hearing (if known) x Application X Fee X APO List Report X Vicinity Map X Elevations --___Pefifion (Official Street Map) 96-93 Critical Areas Determination OTHER COMMENTS ----_-,Site Plan for Short Subdivision (8.5 x 11) __�_Site Plan (11 x 17) _!�_Legals (Existing & Proposed) -Environmental Assessment -----Proof of 2-Year Occupancy (ADLI) ----__Declarafions (Variance & C. U. P.) X Environmental Checklist 101 10 z (n — Cn Lu —j U) u. Uj 0 LL T) 0 x W 1-- 3: z �— C I-- LU W cr 0— a �- LU LL �L- C ui U U5 I-- I. 0 z %J RECEIVED AUG 3 0 1996 Affidavit of Pu6lication EDMONDS CITY CLERK sTATE or wAsHmaTox, cotuffy OF sNoHobusH. The undersigned, being first duly sworn on oath deposes and says that she is Principal Clerk of THE I-JERALD, a daily newspaper printed and published in the City of Everett, County of Snohomish, and State of Washington; that said newspaper is a newspaper of general circulation in said County and State; that said newspaper has been approved as a legal newspaper by order of the Superior Court of Snohomish County and that the notice ........................................ Architectural Design & Notice of Development .............................. I ....... ...................................................................... .. . ................ ......... �Rpjication/File No.: ADB-961196 .......................................... I ....................................................................... James Irwin .............................................................................................................. I ....................... a printed copy of which is hereunto attached, was published in said newspaper proper and not in supplement form, in the regular and entire edition of said paper on the following days and times, namely: August 25, 1996 ...................... ............................................................................................................... ....... ... ......................................................................................................................... d t sai newspaper w gul rly ri uted to its subscribers d all f said period. ...... .. ..... I ........... ...... ...................................................... Principal Clerk Subscribed and sworn to before me this ....... g1t.h .......... clay ......... .......... .... August . ..... .. . .................... 19 ... ..... ** --�i . ....................... -Ublic: in andf, -� tilh li - Washington, -i tZ .............. ......... ... ..... .. N residing at Everett, Snoho;��Qy. 0 u Z 0; z �� L)i Lul 2 :)� n 0 a j7- uJ UIJ 0 z L.Li (j) 0 z to ,M: oArw-vF%^msmrrrm=- kop MUMMER CIF p^c3f=-sw (Inciucling C�over Page) lRecAplents'llielapooplar Number: FA10GIMILAS MQUIPMEWr: It there are any pgftlarn clurina trunsm so A cw c1cmumewsts, are recalvact lr":Oor tat". please call f206) 71-0220 mncl mak Sencier's -ralacs:spler mu tmr: (2013) 771-0221 FRE TRANSMISSION REPORT THIS DOCUMENT (REDUCED SAMPLE ABOVE) WAS SENT ** COUNT # 2 *** SEND *** NO I REMOTE STATION 1.0. START TIME DURATION �GES COMMENT 11_ 2063;93049 8-22-96 3:16PM 1'11" 2 TOTAL 0:01'11" 2 XEROX TELECOPIER 7020 TELECOPIER COVER PAGE 74e TO: DATE TRANSMITTED:j_ NUMBER OF PAGES. 2-- (including Cover Page) Recipients Telecopier Number: -3-35 3YT3 FACSIMILE EQUIPMENT: Autornatic/Group 11 (2,3 mins.); Group III FROM: if there are any problems during transmission or documents are received incomplete, please call (206) 771-0220 and ask for Sender's Telecopier Number: (206) 771-0221 dm D.XDkWbrddatAXFaxFoffn- *.Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan Ete -W, A Notice of Development Application & Public Hearing Date of Notice: August 21, 1996 File # ADB-96-96 Applicant Information Permit Information Name of Applicant:. ........... * James [min Requested Permits 4D Architectural Design Board & -it App—nl,: ........... Building Date of Applicati— * 7/17196 Other Required Permits act Unknown Date application Complete: * 8/15196 yet applied for (if known):. Project Locattiont... Z 400 Howell Way Required Studies related * Unknown Project Description: ........... New Six unit multiple famly building to the project: .... ............ Public Comments due by:.. September4,1996 Related Environmental * SEPA & Critical Areas Checklist Documents: ...................... City Contact for project: 1D John Bissell Public Hearing Information Data: September4,1996 Time: 7:00 PM Piece: Plaza Meeting Room, 650 Main St., Edmonds Information on this development application can be viewed or obtained at the City of Edmonds Community Semim Department, 250 5th Avenue North, Edmonds, WA 98020. (206) 771-0220. Public comments should also be sent to this dd.s& The decision on this devilopatent application will be made within 120 days of the date ofthe Letter of Cosphowtess, with allawanci,, anadefor studies and inidinonalinfornialhairequals Note that abibly to appeal a decision is contingent upospaficitathat in thparnah' decishi.process. rammiel, mutilation, destruction, or concealment of this This notice may be removed Warning! antics before the hearing tiate Is a misdemeanor punishable by after: SaMmbeE4.1996 fine and Imprisonment. 0 -71P mglf "M ELL 25XI Ian & Donna Miller 711 Driftwood Ln Edmonds, WA 98020 Betty Fisher-Nevarez Lorenzo Nevarez 541 4th Ave S Edmonds, WA 98020 Ethyl Power 511 Homeland Dr Edmonds, WA 98020 Randy & Jeff Carroll 17521 155th Ave SE Renton, WA 98058 M L McNaughton 1409 8th AVe N Edmonds, WA 98020 Wilson Burrill 749 Somerset In Edmonds, WA 98020 Hugh a Lois Hoff 510 Homeland Dr Edmonds, WA 98020 Donald Horn 8907 230th Pl SW Edmonds, WA 98026 Ethel Brown 538 5th Ave S Edmonds, WA 98020 1E'. 1jiK;a ,+akoski 9 SW le, A S ej e, A 98136 Magnhild Pettersen Roland Jones 515 Homeland Dr 517 4th AVe S #A Edmonds, WA 98020 Edmonds, WA 98020 Rowland & Clarice Messer Alla Easterbrook Lillian Dahl 517 4th Ave S #B PO Box 653 517 4th Ave S #D Edmonds, WA 98020 Edmonds, WA 98020 Edmonds, WA 98020 Robert Hapeman 519 4th Ave S Edmonds, WA 98020 Charles Dawson 519 4th Ave S #D Edmonds, WA 98020 p0 �ho,�;son 'Fds, 98020 Donald & Janice Larsen L �;ona a 8� 8 2 8 78th Ave W E onds, WA 98026 #107 0IM98020 Winnifred Smith 519 4th Ave S #B Edmonds, WA 98020 Bradley Beddall 19515 27th Ave NW Seattle, WA 98171. Clayto tts 3 S #102 S, on 98020 Hazel West 630 5th Ave S #105 Edmonds, WA 98020 Betty Nevarqz Jr ez �r. L e 6W, #108 E Wp� 98020 Byron & Dolores Norman 519 4th AVe S #C Edmonds, WA 98020 Arnold Ewing 630 Sth Ave S #A-1 Edmonds, WA 98020 John & Laurel Monaghan 121 Macdade Blvd Collingdale, PA 19023 Joan Murphy 630 Sth Ave S #106un Edmonds, WA 98020 1 John & Nadine Wiles 4100 200th St SW #5 Lynnwood, WA 98036 0 C/3 - (n LU Lu -j Cn LL uj LL uj Z �- C Z �- LU LU 0- 0 t Uj U L �L- C 2 LU U Z 0 t 0 1 Kenneth & Karen Gurnett Arnold & Vicki Hofmann James & Nancy Crim 13820 54th Ave W 2520 Colby Ave 527 Hemlock Way Edmonds, WA 98026 Everett, WA 98201 Edmonds, WA 98020 John Winters Jr. Monty & Bill Montgomery USGI INC 514 5th Ave S #D 19803 Birch Way PO Box 1601 Edmonds, WA 98020 Lynnwood, WA 98036 Darien, CT 06820 Apts Soundview James & Marilyn Irwin JIM fljjR3 G ENS INC G 417 3rd Ave S 2507 NW 202nd St 61 98020 , 4�W Edmonds, WA Seattle, WA 98177 E�U XA 98020 B & T DEV CO WILSON INVESTMENTS Michael Ryman 1701 41st Plaza 41 #103 1110 N 175th St #220 308 Howell Way Everett, WA 98201 Seattle, WA 98133 Edmonds, WA 98020 Norbert & Carol Nowak HOFTO FLOYD C Howard Kerlee 9514 231st Pl SW 515 3rd Ave S 521 3rd Ave S Edmonds, WA 98020 Edmonds, WA 98020 Edmonds, WA 98020 Bonham & Delores Sparks 16727 58th Pl W Lynnwood, WA 98037 Gerald Girmus 534 4th Ave S Edmonds, WA 98020 Helen Olson 533 3rd Ave S Edmonds, WA 98020 John & Ardell Bankovich 530 4th Ave S Edmonds, WA 98020 Dan Drullinger 544 4th Ave S Edmonds, WA 98020 Gary & Diane Franklin 520 4th Ave S Edmonds, WA 98020 % q 4"J FILE NO.:ADB-96-96 APPLICANT:IRWIN Lu� U Of NOTICE OF HEARING U3 (D U. AFFIDAVIT OF POSTING 10 U. STATE OF WASHINGTON LU COUNTY OF SNOHOMISH) LU Lul S Di Cal 1, JOHN BISSELL, first duty sworn, on oath, depose and say: 0 LU U1 U- That on the 21 ST day of AUGUST, 1996, the aftached Notice of Public Hearing was A z posted as prescribed by Ordinance, and in any event, in the Civic Center and the Library, and where applicable on or near the subject property. Cc) Signe Subscribed and sworn to before me thL4/-, of�� Notary Public in and f6t State of Washington. Residing at 44111 Document3l z MEE= (1) LL uj 0 2� 12 -j LL < D LU z 0 LU W 2- cn 0- 0 t: W LL c LU y, 0 z DocumenC W,� -,U "e. APPLICATION ROUTING FORM FILE: ADB-96-95 AND CHECKLIST FROM: PLANNING B 1.2 ROUTED TO: RETURNED z J1JL I W: 2: Engineering 7/18/96 Engineering M U Fire 7/18/96 Fire rARKS a numw77M 0, Public Works 7/18/96 Public Works Parks 8z Rec. 7118/96 Parks U Rec. Uj'1 U) W LU 0, 2 � BI Lu, r: Z �-� �- 0 Z 1­-. Uj Lu, L) 0 0 UJ LU Z� Lii Wi 0 z 0 *Additional Information Reqdirl'e *�qditional Studies Required to Complete Review &A%P At -or bf�- U%DIA V 0 Owner. -1AME Property Address 400 HOWELL WY Date of Application 7/17/96 Type 6 UNIT CONDO Hearing Required:Yes X hlo�-- Date of Hearing (if known) X —Application X Fee X -APO List Title Report X Vicinity Map X Elevations Petition (Official Street Map) 96-93_Critical Areas Determination OTHER COMMENTS Site Plan for Short Subdivision (8.5 x 11) ­2�—Site Plan (11 x 17) X Legals (Existing & Proposed) _--___Environmental Assessment ------- Yroof of 2-Year Occupancy (ADLI) —Declarations (Variance & C. U. P.) -1—Environmental Checklist Z; Lul M! Lu _J —0 Ui _J LL D) x z i.-I I 0; z UJ Lul 0— LU Lu z 0 z 0 CITY OF EDMONDS BARBARA FAHEY MAYOR TH AVENUE NORTH - EDMONDS, WA 98020 1206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planninn a Parks and Recreation * En --rin August 15, 1996 James Irwin 2507 NW 202nd Shoreline, WA 98177 Subject: NOTICE OF COMPLETE APPLICATION Dear Mr. Irwin: Your application is now complete but has not yet been scheduled for public hearing pending the expiration of the SEPA appeal period. Should an appeal of the Environmental Determination for your proposal be filed in a timely fashion, the hearing on your pennit, application will be postponed to a future dati to allow for the resolution of the SEPA appeal. Action: ADB review of a new 6 unit-multiRIe family _building File No. Assigned: ADB-96-96 Date of Hearing: Pending Hearing Body: Architectural Design Board If you have any further questions, please do not hesitate to contact John Bissell, Project Planner at 77 1 - 0220. Sincerely, Community Services Department -Planning Division Jeffrey S. Wilson, AICP Current Planning Supervisor pc: File No. ADB-96-96 John Bissell Incorporated Ausust 11, 1890 0 Sister Cities International — Hekinan, Japan z Lu Mi -J 1-- (1) LL LU 0 U- LU: z 01 z f— i LU UJI M! (ni Lu UJI U Z: Lu U) U z to j� 41�lz A% CITY OF EDMONDS BARBARA FAHEY MAYOR 250 5TH AVENUE NORTH - EDMONDS,WA98020 (206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT 46' C) t Public Works Planning Parks and Recreation Engineering Letter of Transmittal Date: August 7, 1996 To: Department of Ecology Environmental Review Section PO Box 4770 Olympia, WA 98504-7703 Subject: 400 Howell Way, Edmonds Transmitting Determination of Nonsignificance & Environmental Checklist For Your Information: XX As you requested: For your file: Comment: Note attachments: Sincerely, Diane M. Cunningham, Planning Secretary cc: WSDOT Stevens Memorlial Hospital Edmonds School District Community Transit James Win 9 Incorporated August 11, 1890 * Sister Cities International — Hekinan, Japan Eb" OV CIT Y OF EDMONDS 25D STH AVENUE NORTH, EDMONDS, WA 98020 (206)771-WO z RCW 197-11-970 Determination of Nonsignificance (DNS) LU; 2q DETERMINATION OF NONSIGNMCANCE L) 0: Description of proposal: New six unit multiple family building with 610 yards of associated grading; File (D a; No. ADB-96-46 U) LW U3 M, -J �- ((J Cn LL Proponent: James Irwin, 2507 202nd NW 202nd St., Shoreline, WA 98177 UJ 0 Location of proposal, including street address if any: 400 Howell Way LL < Lead agency: CITY OF EDMONDS Ln ic LU The lead agency for this proposal has detennined that it does not have a probable significant adverse impact on the z environment. An environmental impact statement is not required under RCW 43.21.030(2)(c). This decision was z made after review of a completed environmental checklist and other information on file with the lead agency. This LU LU; information is available to the public on request. XX There is no comment period for this DNS. 0 UJ W, This DNS is issued under 197-11-340(2); the lead agency will not act on this proposaffor 15 days 3: L)� from the date below. Comments must be submitted by LL Z Responsible Official: Jeff Alson rey S. W LU in, 0 1 Positionfritle: Current Planning Supervisor, Department of Community Services - Planning Division z Phone: 771-0220 Address: City of Edmonds, 250 5th Avenue North, Edmonds, WA 98020 Date: — !W'7 A-9 r1z Signatu(. XX You may appeal this determination to J�obert Chave, Planning Manager, at 250 5th Avenue North, Edmonds, WA 98020, no later than . 8#�&6,r Q/ 199 , by filing a written appeal citing the reasons. 01 You should be preparid to make specific factual objections. Contact Jeff= S. Wilson to read or ask about the procedures for SEPA appeals. Posted on A& I - , 1996, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. to a XX , Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist ADB%%.D0C &IMSUA Page I of 2 ex, Z,� i,;� Mailed to the following along with the Environmental Checklist: xx Environmental Review Section xx Edmonds School District No. 15 Department of Ecology Ann.: Bret Carlstad, Planning and Property P.O. Box 47703 Manager Olympia, WA 98504-7703 20420 68th Avenue West Lynnwood, WA 98036-7400 z _xx Washington State Dept. of Transportation xx Community Transit Z;; TSM&P/Land Developer 15700 Dayton Avenue North Ann.: Brent Russell Lui Seattle, WA 98133 1133 164th Street Southwest, #200 Lynnwood, WA 98037 -j 0i U Stevens Memorial Hospital 21601 76th Avenue West XX James Irwin 1 u) I Edmonds, WA 98026 2507 NW 202 St U) W1 Shoreline WA 98177 Uj =1 Cn LL —0 Attachments D to pc: File No.ADB-96-96 U, -F! SEPA Notebook z F-� 0; z Uj UJI 0 Uj W U U-0 U cc) z 7- to Page 2 of 2 AD89M.DOC =XSEPA 'K Z .11 < F-� Z UJ UJ -J (.)0 U) a Cn LU UJ -J U) LL oi LU MI Doi X Lu F- Z Z LU Lu U) 0 LU CY F- U- 0 Z Lu Cn C-) 0 Z M CITY OF EDMONDS ENVIRONMENTAL CHECKLIST,, U Purpose of Checklist. The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of a proposal before making decisions. An environmental impact statement (EIS) must be prepared for all proposals with probable significant adverse impacts on the quality of the environment. The purpose of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. Instructionsfor Applicants. - This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise information kpown, or give the best description you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions from your own observations or project plans without the need to hire experts. If you really do not know the if a question does not apply to your proposal, write *do not know* or does not apply". complete answers to the answer, or i questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions if you can. If you have problems, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on. different parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may wk you to explain your answers or provide additional information reasonably related to determining if there may be signifi6nt adverse impact. Use of checklistfor nonproject proposals. Complete this checklist for nonprcject proposals, even though questions may be answered "does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). For nonproject actions, the references in the checklist to the words "project," "applicant," and "property or site" should be read as .proposer," and "affected geographic area," respectively. A. BACKGROUND 1. Name of proposed project, ir applicable: ELA'� 9�nNQ�5AMAWA& 2., Name of applicant: 3. Address and phone number of applicant and contact person: -2S,0-7 N.W. W _ZPZ "d dNQ RE L I lit WA - 177 4. Date ch"ist prepared: 4,115). V�6 Page 1 0r22 CIOMT/10-�93.MAMTR It" M L 5- Agency requesting checklist: City of Edmonds. 6. Proposed timing or schedule (including phasing, if applicable): (STAFF COMMENTS) 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. (STAFF COMMENTS) 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. (STAFF COMMENTS) 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. (STAFF COMMENTS) 10. List any government approvals or permits that will be needed for your proposal, if known. L V') 'Ll I (STAFF COMMENTS) Page 2 of22 CHM110-2SM.MAMU f Vy 11. Give brief, complete description of your proposal, including. the 'proposed itses and size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. z r&gnsyl) nt�>l c= Arar—A JIS IS. 415g:�MQ.rr < UWJ (STAFF COMMENTS) UJ J I CJ 0' (n 0 En UJI W _J 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your Cn U. proposed project, including a street address, if any, and section, township, and range, if known. N a proposal UJ 0 would occur over a range of area, provide range or boundaries of the site(s). Provide legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required U. < by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. uJ: sit 4*111 9CAAl=ff e1c"r4:1!1� WA., jg-��o z Z W w hi� ALL. 2 =), I D fs�wa=kmts arl� W4 0 UJ (STAFF COMMENTS) U Z 0 TO BE COMPLETED-BY'APPLICANT.- z B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description or the site (circle one): &rolling, hilly, steep slopes, mountainous, other: 0 (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? 0 (STAFF COMMENTS) C. What general types of ' soils are found on the site (for example, day, sand, gravel, peat, muck)? 9 you know the classification of agricultural soils, specify them and note any prime farmland. Page 3 of22 CHIMT110-2"IMASM 0 TA wi 0) LL 7,0 M � g -31 U. =)I LU, z z Lu LU! Mi 0 0 W LU z w U) z (STAFF COMMENTS) g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? (STAFF CqMAfENTS) CMULM"MASM Page 4 of)) V� W IL LL M LU, z 1--� 0� z i LU W; =y U C05 LA- 0 z LU Cl) L) :F 0 z 0 ME 0 h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: 'ALL orjCP#<P- wtu M Ma&r-- UNCEn =M Aj4 6P-fM4M1EJ2 Mr=,66 15deA-JZ9- &MON (STAFF COMIENTS) 2. AIR 8. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the prpiect is completed? If any, generally describe and give approximate quantities if known. (STAFF COMMENTS) b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe. (STAFF COMMENTS) C. Proposed measures to reduce or control emissions or other impacts to thyf any: (STAFF COMMENTS) 3. WATER a. Surface: (1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describfe type and provide names. If appropriate, state what stream or river it flows into. (STAFF COMIENTS)' .j - C-) 0" V) U) LUI LU -j U) LL W 0 2 � jR -i UL 'J! z P:! �- a z �-! Uj ui 0- 0— LU Uj 0 z LU U) 0 z 0 CHMT110-25MMAWER (5) Does the proposal lie within a 100-year floodplain? If so, note location onffie;o!e plan. (STAFF COMMENTS) (6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. NO (STAFF COMIENTS) Pag# 6 of27 U) L.J! rj) LW LU X; -i (n LL. LM 0 LL (A M —01 LUI- z P� 0! Z n 0 0;: LU w & d! 0 z to 1 omer sources, it any twor exampte: ivomesuc, sewage; moustruit, containing tne following chernicals ... ; agricultural; etc.). b" the general size of the system, the number of such system, the number of houses to he served (if applicable), or the number of animals or humans the system(s) are expected to serve. (STAFF COMMENTS). C. Water Runoff (including storin water): (1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? irso,describe. le!M?� W*IV-W- ;tK1 ft"', WAL&��' t*1,16WAix w1u. &e'C=U&eAr—ja A44o , A*j A*29:'�V (STAFF COMMENTS) (2) Could wa-ste materials enter ground or surface waters9 If so, gerully describe. (STAFF COMMENTS) Page 7 of 22 CHXLTn8,ZJMUASrER LW Lu (n LL �-u 0 LL MI 01 uj� z I-- 0' Z 1--, LIJ LIJ: 0 M' a �- LU Uj Z uj (J) 0 z t 0 b. What kind and amount of vegetation will he removed or altered? (STAFF COMMENTS) C. List threatened or endangered species known to be on or near the site. (STAFF COMMENTS) d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site, if any: Page 8 of 22 CHKLTI10-25M.MAMTR '7 z < (STAFF COMMENTS) uji Uj -1 U 01 S. Animals Cn Lui LU =1 1—.! a. Check or circle any birds and animals which have been observed on or near the site or are known to be on Ln LL or near the site: 0 LU birds: hawk, heron, eagle, songbirds, other: :3 U. < mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring shellfish, other: uji z (STAFF COMMENTS) Z LU W, M i U U)i b. List any threatened or endangered specie; known to be on or near the site. 0— a t= 1, LU Uj X U. 21 3: (STAFF COMMENTS) 0 z C. Is the site part or a migration route? If so, explain. (STAFF COMMENTS) 0 d. Proposed measures to preserve or enhance wildlife, if any: (STAFF COMMENTS) 6. Energy and Natural Resources Page 9 of 22 CMMT/10ZMMA=R Ln UO w LL M LLI z ;7- p! z �- LU LI T 0 a �-I I.0 z LU U) U -I t5 �-' z MIJ (STAFF COMMENTS) c. What kind.-; of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: (STAFF COMMENTS) 7. Environmental Health a. Are there any environmenial health hazards, including exposure to toxic chernicalls, risk of fire and explosion, spill, or hwwdouswaste, that could occur as a result or this proposal? N so describe. (STAFF COMMENTS) rn LU; Lu _j U) LL LU & LL LU, Z 0� Z LU UX ni 0; (ni 0 0 LU R Z LU to 0 1 Z ME (2) Proposed measures to reduce or control environmental health hazards, if any: (STAFF COMMENTS) b. Noise (1) What types of noise exist in the area which may affect your project (for example: traffic, equipmen4 oper.ation,�other-)? (STAFF COMMENTS) (2)- What type; and levels or noise would he created by.or associated with the projed on a short-term or a long-term basis (ror example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. ftw�= — !Msnh. WILL 11.0 (STAFF COMMENTS) (3) Proposed measures to reduce or control noise impacts, if any: (STAFF COMMENTS) Page I I of 22 CWMTAO.2S.".MASM 7 -7 Cn —I Cn Lui LU CJ) u. LJJ 0 2 � jR -J I U. <1 D (n a Lu! Mi z z LU UJI C) 0 a LU L. u- z UJ (1) U y 1517 z to X- 6e 1:, S. Land and Shoreline Use a. What is the current use of the site and adjacent properties? ,o-%Im 11A —e--C:Nnr"OMM— asr-- P09MMTE.'M Im X,� 2-:4 �;J (STAFF COMMENTS) C� b. Has the site been used for agriculture? Irso,describe.""Li J J (STAFF COMMENTS) C. Describe any structure; on the site. t (STAFF COMMENTS) d. Will any structures he demolished? If so, what? If r.S (ST AFF COMMENTS)' e. What is the current 7:oning classification of the site? OKLT/10-25-O.MASM 4, 411 �711 :v� f, What is the current comprehensive plan designation or the site? kM-:2 z UJ; (STAFF COMMENTS) cc M; -J Oi (n LO UJ� g. If applicable, what is the current shoreline master plan designation of the site?. Lu Xi En LL —0 UJ ::3 LL cn ' a - -F (STAFF COMMENTS) Z 0; z Ui LW h. Has any part of the site been classified as an "envirannientallymisitive" area? If so, specify. 0 0 UJ UJ X z (STAFF COMMENTS) Cn: z i. Approximately how many peoplewould reside or work in the completed project? (STAFF COMMENTS) 0 j. Approximately how many people would the completed project displace? VJ (STAFF COMMENTS) j A. Page 13 of 22 CWMTnO-2$M.MAMU 0 Cn tn LU U3 _j U) LL Uj 0 LL 31 —0 Lu� z 1.-0' Z LIJ LLJ; LU (j) z M (STAFF COMMENTS) b. Approximately how many units, if any would he eliminated? Indicate whether high, middle, or low- income housing. (STAFF COMMENTS) C. h-oposed measures to reduce or control housing impacts, if any: (STAFF COMMENTS) ..... ..... ..... z F- U) UJ: LU LL Ui 0 LL. X uJ: 1-- X� z Ii- 0: z LU UJ� 0 0 LU LUI z LU 0 z to (STAFF COMMENTS) b. What views in the immediate vicinity would be altered or ifttructed? (STAFF COM MENTS) C. Proposed mewsums to reduce or control aesthetic impacts, ifanyr -Muat,4 MILmOW-a wIlIfAVY --VEr n4mmiNe2 EMmAsirz (STAFF COMMENTS) 11. Light and Glare a. What type of light or glare will the proposal produce7 What time of daywould it mainly occur? ZYM U44!* (STAFF COMMENTS) q b. Could light or glare from the finished project be a sarety "rid or interfere with views? (STAFF COMMENTS) page is or22 CHMT110-25M.MASM 0 Ca z < 3: Cul LU -1 01 U : 01 CD 0) LU LU M, -i F-) Cl) LL. 0 LU 2 � i2 -il U. < Mi 01 X uj; �- X;, z 1--. ;7- p! z �- . Ui Lu� Cn! LU Lu 3: (.)1 F- 1= 0 z U1 rj) 0 z z 0 b. Would the proposed pr(kiect displace any existing recreation usLN? If so, describe. r (STAFF COMMENTS) C. Proposed measures to reduce or control impaMs. on recreation, including recreation opportunities to be provided by the project or applicant, if any: (STAFF COM MENTS) Pap 16 of22 CHMT/10.25M.MASM 0i 0; U) ; U) LUj LU _j (n LL LU 0 LL U) D z 0: Z � 55 W! (n' 0 LUI z w (n z (STAFF COMMENTS) b. Generally describe any landmarks 6r evidence or historic, archaeological, scientific, or cultural importance known to he on or next to the site. (STAFF COMMENTS) C. Proposed men -sure; to reduce or control impacts, if any: (STAFF COMMENTS) 14. Transportation a. Identify public street-; and highways serving the site, and describe proposed access to the existing street system. Show on Site plane, ir any. E;;Y' A&40 ;46W0_W_ S-r. EYj1LX'1w_'Wl 1-15=,_VjA HOWFJ.�e_Sr. Vd-5 elp— Wssp W_91t4 (STAFF COMMENTS) b. Is site currently by public transit? If no, what is the approximate distance to the nearest transit stop? Nge 17 of 22 CIMU110-2S41MASM z X W U, u) LU, LU -J CJ) LL 0 LU U) uj� z 0: Z I.-; LU LU 2 Mi cn! 0— a— W :r LL 0 z LU U) z to (STAFF COMMENTS) f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur..*, f "&-P— aY. IVAAA CHMTIM�93AIAM'M (STAFF COMMENTS) Ptga IS of'22 rn Li. LU 0 LL D U, z Z L" LLJ Cn 0— a �- LU U L �L- C 2 UA U 0 z 01 g. Proposed measures to reduce or control transportation impacts, if any: V (STAFF COMMENTS) 15. Public Services a. Would the project rewlt in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. (STAFF COMMENTS) b. Proposed measures to reduce or control direct impacts on public services, if any: -X4,Km WATIErt t2819tEnot-4; (STAFF COMMENTS) 16. UtilitiL-% a. Circle utilitiLN currently available at the site: <`sini­fii—r-y-s�-e�wer, eptic system, other: COMT110-25-MmAnim b. Describe the utilities that are proposed for the pr(dect, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. Al Z=MTC-- fi� -'q4 R Us GO I 3XM ak I!r- gfz F-p-V,6tq vs W*TV-P- RALle- Wows MOA a2rdw zr=* z Lu! (SrAFF COMMENTS) & (n U) UJ Lu 3:1 C. SIGNATURE Cn U. 0 The above answers are true and cowlete to the best of my knowledge. I understand that the lead agency is relying on them 71 to make its decision. LL < C') C), uji 1 Z I--! I I 0.%, I.- � z ! Signature of Proponent Date Submitted - - - Lu Lul 0- UJ LU X U. z M; z Pip 20 or 2-1 CMLT/M25-".MASM APPLICATION ROUTING FORM FILE: ADB-96-95 AND CHECKLIST FROM: PLANNING 'RECEIVED ROUTED TO: 'JUL 1 10 1996 RETURNED ��n�ml3j FIRF nMr Engineering 7/1 /96 Engineering Fire-ai Fire Ave Public Works-7/18/96 Public Works ""'Goo. Parks at Rec. 7/1 /96 Parks ex R c. Staff Comments: MO A F.,A 4--cei;:x *Additional Information Required for Complete Application *Additional Studies Required to Complete Review Owner-JAMES IRWIN Property Address-400 HOWELL WY Date of Application 7/17/96 Type-6 UNIT CONDO Hearing Required:Yes X No— Date of Hearing (if known) X _Application Site Plan for Short Subdivision (8.5 x 11) X Fee __X_Site Plan (11 x 17) X APO List __�_Legals (Eyisting & Proposed) Title Report _______Environmental Assessment X Vicinity Map —___Proof of 2-Year Occupancy (ADU) X Elevations -_____PeclaraUons (Variance & C. U. P.) Petition (Official Street Map) X Environmental Checklist 96-93 Critical Areas Determination OTHER COMMENTS E J� APPLICATION ROUTING FORM FILE: ADB-96-95 AND CHECKLIST FROM: PLANNING ROUTED TO: Engineering...". Of�e--`: ::-1- � L� Public Works-7/18/96 Parks ex Rec.-ILIV26_ *Additional Information Required for Complete Application RETURNED JUL 18 1996 Engineering 'ENGINEERING Fire Public Works Parks ex Rec I z W, *Additional Studies Required to Complete Review L * Owner Property Address OWELL WY Date of Applicatio 7/17/96 Typ Hearing Required:Yes X No— Date of Hearing (if known) X -Application _Site Plan for Short Subdivision (8.5 x 11) X -Fee --K—Site Plan (11 x 17) X -APO List —A—Legals (E)dsting & Proposed) Title Report _Environmental Assessment X ficinity Map -----Proof of 2-Year Occupancy (ADU) X -Elevations Declarations (Variance & C. U. P.) Petition (Official Street Map) X Environmental Checklist 96-93 Sfitical Areas Determination OTHER COMMENTS 0 APPLICATION ROUTING FORM FILE: ADB-96-95 AND CHECKLIST FROM: PLANNING ROUTED TO: Engineering...". Of�e--`: ::-1- � L� Public Works-7/18/96 Parks ex Rec.-ILIV26_ *Additional Information Required for Complete Application RETURNED JUL 18 1996 Engineering 'ENGINEERING Fire Public Works Parks ex Rec I z W, *Additional Studies Required to Complete Review L * Owner Property Address OWELL WY Date of Applicatio 7/17/96 Typ Hearing Required:Yes X No— Date of Hearing (if known) X -Application _Site Plan for Short Subdivision (8.5 x 11) X -Fee --K—Site Plan (11 x 17) X -APO List —A—Legals (E)dsting & Proposed) Title Report _Environmental Assessment X ficinity Map -----Proof of 2-Year Occupancy (ADU) X -Elevations Declarations (Variance & C. U. P.) Petition (Official Street Map) X Environmental Checklist 96-93 Sfitical Areas Determination OTHER COMMENTS 0 The application is considered complete at this time. CrrYOFEDMONDS ENGDOMMG DrVWON ADD96095DOC 0 APPLICATION ROUTING FORM FILE: ADB-96-95 AND CHECKLIST FROM: PLANNING ROUTED TO: RETURNED r. to I V L.) Engineering 7/18/96 Engineering 1111 13 1003 Fire 7/18/96 Fire W0HKb UEP7- bjjfW­9��'7/49&&,",� Public Works ",_9V pidcs ez lkec._71181�" Parks a Rec. _11,V *Additional Information Required for Complete Application *Additional Studies Required to Complete Review e Owner, ]AMES IRWIN ± Property Address 400 HOWELL WY ± Date of Application 7117/96 ± Type 6 UNIT CONDO * Hearing Required:Yes X No— Date of Hearing (if known) X _Application Plan for Short Subdivision (8.5 x 11) X —Fee --K.—Site Plan (11 x 17) X -APO List _L—Legals (Existing & Proposed) Title Report __--_Environmental Assessment X — Vicinity Map -----Proof of 2-Year Occupancy (ADU) X —Elevations ______Declarations� (Variance & C. U. P.) —Petition (Official Street Map) __2�_Envjronmentall Checklist 96-93 Critical Areas Determination OTHER COMMENTS .3 z =z. �- LU LU _J U) U) LLI LU :C _J �_ (n LL C) UJ LL < 3 Ln 0. :C LU z I— �_ 0 Z �-- LU LU tn UJ LAJ �L_ 0 z LU U) 0 z t 0 Lcity of 4,`ionds i' land use application 7P—ARCHITECTURAL DESIGN BOARD 0 COMP PLAN AMENDMENT C3 CONDITIONAL USE PERMIT E # 70NIF El HOME OCCUPATION Ell FORMAL SUBDIVISION E REC'D BY El SHORT SUBDIVISION 57K El LOT LINE ADJUSTMENT FEE RECEIPT# 0 PLANNED RESIDENTIAL DEVELOPMENT HEARING DATE EI OFFICIAL STREET MAP AMENDMENT/ STREET VACATION El HE Q STAFF C3 PB -P�*DB 0 CC U REZONE 0 SHORELINE PERMIT ACTION TAKEN: El VARIANCE / REASONABLE USE EXCEPTION El APPROVED El DENIED 13 APPEALED 13 OTHER APPEAL# Applicant 1z (KWIP4 Phone Address-160-7 iqw. WA Property Address or Location IbLt�n Property Owner �5� --Phone Address Agent Phone Address TaxAcc# Sec. V(Zp Twp. 27 Rng. Legal Description t5Mf_= AjZg��Ur,,Q Details of Project or Proposed Use NEW 5WI-17 <:;n6l Qc>m_ lhj i mAA The undersigned applicant, and his/ her/ its heirs, and assigns, in consideration of 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 in part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/ her/ its agents or employees. The under -signed applicant grants his/ her/ its permission for public officials and the staff of the City of Edmonds to enter the subject property for the purpose of inspection and posting attendant t hisapplicabon. SIGNATURE OF APPLICANT/ OWNER/ AGEN 0 ROUTED TO: Engineering, 7/18/96 Fire------UjjL26-- Public Works 7/18/96 Parks ex Rec-7/18/96 Staff Comments: I I�Wlwl. I RETURNED Engineering Fire Public Works Parks ax Rec *Additional Information Required for Complete Application *Additional Studies Required to Complete Review Owner. JAMES IRWIN Property Address 400 HOWELLMY Date of Application 7/17/96 Type 6 UNIT CONDO Hearing Required:Yes--X_ Nq--_ Date of Hearing (if known) X Application X Fee APO List . .... ....... Title Report —X--ViicinitY Map X Elevations __----Pefifion (Official Street Map) 96-93 Critical Areas Determination OTHER COMMENTS Site Plan for Short Subdivision (8.5 x 11) —!—Site Plan (I I x 17) X Legals (EAsting & Proposed) ______Environmental Assessment Proof of 2-Year Occupancy (ADU) ----.DeclaraUons (Variance & C. U. P.) X Environmental Checklist Z' LU cc LM I (.)a (n 0 Cl) UJ W :C En LL O� LU . LL. <I :)i DO, :C LU 1- 3: Z F- �._ 0 z �- W LU (J) a- a,f LU LLJ1 :r U F_ z LU Cn L) 0 z 0 M I 1 1. . . , � I, �;-­':.. �' ­_ ��. , :�­' 4 , -, ­4 : �;7 '� " �. . � : �� � :­. ; 'Z �:� !:. �" ; , !, "�%_­ 0 city of e6r, land use a onds vlication RCHITECTURAL DESIGN BOARD _101-COMP PLAN AMENDMENT L3 CONDITIONAL USE PERMIT L3 HOME OCCUPATION 13 FORMAL SUBDIVISION L3 SHORT SUBDIVISION El LOT LINE ADJUSTMENT L3 PLANNED RESIDENTIAL DEVELOPMENT 13 OFFICIAL STREET MAP AMENDMENT STREET VACATION El REZONE Q SHORELINE PERMIT E3 VARIANCE / REASONABLE USE EXCEPTION 13 OTHER FILE# AN -q5-615 ZONE 2. 4 DATE 7 /1 'D BY 5­1-1�71L �Pl ?�_4 FEE /,VP //V�' RECEIPT# HEARING DATE 0 HE El STAFF Q P13 -*ADB L3 CC ON TAKEN: U APPROVED El DENIED C3 APPEALED APPEAL# Applicant VKA&E--=> 1z (gw1r4 Phone �54-2 - '-)I cjr I Address ',;U�57 Nv-,/, 5�ot� i At7-- / " A q,,( :21-7-7 Property Address or Location Property Owner f�j� Phone Address Agent ---Phone Address Tax Acc # Sec. Qr- Twp. 2-7 Rng. Legal Description t5VIIS AIQ!�c- Details of Project or Proposed Use Ng_W The undersigned applicant, and his/ her/ its heirs, and assigns, in consideration of 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 in part upon false, misleading, inaccurate or incomplete information fumished by the applicant, his/ her/ its agents or employees. The undersigned applicant grants his/ her/ its permission for public officials and the staff of the City of Edmonds to enter the subject property for the purpose of inspection and posting attendant tp1his application. StGNATURE OF APPLICANT/ OWNER/ I i NOTICE: IF THE DOCUMENT IN 0- THIS 40TICE IT 05 DUETO T _L _ E41 Gi gs; OF G) IDO (z)(D CP 1 2 71 Wm--Pluq/r�r rLA o—w. r�� ew q,=Alf&lm tTF= I MFS R. IRWIN & ASSOCIATES ... ARCHrrECT- -0 13 25XI ;:o O'l w A MF-W & Wr 6MMYA r I JAMES R. IRWIN & ASSOQIATES HITECT 32XIO 25XI z I LU LLJ -J 0 LIJ LU U) U-! 0 LU � 1 21 9 -J' LL < LU z �- 0 Z �- LU LU L 0 0 �- UJ uJ LL 0 z LU (n 0 z 10 to RI-ECEIVED MAY - 1 1996 City of Ed�non& Critical Areas Checkli st The Critical Areas Checklist contained on and submit it to the City. The City will this form is to be filled out by any person review the checklist, make a precursory site preparing a Development Permit visit, and make a determination of the Application for the City of Edmonds prior subsequent steps necessary to complete a to his/her submittal of a development development permit application. 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, With a signed copy of this form, the applicant should also submit avicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other perfinent infonrnation (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 Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner I Applicant: k1A Name Street Address ZIP Phone WNW - Date Applicant Representative: Nam Street Address City, State, ZIP Phone Signature Date L SIR Cuical Areas Checkli's't""'U" Site Information (soils/topograp y/hy rology/vegetation) I. Site Address/Location: 4._:) 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): &-Sn Z < 4. Is this site currently developed? -,X—yes; _ no. If yes; how is site developed? 15SM gg7;��. !U 0 5. D"escrib the general site topography. Check all that apply. W 0; n Will L-K 17 Flat: less than 5-feet elevation change over entire site. If— (n LL Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a LU 0 horizontal distance of 66-feet). 2 � r? _j Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise LL < BI of I 0-feet over a horizontal distance of 33 to 66 -feet). D 0 1 :r LU: Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a Z horizontal distance of less than 33-feet). 1_0 Z I— Other (please describe): LU Lu�' M 6. Site contains areas of year-round standing water. NAO Approx. Depth: C) a 7. Site coiitains areas of seasonal standing water: Approx. Depth: LU LU What season(s) of the year? LL 0' Z' 8. Site is in the floodway WD floodplain of a water course. U 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- �_ 0 round? Flows are seasonal? (What time of year? Z 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) _�7—. 11. Obvious wetland is present on site: City Staff Use Only- 1. Site is Zoned?. 7 2. SCS mapped soil type(,)? _.zW:k= 31t;/ te,,94 0 3. Weiland inventory or C.A. map indicates wetland present on site? 4;,. :-,Critical Areas inventory or C.A. map indicates Critical Area on site? 5. it e within designated earth subsidence landslide hazard area? 6. Site designated on the Environmentally Sensitive Areas Map9 DET�RMINATJDN "STUDY REQUIRED CONDMONAL WAIVER WAIVER Reviewed by: If /-C;; i,n,jn bait4. RCY01fM4 t 7 1-r,-F-'� 0 C/) U. LLJ 0 LL 3: z I­ LU LU 0 01-- W LLJ LU (f, 0 z am � 1 C y IT F EDMONDS 00 - STH AVE K IMMOND-4% WA UM r.Wq 77.1-OM f:AX poe) M.O= C*MMUNITY SERMES DEPARTMENT 9 0 19 Z, Public Works * Planning - Parks and Recreation Ejujineefing LETWR 6F TR&NSAMTM, Date: 'May 20, 1996 To: James R Irwin 8000 212th SW Edmonds, WA 98026 Subje= Critical Areas'Checklist Transmitdng: For your inforumfioln As you requested: For your file. Comment and retum: Note attachments: comments: Please bring in a copy of the- Critical, Areas Checklist when applying' for a building permit. 711 Driftwood lai Edmonds, WA 98020 Betty Fisher-Nevarez Lorenzo Nevarez 541 4th Ave S Edmonds, WA 98020 Ethyl Power 511 Homeland Dr Edmonds, WA 98020 Randy & Jeff Carroll 17521 155th Ave SE Renton, WA 98058 1409 8th Ave N Edmonds, WA 98020 Wilson Burrill 749 Somerset Ln Edmonds, WA 98020 I . q . . 0 Igin-imm. M, Magnhild Pettersen 515 Homeland Dr Edmonds, WA 98020 Rowland & Clarice Messer Alla Easterbrook 517 4th AVe S #B PO Box 653 Edmonds, WA 98020 Edmonds, WA 98020 Robert Hapeman 519 4th Ave S Edmonds, WA 98020 Charles Dawson 519 4th Ave S #D Edmonds, WA 98020 Virginia Thorson PO Box 54 Edmonds, WA 98020 Donald & Janice Larsen L Ramona 23818 78th Ave W Edmonds, WA 58026 Loui 1, �Sha 6Mb #107 E Ut ' t S, WA 98020 d s. WA 98 C". Winnifred Smith 519 4th Ave S #B Edmonds, WA 98020 Bradley Beddall 19515 27th Ave NW Seattle, WA 98177 C Y cluton Stotu nV,-AIK 02 S, W� 98020 Hazel West 630 5th Ave S #105 Edmonds, WA 98020 Betty Neva j z �r. 6 S #108 E 01 1 N . WA S98020 -WAA"�� LA-�&L 8907 230th Pl SW Edmonds, WA 98026 Ethel Brown 538 Sth Ave S Edmonds, WA 98020 Elli Kaarrekoski 9316 45th Ave SW Seattle, WA 98136 Roland Jones 517 4th Ave S #A Edmonds, WA 98020 Lillian Dahl 517 4th Ave S #D Edmonds, WA 98020 Byron & Dolores Norman 519 4th AVe S #C Edmonds, WA 98020 Arnold Ewing 630 Sth Ave S #A-1 Edmonds, WA 98020 John & Laurel Monaghan 121 Macdade Blvd Collingdale, PA 19023 Joan Murphy 630 5th Ave S #106Un Edmonds, WA 98020 John & Nadine Wiles 4100 200th St SW #5 Lynnwood, WA 98036 P A Larson Wayne Leese Rolfe Ec)mann 63o 5th Ave S #204 630 Sth Ave S #202 PO Box 1306 Edmonds, WA 98020 Madison, MS 39130 Edmonds, WA 98020 z Linda Sylvester Mary Backes Isabel Head Lul 630 Sth Ave S #205un 630 5th Ave S #206 1041 5th Ave S cc 2i Edmonds, WA 98020 Edmonds, WA 98020 Edmonds, WA 98020 LU LU Xi �-1 Anne Hathaway R D Jensen Richard McLellan Cn U. 630 5th Ave S #208 2508 NW 20 2nd St 19517 27th Ave NW LU Edmonds, WA 98020 Seattle, WA 98117 Seattle, WA 98177 L.L < D Cn C1 Records Processed = 76 :r LU 1 DUPS screened = 8 z I--i CRS screened = 0 Bad addressess = 2 z Labels produced = 66 LU U11 U LU Uj LL z z 0 11g; I Milli 11 1 V*�� P A Larson Wayne Leese Rolfe Eckmann 630-5th Ave S #202 PO BOX 1306 630 5th Ave S #204 Edmonds, WA 98020 Madison, MS 39130 Edmonds, WA 98020 z Linda Sylwester Mary Backes Isabel Head Uji 630 5th Ave S #205un 630 5th Ave S #206 1041 5th Ave S Cr Edmonds, WA 98020 Edmonds, WA 98020 Edmonds, WA 98020 U 01 tn Lui Anne Hathaway R D Jensen Richard McLellan U) U. 0 630 5th Ave S #208 2508 NW 202nd St 19517 27th Ave NW LU Edmonds, WA 98020 Seattle, WA 98177 Seattle, WA 98177 CDD Records Processed = 76 LU, Dups screened = a z 1--i CRs Screened = 0 0! Bad addressess = 2 Labels produced = 66 LU UJI 0 LU LU z W Cn z 0 7A1 Cn LL 0 Ui On my oath, I certify that the names and addresses provided represent all properties located within 300 feet of the subject property. -J i Lull Z of AWlicant or Applicants Representative UJ Lu� mi 0— �u)re Tt Subscribed and swom to before me this day of i)(112r UJ U& zi Notary Public in and for the State of Washington Residing at - C;-).-, - 24 -26 0oz 4 Z L) I I I I I t, R3 112-09 11 I-OZ5 111-0 1 Z-081) L L --4 L- - Jt2. 90-. 17. atq 4 2-09d, 1 -0- 1-003 Z-088 I Z-0.)s D i en 0 R. YA A 14 15 10 �=�Hmm I wr 14 15 Z. 09Z OL '8 7 709 Z-044 DRIVE os X HOMELAND )-029 1 5 6 7 4 AND z tA, 3 12 'IN 2-19s 2 194 H --- 11 7 ! A D 6 5 4 j D 4 k 7 1-015 1_17725 --- -1 I-oi4 —1 1 1 i 1 1 02 01 . lot I A 1 044 0 5 1 OLI I '5 to 40 01 0% 03 OZ. 2 SP 1 -182 851,0 Sp S-1 -88 L 0 Do/ 3 �., oz I BOARO LK ---v o OF 0() 01 o" fo)Amendei (76 03 4 of A 2 01 0 L 03 MAPEEME 00 --- PA (6873) 00 4 a condo. J'� OEM 02 6 .1 03 011 1 X65; L 0 7 j -67 - 0 1152! '41 7 - L -T 01 L- KA 1 2-107 1 cap 2.11s i e-,* Co I CMERA 10 cRcsr t-IZ5 PINE ST. $1 (A 10 tj x 44 L to )� I '- 0 8 9 8 FORSYTH LANE — I Z 0 V ui 00 �\ u 4c)A' z Z-t4f OL FIR P L. P1 A ZA (6800) 5 6 7 8 ICONDO) AN I— — — 9 611v1d97 10001 PA RK S 3 -JE 0� 3- 01 I Of -4- Colo, -4.1- =Z- i- LU cc 2 D L) 0 U) LU U3 -j U) LL i 01 LU LL. Di Ui z �- 0 Z �- LU LU 0 0- LU Lul z LU (n y 0 z Et Parcel Number Owner Name Site Address Phone ------------------ 2527 032 076 00 ----------------------- NASH PETER B & ARLIS --------------------------- 515 5TH AVE S --------- 774-7481 2527 032 076 00 NASH PETER B & ARLIS 515 5TH AVE S 774-7481 2527 032 078 00 CHRISTOPHILIS ANASTAS *NO SITE ADDRESS* 2527 032 079 00 BARRETT STEVEN P & JA 510 HOLLY DR 745-8224 2527 032 080 00 GURNETT KENNETH L & K 533 5TH AVE S 2527 032 153 00 HOFMANN ARNOLD R & VI 613-617 5TH AVE S 2527 032 183 00 CRIM JAMES A & NANCY 527 HEMLOCK WAY 2627 031 001 00 WINTERS JOHN J JR 514 5TH AVE S 2627 031 001 00 WINTERS JOHN J JR 514 5TH AVE S 2627 031 002 00 MONTGOMERY MONTY & BI *NO SITE ADDRESS* 778-6375 2627 031 003 00 USGI INC 303 HOWELL WAY 2627 031 005 00 SOUNDVIEW APTS 417 3RD AVE S 2627 031 006 00 IRWIN JAMES R & MARIL 511 4TH AVE S 2627 031 008 00 JIM MARKEY GARDENS IN 610 5TH AVE S 778-4877 2627 031 008 00 JIM MARKEY GARDENS IN 610 5TH AVE S 778-4877 2627 031 009 00 B & T DEV CO 614 5TH AVE S 2627 031 023 00 B & T DEV CO *NO SITE ADDRESS* 2627 031 025 00 WILSON INVESTMENTS 550 5TH AVE S 542-7616 2627 031 025 00 WILSON INVESTMENTS 550 STH AVE S 542-7616 2627 031 025 00 WILSON INVESTMENTS 550 5TH AVE S 542-7616 2627 031 029 00 B & T DEV CO 616 5TH AVE S 4096 001 001 01 RYMAN MICHAEL 308 HOWELL WAY 778-5550 4096 001 001 02 NOWAK NORBERT & CAROL 507 3RD AVE S 774-9864 4096 001 003 00 HOFTO FLOYD C 515 3RD AVE S 4096 001 004 00 KERLEE HOWARD E 521 3RD AVE S 4096 001 005 00 SPARKS BONHAM J & DEL 527 3RD AVE S 4096 001 006 00 OLSON HELEN M 533 3RD AVE S 776-9344 4096 001 014 00 DRULLINGER DAN L 544 4TH AVE S 778-2264 4096 001 015 00 GIRMUS GERALD A 534 4TH AVE S 4096 001 016 00 BANKOVICH JOHN & ARDE 530 4TH AVE S 778-0263 4096 001 017 00 FRANKLIN GARY J & DIA 520 4TH AVE S 4096 001 018 00 NILSEN KENNETH R & LO 516 4TH AVE S 4096 001 019 01 HOGGINS DALE E 510 4TH AVE S 776-1543 4096 001 019 02 PATRICK ALEXANDER W 318 HOWELL WAY 775-6191 4096 002 001 00 MILLER IAN & DONNA 531 4TH AVE S 4096 002 002 00 MCNAUGHTON M L 533 4TH AVE S 775-4237 4096 002 003 00 HORN DONALD A 539 4TH AVE S 776-4022 4096 002 004 00 FISHER-NEVAREZ BETTY 541 4TH AVE S 4096 002 012 00 BURRILL WILSON E 622 5TH AVE S 776-0268 4096 002 012 00 BURRILL WILSON E 622 5TH AVE S 776-0268 4773 000 001 00 BROWN ETHEL M 537 5TH AVE S 4773 000 002 00 POWER ETHYL M 511 HOMELAND DR 776-6503 4773 000 003 00 HOFF HUGH W & LOIS J 510 HOMELAND DR 4773 000 004 00 KAARREKOSKI ELLI 609 5TH AVE S 4773 000 005 00 CARROLL RANDY P & JEF 516 HOMELAND DR 4773 000 018 00 PETTERSEN MAGNHILD 515 HOMELAND DR 776-0728 6493 001 001 00 JONES ROLAND S 517 4TH AVE S #A 6493 001 002 00 MESSER ROWLAND E & CL 517 4TH AVE S #B 6493 001 003 00 EASTERBROOK ALLA L 517 4TH AVE S #C 6493 001 004 00 DAHL LILLIAN J 517 4TH AVE S #D 6493 002 001 00 HAPEMAN ROBERT C 519 4TH AVE S #A 6493 002 002 00 SMITH WINNIFRED M 519 4TH AVE S #B 6493 002 003 00 NORMAN BYRON E & DOLO 519 4TH AVE S #C 778-1825 6493 002 004 00 DAWSON CHARLES R 519 4TH AVE S #D 774-0288 7200 000 004 00 BEDDALL BRADLEY *NO SITE ADDRESS* The Information Provided Is Deemed Reliable, But Is Not Guaranteed. maw*= q �i Parcel Number owner Name Site Address Phone ------------------ 7200 001 001 00 ----------------------- EWING ARNOLD G --------------------------- 630 STH AVE S #1A --------- 7200 001 101 00 THORSON VIRGINIA L 630 5TH AVE S #101 7200 001 102 00 STOTTS CLAYTON 630 5TH AVE S #102 7200 001 103 00 MONAGHAN JOHN & LAURE 630 STH AVE S #103 7200 001 104 00 LARSEN DONALD A & JAN 630 5TH AVE S #104 z I 7200 001 105 00 WEST HAZEL K 630 5TH AVE S #105 Uit 7200 001 106 00 MURPHY JOAN B 630 5TH AVE S #106 cc 21 7200 001 107 00 SHAPLEY LOUIS G 630 5TH AVE S #107 L4 L). 7200 001 108 00 NEVAREZ BETTY M FISHE 630 STH AVE S #108 7200 001 201 00 WILES JOHN D & NADINE 630 5TH AVE S #201 cn 7200 001 202 00 LARSON P A 630 5TH AVE S #202 774-3299 Cn 7200 001 203 00 LEESE WAYNE 630 STH AVE S #203 U) U. 7200 001 204 00 ECKMANN ROLFE W 630 5TH AVE S #204 —0 Uj 7200 001 205 00 SYLWESTER LINDA L 630 5TH AVE S #205 7200 001 206 00 BACKES MARY E 630 5TH AVE S #206 7200 001 207 00 HEAD ISABEL F 630 5TH AVE S #207 LL 7200 001 208 00 HATHAWAY ANNE B 630 STH AVE S #208 (n Lul 7200 002 011 00 ECKMANN ROLFE W *NO SITE ADDRESS* 7200 002 019 00 JENSEN R D *NO SITE ADDRESS* 542-7079 Z 7200 002 025 00 MONAGHAN JOHN R. *NO SITE ADDRESS* z 7200 003 019 00 MCLELLAN RICHARD H 630 5TH AVE S 542-4352 w Uj! 0;7 W uj� L1- 0: zi z 0 to The Information Provided Is Deemed Reliable, But I's Not,Guaranteed. 0 j7W