468 ADMIRAL WAY.PDF11,111111111111
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468 ADMIRAL WAY
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TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE): lk-7
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver [] Study Required [] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: —
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
LATEMPOST'sTorms\Street File Checklist.doc
RECEIVED
PORT OFEDMONDS
DECI 3 1995
330 ADMIRAL WAY, EDMONDS, WA 98020
. PERMIT COUNTER
RCW 197-11-970 Determination of Nonsignificarice (DNS)
DETERMINATION OF NONSIGNIFICANCE
Description of proposal: Port of Edmonds Bud's Bait Shop Relocation
Proponent: Port of Edmonds
Location of proposal, including street address if any: In mid -marina area of the Port
Lead agency: Port of Edmonds
11 1 ;�-
The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the
environment. An environmental impact statement is not required under RCW 43.2.1.030(2)(c). This decision was
made after review of a completed environmental checklist and other information on file with the lead agency. This
information is available to the public on request.
There is no comment period for this DNS.
_X_ This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days
from the date below. Comments must be submitted by 15 days after issue of the DNS per WAC
197-11-340(2)(a).
Responsible Official: Bill Toskey
Position/Title: Executive Director
Phone: 774-0549
Address: 330 Admiral Way, Edmonds, WA 98020
Date: Signature:
You may appeal this determination to Port of Edmonds Commissioners, 330 Admiral Way, Edmonds,
WA 98020, no later than 30 days after issue, by filing a written appeal citing the reasons, per WAC
197-11-680(4)(c).
You should be prepared to make specific factual objections. Contact William Toskey or ask about the procedures
for SEPA appeals.
Page 1 of 2
9529DNS.DOC - 12/12t95
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
Port of Edmonds
. 336 Admiral Wa,:
CITY ZIP
TELEPHONE NUMBER
Edmonds 98020
774-05-49
NAME
MAKERS architecture
ADDRESS
2112 Smith Tower, 506 2nd Ave.
CITY ZIP
TELEPHONE NUMBER
Seattle 98104
623-7843
NAME
Port of Edmonds, Bob Yeager
TDDRESS
336 ADMIRAL Way
7ITY ZIP
TELEPHONE NUMBER
Edmonds 98020
774-0544-
STATE LICENSE NUMBER . EXPIRATION DATE
.egal Description of Property - include all easements
See attachment
Tax'Ac6ount , 232703-4-1,58-000.1
Parcel No.
RNEW
El RESIDENTIAL
PLUMBING
ADDITION
MR COMMERCIAL
MECHANICAL
REMODEL*
APT. BLDG.
SIGN
1:1
GRADING
E]
FENCE
REPAIR
--7-7— CYDS
I x _FT)
DEMOLISH
WOODSTOVE
INSERT
SWIMPOOL
HOT TUEI/SPA
GARAGE
RETAINING WALL/
C
ROCKERY
RENEWAL
[TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
Bait and
tackle structure
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS None
ITIC
R AL
ICAREAS
:R
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
Three piles
driven.. Structure
built upland, dock extended to
add structure.
GLAZING 10
25'
USE PERMIT
ZONE
NUMBER
ADDRESS
960-287 -
SUITE/TPT-
PUBLIC RIGHT OF WAY PER P.
07DEDI
rif
TESCP Approved, 11
EXISTING — REOUIREI AITIA
4et*
RW Permit Required 0
Street Use Permit Req'd 0
Ion Required 0
PR OPOSED
Wired 0
m
METER SIZE
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LINE SIZE
NO. OF FIXTURES
""Q`12:0715ED u'
YES 0 NO 0
.0
REMARKS Z
FE
W
AN
51A4W -]
ZV414;;M,
479 19"17-
w
Z
c
Z
Ill,
ENGINEERING MEMO DATED
FIRE MEMO DATED
SIGN AREA
ALLOWED PROPOSED
VARIANCE OR CU
SETBACKS — FEET
FRONT SIDE
REMARKS
SEPA REVIEW
COMPLETE EXEMPT
EXID
�LA�NNING'REVIEW BY
REAR HEIGHT ILOT
OF CO
BY TYPE.NSTRUCTION
_ IV
REVIEWED BY
REVIEWEP BY
cc
ADB NO.
^_11wft. I V
7'Zt'
SHORELINE 0
^ _0�
DATE
CcIVERA�&7
Z
Z
OCCUPANT
SPECIAL INSPECTOR I AREA OCCUPANT
REOUIRED LOAD-
0 YES
REYARKS
1PROGRESS INSPECTIONS PER LIBIC 305
1A FA Vd "
FINAL INSPECTION REOUIRED
VALUATION
PLAN CHECK FEE
BUILDING
PLUMBING
LaLAtA&- bft*17-7 W—M
Plan Check No.
/6�
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewplks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1-Year.;; Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf ofrhis or her spouse, heirs, assigns and.
EN6. INSPECTION FEE
successors in interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, Its officials,
from for
employees, and agents any and all claims damages of
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whatever nature, arising directly or indirectly from the Issuance
X
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
a
9
modify, waive or reduce any requirement of any city ordinance
TOTAL AMOUNT DUE
0
T
nor limit in any way the City's ability to enforce any ordinance
provision."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and In doing the work authoriz-
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
ONLY THE
Stt
Code of the 6f Washington relating to Workmen's Compensa-
WORK NOTED
tion Insurance d RCW 18.27_,�
INSPECTION
SIGN�TU7RE FD ?E` S71
?.R AGENTJ,!r ATE SIGNED
I ; , I/ . 1� - ) �/ 1. '... "
DEPARTMENT
CITY OF
EDMONDS
ATTENTION
CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
10247
P��
APPLICATION APPROVAL
This application is'�not. a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OF GNATURE DATE
/ — f7
W)w n Y6
'RELEASEOVY.n. DATE
ORIGINAL File YELLOW — inspector
PI�K — Owner GOLD — Assessor
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