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569 HEMLOCK ST.PDFIIIIIIIIIIIIII 11468 569 HEMLOCK ST G5.0' N89035'23`E - -------------------- ffb4l�'T'�, gLT:e, W,&-� c #9 4' 00- V �"v TT F-- 4 4- 05N" 44 T rZIE-1 t.-;, r&.4,1 e, ff- Cal kr( Jr .7- C� cq 00 PRI Jud Des Zon OD Con 00C Lot Lo A= — — — Minfri 16)). 0144 9,A-;fz, rV-x� -97' :G) 0 6-t�k:V. --vT",�' 4%.T m . 0 0 0 z Z Maxi 7� 16! 4- A — I ji Floor 77. a Heatln cc 0 uj X ui 4-t)iho ff 2 L% is LEGA LU cc co It 0 3: Lot 2 c G5.0' N89035*23"L 247 Is I ca .21:!71. toil 03.5' V;4 cc 6-- 4 ezrr- LA-�41 EET > LL! Fu cs_ M 0 0 492L�'- A L 044 9-�;Fz, raP,,cH 0 0 w4k:z) ,T ZWTrz.-( 117�l6 z V LU LU Q. 0 c5l LU ca I W4 e-jj p"t, CC 0 p T k -� kri I PR Jur De! 00 Co . I ri 0 OC( Lot Lot 0 MIM, -9 0' Dz -9 7' . 0 '0 Z max Floo Heath LEGI Lot 2 4 APPUCATION for The City of Edmonds SWE 8XVIrM PFXXff EASEMENT No . .......................................... NEW CONSTRUCTION r-1 REPAIRS 0 105-08450 OWNER ........ Newton F. Fisher ............................................ ----------------------------------- ------------------ CONTRACTOR ................................................................... ------------------- ---------- PERMIT No . ...................... ADDRESS .... 569 Hemlock__Way ......................... .... .... . .............................................................. LEGAL DESCRIPTION: LOT No - ---------------------------------------------- BLOCK No . ..... ...................................... 11 9 NAMEOF ADDITION ......................................................................................................................................... 40 L"%j 'S CO DYE TESTED ON SEWER JULY, 1972 Approved: DATE------------------------------------------------ By --------------------------- I ------------ ----------------------------- *00e�7, 117 -S 9,z� C. 1 CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 7�1-0220 FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning/Building * Parks and Recreation Engineering 0 Wastewater Treatment Plant October 7, 1997 Mark R. Kolmodin 2750 N.E. 96th Stree Seattle, WA 98115 ire, Subject: Determination regarding Critical Areas Checklist 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 CHECKLIS OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. Permit applications include the following: cc: Gary and Cindy O'Neal Enc: Determination * Architectural Design Board C:Reception\Jana\CRLTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. - Diane Cunningham Planning Secretary AVIE10.1.09 OCT 3 1 199y 9 Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan CA t-,Lt Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: j5&4? PicmLeo� lEymo�wd.,7, WA. 2. Property Tax Account Number: 477 7.4 - = 6XV4 3. Approximate Site Size (acres or square feet): -1 7 4 7 e-*r 4. Is this site currently developed? A yes; _ no. If yes; how is site developed? "LK, 15!t. n1 J_L 5. 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). 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): FL,&r ?52� !�F5' NeOH 6'1eK7A7-i91" WA�� M4" MAT ftrL 6. Site contains areas of year-round standing water: Wo __; Approx. Depth: 7. Site contains areas of seasonal standing water: k10 ___; 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? �o Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow shrubs mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: ------ - ---------------- — - - ----- - --- --------- —For City -Staff: Use 1. Site is Zoned7 KIIS - ("I :2.: SCS ma ped soil type(s)? p :.3�: Wetland inventory or C.A. map indicates wetland preseni ?. 4.: :-:.:Critical. Areas inventory�or.C.A. rnap inditate�:Crititail�Area.:oil.:site?.��: �o 5,�:: Site 'with 'in design' .�ted eart,h subsidence landslide.hazard area?, ,6..-.. Site.design�ted on the ,Environmentally Sensitive Area Map? jDtttR'M111NAT10*N �J: ,, 7 RECEIVED City of. Edmonds SEP 2 9 1997 CRITICAL'AREAS-CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by any . , a. ..,p, prep�rtnj perso Development Permit A�plicMion: f6r the Ci : ty '6 - f 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 �Jty Hall �Cri.tical-Aroas iuveritories, maps, or soil.;uyve�s),. An applicant, or his/her representative, must fill out the che�klist, sign an 0 date it, and submit it to the Ciiy,.* 'The City will';' ieview the checklist '. make a precursory site visit, �nd make a determination of the subsequent steps necessary to complete a development permit ap�lication- 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 qiap,,.�tc.) or studies in conjunction with this Checklist ,04 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). I t Owner/Applicant: Name 101-1 Street Address City State Zip (425) -Z-Zz02-I14to I Telephone. Signature Date/ Applicant Representative� Name, -Wk— KC)LHOO10 Z 150 0 L <9 610T+ f2V Street Address WA, 1 fi- City Stat; Zip (2D(0) Telephone e e,-). -7 Date c:reccption\jann\cac1.doc (over) PLANNING DATA NAME: Xlkl SITE ADDRESS:— 51,.24 tk&h&L 4j"DATE: ZONING: �_,; - � PLAN CHK#: PROJECT DESCR.IPTION: CORNER LOT MO (Yes/No) FLAG LOT_K�() (Yes/No) SETBACKS: Required Setbacks: Front: 'LO Left Side: Right Side: Rear: Actual Setbacks: Front:_44VT Left Side: V ULRight Side: Er —Rear: 15' Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED— 00 (Y/N) LOT COVERAGE: Maximum Allowed: '_Wctual:'_ KA :z BUILDING HEIGHT: Maximum Allowed: —Actual Height:-11-7. Datum Point: !�� �JM Datum Elevation: ZMD %6P A.D.U. CREATED?: SUBDIVISION: __ OA - qj- CRITICAL AREAS #: UM SEPA DETERMINATION: LOT AREA: OTHER: Plan Review By: c.,Ti1es\pcffniAAp1&ndALdoc CA FILE NO. Critical Areas Checklist - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Site Inform a*tion (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Lbcation: 6&g:� 2. Property Tax Account Number: 47774 - 3. Approximate Site Size (acres or square feet): 7 4. , Is this site currently developed? X yes; no. if yes; how is site developed? _!S71"Lge, r:79!n�lt_-e Vinlra-Lut� 5. Describe the general site topography. Check all that apply. A Flat: less than 5-feet elevation change over entire site. t7l"- 1401TL. Rolling: slopes on site generally less than 15% (a vertical rise of 10-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): f:Lj�r 152rt- rig- OH cp �;T ne �p A'IeMiLWI" WAAA� M4" 6. Site contains areas of year-round standing water: Njt> Approx. Depth: 7. Site contains areas of seasonal standing water: N10 Approx. Depth: What season(s) of the year? 8. Site is in the floodway-wp- floodplain of a water course, 9. Site contains a creek or an area where water flows 'across the grounds surface? Flows are year-round? �o Flows are seasonal? (What time of year? J 10. Site is primarily: forested ; meadow shrubs _; mixed urban landscaped (lawn,shrubs etc) X 11. Obvious wetland is present on site: K10 - -------- �­For;:City:Staff: Use Site is Zoned? ::L, SCS ma ped soil type(s)? ;L�---4,4 k OA-M f P �j .. ... ... Wetland inventory or C.A. map indicates wetland present on site? pj, ........... ........... .4 Critical Areas inventory or C.A..rnap indicates Critical Area 9p,site? Site within designated earth subsidence landslide hazard area?. tlr; .6. Site designated on the Environ-mentall ...... vS.en.si­tiY.e..Ar as MaD?. . ............ DETERMINATION ^ca_ch1Ldoc; Rev 02/11/97 192 City of Edmonds The Critical Areas Checklist contained on this form is to be filled out by any p�Ks�n, prepyipg I a.. Development Permit Ap'p'&1ition `f6r the 'City 16� Edmonds prior to his/her submittal'of a development permit to the Cit , - �- - , -: * '71t .Y RECEIVED SEP 2 9 1997 An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City.- fie '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. The purpose of the Checklist is to enable City staff to Please submit a vicinity map along with the signed determine whether any potential Critical Areas are, or copy of this form to assist City staff in finding and may be, present on the subject property. The locating the specific piece of property described on information needed to complete the Checklist should this form. In addition, the applicant shall include be easily available from observations of the site or other pertinent information (e.g., site plan, topography data available at. Qity Hall Piticdl-Aroas iiamentories, map,�,tc.) or studies in conjunction with this Checklist maps, or soil.sqrve3�s),' to -�s� staff in completing their preliminary asse ssment 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 101-7 Street Address E,otAoa,7i, City State Zip FA Telephone Signature Date/ Applicant Representative: H"41— 12� . i4lO L" Q 0 1111 Name, .-ri4k— KOLH,0010 6e -4150 0 L :: 9 &T 1+ Street Address ,bli,A-rrtz, city State Zip (2.0b) 10 Telephone S�nature t 6�)- 44C) , <::) -7 Date c:recepdon\jana\cacLdoc (over) 1-r? C. 1 SO) Mark R. Kolmodin 2750 N.E. 96th Street Seattle, WA 98115 Subject: Dear Applicant: CITY OF EDMONDS BARBARA FAHEY 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221 MAYOR COMMUNITY SERVICES DEPARTMENT Public Works - Planning/Building e Parks and Recreation * Engineering - Wastewater Treatment Plant October 7, 1997 Determination regarding Critical Areas Checklist # 97-192 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. IMP: ORTA . NT. !N#ORMA TION TO BEWOTED - PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLiS OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. goo.. You must submit a copit of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL PERMITAPPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: cc: Gary and Cindy O'Neal Enc: Determination * Architectural Design Board C:ReceptIon\Jana\CRLTR.doc Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Thank you. Diane Cunningham Planning Secretary 9 Incorporated August 11, 1890 0 Sister Cities International — Helkinan, Japan /")C. -JS911 C. Contractor: Mailing Address: State License #: . City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. T7-07 Issue Date:_/7/_4/_9 A. Address or Vicinity of Construction: 9 2--/ZZ22 Z�r"4q B. Type of Work (be specific): ]�Zesz2 r�e ?-e " r*1 t �- (/0 0 D. Building Permit # (if applicable): Contact: Phone: Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. 1­1 Commercial 0 Subdivision El City Project 'K Utility (PUD, GTE, WNG, CABLE, WATER) n Multi -Family E] Single Family E] Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut LJ Yes LJNo G. Size of Cut: x H. C;hargii�> APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edinonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required with permit application. A 24 hour notice is required for inspection. Please call the Engi neering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all timesfor inspection purposes. Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY A�PP119YEDBY; RIGHT OF WAY FEE: TIME,, AUTHOR IZ ED:VQID AFTER 7 DAYS DISRUPTION FEEI.F.'UND I 11: SPECIAL CONDITIONS: RESTORATION FEE: T. OTAL FEE: RECEIPT 'NO.: ISsUFD::ZN , z. on , " , .' NO WORK SHALL BEGIN PRIOR -TO PERMIT ISSUANCE Eng. Di� 1997 '71 FIELD INSPECTION NOTES Comments: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION 'El YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: USE ZONE PERMIT CETY OF EDMONDS. 9705443 NUMBER :�..�CONSTRUCTION: PERMIT �APPLICATION,,. JOB SUITE/APT:# ADDRES� OWNER NAME/NAME�01` BUSINESS ACLU 4 6 1W I: Kite- LEGAL �DESCRIPTION:C�l�C�li;SUBDIVISION NO., -NO;: ? LID UMMAILING ADDRESS z 0 IAL S' PUBLICIRIGH F WAY. PER.OFFIC TREET MAP. TESCP Approved. 0 CITY 7' Aw Permit Reqyired ZIP ELEPHONE,NUMB.E�,. 0 EXISTING REQUIRED DEDICATION Street use PiIrrnit Req'd 0- 41 a inspection Recipired PROPOS. D-+. NAME ��OLA­_10V 1k: A4!�M704:::;� Si.devralk.Required SIZE Wo. P RV REQUIRED ADDRESS, YES 0 NO:10 + REMARKS z CITY. Zip I.TELEPHONE NUMBER+. 67 NAME Rr ug & 15 k, L 014A &i ADDRES& 0 ENGINEERING MEMO DATED REVIEWED BY 7 L) 2 lip TELEPHONE.NUMBE91 -MEMOIDATED REVIEWED BY tu IRE 0 z q, G �STATE LICENSE NUMBER EXPIRATION bATE 10 MARIA T!!��OR CU. ADB.# SHORELINE I ........... '..''Legal:Description of:Prooerty, - indbo" iments SERA REVIEW SIGN AREA HEIGHT M L ALLOWED P ALLOWED IPROPOSEQ, ap co P E7 EXEMPT ROPOSED >/ 17 ET EXI 0i. T MLAWLOT COVERAGE REQUIRED'S .. ETBACKS (FT.) PROPOSED SETBACKS (FT.) tq Awainow. 'AL D IP 'FRONT UR SIDE REAR . ROPOSED FRONT SIDE REAR 0 z Z Z Pro W EA T=Munt 7; P..61 No. 4117, RKS --REMARKS NEW' RESIDENTIAL RPILUMBIN NfE 0 [Z�ADDITION E] COMMERCIAL El CHANGE OFUSEj 7 9 REMODEL _0 APT. BLbG. SIGN GRADING,t:_�. CHEtKED BY TYPE OF CONSTRUCTION: [:] FENCE�+JLJ�Tl El I coqu - REPAIR CYDS. SPECIAL INSPEC DEA TOR OCCUPANT' REQUIRED LvAu - ObARA612 M. RETAININ SWIM P 0 YES INSERT HOTTUB A6LISH �R, WOODSTOVE' G WALL/ __112"AL= 1:3(6 _C�IFIPORT..' RENEWA REMARKS z (11,YPE.OEMSE.�'BUSINESS'98 ACTIVITFY).EXPLAIN: PROGRESS INSPECTIONS. PER- UBC 108 _j LNUMBItil­ I NUMBEF CRE1TICA+,qj.,. fd r UNITS OF,' DWELLII' OF A AS SIG - STORIES, +.: NUMBER 0. DESCRIBE�WORK TO BE -DONE IATTACH PLOT PLAN) AV :.FINAL INSPECTION REOUIRED' VALUATION FEE alA PLAN CHECK'FEE BUILDING q. HE AT SOURCE: nGLAZING 0 PLUMBING -$ + T Plan.Check No. MECHANICAL 5 f This Permit covers work to be -done on private property QNLY-+ GRADINGIFILL Any.,construction on the public% domalw(qurbs,.�sldewFil�s; driveways, marquees, etc.) will,,requ Ire separate permissibn.. STATE SURCHARGE :P r* I A e + pplicsition: 180 Days, STORM DRAINAGE FEE VenriAtIlmit: 1: Year - Provided Work Is Started Within 180 D "Applicant, on behpif of his or her spouse, heirs, assidrii and; ENG. INSPECTION FEE successors in intete agreds1to Indemnify, defen;!!��n�j�hiiid ss+ the Cit� I E ATI�V, r-r, 5- z' employees,.. harmle ' Vil drhbi�ds,,.'�Wiihiiigton, 16 and,,i- 11 ,pg,qnts rom a y and all Claims for dalft 0 whatever na . ture; .. arising'diri36ily',ot-indirectly� from the,issUahbe- of this:perm:it. lssuahce� of this, perrhit shall.1not be deerridt lo PLAN CHECK DEPOSIT 0 y ordih hbe; ,modif y,, waive. or reduce any requirement:.of any,.cit 0., -In4hy:Way the �Clty's-ablllty AD �enforce any ordihihm, ., m . it- OTA L AMOUNT DUE provision; Fhereb . Y�ack . ..... . nowledge.that I have.read this.applicati6h;,thal jni6rmatibri--g1VenAs correct; and.that I am the ownerj or'llh.4 4ufy�: APPLICATION+b APPROVAL gent -,of the,�owner..,I: agree to:comply with'citylind "66th6riied�-a THIS PERMIT work,BUthq�'rU his appllultion� is� �not_ a, per it, until law.sreguiatingtonstrucl on;sand Inidoing1he z- �.AUTHORIZES h Labor, ONLYJHE :�signed by1he:Building Official ot:hWher iidthereby;�zno. person.willbe employed n v ol tion of t WORK.,N -an -receipt is CoddT f jhe�Stjte 6f._W shington relating.to Workmen's Corripensa.... 9TED De0tqy;,jand:feesar6'pa1,d;. dr, �'ti6h;lnsurafice and. QW_4427.� 0 lded�:­ INS,E I N acknowledged n space:proy E OWNER.011`�AGENT).r DATE SIGNED� .,-DEPARTMEN S!GNATUR �A, TE ES, PRV :F�UR YES 0 F�F� IGN D Itr OF. 19 _3 EDMONDS., 77:��h7 RE BY: E CALL -FOR 1.0 INSPECTION` ATTE" NT IT IS UN LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 0. UNTIL�,A..FINAL. INSPECTIOWHAS_ BEEN -MADE AND APPROVAL OR GINAI File YELLOW — inspector '771:�Q22 .`A.�':CERTIFICATE OF' OCCUPANCY HAS BEEN- 'GRANTEM. UBC _j SECTION 109 ; : +`��, - /o PINK — Owner GOLD — Assessor