603 OLYMPIC AVE.PDFiiiiiiiiiiiiii
12472
603 OLYMPIC AVE
Critical Areas C . hecklist CA File No: D 241
Site Informatior�'(s'o'ils/ topography/ hydrology/ vegetation)
1. Site Address/Location: A A(, 61H (kL
2. Property Tax Accoun',i. Num ODD D) � Dt DD
3. Approximate Site Size �acres or square feet):
4. Is this site currently developed? Y yes; — no.
If yes; how is site developed?
5. e the general site topogra hy. Check all.that apply.
p
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
I . . 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 lessthAn 33-feet).'
Other (please describe):
6. Site contains areas of year-round standing water: NO _; Approx. Depth:
7. Site contains areas of seasonal standing water: MQ Approx. Depth:
What season(s) of the year?
8. Site is in the floodway _N0 floodplain 0 of a water course.
9. Site contains a creek or an area where water flows acros's the grounds surface? Flows are year-round?
-Flows are seasonal? (What time of year?
10. Site, is primarily:,.;forested mead w shrubs mixed
urban landscaped (lawn,shru'bs etc)
11. Obvious wetland is present on site:
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Critical Areas Checklist.docJ3.19.2001
ED
City of Edmonlds-
Development Services Department
Planning Division
Phone: 425.771.0220
/loc. Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application 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).
,Qateftpeived:
.CityReceipt#:_ c2107T6'
Critical Areas File #:
Critical Areas Checklist Fee: .$45.00-
Date Mailed to Apolicant:
k property owner, or his/her authorized representative,
must fill out. the checklist, sign and date it, and submit it
to the City. The City will review the checklist,, make 'a
precursory site visit, and make a determination of the
subsequent, steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
,information (e.g. site plan, topography map, etc.) or
studies in' co�junq'tlon. "With this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on 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 part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submittedare true and correct to the best of my
knowledge and that I am authorized to filq this app] N*ation on the behalf of the owner as listed below.
SIGNATURE OF APPLICANTIAGENT L vje7�— DATE -7
Property Owner's Authorization
By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and --posting attendant to this application.
SIGNATURE OF OWNER DATE
O,vynelr/Applt�ant:
L,-J (A� ILIA �A -T akQ-R
Name
(kAM 1 U)X A VJ-)
Stpeet AddressU
& I f
(ILKI oal
City State Zip
Telephone:
Email address (optional):
Critical Af�as Chocklist.doc/3.19.2001
Applicant.Representative:
Name
114 CPO —
Street Address
Av
City State zip
Telephone: vs-.�
Email Address (optional):
Critical Areas Checklist CA File No:
Site Mforniation (soils/ topography/ hydrology/ vegetation)
is1. Site Address/ Location: X. AMA',f, a"
Property Tax Account Number: OM We Dt 00
3. Approximate Site Size �acres or square feet): �53 q
4. 9 this site currently developed? yes; no.
If yes; how is site developed?
5. Irthe general site topography. Check all that apply.
Flat. less than 5-feet elevation change over entire site.
6.
97*
8.
RoMng: slopes on site generally less than 15%,(a vertical rise of 10-feet over a horizontal
distance of 66-feet).
My: slopes present on site of more than 15% and less than 30% ( Avertical 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
I I distance of less than 33-feet).
Other (please describe):
Site contains areas.of year-round standing water: Approx. Depth:
Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
I
Site is in the floodway NO floodplain NO of a watercourse.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is primarily: forested mead w shrubs mixed
urban landscaped (lawnshrubs etc) \1 F
11. Obvious wetland is present on site: 100
Critical Areas Chocklist.doe/3.19.2001
Critical Areas Checklist CA File No: DZ-2,1 �
Site Information (soils/ topography/ hydrology/ vegetation)
1. Site Address/ Location: 01 AMA 1'(,
.2. Property Tax Account Number: - 6M D) (e ot oo
53q Tj
3. Approximate Site Size �acres or square feet): (/
4. Is this site currently developed? '� yes; _ no.
If yes; how is site developed?
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
. I distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7* Site contains areas of seasonal standing water: Approx. Depth:.
What season(s) of the year?
8. Site is in the flood VV UY 0 floodplain NO of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
\le,s Flows are seasonal? (What finie of year?
I
10. Site is primarily: forested ;mead w ;shrubs mixed
urban landscaped (lawnshrubs etc) \1 R
11. Obvious wetland is present on site: -
Critical Areas Chocklist.doc)3.19.2001
TU-itV of �ibravnbz
RESUBMITTAL CHECKLIST
PLAN CHECK N
OWNER NAME:
Resubmittal for Building
Fj Plot Plan
Foundation Plan
Section Views
Floor Plans
Structural and/or Beam Calculations
Energy Worksheets
F-1 VVindow Schedule
[-� Other (describe)
Resubmittal for Fire
Ej Hydraulic Calculations (Fire Flow)
F1 Cut Sheets
F� Fire Sprinkler
F-1 Fire Alarm
F-1 Other (describe)
G:share/fibrary/B uilding/Forms/Bldg E ng FirePIng R esubCL.doc
esub
0 D69Mage Plan
Grading
Other (describe)
Resubmittal for Planning
F Plot Plan
El Elevation Views
Height Calculations
Landscape Plan
Other (describe)
Thank you!
NOV 0 8 2002
DEVELOPMENT SERVI
01*
THOS� H. GISH
H
F 1-11'.
F
STANTON J. HA"
JACK HAILXN
- FIT
ROEERT M. HUMPHREY
S EPHEN C. SAUNDERS
�T
0Y SIEVERS
FIRST FED.ERAL
AND LOAN
SAVINGS
DALLAS R. OLSON
HERMAN SATER
ROBERT PHREY
DALLAS R. OLSON
ASSOCIATION,
...... ... P ........
OMER ".11R.CHIR
410 MAIN STREET, EDMONDS, WASHINGTON TELEPHONE PROSPECT 6-2137
BRAN.11 MA —II.
ROY H MILLAR
P-111-T
4/19/65
BRA- MAN-1
BARBAR�A'nAAIDE
STANLEY
�
T
EVELYN VAN BODEGRAVEN
LEWIS A SELL
AT-1.1
TO WHOM THIS MAY CONCERN:
This is to advise you there are no unpaid local improvement
assessments against the property described as follows:,
Description: Roll—_ pa go—
Th ptn of tr 16, puget sound machinery depot five
acre tracts,,
according to plet thof recd in
vol 5 of plats, pg,
47 recd of Sno.
Co', Wash., daf: Com at the NE
cor of ad lot th S
;428'2011 9 alg
the 9 In of Tract 16 a dist of
7.50 ft to the tpb;
th cont 5 0028.
2011 E 66,50 ft; th N 89052'LO"
W 70 ft; th N 002812011
W'11.50 f t;,
th N 89degrees 5211011 V 40 ft;
th N 0028'2011 W 55
ft; th S 89052'
.10" E &IS a In parallel with and 7.50 ft S ofN In
of ad Tract 16,
8 dist of 110 ft t.o tpb,
4-Z
------------
Deouty Treas er
Order # F-125129
Loan # 593
Name C. A - Mc Connachie--Olof A. Olson
PA Edmonds, Wash. (Lot)
C2 :-R
J'.
The City of Edmonds
APPLICATION
for
SEDE SEWER PERYaT
OUTSIDE E] INSIDE REPAIRS E]
OWNER ....
........ . ------------ CONTRACTOR
STREET
HO'USE No - ------ a ....... - - ----------- -------------------- AVENUE LOT
Lu NAME ADD.
LL-
ui
CD
Date
CARDNo - --------------------------------------
EASEMENT No - ------ A - ------------------------
11 ------- ........
---------- ---------------------- PERMIT No.
.................. --------------------------------------------------- BIA),CK No - --------------------
.......... ........... - -------------------------------------------------
- , I
AP PROV'Eu
M AY
J,
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ..............
SEWER WORK ORDER ISSUED ..........................................
Approved:
---------------
DATE ...
13Y ---- A=f
/V
CITY OF EDMONDS Can pRespect &1107 when Work
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspecuon. (No Inspec- 1239
tions Saturday, Sunday or hoUdaYs.) N2
SIDE SEWER PERMIT
........................................................................................................
.Vic..A enue -- ----- .......
— ------ ---
ADDRESS--------------------------- - - Aq�-
..j? ............. CONTRACTO
OWNER ---- AqqQAq4q11i
115ir -..i?/ jq.(.fr, for ....................... days, to REPAIR or CONNECT a Side Sewer
perndslion is granted ... .................
with City Sewers in accordance. with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING: A licensed aide sewer contractor must
)taln a permit to construct sewer inside property line. aspected.
NOTE NO. 1—The owners of the Property may Oln street axes- Do not cover any Portion of sewer before it has been I
be employed to construct side sewer I Ing side sewers when You get Permit -
NOTE No. 2—Obtain fuiljnformatlon . regarding Ordinance 11.16.0W and Regulations govern
d 12 inches inside Property line;. minimum grade of 2%.
NOTE No. 3---jTop of, side sewer must have at least 30 inches coverage at property line an
No bends in grade sharper than % will be permitted. - of street restored to original condition. Contractors shall be responsible for
NOTE No. 4—Trenches In street must be water settled and suxfaze n one year of completion.
failure due to improper work which may develop withi or to do any work on the main sewer or its aP-
NOTE No. 5--jt is unlawful to alter or do any other work than is provided for in the permit,
purtenances except to insert the pipe Into the wye.
EXHIBIT "A"
That portion of Lot(s) 16, PUGET SOUND MACHINERY DEPOT 5 ACRE TRACTS,
according to the plat thereof recorded in Volume 5 of Plats, page(s) 47, records of
Snohomish County, Washington, described as follows:
Commencing at the Northeast corner of said Lot;
THENCE South 0 degrees 28 minutes 20 seconds East along the East line of Lot 16 a
distance of 7.50 feet to the True Point of Beginning;
THENCE continue South 0 degrees 28 minutes 20 seconds East 66.50 feet;
THENCE North 89 degrees 52 minutes 10 seconds West 70 feet;
THENCE North 0 degrees 28 minutes 20 seconds West 11.50 feet;
THENCE North 85 degrees 52 minutes 10 seconds West 40 feet;
THENCE North 0 degrees 28 minutes 20 seconds West 55 feet;
THENCE South 89 degrees 52 minutes 10 seconds East along a line parallel with and
7.50 feet South of North line of said Lot 16, a distance of I 10 feet to True Point if
Beginning.
SITUATE in the County of Snohomish, State of Washington.
ABBREVIATED LEGAL
Portion of Lot(s) 16, PUGET SOUND MACHINERY DEPOT 5 ACRE TRACTS, Volume 5
of Plats, page(s) 47.
Tax Account No. 005489-000-016-01
END OF EXHIBIT "A"
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEMAME OF BUSINESS
MAILING ADDRESS
60_2
CITY ZIP TEIEPHONE
�jp
NAME
ADDRESS
CITY
ZIP I TELEPHONE
NAME
pklt� e 97 A 51)
ADDRESS
112,15
CITY
STATE,VCENSE NUMBER
YI/hd r- 5.!r
)ROPERTY TAX ACCOUK
jo ,--
0 NEW
RESIDENTLAL
0 ADDITION
=MM EFICIAL
k
0-
0 REMODEL
MULTIFAMILY
REPAIR
GRADING
CYDS
DEMOLISH
TANK
GARAGE
RETAINING WALL
0'.-.7ROCKERY '
CARPORT
-
(TYPE OF USE,
EBB OR ACTIVITY) EXPLAIN:
i 1, ,--w
.17-7
NUMBER
f;15e
NUMBER OF
OF
DWELLING
STORIE�
UNITS,
DESCRIBE WORK TO BE DON
I
Cal. #
[PERMIT EXPIRES
USE PERMIT
ZONE
JOB ,PUITEIAI
ADDRESS /, ^ ,* /f / - _ _
PLAT NAMEISUBDIVISION NO. LOT 111b.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Appmed
RW Pemit Required
E3
13
Street Use Permit RKM
13
EXISTING - PROPOSED
inspection Required
Q
Sidmalk Required
13
REQUIRED DEDICATION- FT
Un.,.d
1 w1mg mquffw
13
METER SIZE_j
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 13 NO,2r.,
tu
REMARKS
z
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
Ja<"V_4V_0n -OKIV, _V1 kK1
BY DATE
I %__ 1, 1 .
LVOT-111rL
�FIRE:,REVIEWEO BY DATE
; 1, . I . .4
Ir
rL
HOAE I . I .
VARIANCE OR CU
SHORELNE'PRADBVI,
INSPECTION
-REO'D
[3Y8 13NO
BOND
POSTED
$
z
z
(PIRATION DATE
CHECKED BY
SEPA REVIEW
COMPLETE EXEMPT
EXP ix
-1
LOT COVERAGE'. .
ALLOWE )POSEj?j'
SIGN AREA
-ALLOWED PROP011
.. 6, LIRE TRACKS (ft)z
: �RE U DSE
FRONT I SIDE REAR
HEIGHT
'ALLOWE7 PROPOSED
4P�612OSED SETBACKS (Fr.)
FRONT LLR AIDE REAR
/-7'
IV 35 1
PLUMBING MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
Fk6fKING
RE�D I PROVIDED
-7
LOT AREA
DATE
�Pjl ING f I
m_p, I
o FENCE 11
X-FT) REMARKS V
[3 OTHER;
RE SPRINKLER
F:
RE ALARM
CHECKED BY TYPE SEf,9WTRU91ON
SPECIAL INSPECTION [AREA
REQUIRED.[] YE
REMARKS'
7- PROGhESS INSPECTIONS'PER'LIBC 1,08/F
OCCUPANT
GROUP
OCCUPANT
LOAD
.0
INSPECTION RE131019
a
970WIT
;AblagldmLr�- LoonLIMIA&M
XH"LL
HEAT SOURCE (RAZING % SLOT 6 . tOPE %
W 7 &A _� I
PLM CHECK NO- VESTED DAtE
;;f) —/—? � zAC-,, 0
41 C;_1_ _/ 0 1—)
THIS PERMIT AUTHOR12ES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER -SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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 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 CITYS 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 AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN!S COMPENSATION IMPRANCE AND RCW 18.27.
VALUATION
Description FEE
Plan Cheick
Mechanical
Grading .
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscape Insp.
Recording Fee
CALL
,R INSPECTION
(425)
771-0220
ry L-4dV1 A -I q � INE/L/ I I I
Description FEE
State Surcharge
City Surcharge
Receipt #
Total Amt. Due
I
Receipt #
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.
,AtALF
S SIGNATURFj DATE
. ) 4 fit, . , VDID z AV, /ak6
AITENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- O�IGIN YELLOW - INdpECTC
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING