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608 MAGNOLIA LN
C110tv of Edmon&
WT
Critical Areas
Che*cklist
ThIm Critical AXCaS ChwMist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to histher submittal of a development
permit to the City.
The PuqxW Of the Checklist is to enable
City staff to determine whether any
potential Critical Areas arear may be
present on the suldect - 1porlicil". QIU
information needed to complete the
Checklist should be casily avmlible fiom
abser,vations of the site or data available at
City Hall (Critical Areas inventories -
or soil surveys). map.
An applicant, or his/her repiesenmfive,
must *fill out the checklist� sign and date it�
and submit it to the Ci;y. lim City Will
review ftchedfis4 make a precursory site
visit, �nd malm a determination of the
sIePs -ne0essaY to complete a
development permit application -
With a signed copy of this form, the . . *
aPPlicant Should also submit a vicinity 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
additiou� the applicant shall Include
other pertinent information (eg. site
PW4 topography nmm. etc.) or studies in
conjunction with this Checklist to assist
staff in completing their preruninary
ent of the side.
I have completed ft anadwd Critical Area Checklist =* d attest d0t the answers provided are
fictual, to the bestof my knowledge (fill out the appropriate column below).
Owner Applica nit:
Applicant Representative:
Frank & Barbara,Crealock 4arbara Crealock
Nam Name
608 Magnolia Lane
Stmet Addr=
608 Magnolia Lane
Stwd Addmw
Edmonds, Wa. 98020 7 17 if 14 Edmonds, Wa. 98020 .776=7474
City. State. ZIP Phone' ci% state. ZIP Thone
Date
�YS Date
7�i
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2
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C
A FILE
Checklist
Cn-fical Areas
S& Inforumflon (sas/topogra hy/h'
p y ydro1q&/T0tet*,on)
1. Site Address/Location: /. 01 MVNP r-jok-10, LAN,E
qo 000 00s 0 RECE)
2. Property Tax Account Nurn er. 79 VED
3. Approximate Site Size (acres or square fed): 1994
4. Is thissite currently deve1oped7._)L_Yes;_n0. DEC I " 2
PERMIT COUNTER
If yes; how is site developed? &Z5idF_rqC_F_
5. Describe the general site topography. Check all dw apply.
_X Flac' less than 54eet elevation change over cadre side,
Rolling: slopes on site generally less than 15% (a vertical r'= of 10-feet over a
horizontal distance of 6"eeo.
Hilly: slopes present an site of awe "-15% and few than 30% ( a vertical rise
of 10-fed over a horizontal ditstatmof 33 to 66-fed).
Steep: grades of gropter than 30% present an ske (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-cound standing water, Approx. Deptic
7. Site contain areas of seasonal standing water. Affcm Depth:
What season(s) of the year?
8. Site is in the floodway A)1�, floodplain A)Q of awater course-
9. Site contains a creek or an area where water flows across the giounds surface? Flows are year -
I
tound? Flows are seasonal? (Whit time of year?
10. Site is primarily.- forested mead6w shrubs mixed
urban landscaped Qawn.shrubs etc) 5.T---s
I L Obvious wedand is present on site: 'Vo
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CITY OF EDMONDS
P/NEW
1-1 ADDITION
El RETIREMENT
ASSET INFORMATION SHEET
17:n
ASSET NO.
ADDITION TO ASSET NO.
3;S 60(oO2— tl—q()
DESCRIPTION
\cQ, L:i Nc,
SERIAL NO.
LOCATION MoAmtVo, JctNe-
DEPT. NO.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER 0
PROJECT COMPLETION DATE
COST I o
o -69
B.A.R.S. ACCOUNT NO. 0
ESTIMATED LIFE �rs
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
V/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
kvp) INITIAL
DEPARTMENT FILE
VERIFIED BY
PROCESSED
BATCH NO.-
LET FLO
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
0, UITE/APT
ADDRESS 0 �0 AT
OWNER NAME /NAME OF BYUSINESS�
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3.
0
p oo,&" �4
ewwe-s V\C- -
LEGAL DESE7R—IPTION CHECK
SUBDIVISION NO.
LID NO.
MAILWG A-WRESS
t1-
7t5-60 -2- (2- — S� - �; ix)
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING AMIARED DEDICATION
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PROPOSED 1 pe, v'aT,�,
TESCP
APPROVED BY -
CITY Z IXLEPHONE
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V Cao
NUMBER
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ml 73(oq
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
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tAA tAAIA—S 6 11^,
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0
STREET USE PERMIT REQUIRED 0
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ADDRESS
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REVIEW By
SEE ENGINEERING %AEMO DATED
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CITY Z
TELEPHO E IM
REMARKS
1(1711alo 4)e4-�
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NAME
1-1�0Lme— 6L-S 6 ve--
ADDRESS
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METER SIZE
BUILDING,PUPPLY SIZE
URE UNITS
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CITY ZIP
TELEPHONE NUMBER
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RE;Ykr kov
STATE LICENSE NUMBER
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SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE I EXEMPT
SHORELINE 1
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2
0-
Legal Description of Property - include all easements
(show below or attach two copies)
VARIANCE OR CU
PLANNING REVIEW BY
DATE
W
W
SETBACKS - FEET
FRONT SIDE REAR
HEIGHT
LOT COVERAGE
z
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Tax Account Parcel No.
REMARKS
ILI
NEW 0 RESIDENTIAL E] PLUMBING
1:1 ADD/ALTER El COMMERCIAL 1:1 MECHANICAL
REPAIR 1:1 APT.BLDG. El SIGN
EXCAVATE, FILL FENCE
DEMOLISH OR GRADE L_ x —FT)
CHECKED By
TYPE OF CONSTRUCTION
CODE HEIGHT
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0
a:
0
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C13
0
CARPORT swim
REMODEL El GARAGE E] POOL
SPECIAL INSPECTOR
REQUIRED
0 YES L- NO
ARTA
OCCUPANCY OCCUPANT
GROUP LOAD
1:1 WOOD STOVE/ RETAINING WALL/
INSERT El ROCKERY RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBC 305
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(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN
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Aez-� 66#1!5 c-f / L)
&r-" A L.PVS Ul AVA- 1'7fb Wil iW 6 V
NUMBER OF STORIES
NUMBER OF
DWELLING Dne-�
UNITS
NATURE OF WORK TO BE 00 E T-TACH PLOT PLAN)
V
FINAL INSPECTION REQUIRED
7—
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials.
employees. and agents from any and all claims for damages of
TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector 4(V)q0
ADDRESS 41PS ))A4-n�
'z
OWNER e4X'V-t4
PLAN CHECK #
After review of the subject building permit application, we have the
following comments:
1. Construction hours are: WEEKDAYS ........... 7:00 a.m. to 10:00 p.m.
WEEKENDS/HOLIDAYS..10:00 a.m. to 6:00 p.m.
2. A Right -of -Way Construction Permit is required for any work on
City property.
3. Connection to City water system required. FesawrWqd.
4. Connection to City sanitary sewer system required; obtain sep�rate
permit. Jegffigpw4d.
5. Water and sewer lines to be separated by 10 foot minimum.
6. Driveway must be paved a minimum of 20 feet back from City.
right-of-way; separate permit required.
7. Driveway slope not to exceed 14%.
8. Back water valve required if downstairs plumbing is below
elevation of upstream manhole.,
9. Builder/Owner responsible for containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in any way.
10. No burning of construction refuse without approval from Fire Dept.
11. Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12. Inspection required on drainage system, catch basin installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy.
13. Repair or replace all defective existing curb, gutter, and
sidewalk. If intersection is involved, installation of wheelchair
access may be required.
BLGPER/TXTFORMS
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CITY �'OF ED TONDI
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PERMIT el
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Address of Construction,::'
Property Legal Descri'ptibn
(Include all easements):
FIDIVIONDS
TREATMENT PLANT R E C E.WX D
U
SEP 17 199."
,own'er and/or Contractor: 42i��4-4e
StateLicense No. Building Permit No.
yngle.Family Invasion into City,Right-of-Way: No Yes'
Osmiulti-Family (No. of Units-) RW,Constr6ction Permit No.
13 Commercial Cross other Private Property
).�](No.. 11, Yes'
El Public Attach legal description and copy of,recorded"ease'ment
''c
I cer4fi at havee r ea, d and s, I mply with all city re�quirements Date''
6s.inclicated-on-the bac.k-of e rm it Card.
CALL DIAL -A -DIG (1800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY.
FOR INSPECTIGN -CALL 771-3202, P.UBLIC WORKS DEPT.,*
Issued By
Permit Fee:
Trunk Char . ge:_ 25 Date ls§ued:--' t?h ;71-7L)
Assessment Fee, Rkeipt No..: 1jr,>4R ;z
Lid. No.:
Partial Inspection: Date Initial -
comments
Reason Rejected: Date -Initial -
Final Inspection Approved: DatelLI-AP" lnitial?�L
PERMIT MQST� BE �PGSTED ONJOS SITE
White Copy:'File Green Copy: Insp�rtor Buff Copy: Applicant
Revised 3190
City of Edmonds Side Sewer Drawing
EASEMENT NO . .................... .......................
NEW CONSTRUCTION REPAIRS E] LID NO . .................. . ASMT. NO - ------------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR -------------------------------------- --------------------------------------------- PERMIT NO.
JOB ADDRESS -ce-:D-R --- - ---- ...... LEGAL DESCRIPTION: LOT NO - --------- - ---------------- ------- BLOCK NO - ------------------------------------
I
PWW-0001-1 1/75 (REV. 11178)
Im
NAME OF ADDITION ...................................
Approved:
DATE --------- q6 ................. By J�7r ----- Z�-- -----------
EDl'%!,0NDS
TREATMIENT PLANT
?-V-c, eAt,