620 SUNSET AVE N.PDF11111111111111
13372
620 SUNSET AVE N
ADDRESS: 6 441) cs,�
TAX ACCOUNT/PARCEL #:,RelX
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
4b ZI
CRITICAL AREAS DETERMINATION: 0 Conditional Waiver El Study Required Waiver
I,<
CRITICAL AREAS #: DETERMINATION: F1 Conditional Waiver F1 Study Required El Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: L4 -15
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
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
0 PLANNING DATA
0 11 STREET FILE 11
SINGLE FAMILY RESIDENTIAL
Name: Date -
Site Address: 6 ZO S'�,4 Plan Check
Project Description: G F-e
Reduced Site Plan Provided: ES NO) Zoning:
e-5-6
lFla
Map Page: Corner Lot: (YES g Lot: (YES
Critical Areas Determination ff: o6
11 Study Required
94-'Waiver
SEPA Determination:
jr�LExempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
RequIfed cks
Street: Side' Rear
Actual Setbacks
Street:
Side- Rear: s—
El Detached Structures:
El Rockeries:
Fences[Trellises:
Bay Windows/Projecting Modulation:
Stairs/Deck:
Height
Datum Point: 66 Datum Elevation:
1( V_ 3q-ql
Maximum Height Allowed:
Actual Height:
Other
Parking Required: Z_
Par -king Provided:
Lot Area: CO v--
Maximum Lot Coverage: 35% Proposed. -
Lot Coverage Calculations.-
ADU Created: (YES
Subdivision: f-,d C I, -e_
Legal Nonconforming Land Use Determination tssued: (YES
� J iiii! I \ Comments
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Plan Review By: �� s—/o Pldnn" Data Form 04 11 �106_doc
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APOLICATION.
for
The City of Edmonjs
SEDE SEWER PERIMT'
EASEMENT No . ................... . ....... .............
NEW CONSTRUCTION 0 REPAIRS 0
11 -0755-0
ovmm.......... A.-O.-Sar.gerit ... --------- ------------------------- ........ ------ CONTRACTOR ................................. ......................................................... ...... PERMIT No . ...................
ADDRESS ...... ... S-uns.e-t ... A.ve.n.ue .............................. ........................ LEGAL DESCRIPTION: LOT N . b .. ................................... ......... BL40CK No . ............................................
.. ....... .. .. .. ... .. ....
NAMEOF ADDITION .......... ............................................................. -- ...................... ......................................
DYE TESTED ON SEWER 5/80
Dye Tested On Sewer 1972
Approved:
DATE....... ........................................ By ....................................................
Oitical Areas Checkliso FILE No. 2-DOD — (o
---------------- ------------------------ -------------
Site Information (soil shop o graphyJhy drol ogy/ve getation)
1 . Site Address/Location: 6�20 n&,O-f 6-SX N.
2. Property Tax Account Number: R E: C Fr I 1V
949 70,3MI OMP
3. Approximate Site Size (acres or square feet): JAN 2
4. Is this site currently developed? _g_ yes; _ no.
7EPT.
If yes; how is site developed?' :;m AL j2,-AqK"je_
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 1 0-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
1 0-feet over a horizontal distance of 3 3 to 66-feet).
Steep: grades of greater than 3 0% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: rj,,0 ; Approx. Depth:
7. Site contains areas of seasonal standing water: V-0 Approx. Depth:
What season(s) of the year?
8. Site is in the floodway "A-) floodplain urse.
_ V\Z of a water co '
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 ; meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: rLa
t:6` `Z*
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City of Edmonds
CRITICAL AREAS CHECKLIST
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 1-.Lis/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 City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her 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 infor m-ation (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 Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
INK,
Street Address
UJA
C ity State Zip
t&1W
Dafe
Applicant Representative:
WRI NOR
Street Address
city State
Telephone
Signature
Date
Zip
creceptionyana\cad.doc
(over)
V - .
I'D C. 1891,
February 1, 2000
to
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Pacific Specialty Construction
10230 E. Riverside Dr.
Bothell, WA 98011
Subject: Determination regarding Critical Areas Checklist # 2000-6
Dear Applicant:
GARY HAAKENSON
MAYOR
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.
............ ...... .......
....... ...... %....'......'............... .........
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4M - R.L. N.T.] 7. -T. -.8EN.:
0.. T FORMAT ON. .0
................................................... ... ..............
............................ ... ..... .
PLEASE EXAMINE THIS" DETERMINATION"FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED To SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENWROWMF.MTAL CHECKLIS OR OfflCAL AREAS STUDY,
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
mo. You must submff a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL -41111111111
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED.
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Enc: Critical Areas Determination
* Architectural Design Board
Thank you.
Sharla Graham
Planning Secretary
C:ReceptionUanaXCRLTR.doc
Incorporated August 11, 1890
Sister City - Hekinan, Japan
40 PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREET FILE
Name:
Date: -7
Site Address: Z&
Plan Check #
Project Description:
Reduced Site Plan Provided:
Zoning: 6
Map Page:
Corner Lot: (YES Flag Lot: (YES CNO
I
Critical Areas Determination 000
El Study Required
RE-Maiver
SEPADetermination:
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist 0 APO List with notarized form
Requirecl Setbacks
St t:
Sid
Side-
Rear:
Actual Setbacks
Street:
Side:
I r
Side: w r
Rear:
Detached Structures: S V I)f\
RockeriesjWka e-s+ 5tok4 5- OL( Cg 5,s froy\
El Fences[Trellises:
El Bay Windows/Projecting Modulation:
El Stairs/Deck:
Heiqht
Datum Point: 1,f cif I cm�
atum Elevation:
Maximum Height Allowed: -2
Actual Height.C-7- 0
Other
Parking Required:
Parking Provided: 7 4-
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations: kou Jc- ov-c�- ) e-/OLOU/N 7 r
ADU Created: (YES /0P)
Subdivision: ---
Legal Nonconforming Land Use Determination Issued- (YES
I/-,, , - Cornments
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Plan Review BP PWU*�q Data Form 04-11-06.doc
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