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628 ALOHA WAY.PDF11111111111111 10153 628 ALOHA WAY 0 --- - -------------- - ------- District 0 City of Edmonds --- Water Department TAP CARD Date..P.AIP ... F.EB .... 20 ... 1.9.G.2 No......... ... ......... ..... No ......................................... Meter Tap SizeZ.. ........................... Size ........................ ............. Mfgrs. No ........... Style ................ For .......... 6.?� ... ..... .............................. ................ Lot No ........................................... Blk. No. Add. .................. .......................................... Service Locatioh ............................. .... 7 ............ i ................ i 7 ............... ........ Meter Location ................... ............ t ........................................... MakeTap .................. .... . ........ Pressure.............................. lbs. Test .................................... % SendBills to .......................... . ......................... * ............................ ..................... ................... . .......................................... . ..... . ....... . .......... . . Date of Work ................. . ...................... . ............ . ......... ................................................................................................................ Fotl-�man Guar. Voucher No ....................................... 0..$ ................................... . ..... Remarks: ........................................................ ................................................ . . . ... . I I' OUTGOING Index ......... Reg ....... Route Bk ......... StenciL ..... CarcL..-- INCOMING Index ......... Reg ------- Route Bk ......... Stencl.—Card--.- aterial Chargeable to Installati eters a 00 NO. ' SIZE DESCRIPTION RATE AMOUNT -------------- ---------- Meter .............. t ....................... .............. .............. .......... Meter Box .............................. .............. .......... . ... .......... Meter Plate ...... ..................... .............. . . .... . ... . . ....... Check Valve .............. ---------- 7 --- .......... --------- ..... . ........ r .. . ....... Pipe, Galv. Screw .................. .............. .............. . .... . ... . .... . ... .......... .......... ------------- ---------- Nipples .................................... .............. . .... . ... .......... -------------- ---------- Bushings .................................. ......... . ... . . ......... .......... ............... .......... Plain Ells ................................ ......... . ... -- - -------- .......... ---------- -..j .......... St. Ells .................................... ......... -... - . ........ .......... .............. .............. ............... ............... ............... .............. .............. ------ .......... .......... .......... .......... .......... .......... Tees .............. .......................... ...................................................... ----------------------------------------------------- ...................................................... ...................................................... ...................................................... .......... ...................................................... ............... .............. .............. ...... I ........ ............... .............. .............. -------------- ............ .... . ....... .... ...... ............. ............. ......... .. ......... .. ...... �O�MWVMOMW�Wwmwvh - - ------- ......... .......... .......... .......... ........... ......... Material Chargeable to Taps Connected - NO. SIZE * DESCRIPTION KATE AMO NT .............. ----- ---- Pipe, Black Screw .................. ............. ............. .... . ... .............. .......... Pipe, Galv. Screw ... * ............... .............. .............. ......... .............. .......... Lead Connections .................. ............. .......... . ......... .............. ........... Curb Cocks ............................ .............. .......... . ......... .............. ........... Corp. Cocks ........................... ............. ............. ......... ............... .......... Unions ................................ ... .............. ............. ........ ........... ........... Saddles .......................... ------ --- ----------- .............. ..... .... Nionles .......................... ......... ............... .... . .... . ......... ............... ......... Bushings ................................. .............. ........... . .......... ............... .......... : Plain Ells ................................ ............ ............. .......... ............. .......... Street Ells .......................... ... ............. .... . .... . . .......... ------------- .......... Tees ........................................ ..... . .... --- - --- . . .......... .............. .......... Curb. Boxes ....................... r .... .............. ............. .......... ..... : ....... .......... S. 0. Extensions ..... . ............. .............. ....... . ... .......... -1 ............ .......... Gates ............ ........................... ............... ............ ........... .............. .......... Plugs ......................................... ............. ............ .......... ............... .......... Couplings ............................... .............. ..... . ...... ......... ............ ............... .............. .............. .............. .............. ........... .......... .......... ....... 7 .. .......... .......... Gate Boxes ............................ ..................................................... .................................................... ........................................................... ........................................................... .......... 7 .................................................. .............. ............. .............. ............. .......... .............. ..... . ...... ............ ........... . ......... ............. .... . .. . ........... .......... .......... . ....... .............. .............. .............. .............. ........ ............... .............. .......... .......... . ........ .......... .......... . ........ . ........ ... 0 ....................................................... ............ o .............................................. ........................................................... ........................................................... ........................................................... ........................................................... Hours Time —Day Men ........ .............. ............... ............... ............... .............. ............... ............... ............. ............ ............. ....... . ... ....... . ... ....... . ... ............ . ........ . ........ .......... . ........ . .... . .. . .... . .. .......... .............. . ........ Hours Time —Monthly Men .. ............... ....... . ... . ......... .............. .......... Hours Time —Auto ............ ... ............. . ... .......... .............. I .......... Superintendence ...................... ............ .......... ......... .............. .......... Total .................. ............... ------- - --- -- ---- - - ADDRESS: TAX ACCOUNT/PARCEL NUMBER: Coq ?315'rn co 0 no-100 BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS:-(Q S - 02-H DETERMINATION: [] Conditional Waiver tudy Required F Waiver DISCRETIONARY PERMIT #'S: mows) I DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): 2002-C)UU PLANNING DATA CHECKLIST DA SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORTPLAT SIDE SEWER AS BUILT DATED:2— - 15 - (pZ SIDE SEWER PERMIT(S) #: 09F) c?) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT 9 WATER METER TAP CARD DATED:., 20 -U2- 10 UPWA LOT: BLOCK: LATEMP\DS'rs\Fomis\Street File Checklist.doc J�. APPLICA' IONA(7ull T "ING" -PERM9 Lu �-A "T CITY OF. EMONDS in Buildi�4.00aft ent... k� rdance-:wiffi­:&'-:acoom,, erm1t to,.construct ilieJollowing wor iii accO APPLICATION 'is.hereby made for a p -fications. T.wo sets are itied. _f approvaL. panying plans arid sped subm herewith'o*r*. --_�ter . ............... new ..................... .......................... ........ Work addn repair --------------_--------- ........... ........... '-Tire zone..*..-! O�cupancy ............... Const. type ....................... ......... Use zone ...... .............. dd........... .:. . � . . � ';' '.7 . ......... ....... Ji: � : , :, , .1 ; , B11L.. .......... .. ....... ,�,,2 ..... z!i4,M . .......... Lot ........ 161jiress... .. ........ .. Lot frontage .................................. ..... Area'_ ...... ............... Se tic t�nk p . ....................... ............ BldO'. 6et-backs front ............ r. side ------------------------- I. side ............................... rear ....................... et. No ...... ..................... T Addrm ....... - --------------- ......... OvInerz.z. ......... Address ............................................ ....... Tel..�No ...................... Builder .......... ------- Tel. jN Pt tans by .................................................................. Address .................................. ...... Remarks............................................................................................................. ............................. ........................ ................... ................................................................................................. ... ............................................. ...................... ................ ......................... ....... ............... .......................... ........................................................................... The above is a correct statement, and I agree to comply with all applicable Codes and- S6Lte laws - rigulatin� ­tI6',� work - 'Date .... ........ ........................ Signed Owner/Agent ....... Address ....... . ....... is hereby approved, subject to the above conditions, alid-tp-oomplWic PERMIT for the above work specm�-cations, and Building Department notations thereon. proved plans and . .... ........ Recd. .0 ............. Permit fee ..... Valuation ... .... > . .. .... .............. Building Department, By ............................................. 4. �_ ........... Date.... ------ . . . ........ Sewer or Electrical installations. This Permit does not cover -Plumbing, City of Edmonds Critical Areas Determination Applicant: Lisa Hopkins Determination #: I CA-98-214 Project Name: Permit Number: CU-98-157 Site Location: 628 Aloha Way Property Tax Acct #: 1 43650000 Project Description Conditional Use Permit for a Home Occupation within RS-6 Zone Determination: Conditional Waiver Staff has reviewed your proposal to establish a home occupation within your existing single- family residence. Edmonds Community Dev , elopment Code Section 20.15B.040 lists several exempt situations from the critical area requirements. Staff feels your proposed home occupation will not impact the stream as the proposed office is fully contained within the existing residence and does not require any alteration to the exterior of the house. This conditional waiver is specific to the conditional use permit (CU-98-157), as applied for on September 4, 1998. An approved conditional use permit is still required. Any future development proposals on this site must be individually reviewed to determine whether a critical areas study is required. . , A Kate Galloway Name cc: CU-98-157 File 10/7/98 Date W . '� j 40 qb-214- CA FILE JV0. Critical Areas Checklist ----------------- -------------------------------------------- Site Information (soil s/topography/hydrology/ve getation) 1. Site Address/Location: (o2 Fj Al ch o— LQ Qt�4 Ed m, 2. Property Tax Account Number: 3. Approximate Site Size (acres or square feet): Sn 4. Is this site currently developed? v1 yes;_no. If yes; how is site developed? Stf�Q�C-� Cr_-_'i'dence 5. Describe the aeneral site topography. Check all that apply. C ZFlat: less than 5-feet elevation change over entire'site. Rolling: slopes on site generally less than 15% (a vertical rise of I 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 10-feet over a horizontal distance of 33 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: n ul _; Approx. Depth: 7. Site contains areas of seasonal.standing water: 00 _; Approx. Depth: _ What season(s) of the year? Site is in the floodway r) cj _ floodplain nQ of a water course, 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- h611 CMV—t�round? u e 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: r)o S ite ��y th" aesi Uau ZA 4"' bE.TkAMINAtION' - C ITIOY-A "R.U..., P WAIVtk' ieyqd b 'ry ate 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 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 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 arid 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 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: Dan e'. 1-15'a 4opp'--in,-s Name tpM Aloha, vVcLq Street Address J E(J ry) c, n d t) VVA C1,00 C) 2- C) City State Zip (4 2!S-) q 91-- Telephone &&aGre) p I I ej q B Date Applicant Representative: —!SCLM e - Name Street Address City State Telephone Signature Date 315 c:recepdon\jann\c.acWoc (over) rl - c i 0 City of Edmonds Critical Areas Determination Applicant: �Dan and Lisa Hopkins Determination #: CA-98-214 Project Name: Permit Number: 1 -1 Site Location: 1 628 Aloha Way Property Tax Acct #: 4365 000 007 004 Project Description: Non -Project Specific Determination: Study Required: During review and inspection of the subject site, it was found that the site appears to contain and/or is adjacent to a Category 2 (with salmonids) Stream pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). Based on these findings, prior to submission of any development permit, you will be required to submit the following for review by the Planning Department: Submit a survey prepared by a Licensed Land Surveyor delineating the top of the stream bank, required 50-foot buffer, and 15-foot setback to any proposed new building. This stream flows into Puget Sound, therefore, the applicant must contact the Department of Fish & Wildlife, have them review the site and submit a letter detennining the impacts of development on this site and, if necessary, recommend mitigation measures to ensure protection of the habitat/stream. If culverting or redirecting the stream is proposed for development of the site, please have Department of Fish & Wildlife address this matter as well. If the property owner wishes to apply for a specific.development permit which they feel would not impact the Critical Areas located on the site, they may submit their proposal to the Planning,Department for review. If the Planning Department finds that the proposed development permit will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued on a project by project basis. Name Si Date 117 C . 1 o" September 1, 1998 Dan & Lisa Hopkins 628 Aloha Way Edmonds, WA 98020 0 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 * Parks and Recreation * Engineering * Wastewater Treatment Plant Subject: Determination regarding Critical Areas Checklist # 98-214 Dear Applicant: Enclosed please find a copy of the Critical Areas Check ' list 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. Milo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL 4*1 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 Acting Planning Secretary C:Reception\Jana\CRLTR.doc 0 Incorporated August 11, 1890 9 Sister Cities International — Hekinan, Japan The City of Edmonds APPOATION for SIDE SEWER PERMrr OUTSIDE 0 INSIDE 0 REPAIRS 0 CARD No . ........ 0 ......................... EASEMENT No . ............................. ........ ..................... OWNER ................... .......................... ... .................... CONTRACTOR ............... lj.r ................................. - ................................................ PERMIT N STREET Loo ............................. HOUSE No . ............... . ............. ....... . W.. ........... AVENUE LOT No. ............. 4 BLOCK No . ............................... NAMEADD .............. 46 .1.< .......... oe-,*.a ........... : ��.! ................................................................... 0 Lu .j .ww� LL. uj uj W [3 c� 'All 04 Date BACKFILL WORK ORDER ISSUED .................................... SEWER WORK ORDER ISSUED ........................................ Approved: .... DEPOSIT, $ ...................................................... .... DATE.f-4, ... /.� .. . ................... BY ...... 14-7:-n -- ------