633 GILTNER LN.PDF11111111111111
11399
633 GILTNER LN
STREET FILE
gat
FILE
N/A
DETERMINATION OF NONSIGNIFICANCE
Description
of proposal Proposed single family residence
Proponent Bollinger Construction
Location of
proposal , including streetu address, it' any
633 Giltner Lane
Lead agency
City of.Edmonds
The lead agency for 'this proposal has determined that it does not have a prob-
able significant adverse impact on the environment. An environmental impact
statement (EIS) is not required under Rr; 43.21C.030(2)(c). This decis-ion was
114 1 1
made after review of a completed environrnental checklist and other information
on file with -he lead agency. This infccmati*on is available to the public on
request.
There is no comment period for this DNS.
�x/ This DNS is issued under 197-11-340(.2)�, the lead agency will not act on
this oron-osal for 15 days from the date below. Comments must be submitted
by 5:00 p..m., June 26, 1986
Responsible offic�lal Bruce G.Finke
U - - Phone
Position/ti 1 Associate City Planner 771-3202, ext. 252
Address 250 Fifth Avenue N., Edmonds, WA 98020
Date June 11, 1986
Sicnature 7
You alav arceal this determination oF nonsignificance
Lo James M. Driscol.1, Hearing Examiner
at 250 Fifth Avenue N., Edmonds, WA 98020
no later than 5:00 P.M., July 7, 1986
filing a written appeal.
You should' be prepared to make specific factual objections. Contact
Bruce Finke to read or ask about the procedures for SEPA appeals.
li / T'her_= is no agency appeal.
ENVIRONMENTAL CHECKLIST
purposc of ChccUSI:
The State Envirorimcnial Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider
the environmental 1mp3cLs of a proposal bcforc making decisions. An environmental impact statement (EIS) must be
prepared for all proposals with probable significant adverse *impacts on the quality of the environment. The purpose of
this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce
id impacts from the'proposal, if it can be done) and to help the agency decide whether an EIS is required.
or avol 1
Instructions for Applicants:
This environmental checklist asks you to describe some basic informaLlon about your proposal. Governmental agen-
cles use this checklist to determine whether the environmental impacts of your proposal arc significant., requiring
pre paration of an EIS. Answer the questions brieny. with the most precise information known, or give the best dc-
scription you can.
You must answer each question accurately and carefully, to the best of your kno\A.!Icdcc. In most cases, you should
be able to answcr the questions from your own observations or project plans xithout the need to hire experts. If you
real]v do not know the answer, or if a question does not apply to your proposal, write "do not know" or "does not ap-
ply'. Complete answers to the questions now may avoid unnecessary delays later.
Some questions ask about governmental regulations. such as zoning, shoreline, and laridma-k designations. Answer
these questions if you can. If you have problems, the governmental agencies can assist vou.
The checklist questions apply to all parts of your proposal, cvc-n if you plan to do them over a period of . time or on
different parcels of land. Attach any additionaf information that v.,III help dcscribc your proposal or its cnvironmcrial
effects. The apency to which you submit this checklist may ask you to explain your answ_r� or provide additional in-
formation reasonably related to determining if there may be significant adverse impact.
use orchccklist for nonprojcci proposals:
Complete this checklist for nonproject proposals. even though questions may be answered 'does not apply." IN AD-
DITION, complete the SUPPLE4ENTAh SHEET FOR NONFROJEcT ACTIONS (part D).
For nonproject actions, the references in the checklist to the words "project,* "applicant," and "property or site*
should be read as "proposal," "proposer," and "affected geographic area,* respectively.
A.BACKGROUND
1. Name of proposed project, if applicable:
Single Family Residence by Bollinger Construction
'). Name of applicant: Jay Bollinger
3. Address and phone number of applicant and contact person:
24323 Timber Lane (or) Reid, Middleton & Assoc. Inc.,
Mft 121 - 5th Ave. N.
'%1.1A 98020
4. ate c ecklist prepared: Edmonds, WA 98020 775-3434 Allan Morgan
S. Agency requesting checklist: Edmonds Building & Planning Departments
6. Proposed timing or schedule (including phasing. n applidabfc):
Summer of 1986
7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal?
If yes, cxplain. N/A
8. List an\- cnvironmcnial information you k-no\A about that has bccn prepared. or will be prcparcd, dircctly related to
this proposal- Shell Creek Drainage Basin Study By RMA June 1981 .
9. Do you kno- %%-hcthcr applications arc pending for governmental approvals of other proposals dircctly affcciing the
property covered by your proposal? If yes, explain. No
I
10. List any govcrrimcrit , approvals or permits that will be nccdcd for your proposal, if known.
11. Give brief, compicLe description OF your proposal, including the proposed uses and the size of the project and site.
There a-,c SCVC7al qu--s-,Icr,.s latzr in this cliccklist. that ask you to describe certain aspccts of your proposal. You do not
need to ---pea, thosc al-ISWC7S an this page. (Lead a-cricics may modify this form to include additional specific infor-
mation an projcct dcsc-.1pi.1;cn.)
Construct a single family residence on lot at 633 Giltner Lane, Replace existing
rip -rap along west side of Shell Creek to prevent high water from flooding within the
east portion of lot. Location of proposed rockery 5 feet westerly of existing
edge of stream channel. Note: Existing stream bed will not be disturbed by this
construction.
12. Locatlon of the proposal- Give sufflicient information for a person to understand the precise location of your pro-
posed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur
over a ranac of area. provide ,he range or boundaries of the sitc(s). Provide a legal description, site plan, vicinity map,
M 0 -
and 'LOPO-7aphic map, if reasonably available. While you should submit any plans required by the agency, you arc not
rcqLi:lrcd !0 dUpliC2LC M205 Or Cletalicd plans submitted with any permit applications related to this checklist.
A 76 x 1133 foot res 1 denti al I ot I ocated at the east end of - Gi I tner Lane, Shel 1 Creek
flows across the easterly side of the parcel. The high water level of Shell Creek has
in the past f1locded the northeasterly corner of the parcel requiring the existing
rip -rap diversion to control the flow and flooding
TO 3E COMPLETED 3)' APPLICANT
B. ENVIRONMENTAL ELEMENTS
1. Earth
EVALUATION FOR
AGENCY USE ONLY
a. General description of the sitc (circle one): Flat -_r-6TT_in=g_,'hilly, steep slopes, mountainous,
other ... . ..': .
b. What is the steepcs', slope an the sil,-� (approximate percent slope)? '5%
-2-
TO BE COMPLETED BY APPLICANT
c. what gcncral typcs of soils arc found on the site (for cxamplc, clay, sand, gravcl� pc -IL,
muck)? If you know the classification of agricultural soils, spccIfy thcm and note any prime
farmland.
Gravelly sandy loam (Alderwood)
d, Arc there surface indications or history of unstable soils in the 1rnmcdi3tc vicinity? If so,
describe. Not to my knowledge
c. Describe the purpose, type, and approxim3tc quantities of any Filling or grading pro-
posed. Indicate source of fill.
Less than 50 cu. yds. Local gravel pit.
EVALUATION FOR
AGENCY USE ONLY.
f. Could erosion occur as a result of clearin-, construction. or use*? If so. -cricralIv describe.
Minimal erosion- can be anticipated as a result of this construction
slooes in residence area are near flat. Filter Fabric fence will be installed
adjacent to the creek if needed.
About what percent Of the site will be covered with impervious surfaces after project
construction (for example.* asphalt or buildings)?
18% +
h. Proposed measures to reduce or control erosion. or other impacts to the earth. if any -
Construction adjacent to creek will be.delayed until July. If construction
extends beyond flat area adjacent, filter fabr ' ic fence will be installed adjacent
to construction to mitigate erosion potential.
2. Air
a. What types or emissions to the air would result from the proposal (i.e., dust. automobile.
odors. industrial wood smok-c) during construction and when the projcct is completed? If
any. generally describe and give approximate quantities if known.
Objectionable odors may be emitted from cons'tructioln. equipment during
excavation for the foundation or paving, of driveway. but would be limited to one
day in each case.
b. Are there any off—sitc sources or crinissions or odor that may affect your proposal'? If so,
generally describe.
Not known
C. Proposed measures to reduce or control emissions or other impacts t'o air, irany:
None.
-3-
TO HE COMPLETED BY APPLICANT
3. �Vaier
'3. Surfacc:
I) Is thcrc an), surface watcr body on or In the immediate vicinity of the site (including
year-round 3nd seasonal streams, saltwater, lakes, ponds, \vctlands)? If yes, describe type
and pro\,Idc names. 11 appropriate, state what stream or river it flows into.
Shel I Creek, year around f 10W- S.Dawni ng stream. -
2) \Vill tbc projcci require any work- over. in, or adjacent 10 (1Lhin 200 Feet) the described
waters'.) If yes, plcasc dcs.cribe and attach available plans.
Yes , repl acement of roc kery & resi dence
3) Btimatc the amount of Fill and drcd2c material that would be placed in or removed
from surface water or wetlands and indicate the area of the site that would be affected. In-
dicate the source of Fill material.
EVALUATION FOR
AGENCY USE ONLY
Less than 50 cu. yds. of f i I I - (sandy Loam) i n reconstruction of area adjacent
to rockery.
4) Will the proposal require surface water withdrawals or diversions? Give gen.-,-a] de-
SCripLion, purpose, and approximate quantitics if known.
No.
5) Does the proposal lie within a 100-year floodplain? If so, note location on the Site
plan.
Yes, within the low area adjacent to stream channel.
6) Does the proposal involve any discharges of waste materials to surface waters? If so,
describe the tYpc of waste and anticipated volume of discharge.
No.
ti. Ground:
1) Will ground water be withdrawn, or wiH water be discharged to ground water? Give
general description, purpose, and approximate quantities if known.
Yes, rainfall will be collected from driveway and roof drain and discharged
into swamp for recharge to ground water table.
2) Describe waste material that will be discharged into the ground from;scptic tanks or
other sources, if any (for example: Domestic sewage-, industrial, containing the following
chemicals . . . ; agricultural; cic.). Describe the gcncral size of the system. the number of
such systcms, the number or houses to be served (if applicable). or. the number or animals or
humans the sYstcm(s) arc cxpcctcd to serve.
N/A.
-4-
TO BE COMPLETED BY APPLICANT EVA LUATION FOR
AGENCY USE ONLY
c. Water Runoff (including storm water):
1) Describe the source or runoff (including storm water) and method of colicction and
disposal, if any (include quantities, if known). Whcrc will this water now? Will this watcr
flow into other watcrs? If so, describe.
Driveway and roof drainage will be collected into a sump to recharge into ground
water table. Surface water presently and will inf.the future discharge into
Shell Creek.
2) Could waste materials enter ground or surface waters? If so, generally describe.
No known waste material will be discharged into the qround on surface waters on
or adjacent to the project.
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if
any:
Recharge into ground water table mitigater innerareas from foor and driveway
areas
4. Plants
Check or circle Evpcs of vegetation found on the site:
deciduous tree: a
Lqcr, maple, aspen, other Wi I I ow , Appl e
-T evergreen trcc:�fir"`
— ccclar,.p�nc) other
X shrubs Raspb��ry cane, fern, 1 arEO,!, cherry, rhododendron, andromida,Q
a , rivit, huckleberry
J- rass
Pasture
crop or grain
T wet soil plants: cattail�
b�uttcrcup� bullrush, skunk cabba-c, other Horse tail, moss
water plants: water lily-, c�eass� ilfoil, other
other types of vegetation
b. What kind and amount of vegetation will be removed or altered?
Grasses, raspberry canes and miscellaneous shrubs adjacent to road.
c. Ust threatened or endangered species known to be on or near the site. None known.
d. Proposed landscaping, usc of native plants, or other measures to preserve or enhance
vegetation on the site, if any: Existing shrubs and trees will be used as well
to be added on part of the landscaping. I . I
5. Animals
a. Circle any birds and animals which have been-obscrvcd on or near the site or arc known
to be an or near the site:
birds: hawk. heron, eagle, songbirds. other. p a rr.Qw r.o.� o c.r�Q W
mammals: deer bear, clk. beaver. other: .......
fish: bass '— --�z . : ..............................
�ImW trout. herring. shellf-ish, other: .................
b. List any threatened or endangered species known to be on or near the site.
None
as new shrubbery
-5-
TO BE COMPLETED BY -,11;'LICAN'T EVALUATION FOR
AGENCY USE ONLY
c. Is the site part of a migration route? If so, explain.
Yes, salmon have been known to migrate through the creek.
d. Proposed mcasurcs to preserve or enhance �vildllfc, if any:
Willow trees which shade the creek will remain . The rochery presently in
disrepair will be replaced to improve hydraulics and creek bed conditions (Construction
to be limited to the month of July).
6. Energy and Natural Resources
a. What kinds of cncrg), (electric, natural gas, oil, wood stovc, solar) will be used to meet
the completed project's cncrgy nccds? Describe whether it will be used for hcatin-, manu-
facturing, etc. 0
Electricity will be the primary source of energy on this property. for heating a'nd
lighting.
b. Would your project affect the potential use of solar energy by adjacent properties? If so.
01
generally dcscribc.
No.
c. What kinds of energy conservation features are includ'I-d in the plans of this proposal?
List other proposed measures to reduce or control energy irrlDaCLS, if any:
Present state of the art construction and insulation will mitigate heat. losses
from the residence to mitigate energy impact.
7. Environmental Health
a. Are there any environmental health hazards, including exposure to toxic chemical, is -
0 'S, r It,
of Fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal'
If so, describe.
No.
1) Describe special emergency services that might be required.
None
2) Proposed measures to reduce or control envircirimcrital health hazards, if any:
None
b. Noise
1) What types of noise exist in the area which may afrcct Your project (for example:
traffic, equipment, operation, other)?
None other than residential traffic and stream noises.
2) What types and levels or noise would be created bY . Or associa I Led w. . ith the Project on a
short—term or a long—term basis (for example: traffic. construction, operation, other)? Indi-
cate what hours noise would come from the site.
Short tenn construction noise levels wil 1 be light but will be reduced to present
ambient noise levels experienced in the culdisac.
TO BE COMPLETED BY APPLICANT
3) Proposed mcasurcs to rcducc or control noisc impacts, if any:
Minimize time of heavy equipment for construction. of residence.
8. Und and Shoreline Use
a. What is the current use of �hc site and adjacent propertics?
Single Family Residential lots.
b. Has the site bccn used 'for agriculture? If so, describe.
No.
c. Describe any structurcs an the site.
Fences, small shed, concrete walk.
d. Will any structures be demolished? If so, what"
�mall shed and fences.
e. What is the current zoninsE c!assification of the site?
Single family residential RS-6
f. What is 'he current comprehensive plan designation of the site?
No change
g. If applicable, what is the current Shoreline master program designation of the site?
N/A
h. Has any part of the site bccn classified as an *environmentally sensitive* area? If so,
specify.
Yes, Shell Creek is a sensitive area.
EVALUATION FOR
AGEINCY USE ONLY
i. Approximately how many people would reside or work in the completed project?
Approximately 3 - 4 people may reside in the residence when completed.
Approximatc!y how many people would the completed project displace?
0
k. Proposed measures to avoid or reduce displacement impacts. if any:
None
L Proposed measures to ensure the proposal Js compatible with existing and projected land
uses and plans. if any:
None, project is in compliance with pre.sent land uses.
—7—
TO BL COMPLETED 11� APPLICANT
9. Housing
a. Approximatcly how many units would be provided, if any? Indicate whether high, mid-
d1c. or low—income housing.
One single family residence in the middle to high income.
b. Approximately ho", man), units, if any, would be eliminated? Indicate whether high,
middle, or low—income housing.
(0)
c. Proposed measures to reduce or control housing impacts, if any:
None
10. Aesthetics
a. 'vVhat is the tallest height of an), proposed SlLructurc(s). not including antennas-, what is
the principal exterior building matcrial(s) proposed?
25' per Edmonds. Building Code.
EVALUATION FOR
AGENCY USE ONLY
b. What views In the immediate vicinity would be altered or obstructed?
None, houses on four sides of present lot limit view in all directions.
c. Proposed measures to reduce or control aesthetic impacts, if any:
None
11. Li-ht and Clare
0
a. What type of fight or glare will the proposal produce? What time of day would it mainly
occur?
Residential lighting, auto lights during evening hours.
b. Could light or glare from the finished project be a safct)- hazard or interfere with views?
No.
c. What existing off —site sources of light or glare may affect your proposal?
Cars entering road project light in the direction of this parcel.
d. Proposed measures to reduce or control light and glare impacts, if any:
None.
12. Recreation
a. What designated and informal recreational opportunities are in the immcdiate vicinity?
Edmonds Sunset P ark and beach area. I'..
b. Would the proposed project displace any existing recreational uses? Ir so, describe.
No.
—8—
TO BE COMPLETED BY APPLICA\T EVALUATION FOR
AGENCY USE ONLY
c. Proposed measures to rcducc or control impacts on recreation, including rccrcaLion op-
portunitics to be provided by the pro*cct or applicant, If any:
J
None
13. Historic and Cultural Preseryation
a. Arc there any places or objects listed on. or proposed for, national. state, or local prescr-
vation registers known to be on or nCXL LO the Site" if so. generally describe.
No
b. Generally describe any landmarks or evidence of historic, archaeological scicriciFic, or
cultural importance known Lo be on or next to the sit.c.
N/A
c. Proposed measures to reduce or control imoac:s. if art,;:
N/A
14. Transportation
a. Identify public streets and highways sc,—.,Inq chc site. and describe proposed access to the
exisunz szrc--t system. Show on site plans. if any.
Third Avenue North and Giltner Lane.
,b. Is site currentiv served by public transit? If not. what is the approximate distance to the
nearest transit stop"
Yes, 300' .
C. How many parking spaces would the completed project have'? How many would the
project eliminate"
Two on -site, the project will not eliminate parking
d. Will the proposal require any nf::%v roads or strccts. or improvements to existing roads or
sLrce,s. not including driveways" [F so. icricrully describe (indicate whether public or
private).
No.
C. Will the project use .(or occur in the immediacc vic;nity of) waLcr. rail. or air transpurta-
tion? If so, generally desc.-Ibc.
No.
r. How muny vehicular trips per day would be generated by the completed project*' If
known. Indicate %vhci pc:-,k volumes %vuuld occur.
Seven to ten 'trips.
TO BE COMPLETED BY APPLICANT EVALUATION FOR
AGENCY USE ONLY
g. Proposed mcasurcs to reduce or control transportation impacts, if any:
None
15. Public Seryices
a. Would the project result in an increased need for public services (for example: Fire pro-
tection. police protection, health care, schools, other)? If so. general]), describe.
Yes, the added,residence will increase the use of public services in the community
but will not adversely impact present levels of service.
b. Proposed measures to reduce or control direct impacts on public services, if any.
None
16. Utilities
a. Circle utilities currently available at the site: electricity, natural gas, Nvater, refuse scrv-
ice, telephone, sanitary sewer, septic system, other.
b. Describe the utilities that are proposed for the project, the utility providing the service,
and the -encral construction activities on the site or in the immediate vicinity which might
0
be needed.
City of Edmonds sanitary and sewer and water services are at the lot line.
Underground telephone and power from GTE and Snohomish County PUD are also available
to the site.
C. SIGNATURE
The above answers are true and con�Rktc to the best of my knowledge. 1 understand that
the lead agency is rcl the c its decision.
Signature: RIED.,.M.UMN. AA$5K.I.ATES INC.
Date Submitted: MArCh.28... 986 ..... ...................................
_10—
-4now— C)
9 0 - 19
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. -L73-/
Issue Date: 5 . _:� - �13
A. Address or Vicinity of Construction: 633 Giltner Lane
B. Type of Work (be specific): To Install 1 1/4" PE IP Main from 377' East
centerline 3 Avenue North at 131 South centerline Giltner Lane.
C. Contractor: -Washington Natural Gas Company
MailingAddress: 815 Mercer Street
State License #:
D. Building Permit # (if applicable):
Contact: Frank Swank.
Phone: 224-2278 _i"
s
Liability Insurance: — Bond: $
Side Sewer Permit # (if applicable):
E. n Conunercial - E] Subdivision El City Project IM Utility (PUD, GTE, NYNG, CABLE, WATER)
F1 Multi -Family R] Single Family [] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: D Yes @No G. Size of Cut: x H. Charg(�_$
APPLICANT TO READ AN"IGN
INDEAhvi I r: Appiwant understands and by his signature to this applicatig 0 Id the City ofEdmonds harmkws.�rom;��ruzges, or
claims of any kind or deRcription whatsoever, foreseen or unforeseen, tha=eZedDlagainst the City of Edmonds, orl-Y) tments or
I c !ztirrg this permit.
employees, including or not limited to the defense ofany legalproceedings in luding d� N-e costs, and attorney fees by reason of
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering 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 ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand the permit r e-quirements and thepinkcopyof thepermit willbe
available on site at all times for-iMpectio s
Signature: Date: June 29 9 1993
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY:
TIME AUTHORIZED VOID AFTER go DAYS
SPECIAL CONDITIONS:
LAT-(L'Ine4�
COMMENTS:
RIGHT OF WAY DEPOSIT �59 77' tf�,, 12:;q LOED
DISRUPTION FEE/FUND lil:
RESTORATION FEE:
PERMIT FEE. -
TOTAL FEE:
RECEIPT. FEE:
DATE:
ISSUED� BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT iSSUANCE Engrg. Div. 1991
FIELD INSPECTION NOTES
Comments:
Diagram,:
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date:
Date:
is
.:dl
00
C)
Ln
CITY of EDMONDS STREET FIL@ I OE
For Inspection Call 771-3202
Address of Construction:
/ 4 T&411?_
S E W E R P E R M I T
PERMIT NO. WHO
Property Legal Description (Include all easements): 7/ z
EDMONDS
Owner and/or
Builder:
F-0-
Contractor &
Ci
License No:
Singl:e.'Faniily Residence V/
Multi-Famil'y (No. of Units
Commercial (No. of fixture Units
-Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private 'Property: No V1 Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
....... ..
I cerigy that I have read i�0 shall comply
with the items listed on the,back.
Permit Fee: 30. 0c)
Tr'unk Charge:' Z57. 00
Assessment Fee:
Partial Inspection:
issued By:
Date Issue'd:
Receipt No.:
Comments, Date Initial
Final Inspection Approved: 9-- 4 -1nitial
Date
Rejected:
ason
** PERMIT MUST BE -POSTED ON JOB SITE **
Date Initial
Wh.ite Copy - File Green Copy - Inspector
Buff Copy - Applicant *
The City of Edmonds
Side Sewer Drawing
EASEMENT No - -------------------------------------------- -
NEW CONSTRUCTION N REPAIRS LID No - ---------- ------- - ASMT. NO - ------------------
OWNER --- Uy-m-t4 ------ BmLj-..% t4.G-eq - ------------ -------------------- CONTRACTOR -IR-USS
�3.0-"_K-5014 --- ----------- .. PERMIT NO. 7-5.-68-
JOB ADDRESS -403-3 ------- G --- V-1tJr�-N-e-S? - ----- Lt4- ------ LEGAL DESCRIPTION: LOT NO - --------------------------------- ---- BLOCK NO. -- EDMONDS
---------------------------------------------------------- --------------------------------------------------------------------------------------------- --------
PWW-Ml-1 1/75 (REV.1 1/78)
----------------
I
CORNER
7-
(n
... -NOR-r-H W
ApprovM: S_r
-----------
M E M 0 R A N D U M
May 13, 1986
1-FY OF 7D;v1'_)N,,)S
I..
TO: Planning Division
FROM: Engineering Division
SUBJECT: VACATION OF CITY EASEMENT AT 633 GILTNER LANE
While reviewing application for a single-family residence at the
above address it was discovered that the City had a 5' easement across
this lot. (See attached) After field inspections by Engineering and
Street personnel , we have no problem with vacating this easement as
requested by the owner. This would allow the lot owner to build the
home they have proposed without changing the layout because of the
easement. Please process whatever documents have to be completed to
vacate the easement back to the owner.
f" � rx Z 4
—Dan—Wth
Xr/-M, I I I s
_ gi,66,_ -
Bill Stroud
Dt/md k
DATE : 6
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT:
After revie,.-i of the subject Building Permit appl ication, vie have the following
cornmen ts
1. Connection to City water system required.
2. Connection to City sanitary sevier system rcqiiired.
3. Pight-of-way permit required for any work on City property.
4. Driveway slope not to exceed 141.
5. Back-.-iater valve required i f downstairs plumbing is below elevation oil
upstream mannole.
6. .� Wa ter and se -,-ter 1 ines to be sepa ra ted by 10 Foo t min imum.
BO 6/82
UPPUIR
CAXCH
BASIN
(yr,tqT) Or-TENTION PIPE LENGTH CONTROL CA-rc"
BPI
MIN , 2' MAx COVFR.
-%LOPF--
SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
OLrTLr.T
C,0�4TROC
2 -4-
SL4�v
TO OLTTL-E-r
(N P RAP OR
KUr'4Qf- F
S P P EAD E R)
21 . 2, - (-" 4t r.,* S,,ALLS (-W CQUAL
2' 3�' DEEP, %*- UWSWED ROCK
FROM
0 Lrr L E-r
CON�rROL
RIPRAP OUTLET
VVA3KED &9-*-y6'L
OU' 7"C"" —';kENCk, MIN 10' LONG,
-WRF P.Pe -M Be —"CL-
OUrLET
CONTRDL
7�4
PIP'E WI CAP.5
RUNOFF SPREADER OUTLET
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
PAGE I OF 3
for
location
plan by
phone
date
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the resoonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orl ice must be kept
open at all tim s
STREET FiLE"
M E M 0 R A N D U M
May 13, 1986
TO: Planning Division
FROM: Engineering Division
SUBJECT: VACATION OF CITY EASEMENT AT 633 GILTNER LANE
r
While reviewing application for a single-family residence at the
above address it was discovered that the.City had a 5' easement across
this lot. (See attached) After field inspections by Engineering and
Street. personnel, we have no problem with vacating this easement as
requested by the owner. This would allow the lot owner to build the
home they have proposed without changing the layout because of the
easement. Please process whatever documents have to be completed to
vacate the easement back to the owner.
'_-DanS�fth
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described tract', to Wil:
That por-lion of
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for to zn
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intersection w;
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to tile Cily Of
Au d i C �!J -
;,:*-[I c,,' land conveyed
for r�;(,(')rd undo-r-
-it lion such im-
nri�;ianl ccin
The City agrees f. said
mjin-!-c:r.ancc and rcpair o
ro ve rrc n t 5 a s a re d I s I u c
i cn�� not cons i-r-ucl' any
ut i I i t i er, ; provi dod
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perm-nnont 5
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DATED tills
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SUBJECT:
0 - - 0
ST"REET FILE
DATE: k3
Building:Division
Communitv Development Department
Engineering Department
I
After review of the subject Building Permit application, we have
the following comments:
1. Connection to City water system required.
2. Connection to Citv sanitary sewer system required.
I -
3. Risht-of-way Permit required for any work on Citv property.
4. Drivewav slope not to exceed 14',/..
5. Backwater valve required if downstairs plumbing is below
elevation of uostream manhole.
6. Water and sewer lines to be separated by 10 foot minimum.
7. Builder/Owner responsible for containing all temporary run-
off and erosion on site and may not impact neighboring
i
properties in any way.
STREET FILE
-Am - 490
CITY OF EbMONDS
USE PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
NAME (OR NAME OF BUSINESS)
z
0
- B 0' 1 ) I A_�' 9 ra, 62
LEGAL DESCRIPTION CH
KI SUBDIVISION NO. 12
ID NO.
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING '�t V REQUIRED DEDICATION
PROPOSED__�W__
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CITY
ao_111� tD N) d
TELEPHONE NUMBER
-7 7 -5 o-1 15 e
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NAME
C_
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RIGHT OF WAY CONSTRUCT ON PERMIT REQUIRED 1:1
STREET USE PERMIT REQUIRED 11
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ADDRESS
SEE ENGINEERING MEMO DATED---.--.
SEE PIW DEPT. REVIEW CHECK LIST DATED
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CITY
TELEPHONE NUMBER
REMARKS 01
NAME S 6:KYA e- c0o
ADDRESS
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0
METER SIZE
BUILDING SUPPLY 777TURE
UNITS
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CITY
TELEPHONE NUMBER
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0
REMARKS
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
f2
'c' C_ aa o (3,
—
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
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Legal Description of Property - include all easements
(show below or attach four copies)
SHORELINE N
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LU
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VARIANCE OR cu
PLANNING REVIEW B . Y
YARDS
FRON T SIDE
LOT COVER E
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REMARKS
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NEW aRESIDENTIAL Fl PLUMBING
ADDIALTER NON-RESIDENTIAL El MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
DEMOLISH El OR OILL El I— x _FT)
CHECKED BY
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TYPE OF CONSTRUCTION CODE
I
HEIGHT
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PRE -MOVE INSP.1
COMPLIANCE INSP. F_� SWIM
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SPECIAL INSPECTOR
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GROUP
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REMARKS
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;UMBER OF STORIES
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NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
I KOO el�\
R, C_ a--e 0 C_
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
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.
GRADINGIFILL
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
u0i
wi
_j
2
'. 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 offi cials
employees, and agents from any and all claims for damages oi
-N
wsdknSTREET FILE
--windo
Screens Doors Glass ---
Windous
17240 Ronald Place-No-rt Seattle, Washington 98133
542 148
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CIV OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE NWPERIAIT
ZONE
JOB
ADrtSS
NAME (OR NAME OF BUSINESS)
00 qr�
LEG�L DESCRIPTIC I CHECK
I SUBDIVISION NO
NO.
MAILING ADDRESS U
(/010
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING 20 REQUIRED DEDICATION
PROPOSED
TITY V
V-1)
TELEPHONE NUMBER
_,�,q -�, 33:�
=,&t=2
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1jo Coj��n
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RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED P'� W
LU
STREET USE PERMIT REQUIRED ID Z
ADDRESS
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SEE ENGINEERING MEMO DATED Uj
CITY
ITELEPHONE NUMBER
CC ADDRESS
4e_ METER SIZE BUILDING SUPPLY SI 61 FIXTURE UNITS
FTELEPHONE NUMBER uj
CITY
Z REMARKS
o
STATE LICENSE NUMBER
SIGN AREA ENV. REVIEW Ace NO.
a o 62 A-2 ALLOWED PROPOSED COMPLETE EXEMPT
Legal Description of Property - Include all easements
(show below or attach four copies) SHORELINE#
Z
9 —
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cc VARIANCE OR CU PLANNING REVIEW BY DAJE
� — _C_ P_ k -e oV
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_j YARDS HEIGHT LOT COVERAGE
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REMARTT_ (L
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Lz�il NEW �LESIDENTIAL PLUMBING
F� ADDIALTER COMMERCIAL MECHANIC*AL*
ElREPAIR RETAINING WALL SIGN
EXCAVATE FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
/ 6
E] DEMOUSH 1:1 OR FILL x _FT) I — I JYZ 2-5-
REMODEL F__j PRE -MOVE INSPJ swim SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
---OUIRED P LOAD
I I GROUP _3
WOOD STOVEJ� )YES 0 NO
INSERTj.._,--';"-` MARKS
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cc Z/9 eh V" V
uj
NUMBER OF STO
CD
NATURE OF WO1
X,
AN CHECK FEE VALUATION FEE
A'4 JILDING
0 7r, UMBING
ECHANICAL
This Perm It- -4'2-0� RADINGIFILL
Any consi
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: 180 Days
ENERGY CODE
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
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT
modify,, waive or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
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 ATTENTION
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and In doing the work authoriz- AUTHORIZES
ed thereby, no person will be employed In violation of the Labor ONLY THE
Code of ffie-StA* of Washington relating to Workmen's Compensa- WORK NOTED
I NSPECTION
�,N DATE SI NED DEPARTMENT
CITY OF
EDMONDS
If 1.13zuz
IT IFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
iAL INSPECTION HAS BEEN MADE AND APPROVAL OR
' 'E,. PIATE OF OCCUPANCY HAS BEEN GRANTED. UBC
PT,..,\
A
!0
2 ME
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged In space provided.
OFFICIAL'S SIGNATURE DATE
RELEASED BY:
DATE
ORIGINAL — File YELLOW — Ins,/
PINK — Owner GOLD — Assesso.
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AUTHORIZED
FOR
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CITY OF EDMONDS
By 1'�6
page —3 Of
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3R��Reid, Nddleton & Associates, Inc.
I Nineors 0 Sk^eyofs * morvNen
?I 54h A- W kA* 700 COW4-01 WA 96020
VOL.
02-84-003
PRaIECT AEVM W==ST
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APPY.TrArOYM RPtA)�PT DAT)Z-
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STR""EET
FILE
ENGINEERING
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WORKS
PROJECT
REVIEW
CITY OF EDMONDS
CIVIC CfNTEA - EDMONDS. VVISH111,T0,11 W20
C H E
C K L I
S T
SINGLE FA14ILY MULTIPLE COMMERCIAL
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--4 INITIAL I DATr I FN
ACCESS SLOPE AND VEHICLE ACCESS
DRAINAGE PLAN
STREET FILE
LEGAL DESCRIPTION VERIFICATION
QUIT CLAIM/DEDICATIONS
EASEMENT - PUBLIC/PRIVATE
CALCULATE SEWER CONNECTION IF NO LID 0
STREET PAVING REQUIRED
CURB AND GUT-rER REQUIRED
SIDEWALK REQUIRED
CURB CUT FOR DRIVEWAY REQUIRED
RIGHT-OF-WAY CONSTRUCTION PERMIT REQUIRE[
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGN REQUIRED
OTHER SIGNING REQUIRED
ril
leAl
ov
(ADDITIONAL COMMENTS ON BACK)
EXISTING WATER MAIN SIZE
WATER MAIN REQUIRED
SERVICE LINE REQUIRED
141 HYDRANT SIZE EXISTING
4 HYDRANT RE9UIRED PER FIRE CODE SIZE
CROSS CONNECTION INSPECTION
WATER METER CHA.R�friE, REQUIPED`4 32,
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(ADDITIONAL COMMENTS ON BACK)
SANITARY SEWER DMWING NUMBER
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SIDE SEWER AVAILABILITY
00
OPEN DITCH EXISTING MO
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z SHOULDER DRAINAGE MAINTAIN COLLECTION ON SWALE OPEN RUNOFF
FILE NUMBER
SANITARY SEWER CONUECTION FEE REQUIRED
REQUIRED
NDICATED ON SITE PLAN
co
MANHOLE REQUIRED It I INDIC/ATED ON SIfE)PLAN
0 SOIL CONDITX. ND GfqJrWATER Fl LD CHECKED
REVIEW BY
DATE
!J
(ADDITIONAL COMMENTS ON BACK)
T f
GILTNER
.rum"Nom - �� - - -t - - - I - - -- ---
C)ZC>- o-6 C-) Ex. I S' - E5M*T.
srro)
NOTES: EDMONDS
2.)
FIELD LOCATE ALL UTILITIES
CALL 2-800-424-5555
48 HOURS BEFORE DIGGING
2.)
INSTALL LOCATING WIRE OVER
ALL PE DIRECT BURIAL PIPE
3.)
INSTALL A ONE POUND ANODE FOR
EVERY 1000' OF LOCATING WIRE
4.)
SURVEY IS NOT REQUIRED
S.)
MAINTAIN A MINIMUM OF S'
HORIZONTAL AND A 3' VERTICAL
CLEARANCE FROM ALL CITY
UTILITIES AND APPURTENANCES
1-114". PF- CAP
.6.)
7.)
eug?s 3EP; Fiwim ARB sHew he Eq
NO CUTS ANTICIPATED
COMPLETE EXPOSED PIPE CONDITION
REPORT WNG FORM 1563.13 (D-1)
V..
LAN E
p s. FsmT
SWC-EZE 4 <-T FasE mcip. L- 11,4 " f>c- I p NN4) N �:7 ra I
DESCRIPT:O�-Jl
REVISIONS
10
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DESCR:Pl;(Dl;
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BILL OF MATERIAL
PERMITS E0Mc*b-&
1 /4 SEC
NW- -ZL4 - 24 - 3
PLAT-
J-(,7-- 0UP
OP MAP
Washhwjkm�-.�..
waffib-0--ow
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TAX CODE
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(0-33 GILTNE-2
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, / -L -�- , c) I R �>04 3 - R R
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DATE 1 BY APP'D CHK'O
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DRAWING
SCALE: