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6807 164TH PL SW.PDF886 6807 164TH PL SW 0 tka-6TREET FILE obov _3-0_0k� L,��. 9 TIO SAN*ITARY SEWER EASEMENT The following M referred to as Lot 12 of Volume 46 Snohomish described parcel of property shall be the "servient estate": 4) hereinafter . I Meadowdale Heights as. per plat recorded in of Plats, pages 124 and 125, records of County, Washington. The following described parcel of land shall be hereinafter referred to as the "dominant estate": Lot 6 of Meadowdale Heights as per plat- recorded in Volu.157 46 of Plats, pages 124 and 125, reCorAz nf Snohomish County, Washington. James B. McGovern, a married man, is the owner of the d,--)rn i n r estate and Cedar Development Corporat ion, a tion, is the owner of the servient estate. F,-) -, a Con- sideration of one Dollar ($1.00) arid utlier valuabie Cedar DeveZopm'ent Corporation does he . reby grant and convey unto James B. McGovern, his successors, heirs. and assigns, a sanitary sewer easement . for - the purpose of carrying sewage f r om IL he dominant estate through the servient estate to the sewer hookup provided by the City of Edmonds, Washington. Said sanitary sewer easement is legally described as follows: That portion of Lot 12, Meadowdale Heights as recorded in Volume- 46 of Plats., pages 124 and 125, records of: Snoho mish'County, Washington, described as follows: Beginning at the Southwest corner of said Lot 12; thence N 01* 35152" E along the West line of said Lot 12 a dis- tance of 137.06 feet to the Northwest corner of said Lot 12; thence S 84,015'00" E along the North line of said Lot 12 a distance of 10.03 feet; thence S Or 35152" w 132.92 feet to the South line of said Lot 12; thence S 72045100" W along the said South line a distance of 10.57 feet to the point of beginning. Said sanitary sewer easement is given in perpetuity, shall be binding upon the heirs, successors and assigns of both James B. McGovern and Cedar Development Corporation. JAMES B. MC GOVERN 8 7 0 6 CEDAR DEVELOPMENT CORPORATION Its NO EXCISE TAX REQUIRED JUN E IL 0 a ACKNOWLEDGMENT State of Washington ss. County of I certify that I know or have satisfactory evidence that JAMES B. MC GOVERN signed this instrument and acknowledged it to be his free and voluntary act for the. uses and purposes mentioned in the instrument. TD% T E D Si qna-ture of Not-ary Public-...-.., Notary Title (SEAL OR STAMP) My appointment expires ACKNOWLEDG14ENT C0 State of Washington ss. County of zz C-- f . :,*, I Pertify that I know or have satisfactory evidence that signed this instrument, on oath stated that he was au�4orized to execute the instrument and acknowledged it as the <' 4 of CEDAR DEVELOPMENT CORPORATION to be the f ree and voluntary' act for the uses and purposes mentioned in the instrument. DATED: (SEAL OR STAMP) A�l S 10#4 TAI?p 000 Z U1 PUBOCI 0; %<" YY A 5ignature of Notary Public Notary Title My appointment exp-te)s_1u0. T1 C-) 10 :Z 0 -71 VOL. 2 U' 6 3FAGE 17 4" 4 CITY OF EDMONDS ZNE W ADDITION RETIREMENT STREET FILE ASSET INFORMATION SHEET ASSET NO. 5 Idse ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION DEP)�' NO * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE INITIATED BY DATE PROJECT NUMBER PROJECT COMPLETION DATE COST 1=;?,57.�- �7 APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE tnp INITIAL DATE VERIFIED BY PROCESSED BATCH NO. DEPARTMENT FILE .:J- co CITY of EDMONDS SIDE SEWER P E R M I T For Inspection Call 771-3202 STREET FILE PERMIT NO. 07709 11 Address of Construction: � w-1 I (' q a J'&' s� - L'/ - Property Legal Description (Include all easements): /,-LO/7-// e,:2 )" / yz/ Owner and/or Builder: -'Th V%111 NN C V9 14 I-V Contract or & License No: Ile be A.) 15�W J�p N J)X, S :Z' '51 e V ;)e ; Lo 'cp AV'A �' IV 9'Y Singl:e Family Residence / Multi -Family (No. of Units Commercial (No. of fixture Units I EEE E 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 Yes �/ (If Yes, easement required, attach legal description and county easement number.) EASE READ THE ITEMS LISTED ON THE BACK J /b It 2- I I comply de-ftify that -I have read and sha Date I ith the items listed on the back. Permit Fee: 0.00 Trunk Charge: Assessment Fee: Partial Inspection: Issued By: -7-6 bate Issued: /,0// Receipt No.: 2 ( &2 7 Comments Final Inspection Approved: 6 _o_ Date Initial Rejected: Reason ** PERMIT MUST BE POSTED ON JOB SITE Date Initial Date Initial Wh.ite Copy - File Green Copy - Inspector Buff Copy - Applicant NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be liable for the information given on map(s), nor for any one representation provided based upon said map(s). The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ i NEW CONSTRUCTION Eg REPAIRS F-1 LID NO - ------ ----------- - ASMT. NO - ------------------ OWNER ---- -------- ------------------------------ CONTRACTOR ��tU-L ------------------------------------------------------------------- PERMIT NO. P-7-77.19. JOB ADDRESS --- t. �k ----- k1t, ...... --------------------- LEGAL DESCRIPTION: LOT NO - ------- (---e ------------------------- BLOCK NO - ------------------------------------ ILI) - �ao NAME OF ADDITION 78 ?-V-& 0 k�'P-V-C� FLYNNWOOD7 7Lt7NE] Q k 0-ko GA4s at) i ' oF E, i Approved: PWW-0001-1 1/75 (REV.1 1/78) DATE (D - ----- ..... ....... B<�, .... ............................ -F - ft-,EET, B.0 1966 DAVID L. NELSON AND ASSOCIATES, INC. Consulting Engineering Geology . 13424 Chain Lake Road Monroe, Washington 98272 December 6, 1983 Project No- 5983 SIMCO c/o Subdivision Management, Inca 16031 - 119th Place NE Bothell, Washington 98011 Attention: De -En Lang Reference: Preliminary Soils Investigation Meadowdale Heights Edmonds, Washington 206/794-4332 Gentlemen; This is to. serve as'.a report of a preliminary soils investigation performed at the above referenced project site, per your request. Introduction The purpose of this investigation is to determine suitability of the site for development as proposed. We understand that construction is to consist of single family residences and associated roadways and utilities. The scope of services -:included performance of fifteen backhoe test pits, located generally within the proposed development areas and within those areas believed appropriate to obtain information for presentation of conclusions and recommendations contained herein. Approximate locations of the test pits and general features of the site are shown on the enclosed location map. Elevations All elevations mentioned in this report refer,to existing -grade and to a land use study plan topographic map supplied to us by you. DAVID L. NELSON AND ASSOCIATES, Id Consulting Engineering Geology December 6, 1983 Project No- 5983 Page two Location & Site Description The investigated site consists of approximately 12 acres lying between 68th-Avenud West and North Meadowdale Road in Edmonds, Washington. Presently, the site area is primarily undevelopedg except the upper elevation areas within the eastern portion of the site, where some site grading and utility installation had been per- formed in the past. Topographically, the site generally slopes toward the northwest from an upper elevation area within the eastern area to the lower elevation areas toward -the west. The primary features of the site observed during field explora- tion consist of two draw areas approximately shown on the location map1the moderate to steep slopes and a top -of -slope approximately shown on the location map. The area is heavily vegetated, with many evergreen and deciduous trees, underbrush and grasses. Soils -Conditions The subsurface soils stratigraphy is best illustrated on the enclosed test pit logs. In general, the site area appears to be underlain by grey -brown to grey, medium dense, poorly sortedislightly silty to clean, sand with much gravel. These soils are found primarily within the lower elevation areas along the west side of the site, and on a portion of the lower slope areas. These materials appear to consist of recessional glacial outwash deposits. Within the moderate to steep slope areas and underlying the recessional outwash deposits, is a strata of grey -brown to greys dense, .Silty to slightly silty, poorly sorted sand with much gravel. These'materials appear to consist of.advance glacial outwash deposits. Within the upper elevation (eastern) portion of the sitet the soils consist of greys dense, poorly sorted silty sand with gravel, considered to be glacial till. The glacial till appears to -overly the advance glacial outwash materials, and is found somewhat below the approximated top -of -slope line shown on the location map. DAVID L. NELSON AND ASSOCIATES, INO Consulting Engineering Geology December 6, 1983 Project NO- 5983 Page three The s'urficial soils directly overlying the Parent material discussed above generally was found to be uniform in naturet except within the draw areas.. Generally, the surficial soils consist of l' of organic topsoil, underlain by 1-5'- 2' of brown loose silty sand -with roots and some gravel. A weathered soil zone of the Parent material is found between the root ladden zone and the Parent material, gen . erally consisting of brown to oxidized brown, poorly sorted silty sand with gravel in ' a medium dense condition. Within the draw areasp the sur- ficial-soils are somewhat thicker and the weathered zone some- what deeper before the parent material is reached. Hydrologic conditions The ground water table was not encountered in any of the test Pits performed within the site area. We did encounter some perched water conditions within the central draw area, located within the weathered zone above the denser parent material. This Perched water appears to be related to drainage within the draw, derived from an outfall which empties into the draw from under.68th Avenue Westo and accumulated surface waters within the drainage area of the draw. Seepage, was not observed within the test pits located outside the drawst although we would ezpect some seepage after prolonged Precipitation periods, due.to the contrasting pemeabilities of these soil units. No evidence of outcropping ground water'was observed within the site areat although some surface water was observed within the easterly portion of the central draw and within the northern draw area. Slope Stability a Observation of the slope conditions throughout the site area did not indicate any noticable unstable slopes, slides or earth flows/slumPs. Some past instability is apparent within the area of TP-15, along the north facing slope. This may be due to the existance of the drawt and the normal backwasting 51 DAVID L. NELSON AND'ASSOCIATES, IS Consulting Engineering Geology December 69 1983 Project No- 5983 Page four processes associated with this area.. Vegetation and general ground conditions did not indicate.chronic earth movement or instability -within the investigated areas. We have reviewed the report prepared by Roger Lowe Assiciates, Inc., dated October 16, 1979, titled 'Final 4port,-Landslide Hazards- Investigation, Meadowdale Area, Edmonds, Washington's prepared for the City 'of Edmonds Public Works Department. This report discusses the 6xistance, properties and occurrence of a slide area which exists several hundred feet to the north- west of our study area. We believe, based on that report in- formation and our findingsg that our study site is not an active portion or major contributor to the noted slide area. The Lowe report discusses several.recommendations to aid in reducing slide activity within the area. We understand that provisions will'be'made in our study area for control of all storm water runoff, and constru6tion of sanitary sewers for the proposed residences. In so doing,9 a reduction or maintainence of the surface and potential ground waters effecting the slide area from this development is expected. Conclusions Based upon the investigation performed, proposed site develop- ment and review of existing information within the site area., we believe the proposed residential development can be performed as, anticipated, provide.d recommendations as presented herein are utilized for construction and development. Recommendations. Residential dwellings are proposed within three main areas of the sitei within the southerly upper elevation area, within the northerly upper elevation area and within the area o * f the cen- tral draw. Foundation placement and slope stabilization tech- niques should be anticipated within these areas to maximize existing stability. DAVID L. NELSON' AND ASSOCIATES, lhfC' Consulting Engineering Geology December 6, 1983 Project No. 5983 Page five Within the upper elevation areas the residences are planned to be located nea . r the top -of -slope. We suggest that foundations for these residences be placed into the dense glacial till soils, found 3' to 4' below grade. The glacial till soils were found to be quite dense and stable and should make excellant bearing soils. Development near the top -of -slope -areas should be per- formed such that artificial fill is not placed along the top - of -slope nor over the slope,area. Any existing fill material should be removed from near the top-of-slopp and revegetated. Continuous or spread footingst using a maximum allowabl ' e soils bearing pressure of 2000 pounds per square foot (psf) should be anticipated within this area. Residences planned for construction within the central draw area should anticipate foundation placement into the medium dense weathered strata or into the dense underlying parent soils directly underlying. Excavation into the slope areas is under- stood to be expected within this area. We suggest that footings be placed on natural soils of uniform consistancy, rather.than varying soils materials. This may require stepped type footings within some areas, to achieve desired foundation soils. Within excavations which occur into the slope areass we suggest that retaining of the' slope'be performed. This could be accomplished through construction of retaining walls along the upslope side. Retaining walls are expected to be less than 10' in height in this area. We suggest that foundations and retaining walls utilize maximum allowable soil pressures of 2000 psf where founded into the medium dense natural soils. Equivalent fluid pressures of 70 pounds per cubic foot (pcf) should be anticipated against the retaining.walls. An adequate drainage system should be performed behind retaining walls constructed within the areas We suggest the drains consist of a perforated pipe placed along the base base of the wall, connected to a gravel backfill drain behind the wall which is a minimum of 18" thick. The drain pipe should be connected to the main drainage system. We have DAVID L. NELSON AND ASSOCIATES, 11 Consulting Engineering Geology December 69 1983 Project No- 5983 Page six enclosed a subdrilft and backfill scheme which generally shows the recommended drainage for retaining walls within this areas Dewatering of some of the,excavations within the draw area may be necessary. This could be accomplished through construc- tion of interceptor drains or french drains around the structure Or area where required. Additional Notes Adequate drainage should be provided around the structures constructed within the investigated area. We suggest the use of foundation and roof . drain systems, independantly constructed and directed into the main storm drain system. Storm drainage is recommended to be controlled and detainage systems constructed such that accumulated waters are restricted from seepage into the subgrade soils. We would suggest either a burried pipe or vault detention system rather than an open detention pond system, which could allow seepage into the soils Roadways . should anticipate conventional pavement sections, although the use of Asphalt Treated Base would be adviseable during the wetter periods of the year. Roadway development within the central draw area,should anticipate the existance of eit her a channeled or burried pipe system nearby within which the water from the outfall under 68th Avenue West can be directed. Additional subbase gravels may be required to.more effectively stabilize the roadway section than in the upper elevation roadway areas. The rockery which occurs along the west side of 68th Avenue West at the head of the central draw was observed to be only margin - a , lly stable. Settlefnent within the roadway was observed, and is expected to continue. We suggest this * area be considered for stabilization, through either the construction of an adequate retaining wall or structurally filled. Additional investigation of this area should be performed, to determine an effective stabilization method. Construction activity within the site DAVID L. NELSbN AND ASSOCIATES, lir Consulting Engineering Geology December 6, 1983 Project No- 5983 Page seven. .,may effect the stabilty of the rockery, since it is unknown whether stabilization methods were utilized during construction. of the roadway within the area. Winter earthwork within the central draw area for placement of residences may require shoring, backsloping or other methods within the excavations to maintain slope -stability. The occurrence of,surface and/or ground water within the excavations may create conditions which require stabilization methods. Although the soils within the area are considered relatively stable, open'excavations can be readily effected by freeze. -thaw, surface erosion and factors relating to the inclement weather conditions. Inspection of the earth.work phase of.development within the site area should be performed, including excavationsl foundation placement, retaining wall placement and drainage. Structural fill used within the site should consist of granular soils. generally approved for useq uniformly placed and compactede and inspected as required. Although we do expect site soil types-t conditions and distribu- tions to reflect our findings, some variations.could occur. Should -conditions other than those discussed herein be encoun- tered, the soils'consultant should be notified for review and comment. Additional or alternative recommendations may be require Thank you for the opportunity to be of service. If you have any questions, feel'free to call on us at any time. Sincerely, DavaiI ld. e n sociates, Inc. vj ;avid L.,Nelsong PG J. Keith Cross# PE Consulting Engineering Geologist Geotechnical Consultant DLN. kmn Gob, 1C4f%Pkjz'Wb STR F_ E-T RLE DLETER11 IN' AT I ON OF NONS I GIN IF I CANCE Description of proposal Single Family Dwelling Proponent James McGovern Location of proposal, including street address, if any 680-7_4&� P! . W. , EdM,�nrjc WA F I L F T;�: Lead agency City of Edmonds, Department of Community Services, Planning Division The lead agency for this proposal has determined that it does not have a prob- able significant adverse impact on the environment. An environment ' al iMDaCt statement (EIS) is not required under RCW 43.21C.030(2)(c). This decisio'n was made aciter review of a completed environmental checklist and other information on file with the lead agency. This information is available to 'the oublic on request. Z::—I There is no comment period for this DNS. z�/ This DNS is issued under 197-11-340(.2) the lead agency wil I not act on x- this proposal for 15 days from the date beloei. C o m m e n t s m u s t b- -_ s u b mi i t t- =_ di by —October 28, 1986 Responsible official Leigh Franci*s Position/title Code Enforcement Technici'an Phone 771-3202 Address 250 Fifth. Avenue N., Edmonds, WA Date October 13, 1986 Signature x / You may appeal thi s determi nation o IF nons it gnil fi cance LO James Driscoll., Heari'ng Examiner � 250 Fifth Ave. N, Edmonds, WA aL no later than .. October 28, 1986, 5:00 PM by fili'ng written appeal You should be prepared to make specific factual objec",41ons. o n -I a c 1. Lei'qh, Francis to read or ask about the procedures I:or X There is no agency appeal. CC) r ENVIROMIENTAL CHECKLIST Purpose or Checklist: The State Environmental Policy Act (SEPA), chapter 43.21C ROA1. requires all governmental agencies to consider the environmental impacts or a proposal before 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 or this checklist is to providc information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from thc'proposal. if it can be done) and to help the agency decide whether an EIS is required. Instructions for"Applicants: This environmental checklist asks vou' to describe some basic information about your proposal. Governmental agen- cies use this checklist to detcrmine',whethcr the environmental impacts of your proposal a - re significant, requiring preparation of an EIS. Answer the questions briefly. with the most precise information known, or give the best de- scription you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions-rrom your own observations or -project plans without the need to hire experts. If you really do not know the ans'wer, or if a question does not apply to your proposal, write *do not know" or "does not ap- ply". Complete answers to th't questions now may a -void unnecessary delays later. Some questions ask about governmental regulations. such as zoning, s6reline, and landmark designations. Answer these questions if you can. If you have problems, the governmental agencies can assist you. The checklist questions ap�lv to all oarts or vou.- :)-r000sai, even if you plan to do them over a period of time or on different parcels of land. Atta�h any additionaf infor'rna'tion that will 'help describe your proposal or its environmental effects. The aacricy to which you submit this checkiist may ask you to explain your answers or provide additional in- formation reasonably rciated �o detcr—mining if the-_- mnav be sianificant. adve-.se impact. Use of' checklist for nonprojcct pro.posals: Complete this checklist ror nonpro'ect ar000sa!s. evert though questions may be answered "does not apply." IN AD- DITION, COMPICLC the SUP?LEMENTAL-SHEET FOR NNONFROICECT ACTIONS (part For nonprojCCL actions, the in �he checkitsi to Lhe words "project," "applicant," and "property or site" should be read as "proposal,' *proposer.' and "affec!ed geographic area," respectively. A. BACKGROUND 1. Name of proposed project. 'if appilcabie:. P4 2. Name or applicant: g;q, M X S ?3. /tic 60k14g,4) 3. Address and phone number of applicant and contact person: �2 5- -t, -Z, j5 A4e 6 A 4W sa"4474161 UJ464 4. Date checklist prepared: /0// Agency requesting checklist: C1 0 0 Al�> 0 6. Proposed timing or s chedule (including phasing. if applicable): Z //, /; , .4-) S-� 1,9 (F 7 2,2C e— / 6�0 7. Do you have any plans for future addiLlons. expansion. or further activity related to or connected with this proposal? If yes, explain. A)d List a ry environmental Information VOU k-no\A about that has been prepared. or v.-III be prepared, directly related to this proposal. rhe A- -5 d- e- AJ 04�0/4& 4/4 b 77, e 7 9. Do you Know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal" If yes. explain. I )0. List any government , approvals or permits that will be needed for your proposal, if known. 011-14 11. Give brief, complete description of your proposal, including the proposed uses and the size of th-- project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific infor- mation on project description.) we, w/l/ b1411d -19 :5,,A.) /1-0 ho^g- oA� zo" >c- 'r /-3, M. 12. Location of the proposal. Give sufficient 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 range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications relaLed to this checklist. Sf 0'7 41 - 114 D In TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description or the site (circle one): Fla , rolling hilly, steep slopes. mountainous, other (9 b. What is the steepest slope on the site (approximate percent slope)? EVALUATION FOR AGENCY USE ONLY TO HE COMPLETED BY APPLICANT c. What general types of soils arc found on the site (for example, clay, s3nd, gravel, pcit, muck)? If you know the classification of agricultural soils, specify them and note an), prime farmland. C) (9 ( 1 4> d�> d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. /(J e) Wo 401eef� e, EVALUATION FOR AGENCY USE ONLY C) LP, L M e. Describe the purpose. type, and approximate quantities of anv filling or grading pro- posed. Indicate source of Ail. e to a. A r2,4 -tj 0 ji 4 A.) (> 77� - eAlA e-114 6,e f. Could erosion occur as a result of clearing, construction. or use? If so. generally describe. -k /V0 L&, tcw (-S a .. About what percem of the Site will be covered with impervious surfaces after project construction (for example. asphalt or buildings)" 3 h. Proposed measures to reduce or control erosion, or Other impacts to the earth, if any: ,0,011U 42 C-3 It 'w,( ,� d Yn /0 'D 2. Air a. What types of emissions to the air would result from the proposal (i.e.. dust. automobile, odors. industrial wood smoke) during construction and when the project is completed? If any. generally describe and give approximate quantities if known. b. Are there any orr—iiEc sources of emissions or odor that may affect your proposal'? If so, generally describe. 1416 IIJAE C. Proposed measures to reduce or control emissions or other impacts to air. if any: .p /V 4- TO BE COMPLETED BY API'LICANT EVALUATION FOR 3. Water AGENCY USE ONL�; a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including vear—round andscasonal streams, s'ahwater, lakes, ponds, wctlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. /JC) 2) \Vill the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please des.cribe and attach available plans. 3) E�timate the amount of fill and dredge 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. 4) Will the proposal require surface water withdrawals or diversions? Give general de- scription, purpose, and approximate quantities if known. 5) Does the proposal lie within a 100—year floodplain? If so, note location on the site r)lan. 6) Does the proposal involve any discharges of waste materials to surface 'waters? If so, 0 describe the type of waste and anticipated volume of discharge. /f/0 b. Ground: I) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sc%vagc-, industrial, containing the following chemicals . . . ; agricultural; ctc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. /1-110*." TO BE COMPLETED BY APPLICANT I . c. Water Runoff (including storm water): 1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water now? Will this w3tcr flow into other waters? If so, describe. AID 2) Could waste materials enter ground or surface waters? If so, generally describe. EVALUATION FOR AGENCY USE ONLY d. Proposed measures to- reduce or control- surface, ground, and runoff I water impacts if any: llaew 0WX 44 tS U/1 Al A) qxg V't 4. Plants a. Check.or circle tv . pes or vegetation found on the site: deciduous tree: alder, maple, aspen, other evergreen tree: Fir, cedar, pine, other shrubs arass pasture crop or grain wet soil plants: cattail, butte -cup, bullrush, skunk cabbage, other water plants: water lily, ectarass, milfbil, other other types of vegetacion b. What kind and amount of ve2etation will be removed or altered? )Jd A) S c. List threatened or endangered species known to be on or near the site. 'Aja A)A- d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the sit�, dany: h te I ff k� "P 5. Animals rhe a>4,9ct -r-kitc.. —�-MA-f a. Circle any birds and animals which have been observed on or near the site or arc known to be on or near the site: birds: hawk, heron. eagle. songbirds, other: .................................. mammals: deer, bear, elk. beaver. other: ............ fish: bass. salmon, trout, herring, shellfish, other: b. List any threatened or endangered species known to be on or near the site. 'xj 6 Aj KoJos AW� -5- TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONi.y c. Is the site part of a migration route? If so, explain. AJO d. Proposed measures to preserve or enhance wildlife, if any: PA/A- 6. Energy and N2iural Reso a. What kinds of cncrg"' ?cle_7ctr1Vatura:I �s, oil, wood stove, solar) will be used to meet the completed project's chagy-t-Re'�cscribe whether it will be used for heating. manu- 0 faciuring, etc. -11-0 /e r- � je / c- /r ?A/., /v 1 4..5' h4A-fi A) b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally jscribe. c. What kinds of energy conservation features are included in the plans of this proposal') List other proposed measures to reduce or control encray impacts, if any: A� Srt4 �717 7. Ens-ironmental Health a. Are there an), environmental health hazards, including exposure to toxic chemicals, risk 0 of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. 1) Describe special emergency services that might be required. A/0 AJ 2) Proposed measures to reduce or control environmental health hazards, if any: "V b. Noise 1) What types of noise exist in the area which may affect your project (ror example: traffic, equipment, operation, other)? 0 AJ 2) What types and levels of noise would be crcated by or associated with 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. /&)a Ale TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONL.N' 3) Proposed measures to reduce or control noise impacts, if any: A/ 8. Land and Shoreline Use a. What is the current use of Phc site a nd adj3ceni properties? 14 rp PCQ5� V t I)oAle b. Has the site been used'for agriculture? If so, describe. /JC) c. Describe any structures on the site. d. Will any structures be demolished?. If so. what? A) 0 6. What is the current zoning classification of Lhe site? Fopo- scIv>le- 614m) f. What is the current comprehensive plan designation of the sit g. If applicable, what is the current shoreline master program designation of the site? 0 h. Has any part of the site been classified as an *environmentally sensitive* area? If so, specify. i. Approximately how many people would reside or work in tWlet�dd'�pMroj;t�— j. Approximately how many people would the completed project. displace'? A) A- k. Proposed measures to avoid or reduce displacement impacts. if any: ,0 V 4- 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: 43 U I I AJ CV -7- TO BL COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY 9. Housino b a. Approximately how many units would be provided, if any? Indicate whether high, mid[ d1c, or.low-incomc housing. I le- 7Z4-M 'ho M Mladle IAJCO Olt b. Approximatcly how man units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. 10 c. Proposed measures to reduce or control housing impacts. if any: 10. Aesthetics a. What is the tallest hei0ht of any proposed structure(s), not including antennas, what is the principal exterior bui I din-, material(s) proposed? eL11 h11A b. What views in the immediate vicinitv would be altered or obstructed? ))/t tj-[71�: D.. c. Proposed measures to reduce or control aesthetic impacts, if any: -1L'h I -.S /10 41 E-- txj(ll �>-e 1. Li-ht and Clare 0 a. What type of light or glare will the proposal produce? What time of day would it mainly 0 �LF-.F -T occur? :�' � -V-L— — I W PACIrs W04-t2 ccc�(--'k b. Could light or glare from the finished project be a safety hazard or interfere with views? C /J 6 1 c. What existing off -site sources of light or glare may affect your proposal? /UO X)rz-. d. Proposed measures to reduce or control light and I i acts, if any: ON ��rc imp 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? "491V 4— b. Would the proposed project displace any existing recreational uses? If so, describe. Al 6) M 'VALUATION r-OR TO BE COMPLETED BY APPLICANT L AGENCY USE ONLY c. Proposed measures to reduce or control impacts on recreation, including rccrC31ion op- portunities to be provided by the projcci or applicant, if any: 13. Historic and Cultural Presery'ation, a. Are there any places or objects listed on. or proposed for, national. state, or local preser- vation registers known to be on or next to the site? If so. generally dcscribc. 0 - b. Generally describe any landmar . ks or evidence ot historic, archaeolo2ical. scientific, or cultural imporzanc.- known to be on or next to the site. C. P70posed measures to ---d,uc-- or control Impacts. if any: At- 14. Transportation a. Identify public strects and hiehways se7VinL, the site. and describe proposed access to the isziml SzrcLt Syszenn. Show on site plans. if any. -TJ7P- c,>(7,e ;4 �6610N/i C)e- ee db C 3�jevt&l 4 5c..Aoo V��Claove aft-fil ,:4 -Vl CC '6/�' C' /9,N D Xt t4 IN 5497 W/ ik I A) A)e b. Is site currently served by. public transit'? If not. what is the approximate distance 10 the nearest transit stop. Y c. How many parking spac::s would the completed project have? How many would the project climinai:e? 4T Pe J4 e -J_ lie— d. Wlil the proposal require anv new roads or streets. or improvements to existing roads or sErec,s. not includimi dr;vc-.v:,,vs" If so. .!encrul1v dcscribe (indicate whether public or .privaEC). /k) e. Will the project use (or occur in the immediate vicinity of) water. rail. or air transparta- Eion" If so. generally describe. C. How many vehicular trips per day would be veieruwd by the compl&tcd pro*ect" If f_2A a J known. indic: Le '.vhel peuk volumes would occur * IXJ 0 /J -CL- TO HE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY g. Proposed measures to reduce or control transportation impacts, if any: 0 AY04 15. Public Seri -ices 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, gencrally describe. WRIO I e4le )4 4ezo Rae, h, A4 i. o4gre Ive go AA;P 4 PHI r, a P) Am e, r b. Propose measures to reduce or control irect impacts on public sery ces, if any. 09 16. Utilities a currently available at the site:e),e)s.grefuse serv- itary sewer, septic system, oth b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediate vicinity which might be needed. V e— C. SIGNATURE The above ans rs are ru omplet t e bes� F m. nowledgee. I understand that r SW s the lead agency rel on them to its S' Signature: ... .... ... ........ .. ............. Date Submit d ..... .. .,F .0 .................................... 0 -LO- I a EVALUATION FOR TO III: CONII-I L"I 1:1) BY AIII'LICANT AGENCY USE ONLY D. SM-PLEN11:14TAI. SHIA:"I' 1:01( NONVI(C)JECT ACTIONS (Rezones , Code Changes , Annexations etc (do flot Ilse this slicel for project actions) 11cc;ttisc tllcsc (Itlestiolis are %,cry gencral, il imi), be helpful 10 rc;id then) in conjunction witil file 11.jI of life clellients Of tile 016 t . I When answering these questions, be aware of tile extent the proposal, or ihc.types of iter intensity or likely to result froln the proposal, would';iffect the itern at ;I gre. .1clivilles ;It -I Eisier raic than if the proposal Were not implemenied. Respond brieny and in general terms. I . How would tile proposal be likely 10 incre-Isc discharge to water: emissions to air: pro- duction, stor.qc, or release of toxic or hazarciciiis substances; or production of noise? . - Proposed nicasures to avoid or reduce such increnscs are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life� 0 Proposed measures to protect or conserve plants, animals, fish, or Illarine.life are: 3. Flow would the proposal be likely to depict(: encrey or natural resources'? Proposed measures to protect or conserve energy and natural resources are: 0 4. How would tile proposal be likely to use or affect environmentally sensitive areas or ar- cas designated (or eligible or under study) for loverroliental protection� such as parks, %Yil- derness, wild and seenic rivers, threatened or endangered species habit.11. historic or cultural sites, weilands. I'loodplains. or prime farnflands? Proposed mensurcs to protect such resources or to avoid or reduce impacts are: 3. 1 l0\Y W01114.1 the proposal be likely to affect land and shoreline use, inclu ' ding whether it Would allow or encourage land or shoreline uses incompatible with existing pli , i Is TO BE CONTPLETED BY APPLICANT EVALUATION' FOR AGENCY USE ONLY Proposed measures to avoid or reduce shorchric and land usc impacts arc: 6. How -would the proposal be likely to increase demand,; on transportation or public scr- vices and utilities? Proposed measures to reduce or respond to such demand(s) arc: 7. Identify, if possible, whether.the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. P PROJECT REVIEW C11ECKLIST -k 6d PPOJECT'ADDRESS: '?, wj PFZM=, NAME I DATE 4,1 APPLTCAT6`,"RECii�T --;i�t Reviewed by: (ini STREM� ial /date) 'ENGNRNG 6114 31 FIRE PLANNING WrR/SWR BUILDING sn%,= VI SLvrBACKS,�CHECKED.L.-,,Plann3-pg,,,,, ,0VARIANCE ,2 117TI7 �,&-:ADBzREQUIREMENTS CHECKED 3 AFOTIHER�ZCNING REQUIREMENTS 7 7 7 7 7 7 7 7 77TTTT17 TFF1 717 F. �z,�ENVIRONAENTAL'FEATURES 1 _T— 40 4p 7777777777777T 777 SLOPE VEHICLE ACCESS p flDRAINAGE, PUN (On Si 7TTT7 7-/77T/—/ F1 77777T/7 7 -STREET FILE LEGAL DESCRIPTIM VFRTFICATICN -ITF17T 1117TIW., 9, 777777 ////////T7-/7/-/-F/7T77/-/-/-777 ()rJIT CLAIM/DEDICATIONS 10 V EASEMEN'r - PUBLTC/PRIVATE ,,��,CALCUEATE'�SWER CONNECTION IF NO LD# .210 11111117T7TTr[7177 -7 12 PLAT/SUBDIVISICN, REQUIREMENTS - 19�1 TIT171 77TIT 7 7 13 Rla"__OF_WAY CONSTRUCTION PERMIT REQD 14 777TIl 777////// RT7 �BONWREQD�FIOR PUBLIC IMPROVEMENTS� 15 SOILS CONDITIMS & GROUND 777777777777777777 WATER FIETD CHECKED 16 7T7777 Y STREET PAVIM REQUIRED".." 17 -T- 17771 /T 7777777T/7 C-:�CURB,AND GUMER REQUIRED ///////// 18 �SIDEWALK REOUIRED 777TIT 19 777777777777777 77777TFIT 7 7 T17= CURB CtJT FOR DRIMAY RECn 20 NAME I SIGN REQD -777777 1117111111 21 — 777TFITR 117TTF177 MnM STGNTNG RFk)D ////// ///////// 22 SIDE SEWER AVAILMILI I TY 7/77/7 777/7777 77/W7777 23 — 777P7777 77777777777777777 EXISTING WATER MATN SIZE ///////// //////// 24 77TRT 117111111 7T/77/777 . WATER M`TER SIZE 25 T7TI77TIT SERVICE LME SIZE m 26 HYDRANP REOUTRED 77777727T777777777 ///////// ///////// 77777777 //////// 27 -177-T17-777111111 777777//// HYDRANT SIZE EXISTTNG ////// ///////// 5 28 7R111 7777P77 77 1111177 77- CROSS CONNECTION INSPECTION REM 29 WATER MLVER CIMAGE R" 30 FIRE SPRTNXLER 'LINE CHARGE REm- 1111111111111111171 444, IM //////// 7 7e, 31 STREET CUT 32 OPEN DITCH EXISTING 33 7 7 TTF17 7777772 a " A� rj4;: e TfTFIT 35'! IZE, t,4�:,, MW -717 36,! lChTCH, BASIN.�REQD--,,, 7 7777 37- P.1 ITE' 381 ER.,DRA.INAGE MAINTAIN 11117171 R7111111 ZAM-39 0SHALE70PEN RUNOFF No, SC: All IMP". PUBL MGR ENGIN4EPING MGR., F-401—RK9 MM." CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) cc LU MAILING ADDRESS Z 3: o CITY TELEPHONE NUMBER ,5.QA Wile - NAME 5 r4eile.4id ADDRESS Va_ TELEPHONE NUMBER 77 70 52)2, - '2 7,j- 2,571 NAME :58 1 -tA4T- P e" -2 RESS TELEPHONE NUMB STATE LICENSE NUMBER Legal Description of Property - include all easements (show below or attach four copies) "V6 74att e L dJ iz"REIVQ; NEW r —ILI-- L!:1 RESIDENTIAL PLUMBING ADDIALTER 1:1 COMMERCIAL MECHANICAL DREPAIR El RETAINING WALL SIGN DEMOLISH EXCAVATE FENCE OR FILL ( x _FT) REMODEL PRE -MOVE INSPJ swim COMPLIANCE INSP. POOL WOOD STOVE/ INSERT APT.BLDG RENEWAL /k/Av h rw,�e NUMBER OF STORIES NUMBER OF 2- DWELLING [UNITS 7ATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) USE ZONE JOB AUDKh5b _EGAL DESCRIPTION CHEC) Zr PERMIT NUMBER - 16-q 0Z � &_)� SUBDIVISION NO. LID NO. P_ I a /o PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. 221 EXISTING A _ REQUIRED DEDICATION PROPOSED Y_#= RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED M STREET USE PERMIT REQUIRED 0 SEE ENGINEERING A D REMARKS METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS REMARKS SIGN AREA I COMPENV. REVIEW I ADB NO. ALLOWED I PROPOSED LETE i EXEMPT NE# VARIANCE OR CLI PLANNING REVIEW BY I DATE YARDS aE5+to ---- )9 HEIGHT I LOT COVERAGE 5_0 N T' SIDE- REAR CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT I L,Z /?�, 2 -4 SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD 0 YES 0 NO REMARKS PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covecs work to be done on private property ONL GRADING/FILL Any construction on the public domain (curbs, sidewalks, STATE SURCHARGE driveways, marquees, etc.) will require separate permission. 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 2 harmless the City of Edmonds, Washington, its officials, m employees, and agents from any and all claims for damages of cr < whatever nature, arising directly or indirectly from the issuance x of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT 0 I modify,.waive or reduce any requirement of any city ordinance TOTAL AMOUNT DUE 0 nor limit In any way the City's 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 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 t ere y, no person will be employed In violation of the Labor ONLY THE Cdd_� of the State of Washington relating to Workmen's Compensa- WORK NOTED fiqn/insu.ramce., INSPECTION IG AT E (OWNE N DA;T�S�IGNED DEPARTMENT 7&7 CITY OF EDMONDS kTT4ENTI40N 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUR�� UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL A CERTIFICATE OF OCCUPANCY, HAS BEEN GRANTED. UBC 0 CHAPTER 3. 102-78 VALUATION FEE 19 ap� 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 — Inspector PINK — Owner GOLD — Assessor Cc Uj Z Z 5 CL 0 Z D ca MEMO TO:' Building Division FROM: Engineering Division SUBJECT: Aft�r review of the subject building permit application, we have the following comments: 1) Connection to City water system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work on City property. 4) Driveway slope not to exceed 14%. 5) Back water valve required if downstairs plumbing is below elevation of upstream manhole. 6) -Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff And erosion on site and may not impact neighboring properties in any way. 9E Construction hours from 7:00 a.m. to.10:00 p.m. on weekdays and 10:00 a.m. to 6:00 P.M. on weekends and holidays. . : ."Im _,-V ", J.-�-.�, --..-..i ,:,. ; � , ... � . .-., -, , ..". -�� ; . - . � .. � '. - , . , , �.][;� �', I � . 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