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6903 MEADOWDALE BEACH RD.PDF12291 6903 MEADOWDALE BEACH RD RECEIVED 'JUL 2 -3 2012 J)MLOPMENT SERVICES COUNTER /I V ev; ex) cP % G+ Hours Direct Sun Full Sun Pleno sol - G+ horas do sol directo WIMP Ailihimn R127P Acer rubrum 'Autumn Blue' C.14,0 ate -also, ,K Fast growing, deciduous tree', Let's Sul ld Something Together' r Shade somb� a Deciduous, symmetrical tree Medium green foliage ,j, A& Brilliant red fall foliage a Ideal as a specimen i 1 4 Espafiol Al Reverso for Local Specific Care and Pr7ning I —information lowes.com/plants - 1-1144 IY 1 00 I vF 13 A`K�, 4011. 4 �* '00 tc 2-4*1�1, - t";. A 0 STREET FILE CITY OF EDMONDS 121 5th Avenue North, Edmonds WA 98020 Phone: 425.771.0220 - Fax: 425.771.0221 - Web: www.edmondswa.JZov DEVELOPMENT SERVICES DEPARTMENT - PLANNING DIVISION .(,o C. 1 s 9 %J October 6, 2011 Ms. Charlotte Waddingham 6903 Meadowdale Beach Rd. Edmonds, WA 98026 Subject: Hazard Tree Removal at 6903 Meadowdale Beach Rd. Code Enforcement Case #COD20110166 Dear Ms. Waddingham, I am in receipt of the letter from arborist Glenn Simpson with Ever -Green Tree Care dated September 13, 2011 (enclosed) that you submitted in response to a complaint that the City of Edmonds received regarding the cutting of two trees on your property addressed 6903 Meadowdale Beach Road (Code Enforcement Case #COD20110166). Mr. Simpson's letter addresses the two alder trees that were cut on the southwestern side of your property (located on the opposite side of the fence from your house) as well as two additional alder trees that are located in the same general area as the two trees that were cut. Mr. Simpson concluded that the two trees that were cut were hazardous and that the two additional trees are also hazardous. All of these trees are located within an area that has slopes in excess of 15%. These slopes are considered critical areas pursuant to Edmonds Community Dev ' elopment Code (ECDC) 23.40 and ECDC 23.80 where slopes in excess of 15% are considered potential erosion hazard areas. Generally the removal of trees, or any vegetation, within a critical area or critical area buffer is not an allowed activity, unless it involves the removal of invasive species or hazard trees. Removal of hazardous trees in critical areas is regulated in the Edmonds Community Development Code (ECDC) at Section 23.40.220.C.7.b. Such removal is an allowed activity as indicated by the code below: b. The removal of treesfirom critical areas and buffers that are hazardous, posing a threat to public safety, or posing an imminent risk ofdamage to private property provided, that: i. The applicant submits a reportfrom an ISA- or ASCA-certified arborist or registered landscape architect that documents the hazard andprovides a replanting schedulefor the replacement trees; ii. Tree cutting shall be limited to pruning and crown thinning, unless otherwisejustified by a qualifiedprofessionaL Where pruning,or crown thinning is not sufficient to address the hazard, trees should be removed or converted to wildlife snags; UL All vegetation cut (tree stems, branches, etc) shall be left within the critical area or buffer unless removal is warranted due to the potentialfor disease or pest transmittal to other healthy vegetation or unless removal is warranted to improve slope stability; iv. The land owner shall replace any trees that are removed with new trees at a ratio of two replacement trees for each tree removed (two to one) within one year in accordance with an approved restoration plan. Replacement trees may be planted at a different, nearby location if it can be determined thatplanting in the same location would create a new hazard orpotentially damage the critical area. Replacement trees shall be species that are native and indigenous to the site and a minimum of one inch in diameter at breast height (dbh)for deciduous trees and a minimum ofsixfeet in heightfor evergreen trees as measuredfrom the top of the root ball; 0 . 0 v. If a tree to be removedprovides critical habitat, such as an eagle perch, a qualified wildlife biologist shall be consulted to determine timing and methods ofremoval that will minimize impacts; and vi. Hazard trees determined to pose an imminent threat or danger to public health or safety, to public or private property, or ofserious environmental degradation may be removed or pruned by the land owner prior to receiving written approvalfrom the city; provided, that within 14 days following such action, the land owner shall submit a restoration plan that demonstrates compliance with the provisions ofthis title; The above referenced letter by Glen Simpson (enclosed) identifies and describes the location and health of four alder trees (two of which were already removed). Based on this information, it is clear that removal of these trees is warranted as long as the requirements of ECDC 23.40.220.C.7.b are followed. ECDC 23.40.220.C.7,.b.iv requires that hazard trees be replaced with new trees at a ratio of two -to -one. Thus, you will need to replace the two trees that have already been cut at a ratio of two -to -one, for a total of four replacement trees. If you choose to remove one or both of the additional two trees referenced by Mr. Simpson, these trees must also be replaced at a ratio of two -to -one. Therefore, if all four trees referenced in Mr. Simpson's letter are cut, a total of eight replacement trees must be planted. It is at your discretion whether the trees are cut to stumps or are converted to snags and whether the cuttings are left on the slope or removed. However, it should be noted that the stumps must not be removed and must remain to maintain slope stability. All work must be done using hand labor and light (hand-held) equipment, and appropriate erosion control must be implemented to minimize impacts to the critical area. The replacement trees must be installed using the same techniques in the general area that the trees were cut. An exemption for the tree cutting is granted with the following conditions: 1 . Only the four trees identified in the September 13, 2011 letter from Glenn Simpson with Ever -Green Tree Care (enclosed) may be cut. No additional trees may be cut without further review and approval by the Planning Division. 2. Cut trees must be replace at a ratio of two -to -one consistent with ECDC 23.40.220.C.7.b.iv within one year of tree the tree cutting activity. 3. Replacement trees should be planted in the general vicinity of the cut trees. 4. Pursuant to ECDC 23.40.220.C.7.b, replacement trees shall be a minimum of one inch diameter at breast height for deciduous trees and a minimum of six feet in height for evergreen trees as measured from the top of the root ball. 5. Contact the Planning Division at (425) 771-0220 for an inspection once the replacement trees have been planted. If you have any questions, you are welcome to contact me at (425) 771-0220. Sincerely, 'o, Jen Machuga Associate Planner Encl: Ever -Green Tree Care Letter Dated 9/13/11 Cc: Mike Thies, Code Enforcement Street File for 6903 Meadowdale Beach Rd. 013/13/2011 15: 59 t1put 02 '@ P 4257427052 Is Ever Green, Tree Care Glenn Simpson CERTIFIED ARRORISI'I'N-64"A TO whoill it may eonccni� ?VIC C, C'm 'ecy 03: 9 6 --2> yag ""�O 0 AcLI �'O— Pk - 'CU/I '4*IIVG 0,6 30211 Issaquah Pine Lake Road I'M" N 503 Sammamish, WA 98075 206-713-9207 yyl� 'e�c�-So — * 4,�--� r-', k Ljc.% 4,,o �co�- -;L c,- -4c,�-e s ->kx- ftc) WINV V,-P, -Ca--rcy— C. wo '0 jv- V'.0_ V-% V 1 sc�-\54;;P Al—� CL-�jv--e- Sp-ACN-o C> :5 01 C,1'4p_ c N (2e-.,L 0 le,�CD- 1��. Ulenn I*inip%on Id CITY OP EDMONDS USE,. 2ONE 'PERMIT. .4 70 71 R NUMBER V CONSTRUCTION PERMIT APPLICATION.. JOB ADDRESS 00� W Ul /Aft. . OWNER NAMEINAME OF BUSINESS AA . LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID -NO.. 4 / - w Z Ck U61,6" MAILING -ADDRESS : 9j(s , , bAl, e - . - 5 M,�:Wuj - , Approved 11 RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP RW Permit Required 0 CITY TELEPHONE NUMBER, -70S t' 1XISTING — REQUIRED DEDICATION.. Street Use Permit Reqd -13 Initpection 'PROPOSED Required X Sid6vilk'Required 0 NAME: _,METER SIZE,�, -,..LINESIZE NO. OF FIXTURES PRV REQUIRED YES 0. NO El 0 ADDRESS I(- d"L,-3 7 G I REMARKS - TELEPHONE NUMBER, * CITY V30 1: NAME 6AA ADDRESS 41P NE NUMBER CITY. . ITELEPHO Z 5bMONV; 1W ox 77 6 1 -6G-7 0 L) STATE LICENSE NUM13ER IRATIPN DATE We-9me-TAko 6 -Legal Descri ti f P erty - include all easements toy'. Top 0 :i Property - - Tax Account *7515-000. oor-oocvl. ParceiNo.. EINEW wrES,DENT,AL El PLUMBINGfMECH--'. /ADDITION COMPLIANCE OR . COMMERCIAL CHANGE OF USE ElREMODEL F� 11T. BLDG. SIGN GRADING FENCE REPAIR ------ a— CYDS. X'—FT) EIDEMOLISH wo . ODSTOVE - -SWIMPO,OL-. INSERT PA ,POT TUB/S RETAINING WALL/ FGARAGE ]CARPORT ETROCKERY Z O.(TYPE OF USE. BUSINESS OR ACTIVITY) EXP�AIN: 4GIIEERING MEMO DATED EW D BY RE.MEMO DATED REVIEWEDBY t SIGN AREA SEPARE IEW ADS NO, VIED PROPOSED co�PTE�,,: IEXEMPT xl� I ELINE # EX . -OARIANCE OR CU PLANNING REVIEW BY 1-1 o e,� & bpo il� $/10 7 sETBACKS — FEET HEIGHT LOT COVERAGE 2 FRONT �4/7� �SIDE REAR', Z Z 5 REMARKS.. A-� BY I TYPE SPECIAL INSPECTOR REQUIRED 13 YES PRO GRESS I U) 'NUMBER P OF W STORIES NUMBER OF DWELLING I UNITS CRITICAL AREAS NUMBE R 0 DESCRIBE WORK TO BE DONE IATTACH PLOT PLAN) T1 0 r-2l, FINAL INS'PEPTIO tm-L-'S', Peoec�!) PLAN CHECK FEE ,BUILD . ING HEAT . SOURCE: 7LrING "/0 PLUMBING Plan dhe;,�k'Noi,,, ZAJ 21 MECHANICAL .,,9This-PdrrnIt covers work to be done on private property ONLY. GRADINGIFILL Any c6hstructibri, 'or! the-pubilti domain (curtsi sidewEhIks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit. Application: 180 Days -.- i Permill. Llhilt:A -Year -Provided Work Is Started Within 180 Days STORM DRAINAGE FEE ENG. INSPECTION FEE "Applicant,,orf behalf of his or her spouse, heirs, assigns and (wifsuccessors irl. interest, agrees to indemnify, defend and hold 2 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 modify, waive or reduce any requirement of any city ordinance 0 nor limit in any Way the City's ability to enforce any ordinance provision . PLAN CHECK DEPOSIT TOTAL A M OUNT DUE I herebv acknowledoe that I have read this application; that the F QgBATRUCTION.. 2? :CTIONS PER -UBC 108 .N REQUIRED VALUATION FEE -.7 �WM17AW-d'hwiwAs information given is correct; and that I am the owner, or' the duly ATTENTION APPLICATION APPROVAL authorized agent of the.owner. I Agree to comply with city and State laws regulating constructl6n; and In doing the work authoriz- THIS 'PERMIT AUTHORIZES This application is not a permit until ed thereby, no person will be employed In violation of the Labor ONLY THE. .,,signed by the Building Official, or his/her Code of the State of Washington relatin 9 to Workmen's ComRensa- WORK NOTED E�pputy; and fees are paid. and receipt is tion Insurance and-RCW.1&27. ' INSPECTION acknowledged in space provided. SIGNAT ER OR AGENT) SIGNED, DEPARTMENT WRE(,O JDATE 9/6 h CITY' OF. OFFICIA ATE 7 EbMONDS..- CALL FOR E� Y: E R9 ATTENTION INSPECTION. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 'UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR "' * 771-0220 ORIGINAL — File YELLOW inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC — SECTION 109 PINK — Owner GOLD — Assessor P, 0% M^. C)o N. V L 17 1-)r5 q'&ZAr-1 a av Iva CA �"M to E-SM-T LOT APE,& Z4. 8�-S %WT 'Xb- Lo-r L Snmrx,'-,�g S V -74-9 - 70S2 00 C= C= 7526 Olympic vl&w Drive, Sidle C Edmonds, WA 3W26 file ERR kw METT13UNIMM (206) TMI 367 - FAX: (206) T74-4993 PLANNING DATA NAME: Wf�w,/J&Hw gj - SITE ADDRESS:—Wo-� -P2,f,4-1LPDATE: S�LZ-97 ZONING. PLAN CHK#: PROJECT DESCRIPTION: &/e-jL CORNER LOT ----(Yes/No) SETBACKS: .Required Setbacks: Front: 76 Left Side: Right Side: Rear: Actual Setbacks: Front: '11 Left Side: Right Side: Rear: Street map checked for additional setback required? YLs wj,� (Yes/No) - r LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED `7- (Y/N) LOT COVERAGE: Maximum Allowed: 36'/- Actual: BUILDING HEIGHT: -0 1 Maximum Allowed: Actual Height: Datum Point: Datum Elevation: A.D.U. CREATEW: kof 114 SUBDIVISION: CRITICAL AREAS #. jj-�6-- �-r,)o I (�.)-r P P- I VWO F&', -r Hk � - T3. �-A SEPA DETERMINATION: LOT AREA: ..I� </� OTH Plan Review By: 2;�Svj c:TfleAperTnift-plandaLdoc Critical Areas Checklist CA 91— 9 — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — --- — - 7 — — — — — - Site Information (soils/ topography/ hydrology/vegetation) 1. Site Address/ Location: 0':!:> VAS4. 2. Property Tax Account Numben. GC>A .0c) e:) Z �j 3. Approxninintite-Site-§ (i&67ors4ii�'re"f�et): 4. Is this site currently developed? _Zyes; no. If yes; how is site developed? '151 V_gV,-(L_JZ IFAM k 5. Describe the general site -topography., Check all that'apply. Flat: less than 5-feet elevation change over entire- site. V golling:. slopes on site generally less than 15% (a vertical r* of 10-feet over a horizontal distance.of 66-feet). 6. 7. 8. 9. Hilly: slopes present on site of mort: 11tan 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 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): Site contains areas of year-round. standing water: 1---o Approx. Depth: Site contains areas of seasonal standing waten Approx. Depth: What seasoh(s) of the year? Site is in the floodwa. floodplain_ of a water course. Site contains a creek or an area where water.flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow shrubs mixed urban landscaped -aawn,shrubs etc) y-"- _. I 11. Obvious wetland is present on site: For City Staff Use Only 1 Site.,is Zoned? I 2. SCS mapped soil type(s)? AWz2XVJ%W6 Ga&kaigy lao"A, 1,,C-- 70 56 .54artr_$ P r 3. Wetland irvirefitory or C.A. mapi' ates wetland -present on site? indic 4. Atiffical Areas inv:entoryor C.A.,.mip Wiciat'estritital Area on siL6? 5. Site.-withirk designated earth subsi.dence:IoLndslide.hazard-ama?-. runentally .6. Sitodesigna.. ..on the Enviro, ........ . . Sensitive'AreasMap? ERMINATION. - - DET ir 4q�v OND M- L:-WAIVE UIUP I .:. , C 0 N WANER Aev -.7 ^"_chLdoq Rev 02/11/97 JUN - 5 IDJ97 PERMIT COUNTFR ffikkiis The Critical Areas Checklist contained. it, and.subutit it -to the City. The City on this form is to be filled out by any will reviaw the checklist, make a person preparing a Development Permit precursory site visit, and make a Application for. the City of Edmonds determination of the 6-6bsequent steps prior to his/her submittal of a necessary to complete a development development pernut to the City. permit application. The purpose of the Checklist is to enable With a signed copy of this form, the City staff to determine whether any applicant should also submit a vicinity potential Critical Areas are or may be map or plot plan for individual lots of 'with present on the subject property.' The 'the parcel enough detail that City information needed to complete the staff, can find and identify the subject Checklist should be easily available parcel(s).'' In addition, the applicant from observations of the site or data shall include other pertinent available at City Hall (Crit ' ical Areas . information - (e.g. site plan, - topography inventories, maps, or soil surveys). studies in conjunction �vfth*this Checklist to assist staff in An applicant, or his/her representative; completing their preliminary must fill out the checklist, sign and date assessment�of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/ Applicant- _(-` - 1-� Name C,�-Os Street Address TI.-Mal 7� City, State, ZIP cl, ';Pho _pe_ Signature Date Applicant Representative: V1.3 C_ Name Street Addre�,.s City, State, Signature 77 4� Phone '5-2-7- 1 7 Date City of Edmonds Critical Areas Determination Applicant: LWaddingham Determination #: CA-97-95 Project Name: Permit Number: Site Location: 6903Meadowdale Beach Property Tax Acct #: 7515-000-001-0002 Road Project Description non -project specific A site inspection has revealed'a site which appears to contain slopes of 40% or greater with a vertical elevation change of more than 20 feet. Based on the above findings, it is determined that there is potentially a steep slope critical area on or adjacent to the site. A Critical Areas Study is required to delineate the boundaries of this potential critical areas, the buffers and setbacks. For the steep slopes, a licensed surveyor must create a topographic map of the site which indicates all areas which slope 40% or more and have a vertical gain of 20 feet or more within the 40% slopes. The map must also show the location of the steep slope buffers and setbacks. 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 Area or its buffers, a conditional waiver may be issued on a project by project basis. John Bissell Name Sig�,atre June 19, 1997 Date 4. k"s t . 1 squ Date: To: Subject: Transmitting CITY OF EDMONDS BARBARA FAHEY MAYOR 250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works - Planning e Parks and Recreation * Engineering Letter of Transmittal June 19, 1997 C. Waddingham Critical Areas Checklist Copy of the completed Critical Areas Checklist For Your Information: XX As you requested: For your file: XX Comment: This completed Critical Areas Checklist is a site specific determination, not a project specific determination. You must bring in a copy of the completed critical areas checklist with any permit application, or your application will be rejected. Permit applications include Building permits, Conditional Use Permits, Subdivisions, Variances, Applications to the ADB land use applications, or any other development permit applications. Note attachments: Sincerely, Diane M. Cunningham, Planning Secretary 0 Incorporated August 11, 1890 * Sister Cities International — Hekinan, Japan CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION WlOWNER NAMEINAME OF BUSINESS AL L,4 Aj -J-u L i x Gc,.( C ,'4AILING ADDRESS 6,1 C'_-7) "-"\t c - - - ir-k Z"C/� 6 ;ITY ZIP TELEPHONE NUMBER 7,4 2 - 0 7 V,, Y" 10A.0 I I ILWL— PERMIT ZONE ./), — NUMBER JOB ADDRESS tUAL LJtbL;HIP I ION LoHtUKI SUBDIVISION NO. LID NO. P_? - 66 PUBLIC RIGHT OF WAY PER OFFICIAL STRE P TESCP EXISTING 56) REQUIRED DEDICATION APPROVED BY PROPOSED - NAMh 0 Z a: L4k V_c RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 W ADDRESS STREET USE PERMIT REOUIRED 0 W Z REVIEW BY Z SEE ENGINEERING MEMO DATED -ITY _TTELEPHONE NUMBER ZIP I REMARKS �)(ZAMJC, _�t�,2 C;- 'Ll NAME C *-fl C C I V tj ADDRESS 2 L) rv� < CITY ZIP TELEPHONE NUMBER Z 0 STATE LICENSE NUMBER C) Legal Description of Property - include all easements Z (showpelow or attach two copies) EDIWLM) S 2 /,0 t-IC-1 4, d 71 !��- /J 11 L) L" '�2-94 LU Tax Account Parcel No, 1:1 14 NEW RESIDENTIAL PLUMBING r_7;_/r El El ADDIALTER COMMERCIAL MECHANICAL ElREPAIR 1:1 APT. BLDG. El SIGN EXCAVATE, FILL OR GRADE FENCE DEMOLISH I— x _FT) REMODEL CARPORT swim GARAGE POOL WOOD STOVE/ RETAINING WALL/ INSERT RENEWAL . ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: EE r/A,#V%i"/ _T? L_ x j U NUMBER OF STOAIES NUM BER OF U M W 0 Y L W LL 7DWE L:ING 00 UNITS U N ITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) ,ApL,*3,-c%r,)tj 0F 2!VA12- "PAivIlL, Tv w ez�;rr_74? /"1, 0 G, 0 ft C, (_ i AIV /_ 11AV46^1 ?,e Plan Check No. �, o This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewolks, driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of < whatever nature, arising directly or indirectly from the issuance M of this permit. Issuance of this permit shall not be deemed to 0 modify, waive or reduce any requirement of any city ordinance 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 authorized agent of the owner. I agree to comply with city and state laws regurating construction; and in doing the work authoriz- ed thereby, no person will be employed in violation of the Labor Code of the State of Washington relating to Workmen's Compensa- SIGNATU (OWNER 01f AGENT)., OATE SIGNED A li,lutee-e xi, P METER SIZE IBUILDING SUPPLY SIZE [FIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT SHORELINE 0 VARIANCE OR CU P NNING REVIEW BY LpA. . rE c3w3 (D .5 s-1, SETBACKS — FEE T _F FRONT '25- SIDEi0/_'ej>_ REAR-Z!�_ MIGHT E _/ :;? -6 LOT COVER G 3�� CHECKED BY TYPE OF CONSTRUCTION CODE T SPECIAL INSPECTOR _rREA JOCCUPANCY 0 CIIPANT REQUIRED GROUP F1 YES L7j NO e—, -� I PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED VALUATION PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL ISTATESURCHARGE I I �/11 0 PLAN CHECK DEPOSIT TOTAL AMOUNT DUE ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-87 ATTENTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED I NSPECTION DEPARTMENT CITY OF EDMONDS CALL FOR INSPECTION 771-3202 1 —1. — I — �, I — . 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. GNATURE DATE/ T RELE ED 11 DATE� 3 O�RIGINAL File YELLOW — Inspector PINK — Owner GOLD — Assessor cc LU 0 Z 0 _j M to OqO3 FILE# N/A STREET FILE DETERMINATION OF NONSIGNIFICANCE Description of proposal Addition to a single family residence Proponent Allan & Julie Gourlie Location of proposal, induding street address if any 6903 Meadowdale Beach Road, Edmonds, WA 98026 Lead Agency Edmonds Planning Division The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. X There is no comment.period for this DNS. This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 15 days from the date below. Comments must be submitted by Responsible Official John Bissell Position/Title Code Enforcement Tech. Phone 771-3202 Address 250 5th Ave. N.. Edmonds WA 98020 Date March. 8., 1991 Signature X You may appeal this determination of nonsignificance to— Hearing Examiner at 250 5th Ave. North, Edmonds, WA 98020 no later than 5:00 p.m. March 18, 1991 by filing a written appeal citing reasons. You should be prepared to make specific factual objections. Contact John Bissell to read or ask about the procedures for SEPA appeals. There is no agency appeal. Complete this checklist for nonproject, proposals. even though questions may be answered "does not apply". IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part 0). 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 Name of proposed project, if applicable: ,AZ)C:>, -rlvl%i oF / �2 �K --2 4,, z- 2. Name of applicant: At 6,-W � G7-4/i 3. Address and phone number of applicant and contact person: WA D 4. Date checklist prepared: FEB 2 5. Agency requesting checklist: PEW11 COUJUER Crry CIF- &DA101VI)s 6. Proposed timing or schedule (including phasing, if applicable): 6'01V-5150'U CrlVA� 7-0 e7P;- 7. Do , you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. /VC1 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to t�is proposal. rar- q 7— e6 77�;WA* A 55-,4*f0-5 $*- -Scn� 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. 10. List any government approvals or permits that will be needed for your proposal , if known. B(.IILDI,-J&- IPC�AJ[T 11. Give brief, complete description of your proposal, including the proposed uses and the size of the 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 information on project description.) [-/-f AJ'7-,:l a0A4- W;� /-I 'X-2,1 ' -.;, , 46, /'1-1 4�7 7L� C/V -5 tv 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed 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 related to this checklist. &'�03 A;'�" ,--,D1001V05, LLJA cjFZ26, "�'"-r A�C-eiW-:�D /A/ 0,-- TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one): Flat, rolling steep slopes, mountainous, other 161Dly b. What is the steepest slope on the site (approximate percent slope)? c. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you know the classification of agricultural soils, specify them and note any prime farmland. d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. /V e) e. Describe the purpose, type, and approximate quantities of any filling or grading proposed. Indicate source of fill. A11,4 f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. 104 g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? // �yo 10-1;1Vl< h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: 1N1,oA;,r jO(_,4/k, 441vD5641�F29 tcl LACIVAI 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. /A,/o b. Are there any off -site sources of emissions or odor that may affect your proposal? If so, generally describe. No c. Proposed measures to reduce or control emissions or other impacts to air, if any: N11+ 3. Water a. Surface: 1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes-, ponds, wetlands)? If yes, describe type and provide names. If -appropriate, state.what stream or river it flows into. WO 2) Will the project require any work over, in or adjacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. ,A/ 1A 3) Estimate 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. Indicate the source of fill material. ,AJ114 4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. A10 5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. /V L) b. Ground: 1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description. purpose, and approximate quantities if known. 1-4 C) 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals... ; agricultural; etc.). 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. XOIVIE- 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 flow? Will this water flow into other waters? If so, describe. Cv , 77Y 6-A T-f �4 /v �>,4-t-/A) /'--:/oEFZ Z-) C,-f 7Z ry 6,1 T5,,V 2) Could waste materials enter ground or surface waters? If so, generally describe. d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: 4. Plants a. Check or circle types of vegetation found on the site: — deciduous tree:,�Aqr, maple, aspen, other ,�-evergreen tree fi ,.-shrubs Q-0 cedar, pine, other grass pasture crop or grain wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation b. What kind and amount of vegetation will be removed or altered? /�/ 1) 1�-i E - c. List threatened or endangered species known to be on or near the site. 0 /V, - V_- d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: 5. Animals a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, �sonbirds other: ig - deer, bear, elk, b vg , r. 0 mammals er, other: ................. fish: b;ss, salmon, trout, herring, shellfish, other: ......... b. List any threatened or endangered.species known to be on or near the site. Alt) Ae�_ c. Is the site part of a migration route? If so, explain. Al ') d. Proposed measures to preserve or enhance wildlife, if any: /V ON t_-- 6. Energy and Natural Resources a. What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the complet!d project's energy needs? Describe whether it will be used for heating, manufacturing, etc. 1eFZ-GC7-P:-4C7r11 b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. /V () c. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impacts, if any: ';::)--2 4.6 7. Environmental Health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. /Vo 1) Describe special emergency services that might be required. /Volu,F7, 2) Proposed measures to reduce or control environmental health hazards, if any: ,A/ 61 IV & b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? 9,'9 In -5, lVel 2) What types and levels of noise would be created by or associated with the project on a short-term or a long-term basis (for example: traffic, construction, operation, other)? Indicate what hours noise would come from the site. A.41 A4 - 4� 3) Proposed measures to reduce or control noise impacts, if any: A/ C A; M_ 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? b. Has the site been used for agriculture? If so, describe. C. Describe any structures on the site. PL911,54E CAj16,-4,e14-&& d. Will any structures be demolished? If so, what? F(,,ea PL_ .4( E C_41 //0 Ai e. What is the current comprehensive plan designation of the site? A tn�r ( A L__ h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. ,EAj'7 (,4?G: Z-c.)7- i. Approximately how many people would reside or work in the completed project? 7 j. Approximately how many people would the completed project displace? /V10 "V e k. Proposed measures to avoid or reduce displacement impacts, if any: AIV N t:--- 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: R 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. kX15711-�j 6- //0 4/6,E - IV C) APd171-W,1,4& 1-10061106— b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low-income housing. /V vvv a c. Proposed measures to reduce or control housing impacts, if any: 10'.. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principal exterior building material(s) proposed? Z & - 3 3 ' A_Av c/ C— A V-EF�4,1� 1-.e,7- 11,:F_7&YY7- b. What views in the immediate vicinity would be altered or obstructed? N OA1r c. Proposed measures to reduce or control aesthetic impacts, if any: /V . o /V6 11. Light and Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? /\I 0&1 E b. Could light or glare from the finished project be a safety hazard or interfere with views? c. What existing off -site sources -of light or glare may affect your proposal? /V(D /U E d. Proposed measures to reduce or control light and glare impacts, if any: ,A/ ()/U 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? 1411AY b. Would the proposed project displace any existing recreational uses? If so, describe. c. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be provided by the project or applicant, if any: 14V /ti 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers known to be on or next to the site? If so, generally describe. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. A/,0Ai,ET C- Proposed measures to reduce or control impacts, if any: 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street system. Show on site plans, if any. M F,-- 477--v W A19 tlz 61---29C H P—OA 1) b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? Aio z c. How many parking spaces would the completed project have? How man would the project eliminate? y .57 A/ 0 Aj G d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not including driveways? If so, generally describe (indicate whether public or private). A/0 e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. A/ 0 f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. /'/04)6 0771C,—' 71-1,41V g. Proposed measures to reduce or control transportation impacts, if any: /V I L-)/,' 4�� 15. Public Services a. Would the project result in an increased need for public services (for example: fire protection, police protection. health care, schools, other)? If so, generally describe. NO b. Proposed measures to reduce or control direct impacts on public services, if any. A/OA; E 16. Utilities te ;ec;r �i u�ral r se i Cieim�,othet 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. 07-1e-171C-:5 4,e-C- 19-6,4= LC C. SIGNATURE The above answers re.true and complete to the best of my knowledge. I understand that the lead ag cy is relying on them -to make its decision. Signature:.. G7 Date Submitted:......: �-/-:Fz ....................................... D. Supplemental Sheet for Nonproject Actions (Rezones, Code Changes, Annexations, etc.) -- Do not use this sheet for.project actions. Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in gen&al terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avo.id or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoider reduce impacts are: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. ENVCHK3/PFORMS C I T Y o I EDMONDS SIDE SEWER P E R M I T For Inspection Call 771-3202 STREET FILE PERMIT NO. 07747 7,1) Address of Construction: Property Legal Description (Include all easements): Owner and/or Builder: I � p 7-,il4 /�X / D :�- Contractor & License No: Single Family Residence V--," Mul ti-Fami I y (No. of Units ,- I—Df 1--:5e' -'S 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 Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE AD THEAITEM I LW7ED ON THE BACK MMUR U L o 1987 1 cei"'tify �haf I Vve read and shall comply PUBLIC WORKS Date with the items listed on the back. Permit Fee: Trunk Charge: Assessment Fee: Issued By: Date Issued: Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved: Date Initial -d- 00 Rejected: C) Reason a) PERMIT MUST BE POSTED ON JOB SITE -5-a—te Initial C-1 White Copy - File Green Copy - Inspector Buff Copy - Applicant f The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------- ---------------------- NEW CONSTRUCTION X REPAIRS [:] LID NO - ------------------ ASMT. NO - ------------------ OWNER .................................. CONTRACTOR ------------------------------- -------------------------------- PERMIT NO.0-71.71,47-7 JOB ADDRESS RLI gr-- LEGAL DESCRIPTION: LOT NO - ------- t ------------------------------ BLOCK NO - ------------------------------------ G r-�- VK 0 V\) t> % �--- � a, \,A -K- �, .............................................. VA --------- ll;�y -------------------------------------------------------------------------------------------------- NAMEOF ADDITION ------------------------------------------------------------------------------- --------------------------------------- 3 A3 AD w4c, Approved: LYNNWOOD LINE PWW-0001-11/75 (REV.11/78) DATE 1.1 --------------- � B -4 .......... --------- I �le hv.4AAI�lp 4--k Ird DARD DRAINAGE PLA_N (T 7041� CATC)-i IIA,51N: A__� 1>jotok T1kCNCW LW�4a-rH WnUAL .4 > -rKIWNCH Cov" ............................. . ...... ........ UWIC 4! r r FF P 1 PQ7 TE E 'N/ 4'LONG Lr--GS L ry 9-L TR z N C j4 CA.P SYSTEM CROSS-SECTION MiRAff I 5oox OK In Q U I TO 6��_ LAYED c)�,j 'T 9,F lCH COVER 3A,- 1'/2" WASWEC) G PA\,/ E L /U C I 4 01AM FERF PIPE TRENCH C� kfl ppy Dr 3'4 -3;3 _3 INFILTRATION SYSTEM PAGE I OF 2 for Yo I o c a t i o n _MeA,,..') A plan by P h o n e tt 5t 77--Ir— —2/06, date 6—q--97 d�. EW !I DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.ft. Area Rpa - 3 R 3 A,) ,�NOTES I. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Respons i b i I i ty for opera t ion and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year). 19 / De FILE CITY OF EIDMONos N 'Wana F. 2, B .... . . .... Ho Inc." Pams For Natvest Uving 90 91 & 13 J :Z4 13 24 RECEIVED -JUN 8,- 1987, RAW IGOA PERMIT COUNT,6 ArA PAS A'o 20 �?i A I L 20 tTc INA SET- c. 6 \41 /Ao 35 i :71 voi* . . . . . . .507 _164th SW.. Lynnwood,WA 98037 (20/,\-= . E k,/ qy co R P4 i * FEB AZ; I 1-)�l Uj -i ir N 89' 35'42' W 220.00* . — . -- - — . — I— . — . .1 62 04' 157.96' Iam— T- * -,.- , - : ------------------ 106. 667' )5. 9 17' ATIVE GROWTH 0.-1 N -'a' ---I I DS k----25. PROJECT DESCRIPTION: Addition a P ROTECTION EASEMENT house a n W: r so 'm GUITER GUTTER I CEMN !:%!Tn;odeck. �l T DR) N DRAIN 1 DRIVEWAY .. . I .............. . I OWNERS- LINE ............... L NE Allan & Julie Gourlie 7 0,3 Moo dowdal:02Beach Road z 6RAIN MANH E WA 9 DS OVER DATU C4 Edmonds. 6 OM (206) 742-2783 'ROINT -100 FT. TAX PARCEL NUMBER: DS (31 e-4 co 7515-000-001-0002 LOT SIZE 24.855 SOFT --I LEGAL DESCRIPTION: EXISTING BLDG 2.126 SOFT (4 ADDITION 288 SOFT I NEW BLDG,COVERAGE 2.414 SOFT PROPOSED ADDITION CATCH BASIN > Lot 1. Edma:ds,H&:9hIs, ai? per (A to of NEW BLDG LOT COVERAGE 9.71% < .r:..r!.d - ju7:.4 DS M P It 92 - lZisivit. 0 P r z race Snohomish County. State of Washington -100.25' -100.!�6 CATCH BAS NI C: DRAIN F I Ev M Tt -20 — 3 a 27� kTE S ZONING: RS TOTALII 0s 0 BSOL 14 CONTRACIOR: C4 M CHERMAK CO STRUCTIO (n y 46 S!O69OI sipja View DN r -th. C Ed. 98026 (20GQ?%6W-Q13v6h71n9t*n a 5' STORM DRAINAGE C nt NO SANITARY SEWER H**wQr'd'C:h9rmak. cgr — — — — — — S�ET CA EASEMENT 10' PUBLIC PATHWAY EASEMENT MEADOWDALE BEACH ROAD A SURVEY MONUMENT 0 to 20 30 40 50 60 70 80 80 100 FEET SURVEY MONUMENT GDURL2A.DWG 2/20/91 SCC Northland 7& Homes Inc Hmes fbr Nxftve-9 Uvlr% T RECEIVED MAY. 18 19B7 PERMIT COUNTER. - A tj IGOA (m6k w 507-164thSW.. IYnrwood,WA98037 (206)742-4141 /0� 685OLt 7? S-r CA63 _ �,C� STANDARD DRAINAGE PLAN CATCH n*,51H: � r� - � 1� ) I U k T&Qticw > ............ . ..... T7 A! F E & F P I P C7 -,,, TFEE Y4/4"LOKG LFGS LC-vx-L TX;ZNC_�4 CKP SYSTEM CROSS-SECTION M I RA ff I c--o ---) x OP, ffc� U I \/ E LE_�,I- FO 6�-� L/--rEC) If C) Ko__< X 'T P, F_ �-C H COV P-",\/ E _0 \J, C "--i 40 Z_ INFILTRATiot4 SYSTEM PAGE I OF 2 for I oca L i On_ e-&7.- plan by Q!j yi_�_ phone 2 �j 2- —q,/4" date. 6 -13—,Q DESIGN DATA Trench Perc LF per I mPe rm Trench Number . Ra te 1000 Sq-ft. Area Req . H�q 3 NOTES I - Call Engineering Division (771-3202) 'or preba,:k,"ill and final inspections. I -Responsibility for operation and Ma I. ntenance of drainage Systems on private property is the res;onsibility of.the property owner(s). Prevent'ive ma intenance consists Of prel"enting soil and other materials from entering trench during construction as well as aFter construction. Catch basins should be cleaned of floating material and sedfment at regular intervals (at least twic e per year). CITY OF EOMorqoS Northland L& ll__� Bome s Inc, P"irwes Fbr Nart� LMng J 5 2- 'RECEIVED - ,JUN 8'- 1987 PERMIT COUNTP - I -:;-, '? 11L_ 3 ko . ........ ............ .. tw. �t 0 C7 30 7 - ----- - - ------- Tc u 507 -164th S.W. Lynnwood,WA 98037 �i�j . . 66 ,� -,rve- K,/ I (206) 742-4141 :41 'io VL T'J,-44' 1-1*'J'-'�*-' 4, s X MEA C.-T-Sit, Al DOWDALE BEA( V 7N. RGEAE 1/4:`,;SEC�� -T/. P2 C -`0FEDMONDS' ITY-, 0 -WASH I NG TON.' SN HOMISH'.. COUNTY -J ...'STMET FILE..'' cc�msevt) te, r_eorAm-L_%&meo over- &wo Lj 44— P T' pmorer-ric*4 r.6ArotAewr teccom eei,-r) _N4LAA-A_ e-c LAMP V.ILAjAj4. or- CC:*J5,TV_LjCrKN4 CIP AWY K040 no"S, ALJ0 DC& �AAe A.A� CM41 'Tu i M&TUCAL - - W UnLXrY i"�TAtL& waimciicl, rtzft I P% *A-A&lL_AZdC6'r%C*4 WMIEW Mev, MWeD AJ :!C.. �wircmc� mo v4 ms. w" tc.A4' AV-r- oe..&D, tij->cAj, >T1 , 'T 0 TD.T%40:W DwrAe4L.,cm cz�ulstlwa WIPC44�r&,&o wj5movbL o'mi:cmuec, tAATUlr_Aj 'cAbccw6 c45tww_LwMo" cr Tur- twrurw- cmowrm, J-,4. 'dA4A.4 FW,OrC* TuC c1lZADWTM IW 'ACZA0e_r>�wCAl& VkJrr-54 po�.7uc arry =,v r_pwosjcx, A&—,-t*rmcruc.&L_ cmm,&� ftc.� D -10 'rov.& G 'AW -t5o, 1A, AMP C)p rue- vq�, -I _1�4 . AV CAD&JG. NAOOJ VVI CAP I-cy, of 0,jr_FIAr_& fk ImberAv 2:.w '16eoof, ;M� AV S*Mos f d_� 12d v 0 W T 1,.4 Fr; li ��T r- rA e; u IVA a -3 I LA IF7.N* 4' J014T t all % % % % % % % 65M % % % PAWWA.N. 4Fr Vi. it. ?i 1�jr" % Ntl 4 &MAA! 17 7! P . 11411 Nortbland. Homes ko -E n STREET FIL. Hmm Fbr Nmtwmd LMng ;2 J:( -z. 13l 4 2�� oge 13 'T! �o RAW " HRA V- (WA An Y.t -507-164thSW.. LynTMood,WA98037 (206) 742-4141- 6 7 Z 0 W V) U 04 0 V. CiTY OF EDMONDS COMMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT A. * Owner: Name rmit No. STREET FILtue Date B. * Contractor: Name Mailin"ddress Mtliz Address -1 — fotADr-Lb�. W� q Wo 4 1)61"VIL,�,C , (.Alt' 1- City State Zip Cify— StAe Zip px(! I rz(le Is I -D t— 04 1 �c - i State License Number Tefephone Number 04- 3 Lei U S- C. Address or Vicinity of 4&it1U&1oh: Type of Work to be ne: D. 0 Work in Connection With E. 0 Pavement Cut: El Y x N Z��a ut i tlLt�lj % � 1, % L", -rc> �Q 1 fkt4k), 'N 6f SU'W,,:or 'kat' D Commercial APPLICANT TO READ AND SIGN F. 0 Size of Cut: V Single Family 0 City Projects 0 Multifamily 0 Utility _X INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. 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 time a debit or credit will be processed for issuance to the applicant. • A 24 hour notice is required for inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I understand the abov hat this permit must be available at the job site for inspection purposes at all times. Signature: E-'t-�gk:t Date: Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: '� , y),x Time Authorized: Void after 30 —days. Special Conditions: L L6 S I OL , 1" �— -C . ]� t V!f- PERMIT FEE: Restoration Fee: Receipt No.: Fund I I I Fee: Street Cut Dimensions: RELEASED By__��' INSPECTED BY NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE x — = $ Date 01 Eng. Div. March 1989 FIELD INSPECTION NOTES (Fund III - Route copy to Street Dep#.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. July 1985 /Vic aj 5aw,4x FOAL q 0 5 AA Mb c,,J -) A' -I 6 rx<d RA (L 144 PROJECT D!.SC1I1TION:.A1d,I I. ly 1-1-1 of OWN�PS: A'I*" I J, 11 Go 6�0 , ".. 8 8-1, R..d Ed;.,J,. WA 98026 (2 5) 742-27e3 TAX PARCEL NUMBER 7515-000-001-0002 LEGAL DESCRIPTION L*1 ';.E'"* .,d:"" P '91 -14 -1 C.-Y. S'.t. of ZONING: RS-20 CONTRACTOF: Cl�,ERMAK Z;C-NSTRLICTION. INC. 7 506 Oly�p Vt.. D. S C 98025 (2 1 ,f C-1."t Ho .' d Chermok. cgr STRUC'URAL rIC7ES: All --ol, d ... k .... k P Nli c,rf,,, it h, d- 0': ,p..,f ......... .. d - U c.d.. 1988 L..d,t R-1 Lo, V 1 DL 5 1 _1 p,f F '..' L. % L.ed 4-5 W.rd L-d a 'o " E��I*SLd z 3 A c P C*";* d , !'0',6F : I 'V C* I P.111 11- 1". rC".. d h., S.1 b,. --r!-d K UIC I , *.,d,-d ?6- 9. Th . ... .. ... 'Srr '.15. G_d, 6�). F� R-f-'rg ..... . h.11 f W000 pt'. C .... ..... .. c.r., GENERAL NOTES: Th. G1 P ...... .. I ...... d h C Ee., d. rd ..d'. " .1; 1: :,b::Cf "f__ 'd or pr.d, 1.1--d 11 p;1f. e 1,11 It. Th. Co,,�. ,,Il 1*,p o, 'he ere h t, h.tl b. bl� .d 'T oil pl',c.l;: P..d "'I b, ':T1. d' �.I`. pr.-j-, I, r led o.y - .1 .." . r role. or d' -1-0 d ! h: I - of P:.". D ih- - lyp co;!y '. .he F- r- d, e d. A�y ;c" to ':9 " ...... .. b.e.- 'h. Do 11 T" d, d�"',' ver f P d.-e -d I,,. d 11:,�"4 CA. S..;:., 1101"I'd... "I I Ic ..9 C, "'Itt 1 o' d 2 b 11- I_e. e. 320 ... ... p ol 14 �lf . ...... .... 22' 3C,4 P V d,y.,. b.,h To,, -d -S., o ..d.. A,p, , ,, %I ...... .1!.;;*,.o d _ or I__' !I,;, We P y .h-q- I-- -d-di. G:.*id '1'. 54 0 "W1 s "'jd" S or . 5 1 ; h' S y We- L... E...pl,o,, - .111. d 5.08 . USC 'T"y "'h _ " IN !1" s h. L , ':j'S1,:d M*,I.,,.* 1,,!Ol 1* fl";"I.d All *,.d PI.I., d 81.ek,.g d,I ... 11 h co-.1 rd' e .d .6 11 ........ ,,.,.d pp,* I A d 25- IT" *' 'P ... .. �Idq P.P. :h.of T-b., Cor TTC) C ...... e I d ,,A T or C_:.'.. C.. A I '. I D to, It., �10-11. 10 N*1 I— Dr,q: 1.1 w1i C*"; or E*- 8 . Tk ..... *d Its .d P, P I .. ... .. C'.* .�A 'c" I, - . , d- d C.- L-It., he. 16 1., d,,.o,. o k. r,t,l I.q MINIPIUM ....... .: ". -F.' - I or D�01.,PF N... 2. M... b ... c-pl-d .o'6. ."It !he PI ... J' .' . Fb . 1 0 H F.r F. -75 D* Sr", ' F-1 r, - 95 P.;. C , I., o I I'b: ,:,b::,f.r .11 �.d f.ly -Co.,. h q,*,: q ... L'o F., No. 1. M B.- P.-ced,res equ-d !a pe, o Sgt., St D91 S 1. 0 p". 12) 2 . :0 h-d- d..bl. F-1. I T..b.. : D?I,.,O%r We. 1. Mir-, S.- ...... 9, d bq 1 11 5.q. SI , . Fr. 0 D-91.1 Pj.y... d R.,.f � ;:Ir .,her .... .. ;.d p �,Il b* I* rd 0, d F,- or He PI ce. h P ri"15 ce-dC eel ."d 8... 0. P1 .... .. 8-r. �q W�11, F.r dp d o., d to 12 6. P (10' r4t, 2 -1he-12 1I,d N-1 Gyrs- W,Ilbt,rd - W sl�o,6.�.pttd o::o ! le' h P. d I. '!_d.' 1 11, co" 1 11 ..d 7 (11, Ut,'5d fo*, 112' 116-d. 5d .1 or,: *.,d .,:.P.. "07" o'h. I..I.,d U'C -0 r-d ... Ih -I.. _... 'ho .':. I .. .. . .I.d r!or. i,,"'I.bl. 25 71 3ttd!h� of !" . . J. N 89' 35 42- W 220.00' . . . . . . . . . . . .. . . . . . . 62.04 _157.9*65* -- - - - - - - - - - -IW667 7 -6h DS �'5. 0. NA71VE GR 'WTH NO Tea_- 8S6L Age To Ba PIOTICTIOII EA ENT CUTT�' DRAIN -A: DR, I L I III LI ME GUTTER �DRAIN I1ANH\O El z 11 011 2VER c 'UM oi,.,T .' 1. IT\ z _Nel - - - - - - -- 05 C, LOT 1;7e SOPT _x!:"1UG �L)C 2.1�! A[!�Dl'.LION' �89' S F > c PR)PO_'ED A3CiT:0tI I)C/L.07 C'0yE At!" 7- 1 0 US 9-SC" BAS� m os - [7Z z pO. 167 A H 111 1:: c! 1C m 7�HES Z; D'I c TO'A - I NI; rr, _j 11 31.11 1,1AIIAG; ANC1,5 N;TAPY SEWE; 5ET C.S. _' A EAS iEN7 I I PURL Ir 'ATIIWII EASEMENT 'SE . 40 /vg. (ae' ;x Azr W 7 /00. 2-5- /0c). 10 me -�114 119-3-15- MEADOVIDI'lE BEACH ROAD SL-RIEY 14>04ENI SC/\LF I " = 2 0 ' I : 2 4 CD SURVEY MONUrENT 91-'ItkAL C-40 3 VA u C, c� 71; z z z 07�zo 00 - u a:, < z z M2 0 C, 0 �j I- z A I 42TP PT P11 M -.'W OfTy OF EDMONDS PERMIT 'y - — ZONE 5--2do NUMBER CONSTRUCTION PERMIT APPLICATION joe ADDRESS &,?03 d2rAoat1,o&61,16qe-H NAME (OR NAME OF BUSINESS) W z 00(LV I, Alt E) HO WL LEGAL DESCRIPTION CHECKI SUBDIVISION NO�71D NO. MAILING ADDRESS OLI .1vt PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION PROPOSED__,,fjV_ z CITY J�wd TELEPHONENUMBER _7 112--gl 0 W NAME RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REQUIRED 0 2r W W z ADDRESS SEE ENGINEERING MEMO DATED z Uj CITY TELEPHONE NUMBER REMARKS 'I'a NAME ADDRESS 0 I- 0 cc METERVZE 4 BUILDING SUPPLY SIZE FIXTURE It 1 1 UNITS cc W CITY TELEPHONE NUMBER z 0 1 REMAOKS PC? ID STATE LICENSE NUMBER 0 0 eli� H 1 1151 C er SIGN AREA ALLOWED PROPOSED ENV. REVIEW COMPLETE EXEMPT WLTH ADEI NO. z Legal Description of Property - include all easements (show below or attach four copies) SHORELINE 0 RIM wez' ,W -40y L—AUL NEW 11141 51Z0 ADDIALTER 1 1:1 1 iL cc W _j < C) W VARIANCE OR CU PLANNING REVIEW BY L-F—_ DATE YARDS 4W FRON SIDE REAR HEIGHT LOT COVERAG z z R ARKS (L REPAIR RETAINING WALL Li SIGN EXCAVATE FENCE DEMOLISH OR FILL F1 ( x _FT) CHECKED BY iwq I TYPE OF CONSTRUCTION CODE ,- W � HEIGHT PRE -MOVE INSPJ swim REMODEL COMPLIANCE INSP. POOL SPECIAL INSPECTO R REQUIRED 0 YES 0 pf) AREA GROUP OCCUPANCiy�3 OCCUPANT LOAD WOOD STOVE/ INSERT APT.BLDG RENEWAL REMARKS z ffzee-c�&ys to Uj a co 0 NUMBER OF STORIES Aft NUMBEROF DWELLING [UNITS 01/6- NATURE QFRK TO BED�NE (ATTACH PLOT PLAN) F- ZY) C F ou"ho n 7(f Lora 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, GRADING/FILL STATE SURCHARGE driveways, marquees, etc.) will require separate permission. 7ermit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and u) Ow Z�! successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, Its officials -1-- -A " f- .. -A -11 -t-;, -.A-- c-" PRO= REVIEW CHEMIST PRWECT NAMi lood 165 Pm= ADDRESS: APPLICATIOWRECEIPT -7 0 U) Z)C P 1'M g cct4VE� PLAMING Reviewed by: (initial/da WIR/SWR STREET INQMG;,,�, FIRE BUILDING Sn4='PAkiY�KMTrME/CMMERCIAL (Circle One) ,,�SEMACKS CHEM Plann ing L--F 77777T/7 7777777777 kt"L VARIANCE/SMACW ADJ. commomr; usE PERMIT 2 ADB R=RDOM CHBMD-!',�' 3 It am M' '�REQUI 77T/777T77T/777777 4 W' trw 75P�T L iAOCESS'SWPF & VEHICLE ACCESS -1-11-777TI-T �6 777777777777771111 'D RAINAGE PLAN On Site) W 7 V STREET FILE, 17TITTTIT -77 /7777 ITF 8 .�iLEGAUDESCRIPTIM VFRIFICATIM 7 7 7 7 T1 7 71-1 TFITR T T/ TfM W, )UIT'CLATM/DMICATICNS -10�2 7TITff ////// 7TM1111 ///////// -T m o �'Ek§D�m IMTTC/PRIVATE 77T/7/T/777/ /T/7 CMMATE S BM'CUMMION IF NO LID I M11 44 lZ 177TWT PLAT/SUBDrVISICN REQUIREMEIMS-,"',. .77T/7 "'P T kY, CONSTRUCTTON I RE(-)D 144 -'IMPROVE BOM REQD'POR PUBLIC NEIM 77777T 777 777777 777777T/7 717TTF17 D 777777777 IVA /////PW 6 ;-SrrRE9r,PAV1W,'RE)QLJTRED 7777-77777777777 -17TI7-1 m ILV�' ��,,'amlm aYPM-,REQUTRED--''-';� TRI11111 18 SIDEWAIX REX)LJ IRED 171111111 9- 17TI77TIT 7777777777 ;cam cur �FOR MiViWAY�RfM" 2 01 'REt- STREET, HAM SIGN, M -T 21',! SIGN 77777T777777 ITIT "SIDE,SEWER AMIABILITY 7777TITIT 23� EXISTIM MTER'MAIN 111711777777777 111111771111111/j, 4) /777///// 1111111T ki 1117777T -1-17TITIT 261 46: /7777777 W,7 �nl ISTING 1111wIll 28�4 Ai ICNIINSPECTIM REM 29'� rm T/77 1177 711 30 m'; cot �3: Ll 'SPRn4KLFJR W 3 31 STANDARD DRAINAGE PLAN tCATC_�j tSA,51H: A_Q,3 , I S-3 0 (0 -'OUA.L 0(o �UA, L T P, Q N C W LCr > T P k I--, N C H_ C 0 V, ............................. . ...... . .......... T U w w: L Cy jrL 7-F, 1z N C_ k plpc* CAIP 7EE N/4'LDNG LECS SYSTEM CROSS—SECTION MIR_Z11ff1 Soox - OK TO F>fE-_ LJ > 7 PIE W_ �4 COVE R VI" "4 0 :Sl� G P—,oi E cc; AM ,F7 T IF E I C T�r—�, /,,� /,f, �� ./ F� d le� G�- :3.- (0 Z_ -3 INFILTRATION SYSTEM PAGE I OF 2 for location plan by itt 92 F 2Z6-j�.,, phone z date. DESIGN DATA Trench Perc LF per I mpe rTn Trench Number . Rate 1000 Sq-ft. Area Req. H--� 3 -�2yz-" Iso NOTES I- Call Engineering Division (771-3202) f ,or prebackfill and final inspections. Rese-onsibi'li,,y for operation and maintenance of drainage systems on priyate property is the responsibility 01. the property owner(s). Preyentive maintenance consists of preventing Soil and other materials from entering trench during construction as well as af�tar construction. Catch basins should be cleaned of floating material and sedf,men" a- regular interyals (at least twi . ce per year). D LO illillillillilllllll 11IIIIIIIIII III CITY OF ECDMoNDS NortWand Fl- LLI -------------- ------- ... ....... Bomes., Inc. Pomes For Noahy�� Uving CIO t4tyl JYL� & 13. j J �3... 7� C7 13 5 RECEIVED ,JUN 8'- 1987. A,.i lGoA�1i;- PERMIT COUNTP b 51 3o 'Ta ;4c t dig Se-r7 C- - 5 - A .507 164th S.W. Lynnwood,WA 98037 (206) 742-4141 66 k-/ qy cir-2 MEMO TO: Building Division FROM: Engineering Division SUBJECT: /&"Aw, 1'a A"/,/ After 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 a"ny way. 8) 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. 17 ( /0 1 CITY OF EDMONDS ASSET INFORMATION SHEET 2/NEW 1:1 ADDITION El RETIREMENT Sor "ff P-- ASSET NO. nm E LE: T ADDITION TO ASSET NO. DESCRIPTION V/ e- SERIAL NO. LOCATION PURCHASE ORDER NO. PURCHASE ORDER DATE COST *PROJECTNUMBER PROJECT COMPLETION DATE COST ---: 5- B.A.R.S. ACCOUNT NO. ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY 2-`DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT 0 G.L. E REFERENCE DATE e�o� - VERIFIED By PROCESSED BATCH NO.- ttnp INITIA