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6907 160TH ST SW.PDF852 6907 160TH ST SW 4 01/09/95 City'of Edmonds C. T RIGHT-OF-WAY CONSTRUCTION FiLEPERMIT Permit Number. 67 Issue Date: A. Address or Vicinity of Construction: 6907 160th St. SW _ 4"ex ive, I C B. Type of Work (be specific): GTE placing telephone wire from IM 11711) +- AQn7 19114.1k C#- Qw Contractor: GTE Northwest Incorporated Contact: Bill Jira 823-6683 or mobile 666-5716 11 - Mailing Address: 22118 20th Av' SE, Suite 130 Phone: Permit coord., Mary 488-1628 Bothell, Wa 98021 Liability Insurance: Bond:$ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. F-1 Commercial E] Subdivision El City Project [?9 Utility (PUD, GTE G, CABLE, WATER) (�i" E] Multi -Family [:] SingleFamily F1 Other W. 0. #2100-9POOlDB.1242310 INSPECTOR: INSPECTOR: WkJ Gu+ir F. Pavement or Concrete Cut :� 0 Yes tUN� G. Size of Cut: - x H. Charg(�_$ APPLV,NNT TO READ AND StGN INDEMNITY. Applicant understands and by his signature to this application, agrees to hodtheoCity ofEdmonds harmleiifroU 4ni'g"400, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made ag tth C*ty ofEdmonds, or any of its departments or 'Ag� spermit. employees, including or not limited to the defense of any legalproceedings including defenpq-c 9ts and attorney fees by re0on o�&ana thi V , I I THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATlokFhE - S'W. L BE HELD UNTIL *E FTAT1qTREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCEXSIED FOR ISSUANCE TO THE APPLICANT. Construction drawing of propos'e'd work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. I - L Traffic Control and Public Safety shall be in accordance with City r'QWations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the above stateme ts and up4eF&tgnd the permit requirements and the pink copy of thepermit will be a6ailableon site at all time 'o ins S. 1 7ft 8t= Signature: Date: 01/09/95 (Contractor or Agent) John H. Stewart Oprns Supv-OSP Engrg. CALL MAL-A-DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: WinAc'.J4 RIGHT OF WAY DEPOSIT TIME AUTHORIZED': VOID AFrER DAYS DISRUPTION FEE/FUND Ill:, SPECIAL CONDITIONS: RESTORATION FEE: PERMIT F EE6 COMMENTS: TOTAL FEE: RECEIPT, FEE - DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. I)iv. 1991 FIELD INSPECTION NOTES Comments: Diagram.: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) El YES F-1 NO Date: Date: PERMT SUBMITTED BY LEGEND FEDS a POLES 0 ROAD BORES OVMAD LMS- - LO. UTUTY POTHOLE M UG 7FtENCHING---UGT-- R.o.w. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - THE FOLLOWING IWO to BE PROVIDED: RKMT-OF-WAT LKSEOP OR FACE OF CWt% EXISIM SIMWMXo POLES, ROAD CUTS AND THE UMITT tmm ROAD CUTS, ABOVE- GROM FACILITES.1led PEDS.BOXES.CABINEI S. ETCJMDERMOtM MiCHIM AND OVERHEAD LKS. FOMACE OF woRK im 4A.w. -n ;v 0 CD co !J1 ID rQ C4 PERMT SUBINTED BY I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LURM RND FECIS a POLES 0 ROAD BORES OVMA9 LKS MUTUTY POTHOLE E:J UG IFtENCHING--4JGT-- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - C) INE FOLLOWING IWO 16 BE PROVIDED: RIMI-OF-WAT LMSEfP OR FACE OF CWt% EX61M SIDEWALK, POLES, ROAD CIffS AND THE MIT T tom ROAD CUTS, ABOVE- MM FACUES.1led PEDS.BOXES.CABINEI S. IETCJMKRMOtltV TRENCHM AND OVERHEAD LIES. F 091 AM OF WORK IN tO.M. R.o.w. EOP - 0- IRS -n M 0 CD ID w C4 1 8 9 0 - , 9 9 - C. Contractor: City of Edmonds FMHT-OF-WAYCONSTRUCTION rrINIVII JL ! WT 1. 12-:;— n, * a erm t um er. Wue Date: .7-,/ A. Address or Vicui�uity of Construction: 6907 160th St SW Air-1- GTE to place telephone service wire from B. lypeot o kbespectic): i& TM #710 to stub out at 6907 160th St SW. Approx. 80 foot r.o.w. Mary A. Bower, Permit Coord. GTE Northwest Incorporated Contact: Bill Jira 206/823-6683 or 669-5716 Mailing Address: 22118 20th Av SE, Ste 130 Phone: Mary 206/488-1628 StateLicense#: Bothell, WA 98021 Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. 0 Commercial E] Subdivision El City Project [N Utility (PUD GTE)WNG, CABLE, WATER) n Multi -Family E] Single Family Other _2JW-9P001DB1z2310 apsib INSPECTOR: INSPECTOR: vi -Ft Pavement or Concrete Cut: "*[]Yes UNo G. Size of Cut: X H. Chargq�_$ Please see attached sketch. S APPLICANT TO READ AND �GN I f"21 1 INDEMNITY. Applicant understands and by his signature to this application, agrees to hold ,,ti:e *tyofEdmondd'harmless rominjurtes, mages,or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made agairrilthe City of Edmonds, or any of its departments or " - f employees, including or not limited to the defense of any legal proceedings including defense qQsV and attorney fees by rem� on 0_�g`rq6tin'g,tdsipermit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR 1401,i6WINO 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. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihaue read the aboue statements and understand thepermit requirements and thepink copyof thepermit will be auailable on site at q11 t' tmqsV—M-�Nction purposes. Signature: il ��Mohh Stewart Date: 01/25/95 (Coo,gw4W 0*ap#gent)0prns Supv-OSP Engrg. CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY V-.,) LN C_ V kA\ APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED': VOID AFTER I ki FA (L DAYS SPECIAL CONDITIONS: P A, COMMENTS: DISRUPTION FEE/FUND 1,11: RESTORATION FEE: PERMIT FEE. TOTAL FEE: RECEIPT FEE: 11MIN63 ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE En&rg. Div. 1991 FIELD INSPECTION NOTES Comments: Diagram.: (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION El YES Partial Work Inspection* by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: El NO 04 I 0 Q� U. PERMIT SUBMITTED BY ^"rv- LEGEND PEDS a POLES 0 ROAD BORES OVERHEAD LKS I.Q. UTILITY POTHOLF M UG TRENCHING ---UGT-- u, RAW, ----------------------------- EOP R90 -s7- �sw - - - - - - - - - - - - - - - - - - - - - - - - - - - - - PERMIT SUBMITTED BY GTE LEGEND PEDS POLES 0 ROAD BORES OVERHEAD LKS I.Q. UTILITY POTHOLE M UG TRENCHING --UGT-- C� RAW, ----------------------------- EOP ------------------------------ �-m 60 —s7— -s'w -------------------------------- Jf a PERMIT SUBMITTED BY GTE LF.GIEND RAW, ----------- ----------------------------- EOP - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LL "46 T14915S -rO F29MAA 7:1 14"P 7"*'14 4, Wm4 FuVL 0, A 17, site p Lan__ fix H5-1,!f,PT CALe—'S T F2n norn im A Ave -lol.0 MA11HUH ALLoW, H�14�+T 426.01 114 L6�AL, PSS�--K L,olrA, 6907 i6oz sr :5W, WHoHOSI WA r,A)( f9AlQ.--eL. e- 1�lzlwze P::oz-�14rS SUHHAOZ�( KNH FtAOF, 119e) rzu*�K PLAnow, 15--3-7 119)1 AWrIA :5 1,2x New O"wAer ,IVA-n.0 Ta= R F. 0 F- 1,v F. 0 DEC 2 8 1993 PERMIT COUNTER UA � "Y r ".W. Ft:)HOt4tZ�LIL 2j'!:� STREET FILE SHEETINDEX 1. SITE PLAN 2. FOUNDATION AND LOWER FLOOR PLANS MAIN FLOOR AND UPPER FLOOR PLANS 4. ROOF PLAN AND SECTIONS S. EXTERIOR ELEVATIONS 6. DETAILS 7. ELECTRICAL PLANS 0 LCL Ld co CY LLJ 9 0-c z 9 LLJI U) L� LU 3: LLJ co CY CL cc r7- To lee, dj7A L 1 K*m FLA 4va T Ttpk IL t4affr I s- -1'4 6-3-61 it 1 '7 ( is Q DIS si�rrper -ewme- W 20, e^semet-rr- C-OHHecr -ro &-') SOtV 156�elt� SE^,qt4e-j A,0JAe-eRr WC�0*4dd (41WW::P� 'ro VOZPr AZOACY SIM SeAgi� &4� at5r X ite L,f &*- / -.. s c- if wwrl i G4 ex mt Lit 1 -10 .910 HEJI��-� C��S Pr. , rwn lk A 40-1.,v Ave MA-ZIMUM ALLoW, He[C,�+T 42.ep,ol LAAcxf agra"wmi , \ �2,- 5e-).er ., 6-taf--j "t OL" ) u5t::;,k, t�)S<-�fArflo� - LarA, 60D07 16olN Sr %J, WHoH0S, W^ 'r^)( PARCeL. 4 �,W-e SUHHAP,-( NWH FtooK 119e) UPPEK 5tl=e- t.6wr�pl Fzuno?CL 15�5-7 1pr4iren CtAt�e 5vi 6; 1.,.I!m ff,,:M CA It -3 L H--HCM� UO -02JI, ACCEPTABLE TIGHTLINE MATERIAL Sch 40 PVC SDR 35 (ASTIVI 03034) I V j: o 5lL)eW^ue- 24.0 APPRO ED AS NOTED New omvgwA,-r isd" PA -no �-4 Z F; 9_Tjq I A STREET FILE SHEETINDEX J A 1 2 15- '69 Sl i 1 T 1. SITE PLAN 2. FOUNDATION AND LOWER FLOOR PLANS 3. MAIN FLOOR AND UPPER FLOOR PLANS 4. ROOF PLAN AND SECTIONS 5. EXTERIOR ELEVATIONS 6. DETAILS STANDARD, DRAINAGE DETENTION SYSTEM WORKSHEET OWNER ADDRESS "'Jo, CALCBY: PHONE:;' DATE: "'DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE -71. i DETENTION PIPE LENGTH WASHED GRAVEL OUTFLOW T NCH, MIN IV LONG TOP 4-PERF PIPE TO BE LEVEL I'IMN COVER ROM ELEV WPAIN. SFACE FROM 2'MAX COVER RIM ELEV:��' CONTROL L 'OUTLET I+ 4!'Q MIN T 4'PERFPIPE 51/. SLOPE 4" 0 PIPE MIN. I —1 Lrr� RUNOFF SPREADER ORIFICE OUTLET INV ELE INV ELEV wpeft CArCH BA SIN COAMROXE BASIN 4' W OUARRY SPALL S SYSTEM CROSS SECTION ��..�!EEP, DEEP, 3/4-CREISHED ROCK ". C' FR ONTR OUTLET RIPRAP OUTLET -ET FILE.-- R.; FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: L Call Engineering Division (771-0220) for a tightline and detention system inspection before backfilling and for final inspections. APPROVED BY 2, Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. The outlet control orifice DATE must be kept open at all times. A - IF A SEP 2 a 1993 PROJECT REVIEW CHECKLIST PL67- PLAN CHECK #:913 J 7(0 PROJECT ADDRESS: (�2 ya 0 (�7— RECEIPT DATE:-9 REVIEWED .. BY'jlnitial/Date) PLAN. WATER COMMENTS FIRE 131-06. SEWER STREE-rLgNp. Setbacks/Variance/Setback Adjustment Ell M . . . . . . . . . . . . Conditional Use Permit AD13, Requirements Other Zoning Requirements Underground Wiring Required Lot Slope 15% SEPA Environmental Checklist/Hydraulics Permit it Tree Cutting Plan Plat/Subdivision Requirements Ld gal Description Verification Quit Claim/Street Dedications Easements - Public iva Engine ring Storm Draffin Review Fee m m . . . . . . . ... ... .. 13 Engineering 2.2 Inspection Fee Drainage Plan (On -Site) Setback - Top of Bank, Stream, Water Courses . . . . . . . . . . . . . . . Setback - Storm Drain Line j..17 Open Ditch - Existing Culvert Required Culvert Size Shoulder Diainage/Shale Opeh Runoff . . . . . . . . . . . . . . . lei .21:1 Catch Basin Required .'2 - 2'- Driveway Slope & Vehicle Access Sidewalk Required . 24- Curb & Gutter Required 25 Curb Cut FOr Driveway Required . . . . . . . . . . . . . . . . . . . . . . . Street Paving Required . . . . . . . . . . . . . . . Right -Of -Way Construction Permit Required tfg�5 Street Name Sign Required Other Signing RequiredFl"-'4 30. Bond Required For Public Improvements &)c� . . . . . . . . . . FEMA Map Check/Water Table . . Side Sewer Availability .. ..... ... 33 3 Calculate Sewer Connection Fee If No LID #010 Create Street File 36.1 Existing Water Main Size Water Meter Size 31,1 37: Service Line Size !Illt"4v tt�� - - - - - - - - - - - - - - - - - - - - - - - - - Water Meter Charge Required ggf 39.,:'. Hydrant Required, Hydrant Size Existing . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............... ,,40 - 41 Fire Line Charge Required - Sprinkler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........... . . . . . IStreet Cut 72- ...42:- 43 IMiscellaneous V44 Reviewed By: FIRE PLANNING ENGINEERING PUBLIC WORKS " r E E -l" FILM KE EX14IBIT "A" THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF WASHINGTON, COUNTY OF SNOHOMISH AND IS DESCRIBED AS FOLLOWS: That portion of the East 208.6 feet of the West 417.2 feet of the South 208.6 feet of Lot 37, Meadowdale Beach, according to the plat thereof recorded in Volume 5 of Plats, page 38, in Snohomish County, Washington, described as follows: Beginning at the Northwest corner thereof; Thence South 1*4110011 East along the West line thereof 81.35 feet; Thence South 83*2111811 East 175.22 feet to intersect a line parallel with and 35.0 feet Westerly of the East line of the East 208.6 feet of the West 417.2 feet of said Lot 37; Thence South 1*4110011 East along said parallel line (110.0) feet to the North margin of right-of-way for 160th Street Southwest; Thence South 89*0010011 East alogn said North line and said North right-of-way 25.03 feet to intersect a line parallel with and 10. 0 feet Westerly of the East line of the East 208.6 feet of the West 417.2 feet of said lot; Thence North 1*4110011 West along said parallel line 138.6 feet; Thence North 8900010011 West 6.0 feet; Thence North 1*4110011 West 70.0 feet to the North line of the South 208.6 feet of said Lot 37; Thence North 89*0010011 West along said South line 192.58 feet to the point of beginning; EXCEPT that portion conveyed to the City of Edmonds by Deed recorded under Recording Number 7911160158. (ALSO KNOWN AS Lot A, City of Edmonds Short Plat S-60-76, recorded under Recording No. 7612100153.) Situate in the County of Snohomish, State of Washington. SUBJECT TO an easement for ingress, egress. drainage and utilities over, under, through and across the east 25.0 feet of.the South 99.99 feet thereof. TOGETHER WITH an easement for installation and maintenance of storm water drainaRe vive, throuah and across a striD of lan d 2.0 feet in width,..lyina continuouslv along the Southerly most T)roperty line of =opprty desribed in Exhibit "All of easement recorded under recording No.9106250434 of Snohomish County, Washington. 7 v o L. .2.4 5' 9 PA �E avj 0 rz EX14IBIT "A" THE LAND REFERRED TO HEREIN IS SITUATED IN THE STATE OF WASHINGTON, COUNTY OF SNOHOMISH AND IS DESCRIBED AS FOLLOWS: That portion of the East 208.6 feet of the West 417.2 feet of the South 208.6 feet of Lot 37, Meadowdale Beach, according to the plat thereof recorded in Volume 5 of Plats, page 38, in Snohomish County, Washington, described as follows: Beginning at the Northwest corner thereof; Thence South 1*4110011 East along the West line thereof 81.35 feet; Thence South 83*2111811 East 175.22 feet to intersect a line parallel with and 35.0 feet Westerly of the East line of the East 208.6 feet of the West 417.2 feet of said Lot 37; Thence South 1*4110011 East along said parallel line (110.0) feet to the North margin of right-of-way for 160th Street Southwest; Thence South 89*0010011 East alogn said North line and said North right-of-way 25.03 feet to intersect a line parallel with and 10.0 feet Westerly of the East line of the East 208.6 feet of the West 417.2 feet of said lot; Thence North 1*4110011 West along said parallel line 138.6 feet; Thence North 89*0010011 West 6.0 feet; Thence North 1*4110011 West 70.0 feet to the North line of the South 208.6 feet of said Lot 37; Thence North 89*0010011 West along said South line 192.58 feet to the point of beginning; EXCEPT that portion conveyed to the City of Edmonds by Deed recorded under Recording Number 7911160158. (ALSO KNOWN AS Lot A, City of Edmonds Short Plat S-60-76, recorded under Recording No. 7612100153.) Situate in the County of Snohomish, State of Washington. SUBJECT TO an easement for ingress, egress. drainage and utilities over, under, through and across the east 25.0 feet of the South 99.99 feet thereof. TOGETHER WITH an easement for installation and maintenance of storm water drainage DiDe, thrnuah and across a striD Of lan ' d 2.0 feet in width,.lying continuouslv along the Southerly most i)roperty line of woperty desvibed in Exhibit "All of easement recorded under recording No.9106250434 of Snohomish County, Washington. 10 IL 0 7 08 7 voL. -24 9,y q -4 'n P A 1 1011 0 W #A VI I.- I.- I.- ," M U, ul U, w xxx W wl 0 ace tm 0 0 � C44 C4 -0 * q C', C4 C4 R C14 (4 0 0 m 4-*"5- �.? 1-2- Y, 17 3 7-.3+-1-71 44q 4� 14- A <4-Wl . S- -� ; --7E7� 4-41-S 404- ?,15/s Y, 5 — e-.. Z. 74, � - 5' W I + 4z- 2-3 4t6 40 z(. A 37 The c>4 2 —A 54 N-Y, z + Eli 7777' -0 '�' �Pft 1w fr 7-� A, 0 r4 9.9 44 t.1 14 1 890 . 1 ()4 CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works e Planning 9 Parks and Recreation e Engineering LETTER OF TRANSMITTAL LAURA M. HALL MAYOR PETER E. HAHN DIRECTOR Date: June 10, 1992 . To: Thomas A Heller SFP 2 8 6907 160th St. SW Edmonds, Wa. 98026 M1,1�11T COUNTER Subject: Critical Areas Checklist Transmitting: For your information: xx As you -requested: For your file: Comment and retum: Note attachments: Comments: Planning Division Cindi Cruz Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan PUGET MEA ;9 3: 'IT x sw *Rx— ss .2- �slllqo cr I 46P, w RD KEELEFT Pt pt S7 PL VICINITY MAP 6907 - 160TH STREET SOUTHWEST EDMONDS, WASHINGTON .......... Job No. Date: mare: 91171 MA Y 1991 1 090 ..j99 - City of Edmonds Critical Areas Checklist ne Critical Meas Checklist contained on this form -is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a develop to the City. I ne purpose of the Checklist is to enable City staff to determinewhether any potential Critical Areas are or may be present on the subject property. ilic information needed. to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out thechecklist, sign and daft it, and , submit it to the City. The City will reviewl the checklist, make a precursory site visit, and make a determination of the subsequent stcps necessary to complete a development permit a�f)lication. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough detail that City staff can find and identify the -subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factu,al, to the best of my knowledge (fill out the appropriate column below). Owner/ Applicant: Name Title i Applicant Representative: Name Title 6'90 7 1,��Ozy- S�1—,ce�r x-;�,&2, Street Address Street Address City,St�te,ZIP Phone CAI) N �2 —(?RL Signature Date City, State, ZIP Phone Signature Date �71-4 - 5��? -57.5:�� RECEIVED Critical Areas Checklist JUN 0 3 1992 Site Information PERMIT COUNMR PWject Name: h�-L ZF� Permit Number. er Site Location:z�707 I&a7;,, gr W Property Tax Account Numb S131 000 L). ' !#7 Approximate Site Size (acres or square feet): I-9P 0 5-,R A-7)- Have you filled out a Critical Areas Checklist for a project on this site before? Ille General Site Conditions 1. Has the site been cleared or logged? Date of most recent action: A&�,P 7- a? y_.,rf;cS, Soils / To ography W 2. in the Snohomish County Soil Survey, what is the mapped soil qpe(s)? 3. Describe the general site topography. Check all that apply. Flat less than 5 feet elevation change over entirie' site. Rolling slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet) ---JB13r. slopes prc=t on site of morc than 15% and less than 301/o ( a vertical rise of 10 feet of horizontal distance.) ---Steep: grades of greater than 30% present on site. Comments 4!!2�py go Hydrology[Vegetation 4. Site contains areas of year-round standing water 5. Site contains areas of seasonal standing water. AIP —Approx. Depth: 6. Site is in the floodway NZ) floodplain /1/0 of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? A�Lflows are year-round? &/2-Flows are seasonal? ZVO 8. Site is primarily: forested meadow shrubs _;mixed 9. Obvious wetland is present on site: h10 10. Wetland inventory or map indicates wetland present on site: A1,0 11. Critical Areas inventory or map indicates any Qritical Area on site. .-REQUIRED:-COW -a'reas,.*:s UDY Dete rmina tion Number -Revl/27M Fla City of Edmonds Critical Areas Determination Applicant: I Heller Homes Determination #: I CA-92-96 Project Name: Permit Number: F Site Location: 1 6907 160th St. S.W. I Property Tax Acct #: 1 5131-000-037-12 1 Project Description: New Single Family Residence Waiver Criteria (all criteria must be found to apply): xxx There will be no alteration of the Critical Area or its required buffers; xxx The development proposal will not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; xxx The development proposal meets the minimum standards of the Critical Areas ordinance; xxx The above findings are based on the following conditions of approval: 1. All drainage from impervious surfaces must be tightlined through a detention system to the City Storm system as required by the City of Edmonds Engineering Division. Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B. 150 (B) of the Edmonds Community Development Code. RVII e- C—SRnature liat4 CITY OF EDMONDS 10 250 5TH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-3202 40p� 1�4 RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICAN CE Description of proposal: New Single -Family Residence (totaling 4,296 sq.ft.) (City of Edmonds Building Plan Check No. 93-170). Proponent: Thomas and Patricia Heller Location of proposal, including street address if any: 6907 160th St. S.W., Edmonds, Washington Lead agency: CITY OF EDMONDS 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 is not required under RCW 43.21.030(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. xx 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 .1994. Responsible Official: Ann Bullis Position/Title: Code Enforcment Officer, Department of Community Services - Planning Division Phone: 771-0220 Address: City of Edmonds, 250 5th Avenue North, Edmonds, W Date: —,q4 Signaturx yukzi xx You may appeal this determination to Rob Chave, Community Services Director, at 250 5th Avenue North, Edmonds, WA 98020, no later than -2 - 2- 1994 by filing a written appeal citing the reasons. You should be prepared to make specific factual objections. Contact Rob Chave to read or ask about the procedures for SEPA appeals. xx Posted on '2 1994 at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. xx Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Mailed to the following along with the Environmental Checklist: xx Department of Ecology xx Thomas and Patricia Heller (Applicant) Environmental Review Section 18303 76th Avenue West P.O. Box 47703 Edmonds, WA 98026 Olympia, WA 98504-7703 Attachments: Critical Areas Determination # CA-92-96 Environmental Checklist PC: Building Plan Check No. 93-170 SEPA Notebook Page 1 of 2 MEMORANDUM CITY OF EDMONDS PLANNING DIVISION 250 STH AVENUE NORTH, EDMONDS, WASHINGTON 98020 TO: BUILDING DEPT. PLAN CBECK NO. 93-170 FROM: Ann Bullis, Planning Division 4- DATE: FEBRUARY 10, 1994 SUBJECT: ENVIRONMENTAL DETERM[INATION FOR A SINGLE-FAMILY RESIDENCE AT 6907 160TH STREET SW, EDMONDS, WASBINGTON I have had the opportunity to review. the environmental checklist, and Critical Areas Determination, a copy of which are filed in the official file for this permit. Based on my review of all available information and adopted policies of the City, I recommend that a determination of nonsijinificance. be issued. Attachments PC: FILE NO. 93-170 Page 2 of 2 *** Mv'rPnqrAw T.ARPTq *** Date: 02/01/94 Report: Laser 3 Across Labels Sort: Parcel Number Count: 21 For: Of: By: LORI A. WIRT . Mgmt Tax Title Prop Robert Hudgins Homes Hofto 2nd Floor Annex Bldg M/S 15814 68th Ave W 12422 Possession Ln 507 Edmonds, WA 98026 Edmonds, WA 98026 County Courthouse, WA Gerald Lee James K Slaughter William & Carol White 15826 68th Ave W 2103 5th Ave N 9122 227th St SW Edmonds, WA, 98026 Seattle, WA 98109 Edmonds, WA 98026 Arthur Harpst Joyce Thorsteinson Leroy & Louise McNulty 15906 68th Ave W 15904 68th Ave W 6815 160th St SW Edmonds, WA 98026 Edmonds, WA 98026 Edmonds, WA 98026 Thomas & Patricia Heller Gary Embree William Funston 7116 151st St SW 6921 160th St SW 15915 70th Ave W Edmonds, WA 98026 Edmonds, WA 98026 Edmonds, WA 98026 Peter &,Cathy Kiener John Yukimura Shirley wood 15911 70th Ave W 15827 70th Ave W .15809 70th Ave W Edmonds, WA 98026 Edmonds, WA 98026 Edmonds, WA 98026 C F Hansen Michael Black Richard Myhre 15808 68th Ave W 15907 70th Ave W 15828 68th Ave W Edmonds, WA 98026 Edmonds, WA 98026 Edmonds, WA 98026 Clark Grasher Craig & Sharon Coleman Catherine Orlins Kenneth Egeck 15810 68th Ave W 6909 160th St SW 15920 68th Ave W Edmonds, WA 98026 Edmonds, WA 98026 Edmonds, WA 98026 PLANNING DATA SITE ADDRESS: 6'707 5&d DATE: 2161-7.,il ZONING: fz,5 PERMIT#: PROJECT DESCRIPTION: SETBACKS: Reauired Setbacks: Front: ,26 Left Side: Lo Right Side: /c:> Rear: 2-,5 Actual Setbacks: Front: 3,=� Left Side: Right Side: '5,51 Rear: /0/ FLOOR AREA: LOT COVERAGE: Maximum Allowed BUILDING HEIGHT: Maximum Allowed:-:�/21.z (C:::"/ )Actual Heightt-llrpv,� f 4 SUBDIVISION:— 5'- (e 0 - -7 (o CRITICAL AREAS #: C 14 - I -z- -- q 6-', SEPA DETERMINATION: Plan Review By: NO EXCISE TAX REQUIRED /;z — WECEIV,%, JO 18 1994 J U N 26 19 COUNTER semish In E MY IQ SEMENTAGREEMENT A-tA ,MH '91 'GR461-NAL - 0 THIS AGREEMENT is made by and between WILLIAM C. FUNSTON and SHEILA J. FUNSTON, husband and wife ("Grantor"), and,BRUCE M. OINEILL and KATHERINE J. OINEILL, husband and wife ("Grantee"). Grantor is the legal owner of that certain prop- erty more particularly described on Exhibit A, a copy of which is attached hereto and incorporated herein by reference (the "Property"). Grantee desires an easement over a portion of the Property for purposes of installing, constructing and maintain- ing a certain pipe, which will service an area adjacent to the Property. Grantor desires to grant Grantee such an easement. In consideration of the mutual covenants contained herein and for other valuable consideration, the receipt of which is hereby acknowledged, the parties hereby agree: 1. Grant of Easement and Purpose. Grantor hereby grants to Grantee an easement with respect to that portion of the Property more particularly described on Exhibit B, a copy of which is attached hereto and incorporated herein by reference (the "Easement Area") for the purposes of installing, con- structing, repairing, maintaining and replacing a pipe (the "Pipe") that will assist in the draining of surface water.that may collect on the property more particularly described on Exhibit C, a copy of which is attached hereto and incorporated herein by reference (the "O'Neill Property"). Grantee shall also have a right of ingress and egress onto the Easement Area for the accomplishment of such purposes. Grantee shall be exercised only to the extent they are reasonably necessary for accomplishment of the above stated purposes. Grantee shall exercise its easement rights so as not to interfere unreasonably with Grantor's use of the Easement Area. Such easement shall run with the land and encumber the Property and shall be for the benefit of the O'Neill Property. 2. Duti�s of Grantee. Grantee agrees that it will be solely liable for the cost of installing, constructing, repair- ing, maintaining and replacing the Pipe. 3. Indemnification. Grantee hereby agrees to indemnify Grantor against and to hold Grantor harmless from all claims, liability, damages and costs, including attorney fees, incurred by Grantor and arising from the negligent acts, errors, or omissions by Grantee, its employees or agents, with respect to the exercise of easement rights hereunder. Grantor hereby agrees to indemnify Grantee against and to hold Grantee harm- less from all claims,, liability, damages and costs, including KELLER ROHRBACK Surn 3200 1201 THIRDAVENUE SFAME. WX-3111NOMN 98101-3052 (206) 623-19M 91062504, YOL. 2454PAGE2792 attorney fees, incurred by Grantee and arising from the negligent acts, errors, or omissions by Grantor, their employees or agents, with respect to their use of the Easement Area. 4. AttornAy _Fees. If a party commences a legal proceed- ing with or without suit to enforce its rights hereunder, the prevailing party at such proceeding shall be entitled to its costs and reasonable attorneys' fees incurred during such pro- ceedings. 5. Governina Law. The terms of this Agreement shall be construed in accordance with and governed by the laws of the state of Washington. 6. Venue - . In the event any suit or action shall be brought in connection with any of the terms and conditions of this Agreement, the parties hereby agree that jurisdiction and venue of such suit or action shall properly lie in Snohomish dounty, State of Washington. 7. 5eyerability. In the event that any section, or any part of any section, or this Agreement shall be declared invalid by a court of competent jurisdiction, said holding shall have not effect upon the remaining sections, of this Agreement, which shall remain in full force and effect. 8. Entirety. This Agreement constitutes the entire agreement and understanding between the parties hereto. There are no other agreements or understandings, either written or oral, which modify or have any effect upon this Agreement. DATED this day of JU -.:1991- GRANTOR: William C. Funston GRANTEE: ston e m. u,Ne-Li_L KELLER ROHRaACK Surn 3200 1201 'MiRD AvEN1UF SEATTLL WASHINGTON 98101-3052 910625043 4 - 2 - (206) 623-19W YaL. 2454PAGE2793 K r *e STATE OF WASHINGTON I ss. COUNTY OF SNOHOMISH On FUVSTON, executed that he for the this day personally appeared before me WILLIAM C. to me known to be the individual described in and who the within and foregoing instrument, and acknowledged signed the same as his free and voluntary act and deed uses and purposes therein mentioned. ........... N It, -1f.h. I X - - I �11 V I A2AQ 0 r4 f, under my hand and of f icial seal this -9 - day of 'o e State o N--ny PUB OTAR LIC in'an Washington; residing at.,, My commission expires :5:/ 19le WASHINGTON ) ) ss. COUNTY OF SNOHOMISH ) On this day personally appeared before me SHIELA J- FUNSTON, to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that she signed the same as her free and voluntary act and deed fps—t+te,uses and purposes therein mentioned. icial seal this .9 nder my hand and off �J-Lr--day of I . ..... . vp;\ 9 wqqu 0 -z I-,OT4 U ............ tate off 0 C Ll EV NOTARY PUBLIC in and or, Washington; residing at: P my commission expires: J -2- a— W A S 0 STATE**OF WASHINGTON ) ss. COUNTY OF SNOHOMISH On this day personally appeared before me BRUCE M. OIVEILL, to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged KELLER ROHRBACK Sun,E3200 1201 THiRD AVENUE SEATML WASHIN=N 98101-3052 3 206) 6234900 �z 9106250 43 4 yu. 2454pAriE2794 that he signed the same as his free and voluntary act and deed for the uses and purposes therein mentioned. 74�(A-day of hand and official seal this under my 0 C. -1 Ik 0 Tz,.," r te o S t a� 118 LIC P6XBJLIt In ana o e W ishington; residing My commission expires: ."Q�ZSHIVGTON I S L_N-(� ) ss- COUNTY OF 9� � ) on this day personally appeared before me KATHERINE J. OINEILL, to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that she signed the same as her free and voluntary act and deed for the uses and purposes therein mentioned. day of hand and official seal this under my 'tat�e o� 46,�,jzy �;,M;LIC' in an NOTARY PUBLIC in an or t 190 N C6 ; residing at: _66-i k' Washington ission expires: My Comm 7 06/24/91/3t35 PH "\I.\EASEMENT N -3 —1-70 Fri co� 6� jYn QA'11 0 J4�c��S.c- �ta,),\ I tJv— EYS lascs,\15 __ 14- ENGINEERING 4 91062,550 43 4_- KELLER ROHRBACK Surrz3200 1201 TUIRDAVENUT SFATTL& WASHING'MN 98101-3052 (200) 623- IWO YOL. 19.4 5 4PAGE 19d 7 9 5 EXHIBIT A Reco,de"s MO'O* Portions Of Thi . S Docurr nt poor Quality For Filming THE LA9D REYEMD To IN "To POUCY is NSTUATI xx Tug STATZ. DMCR2M As FOLLOW26 OF VAMINGTONt C13my OF Uants 9 if g. -1�1;*VOANA di. to the plat thavock. VOG&Vd*d in voamu 3 or Flats, 00" 38 rocorda of SMhOsifft CQ"tV, W&ahin9tvA '"49" w'*'M'h folloWiM d&ACZjb0d b*Undarl4t; &&94nnlrq at thq soQcnwass coring of *a14 T.ract 371 Thence worth Soo feek 6 Lnotheal 208 fast Thtme SoutA 208 lost 6 I"beel Tnence Waft 301 fillat S Inches to tb# Point of Saginaw$ 9XCZPT the West 20 f*9V thdrObt CGDVSY*d tl SnOb"Uh County fbr road purposes. In the county of snaftniah, atats of Washington. I-' 4t fts. i of 3 YGL. 2 4 5 4 PAG--0'7 9 6 0 6 2 5 0 4 '�R . T- - T-14 2 7.9 t7i 6 2 5 0 4 2 4 5 PHE 4 91 W:t-4DERMERE—EDMONLISL.�i:li3l,r L'.. P. 3 feet of tnp viest 417.? feet of the soutf, 2nR.6 That r-ortinn Of the ust ?M-6 . t . f'f.-,b of ot I!, Mvirloviddle Ppach, accnrdinq to the plat thereof recorded in q011gilL. rj of Wits. page .18, records of SnohnmiSh rolinty, Washinqtnn, aescribed as followc: col;mencing zc the soilthwest cornpr thereo". thence Morth 1"41'00" west alonq the west �ine thereof 10-fli feet to the True voinc of Reginning; thence con tintsinq North 1*41'nn" West ainnq said west line 117.24 !Pet; thence South qj,7j*lFr East 175.22 feet to intersect a lin(. parallel with and 35.0 feet ,4esterly o ' ; the east line of the east Mp..A fppt of rho west 417.24 feet of sai(I Lot 17; thence Soilth I'41'n(I" fast, alonei said parallel line 99.99 feet to the north line of the scuth In.0 feet of said lot, said north line being the norzn margin of riqht-3i-way for 160th Street S.14--- thence Morth 89*00'00* ��si alonq %alld north linp and �aid north riqlit-of-wAY margin 173.56 feet to the True Point of neoinninti. SOJECT TO an easement for the installation anti maintenance of a sanitary sewer line, said easement haine, 21).(1 feet in width, lying l(l.n faot on each side of thv followinq described cqmterline: Cotmiencinq at the northwest corner of the ahi')vo dc-scrihed tract-, thence t;outh %;3*21'10" tast alonq the north line thereof itl.Sl feet to the Tnie Point of Seqinnillq-, thence Sooth 4A'26'32" West 70.28 fact to the west line of laid tract; the terminus.of said centerline. TCGFTIIER WITH an easement for inoress, eqress, drainarip and utilities, over, under, throuqh and, across a strip of land Z5.0 feet in width lying easterl of or and aniarent to �he easterly IMP tnoreof anti extendinq I'q.9q feet n souttivasc cornRr tnprPof. EXH1131T L-, 3 4 YoL. 2454PA6E2798 4" 06 2 5 () 4,'; USE PERMIT CITY OF EDIVIONDS ZONE gS_ 1511 NUM13E 540 19 t SUITE APT -ONSTRUCTION PERMIT APPUCATI N 08 ADDRESS E A DESCRIPTION CHECK SUBLAY o— NO MAILIN A *7 (a AY PER OFFICIAL STREET MAP. TE PP(OV PUBLIC RIGHT OF W A it 11 d ZIP TELEPHONENUMBER EXISTING � REOUIRED DEDICATION — $I OCI . So or it CITY .'" ion wed ga 7N� 1/08 pROPOSED TZ - I A;: r-- S. &Ik eqijaed TER 11 NO. OF FIXTURES ,NAME ME YES NOO K8-<, .1 A DRESS )L FMAR LJ I ii 10::; IP PHONE NUMBER z W CITY 91�100- S—z 0-7 6 9 Yi I 1i AME PAII r r -W irJ AL, gEVI EWED By ENGINEERING MEMO DATFU 6 14 DPRESS D <-T. REVIEWED By 1W1 ZIP TELEPHONE NUMBER ED CITY 33 A.- 0 R r,2�w, EXPIRATION DATE 0 REA PjE P VIEW ADS N STATE LICENSE NUMBER PROPOSED C�oy, EXEMPT ALLOWED SHORELINE in all easements " "P., Legal DeSCript on of Property V1 EXP 'V z N EiVIEW By T ARIANCE R CU f AIr V AGE SETBACKS FEET FRONT lz,5�� SIDE /C/ REAR2'�, 222-5 EMARKS Property Tax Account -7/ Parcel No� 5/3) It) PLUMBING t'11111111, "TAL NEW I �z HANICAL ADDITION COMMERCIAL MEC' SIG ---UPANT APT. BLDG. N ECKEO By OF CONSTRUCTION ICODE P REMODE -�GSAQIIJ�2. FENCE L IFT) YOS L— X — OCC ANT REPAIR C SW M POOL SPECI L INSPECTOR AREA LOA M WOODSTOVE 14 DEMOLISH INSERT El H01TO TUBISPA REOUIRED [3YES RETAINING WALL/ RENEWAL R MARKS z ROCKERY SPECTIONS PER USC 305 (TYPE OF USE. BUS11 ESS OR ACTIVITY) EXPLAIN: ROGRESS IN 'ere jq,�- I I � F� 1* "' i. ` 4UMBER ;F C"ETACAL NUMBER AR SE vilp4a to 1 owe LING 41 (k NU.. R ? OF 3 UNI STORIES VrA DESCRIBE W RK To BE D014E (ATTACH PLOT PL�IN) FINAL INSPECTION REQUIRED VALUATION ,2 PLAN CHECK FEE BUILDING HEAT SOURCE: % PLUMBING d MECHANICAL Plan Check No. 0--7- -7 0- GRADINGIFILL it Covers work to be done on private property ONLY. This Per sidewpiks. Any c nstructiOn on the public domain (curbs. STATE SURCHARGE drivewa a. m rquees, etc.) will require separate permission. 30 Permit Application: itsu Day$ ISO Days STORM DRAINAGE FEE :30 permit Limit'. I year - Provided Work is Started Within No. INSPECTION FEE Sp use, heirs. assigns and -'Applic8nt on behalf 01 his or her! 3tend and hold OrS i'n interest. agrees to indemnify, di its o,flc,als, success I Edmonds. Washington, harmless the City 0 from any and all claims for damages of employees, and agents m whatever nature, arising directly or indirectly from the issuance T t PLAN CHECK DEPOSI 4 Issuance this permit Shall not be deemed to x of this permit of 1 requirement of any city ordinance modify. waive or reduce any to enforce any ordinance TOTAL AMOUNT DUE nor limit in any way the City's ability provision." ATION APPROVAL ation; that the APPLIC I hereby wledge that I have read this apPlic ATTENTION intil information given is correct, and that I am the ow I ner, or this duly THIS PERMIT This application is not a permit I er I agree to comply with city and Building official or his/her authorized agent of the own.ti'on- and In doing the work alllhoriz. AUTHORIZES signed by the receipt is state laws regulating construc ONLY THE D Deputy: and fees are paid. and ad thereby no person will be em�loyed in'violation of the Labbr WORK NOTE acknowledged in Space provided. ton relating to Workmen's Compensa* Code of 1 4 State of Washing INSPECTION U nSUIranCe arid RCW 18.27 SIGNED 0 EPARTMENT OF A S SIG A uRE lion I � 11 SI NATU CITY OF 7- EDMONDS ELEAS 0 DATE CALL FOR ATTENTION I OCCUPY A BUILDING OR STRUCTURE INSPECTION ORIGI . NAL File YELL0W — in's actor IT IS UNLAWFUL TO USE OF HAS BEEN MADE AND APPROVAL OR 771-0220 A UNTIL A F�NAL INSPECTION — Assessor A CERTIF CATE OF OCCUPANCY HAS BEEN GRANTED. UBC PINK — Owner GOLD PERMrr APPLICAITON REQUMEMENTS TO: Permit Coordinator-,-BuHding-Division FROM: Lyle Chrisman, Engineering Inspector OWNER-- PLAN CK #. Pf ADDRESS: (-t'97 16or,+-sr DATE:__1 I 2z-,K- After review of the subject permit applicaiion, the following requirements mustbe meL 1. Construction hours are: WEEKDAYS .......... 7:00 A.M.-10:00 P.M. WEEKENDS/HOLIDAYS ..... 10:00 A.M.-6:00 P.M. 2.'A separate RIGHT-OF-WAY- Construction Permit is required for all work on Public I ,property. (ECDC 18.60) 3. Truck haul route plan must be submitted and -approved prior to permit issuance. 4. Builder/Owner is responsible for containing all lemporary runoff and erosion control on site. (E'CDC 18.30.030d) S. NO WORK SHALL BE DONE WTIDNIS FEET OFS7REAMS OR 10 FEETFROMANY CLOSED DRAINAGE FACIL- 17y- BU1LDER/OWNER IS REPSONSIBLE FOR IDEN77FYING CONDHTONS ON 771E DRA WING. (ECDC18.30.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTI? UCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEM, TIGHMINES, FOUNDATIONsDRAjNS, AND CATCEF BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFMLING. (ECDC 18.30) 8. Repair or replace all defective existing curb, gutter, and sidewalk adjacent to the property. If an intersection is involved a handicap ramp may be required. Contractor shall meet with the City Engineering Staff to determine the extent of repair prior to issuance of the permiL (ECDC 18.90) 9. Driveway slope shall not exceed 14 % without a waiver. Every attempt should be made to keep the slope below 14 Waiver granted to _%. (ECDC 18.80.060D) 10. Drivewayi must be paved from property line to City RIGHT-OF-WAY. A separate perimit is required. (ECDC 18.80.060C) 11- INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refim without a permit from the Fire Department. 13. Connection.to City water system is required. There is a separate charge for the water meter. (ECDC 7.30) 14. Aback water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDG7.20) 15. Water and sewer mainlines should be separated by 10 feet minimum. (ECDC18.10) 16. Connection to the City sanitary system is required. A separate permitas Tuired. -z' / D 7 LID# - Fees paid: Yes No Chargt�. T. __ (ECDC 18.10) 17. Underground wiring is required on all new construction; and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.05.010) .18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCU- FANCYOF THE BUILDING OR STRUCTURE. (ECDC18.90) 19. 112-501%� Yf/,o C/y 5��_s 20. IV4'f" I-- A,-"tM E-&,P-r OA STREET FILE ILI ADJACENT PROPERTY OWNERS LIST Attach this notarized declaration to the adjacent property owners list. On my oath, I certify that the names and addresses provided represent all Properties located within 300 feet of the subject property. %tg-� "' , L.'L -" :p'M"L" — — Signature of-AW idant or Applicant's -Representative Subscribed and sworn to before me this day of I'd le 19 Notary PubTic -in and for th,57State of Washington Residing at W COMMZSION EXF IRES 3 CITY OF EDMONDS ;1"""p'Ar1UA M HALL &%, 'MAYOR 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT C� (J Public Works * Planning * Parks and Recreation e Engineering LETTER OF TRANSMITTAL Date: February 10, 1994 To: Thomas and Patricia Heller 18303 - 76th Avenue West Edmonds, WA 98026 Subject: Determination of Non -Significance City of Edmonds, Building Plan Check No. 93-170 Transmitting: Determination of Non -Significance and Environmental Checklist For your information: xx As you requested: For your file: Comment and return: Note attachments: Comments: Planning Division Judy Kenney, Planning Secretary - 9 Incorporated August 11, 1890 0 Sister Cities International -- Hekinan, Japan 8 90 . 19 L) - Date: To: Subject: CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works * Planning * Parks and Recreation 9 Engineering LETTER OF TRANSMITTAL February 10, 1994 Department of Ecology Determination of Non -Significance City of Edmonds, Building Plan Check No. 93-170 Transmitting: Determination of Non -Significance and Environmental Checklist For your information: xx As you requested: For your file: Comment and return: Note attachments: Comments: Planning Division Judy Kenney, Planning Secretary LAURA M. HALL MAYOR 9 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan CITY OF EDMONDS 250 STH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-3202 RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: New Single -Family Residence (totaling 4,296 sq.ft.) (City of Edmonds Building Plan Check No. 93-170). Proponent: Thomas and Patricia Heller Location of proposal, including street address if any: 6907 160th St. S.W., Edmonds, Washington 1.,ead agency: CITY OF EDMONDS 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 is not required under RCW 43.21.030(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. xx 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 .1994. Responsible Official: Ann Bullis Position/Title: Code Enforcment Officer, Department of Community Services - Planning Division Phone: 771-0220 Address: City of Edmonds, 250 5th Avenue North, Edmonds JW.Z�, Date: — '74 Signature: xx You may appeal this determination to Rob Chave, Community Services Director, at 250 5th Avenue North, Edmonds, WA 98020, no later than -2 - 2- 1994, by filing a written appeal citing the reasons. You should be prepared to make specific factual objections. Contact Rob Chave to read or ask about the procedures for SEPA appeals. xx Posted on 2 o 1994 at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. xx Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Mailed to the following along with the Environmental Checklist: xx Department of Ecology xx Thomas and Patricia Heller (Applicant) Environmental Review Section 18303 76th Avenue West P.O. Box 47703 Edmonds, WA 98026 Olympia, WA 98504-7703 Attachments: CriticalAreas Determination # CA-92-96 Environmental Checklist PC: Building Plan Check No. 93-170 SEPA Notebook Page 1 of 2 rd CITY OF EDMONDS 3 1919"1 ENVIRONMENTAL CHECKLIST !"J, t � ". P &go- 199— Purpose of Checklist: The State Environmental Policy Act (SEPA), chapter 43.21C RCW, requires all governmental agencies to consider the environmental impacts of 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 of this checklist is to provide information to help you and the agency identify impacts from your proposal (and to reduce or avoid impacts from the proposal, if it can be done) and to help the agency decide whether an EIS is required. Instructionsfor Applicants. This environmental checklist asks you to describe some basic information about your proposal. Governmental agencies use this checklist to determine whether the environmental impacts of your proposal are significant, requiring preparation of an EIS. Answer the questions briefly, with the most precise Hiforniation known, or give the best description 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 from your own observations or proiect plans without the need to hire experts. If you really do not know -the answer, or if a question does not apply to your proposal. write "do not know" or does not apply". complete answers to the questions now may avoid unnecessary delays later. Some questions ask about governmental regulations, such as zoning, shoreline, and landmark designations. Answer these questions Z if you can. If you have problems, the governmental agencies can assist you. The checklist questions apply to all parts of your proposal, even if you plan to do them over a period of time or on different Parcels of land. Attach any additional information that will help describe your proposal or its environmental effects. The agency to which you submit this checklist may ask you to explain your answer% or provide additional information reasonably related to determining if there may be significant adverse impact. Use'of checklistfor nonproject proposals: Complete this checklist for nonpro'ect proposals, even though questions may be answered "does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). For nonproject actions, the references in the checklist to the 'words "project," "applicant,* and "property or site" should be read as . proposer," and "affected geographic area," respectively. A. BACKGROUND 1. Name of proposed proJect, ifapplicable: 71_W �CJLz, &"yl c,;,- 2. Name of applicant: 3. Address and phone number o f applicant and contact person: I, ) rLa, re bQI �rf r re 4. Date checklist prepared: 20-t�-?2-A 1-1,1153 Page I of 22 CIMIX/IM2.5-93AI ASTER 5. Agency requesting checklist: City of Edinonds. 6. Proposed timing or schedule (including phasing, if applicable): Ono ii Lp � h n-L aYLA ct-�C'& c"i i�e C.PA'2'�' C7 C1 (STAFF COMMENTS) 7. Do you have any plans for future additioms, expansion, or further activity related to or connected with this proposal? If yes� explain. Mat. M At�S -h-me- (STAFF COMMENTS) 8. List any environmental information you know about that has been prepared, or will be prepared, directly related to this proposal. AA w1r) A" 0 blivotimp-nLd 6Q, (STAFF COMMENTS) 9. Do you know whether applications are pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yLs, explain. A6 rLIC4 k4tX1Q (STAFF COMMENTS) 10. List any government approvals or permits that will be needed for your proposal, if known. "]a VV'rm4 ; -S 'I �' b-1"O ce-S-S 1�3 -110 V I I I (STAFF COMMENTS) Pne 2 of 22 CUKU/10-25-91MASTER 11. Give brief, complete description of your proposal, including the proposed uses and 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 answe I rs on this page. Q2:::Lrcc�(z. 0y) cx 1-1000 i-hf- L-vt- -t*g C,,dd-"'5S 1090-1 16COla 51_ '�'w (STAFF COMMENTS) 12. Location of the proposal. Give sufficient information for a person to understand theprecise 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 or area, provide range or boundaries (if the site(s). Provide legal description, site plan, vicinity map, and topographic map, if rewsonably 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. Ci QI - 1 (::0'1 F- (to,.,D -e\ctA VVW -5 k 0 WA J P'0-h'� CL" 011-71AAAza plams gwbrK�-t&e-a lo C&L., j� iA,14, I -A U 93--i7c) (STAFF COMMENTS) TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle (one): FlaQo:l�fin)�, hilly, steep slopes, mountainous, other: (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? 1'5 -k--i n bgl" I C1 0 (1 - 0 FA" 1, (STAFF COMMENTS) 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. Page 3 of 22 riwy.Tmmi�-,n MA.KTPR ;x" qrav eA U (STAFF COMMENTS) d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. JVOYV k*L�-W" 'h !abkUCAALJ� (STAFF COMMENTS) e. Describe the purpose,'type and approximate quantities of any filling or grading proposed. Indicate source or fill. WIN "IMP"TrArol: (STAFF COMMENTS) f. Could erosion occuras a rL-,ult of cleuring, construction, or use? If so, generally describe. Silt OCSDIbLe f2xh r-j c. fea-i cx- 4-o 6e L, s,2 (4 (STAFF COMMENTS) g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? _LfO90 U k' U (STAFF COMNICNTS) Pa-c 4 of 22 CHMT/10-25-93MASTER 2. h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: J71'141e-Y Fcpmb e-i c 47, U/4 LA r&AeM�i.4 'Y,01( LXS� a,'d S 0 01 (STAFF COMMENTS) 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 pro.ject is completed? If any, generally describe and give approximate quantities if known. 0-� OAMA 5 -5 10 Y) 5 QSSO(,ir1--te-a LA�' 46Q ff�XL, CC21S-t2uch" Lk"11 hp vari.4-A'I�Avd iA)'&L ;�? M,2r,,,,,Aj w oco- 6> vi7;rkk, jKw-fY- Vrj��Li ��c--f so or" - Y&J-�co 'sm'3 6>'r rLA (STAFF CONMENTS) b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe. (STAFF COMMENTS) C. Proposed measurai to reduce or control emissions or other impacts to the, if any: P- f> Axt L4 (STAFF COMMENTS) 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. ir appropriate, state what stream or river it flows into. (STAFF COMMENTS) Page 5 of 22 CIO< ITI I M!5-Ql� M ARTF.R (2) Will the pro.ject require any work over, in, or adJacent to (within 200 feet) the described waters? If yes, please describe and attach available plans. btws ruvt (STAFF COMMENTS) (3) Estimate the amount of rill 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 rill material. (STAFF COMMENTS) (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. (STAFF COMMENTS) (5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan. (STAFF COMMENTS) (6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of wasteand anticipated volume of discharge. (STAFF COMMENTS) Pa-,� 6 of 22 CHKLT/10-25�91MASTER h. Ground: (1) Will ground water b ' e withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. (STAFF COMMENTS) (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 systern(s) are expected to serve. cUSCAA-"�PA VO-th C�? (STAFF COMMENTS) 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 otherwaters-? Ifso, describe. &-pyr-. wckA,-Y 4v kv, (-,cj,L,,4e Ae. rek+t-hO*j'-X 'C'( i4'j54e4-Vj -h,4xf wid ta� Sii7Y'11 (STAFF COMMENTS) (2) Could waste materials enter ground or surfacewaters? If so, generally describe. (STAFF COMMENTS) Page 7 of 22 d. Proposed measures to reduce or control surface, ground, and runoff -water impacts, if any: Oyi - � ckr- Sit-ayrn &o a� re h-Allb (51A e-V M-W- CUA 40 C-t 1� Q F UAVL" Q77� - 11 (IN (STAFF COMMENTS) 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree��alder aspen, other: evergreen tr ri ..ceda pine, other: shrubs bLtte.b±,�er (7.) CA VZ grass. pasture crop or grain wet soil plant-,;: cattail, buttercup, bulrush, skunk cabbage, other: water plants: water lily, eeigrass, milfoil, other: other types or vegetation: (STAFF COMMENTS) b. What kind and amount of vegetation will be removed or aftered? C. d. Ar" PjL('=jI;Q05!4_ (-'It-afI-A aq, L-01 11 h-"e- el'—"C'� Ir-'Y- C'"'s t'-vu-r-. h' O'M Uo C c4ctix�nn ryLf,-c,4 No layCe- f-"'Os; (STAFF COMMENTS) List threatened or endangered species known to he on or near the site. (STAFF COMMENTS) OVCL). Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the site, if any: - Page 8 of 22 CHKLT/10�25-93.MASTER (STAFF COMMENTS) 5. Animals "%, -i - . * i . -1 a. Check or circle any birds and animals which have been observed on or near the site or are known to be on or near the site: 's( i �,bircb; Other: hirds: hawk, heron, eagle, 0.-" mammals: deer, bear, elk, beaver, other: A"Ak fish: bass, salmon, trout, herring, shellfish, other: (STAFF COMMENTS) b. List my threatened or endangered species known to be on or near the site. 4t'V-L':' Y1 (STAFF COMMENTS) C. Is the site part (if a migration route? If so, explain. (STAFF COMMENTS) d. Proposed measures to preserve or enhance wildlife, if any: OT W'-OOC4k)(-A a'"C" t iojy"( (STAFF COMMENTS) 6. Energy and Natural Resources Page 9 of 22 TR What kinds of energy (electric, natural gas, oil, wood stove, solar) will be used to meet the completed project's energy needs? Describe whether it will be used for heating, manufacturing, etc. QfUA- 0-4 Q OL -S f�� J--O -PXC+ tA-)(Ltl�,Y 0,LR.CJ-r1 &:67,, /CQ5 J I I J (STAFF COMMENTS) b. Would your pr(kiect affect the potential use or solar energy by adjacent properties? If so, generally describe. (STAFF COMMENTS) C. What kinds of energy conservation features are included in the plans of this proposal? List other proposed measures to reduce or control energy impact,;, if any: 11.001-1, cz�-" 0 4 wna msu-tcth'ayi -�p c-,octe, . Ins"to-tt-C,( wood fic, f Q. o v e S� LA'LL—y-e s ce.,a, C; s w k-em possijob- Lk",,- e P- d EA� I ylobel-w 5 rLIC 0-4/r F Ch-vxctih 06-1,�'L4 (STAFF COMMENTS) 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. A)b7L4 kqq1O-zV,1 - , (STAFF COMMENTS) Page 10 of 22 CUKLT/10-25-93MASTER (1) . Describe special emergency services that might be required. 1)0-eS YLX�lf (STAFF COMMENTS) (2) Proposed measures to reduce or control environmental health hazards, if any: App-3 (STAFF COMMENTS) b. Noise (1) What types of noise exist in the area. which may affect your prqiect (for example: traffic, equipment, operation, other)! No h-R, (STAFF COMMENTS) (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: traflic, construction, operation, other)? Indic -ate what hours noise would come from the site.. K'O"K� 9�KaLZ, a4wlq S tymc h P-,,i r,�yi .e 414 4U 0 is ct-yi C+-f k- trLIU-k Sk-cryl - k'ryl') _j (STAFF COMMENTS) (3) 'Proposed measures to reduce or control noise impacts, if any: (STAFF COMMENTS) Page I I of 22 8. Land and Shoreline Use a. What is the current use of (lie site and ad , jacent properties? Sf,P - V OL Mt,4 b L*tx Ld D (;-Ac (STAFF COMMENTS) b. Has the site been used foragriculture? If so, describe. i'n Y I (STAFF COMMENTS) C. Describe any structures on (lie site. M) 1-,� I (STAFF COMMENTS) d. Will any structures he demolished? If so,what? PO (STAFF CON] MENTS) e. What is the current ;mning classifiattion of the site? -ba mot hA,19-Q hetie-� 1-kg atiz hok S C-La 5 e5l,h CIh Ly*),Ac� Lai -�- A-e rw c, iai Pvif I �tA 1n (STAFF COMMENTS) Pa.,,e 12 of 22 ClIMT/10-25-93MASTCR What is the current comprehensive plan designation of the site? D; (STAFF COMMENTS) g. If applicable, what is the current shoreline master plan designation of the site? bOe-S A-,44--- V—h 12 (STAFF COMMENTS) h. Has any part ofthe site been cla%sified xsan "environmentally sensitive" area? If so, specify. te ky'O h�e,, sc, CJA sem 61C-A I (STAFF COMMENTS) i. Approximately how many people would reside orwork in the completed project? cuk�-t 4S (STAFF COMMENTS) Approximadely how many people would the completed project displace? (STAFF COMMENTS) Page 13 of 22 k. Proposed measures to avoid or reduce displacement impacts, if any: OzQ9.6 A,42f eSmb'b(LiA - I . J (STAFF COMMENTS) 1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans, if any: (STAFF COMMENTS) 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income housing. (STAFF COMMENTS) b. Approximately how many units, if any would he eliminated? Indicate whether high, middle, or low- income housing. (STAFF COMMENTS) C. Proposed measures to reduce or control housing impacts, if any: N es V\.� (STAFF COMMENTS) Pa.-e 14 of 22 CUKLVIO-25-93MASTER 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas; what is the principle exterior building material(s) proposed? I Y)CA P La C)c j rj 'A r"') i'xat -&�I' C-tJ W 0 0 S 47 Giaj (STAFF COMMENTS) b. What views in the immediate vicinity would he altered or obstructed? td:jiIJa-t4 ad� acz4k-f wn;�ve,?,He. -e, J I v (STAFF COMMENTS) C. Proposed measures to reduce or control aesthetic impacts, if any: A ite 11"r, u S-<- to i'000CUM Ctr-�-r" J-0 M.vr'��4n (STAFF COMMENTS) it. Lightand Glare a. What type of light or glare will the proposal produce? What time of day would it mainly occur',' Lt�-frW.a,j fO,�j r-e S4 cUvi c,;�. - L3;!�- kb�ise o c c u r r oJ4e4, I (STAFF COMMENTS) b. Could light or glare from the finished prodect be a safety hayard or interfere with views? (STAFF COMMENTS) Page 1 -5 of 22 C. What existing off-site,source-s (if' light or glare may affect your proposal? CtA WS (STAFF COMMENTS) d. Proposed measures to reduce or control light and glare impacts, if any: (STAFF COMMENTS) 12. Recreation What designated and iiiformal recreafional opportunities are in the immediate vicinity? (STAFF COMMENTS) b. Would the proposed pro.ject displaceany existing recreation uses? If so, describe. MIL) (STAFF COMMENTS) C. Proposed measure-s to reduce or control imp.kcL% (in recreation, including recreation opportunities to be .provided by (lie project or applicant, if'any: kbe-S r-& a�1-26 1 V j (STAFF COMMENTS) Pa-c 16 of 22 CUKLT110-25-91MA.WER 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 he on or next to the site? If so, generally describe. (STAFF COMMENTS) b. Generally describe any landmarks br evidence of historic, archaeological, scientific, or cultural importance known to he on or next to the site. Or-C k4yes"-XI . (STAFF COMMENTS) C. Proposed measures to reduce or control impacts, ifany: &,es AX4 Lk-ja-b L, I V i (STAFF COMMENTS) 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. 1(00 46 51, �� a C, us S-e (4 v r.) .(STAFF COMMENTS) b. Is site currently served by public transit! If no, what is the approximate distance *to the nearest transit Stop? V)",A Le--4 a-),\ G:1 ,KaA - C Ix, c,,,, Page 17 of 22 (STAFF COMMENTS) C. How many parking spaces would the completed project have? How many would the project eliminate? 01-0 �'IpGf CIC"15. -lq7v- i- Ca-V AV-�na-YpOrLq CJ z , , -1 (STAFF COMMENTS) 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). (STAFF COMMENTS) e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so, generally describe. (STAFF COMMENTS) f. How many vehicular trips per day would he generated by the completed project? If known, indicate when peak volumes would occur. 7 A CA-41- (STAFF COMMENTS) Page 18 of 22 CIEKLTIM-25-93MASTER g. Proposed measures to reduce or control transportation impacts, if any: (STAFF COMMENTS) 15. Public Services a. Would the pro.ject result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. 11 -4 — - -r � - -' i / , - .— "- -� I - I - I , ; I �-j - . I � I (STAFF COMMENTS) b. Proposed measures to reduce or control direct impacts on public services, if any: bDf-S (STAFF COMMENTS) 16. Utilities a. Circle utilities currently available at the site: Vectricit"i atural ga% watk.)refuse s��. rv1 tel�!h�one, -will �Vlp% septic system, other:* (STAFF COMMENTS) Pa�-e 19 of 22 CUKU/10-25-93MASTER b. Descrihe tile utilities that are proposed for the pro ' icct, the utility providing the service, and the general con:truction activities on the site or in the immediate vicinity which might be needed. le C) a O-D (.)Aq L&,w S .2*V4,1tjk,OA "-1 ff A",01 4b all-o !�J,'bh 67aAC, SjjOk4.1M4'Sk COL-411fA. PL)b-9) - A I ct� tvo c, d 0 G7-6 , b-iym a751z)-n'5'4 (STAFF COMMENTS) C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them to make its decision. C-2) Signature of Proponent 9D Date Submitted Page 20 of 22 CHMT110-25-93MASTER D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS 1. (do not use this sheetfor project actions) Because these questions are very general, it may be helpful to read thern 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 general terms. 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 noisel? Proposal measures to avoid or reduce such increasu; are: -S 2. Howwould the proposal he likely to affect plants, animals, fish, or marine life? C&Lx-1-f-r-4 GL4-"e C�' -A'�S Of SCV C-11 — J Proposed measures to protect or cons�rve plants, animals, fish, or marine life' are: fu /?"H-L-S 3. How would the proposal he likely to deplete energy or natural resources? 6r-"C Gul (/ -ta-h I f\'� LAAit;('-C11J 011 �ix UY Proposed measures to protect or conserve energy and natural resources are: t"Ss LAna I kyue -( Q'Y i2jc ukd V—iLJ51 e4u-r C'DCAX�' 'r Page 21 of 22 OWLT/10-25-9.1.MASTER 4. How would the proposal he likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governnien(al protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or'prime farmlands? 5. 6. Proposed measures to protect such resources or to avoid or reduce impacts are: tv -3 Md aPjQLj' How would the proposal he likely to affect land andshoreline tis;e, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? A/E) 0-"-,a is I-P C�I'CQ'nc�e4' Proposed measures to avoid or reduce shoreline and land use impacts are: boe s ^,c4 kiie� - j How would the proposal he likely to increase demands oi.i transportation or public services and utilities? Proposed measurLs (o reduce or respond tosuch deniand(s) lire: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. pro �12- ('5 coi 4 Lll--� fl OIA (AAQ -4/ K� it'L SbA a.4 a2-�-ey MtXZA Pa.-e 22 of 22 CUKLMO-1501MA-STER MEMORANDUM CITY OF EDMONDS PLANNING DIVISION 250 STH AVENUE NORTH, EDMONDS, WASHINGTON "020 TO: BUILDING DEPT. PLAN CHECK NO. 93-170 FROM: Ann Bullis, Planning Division DATE: FEBRUARY 10, 1994 SUBJECT: . ENVIRONMENTAL DETERM[INATION FOR A SINGLE-FAMILY RESIDENCE AT 6907 160TH STREET SW, EDMONDS, WASHINGTON I have had the opportunity to review the environmental checklist, and Critical Areas Determination, a copy of which are filed in the official file for this permit. Based on my review of all available information and adopted policies of the City, I recommend that a determination of nonsignificance, be issued. Attachments pc: FILE NO. 93-170 Page 2 of 2 0 ov t" 4-- T"."4; " , , .1 .1 . - -� Iq P, City of Edmonds RIGHT-OF-WAY CONSTRUCTION PIERMIT qg Permit Number. Issue Date: 160 St SW ( 9419608 A. Address or Vicinity of Construction: 690 --momp— C) Q5 B. Type of Work (be specific): 9 0 - 19 C. Contractor: -Washington Natural Gas Company Mailing Address: 815 Mercer Street, Seattle State License #: WA 98111 D. Building Permit # (if applicable): Install New Service i Contact: Frank Swan Phone: Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. n Commercial E] Subdivision El City Project [N Utility (PUD, 6TE, WNG, CABLE, WATER) F1 Multi -Family EJ Single Family F1 Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: El Yes BNo G. Size of Cut: _-2- . x 4- H. Chargq�_$ APPLICANT TO READ AND,/'SIGN 1 -7 INDEMNITY. Applicant understands and by his signature to this application, agrees to ho t 4.e City of Edmonds harmi&__03inju - damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be ma a a inst the City df Edmonds, or any of i Meppartments or employees, including or not limited to the defense of any legalproceedings including defense c St8, and attorney fees by reason ofgranting 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. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City rq&�IpLtions as required bytke �Q�ty;Enginper.,, All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. Ihave read the abovestatements and understand thepermit requirements and thepink copyof thepermit willbe available on site at es for ins ection purposes. ;901. May 31 1994 Signature- *7 3444 4 Date: (Contractor or Agen-7) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: iAA;4f—a RIGHT OF WAY DEPOSIT TIME AUTHORIZED: VOID AFTER DAYS SPECIAL CONDITIONS: 'N 0 COMMENTS: DISRUPTION FEE/FUND Ill: RESTORATION FEE: PERMIT FEE: 30, 0 0 1vit", rrlrl: RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Nv. 1991 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments: Diagram.: I m CONTRACTOR CALLED FOR INSPECTION F-1 YES El NO Partial Work Ifispection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ASS Mshk4�on ING to window F-Ate main depth n �own ,z- " gas main Addendum to -city Of Edmonds Rlght of Way Permit Applicaiion Submitted by: MITCHELL S.-LANKFORD Engineering Aide Washington Natural Gas # .'-521-'5246 INN -UA.-M 3 Key: I -w- water -g- gas -ss- sewer -6- water hydrant 0 . watL.-- valve S15 "4crccf St. (1.0. 1! L'A 18"9)- SCAW�, WA S11 I 1 (206) 6-22-7767 W z we- AVW- go &WW*ffV&V Addendum to CitX of Edmonds U Rlght of Wa Permit Applfcaiion Submitted by: MITCHELL S.-LANKFORD Engineering Aide Washington Natural Gas # .'-521-'5246 0;-7 WC) A �J/A ITNG to window n depth gas imain 1� Key: -w- water -9- gas -ss- sewer -e- watex hydrant 0 . watc.-." valve 815,'4crccr St. (I -�)- r:"- 18'19). SO&W%WA S q) 11 %1206) 622.-767 9 AV". 90 &*W*ffWv Addendum to City of Edmonds U Rlght of Wa Permit APPITcaiion !t�TCHELL S.-LANKFORD -;ub.MItted by: Engineering Aide Washington Natural Gas # -, -521-'5246 2, -e_ ITNG to window �n depth nowr I -I--" gas 3main Key: .0 -w- water -g- gas -ss- sewer -&- watex hydrant 0 . watc.� -.- valve 915 Mcrccr St. (I.'). r:" 18'19). Sc&W-,WA SMI (206) 6-22--1167 Addendum to -City Of Edmonds Right of Wa Permit AIDIDITcaiion Submitted by: MITCHELL S.-LANKFORD Engineering Aide Washington Natural Gas # -, -521-'5246 0-7 WC) 4- ING to window W Atgr imain depth �nown gas 3main 1� Key: .0 -w- water -g- gas -ss- sewer -&- watex hydrant 0 . watc� --- valve BIS Mcrccr St. (I -'). )::,A 38'19). SC&W-, WA S 1111 1%206) 6-12.'767 4; , �'I City of Edmonds Critical Areas Determination Applicant: I Heller Homes Determination #: I CA-92-96 Project Name: Permit Number: F Site Location: 1 6907 160th St. S.W. Property Tax Acct #: 1 5131-000-037-12 Project Description: New Single Family Residence Waiver Criteria (all criteria must be found to apply): xxx There will be no alteration of the Critical Area or its required buffers; xxx The development proposal w ' ill not impact the Critical Area in a manner contrary to the goals, purposes, objectives and requirements of the Critical Areas ordinance; xxx The development proposal meets the minimum standards of the Critical Areas ordinance; xxx The above findings are based on the following conditions of approval: 1. All drainage from impervious surfaces must be tightlined through a detention system to the City Storm system as required by the City of Edmonds Engineering Division. Based on the above findings and conditions, the requirement for a Critical Areas Study associated with this development permit is hereby Waived, as authorized by Chapter 20.15B. 150 (B) of the Edmonds Community Development Code. Nv�e 6S ature lja4 090.199- City.of Edmonds Critical Areas Checklist ne Critical Ams Checklist contained on this formi-s to boe filledout by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a develop to the City. I TUe purpose of the Checklist is -to enable City staff to det=minc whether any potential Critical Areas are or may be present on the subject property. The information needed. to complete the Checklist should be easily a ilable fi-om observations of the site or va; data available at City Hall (Critical Areas inventories, maps, or soil surveys). - An applicant, or histher representative, must fill out thechocklist, sign and date it, and , submit it to the City. The City will review� the checklist, make a precursory site visit, and m a - a of the subsequent steps necessary tocomplete a development permit 4plication. With a signed copy of this form, the applicant should also submit a vicinity map of the parcel with enough. detail that City staff can find and identify the -subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary 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: Applicant Representative: Name Name _Z11a"te Title 6190 7 7,;v Street Ad&ess ex-lo S' City, State, ZIP eW) Phone CAJ Signature Date Title Street Ad&ess City, State,- ZIP Phone Signature Date RECEivED Critical Areas Checklist JUN 0 3 1992 Site Information PERMIT COUNTER Project Name: h�-L 4-.f:-e Permit Number. Site Location:,0,97 7;z,, sz 5�t) Property Tax Account Number. SI-3 / 003 0 --'� 7 / P. Approximate Site Size (acres or square feet): k/ 967 c� Have you filled out a Critical Areas Checklist for a project on this site before? General Site Conditions 1. Has the site been cleared or logged? Ylz-:-�- Date of most recent action: A&PP 7- Soils I Topography v\ 1-t COU4 r1,9,\ '53"'70 Store'., 2. In the Snohomish County Soil Survey, what is the mapped soil qpe(s)? 3. Describe the general site topography. Check all that apply. Flat less than 5 feet elevation change over enti rie' site. -,Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet.) slopes present on site of more than 15% and less than 301Y* a vertical rise _ffilly. of 10 feet of horizontal distance.) -Steep: grades of greater than 30% present on site. Comments /-5- 6y;"Al 49 1116�e- 911P Hydrology/Vegetation 4. Site contains areas of year-round standing water 5. Sitecontains areas of seasonal standing water. . /W��Approx. Depth: 6. Site is in the floodway NZ) floodplain /1/0 of a water course. 7. Site contains a creek or an area where water flows across the grounds surface? L1�9 flows are year-round? AZ12—Flows are seasonal? /V0 8. Site is primarily: forested meadow ;shrubs mixed 9. Obvious wetland is present on site: 4/0 10. Wetland inventory or map indicates wetland present on site: All) 11. Critical Areas inventory or map indicates any Critical Area on site: . .... Foe GtY t9d i t U cad �area**s:'�;' WANEKi- 't.iriti* y� np req ire Peterminition' Number. Reviewer Planner Date Rey W27192 PUGET MEAD SERIES r- ---- ; KEELER CORNO PL pt S7 PL VICINITY MAP 6907 - 160TH STREET SOUTHWEST EDMONDS, WASHINGTON Job No. Date: Fiare-, 91171 MA Y 1991 1 E 5 8q*00'00" E PROUM UW lq2 2 MMOi MAW 0—WCH KIW— ue OAF�G i4alMG aMMS CD DOVOW 00 ErCK Z WZ-ID 3/Ur DM"9w A I NEW. RESIDENCE '\N/ALK\\/AY MCK C" EVVNlW uW 175. N oo,2 TURNAF 8,3*16'16" V, PLOT PLAN Approximate Lot Size = 17,830.18 Sq. Ft. New Home Land Coverage 1,776.5 Sq. Ff. New Decks Land Coverage 357.5 Sq. Ft. . VICINITY MAP I En �11- _v-cr A5MALT DM DRIVEVAY r, y 7r,— V-3 111V 5 ffoo,00" E 6.01 Mmoi MW am0l fuRK DRIVEVAY V LU VAnR W OUND ra— cD ob. V-) LOT A W. 16907 160th ST. S.1 Z 9 I 00 Jd V V) Z L) uj w w _j uj of Z us 'j A r = 8-ar I I Cf I I A I USE PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE�APT ADDRESS 7 OWNER NAME NAME OF BUSINESS -7-cgi�_,* ' -, �4z,&' LEGAL DESCRIPTION CHECKI SUBDIVISION NO LID NO a: W MAILING ADDRESS 7 Z 3: TESCP Approved 0 0 _bL16-4.1�J-2 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. I, - CITY 41P TELEPHONE NUMBER RW Permit Required EXISTING REOUIREO DEDICATION Street Use Permit Req'd 774j. Inspection Required 11!3� 70; V,-, 9� PROPOSED Sidewalk Required C) a: NAME W 4 METE�R 1Z LINEIIJIZE NO. OF FIXTURES PRV REQUIRED 1<6-S AX&dz" 4 J�,,--, F1 a aL-4 YES NOO ADDRESS U W REMARKS a: y 4� q Lu N ZIP E NUMBER M4 CITY 5 Z Mill C" /-4-- uj NAME -PA 0 g��) j ADDRESS REVIEWED BY cr ENGINEERING MEMO DATED to ;?.513 (10 < CITY ZIP TELEPHFJ14L NUMBER cc -FIRE MEMO DATED REVIEWED BY I'_ I W Z frt/,z (3S- 133 1-1 - cc 0 Z L) - STATE LICENSE NUMBER EXPIRATION DATE REA SEPA REVIEW ADS NO. I PA 73 o /9 Z/ ALLOWED PROPOSED C E EXEMPT Legal Description of Property - include all easements SHORELINE# Z E VARIANCE OR CU cc 4VIEW 13Y U U) A P5hN 0 W SETBACKS - FEET HEIGHT jL6T �kRAGE z FRONT SIDE REAR. - Z4 u.j Property REMARKS Tax Account 5/3/ -71 131- Parcel No. NEW RESIDENTIAL PLUMBING E] ADDITION 'COMMERCIAL 21 MECHANICAL REMODEL APT. BLDG. 11 SIGN CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT G A IN 62* [7 FENCE GROUP DS. x _FT) REPAIR V_ SWIM POOL SPECIAL AREA OCCUPAN LOAD INSERT REOUIRED I DEMOLISH WOODSTOVE HOT TUB/SPA INSPECTOR T r;zn F] RETAINING WALL/ 0 YES UN ROCKERY RENEWAL REMARKS Z PROGRESS INSPECTIONS PER UBC 305 0 (TYPE OF USE. BUSINESS OR, ACTIVITY) EXPLAIN: E <,A "%Id, e—jq-�" /,j- �, C Q. fr,61L4� A NUMBER OF RITICAL uj NUMBER WELLING, R a OF D ft je ICA EAS co STORIES 3 UNITS MEER 0 0,4a DESCRIBE WORK TO BE DONE (ATTACH PLOT Pl�,AN) FINAL INSPECTION REOUIRED .01 VALUATION FEE A V PLAN CHECK FEE ;72-0 1_0T:5aP2=_ 6510 GLAZINU — BUILDING 7_68,6913.5 114) HEAT SOURCE: % -hez<% Z3 0 PLUMBING Plan Check No. A-7 MECHANICAL C-11 -74Z This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewolks, driveways, marquees. etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: I Year - Provided Work Is Started Within 180 Days "Applicant. on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE c) successors in interest, agrees to indemnify, defend and hold 'Lnu harmless the City of Edmonds, Washington, its officials, 2 employees, and agents from any and all claims for damages of Cc from the issuance < whatever nature, arising directly or indirectly 0 PLAN CHECK DEPOSIT of this permit. Issuance of this permit shall not be deemed t modify, waive or reduce any requirement of any city ordinance 0 way the City's ability to enforce any ordinance TOTAL AMOUNT DUE nor limit in any provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL 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 THIS PERMIT This application is not a permit until state laws regulating construction; and In doing the work authoriz- AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy: and fees are paid, and receipt is tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. - SIGNATURE (OWNER OR AGENTI E SIGNED DEPARTMENT OF A S SIG ATURE D�T E CITY OF dip. ��j EDMONDS T DATE ,FELEA�fd)13 CALL FOR ATTENTION INSPECTION A/ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ORIGINAL - File YELLO I VV - Inspector UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC PINK — Owner GOLD — Assessor, CHAPTER 3. m 41W rn > IZ > �5 - w 37 'g M. MA W U ix 51 LA 4&2- 6r. it TIN - 'MA ft. - 0��, Alt" WIN It- M zlr tI- k, li IR �, i'�, LA A rs .6 1,0 A z i U.-.;�PARWENT —0 A WWK )6-1*V.Yf ADDRESS- 61L,) 7 - A6 0 57-SW OWNER I-lelleX A?F'ROVED DATE: AmM OFFOAL P 8 M I T N Ufft I" fix :,.,--J-erty-Juttjngj;'. �.-Archited-: PLANNIN '.4tl4Phlnney 03. '150 -Tj�ophon a 0 USE ZONE PERMIT 9 4 07S8 CITY OF EDMONbs NUMBER CONSTRUCTION PERMIT APPLICATION Joe UITEYAPT ADDRESS le-7 90 7 A 0 0' 7 — S7V s OWNER NAIJE/NAME OF BUSINt:bb -5 CHECKI SUBDIVISION NO LID NO �al Uelv_ LEGAL DESCRIPTION 0` I MAILING ADDRESS Z 3 A )23*3 A g4 L-J PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCIP App,med 0 0 CITY ELEPHONE "11-1 NUMB ER <3 EXISTING � REOUIAED DEDICATION RW Permit Required Street Use Permit Rsq'd 0 Required 99Da'J' L'-'4 PROPOSED inspection Required Sidewalk AME METERSIZE LINE SIZE NO, OF FIXTURES PRY REQUIRED I j ESO NOD ADD SS _7PHONE REMARKS (t T2�1 (4 rO 114 1?Se CIT Zip NUMBER f, JAA ill IjUfg11( NAME 6 $ 6 1' L cj! 4;" 105P. t,)kt4, eo",cc-T,-d. ri A S/ Aft cc ADDRESS V I 4ag2i, 190-6 ''1. S� ENGINEERING MEMO DATED REVIEWEDBY ///5 /f � At—, 1 CITY TELEPHONE NUMBER FIRE MEMO DATED REVIEWED BY W EXPIRATION DATE STATE LICENSE NUMBER - SIGN AREA SEPA REVIEW j 7 ALLOWED PROPOSED COMPLETE EXEMPT Uegal Description of Property incivae all easements 5 0 Ell 1/ Z EXP VARIANCE OR CU P 0 R A114— SETBACK I FEET HEIGHT LOT CQVERA FRONT ..DE_&2 REAR �s— Property FIKS Tall Account q Parcel No. - A A, 1, .XNEW RESIDENTIAL H PLUM13ING F�4�frrl"JJMLU_ — i — 1 ElADDITION 0 COMMERCIAL-' MECHANICAL 7 kj?-A ElREMODEL ED .. APT.BLDG. SIGN I I," GRADING ' FENCE CH KED BY TYPE OF CONSTRUCTION CODE 1 C T F� 0 REPAIR — CYDs I x _FTI M WOODSTOVE D 6WIM POOL DEMOLISH INSER HOT TUB/SPA SPECIAL INSPECTOR AREA REQUIRED OCCUPANT LOAD GARAGE C3 YES CARPORT RENEWAL R MARKS PROGRESS INSPECTIONS PER LIBC 305 cc - 0' NUMBER - t =BER C LLN. ase� con S UNITS ESCRIBE WORK�O BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REOUIRED VALUATION PLAN CHECK FEE BUILDING HEATSOUIRCE: GLAZING % PLUMBING -Plan Check No. MECHANICAL GRADINGWILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curts, sldewplks., SURCHARGE driveways, marquees, etc.) will require separate permission. STATE Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: I Year - Provided Work Is Started Within 1 80 Days 7 ..Applieani, on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE su ceSsOrS in interest, agrees to indemnity. defend and h1old h.crmiess the City of Edmonds.. Washington, its Officials, as of employees, and agents from any and all claims for damages of 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 modify, waive or reduce any requirementeof any city ordinance 1 Ox the City's ability to n orce any ordinance TOTAL AMOUNT DUE 184, IMP I nor limit in any way provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL 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 THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz. AUTHORIZES signed by the Building Official or his/her ed thereby. no person will be employed in violation of the Labor ONLY THE WORK NOTED Deputy: and fees are paid, and receipt is Code of the State of Washington relating to Workmen's Compensa- acknowledged In space provided. tion Insurance and FICW 18.27. INSPECTION SIGNATURE JOWNV.H U� NED DEPARTMENT 1 CITY OF WTURE 1 EDMONDS CALL FOR DATE 5-90V ATTENTION INSPECTION IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE W —'Inspector UN71L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLO j A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC 3. 00 //— ? PINK — Owner GOLD — Assessor CHAPTER LYNNWOOD LIMF.CEIVED' CITY OF EDMONDS JUL 0 51994SIDE PUBLIC WORKS DEpi 9 0 1 9 Address of Construction: SEWER.",TERMIT_ PERMIT -866-0 Property Legal Description (Include all easements): Z's CA00 C) \S Y / &I, 4�ASE222i6�7- ASLC 11� !2,/ in C, C2 1-s—e) * 17 q— Owner and/or Contractor: 4,4 L) C2D,,Q,5 State License No. kle)6 E�� Building Permit No. Q/7z xSingle Family El Multi -Family (No. of Units—) 0 Commercial El Public Invasion into City Rigllht-of-Way:�,No 11 Yes RW Construction Permit No. Cross other Private Property: El No ?(Yes Attach legal description and copy of recorded easement I certify that I have read i)id shall comply with all city requirements as indicated on the b—acf�-of the Permit Card. -7 Date CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE '..ONLY * FOR INSPECTION CALL "7 Permit Fee: — <!)� 77' Trunk Charge: Assessment Fee: Lid No.: 1202 � PUBLIC WORKS DEPT. M20 Issued By Date Issued: Receipt No.: Partial Inspection: Date —Initial Comments Reason Rejected: Date —Initial Final Inspection Approved: Date Initial J,&9t PERMIT MUST BE POSTED ON JOB SITE White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3/90 The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ t NEW CONSTRUCTION REPAIRS F� LID NO . .................. ASMT. NO . .................. OWNER------------ -------------------------------------------------------------------------------- — CONTRACTOR .................................................................................... PERMIT NO. C-� 4-- z:--,— JOB ADDRESS 4& .............. . b .. .... ................ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO. - .................................. NAMEOF ADDITION .................................................................................................... .................. f 45, AV -310e,cp- t C, tce Approved: - PWW.0001.11/75 (HEV.11/78) DATE ;K V ............ By:7;�� ...... _y- .... The City of Edmonds Water Service Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION Drll� REPAIRS F� LID NO . .................. . ASMT. NO . .................. OWNER ........ 14,r--w-e.R .................................................................... CONTRACTOR F.Lu.mat.N..G ................................. PERMIT N0401.51. - n T-1-1 JOB ADDRESS ...(6.70.77 ....... l(c).(.C) ............ ST ... S W-..: ..... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... PWW-0001-1 1/75 (REV.1 1/78) NAMEOF ADDITION .............................. ................................................................... I ..................... V- I OIL' OFF AISPHAku L.-T Dkkvc 3/4 m e r,- P, Approved: T->AA-r,A&- 10-2.1-94 , A. DATEDea ...... !3():k ... B ............... ........ (P R. R. B. 800r778-0486 P.O. Box 985 , Bothell, WA 98041 Agp--k- c 1� 15' -?.C- 0 --k �i: 6/ ?k ALA5ure me,�f5 61/ :Stav-vyt �-,yie, UNDERGROUND UTILITIES K-11 F470f I , "I bn�' I, c&Vtkie�f1koll Line- Cleak'16�lkf 14ev 43166 18 baw,vis pm'-��r I" Ut-- way '4 rei'l vA C&,vi ii ati'vyl RICHARD R. BALDRIDGE 778-0486 LICENSED* BONDED* INSURED FREE ESTIMATES SIDE SEWER & SEPTIC SYSTEMS 'City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT REETFILE Permit Number. '9,5 -047 Issue Date: SIT S W Address or Vicuillity of Construction: le 20 7 16 0 13UP-'l 160, U6 bgm"2 T6 I-v6p.w. 9 0 9 C) B. Type of Work (be specific): C. Contracto . r.:: _L14AR[3121 LJUPOZIOR CA Mailing Address: 5_0 MAIN 51 State License #: E L)I-7E.It C C- IQ) Q N D. Building Permit # (if applicable): Contact: TOMANQE-IeSb�J Phone: 774- - 514-& Liability Insurance: - - - - - - Bond: $ Side Sewer Permit # (if applicable): E. E] Commercial E] Subdivision El City Project [j] Utility (PUD, GTE, WNG,(6�� WATER) n Multi -Family n Single Family 0 Other ------- INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut 0 Yes &&No G. Size of Cut: x H. Chargq�_$ APPLICANT TO READ AN S11 N' D INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the i fEdmonds harT1QJr4�t1i,4-f.ages, or -'City of Edmonds, or any of its de artments or t claims of any kind or description whatsoever, foreseen or unforeseen, that may be-made'agai k , ar employees, including or not limited to the defense of any legalproceedings including defense 6 ts, and attorney fees by redsonAgranting this Permit. f4 - �: B 91) THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FIN L INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATI0;,1FtEe5 WILL BE HELD UNTIL THE FINAL STREET PATCH .1 IS COMPLETED BYCITYFORCES, AT WHICH TIME A DEBIT OR CREDIT WILJ I'&FISED FOR ISSUANCFTO &E APPr7CANT. Construction drawing of proposed work required with permit application. A 24 hour notice is reqVired for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress ai;ida at com lietion.,- �7 Restoration is'�;tc'i'�bgei.n-�E�ccordran�e,with,Cit�,,,C Street shallbe' kept clean at all times. T'raffic Control and P u�blic Safety shall be in accordance with City regulations as required by the City Engifieer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the woricing day; NO EXCEPTIONS. Iha ue read the abOL)e s tentsand Inderstand the permit requirements and the pink copy of theperm it will be available 0��t i 1-7 nspection purposes. Sig A f lutuf .0 - _,_ — - - .1 ate. A , I �ya Wtt�r;31�j �/ r7;tl U ont,_ CA. AT -A-DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT TIME AUTHORIZED': VOID AFTER DAYS SPECIAL CONDITIONS: DISRUPTION FEE/FUND 111: RESTORATION FEE: PERMIT FEE: TOTAL FEE: COMMENTS: RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund 111 Route copy to Street Dept.) Comments: I Diagram 1: CONTRACTOR CALLED FOR INSPECTION 1:1 YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ,(oq07 MoOTI-iS7 SW KULL- L4-9 5% 7EA SEC 5--Z7 - + kWW- Z- 17-5-5' p I I D - c-,7 -5 L J b LL) DATE COMPLETED: .1 CONTRACTOR: -'q,07 [60 T(" S7 SW KUL L- t 4-B 5W 7EA SEC, 5--2,7 - + P-04W Z- 17-5-T' IDq07 I�L) ILY /001 Ely -to IL CUE 14 1 -'h�w 26 a-E - tj I)LU JIDD-�� -57 --S�J DATE COMPLETED: CONTRACTOR: R E C 1E, � V E D NOV - 2 19,94 13 ,FE�W- COUNTER NO ExCISE TAX REQUIRED CO Pk DRIGNAL SEMENTAGREEMENT DeP _0151� THIS AGREEMENT is made by and between WILLIAM C. FUNSTON and SHEILA J. FUNSTON, husband and wife ("Grantor"), and.BRUCE M. OINEILL and KATHERINE J. OINEILL, husband and wife ("Grantee"). Grantor is the legal owner of that certain prop- �rty more particularly described on Exhibit A, a copy of which is attached hereto and incorporated herein by reference (the "Property"). Grantee desires an easement over a portion of the Property for purposes of installing, constructing and maintain- ing a certain pipe, which will service an area adjacent to the Property. Grantor desires to grant Grantee such an easement. In consideration of the mutual covenants contained herein and for other valuable consideration, the receipt of which is hereby acknowledged, the parties hereby agree: 1. Grant of Easement and Purpose. Grantor hereby grants to Grantee an easement with respect to that portion of the Property more particularly described on Exhibit B, a copy of which is attached hereto and incorporated herein by reference (the "Easement Area") for the purposes of installing, con- structing, repairing, maintaining and replacing a pipe (the ,*Pipe") that will assist in the draining of surface water that may collect on the property more particularly described on Exhibit C, a copy of which is attached hereto and incorporated herein by reference (the "O'Neill Property"). Grantee shall also have a right of ingress and egress onto the Easement Area for the accomplishment of such purposes. Grantee shall be exercised only to the extent they are reasonably necessary for accomplishment of the above stated purposes. Grantee shall exercise its easement rights so as not to interfere unreasonably with Grantor's use of the Easement Area. Such easement shall run with the land and encumber the Property and shall be for the benefit of the O'Neill Property. 2. Duties of Grantee. Grantee agrees that it will be solely liable for the cost of installing, constructing, repair- ing, maintaining and replacing the Pipe. 3. indeinification. Grantee hereby agrees to indemnify Grantor against and to hold Grantor harmless from all claims, liability, damages and costs, including attorney fees, incurred by Grantor and arising from the negligent acts, errors, or omissions by Grantee, its employees or agents, with respect to the exercise of easement rights hereunder. Grantor hereby agrees to indemnify Grantee against and to hold Grantee harm- less from all claims, liability, damages and costs, including KELLER ROHRBACK SurrE 3200 1201 TmmDAMUE SEATME wAq111NrTow 98101-3052 A (206) 623-1900 10 6 2,5 o +-,*I VOL. 2454PAGE2792 attorney fees, incurred by Grantee and arising from the negligent acts, errors, or omissions by Grantor, their employees or agents, with respect to their use of the Easement Area. 4. Attorngy _Fees. If a party commences a legal proceed- ing with or without suit to enforce its rights hereunder, the prevailing party at such proceeding shall be entitled to its Costs and reasonable attorneys' fees incurred during,such pro- ceedings. S. GoverniDcj_Law. The terms of this Agreement shall be construed in accordance with and governed by the laws of the state of Washington. 6. Venue. In the event any suit or action shall be brought in connection with any of the'terms and conditions of this Agreement, the parties hereby agree that jurisdiction and venue of such suit or action shall properly lie in Snohomish County, State of Washington. 7. a_e_x2XahUL= in the event that any section, or any part of any section, or this Agreement shall be declared invalid by a court of competent jurisdiction, said holding shall have not effect upon the remaining sections, of this Agreement, which shall remain in full force and effect. 8. gnLirety-. This Agreement constitutes the entire agreement and understanding between the parties hereto. There are no other agreements or understandings, either written or oral, which modify or have any effect upon this Agreement. DATED this _2�L� day of June,.. 1991. GRANTOR: h wIlHam C. Funston K(, GRANTEE: 9,10625( P1434 - 2 - KELLER ROHRaACK Sum 3200 1201 THMDAVFNUE SEATTLL WA�HINCTON 98101-3052 (206) 623-IM VOL. 2454PAGE2793 STATE OF WASHINGTON rifte ss. COUNTY OF SNOHOMISH On FUNSTON, executed that he for the this day personally appeared before me WILLIAM — to me known to be the individual described in and who the within and foregoing instrument, and acknowledged sigped the same as his free and voluntary act and deed ,imps and purposes therein mentioned. under my hand and official seal this ),4-jtk-day of < , �,-) e State 0 -y PUBLj-C---j-n-' -an-d- for NOTIAR I 14=1 Washington; residing at.-" --Z"' my commission expires: 7 '2 17 WASHINGTON ss. COUNTY OF SNOHOMISH ) , On this day personally appeared before me SHIELA J. FUNSTON, to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that she signed the same as her free and voluntary act and deed f uses and purposes therein ment ioned. d ...... seal this 2�-�C-day 0 1, nder my hand and official n 0 T4 VOLIC r de ttate o V NOTARY PUBLIC in an 0 Washington; residing at: 0 P My commission expires: -2-- V A S,V STATE OF WASHINGTON ) ss. COUNTY OF SNOHOMISH ) on this day personally appeared before me axiUCE, in. OINEILL, to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged KELLER RoliRBACK Su=3200 1201 THiRD AVENUE SEATrLL WASHIN=N 98101-3052 3 (.206) 623-1900 9 0 6 2 5 0 4 top 2454PArE2794 that he signed the same as his free and voluntary act and deed and purposes therein mentioned. under my ... L99,1 T 4 tj 8 Ll C j S ik _.,QPI-'WASHINGTON I S L�N4qs:�- COUNTY OF 4NOftOMTSB hand and official seal this 11)-LA-day of Washington; residing MY commission expires: ss. On this day personally appeared before me KATHERINE J. OINEILL, to me known to be the individual described in and who executed the within and foregoing instrument, and acknowledged that she signed the same as her free and voluntary act and deed for the uses and purposes therein mentioned. dS— day of -�N, under my hand and official seal this t o or t 'tate o NOTA PU in a�n� a k Washington; residing t: my commission expires: 4943\1\EASEMENT E 06/24/91/305 PH 4 9106250 43 1 j KELLER ROHRBACK Surm 3200 1201 T"tED AVENUE :SrArML WAS"gN=N os 10 1 .3052 (206) 623- 1 DW VOL. 19. 4 5 4 PAGE 2, 7 9 5 EXHIBIT A Rgcorder's ,O,C,. portions Of 'rhis Docurr,nt poor Quality For Filming 3. THR LUM M"ifto TO Ix "is Policy is BMATI Xx THIS STATS. 0? 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