6907 174TH ST SW.PDF16214
6907 174TH ST SW
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TAX ACCOUNTIPARCEL NUMBER: E51 -o oo - / 45 - 6
cpe?a
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: q DETERMINATION: nditional Waiver F] Study Required Waiver
/�cco
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED: oo
PARKING AGREEMENTS DATED:,
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: 0c)
SCALED PLOT PLAN DATED:— 0 1�uToi
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: z/
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD, DATED:
037
LATEMP\Dsrs\Fomis\Street File Checklist.doc
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City of Edmonds PERMIT NO: 9801
PERMIT EXPIRES
SIDE SEWER PERMIT
Address of Construction:
Property Tax Account Parcel No. 3 13 1 —000 —,( Y 17— d-S 0
Attach copies of all access and utility easements Verified and Approved by_
( - r
Owner and/or Contractor: M, &\��L A
Building Permit colozk
Contractor License 4'r 16; 1&441
5L Single Family
F] Multi -Family (No. of Units
F-1 Commercial (No. of Units
0 Public I I
Invasion into City *Right -of Way:. F1 Yes P60
*RW Construction Permit, #
Cross other "Private Property: 0 Yes E] No
"Attach legal description and copyof recorded easement.
Owner oir, c6rAractor signattire and acknowledgement statement:
By signing for this permit I certify that I have read the City's public handout entitled
Side Sewer Specifications, and shall comply with all City requirements outlined therein.
Date
2 CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION 9
Iff FOR INSPECTION CALL 425-77t-0220 extensiow�
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS
Permit Fee Repair Fee $
Trunk Charge $
Assessment Fee $
city Permit Surcharge Fee lw(� 1
Issued By:
Date Issued:
Receipt No: 7, Of
Total Fees Paid $
NOTE: IF JOB SITE IS NOT READY FOR� INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE-INSPE CTION FEE WILL BE CHARGED.
Job Site Ready YES NO Date: Initial:
I
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: - L3��3 In jtial:,j6�_As-built to Street File:
t� PERMIT MUST BE POSTED ON JOB SITE T�
White Copy: File Green Copy: Inspector, 50 Copy: Applicant.
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JUN 2 6 2001
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
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CITY COPY HEIGHT
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174TH ST SW
Ep* CITY OF EDMONDS SIDE SEWER AS- BUILT
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6907 174TH ST SW NTS
HOMEOWNER CONTRACTOR
BAKER MIKE ASHCROFT
DATE DRAWN PERMIT
12/22/03 IBY 1. ABILA NO. 9801
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CA File No:
i 99 2-, 5-b.
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Site Information (soils/ topography/ hydrology/vegetation)
L. Site Address/ Locat, ion: �o 'to -1 1 -7 5:�_3 R C1 '�o
2. Property TaxAccount Number: j3' 1 C) D D I Ly,�- o,5-,
3- Approximate Site Size (acres or square feet): Qt Q
4. Is. this site currently developed? I\ yes; no.
If yes; how is site developed? s C1 t Y\ C,
5. Describe the general site topography. Check all that apply.
.Flat: less than 5-feet elevation change over entire site.
-s
Rolling: slope- -on, site generally. less. than, 15% (a vertical rise of 10-feet over a horizontal..
distance of 66-feet).
Hilly: slopes, present on site of more than, 15% and less than 30% (a vertical rise of 10-feet
over. a horizontal distance of 33 to 66-feet).
6.
7.
18.
9.
10.
11.
#P20
Critical Areas Checklist
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
Site contains areas of 'year-round. stariding'.water Mb Approx. Depth.
Site contains areas of seasonal standing water: WO Approx. Depth:
What season(s) oftheyear?
Site is in the floodwav P-tv floodplain of a water course.
Site contains a creek or an area where water flows across the grounds surface? . Flows are year-round?
Flows are seasonal? (What time of year?
Site is priinarily: forested meadow shrubs d
mixe
urban landscaped (lawn, shrubs etc)
Obvious wetlandlis present on site: f,
-------- ---------- For City Staff Use Only
1. Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS mapped soil type(s)? (a - At 4,v,--A - W c"PI,,, I 1� 12.
4. Critical Areas inventory or C.A. map indicates Critical Area on site? '14 - Fr,,s-�z, H-A?,,A Aej,
5. Site within designated earth subsidence landslide hazard area? No
DETERMINATION
STUDY REQUIRED
Reviewed b A 4_;__1
Date:
WAIVER
I'D - . Q QV
e #.P20
City of Edmonds
Development Servic WE
Planning Division
Phone: 425.771.022o NOV - 8 2005
Fax: � 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the * Checklist ',should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, 'or soil
surveys).
DateReceived: 1(108;17,005
City R eceipt#: ?.-+(o .3!1
Critical Areas File #:
Critical Areas Checklist Fee:—$135.00
Date Mailed to Applicant: k Ac) _ko-koog�
A property owner, or his/her authorized representative,
must fill out the checklist,. sign and date it, and submit it
to the City. The City will review the checklistmake a
precursory site visit and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist Cit� staff in firidingand locating the
specific piece of property described on this form. In
addition, . the applicant, shall include other pertinent
drif6rmation (6.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, 'in consideration on the processing of the application agrees
to release, inderrinify, defend and hold the City of Edmonds harmles'§ from any and all damages, -including reasonable
attompy'S fees, arising from any action or infraction based in whole or part upon false*
nidsleading, inaccurate or
incomplete'infarmation furnished by the applicant, his/her/its agents or employees.
By my signature, I cer* that the* information and exhibits herewith submitted are true and correct to the best of my
.knowledge and that I am authorized to file this application on the behalf of the owner as listed below. .
SIGNATURE oF APPLicANT/AGENT DATE
4- Property. Owner9s Authorization
By MY signature, I certify that I have authorized the above ApplicantlAgent to apply for th�: subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for.the,
purposes of inspection and posting attendant to is application.
SIGNATURE OF OWNER DATE
PLEASE PRINT CLEARLY
Owner/Applicant: Applicant Representative:
Name.
Gq o-7. I � q e
Street Address
city State Zip
Telephone: *L,1 -15 - _� '-) S_ -- 9 :2
Email address (optional):
Name
Street Address
City State Zip
Telephone:
Email Address (optional):
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location: Tax Acct. Number:
Determination: Study Required Determination #: CA-1992-56 Update
Applicant: Owner: J
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED (CA-1992-56)
During review and inspection of the subject site, it was found that the site may contain or be
adjacent to an Erosion Hazard Area pursuant to Chapter 23.40 and 23.80 of the Edmonds
Community Development Code (ECDC).
EROSION HAZARD AREA DEFINED
It appears that this property contains or is adjacent to an Erosion Hazard Area. Erosion Hazard
Areas include:
Those areas with Alderwood and Everett series soils on slopes of 15 percent or greater;
and
Any area with slopes of 15 percent or greater and impermeable soils interbedded with
granular soils and springs or ground water seepage; and
Areas with significant visible evidence of ground water seepage, and which also inc.lude
existing landslide deposits regardless of slope.
DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS
Development within an Erosion Hazard Area must meet additional criteria.
For erosion hazard areas with suitable slope stability, the only critical area study needed is
an erosion and sediment control plan prepared in compliance with the requirements set forth
in Chapter 18.30 ECDC as part of the construction documents. This option is at the
director's discretion, per Edmonds Community Development Code section 20.80.050.G.
In areas where the slope stability is not suitable, projects within Erosion Hazard Areas will
require a report by a licensed Geotechnical Engineer or other qualified professional.
Note that it is important for the report to be prepared by a qualified professional as
defined in the ordinance.
Report requirements are given in ECDC 23.80.050, and more generally in ECDC
23.40.090.D
Development standards are given in ECDC 23.80.060 and 23.80.070.
ALLOWED ACTIVITIES
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If
you have any questions about whether your proposed development qualifies as an allowed
activity, please contact a Planner for more information.
0
0 '.- 1.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a Planner
for more information.
Name, Title
January 9, 2006
Si-q'hgture Date
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
cr E D
2 6 2001
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DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
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HEIGHT
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PLANNING DATA
NAME:13akle�
SITE ADDRESS: 6Pq01 1-71-11A DATE:
ZONING: -PLAN CHK#:
PROJECT DESCRIPTION:
CORNERLOT A& (Yes/No) FLAG LOT (Yes/No)
SETBACKS:
Required Setbacks:,,
Front: 12� Left Side: Right Side:[Zear: 2-��
:541w" ,-p Actual Setbacks: / I &
Front: N3 Left Slde:.��. Right Side: Rear:
V2tvja4j� Street map checked for additional setback required? (Yes/No)
'A '11- '711
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N)
wed LOT COVERAGE:
Of Maximum Allowed:ewzo ___Actual:
If . I !F
BUILDING HEIGHT:
RAW" AA*P'n Maximum Allowed:;�5 Actual Height:
Di u ;;Int
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In(' 47';D C AT
SUBDIVISION:
CRITICAL AREAS #:
SEPA DETERMINATION:
LOT AREA:
OTHER:
Plan Review By:
c.,Ti1es\perrnit%Ap1andatdoc
STANDAHT DR*AINAGE DETENAR� SYSTEM
WORKSHEET
OWNER _a0ck-
ADDPLESS 41,5-
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IMPERVIOUS AREA
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CALC BY:
PHONE: - Y2 s--3 V7 VOW
DATE:
"'DESIGN DATA*****
PIPE DIA PI PE LG
* I DETENTION PIPE LENGTH LOCKING LID
FINISHED GP:�� (TYPICAL)
I r4L MINIMUM I
M Al 2 6 2000 LF_
DE'JEL,0,1,,MEN-f SE
.FtviCES CTR-
y OF EDMONDS
—UPPER CATCH BASIN
FROM CONTROL CB
ORIFICE
6jATURE�FpnRANCf0P
M OF
CONC BOX OR RISER
OUTLET CONTROL
\'12MIN.
ORIFICE
CONTROL CATCH BASIN
SYSTEM CROSS SECTION
2'X2'X6' DEEP, 4-6' SPALLS OR EQUAL
2'X' 2'X 3' DEEP, 3/4' CRUSHED ROCK 11�4�EXIS�TING GRADE
Q:--
FROM CONTROL OUTLE
D ROCK
'-POEURTFFLPOW TRENC
B� MIN 10' LdNG.
PIPE To LEVEL
"<ERF PE W/ END CAPS
TRENCH SHALL BE LINED WITH MIRAFI
RIPRAP OUTLEr PRIOR TO PLACEMENT OF WASHED DRAIN ROCK
RUNOFF SPREADER. TRENCH
.... ... . . . . . ..........
FOOTING DRAINS SMLL NOT BE CONNECTED YO DE YENT101Y SYSTEM
NOTES:
etr lazto
1. Call Engineering Division (771-0220fior a tightline and detention system inspection
before backfilling and for final inspections. APPBOVED BY
2, Responsibility for operation and maintenance of drainage systems on private property is the * 116�5hzi rxil
responsibility of the property owner. Material accumulated in the storage pipe must be flushed I'VZO00
out and removed from the catch basins to allow proper operation. The outlet control orifice DATE
must be kept open at all times.
Itri tical Areas Checklist
0
Site Information
Project Name:
PermitNumber: 1�'." I
Site Location: .A. -1 A
Property Tax Account Number: 5 -0
Approximate Site Size (acres or square feet): 1c), CK)Q
Have you filled out a Critical Areas Checklist for a project on this site before?
General Site Conditions
I - Has the site been cleared or logged.? Date Of most recent action:
Soils / Topography
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? A I dULMQ�Ily SLPO(�
3. Describd the general site topography. Check all that apply.. "S ?trC'An4
'L""' Flat: less than 5 feet elevation change over entire site. lvopts
--Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
—ifilly: slopes present on site of more than 15% and less than 30% a vertical rise
of 10 feet of horizontal distance.)
!!!��Steep: grades of greater than 30% present on site.
Comments
Hydrolo egetation
4. Site contains areas of year-round standing water:
5. Site contains areas of seasonal standing water: --��Approx. Depth:
6. Site is in the floodway Jl— floodplain 2�0—of a water course.
7. Site contains a creek-jor an area where water flows across the grounds surface? &la_flows
are year-round? 50�' Flows are seasonal?
8. Site is primarily: forested meadow ;shrubs mixed
9. Obvious wetland is present on site: -42--
10. Wetland inventory or map indicates wetland present on site: 0-2
1. Critical Are as inventory or map indicates any Critical Area on site:
City of Edmonds
Critical Areas Determination
Charla & Keith Jensen Determination #: CA-92-56
Applicant: I I
Project Name: I I Permit Number: I I
Site Location: 1 6810 174th St. S.W. .1 Property Tax. Acct #: 1 5131-000-145-050:2 ]
Project Description:
New signal family residence
Waiver Criteria (all criteria must be found to apply):
Xx There will be no alteration of the Critical Area or its required buffers;
XX— 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;
xx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xx The above findings are based on the -following conditions of approval:
,1. The applicant must follow all steep slope regulations required by the
Building Official
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 Communit Development Code.
Name Signature Date
RSCEIVED
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J 02004
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