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710 LAUREL ST.PDF710 LAUREL ST City of Edmonds INTER -OFFICE CORRESPONDENCE TO -1 Lid 1C�� -AA / -/LI FROM J -i�yLI -IS DATE �FIIIA41 SUBJECT ` ) , Aik1 -711) I A)a::-) e:%-- 4�rot,� Moum -To tors 2 A�.b w k srt s -7(D L,4-0ar,� 105 �' t�/Ltl 15. t)01y 1r4+2LY W&s m FFPC- uP OF: ta-*5 /, 2) 3, �4, ADDRESS: , / / 0 LauY d TAX ACCOUNT/PARCEL NUMBER: l U !�J ' Q �r 00Z —0(/[/ BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: q55,7�V DETERMINATION: ❑Conditional Waiver ❑Study Required ❑Waiver DISCRETIONARY PERMIT #'S: S l 6Nt� 51 q'j kT�4 DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER)- w" - O / u PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: C�7 SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: p SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: 4%!Q m SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT WEER METER TAP CARD DATED: �✓�//� /"/ LATEW DSTsTormAStreet File Checklist.doc 'Ii 4 13LK t SCELLOG9 FI-NT TO ETJMONTJS- " 5 clrY of E-Tjmomv5, C�' 15WO" 0MtZe-+CO.,WN. E SG4l5e : I-= 2.OL O LOT 51ze e.S`5 zx 9 7.7y O NA-X cover ►+OvSt Comma = ! b Sy 130-IC- llb ►i 3 �- . 2 2. & L + NEJGHT CA.LCS A : II�r1 13 1204 C i I?.$• Tp 122 4 TOTAL: 94'1b.0_4 = 139.o0MEAN t 2S o0 laiscoo M4X "MOVED BY PLAWN G 8'9 x 1 a .+ o 54•gO •^4 j P -3 k4 -r -F - 117. 5 y I, ' � -- •RESIDENGrT� �NTrzy / tCV15_ F:ir= rZz.o / MAW aro , 1 ALLEY M 1k. i Wl ris T. C R GW E � p7' :v �`11Zli.�i 9,AIV J46,c- SITE PLAN! / - LOTS 34 4 8LKi KELLOC.S FtL NT rO 5PP ONTJ5_ VIN CIrY OF E13 M(ONT)5 . �' S1vf llPJUIP j 31�tOHONl�1-FCO.,w►a. �"1' �N 10 li i �% Ir slo,�s'>v6 Oa rr pw NEJGHT CA.LC 5 _ rh ► 20.8 ' C I17.8 C� 10 I2y.r TOThL: 477..11=H I{9.Z7 MEAN' �t t zS ov 113 -o 1y4.27 Msx , \0 / 1 LAI .N ' M R. t M ris T. C Row E. cObtr OF P Avx wAwv i Y WC'w} ® itW . 40�,.'d STANDARADRA11MGE DETENTIO-S 10 WORKSHEET OWNER ro e, 2 M o. T,: � rd I a; . , et: CALC BY: e- ADDRESS PHONE:. 77/-6 Z/ 2- DATE: *****DESIGN DATA***** IMPERVICUS,AREA PIPE DIA, PIPE LG ORIRCE,�`y- 3 1-- 21 77j 4 1. • DETENTION PIPE LENGT. ANA, f WASHED CRAVE OU777 ENCH, MW K)' LONG RUA ELEV A or"" SR%CE TOP 4-PERF PIPE TO BE LEVEL �V FROM 2'MAX COVER PAM ELE _U2_ CONTROL sub. OUTLET CONTROL 0 WAS HED T 0 r 77L OPRA OW VE ' C' 44P ER OUTLET _ 4 p .E WC -PERF PIPE W/CAPS 1WIMM SLOPE 4"0 PIPE &UX r RU OFF SPREADER SWV ELEV OUTLET tAFWC1? CATCH spiv ELEV VASIN;CONTROL CAMN eAsry • a 16"DEEP, 4 -6' QUARRY SPALLS SYSTIEf% S SECTION x2la3' DEEP. 3/4' CRUSHED ROCK FROM CONTROL WAS& �'­N OUTLET •4Q li� 'n RIPRAP OUTLET .15569 RTP71P7,473 - /J FOOTING. DRAINS SHALL NOT BE CONNECTED 70 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 A/12/flo-1 'out and retntwed from the catch basins to allow propdr operation. The outlet control dhfic6 DATE i must be kept openat,alltimes. 11., !'1 1 RF.V 9/Ql) I RECEIVED AUG 0 4 14. PROJECT REVIEW CHECK PROJECT ADDRESS:-710 4j41,r-,5& 15;7- PLAN CHECK #: 9 L"l RECEIPT DATE: 3 9 _. REVIEWED BY: (Initial/Date) PLAN. WATER COMMENTS , FIRE BLDG: SEWER STREET ENG.:: Setbacks/Variance/Setback Adjustment 1 ; Conditional Use Permit ......... ::.....:: 2 ADB Requirements ;:.: .....::;. :: 3 , Other Zoning Requirements :... ;:< ....,:.......;. .... ..... .......:.....:; - 4 Underground WiringRequired < �j 8 R 5 Lot Slope 15% 6 SEPA Environmental Checklist/Hydraulics Permit 7' Tree Cutting Plan 8 ; Plat/Subdivision Requirements 9 Legal Description Verification _ .. ;.:..:; 10 Quit Claim/Street Dedications :,;:. ;.;.. .... Easements - Public/Private Engineering Storm Drain Review Fee 3v ................................. Engineering 2.2 Inspection Fee u :.. 14 Drainage Plan (On -Site) ' Setback - Top of Bank, Stream, Water Courses ....... ... >......... :: 16 :: Setback -Storm Drain Line Open Ditch - Existing Culvert Required ' "" :1 Culvert Size Shoulder Drainage/Shale Open Runoff `21 Catch Basin Required 22' Driveway Slope & Vehicle Access v Ae :.., :; ! 23 Sidewalk Required q�t� Curb & Gutter Required 5 Curb Cut For Driveway Required 44tW Street Paving Required Right -Of -Way Construction Permit Required Street Name Sign Required .4Jv Other Signing Required ✓v Bond Required For Public Improvements o FEMA Map Check/Water Table Side Sewer Availability Calculate Sewer Connection Fee If No LID # Create Street File y Existing Water Main Size Water Meter Size Service Line Size Water Meter Charge Required Hydrant Required Hydrant Size Existing Fire Line Charge Required - Sprinkler Street Cut Miscellaneous Reviewed By: FIRE PLANNING 'iS 0 ENGINEERING PUB IC WORKS RECORD OF C0N•TAC•TS L. I 21 I 2 f� 22 3 23 4 24 5 A 25 6 26 _ 7 4i 27 8 28 RW PERMIT # DATE ISSUED RECEIPT # 9 29 ! J 10 30 11 31 12 32 13 PAID RECEIPT E DATE 33 SS PERMIT # DATE ISSUE �,�/�S—RECEIPT # Z �/iL 14 PAID $ RECEIPT # DATE 34 15 35 16 36 17 37 b METER SIZE 3 PAID $ 106, DATEIPT 18 38 19 39 20 40 890_10- City of Edmond RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. * 0 Issue Date c / 5' A. Address or Vicinity of Construction: B. Type of Work (be specific): �C'�©/i'!s1 i. t� a o A L� C. Contractor: C4lA_�/; Mailing Address: � // /,1je s' 5 4/ State License #: Cit �C7'-C e c-,g/ P.,!L Contact: Phone: - S ;z -- t---) 7 2 f Liability Insurance: Bond: $ D. Building Permit # (if applicable): -�1 fbt"j [�2 Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ Multi -Family ❑ Single Family INSPECTOR: ❑ City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Other INSPECTOR: 02 F. Pavement or Concrete Cut : ❑ Yes ❑No G. Size of Cut: x H. Charge APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and b his signature to this application agrees to hold the City of Edmonds harmless from in'rn ie PP Y g , ag►' y f ! s, damages, or , claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the Q0 of Edmonds, or any of its<departifiente or. employees, including or not limited to the defense of any legal proceedings including defense costs, and 114orney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. 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. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times f W W*rspectloy purposes. Signature:' { Date: (Contras r or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK hI7 a 1COW412WS TIME AUTHORIZED: VOID AFTER SPECIAL CONDITIONS: COMMENTS: 471Ts;61Vlwc A Lek, M* DAYS RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND 111: RESTORATION FE t PERMIT FEE TOTAL FEE RECEIPT ejwk DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 0 • FIELD INSPECTION NOTES Comments Diagram; (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ■ 1� The City of Edmonds `A w2qDrawing ��Cr EASEMENT NO . ............................................ NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO ................... .ASMT. NO.(.................. OWNER................................................................................................ CONTRACTOR PERMIT NO. 9 --L....... ...... ..........---- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. ----.... ........................... JOB ADDRESS ..-•..f 1. .... _............................................................................................................... -............................................. NAMEOF ADDITION----------------------------------------------------------------------------------------------------------------------- msmt I rr ki. VE v.torea t„.�o. t 8 " . Approved: DATE ` 7% 2---•---• B r� U 0 ��� r :4 , ..f ., .'�, },'•y�•--_._'�,,,..��-�--•'•-:.•d•°!rs"jF'� i � FAR YIr• � {. Y�T^��. 1' r. • i�S' . '""..i��i�'.. .�,. .:.J— r � ! Orr 1 � f of r, 9d /19 ys CITY OF EDMONDS SIDE SEWER PERMIT r89p l9q° PERMIT i 6V Address of Construction: -21r <<. ze Property Legal Description (Include all easements): i 7REATPriEPdT PLANT t _�,,.E,tVED M AN j 1995 nt ►gl jG WORKS DE17 Owner and/or Contractor: State License No. LZ i 1'' C -e 0 G��S Building Permit No. 1 Single Family Invasion into City Right -of -Way: ❑ No 0 Yes ❑ Multi -Family (No. of Units ) RW Construction Permit No. ❑ Commercial Cross other Private Property: 4 No ❑ Yes ❑ Public Attach legal description and copy of recorded easement I certify that I have read and shall comply with all city requirements as indicated on the back of the Permit Card. Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY * FOR INSPECTION CALL 771-OW, PUBLIC WORKS DEPT. Permit Fee: �� Issued By x) /0 Trunk Charge: �,� Date Issued: s /�a— Assessment Fee: �� Receipt No.: �� l Lid No.: Partial Inspection: Date Initial Comments Reason Rejected: Date Initial Final Inspection Approved: Date �;_ Initial"- ** 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 . ........................................ NEW CONSTRUCTION REPAIRS ❑ LID NO - ------------------ -ASMT. NO................... OWNER..----•-----------------•---•---..:-.. ...---.......-----••---•--• CONTRACTOR...........--..............--....-------••---....---....---•-----•--.........-----.. PERMIT NO.e-----------t JOB ADDRESS .77-c. ----- ............... LEGAL DESCRIPTION: LOT NO....................................... BLOCK NO. .................................... ..-•----......-•..............•-------•------.................---...--••-•---•--.....................----•----•-••-•---..............-•---•-•-.................--- NAME OF ADDITION ....................................... t TREATivi c a + — L5O- tic I � � �4 -7 Approved: PWW0001.11175 REV.11/78) DATE .......... • �Xls T 11� 5 � S 1TE PLAKI LOTS 3i H BLK't KELLOGS lot-A-T T'O EfJMONTJS._ c.tr,e of rmmo Ti5 a sL5t+ CO.,l,a06 a. E CtoRva STORa1 TJlTGM. _...- S•t7 / �. I �� hl 3 i 15 op I i ni�wr Fya= tt8o E( I $Ti IS Rc r"o s Lrm / I 6►17�Z,Y NE)GHT CALCS A I►H.4 ! I 0 0 r J3 TOTkL: H77 1 = �! 't Iz .1-7 .op ME/�N I: EX ISTINC' > l y 4.27 M 4X I --p rc J ' I\ a i i �1•ic-1% 1 GO.OR OL - ALLEY MR. i M fi5 T. CROW E F iM*TANT! Ness Firmly While Writing AttRon! . Building Relocation Permit Applicant Lill Inside Heavy Lines MOVE DATE TIME .0 �� d� f� PERMIT M r`-- I NUMBER R'SNAME OF NEW BUILDING SITE NEW SITE ADDRESS - ATTACH GAL DESCRIPTION/ j'�+{ i %� j(.. r �'-j j•' �� �". )) r0NW41,?1I.T!LL, 112101C) k MIT 41 /.' ' ; ►, T j r �^ • •a Z MAILING ADDRESS EDMONDS PRE-MOVE I PERMIT NO. L/�� Ci !� /' i/� `�v'r�lTEION �� CITY STATE O. ��--� " i .' FIRE 1 2 3 BLDG. PERMIT NO. FOR WORK ZONE AT NEW SITE MOVING CONTRACTOR MOVE CONTRACTOR'S INSURANCE COVERAGE f _ : ; ��• F, i . �� ! 1• __ ` I = NAME OF SURETY PROVIDING P.L. dk P.D. COVERAGE ?! STREET ADDRESS ' „� f.•7•C� +^ STREET ADDRESS " CITY STATE TEL NO. L J i % i.) CONTRACTOR'S Y STATE LICENSE NO. SITE DESCRIPTION ADDRESS OF PRESENT BUILDING SITE . ATTACH LEGAL DESCRIPTION ADDRESS PHONE r MOVING ROUTE Ord r4 1/-hkc. p % n Ve fie' ' •/Ili./ i .n � s: ..v7 � .�;i' O ,.rti CLEARED BY: . SNOHOMISH COUNTY KING COUNTY t Power Company / hlephoae Company: ./*Z-q OTHER '•OTHER I hereby acknowledge that I have read this application; that the information given is correct; and that I am the _owner, a duly licensed moving contractor, or the authorized agent of one of these. I agree to comply with city and state laws regulating building relocation; and in doing this work, no person will be employed in violation of the Labor Code, State, of Washington relating to Workmen's Compensation Insuran'te..; Signature Of Owner, Contractor, or Authorised Agent . - C :!...............•-•- ............... ..: ..._..._.............. Signer's r Phone-•7-l-.. Address ��.�_.. ..... ...__ ...._ No... .�. ?._..1 �..1.x city ,1...4V1_ 4,! C11- 21..'�.........._......... {,,),.! . state _. ................... r Date... „..... :,.::. _........................................................................... CITY, BUILDING DESCRIPTION DESCRIBE BASIC CONSTRUCTION & PRESENT USE OF BUILDING: 51t�!(71E: � )�� ram" �' y , _ .-''cat � E 1,,'1-11'•�i � , ' �y)h.YL� y OVERALL LENGTH OF BUILDING: , FT. HEIGHT AS LOADED WIDTH AS LOADED BLDG. AREA FT. _ PT. BQ- FT. POLICE DEPT. APPROi�[. OF MOVING 4GUTE DATE By. � ........ ' ` . Time to Finish Moving: .................. Aft ....___..�_ FIRE DEPARTMENT CLEARANCE OF ROUTING IRV:- ', �W: .�r., �. Fes'\ \y .✓A �#i'� ..� _ •� RELOCATION PERMIT FEE ATTENTION: THIS PERMITj# AUTHORIZES ONLY THE RELOCATION OF THE BUILDING NOTED BUILDING INSPEOTION DEPARTMENT CITY OF EDMONDS 771-UHM ozz fie/! PERMIT APPROVAL THIS PERMIT DOES NOT BECOME VALID UNTIL SIGNED. BY THE BUILDING OFFICIAL OR HIS .DEPU- TY, THE FEES ARE PAID, AND RE- CEIPT IS ACKNOWLEDGED IN. THE SPACE PROVIDED By...................... Baildmg Official's Signature Date ..........�. _:►:, /.+. �...--.----• DISTRIBUTION OF COPIES W UTE — File (Bldg. Dept.) YELLOW — MoveInspector GREEN — Assessor GOLDENROD — Police Dept. PINK — Moving .Contractor. PLANNING DATA SITE ADDRESS: DATE: 'z e ZONING: -PERMiT#: I x4 " I L • 11 Ii-G- '7�In MR �-MIT w Jam! ► •� . ,� SETBACKS: Reauired Setbacks: Front: aD Left Side:45Right Side:Rear:15 Actual Setbacks: �• Front: Left Side: Right Side: -✓ Rear: FLOOR AREA: LOT COVERAGE: '1 Maximum Allowed:/4 o ctual• BUILDING HEIGHT: Maximum Allowed: Actual Height: , SUBDIVISION CRITICAL AREAS #: C1+ -I 's -2 JC SEPA DETERMINA LOT Plan Review By: C . n sGAlsr: 1 = -xO=o LOT 5125 454-5 *94 x 3670 zz�y 0 r,,e,>< covo. ►+otiSE t3we.Ka 4 3 ;L i 2 2. & C TO v.. L_ C.av4+ HE)GHT CALCS A : 111}Z i3 { 10 Q• C 11 s 1p 122C TOTA..: 147b.0= 4 _ 101.00 MEaN t ZS 00 (yH.00 MAX -.pj) 0VED BY PLA"NItl ING 8'9 1 E PLANS 1c R S{E1L04� i t1 NT TO 5TJMONt7.5_ C Y OF -13 MaN 75 3 OHOm(-�V+ L-.. Au R. EE L S-r • J O o � Jr4.g0 � N O / h 1 r � __ •'RED{DicNGeY I ' 0 Lcv*-t. wv 122.0 N Uf 0 � • O •emu'. _- pFyyt ; I�e. 1 IV I I I ALLEY M rk. i M rxs T. C Raw E r • • 51TE PLAK1 LOTS 3i H 13LK4 KEI.LbG9 FLNT TO ETJMONTJ5. c►TY OF E'Tp MONV5 SKco%.jOML.3r} co" W&. SG4,-5-: I`= 2.0L0 LOT SIZE 454-5 # x 35� Z 9 7. 7y 95 MA ( C-Ucr 1.+OuSE CO�a• = 1854 iDe-c.xa 22 S L To C VCV HEJQHT CA.LCS a 1i�z r3 ►zo9 C 1M3. 1D. 122 4 TOTA.U: 47GO—' 4 = 10(.0.0 h4EAN t z, o0 LyH.00 MAX L..AUEL 5T AN p o 5Q.g8 N C ti L i ��►z swr /)rF-4 11 .s N U1 .'�4j.. 7�0.9 ° 10 _ A1.T 1 - N TP"Vv , 4.0108 ALLEY M ri . i M rl'S T. CROW E R A WA6,r-&WWI C LOTS 34 4 TSLK9 KELLOC.1 FL b-T TO VV ONT S_ Aa� C-try OF BromaN135 ,( st�LCHo..+lar+co.,wd.y� �.P GNU i r^ IV o? E pec of: v i %'7 Avg VA'Ov 1 \ yr� i P t0� L t ,V` ���•' p � '� Gl' 1 IC'L�p 106k .TI ( IZa1 I. Zb • sc.e.« : t`= -jo� 'S4•g , F ,e I► '� f a 5�t'� y-�^ C.Li�2-gyp 51o�s -1 ea iL1. c cb Oul f" I � n��wrFp�tt6o P / ;y ti n Rcitb ru RE�iDENGC.oeyr J . 1�01►1= i 1 LTY6LfF./12.•f N O )477.1, HT C A. 5 y� o t.4 ° 'pV'(% ti"FF. I t9.t'l MEIN' lit 'I� Soo -IV 1�1AX . I I __Q, Ii l V Is 1 L 3. .,. ,. yp -P" I - , SVLr o f pe o -f fee e \0 I z•1.6 ap 00 c/'L .,lyo ALLEY' TR SET HLE, - M i M rag T. C Raw a .. lv TS 3; y: dL1Cq KEILOC.7; AI;AT_ 770 937MON1.75L :Pry OF•rl3 MOi4Vl . .a11,. .. .. ml . " ' 1 1 •1' i t 1 •' 11 • I 1 11 � • . 1 11 • • 1 1 Ial •1 P G HT C A L fX!. p .. a•' . ma . . . . 1 477.1�;'t �y .L7 MEtrrtJ... 14 4- 27 M 4X ` • . nll �` I •--471aC` .� 1 tit � 96 i .m1; � YFstLL.3 t zo Z-..% 11, LIZ)00 a AA ..• 1 - STA'NDA . DRAINAGE DETENTI1/' �SYSTEM WORKSHEET • OWNER M e , F M ,s . T� ., t Cr. dti•e CALL BY: -� e: t' z e ADDRESS, t 7 (� :.,�',� icy ��..� ' = • 1 , PHONE: - 77/- b Z/ Z ., DATE: - Z - i 4 ` * *t*DESIGN DATA ` * '• IMPERVIQUS,AREA PIPE DIAI PIPE LG ORIFICE ,_ T- -... t. ' LENGT.t ' 1' DETENTION PIPE 0 .x+. ' • WASHED t:RAVE 1ZtIp I' AM" V �aTOPAW 4'PERF PIPE TO BE LEVEL aim ELEv COVER 2'MAx COVER Cyw SPACE , • O atMEa,Ey_F/ -FROM a.� • i y E' '• CONTROL uTLET t� 4' O YN 4-PERF P&K W.,UPS �tmr/ SLOPE 4• • PY'E wN. c _- ' c- '7/8"" RU OFF SPREADER 1NV ELE114.0 &AWN CArCN OUTLET BASIN COVrRm COW BwS�v t '. 2••�OEEP, 4'-G'QUARRY SPALLS SYSTEN}, SS SECTIOW .z:a- DEEP, U4-CRUSNEO ROCK tiG OF wAS f �� �. F�D� CONTROL ' ' T,• z `� RIPR•AP OUTLET 15569 N AL 1 FOOTING_ DRAINS SHALL NOT BE CONNECTED TAU DETENTION SYSTEM NOTES. --..,.I q I. Call Engineering Division (771-0220) for a tightline,and detention system inspection before backfilling and for final inspectiQ.`'T ' w. W e �frrkike-sy � rr . 2. Responsibility for operation and maintenance of Iteaprivate property is the responsibility of the property owner. Material accumulated in the storage pipe must be flushed 'out and rettibved from the catch basins to allow proper operation. The outlet control orifice must be ke t open at.all times. APPROVED BY DATE RRV 7 /07 Table _ - Detention Pipe Size Impermeable Required Pipe'Diameter Area Sq. Ft. - - - - - - - - - - - - - Vol Cu Ft - - 15" 18" 24" 301, - - i 2000 - - - - - - - - 5i� / - - - - - - - - .4'b` � 28 - - - - - - - - - - 16' 10 2500 62 '� ' 50'.. 35 20 13 3000 75 60 42 .24 15 Required pipe 3500 87 70 ,R 49 28 18 length in feet 100 1 .80 56 ' � 21 400 , , , 112'.. ., ., 1 •90 63 36 23. 5000 125 100. 70 40 25 • ' tl . I Note:, Al�owa .le. Pipe Mater. :l.:.Reinforced Concrete..., ,.als Aluminized Steel ., -,Aluminum . . . CMP Asphalt Coated „ N-12..ADS (Not permitted on roads) • M"Table 2 Out iet Orifice Sizes ; Impermeable Area Sq. Ft. Outlet -Orifice Diameter (Inches)' ------------ 2000 5/8 2500 , 1 X tot 5/8 s. .�0.00 1 3/4. 3500 lot 3/4 4000 4500 7/8 5000 7/8 : Table 3 - Rectpgµl4r-Catch Basin Requirgments* ; 1 1 Detdntion °' Max: size OCatch•Basin Pipe diameter'knockout Type ' ---------------.-------------�---- ...18,. 20 .. type, If CB 15 16" to 24'. �" .�_ T 'e : IL CB 16 24" to ' " 36 :,,, �,.. SCE. 1� S" Basin 36" to 42" 42" Yti .�• 4. •.t?# c:.3: :Type : I I , ;CB .19 .: (54" .Basin ) . *Source: Assoc,, Sand & Gray.el Co. Standards. ..tOU L ,/ i. .,PIS no_ S n F A , AUG O 4 j; !PROJECT REVIEW CHECKLIi C—�UGCJ� PLAN CHECK #: 2 PROJECT ADDRESS: 7/0 RECEIPT DATE: REVIEWED BY: (Initial/Date) PLAN- WATER COMMENTS FIRE BLDG. SEWER STREET -ENG. Setbacks/Variance/Setback Adjustment ..:>........ =�>x•<:{>:>:<.: :«<::<::>: Conditional Use Permit { Other Zoning Requirements r q ` Underground Wiring Re uired<;r„ Lot Slope 15% w6. SEPA Environmental Checklist/Hydraulics Permit r•'.:;.;: `<>v ............ : ,' >t:� 7 Tree Cutting Plan Plat/Subdivision Requirements . g Legal Description Verification ' " """ x"' Quit Claim/Street Dedications '«<:k-:<:.« ':x; Easements -Public/Private VINE 12 Engineering Storm Drain Review Fee 30 13.1 Engineering 2.2 Inspection Fee u' NY... ,. 'N. prb::4':'•r:^}C ;:':iri'};:w :j..A:: :;:i •jviiSfL<ij>i'.'Al:.: iri}T:ti'n> 14 . Drainage Plan On -Site ��; rs,;,, ,,�•,��,. ter,.: > ,,� { . Setback - Top of Bank, Stream, Water Courses Setback - Storm Drain Line .f<>.:;.:.v:....:»:.:::..r.:::Ar s<{rg �,�<,�,.: Open Ditch - Existing#JIMAg< :.r.. r..... Culvert Required :<:::<' ;:.,:>,:r>:> 19 Culvert Size „. r} '{� Shoulder Drainage/Shale Open Runoff ' ;:.;.'>.' ................ r:%>':' 21 , Catch Basin Required ..'.' .; %sIm ;':r{'>' 22 Driveway Slo e & Vehicle Access 7W%AeOW Sidewalk Required Curb & Gutter Required WIS25 Curb Cut For Driveway Required *Z6vf�" . � � r_- ` g 4<.<.: 26' Street Paving Required h<.•„�,. . •; .At;` ; �; -2.7 Right -Of -Way Construction Permit Required Street Name Sign Required Other Signing Required �✓� :: :A.;.;,,4h 30=> Bond Required For Public Improvements FEMA Map Check/Water Table "" ' ` ''"""" '' 32„ Side Sewer Availability Calculate Sewer Connection Fee If No LID # Create Street File '.'?•"{..`..". Existing Water Main Size Water Meter Size:<:; Service Line Size r. ` "'' "' Water Meter Charge Required '<:< >'r <>> ' ' 39 Hydrant Required "' .3.���> ,, r� :.t.> r ' >; >- Y Hydrant Size Existing:>� �s " ` ' 41 Fire Line Charge Required - Sprinkler ::.. 42.;:; Street Cut "'"'' 43 Miscellaneous ?>£>' : .7 4. Reviewed By: FIRE PLANNING ENGINEERING A PUB IC WORKS STREET ?y -•r; S„ Fy� EDM,'OALLEY DRIVE r^11 124,60 .. N. EDGE OF ALLEY DRIVE (S. PROPERTY LINE) Lq 124,46 124.30 z _ A a r o .. .. m = D 124.30 I A 711 122.56 — m N 122.42 m I EU C3 122.30 - " FRONT OF GARAGE Cj co �.,. • n . . i cl a TI .u. 1 C3 14It7 i ... ,. 'D • '" ".� . 11 1 t IR ' . � 1 I �. . I ;Ir•If 1. • .. .. . � � n 180 19�0 9 City of Edmond RIF-W VhOEET�,WNSTRUCTION Vermit Number. Issue Date: A. Address or Vicinity of Construction: 710 Laurel St B. Type of Work (be specific): Insttall new Service ( 9515274 ) C. Contractor: Va gh d Eton Natural Gas Co Mailing Address: 1122 7s St su Rv4QTP_tt State License #: 98203 D. Building Permit # (if applicable): Contact: Prank Swan Phone: "7-32Rb Liability Insurance: Bond: $ Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes UNo G. Size of Cut: x H. Charge $ APPLICANT TO READ AND -SIGN r INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, of any -of its departments or employees, including or not limited to the defense of any legalproceedings including defense costs, and attorney fees by reason of granting thispermit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIAL$ FOR A PRIOD 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 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. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times fWoOMection pu poses. Signature: Date: 4-2Z7-97 (Contractor or Agent) CALL DIAL -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 III: RESTORATION FEE: PERMIT FEE: TOTAL FEE: d ` U COMMENTS: RECEIPT FEE: DATE: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 0 0 FIELD INSPECTION NOTES Comments Diagram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: ❑ NO M VYad*Wtm Natural Gas A wastrngton Energy ConparTy L J Addendum -to: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury Engineering Aide . Washington Natural Gas 1356-7500 X7596 La.y 2s 1, Sr IT, Job �I5�52�4 t, o L---&- u me L, ST tJ o GUTS WNG to window - , , , Key: Watermain depth 'Ai/A.- -G- Gas er -SS- Sever �. Water hydrant 2 " gas main p Water valve Washington Natural Gas Company 1122 75th Street S.W.,-Everett, Washington 98203, (206) 355-3331 • Wadik---M— W&— AVVbIw gtcnEnergyCcnpany LP Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 wv o w — 1� �SPH WNG to window Watermain depth W/a 2 " gas main �j 4 Job gs152+4- -+1 O 1....► l..1=Le L' GjT WO GINS Key: -W- Water -G- Gas -SS- Sewer -- Water hydrant p Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 • N� N3hmrWGw AWa51-gtcnEnergy N Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 , ly wv I w z 1� �SPH tp C, ? �o �' JoB �IS►52�4 IJ O C.l9Ts WNG to window Watermain depth Wla 2 - gas main Key: -W- Water -G- Gas -SS- Sever -E)- Water hydrant Q Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 i • i CITY OF EDMONDS COMMUNITY SERVICES Date • Received of: Check V Cash Water Meter Size: Water Connection Sewer Permit/Repair Trunk Charge Sewer Connection/LID Fee R/W Construction Permit Street Restoration/Street Cut (620 Fund) Street Disruption Fee Eng. 2.2% Inspection Fee Eng. Specs. & Plans Storm Drainage Fee Street Use Permit Building Permit (Type) Nian S.E.P.A. Review Recording Fee Tax Date of Hearing: Time: By: -ur- u %%v'r � Permit #: varro ORDER Of r. EDMON S OFFICE . ' it Thud Avenue. . WA 98020 / l(a•SGa- �0�*.ca ao MR L 2 5 10 76 26�:O LO L1115 166 2 3ii' 1IS LO RMIT APPLICATION REQUIREMENT To: Applicant From: Lyle Chrisman, Engineering Inspector Owner: 604ve° Plan Check No: qv—t(pl Address: 7!0 Date: After review of the subject permit application, the following requirements must be met: 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 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 temporary runoff and erosion control on site. (ECDC 18.30.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 18.30.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (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 permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14% withpul a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to %. (ECDC 18.80.060D) A60. 10. Driveways must.be paved from property line to City RIGHT-OF-WAY. A separate permit 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 refuse 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 7.20) 14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) 16. Connection to the City sanitary system is required. A separate permit is required. ' LID# 7¢ Fees paid: Yes No Charge (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 18.90) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) h� ' Crii� �+v •-''.�ufx,o�i /toa��+ty t�7 Z dv�� r,� / PRMTREQR.DOT 7 40ERMIT APPLICATION REQUIREMENTo To: Applicant From: Lyle Chrisman, Engineering Inspector ' 9t Owner: ��w� Plan Check No:qv Address: L� narP• 9Iglg0 e- After review of the subject permit application, the following requirements must be met: 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 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 temporary runoff and erosion control on site. (ECDC 18.30.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 18.30.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 1830) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 1830) 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 permit. (ECDC 18.90) 9. Driveway slope shall not exceed 14% withpO �lul waiver. very attempt should be made to keep the slope below 14%. Waiver granted to /o. (ECDC 18.80.060D) ¢ 10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit 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 refuse 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 7.20) 14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10) 16. Connection to the City sanitary system is required. A separate permit is required. LID# %¢ Fees paid: Yes No Charge (ECDC 18.10y 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 18.90) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 18.90) PRMTREQR.DOT STREET FILE CITY OF EDMONDS 250 STH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-0220 RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: Removing the existing single-family residence and shed, and construct a new single-family residence totaling approximately 3,430 sq.ft. (City of Edmonds Land Use Application # 94-161). Proponent: Thomas and Linda Crowe Location of proposal, including street address if any: 710 Laurel Street, 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: Jeffrey S. Wilson Position/Title: Current Planning Supervisor, Department of Community Services - Planning Division Phone: 771-0220 Address: City of Edmonds, 250 5th Avenue North, Edmonds, WA 98020 Date: �q % 0 11t4 Signature: XX You may appeal this determination to Robe Chave, Planning Manager, at 250 5th Avenue North, Edmonds, WA 98020, no later than 1994, by filing a written appeal citing the reasons. You should be prepared to make specific factual objections. Contact Jeffrey S. Wilson to read or ask about the procedures for SEPA appeals. XX Posted on A l j' f , 1991 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 Environmental Review Section P.O. Box 47703 Olympia, WA 98504-7703 XX Donald and Catherine Anderson (Applicant) 21104 Hillcrest Place Edmonds, WA 98026 Attachments: Critical Areas Determination # CA-93-230 Environmental Checklist PC: SEPA Notebook Robert Chave, Planning Manager Page 1 of 2 --ss- ".= CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771-0220 FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT p Public Works . Planning . Parks and Recreation . Engineering 8g0 19�, Letter of Transmittal Date: August 18, 1994 To: Department of Ecology Environmental Review Section P. o. Box 47703 Olympia, WA 98504-7703 Subject: Land Use Application 94-161 Thomas and Linda Crowe LAURA M. HALL MAYOR WQ1819 94 Transmitting: Determination of Nonsignificance and Environmental Checklist For Your Information: XXX As you requested: Four your file: Comment and return: Note attachments: Sincerely, Judy kenney Planning Sectary cc Donald and Catherine Anderson • Incorporoted August 11, 1890 • Sister Cities International — Hekinan, Japan I CITY OF EDMONDS ENVIRONMENTAL CHECKLIST 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. Instructions for 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 information 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 project 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 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 answers or provide additional information reasonably related to determining if there may be significant adverse impact. Use of checklist for nonproject proposals: Complete this checklist for nonproject proposals, even though questions may be answered "does not apply." IN ADDITION, complete the SUPPLEMENTAL SHEET'FOR NONPROJECT ACTIONS (part 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, if applicable: 2. Name of applicant: CHKLT/1 2-19-91WASTER Page 1 of 23 r 3. Address and phone number of applicant and contact person: 4. Date checklist prepared:. 5. Agency requesting checklist: City of Edmonds. 6. Proposed timing or schedule (including phasing, if applicable): ( STAFF COMMENTS) 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. (STAFF COMMENTS) 8. List any environmental information you know about that has been prepared, or will be prepared. directly related to this proposal. (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 yes, explain. (STAFF COMMENTS) CHKLT/1 2-19-9 LMASTER Page 2 of 23 • • 10. List any government approvals or permits that will be needed for your proposal, if known. 41� ( STAFF COMMENTS) 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 answers on this page. -5O-L- Z� �l[.6'7s /, z ZZL/1 ZoY /s 1075 t` T• S//J� �L= tlliLL %f/!� �f i� �P Lt�i G L— (STAFF COMMENTS) 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your proposed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide range or boundaries of the site(s). Provide legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications xelated to this checklist. 17 (STAFF COMMENTS) TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELFt MS 1. Earth a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous,,2pther: dJ LQ f0� GAS GZ 1'7 cGE� r� (STAFF COMMENTS) b. What is the steepest slope on the site (approximate percent slope)? (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. ."f L� (STAFF COMMENTS) d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. A-10 (STAFF COMMENTS) e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source of fill. (STAFF COMMENTS) f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. (STAFF COMMENTS) CHKLT/1 2-19-9 1WASTER Page 4 of 23 g. About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? -� ,fir"�-��S /¢L.��'/°�►' ���J s�-T-t ay �.s_s � for 5��� is �o"x i/�� (STAFF COMMENTS) h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: �11A_ (STAFF COMMENTS) 2. AIR a. What types of emissions to the air would result from the proposal (i.e., dust, automobile, odors, industrial wood smoke) during construction and when the project is completed? If any, generally describe and give approximate quantities if known. 4741/51�- (STAFF COMMENTS) b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe. (STAFF COMMENTS) c. Proposed measures to reduce or control emissions or other impacts to the, if any: (STAFF COMMENTS) /`UW1T,19_1Q_01 11AACTCO O- C ^4 71 3. WATER a. Surface: (1) Is there any surface water body on or in the immediate vicinity of the site (including year-round and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names. If appropriate, state what stream or river it flows into. ( STAFF COMMENTS) (2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? If yes, please describe and attach availabLIe Plans. ( STAFF COMMENTS) (3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site,/th t would be affected. Indicate the source of fill material. V (STAFF COMMENTS) (4) Will the proposal require surface water withdrawals or diversions? Give general description, purpose, and approximate quantities if known. (STAFF COMMENTS) CHKLT/12-19-91.MASTER Page 6 of 23 (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 waste and anticipated volume of ( STAFF COMMENTS) b. Ground: (1) Will ground water be withdrawn, or will water be discharged to ground water? Give general description, purpose, and approximate quantities if known. (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. ans the.,system(s) are expected to serve. (STAFF COMMENTS) 11 I'll T 1. w . f I . ... -CI - - - - - - 11 c. Water Runoff (including storm water): (1) Describe the source of runoff (including storm water) and method of collection and disposal, if any (include quantities, if known). Where will this water flow? Will this water flow into other waters? If so, describe. (STAFF COMMENTS) (2) Could waste materials enter ground or surface waters? describe. /V o -- (STAFF COMMENTS) If so, generally d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any: (STAFF COMMENTS) 4. Plants a. Check or circle types of vegetation found on the site: deciduous tree: alder, maple, aspen,"7`— �evergreen tree: fir, cedar pine other_: 1--'shrubs grass pasture crop or grain wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other:_ water plants: water lily, eelgrass, mi�� foil other: other types of vegetation: /'-<',''" "`�' ( � �_ (STAFF COMMENTS) CHKLT/1 2-19-9 1.MASTER Page 8 of 23 b. What kind and amount of vegetation will be removed or altered? (STAFF COMMENTS) c. List threatened or endangered species known to be on or near the site. (STAFF COMMENTS) d. Proposed landscaping, use of native plants, or other materials to preserve or �jenhance vegetation on the ositeol if any: g ( STAFF COMMENTS) 5. Animals 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: birds: hawk, heron, eagle, songbirds, �er ), mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: ( STAFF COMMENTS) b. List any threatened or endangered species known to be on or near the site. n' % r? ( STAFF COMMENTS) c. Iss the site part of a migration route? If so, explain. -1IV' TI..1 4^ n4 ...CTGO n.;__ O _4 nd3 ( STAFF COMMENTS) d. Propore measures to preserve or enhance wildlife, if any: ( STAFF COMMENTS) 6. Energy and Natural Resources a. What kinds of energy D�pZroj�e�crli—iiie--rgy tural g� oil, wood stove, solar) will be used to meet the completeneeds? Describe whether it will be used fo heating, manufacturing, etc. (STAFF COMMENTS) b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. yyo (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 impacts, if any: (STAFF COMMENTS) CHKLT/12-19-91.MASTER Page 10 of 23 J 0 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. (STAFF COMMENTS) (1) Describe special emergency services that might be required. (STAFF COMMENTS) (2) Proposed measures to reduce or control environmental health hazards, if any: - (STAFF COMMENTS) b. Noise (1) What types of noise exist in the area which may affect your project (for example. traffic, equipment, operation, other)? (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: traffic, construction, operation, other)? Indicate what hours noise would come from the site.. 16rfwe_ 1=mow - .s eq GP/faZj7 oVL- CHKI_T/12-19-91.MASTFR pain, 11 nf 71 0 (STAFF COMMENTS) (3) Propoped measures to reduce or control noise impacts, if any: (STAFF COMMENTS) B. Land and Shoreline Use a. What is the current use of the to and adjacent properties? (STAFF COMMENTS) b. Has the site been used for agriculture? If so, describe. A& (STAFF COMMENTS) c. Describe any structures on the site. (STAFF COMMENTS) d. Will any structures be e -7`DfZ-ifJ (i' L�Ji'l (STAFF COMMENTS) dished? If so, what? 7,, -7 17zeCi* i9ye GG>i 4-L-- CHKLT/1 2-19-9 1.MASTER Page 12 of 23 e. What i the current zoning classification of the site? ( STAFF COMMENTS) f. What is the current comprehensive plan designation of the site? 1 (STAFF COMMENTS) g. If applicable, what is the current shoreline master plan designation of the site? , (STAFF COMMENTS) h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify. c o ss' Tom=- ��� -sty/ �i �' ����-� �N�•��/ (STAFF COMMENTS) / i. Approximately how many people would reside or work in the completed project? 19 / Ll A� ( STAFF COMMENTS) j. Approximately how many people would the completed project displace? r14KI Tl19-19-91 MACTFR Dann 1 1 of 11 (STAFF COMMENTS) k. Proposed measures to avoid or reduce displacement impacts, if any: (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 be eliminated? Indicate whether high, middle, or low-income housing. ; (STAFF COMMENTS) c. Proposed measures to reduce or control housing impacts, if any: CHKLT/1 2-19-9 1.MASTER Page 14 of 23 ( STAFF COMMENTS) 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? (STAFF COMMENTS) b. What views in the immediate vicinity would be altered or obst (STAFF COMMENTS) c. Proposed measures to reduce or control aesthetic impacts, if any: 1� ( STAFF COMMENTS) 11. Light and Glare a. What type of light or.glare will the proposal produce? What time of day would it mainly ooc-cur? ( STAFF COMMENTS) b. Could light or glare from the finished project be a safety hazard or interfere with v}ews? — �..OACTVD Pa(TP IS of 23 (STAFF COMMENTS) c. Wexisting off -site sources of light or glare may affect your proposal? r-70__ - (STAFF COMMENTS) d. Proposed measures to reduce or control light and glare impacts, if any: (STAFF COMMENTS) 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? (STAFF COMMENTS) b. Would the proposed project displace any existing recreation uses? If so, des ibe. N/ . (STAFF COMMENTS) c. Proposed measures to reduce or control impacts on recreation, including recr tion opportunities to be provided by the project or applicant, if any: A//� CHKIT/12-19-91.MASTER Page 16 of 23 ( STAFF COMMENTS) 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national,. state, or local preservation registers known to be on or next to the. site? If so, generally describe. / r/1 _ _. (STAFF COMMENTS) b. Generally describe any landmarks or evidence of historic, archaeological, scientifi , or cultural importance known to be on or next to the site. (STAFF COMMENTS) c. Proposed m)eapures to reduce or control impacts, if any: !I%/ ( STAFF COMMENTS) 14. Transportation a. Identify public streets and highways serving the site, and describe proposed access to the existing street fsystem. Show on site�lans, if any. ( STAFF COMMENTS) b. Is site currently served by public transit? If no, what is the approximate distance to the2nearest transit stop? rNKI T/1 2-19-91 _MASTFR Pano 17 of ?I (STAFF COMMENTS) c. How many parking spaces would the completed project have? How many would the proje t eliminate? (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 (indihether public or private). (STAFF COMMENTS) e. Will the project use (or occur in the immediate vicinity air /trans rtation? If so, generally describe. of) water, rail, or (STAFF COMMENTS) f. How many vehicular trips per day would be generated by the completed project? If known, indicate when peak volumes would occur. C�i� /f� / l l �� F�� /e.� (STAFF COMMENTS) CHKLT/1 2-19-9 1.MASTER Page 18 of 23 g. Proposed mqpsures to reduce or control transportation impacts, if any: (STAFF COMMENTS) 15. Public Services a. Would the project result in an increased need for public services (for example: fire protection, police protection, health care, schools, other)? If so, generally describe. (STAFF COMMENTS) b. Proposed measures to reduce or control direct impacts on public services, if any: A/ ( STAFF COMMENTS) 16. Utilities a. Circle ut'lities._,_currently available, _at .the site: electricit natural gas, water, refuse service, telepho , sanitary sewer; septic system, other: (STAFF COMMENTS) CHKLT/12-19-91.MASTER Paae 19 of 23 b. Describe the utilities that are proposed for the project, the utility providing the service, and the general construction activities on the site or in the immediAte vicinity which might be needed. y0jtp f'if`�'�''-�/"�CGa�� SPA"`'` ( STAFF COMMENTS) C. SIGNATURE The above answers are true and complete to the best of my knowledge. I understand t `t the)lead agency is relying on them to make its decision. Signature of Proponent Date Submitted CHKLT/12-19-91.MASTER Page 20 of 23 D. SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (do not use this sheet for project actions) Because these questions are very general, it may be helpful to read them in conjunction with the list of the elements of the environment. When answering these questions, be aware of the extent the proposal, or the types of activities likely to result from the proposal, would affect the item at a greater intensity or at a faster rate than if the proposal were not implemented. Respond briefly and in general terms. 1. How would the proposal be likely to increase discharge to water; emissions to air; production, storage, or release of toxic or hazardous substances; or production of noise? Proposal measures to avoid or reduce such increases are: 2. How would the proposal be likely to affect plants, animals, fish, or marine life? Proposed measures to protect or conserve plants, animals, fish, or marine life are: 3. How would the proposal be likely to deplete energy or natural resources? CHKLT/1 2-19-9 1.MASTER Paae 21 of 23 0 0 Proposed measures to protect or conserve energy and natural resources are: 4. How would the proposal be likely to use or affect environmentally sensitive areas or areas designated (or eligible or under study) for governmental protection; such as parks, wilderness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, floodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: 5. How would the proposal be likely to affect land and shoreline use, including whether it would allow or encourage land or shoreline uses incompatible with existing plans? Proposed measures to avoid or reduce shoreline and land use impacts are: 6. How would the proposal be likely to increase demands on transportation or public services and utilities? CHKLT/1 2-19-9 1.MASTER Page 22 of 23 0 • Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. CHKLT/1 2-19-9 1.MASTER Page 23 of 23 USE PERMIT _ CITY OF EDMO N DS ZONE NUMBER 4.2 CONSTRUCTION PERMIT APPLIC TION D Mpg SUITEiAPT a I; ADDRESS 710 E fir NAME NAME�OF BUSINESS �� Ad. C r' LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO ZMAILING ADDR^ESSSj 45 e^r 3 O F"'ti� x TESCP Approved 13 „�f p 1.i PUBLIC RIGHT OF WAY PER OFFICIAL STREET AP. I 'CITY- ZIP TELEPHONE NUMBER �L� '' • RW Permit Required (J 1 -7 EXISTING R�UIRED DEDICATION Street Use Permit Rep'd O ? 4 G 6 '• PROPOSED Inspection Required NAME Sidewalk Required n 1 w / y� r l �� METE SIZF� LINE SIZE NO. OF FIXTURES PRV REQUIRED Q F- `^`/^ "V 3 I, YES NO O W ADDRESS �0� ��� � REMARKS C TY ZIP TELEPHONE NUMBER 1�'G , A)141klel A-60 Gil % �76dny E i �'(�k i o 4 ? - N1q'*,110.1 NAME T aV °� �e✓i-G rsa ►'1 ADDRESS J r' ENGINEERING MEMO DATED /^� R `EwF�yBY ITY ZIP TELEPHONE NUMBER << S NNWO W A qi 8d3 U�( DATE FIRE MEMO DATED REVIEWED BY a ATE LICENS NUMBE EXPIRATION DA u 8 —a SIGN AREA SEPA REVIEW AD 0. to ALLOWED PROPOSED COMPLETE EXEMPT AIIA gal Description of Property - include all easements / ___�_ � 4c H a c. N sH uNE z 0 a VARIAN94 OR CU NNI IfVIEW BY E UghW C' O SETBA KS - FEET HEIGHT LOT V AG 0 FRONT SIDE REAR u.' Property REMARK I Tax It Parcel No. No. - NEW ® RESIDENTIAL IPLUMBING ADDITION COMMERCIAL MECHANICAL REMODEL APT. BLDG.'IGN �� CHECKED BY TYPEton OF CON.STRUCTI N CODE OCCUP NT REPAIR G CVDS. FENCE x _FT) GRO DEMOLISH NSERTTOVE SW IM POOL TUB SPA SPECIAL INSPECTOR AREA OCCUPANT REQUIRED qLr LOAD YES �GARAGE RETAINING WALL/ VV .G&apw D ROCKERY RENEWAL R MARKS (TYPE OF USE, BusINE S OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 v F 0eA)C_ rfG /2. i3. Y/�6t NUMBER NUMBER OF CRITICAL46 O OF DWELLING AREAS /, ? �. �• ' to STORIES UNITS NUMBER t DESCRIBE WORK TO BE DONE (ATTAAAH PLOT PLAN) r FINAL INSPECTION REQUIRED VALUATION FEE J V PLAN CHECK FEE II BUILDING HEAT SOURCE: GLAZING PLUMBING Plan Check NO.., // MECHANICAL 3 This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE ISO . Permit Application: 180 Days STORM DRAINAGE FEE 3a Permit Limit:1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE u, successors in +nterest;,agrees to indemnify, defend and hold W harmless the, .Ctity(of,ldmonds, Washington, its officials, Qemployees, and agents from any and all claims for damages of = whatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT g of this permit. Issuance of this permit shall not be deemed to ° modify, waive or reduce any requirement of any city ordinance t 9 i nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE ? 9Js prgyision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL Nformation 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- AUTHO IIZEsTHE signed by the Building Official or his/her ed thereby, no person will be employed in violation of the Labor 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. lion Insurance and RCW 18.27. INSPECTION RE 10 ER OR A NI DATE SIGNED DEPARTMENT t ,Q� Q CITY OFIGNATURE DATE v �� / EDMONDS / p1� 0 CALL FOR DATE ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771 oALLAo UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW Ainspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD 7 ASSissor CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION jog uOE PERMIT ZONE NUMBER SUITE/AI ADDRESS `' E lJ 'AI OWN R NAME NAME OF USINESS LEGAL /�f J DESCRIPTION CHECK SUBDIVISION NO LID NO w o NO ADDRESS ; ' PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved O RW Permit Required `O EXISTING REOUIREO DEDICATION Street Use Permit Req'd O O Inspection RequiredMCA PROPOSED Sidewalk Required ` D TY Zlp �7^6 A!5 C 'r TELEPHONE NUMBER a NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES O NO 0 r- W ADDRESS REMARKS Sir-E Ta 4� IS CITY ZIP TELEPHONE NUMBER NAME ,- c O ADDRESS 1Z ENGINEERING MEMO GATED �i (p/���yIE�WE/DBY / � / Cc o CITY. ZIP I J,t" // (/ �, / `� f I 7 TELEPHONE NUMBER FIRE MEMO DAT D —REVIEWED Y STATE LICENSE NUMBER EXPIRATION9ATE ... f� L 5 L E' `j r / / .1.5 1 `j :� /1 (/ / �/ �� SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE EXEMPT EXP9 A08 O. C Legal Description of Property -include all easeme '�`JL l sH R E« a VARIANCEIOR CU ___ PLA NO BY PATE . SETBACKS — FEET HEIGHT LOT C VERAGE'' V FRONT SIDE REAR Property Tax Account Parcel No. T' � D c?— J REMARK - NEW RESIDENTIAL PLUMBING 13 ADDITION COMMERCIAL MECHANICAL REMODEL REPAIR APT. BLDG. ^I 'GRADING .`'---f/. CYOS. El ❑ SIGN FENCE I—x—_FT) CHECKED BY TYPE OF CONSTRUCTION CODE / 9 OCCU G� DEMOLISH WOODSTOVE INSERT SWIM POOL HOT TUB/SPA SPECIAL INSPECTOR REOUIRED 17 YES AREA OA /. y( ((/ (/ OCCU LOAD GARAGE. CARPORT RETAINING WALL/ ROCKERY RENEWAL REMARKS INSPECTIONS PER UBC 305 ,7YPP of use. BuslNEss OR ACTIVITY) EXPLAIN:PROGRESS UNLIMBER O OF STORIES NUMBER OF DWELLING IV& UNITS CRITICAL AREAS 93-a3 NUMBER it DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED . VALUATION FEE PLAN CHECK FEE ' BUILDING S HEAT SOURCE: GLAZING 0 /0 PLUMBING -Plan Check No. MECHANICAL GRADINGIFILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit:1 Year - Provided Work Is Started Within 180 Days . STORM DRAINAGE FEE ENO. INSPECTION FEE v, iwhatever "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold W harmless the City of Edmonds, Washington, its officials, f employees, and agents from any and all claims for damages of nature, arising directly or indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to ° modify, waive or reduce any requirement of any city ordinance = nor limit In any way the City's ability to enforce any ordinance provision." PLAN CHECK DEPOSIT TOTAL AMOUNT DUE M 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 9 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 g State of Washington relating to Workmen's Compensa• 18.27. INSPECTION acknowledged in space provided. tlorayOf6sura e and RCW SI NATURE 0 NER 0 GENT1 DATE GNEO Gr ��/ / t•- DEPARTMENT CITY OF EDMONDS OF IAL'S GNATURE DATE CALL FOR ELEASEO Y: DATE ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ��� oAAo LL ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC PINK — Owner GOLD —Assessor CHAPTER 3. toa-eT 1 2 Z 9 m