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7110 156TH ST SW.PDF1111111111796 7110 156TH ST SW STREET FILE FILE # • DETERMINATION OF NONSIGNIFICANCE Description of proposal Single family dwelling Proponent Patrick and Diana Brogan Location of proposal, including street address, if any 7110 156th SW, Edmonds, WA Lead agency City of Edmonds Planning Department The lead agency for this proposal has determined that it does not have a prob- able significant adverse impact on the environment. An environmental impact statement (EIS) is not required under RCW 43.21C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. There is no comment period for this DNS. This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal.for 15 days from the date below. Comments must be submitted by Responsible official Leigh Francis Position/title Code Enforcement Technician Phone 771-3202 Address 250 5th Avenue North, Edmonds, WA 98020 Date 7/21/87 Signature E7 You may appeal this determination of nonsignificance to James Driscoll, Hear.inq Examiner at 250 5th Avenue North, Edmonds, WA 98020 no later than July 31, 1987 by 5 :00 PM You should be prepared to make specific factual objections. Contact to read or ask about the procedures for SEPA appeals. 0 /E�7 There is no agency appeal. • • • • C' ENVIRONMENTAL CHECKLIST Purpose of Checklist: %111V 18 1987 PERMIT COUNTER 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 cm,ironmcnt. 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 theproposal, 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 agen- cies 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 de- scription you can. You must answer each question accurately and carefully, to the best of your knowledge. In most cases, you should be able to answer the questions 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 ap- ply". 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 in- formation 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 DITION, complete the SUPPLEMENTAL SHEET FOR NONPROJECT ACTIONS (part D). For nonproject actions, the references in the checkiist to the words "project," "applicant, should be read as "proposal," "proposer." and "affected geographic area," respectively. A. BACKGROUND 1. Dame of proposed project, if applicable: 2. Dame of applicant:=S' l�`ft� 3. Address and phone number of applicant and contact person: 4. Date checklist prepared: 6 _) — 97 5. Agency requesting checklist: .4155/NO/Vp.�- �v+•�d r 't�', 6. Proposed timing or schedule (including phasing, if applicable): "does not apply." IN AD - and "property or site" 7. Do you have any plans for future additions, expansion, or further activity related to or connected with this proposal? If yes, explain. D • • S. List any emironmcntal information you kno%k about that has been prepared, or will be prepared, directly related to this proposal. No n e- 9. Do you know whether applications arc pending for governmental approvals of other proposals directly affecting the property covered by your proposal? If yes, explain. Building permit 10. List any government approvals or permits that will be needed for your proposal, if known. A/01) e B.ui.lding permit 11. Give brief, complete description of your proposal, including the proposed uses and the size of the project and site. There are several questions later in this checklist that ask you to describe certain aspects of your proposal. You do not need to repeat those answers on this page. (Lead agencies may modify this form to include additional specific infor- mation on project description.) re S I de r) f Q << f i')p,-� :+ 0 4�✓,�,: 02 t� U ' ` l� apP��.. 12. Location of the proposal. Give sufficient information for a person to understand the precise location of your pro- posed project, including a street address, if any, and section, township, and range, if known. If a proposal would occur over a range of area, provide the range or boundaries of the site(s). Provide a legal description, site plan, vicinity map, and topographic map, if reasonably available. While you should submit any plans required by the agency, you are not required to duplicate maps or detailed plans submitted with any permit applications related to this checklist. 7l to 15� � s L rJ Q►UDS TO BE COMPLETED BY APPLICANT B. ENVIRONMENTAL ELEMENTS 1. Earth a. General description of the site (circle one : Flat rolling, hilly, steep slopes, mountainous, other b. What is the steepest slope on the site (approximate percent slope)? # 0 EVALUATION FOR AGENCY USE ONLY 541 • TO BE COMPLETED BY APPLICANT c. What general types of soils arc 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. 'rc) F S 3, i e aC,I� ( '�' / � r'y 1►'.f.) � SAND d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe. e. Describe the purpose, type, and approximate quantities of any fillin" or grading pro- posed. Indicate source of fill. 10 r" is=t F ; , 1 C J EVALUATION FOR AGENCY USE ONLY f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe. If necessary,.contractor will be required to install a temporary erosion control system. •o About what percent of the site will be covered with impervious surfaces after project construction (for example, asphalt or buildings)? 42 h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any: ,Alon e- 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. /X , r)C�- b. Are there any off —site sources of emissions or odor that may affect your proposal? If so, generally describe. 1 /0 C. Proposed measures to reduce or control emissions or other impacts to air, if any: -3- TO BE COMPLETED BY APPLICANT . 3. V1 afar 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. f?(, 2) Will the project require any work over, in, or adjacent to (within 200 feet) the described waters? if yes, please describe and attach available plans. 3) Estimate the amount of fill and dredge material that would be placed in or removed from surface water or wetlands and indicate the area of the site that would be affected. In- dicate the source of fill material. NO �t � 4) Will the proposal require surface water withdrawals or diversions? Give general de- scription, purpose, and approximate quantities if known. NO • 5) Does the proposal lie within a 100—year floodplain? If so, note location on the site plan. /Vv 6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the type of waste and anticipated volume of discharge. /v O 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. 2) Describe waste material that will be discharged into the ground from septic tanks or other sources, if any (for example: Domestic sewage; industrial, containing the following chemicals . . . ; agricultural; etc.). Describe the general size of the system, the number of such systems, the number of houses to be served (if applicable), or the number of animals or humans the system(s) are expected to serve. EVALUATION FOR AGENCY USE ONLY -4- • TO BE COMPLETED BY APPLICANT 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. 4 2) Could waste materials enter ground or surface waters? If so, generally describe. /v D EVALUATION FOR AGENCY USE ONLY d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if .any: IUo it G The storm water drainage system must be approved by the City of Edmonds Engineering Division. 4. Plants a. C��eck or circle types of vegetation found on the site: i/deciduous tree: alder, maple, aspen, other •�veigreen tree: fir, cedar, pine, other �hrubs _ grass _ pasture crop or grain _ wet soil plants: cattail, buttercup, bullrush, skunk cabbage, other water plants: water lily, eelgrass, milfoil, other other types of vegetation g {Qc I ��.�- r V t •;- — b. What kind and amount of vegetation will be removed or altered.) AL bG---g -rF-,5 .1 j CebAR, 7'1?Z..9'5 c. List threatened or endangered species known to be on or near the site. /f/0 '- e d. Proposed landscaping, use of native plants, or other measures to preserve or enhance vegetation on the site, if any: 5. Animals a. Circle any birds and animals which have been observed on or near the site or are known to be on or near the site: birds: hawk, heron, eagle, songbirds, other: .. .. . mammals: deer, bear, elk, beaver, other: fish: bass, salmon, trout, herring, shellfish, other: List any threatened or endangered species known to be on or near the site. INS TO RE COMPLETED BY APPLICANT • c. Is the site part of a migration route? If so, explain. Mo d. Proposed measures to preserve or enhance wildlife, if any: 6. Enerev and Natural Resources a. 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, manu- facturing, etc. b.. Would your project affect the potential use of solar energy by adjacent properties? If so, generally describe. o 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: • 7. Environmental Health a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so, describe. /Vo 1) Describe special /emergency services that might be required. 2) Proposed measures to reduce or control environmental health hazards, if any: b. Noise 1) What types of noise exist in the area which may affect your project (for example: traffic, equipment, operation, other)? NO EVALUATION FOR AGENCY USE: ONLY 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)? Indi- cate what hours noise would come from the site. 5bor�_ f e.•Y:rj R, e5 f�A" % t�f _rl_ 1 • • TO BE COMPLETED BY APPLICANT 3) Proposed measures to reduce or control noise impacts, if any: /4/a ne. 8. Land and Shoreline Use a. What is the current use of the site and adjacent properties? rt' j 1Ci e/? ,' P 2./ b. Has the site been used for agriculture? If so, describe. c. Describe any structures on the site. Vnt`j {. d. Will any structures be demolished? If so, what? • NO EVALUATION FOR AGENCY USE ONLY e. What is the current zonilne classification of the site? 1"e51L{•I?/7 �bt0—. Single family residential f. What is the current comprehensive plan designation'of the site? Low density residential g. If applicable, what is the current shgreline master program designation of the site? NIP h. Has any part of. the site been classified as an "environmentally sensitive" area? If so, specify. /�� 0 Yes --the site is designated as a ` Slope Environment on the City of i. Approximately how many people would reside or work in the completed project. Edmonds' Environmentally Sensitive Areas map. 3 j. Approximately how many people would the completed project displace? 0 k. Proposed measures to avoid or reduce displacement impacts, if any: Alo J; e, I. Proposed measures to ensure the proposal is compatible with .existing and projected land 4wses and plans, if any: —7— • • TO nL COMPLETED BY APPLICANT 9. Housing a. Approximately how many units would be provided, if any? Indicate whether high, mid- dle, or low—income housing. b. Approximately how many units, if any, would be eliminated? Indicate whether high, middle, or low—income housing. to— c. Proposed measures to reduce or control housing impacts, if any: /VD /? E✓ 10. Aesthetics a. What is the tallest height of any proposed structure(s), not including antennas, what is the principal exterior building material(s) proposed? �_�,1-•- b. What views in the immediate vicinity would be altered or obstructed? Al o rt e, c. Proposed measures to reduce or control aesthetic impacts, if any: 11. Light and Clare a. What type of light or glare will the proposal produce? What time of day would it mainly occur? b. Could light or glare from the finished projec�be a safety hazard or interfere with views? �% c. What existing off —site sources of light r glare may affect your proposal? ,�, O �- d. Proposed measures to reduce or control light and glare impacts, if any: 12. Recreation a. What designated and informal recreational opportunities are in the immediate vicinity? /!,; 91) "'0'. b. Would the proposed project displace any existing recreational uses? If so, describe. EVALUATION FOR AGENCY USE ONLY i i • TO BE COMPLETED BY APPLICANT EVALUATION FOR AGENCY USE ONLY I C. Proposed measures to reduce or control impacts on recreation, including recreation op-portunities to be provided by the project or applicant, if any: / �if 0 Gt e 13. Historic and Cultural Preservation a. Are there any places or objects listed on, or proposed for, national, state, or local preser- vation registers known to be on or next to the site? 11 so, generally describe. b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural importance known to be on or next to the site. X 0 I. � c. Proposed measures to reduce or control impacts, if any: • , /V0 rle, 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. °b. Is site currently served by public transit? If not, what is the approximate distance to the nearest transit stop? J O c.. How many parking spaces would the completed project have? How many would the project eliminate". i d. Will the proposal require any new roads or strceis. or improvements to existing roads or streets, not includinu drivc%vays` if so. generally describe (indicate whether public or private). AX, - e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transpurta- tion? If so, generally describe. /► % .0 f. How many vehicular trips per day would be generated by the completed project'? If known. indicate when peak volumes would occur. i r: • TO BE COMPLETED BY APPLICANT g. Proposed measures to reduce or control transportation impacts, if any: 15. Public Services a. Would the project result in an increased need for public services (for example: fire pro- tection, police protection, health care, schools, other)? If so, generally describe. 46 b. Proposed measures to reduce or control direct impacts on public services, if any. • Nvne. 16. Utilities a. Circle -utilities currently available at the site: electricity natural gas,Cate refuse sere-) .—� .:ice;{telephone•{'sanitary sewed.. septic system, other. 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. 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. Signature: ......................................:....................... Date Submitted: .......................................................... EVALUATION FOR AGENCY USE ONLY —10— To HE COMI'I.IJI:11 IIY AI'I'LICANT EVALUATION FOR • AGENCY USE ONLY D. Su1'1'1.1in1ENTAI. S111i11- FOR NONPROJECT ACTIONS (Rezones, Code Changes, Annexations, etc.) (dn 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 front 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; pro- duction, storage, or release of toxic or hazardous substances; or production of noise? Proposed measures to avoid or reduce such increases are: 3. 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: 11 3. flow would the proposal be likely to deplete energy or natural resources'? Proposed measures to protect or conserve energy and natural resources are: 4. Now would the proposal be likely to use or affect environmentally sensitive areas or ar- eas designated (or eligible or under study) for governmental protection; such as parks, wil- derness, wild and scenic rivers, threatened or endangered species habitat, historic or cultural sites, wetlands, fluodplains, or prime farmlands? Proposed measures to protect such resources or to avoid or reduce impacts are: 5. Flow 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? r% • • PTO BE COMPLETED BY APPLICANT Proposed measures to avoid or reduce shoreline and land use impacts arc: 6. How would the proposal be likely to increase demands on transportation or public ser- vices and utilities? Proposed measures to reduce or respond to such demand(s) are: 7. Identify, if possible, whether the proposal may conflict with local, state, or federal laws or requirements for the protection of the environment. EVALUATION FOR AGENCY USE ONLY —12— CITY of EDMONDS For Inspection Call 771-3202 RECEIVED` AU G 211387, r, SIDE SEWER PERMIT NO. PERMIT 007797 00 0 r Ln a� PUBLIC WORKS Address of Construction: % o I S G :! Property Legal Description (Include all easements): Owner and/or Builder: _ IfC')`Ok- V'\- Contractor & License No: Ve( /a, - Single Family Residence Multi -Family (No. of Units ) zow (fa VXs4; 7 (F 7 LYNNWOOD L.NE Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) % Cross other Private Property: No V Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I certify that I h e read and shall comply Date with the items listed on the back. Permit Fee: 30-0y Trunk Charge: 2�5_ 00 Assessment Fee: Partial Inspection: Issued By: ;Date Issued: Receipt No.: -7 /- Comments Final Inspection Approved: Date Initial Rejected: Reason ** PERMIT MUST BE POSTED ON JOB SITE ** Date Initial Date Initial .Wh.ite Copy - File Green Copy -'Inspector Buff Copy - Applicant I� The City of Edmonds Side Sewer Drawing EASEMENT NO_ ____________________________________________ NEW CONSTRUCTION Er REPAIRS ❑ LID NO_ __________________ _ASMT. NO. _.---_---______-_- OWNER P►-�jio�A��l-----•-------------------------------------------- CONTRACTOR-tAV`\....... ARN------------------------------------------------ PERMIT NO- ------------------__ JOB ADDRESS ~ �v ---- - - - -- t7 5 W • LEGAL DESCRIPTION: LOT NO. BLOCK NO. ------..--• ............... •---------------_--• •-•-• __-___ _--------------------------------------------------------------------------------------••-•---------- k Glo 0-42s TO ('®% 4041)� NAMEOF ADDITION -------------------------------------------------•---•-------------------------------------•--------------•------------ r CS LYNNWOOD LtNE- PWW-0001-11/i Approved: (REV.11/7 S1' DATE .a'�--__�_____..___.. By( �___.!___"__G"'---_--- //,1/,/ NOTICE: No warranty of accuracy. The information shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity requesting a copy should conduct an independent inquiry regarding the information shown on the map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers shall be liable for the information given on map(s), nor for any one representation provided based upon said map(s). CITY OF EDMONDS ASSET INFORMATION SHEET STREET FILE _ LJ NEW ASSET NO. ❑ ADDITION ADDITION TO ASSET NO. ❑ RETIREMENT DESCRIPTION SERIAL NO. LOCATION / DnNO. * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST * PROJECT NUMBER/il�lo 7 PROJECT COMPLETION DATE G COST ��4• �� B.A.R.S. ACCOUNT NO. '�`��-DfJG 19 DD •�� ESTIMATED LIFE INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY EV DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT 40 G.L. ENTRY REFERENCE t(p) INITIAL VERIFIED BY PROCESSED BATCH NO. DATE DEPARTMENT FILE . __ _ _. .... .. .:+ ... .. ; F'y « .. � �,.;. b=+ii� 1�9,�3�r.axr�iA`�.. ;.;.. �.6::..::,'wak�aw�',T.',fii?&i�17i5i�?;�;i�•+,'- �-'::?:y�,r�-w-- VJG � YGI'IMII --�- � � •�� CITY OF EDMONDS ZONE ��j �Z NUMBER CONSTRUCTION PERMIT APPLICATION JOB Nr,�(R NAME OF BUSINESS) ADDRESS10 C v LEGAL DESCRIPTI CHECK SUBDIVISION NO. LID NO. MAILING ADDRESS 114 CITY TELEPHONE NUMBER a NAME lanq ADDRESS CITY TELEPHONE NUMBER NAME ^ )) 4i c Cons-r-. ADDRESS �C/l�iz QS �bov� CITY TELEPHONE NUMBER STATE ICENSE NUMBER � poc Legal Description of Property - include all easements (show below or attach four copies) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION PROPOSED I A RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑ STREET USE PERMIT REQUIRED ❑ SEE ENGINEERING MEMO DATED REMARKS U ' METER SIZE IBUILDING SUPPLY SIZE REMARKS RE UNITS SIGN AREA ENV. REVIEW ALLOWED I PROPOSED I COMPLETE 1 EXEMPT ADB NO. VARIANCE OR CU PLANNING REVIEW BY DATE YARDS �J I I I HEIGHT LOT COVERAGE FRONT ( SIDE 10 REAR vs NEW RESIDENTIAL PLUMBING ADDIALTER COMMERCIAL MECHANICAL C� REPAIR RETAINING WALL SIGN DEMOLISH RCFILLTE ❑ (( FENCE x-FT) CHECKED TYPE OF CG TRUC710N CODE qss (^V/OCCUPANCY HEIGHT REMODEL C�WOOD STOVE/ PRE- OVE INSP.I COMPLIANCE INSP. SWIM POOL SPECIAL INSPECTOR AREA REQUIRED ❑ YES ❑ NO GROUP OCCUPANT LOAD INSERT APT. BLDG RENEWAL REMARKS 1-"4 1 S4/ -Alt/ 1 NUMBER OF STORIES NUMBER OF I DWELLING 4;E � 'UNITS � NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) 'A_Z_*_, 61 n PLAN CHECK FEE BUILDING PLUMBING This Permit covers work to be done on private property ONLY. MECHANICAL GRADINGIFILL 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 "Applicant, on behalf of his or her spouse, heirs, assigns and ENERGY CODE ti successors in interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of Q i whatever nature, arising directly or indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify,. waive or reduce any requirement of any city ordinance i nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that 1 have read this application; that the Information given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and state laws regulating construction; and in doing the work authoriz- THIS PERMIT AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tl n insur nce., INSPECTION SIGNATURE L05NER OR AGENT) DATE SIGNED DEPARTMENT CITY OF EDMONDS ATTENTION 771.3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102aa VALUATION FEE -/MYD 1-114 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE DATE RELEASED BY: DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor z 0 m MEMO TO: Building Division FROM: Engineering Division SUBJECT: 7//O /S� After review of the subject building permit application, we have the o following comments: 6) 7) 9� Connection to City water system required. Connection to City sanitary sewer system required. Right-of-way permit required for any work.on City property. Driveway slope not to exceed 14,10. a Back water valve required if downstairs plumbing is below elevation of upstream manhole. Water and sewer lines to be separated by 10 foot minimum. Builder/owner responsible for containing all temporary' runoff and erosion on site and may not impact neighboring properties in any way. i Construction hours from 7:00 a.m. to 10:00 p.m, on weekdays and 10:00 a.m. to 6:00 p.m. on weekends and holidays. 0 PR07ECT REVIEW CHECKLIST PRAM= NAME: �� PROTECT ADDRESS :�D l �� / t /G� /6 � APPLICATION RECEIPT DATE: Rev ewd by: (initial/date) COMMENTS PLANNING WTR/SMI I STREET I PNGNRNG FIRE BUILDING '//// ,/ SINGLE FAMILY/MULTIPLE/CQMMERCIAL - (Circle One) SETBACKS CHECKED - Planning / / /, VARIANCE/SETBACK AW. /////////-177111 ////, / /// / // // / CONDITIONAL USE. PERMIT 77777 / // / / // ADB REQUIREMENTS CHECKED 777TIT11 OTHER ZONING REQUIRFMFSlIS //,//// ///////// //////// // ////// 4 ENVIRONMENTAL FEATURES �^ ////// ///////�'/ /////// 5 ACCESS SLOPF. S VEHICLE ACCESS 777177 / / / - DRAINAGE PLAN (On Site) ////// ///////// ////////'/ //////// 7 STREET FILE _ 8 777 / / 7 7 T1 TT17 T- LDGAL DESCRIPTION VFRIFICATION ////// ///////// ///////// //////// 9 , OUIT CLAIM/DEDICATIONS ////// ///////// ///////// //////// 10 EASEKW - PUBLIC/PRIVATE ///////// ///////// //////// 11 CALCULATE SUM CONNrX.TION IF NO LID1 Z ////// ///////// ///////// //////// 12 �- / / TTIT177 7 7P 7 7 / — PLAT/SUBDIVISION REQUIREMENPS ////// ///////// //////// 13 /? RIGHT-OF-WAY CONSTRUCTION PERMIT READ ////// ///////// ///////// 14 BOND REQD FOR PUBLIC IMPROVEMENTS ////// ///////// ///////// //////// 15 SOILS CONDITIONS S GROUND — 4ATER FIETD CHECKED . ////// ///////// ///////// /// / // 16 SPREEP PAVING REQUIRED 17 '1W AND GUITER REQUIRED ////// ////y//// ///////// ////////// 18 3IDEWALK REQUIRED ////// ///////// ////////%' 19 URB CUT FOR DRIVEWAY REQD ////// ///////// ////////./ ////////// 20 :TREET NAME SIGN REQD ///////// ///////// ////////// 21 YNIER SIGNING REQD ////// ///////// ///////// ////////// 22 TIDE SEWER AVAILABILITY ////// ///////// ////////,/ //////// 23 DQSTING WATER MAIN SIZE ////// ///////// �� 24 ,LATER METER SIZE ////// ///////// 31JI / _ 25 SERVICE LINE SIZE ////// ///////// //////// ////////// 26 IYDRANT REQUIRED ///////// /////1/// //////// ////////// 27 IYDRANT SIZE EXISTING ////// ///////// e //////// ,,,//,//// 28 'BOSS CONNECTION INSPECTION READ ////// ///////// //////// ////////// 29 ATER METER CIARGB REQD ////// ///////// ��•�'L� //////// ////////// 30 FIRE LINE CHARGE READ - SPRINKLER' ///////// ///// ////////// 31 TREE'T CUT 32 11111110 ,PEN DITCH EXISTING ////// ///////// ////////' 33 — REOD �L 34 /////1 ULVERT RDQD ////// ///////// ///////// 35 SIZE ////// ///////// ///////// 36 AWH BASIN REQD ////// ///////// ///////// 37 INDICATED ON SITE PLAN ////// ///////// ///////// 38 dOUL.DER DRAINAGE MAINTAIN // / SHALE OPrN RUNOFF ////// ///////// ///////// 39 SISC: ///////// ///////// 40 !EVIEWED BY: PLANNING MGR. ENGINEERING MGR. PUBLIC�WO CS MGR. r CATCH{ EA5IW: ALtS -IS70,0k Tit GNCW LOCNGTH �ouaL' > v- 9 TACNCH COvWq ............................. . .......... T uWC 4PEKF PIPE' -100 TEE w/ 4" Lo►1. LEGS L[VN-L TRCNCFI CAP SYSTEM CROSS-SECTION MIRAFI soox ofR UIVELF.L'T TO B LAYED 4 w ,S!= t� D KOr K 'r;kEl,CF1 COVER 3/4*- 0/2" WASUEO GRAVE1 4rDIAM M;tF P TRENCH CROSS-SECTION STANDARD DRAINAGE PLAN INFILTRATION SYSTEM -PAGE I OF 2 for i11ti1%R-' r UAL"3 ME' DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sQ-ft. Area Rpn- WWI WA �NOTES 1. Call Engineering Division (771-3202)• .for prebackfill and -final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year). use 5e ve x- �� wi/l � ,r v�e ►'� fi :gin i . rlrsl27 Iry CITY 0F EDMorun-4,- N�� N 9° Iq'o(o 97.01 I � i 0 I GAKAcjE N I N I (000 tr I 2� CA7-I OMNI w STp Ry i�iz 4t are I 3 yy' � kt2 Is p Rol cV Lo a ti � F—SEWER 57�8 N 5° qz o(o SITE PLAN. SCALE: 1 INOTE: 00 NOT USE INFILTRATION SYSTEM i ON --LOPES OVER 15 PERCENT (15 FOOT RISE PER 100 FEET HORIZONTAL ) STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE 2 OFF 2 0 22 6' 09" W fight: I* Legal Description Beginning at a point on the north line of Tract 22, Meadowdale Supplemental Plat, as recorded in volume 5 of plats on page 42, records of Snohomish County, Wa., 301.02 feet West of the northWast corner thereof, the north line of said Tract 22 bears N 89°57'W, said point being the northeast corner of land owned by Helen Gragg and E. Coghlan ; thence S 1' 12' E. along the east line of the Gragg - Coghlan property 97.09 feet to the true point of beginning; thence S 1012' E 97.09 feet; thence -N 89' 57' W 154.97 feet; thence N 0016' E 97.01 feet; thence S 89057' E 152.49 feet to the true point of beginning. Legend • set 1/2" a 24" steel rod with plastic cap 44 concrete monument in steel case • found rebar no. 4561 1n4.7S (actual ridge line elevation) CITY OF EDMONDS ❑/NEW 2 ADDITION ❑ RETIREMENT ASSET INFORMATION SHEET STREET FILE ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION 0 Z 5 6 DEPT. NO. * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE * PROJECT NUMBER _ Z,61%J� o w / PROJECT COMPLETION DATE COST �ZZ D U INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE Of= PROJECT ACCOUNTING ONLY E DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT O G.L. ENTRY REFERENCE b P INITIAL VERIFIED BY PROCESSED _ BATCH NO. DATE DEPARTMENT FILE