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Critical Areas Checklist CA File No:
Site Information (soils/ topography/ hydrology/ v,, e//getation)
1. Site Address/Location 00 3� O O 1- y � ? � � V ., F_yV
2. Property Tax Account Number. . 2.70 4 11800106000
3. Approximate Site Size (acres or square feet): Yo /AGP_E
4. . Is this site currently developed? Ayes; ' no.
If yes; how is site developed?G-�-
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling. slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
,X Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical nse of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: ►J 0 ; Approx. Depth:
7. Site contains areas of seasonal standing water: tj O ; Approx. Depth: _
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site co ins a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ;shrubs ; mixed -
urban landscaped (lawn, shrubs etc) X
11. Obvious wetland is present on site:
For City Staff Use Only��'
1. Plan Check Number, if applicable? N/A
2. Site is Zoned?_
3. SCS mapped soil type(s)? "C Qc ,CP4�Sanr44 1n V5 AQ Z 2��_
4. Critical Areas inventory or C.A. map indicates Critical Area on site? ^ r-c s1cwN
i��-zarci a.r,�or t.-a0 rls�;e_ a Nz �zsr� �t ��
5. Site within designated earth subsidence landslide hazard area? 140.
Fv-oSion Are; DETERMINATION
Xr STUDY REQUIRED WAIVER
Reviewed bv. Date:
#P20
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application : for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are; or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: OAf. y5. 7-00g
City Receipt #:
Critical Areas File #: LCZA -
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it .
to the City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this application on a be a of the owner as listed below.
SIGNATURE of APPLICANT/AGENT DATE D y�S-o_�
Property Owner's Authorization
By my signature, I certify that.I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this app*atioi}.
Owner/Applicant:
Name
93 t OLKry1,Pj� vJ.
Street Address
CArn,orioI W Ag802r.,
City State Zip
DATE
Applicant Representative:
Name
Street Address
City State Zip
Telephone: 20(; Q 40 - 033D Telephone:
Email address (optional): CFA i. , �2c�ni . A% r Email Address (optional):
�►��� d � L �L� Co (�I�,ES�,�r•�1�4n1� To , Po6ox �!�!
�-rl+i; PO,rAL• Senv+,cl; W001 'bGTW4-& TO 5i9e*f ftb4,06,) 6&401VOS, WA 98020--O&f-I
CITY OF EDMONDS
CRITICAL AREAS RECONNAISSANCE REPORT
Site Location:
8310 Olympic View Drive
Tax Acct. Number:
27041800106000
Determination:
Study Required
Determination #:
CRA-2008-0045
Applicant:
Eric and Connie Falk
Owner:
Eric and Connie Falk
CRITICAL AREAS RECONNAISSANCE REPORT: STUDY REQUIRED
During review and inspection of the subject site, it was found that the site contains and/or is
adjacent to an Erosion Hazard Area, pursuant to Chapters 23.40 and 23.80 of the Edmonds
Community Development Code (ECDC).
GENERAL CRITICAL AREAS REPORT REQUIREMENTS
Critical Areas Reports identify, classify, and delineate any areas on or adjacent to the subject
property that may qualify as critical areas. They also assess these areas and identify any
potential impacts resulting from your specific development proposal. If a specific development
proposal results in an alteration to a critical area, the critical areas report will also contain a
mitigation plan. You have the option of completing the portion of the study that classifies and
delineates the critical areas and waiting until you have a specific development proposal to
complete the study. You may also choose to submit the entire study with your specific
development application.
• Please review the minimum report requirements for all types of Critical Areas that are
listed in ECDC 23.40.090.D. There are additional report requirements for different types
of critical areas (see below).
• Note that it is important for the report to be prepared by a qualified professional as
defined in the ordinance. There are options on how to complete a critical areas study,
and there is an approved list of consultants that you may choose from. You may contact
the Planning Division for more information.
• General Mitigation Requirements for all Critical Areas are discussed in ECDC 23.40.110
through 23.40.140.
STUDY REQUIREMENT — EROSION HAZARD AREA
It appears that this property contains or is adjacent to an Erosion Hazard Area. Erosion Hazard
Areas include:
• Those areas with Alderwood and Everett series soils on slopes of 15 percent or greater.
• Any area with slopes of 15 percent or greater and impermeable soils interbedded with
granular soils and springs or ground water seepage.
• Areas with significant visible evidence of ground water seepage, and which also include
existing landslide deposits regardless of slope.
DEVELOPMENT PROPOSALS ASSOCIATED WITH EROSION HAZARD AREAS
Development within an Erosion Hazard Area must meet additional criteria.
• For erosion hazard areas with suitable slope stability, the only critical area study needed
is an erosion and sediment control plan prepared in compliance with the requirements
set forth in Chapter 18.30 ECDC as part of the construction documents. This option is
at the director's discretion, per Edmonds Community Development Code section
20.80.050. G.
• In areas where the slope stability is not suitable, projects within Erosion Hazard Areas
will require a report by a licensed Geotechnical Engineer or other qualified professional.
Note that it is important for the report to be prepared by a qualified professional as
defined in the ordinance.
• Report requirements are given in ECDC 23.80.050, and more generally in ECDC
23.40.090. D.
• Development standards are given in ECDC 23.80.060 and 23.80.070.
ALLOWED ACTIVITIES
Certain activities are allowed in or near critical area buffers as specified in ECDC 23.40.20. If
you have any questions about whether your proposed development qualifies as an allowed
activity, please contact a Planner for more information.
EXEMPT DEVELOPMENT PROPOSALS
Certain development proposals may be exempt from Critical Areas Requirements (ECDC
23.40.230). If you think that a specific development proposal may be exempt, contact a
Planner for more information.
NOTE: Cited sections of the Edmonds Community Development Code (ECDC) can be found on
the City of Edmonds website at www.ci.edmonds.wa.us.
2
STREET FILE
USE PERMIT
CITY OF EDMONDS ZONE��/�7 NUMBER
CONSTRUCTION PERMIT APPLICATION JOB
NAME
-�(OR N.�A.�M,�E OF SINESS) ADDRESS � 3 /0
(�citJ•k'JlA/ LEGAL DESCRIPTION CHECK SUBDIVISION NO.
/ C' LIrO
MAI •NG DDA 5 or G UJ
CI � Y L A -(
TELEPHONENUM'BER PUBLIC RIGHT OF,WAY PER OFFICIAL STREET MAP.
V' �-A ( p 3 '(:C, � EXISTING RE EDICATION
NAME
PROPOSED
`�• v RIGHT O WAY CONSTRUCTION PERMIT REQUIRED
ADDRES STREET USE PERMIT REQUIRED ❑
D o J-i�
/ NUMBER SEE ENGINEERING MEMO DATED ,r IS7-
CITY r , , ITELEPHONUMBER
NE l S 6 9 i REMAR�S
� �/
v v
ADDRESS la �//.{{)�
C%• o x 37 METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
CITY ' E76 NUMBER
7 � .
REMARKS
STATE L CENSE NUMBER
[j 3 3 Q SIGN AREA ENV. REVIEW ADS NO.
Legal Description of Property- include all t ALLOWED PROPOSED COMPLETE EXEMPT
(show below or attach four cpies) Basemen s•
•
SHORELINE#
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
FRONT SIDE REAR
HEIGHT
LOT COVERAGE
REMARKS
NEW RESIDENTIAL PLUMBING
ADD/ALTER 1:1COMMERCIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE'
DEMOLISH OR FILL ( x-�
REMODEL COMPLIANCEVE SNSP. E 'SWIM
POOL
CHECKED BY
TYPE OF CONSTRUCTION
CODE
//UJ
HEIGHT
2PRE-M�.J
SPECIAL INSPECTOR
,REQUIRED
NO
AREA
JOCCUPANC
GROUP
OCCUPANT.
LOAD
WOO INSERT APT. BLDG RENEWAL
REMARKS
�ER/YJgL' .TKl1L12
��SS _lL&;,Pee 7' ,¢f �g� 3os
NUMBER OF STORIES
UMBER OF
[DWELLING
NITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION I FEE
S11VC7Lf A;M Ly k5lWIV64E-
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
GRADING/FILL
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,
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature. arlSinn dirAntly nr inrilrnnlly fr^m fhn tee--
ENERGY CODE
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: /C
v
After review of the subject building permit application, we have the
following comments:
1) Connection to City water system required.
2) Connection to City sanitary sewer system required.
3) Right-of-way'perm.it required. for 'an y work on City property..
4) Driveway slope not to exceed 14#0.
5) Back water valve required if. downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by.10 foot minimum.*
7)' Builder/owner responsibl'e for containing all temporary runoff and
erosion on site and may pot impact neighboring properties in any
way•
8) ;. Construc,ion hours from 7:00 a.m. to 10:00.0.m..'on'weekdays and.
10:00 a..m. to 6:00 p.m. on rWeekends and holidays...
co
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W
CITY of EDMONDS SIDE' SEWER PERMIJ
For Inspection Call 771-3202 �TREET F 11 F PERMIT NO. 0 7 M
Address of Construction: a4-"iI6,(C
1
Property Legal Description (Include all easements):
Owner and/or Builder:
Contractor & License No
Single Family Residence
Multi -Family
/f //e-s + :; ?n
(No. of Units )
LYNNWOOD LINE
Commercial (No. of fixtureUnits)
Invasion into City Right -of -Way: No V 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 have read and shall comply
with the items listed on the back.
Permit Fee: Uv
Trunk Charge:
Assessment Fee:
Partial Inspection:
'Issued By:
Date Issued:
Receipt No.: b 25
Comments
Final Inspection Approved: �.22
Date Initial
Rejected:
Reason
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File Green Copy -*Inspector
K t
Date
Date Initial
Date Initial
Buff Copy- Applicant
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CITY OF EDMONDS
ASSET INFORMATION SHEET
L9 NEW
❑ ADDITION
❑ RETIREMENT
STREET BILE
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
le/.c1
SERIAL NO.
LOCATION � ✓�
DEP�N�O_
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
" PROJECT NUMBER
PROJECT COMPLETION DATE 7
COST �,so,9`l
B.A.R.S. ACCOUNT NO.
SESTIMATED LIFE
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
"SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
U DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
b P INITIAL
DEPARTMENT FILE
VERIFIED BY
PROCESSED
BATCH NO.