9122 OLYMPIC VIEW DR.PDFiiiiiiiiiiiiii
12664
9122 OLYMPIC
VIEW DR
City of Edmonds .
Critical Area Notice of Decision
Applicant:
'
Property Owner:
�/1 f/ /, '
Critical Area File #:
k O 2.6Permit
0
Number-
p�D SO K
b
Site Location:
dl m r� �t�
Parcel Number:
z70 Yi 800 Zo 5 9C'5'0
Project Description:
❑ Conditional Waiver. No critical area report is required for the project described above.
1. There will be no alteration ofa-Critical Area or its required buffer.
2. The proposalis an.allowed activity pursuant to ECDC 23.40.220, 23.50.220, and/or
23.80.040.
3. The proposal is exempt pursuant to ECDC 23.40.230.
[Erosion Hazard. Project is within erosion hazard area. Applicant must prepare.an erosion and
sediment control plan in compliance with ECDC 18.30.
❑ Critical Area Report Required. The proposed project is within a critical area and/or a critical area
buffer and a critical area report is required. A critical area report has been submitted and evaluated
for compliance with the following criteria pursuant to ECDC 23.40.160:
1. The proposal minimizes the impact on critical areas in accordance with ECDC 23.40,120,
Mitigation sequencing;
2. The proposal does not pose an unreasonable threat to the public health, safety, or welfare
on or off the development proposal site;
3. The proposal is consistent with the general purposes of this title and the public interest;
4. Any alterations permitted to the critical area are mitigated in accordance with ECDC
23.40.110, Mitigation requirements.
5. The proposal protects the critical area functions and values consistent with the best
available science and results in no net loss of critical functions and values; and
6. The proposal is consistent with other applicable regulations and standards.
❑ Unfavorable Critical Area Decision. -The proposed project is not exempt or does not adequately
mitigate its impacts on critical areas and/or does not comply with the criteria in ECDC 23.40.1.60 and
the provisions of the City of Edmonds critical area regulations. See attached findings of
noncompliance.
/Favorable Critical Area Decision. The proposed project as described above and as shown on the
V attached site plan meets or is exempt from the criteria in ECDC 23.40.160, Review Criteria, and
complies with the applicable provisions of the City of Edmonds critical area regulations. Any
subsequent changes to the proposal shall void this. decision pending re -review of the proposal.
❑ Conditions. Critical Area specific condition(s) have been applied to the permit number referenced
above. See referenced permit number for specific condition(s).
M� C /,(Z- � V.f—
Reviewer
Signature
/1'1 '�-
Date
Appeals: Any decision to approve, condition, or deny a development proposal or.other activity based on the
requirements of critical area regulations may be appealed according to, and as part of, the appeal procedure, if any,
for the permit or approval involved.
Revised 12/16/2010
\ ►� d ®4
A A4®4
TERRA ASSOCIATES, Inc. RECEIVED
Consultants in Geotechnical Engineering, Geology and JQN z 1 1994
Environmental Earth Sciences PERMIT COUNTER
January 18, 1994
Project No. T-2528
Mr. John Daly
c/o Mr. Tony Woods
17607 NE 101 Court
Redmond, Washington 98052
Subject: Geotechnical Report
Daly Residence
9122 Olympic View Drive
Edmonds, Washington
Dear Mr. Daly:
As requested, an engineer from Terra Associates, Inc. visited the subject site on January 6, 1994. The purpose of
our visit was to observe the excavation of two test pits in the location of the proposed residence and provide
foundation and drainage recommendations.
PROJECT DESCRIPTION
It is our understanding that the site will be developed by construction of a single family residence. The residence
will require an excavation of approximately 12 feet in height along the northeast and southeast sides of the
building to facilitate construction of a daylight basement. For building position in relation to the lot boundaries,
please refer to the attached Site Plan, Figure 1.
SITE OBSERVATIONS
The site consists of an undeveloped gently sloping parcel located adjacent to Olympic View Drive. The ground
surface slopes downward to the northwest at an inclination of about 4:1 (Horizontal:Verticai). However, a section
of the slope near the center of the lot approaches an inclination of 2:1. The lot is bordered by existing residences
to the southeast and southwest, a shallow drainage Swale to the northeast, and Olympic View Drive to the
northwest. A steep slope eight to ten feet high, inclined at about 1.5:1, is located along the west property line.
This slope appears to have been created after excavation to level a yard area.
We did not observe any groundwater seepage at the ground surface. Additionally, we did not observe any
geomorphic signs of slope instability.
12525 Willows Road, Suite 101, Kirkland, Washington 98034 0 Phone (206) 821-7777
Mr. John Daly
January 18, 1994
SUBSURFACE CONDITION
Two test pits were excavated on the site using a rubber -tired backhoe. One test pit was excavated near the
northeast corner and one near the southwest corner of the proposed building as shown on Figure 1.
Our test pits encountered 6 to 12 inches of loose organic silty topsoil. Underlying the topsoil, we encountered
loose to medium dense silty sand and fine sand with silt. These soils became dense at four to five feet and
continued to 12 feet, the maximum depth explored. We encountered light groundwater seepage at depths of 8 to
9.5 feet.
CONCLUSION AND RECOMMENDATIONS
Given the conditions described above, it is our opinion that the proposed residence may be developed as planned.
The building may be constructed using spread footing foundations placed on the competent native soils or on
structural fill placed above competent native soils. Retaining walls ranging from 2 to 12 feet in height may be
constructed to attain grades for the daylight basement level.
Excavation and Grading
It appears that sufficient room is available to safely make the proposed foundation excavation. However, due to
the granular nature of the site soils and groundwater seepage which will likely be encountered during the
excavation, we recommend inclining the excavation slopes no steeper than 1:1. Below the groundwater seepage
level, sloughing of the excavation side walls could occur. If such conditions develop, flattening of the side slopes
to a more stable inclination will be required. Alternatively, buttressing the lower• cut with ecology blocks for a
maximum height of four feet could be considered.
Native soils excavated on -site, excluding the highly organic topsoil, can be used as structural fill. However, these
soil are moisture -sensitive due to their fines (silt and clay size particles) content. Therefore, the use of native soils
as structural fill will depend upon their moisture content and the prevailing weather conditions at the time of
construction. It will be difficult to achieve proper compaction of these soils when the soil's moisture content is
above optimum. If the soils are wet and drying by aeration is not possible, you will need to import suitable wet
weather structural fill. This should consist of a clean granular pit -run which has less than five percent fines and a
maximum aggregate size of six inches.
Structural fill should be placed in horizontal layers and compacted to a density equal to or greater than 95 percent
of its maximum dry density, as determined by ASTM Test Designation D-698 (Standard Proctor). The fill
material should be placed at or near its optimum moisture content. The individual fill layers should not exceed 12
inches in loose thickness. Structural fill beneath buildings should extend beyond the building footprint a distance
equal to the fill thickness.
All final cut slopes in native soils and structural fill slopes should be constructed with a finish inclination of 2:1 or
flatter. Fills placed on slopes exceeding 4:1 should be keyed and benched into the slope. Fill slopes should be
constructed with structural fills as described in the Site Preparation and Grading section.
Project No. T-2528
Page No. 2
Mr. John Daly
January 18, 1994
As soon as possible after construction, permanently exposed slopes should be planted with an appropriate plant
mix or provided with physical protection from erosion.
FOUNDATIONS
The proposed residence may be supported on conventional spread footing foundations bearing on the competent
native soils or on structural fill placed over competent soils. Footings may be proportioned for maximum bearing
stresses of 2,500 pounds per square foot (psf), considering both dead and live loads. When wind or seismic loads
are included, a one-third increase is permissible.
Continuous wall footings should be at least 12 inches wide and isolated column footings at least 18 inches square.
Footings exposed to the weather should bear at least 18 inches below adjacent outside final grades.
Lateral loads on foundations due to backfill stresses, wind, or seismic loads may be resisted by passive soil
stresses on the sides of footings and foundation walls, and by friction on the base of foundations. We recommend
estimating passive resistance based on an equivalent fluid weight of 250 pounds per cubic foot (pcf). This value
assumes that the footing concrete is poured against neat excavations, or backfilled with a structural fill. The
calculated friction resistance at the base of foundations should not exceed 40 percent of the foundation dead load.
LOWER LEVEL WALLS
Lower level walls should be designed to support active earth pressures imposed by an equivalent fluid weighing
35 pcf. Walls restrained from free movement at the top should be designed for an additional uniform pressure of
100 psf. These pressures assume a horizontal backfill which is placed and compacted as a structural fill. Slope
surcharges and any other surcharge loads should be added to these pressures if they occur. We will.be pleased to
provide you with additional information for these conditions, if necessary.
Continuous drainage should be provided behind the walls to reduce the potential for hydrostatic pressure buildup
behind them. This may consist of placing a perforated pipe covered with gravel and filter fabric material behind
the wall. A 12 inch wide zone of free -draining gravel should be placed behind all walls. The final 12 to 18 inches
may be capped with native soils to seal the gravel zone. As an option, a drainage board material such as
Miradrain 6000 may be used to replace the 12 inch free -draining gravel zone. Lower level walls should also be
waterproofed prior to backfilling with structural fill.
SURFACE AND SUBSURFACE DRAINAGE
Surface gradients should be created to direct runoff away from the buildings and slope crests, and should drain
toward suitable discharge facilities. No site surface runoff should be allowed to flow unrestricted over the crest of
slopes.
Project No. T-2528
Page No. 3
Mr. John Daly
January 18, 1994
In addition to lower level wall drains, we recommend using drains at the base of all foundation walls. The drains
should empty into the storm drain system or to an approved discharge point such as the street gutter. The footing
drains should be surrounded by at least six inches of pea gravel or similar drainage rock. Downspouts should be
separately tightlined to discharge.
CLOSURE
Terra Associates, Inc. should be provided the opportunity to review the final design and specifications in order to
verify that earthwork and foundation recommendations have been properly interpreted and implemented in the
project design.
We also recommend retaining Terra Associates, Inc. to provide geotechnical services during construction. The
purpose of this is to observe compliance with the design concepts, specifications, and recommendations. It will
also allow for design changes in the event subsurface conditions differ from those anticipated prior to the start of
construction.
LIMITATIONS
This report if the property of Terra Associates, Inc. and was prepared in accordance with generally accepted
geotechnical engineering practices. This report is intended for specific applications to this project, and for the
exclusive use of Mr. John Daly and his authorized representatives. No other warranty, expressed or implied, is
made.
We trust this information is sufficient to meet your current needs. Should you have any questions or require
additional information, please call.
Sincerely yours,
TERRA ASSOCIATES, INC.
Aaron �h el
Staff Eng' eer
J. eJ Theod re r, T.E.
o
Principal Engineer_
AM/TJS Jb
Encl: Figure 1 - Site Plan
Figure 2 - Soil Classification System
Figure 3 - Test Pit Log
Figure 4 - Grain Size Analysis
Project No. T-2528
Page No. 4
30 feet 295
0
,e' / /300 N / 305
/ 310
/315
320
/325
Propose esid c /
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TP MO i /335
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.,340
isting Hou
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—345
--350
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--� ASSOCIATES
Geotechnical Consultants
Legend
Test Pit Location TP-10
Site Plan
Daly Residence
Edmonds, Washington
Proj. No.2528 1 Date Jan 94 Figure 1
MAJOR DIVISIONS
LETTER
SYMBOL
GRAPH
SYMBOL
TYPICAL DESCRIPTION
GRAVELS
Clean
GW
' O . •
'•Q•p• '.
Well -graded gravels, gravel -sand mixtures, little
Gravels
or no fines.
aa;
More than
(less than
GP
• • • • • •
Poorly -graded gravels, gravel -sand mixtures, little
co
50% of coarse
5% fines)
; ; ; ; ; ;
or no fines.
GM
•
•
Silty gravels, gravel -sand -silt mixtures, non-
N
fraction is
G
`m >
larger than No.
Gravels
plastic fines.
Q
O
4 sieve.
with fines
GC
; ;'
Clayey gravels, gravel -sand -clay mixtures, plastic
• •
• • •
fines.
cc
o N
`n
SANDS
Clean
SW
Well -graded sands, gravelly sands, little or
Sands
......
no fines.
W
W
Q
� o
Co Z
�
More than
(less than
5% fines)
SP
f'
Poorly -graded raded sands or
y-g gravelly sands, little
50% of coarse
,-
or no fines.
O
V
'a)
fraction is
smaller than
SM
'>
Silty sands, sand -silt mixtures, non -plastic fines.
No. 4 sieve.
Sands
SC
Clayey sands, sand -clay mixtures, plastic fines.
with fines
t/�
SILTS AND CLAYS
ML
Inorganic silts and very fine sands, rock flour, silty or
clayey fine sands or clayey sifts with slight plasticity.
C�"
Inorganic clays of low to medium plasticity, gravelly
>
N
(a W
Liquid limit is less than 50%
clays, sandy clays, silty clays, lean clays.
W
cN
OL
������
organic silts and organic clays of low plasticity.
°
m z
SILTS AND CLAYS
MH
Inorganic silts, micaceous or diatomaceous fine
(5
sandy or silty soils, elastic.
W
Z
2-5
i -
Liquid limit is greater than 50%
CH
ZZZ"00
Inorganic clays of high plasticity, fat clays.
LL
a
s=
OHIII
Organic clays of medium to high plasticity,
N
i k h
organic silts.
HIGHLY ORGANIC SOILS
PT
Peat and other highly organic soils.
DEFINITION
OF TERMS AND SYMBOLS
aDensity
Standard Penetration
Resistance in Blows/Foot
2" OUTSIDE DIAMETER SPLIT
I SPOON SAMPLER
Very loose 0-4
2.4" INSIDE DIAMETER RING SAMPLER
Loose 4-10
OR SHELBY TUBE SAMPLER
°
Medium dense 10-30
P SAMPLER PUSHED
Dense 30.50
* SAMPLE NOT RECOVERED
HVery
dense >50
WATER LEVEL (DATE)
WATER OBSERVATION STANDPIPE
Standard Penetration
C TORVANE READINGS, tsf
g
Density Resistance in Blows/Foot
qu PENETROMETER READING, tsf
Ca
Very soft 0 2
W MOISTURE, percent of dry weight
c
Soft 2-4
pcf DRY DENSITY, pounds per cubic foot
J
Medium stiff 4-8
LL LIQUID LIMIT, percent
stiff 8-16
rn
Very stiff 16- 2
PI PLASTIC INDEX
Hard >32
N STANDARD PENETRATION, blows per foot
SOIL CLASSIFICATION SYSTEM
TERRA
Daly Residence
ASSOCIATES
Edmonds, Washington
Geotechnical Consultants
Proj. No. T-2528
Date 1/94
Figure 2
Logged by: AM
Date: 1-7-94
Depth
(ft.) USCS/
0 -mph.
5
10
Logged by: AM
Date: 1-7-94
Depth
(ft.) USCS/
0 Graph
E
10
1E
Test Pit No. TP-1
Approximate Elev. 322
Soil Description W
N
Hit old drain tiles plugged with silt.
Tan•gray SAND with silt, trace gravel, damp to moist, loose
to medium dense. 11.4
Dense at 4 feet.
tiray partially cementea poony graoeo tine SAND wan tine to 13.6
medium gravel, occasional 6 inch cobbles, moist, very dense.
Tar}gray poorly fine SAND with silt, moist, dense.
14.9
Test pit terminated at 12 feet.
Moderate seepage encountered at 9.5 feet.
Test Pit No. TP-2
Approximate Elev. 308
Soil Description
W
N
Black organic silt topsoil.
18.3
#SM
Reddish brown silty SAND, damp, loose to medium dense.
8.8
ijifiji<>
Gray silty SAND with fine gravel, damp, medium dense.
SM
Dense at 5 feet.
Gray slightly mottled poorly graded fine SAND with silt, wet,
• SP
dense.
M
17.9
". SP
Gray partially cemented, poorly graded fine sand with silt,
damp, dense.
19.2
Test pit terminated at 10 feet.
Moderate seepage encountered at 8 feet.
TEST PIT LOGS
TERRA Daly Residence
ASSOCIATES Edmonds, Washington
Geotechnical Consultants
Proj. No. T-2528 Date 1/94 Figure 3
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Date Jan 94
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STANDARD DRAINAGE DETENTION SYSTEM
WORKSHEET
ADDRESS
IMPERVIOUS AREA
CALC. BY:
Jc)o l
PHONE: <6 7_.
DATE-,-
*****DESIGN DATA*****
PIPE DIA
DETENTION PIPE LENGTH
RIM ELEV Comm COVER
L a � � J 2-MAX COVER
4'.0
1 .s :_r�sLOPE
z
INv ELEV —
(AFFER CA rCH
SAS/N
CMIN SPACE
RIM ELEV
V
Ti '% V
1
4' 0 PIPE MIN.
0MFKE
GM<
INV ELEV
CONTROL CATCH
OASIN
SYSTEM CROSS SECTION
PIPE LG
ORIFICE
WASHED GRAVEL
OUTFIAW TRENCH, MIN W' LONG
TOP AND 4'PERF PIPE TO BE LEVEL
FROM
CONTROL I.
OUTLET
4'PERF PIPE W/CAPS
RUNOFF SPREADER
OUTLET
2'i WDEEP, 4'-4rp4JARRY SPALLS
I12'I13' DEEP, 3/4- CRUSHED ROCK
FROM CONTROL
OUTLET
RIPRAP OUTLET
RECEIVED
MAR 2 1 1994
PERMIT COUNTER
FOOTING DRAINS SHALL NOTB IE4t 71D DETENTION SYSTEM
NOTES:
1. Call Engineering Division (771-0220) for a tightline and detention system inspection
before backfilling and for final inspections. APPROVED BY
2, Responsibility for operation and maintenance of drainage systems on private property is the �
responsibility of the property owner. . Material accumulated in the storage pipe must be flushed /
out and removed from the catch basins to allow proper operation. The outlet control orifice DATE
must be kept open at all times.
Page 6 of 6
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION.
PERMIT Permit Number.f..��"
Issue Date: Z-j
A. Address or Vicinity of Construction: r)��,Y,r �f j-0, j�ri%,P
8 90 B. Type of Work (be specific): vJ - , `- p —
-19
A#9=4
C. Contractor: 4:11n 1(t43nA Rome-, C /' Oro Contact: �T�(JAn
fi
Mailing Address: 17627 hNe In I r*' V-4l Phone: �-7_ 1.3.3
State License #: E t4 T),& tN (' C7 $]D I Y " S2•; iRRability Insurance: 5xL-) Bond: S
Vt-. e-k. +s qy- II (10T �ssoecl @ -4,-, ale �`
D. Building Permit # (if applicable): Sid' sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family Q Single Family ❑ Other
INSPECTOR: diINSPECTOR:
F. Pavement or Concrete Cut : ❑ Yes (WNo G. Size of Cut: x H. Charge $
APPLICANT TO READ AND SIGN
INDEMNITY. Applicant understands and by his signature to this application, agreeslad��pdains
he City of Edmonds harmleBs froth injdrmages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may bet the Cityof Edmonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including defense costs, and �/ attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATER/ALS,FOR_A `PERIOD OF ONE YEAR FO450W/NG 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 for 'nspection purposes.
Signature: Date:
O,ntractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
FIELD INSPECTION NOTES
Comments
Diagram
CONTRACTOR CALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work. Disapproved By:
(Fund 111 - Route copy to Street Dept.)
❑ YES
Date:
FINAL APPROVAL BY: Date:
❑ NO
S
2157 e- ='�
1 V '
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-PlVj
KENDALLWOOD HOMES
City of Edmonds
Dept. of Community Development
250 5th Ave. N.
Edmonds WA 98020
Attn.: Lyle Crissman,
Dear Sir,
6L,a -1, ND
qt -Z
August 1, 1994.
I".
EN N`
€El'a
Pursuant to our on site conversation on July 27, 1994, I am writing in regards to permit
#940205, the Daeley residence, at 9122 Olympic View Dr. Specifically to request a
-� waiver to the short plat requirement that the driveway slope not exceed 14%.
As you know the lot in question is rather steep, and narrow front to back. Great care has
been taken, and major design changes were made, to build the house in such a way that it
meets the height restrictions and is positioned so that a 14% grade on the driveway is
attainable. However, now that the home is nearing completion it has become clear that by
adhering to the 14% limit,( and the plot plan(s) we submitted for our permit), the slope of
the area immediately outside the garage (designed to be 7% to 9%), creates the
undesirable and potentially hazardous condition of severely limiting visibility into the
garage as one approaches it to park. This problem is accentuated by the fact that the
driveway turns to the left as one enters the garage.
I would like to ask on behalf of my clients, Mr. and Mrs. Jon Daeley and myself that a
waiver be granted, allowing a slope of approximately .16.5% at the steepest point of this
driveway. Please consider that this allows us to install a much safer driveway than that
which was previously approved.
If you have any questions regarding this issue, please call me at my office (867-1336) at
your earliest convenience and I'll be glad -to address them, or perhaps we can meet on
site. Thank you.
Sincerely,
7onvy Wood, pres.
Kendallwood Homes, Corp.
VIA,
17607 NE 101st Ct., Redmond, WA 98052 (206) 867-1336 ph./fax
KENDALLWOOD HOMES
STREET FILE J A N 2 3 1995
ENGINEErilai�L:
City of Edmonds STREET FILE Oct..12, 1994
250 5th Ave. N.
Edmonds WA 98020
Attn.: Lyle Crissman
- Subject: Driveway a 9122 Olympic View Dr: - — — --- --
Dear Mr. Crissman,
Pursuant to our discussions regarding the driveway slope at 9122 Olympic View Dr.. (The
Daeley Residence) I am writing to document the decision to allow the slope to increase
to the max. of 20%.
I thank you for the time spent by you on site in analyzing the situation. This was a very
difficult site and your assistance was appreciated.
Sincerely,
s
To Wood
Kendallwood Homes
If f4
A6111,
17607 NE 101st Ct., Redmond, WA 98052 (206) 867-1336 ph./fax
CITY OF EDMONDS
USE PERMIT
ZONE S_ Z NUMBER 96079S
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APTe
ADDRESS / /,� r -z'
W
OWNER NAME NAME OF BUSINESS
'�J
nN 11 + Oi AA 211% E +� AEL a
LEGAL D SCRIPT!ON CHECK
SUBDIVISION NO.
LID NO
ZMAILING
9
ADDRESS `/
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING / REQUIRED DEDICATION .�"'""
PROPOSED
TESCP Approved ❑
RW Permit Required ❑
Inape Use Permit Req'd ❑
Stree(,•.,f�
Impsgtion Required
Sidewalk Required ❑
W
CITY ZIP
/►1 O NO',$ eU Z
TELEPHONE NUMBER
1 � — (S
NAME
METER SIZE
LINE SIZE
NO. OF FI%TURFS
PRV REQUIRED
YES ❑ NOD
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ADDRESS
REMARKS z
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CITV ZIP
TELEPHONE NUMBER
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ENGINE RING MEMO DATED I EVIEWED By
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SIGN AREA
SEPA REVIEW
AUB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
EXP
SHORELINE#
Legal Description of Property - include all easement,
VARIANCE OR CU
PLANNIN13 REVIEW BY
DATE
9117 9
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SETBACKS — FEET HEIGHT
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FRONT 25' SIDE REAR Z
LOT COVERAGE LE
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COMPLIANCEOR
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ADDITION COMMERCIAL CHANGE OF USE
REMODEL 11 APT' BLDG. O SIGN
CHECKED BY
TYPE OF CO ST UCTION CODE
GRCOUP T
GRAD' GQ CYDS. [] FEr NCE %--
REPAIR ®
DEMOLISH Ej WOODSTOVE O SWIM POOL
INSERT HOT TUB/SPA
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CARPORT ROCKERY RENEWAL
8PECIAL INSPECTOR
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(3 YES
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OCCUPANT
LOAD
EMARKS
(TYPE OF USE, BUSINESSO Acrlvlry Ex PLAIN:
;;I �s
PROGRESS INSPECTIONS PER UBC 108 S
or
NUMBER
STORIES
NUMBER OF
UNITS ING '
CRITICAL p /�^
AREAS
NUMBER / 2400
'
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
AGK OFe47 7VSToQ
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
HEAT SOURCE:
GLAZING
%
Plan Check o. i
MECHANICAL
This Permit coves work to be done on private property ONLY,
GRADINGIFILL
Any construction on the public domain (curbs, sldewplke,
driveways, m rquee,, etc.) will require separate permisalon.
STATE SURCHARGE
Permit Appll tlon:180 Days
Permit Llm .1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
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"App icant, on behalf of hlix-hea-woUBe, heirs, assigns and
successors in intoEaW,.agrees to Indemnify, defend and hold
h lese�ltf4' City of Edmonds, Washington, its officials,
ENO. INSPECTION FEE
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employees, and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
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modify, waive or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
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I hereby acknowledge that 1 have read this application; that the ATTENTION APPLICATION APPROVAL
Information given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until
State laws regulating construction: and In doing the work authoriz- AUTHORIZES
ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided.
UffSIqKNATyREZ(OWNERAGE 1 GATE SIGNED DEPARTMENT
CITY OFOFFICIA IGNA DATE
J/�
EDMONDS
ATTENTION CALL FOR RELEASED r: ATE
INSPECTION
IT IS UNLAWFUL TO USE OR OCCU Y A BUILDING OR STRUCTURE ��� OLGO INAL —File YELLOW —Inspector
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 11 ORIG
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109 9r /n/ PINK — Owner GOLD — Assessor
9/ f
PLANNING DATA
NAME:
SITE ADDRESS: 91 zZ of °c . V Q' DATE: 9117/9L
ZONING: P-S - 1 Z PLAN CHK#: �6 - / 92-
PROJECT DESCRIPTION:
CORNER LOT MS (Yes/No)
SETBACKS:
Required Setbacks:
Front: ZS' Left Side: (o' Right Side: I a' Rear: ZS'
Actual Setbacks: * pe.� 5k,,-,,a,,,q - NA
Front: Left Side: Right Side: Rear:
Street map checked for additional setback required? (Yes/No)
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED N (YIN)
LOT COVERAGE:
Maximum Allowed: 3 Actual: Na
BUILDING HEIGHT:
Maximum Allowed: Z S' Actual Height: N6 st*-.n,rc .
Datum Point: Datum Elevation:
SUBDIVISION: b - -7o - %
CRITICAL AREAS #:_ 3 ' Zlv0 - rand�lo.�
25'x5-0'x 5 (,25a,O _ 27%. = 23(.s
SEPA DETERMINATION: 4Lt� wee ca.s--A4,zA eov-cyr KPH
LOT AREA: (G 131 d
OTHER.
Plan Review By:
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City of Edmonds
• ' •' RIGHT-OF-WAY CONSTRUCTION
8go-19°�
PERMIT Peat Number. - 8
issue Date:
/ A. Address or Vicinity of Construction: 9122 OLYMPIC VIEW DRIVE
B. Type of Work (be specific): GTE TO RELOCATE 1 SPAN AERIAL CA TO PUD
POLE, REMOVE 1 POLE, UTILIZE PUD CROSSING TO UG SERVICEP
C. Contractor: GTE NORTHWEST INCORPORATED Contact: BARBARA TOLLEFSON, PERMIT COORDINATOR
Mailing Address: 22118 20TH AVE. SE SUITE 18$one: BARB 488-1642
State License #: BOTHELL, WA 98021 Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project IM Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other W.O. # 2100-8POOIDS 242110
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: ❑ Yes Flo G. Size of Cut: xH. Charge $
APPLICANT TO READ AND IGN
INDEMNITY. Applicant understands and by his signature to this application, agrees to e City of Edmonds harm{e�i�ni a 4 damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be ma e a inst the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney 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 rrking 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 for do rpos
Signature: Date: 1-26-94
ractor or )
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Engrg..Div. 1991
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.,)
Comments
I Diagram.:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
City of Edmonds
Permit Application Sketch
GTE W.O.# 2100- 0200(0:!!�2 AccL Code 2421 • (0
Township o2_7N Range 4E, Section KU) 1
Field Tech: CA(2L 5AM t/U.4 tJ Phone Number
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City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
ermlt um er. /
s Issue Date:
A. Address or Vicinity of Construction: 91 Q L�( "A , c � p Q
18 9 0 1 9 B. Type of Work (be specific):-1'Q1�,QC.i1, 1 iJ 9—) U — tnnom) 2G U:Q 6G Q
QG4�0 _Auo M o!;NSL ClZu et LKK - FA_i LlTiEiS
C. Contractor:P. V , Contact:
Mailing Address:, `�� (�) `( ► Phone: 0
State ]License •#:<_ CDmow p 9 60 2Liability Insurance: Bond: $
D! RBuilding Permit # (if applicable): Side Sewer Permit # (if applicable):
t.l(..0 c I+.. ' SGtI1.>t, TaMt, Tz I. t
E. ❑ Commercial ❑ Subdivision ❑ City Project 0, Utility ,(PUD, GTE, WNG, CABLE, WATER)
`❑ Multi7Family x
Single Family ❑ Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: ❑ Yes [(No G. Size of Cut: x H. Charge
APPLICANT TO READ AND S GN "u
INDEMNITY: Applicant understands and by his signature to this application, agrees to ho tree City of Edmonds harmles r ittjTes, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be mad against the City of.Edmonds, b a y of its departments or
employees, including or not limited to the defense of any legal proceedings including d/ef nse costs and attorney 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 F�ES 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 P( r/ APRLICANT.
1r .a r ••,/
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 mf, tte>�1 prior to the end of��h �we4ng day;
NO EXCEPTIONS. /G/ �!'
I have read the above statements and understand the permit requirements and the pink copy of the permit will be
available on ' e at all tim for inspe ti purposes.
Signature: _ Date:
(Contractor or nt)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
- NO WORK SHALL BEGIN PRIOR TO PERMIT I19SUANCE
r' - _ Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments
Diagram
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
PERMIT APPLICATION REQUIREMENTS
To: Applicant
From: Ja 1mal Mahmoud, Engineering Inspec�torn per,
Owner: 1� � m qY,--- to c Dq e L / Plan Check No: � 41 -
Address: o , 7 , , i i Date: ca-P.a — F _
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. �4t
shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to
(ECDC 18.80.060D)
10. 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 18.10)
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 DMSION GRANTING OCCUPANCY
OF THE BUILDING OR STRUCTURE. (ECDC 18.90)
PFLWAPP.DOC
j.� PERMIT APPLICATION REQUIREMENTS
To: ApplicS 1T ! ! F—ET FILE
From: Jamal Mahmoud, Engineering Inspector
Owner: �_� /V� Gp(,t,✓i tit e �- Plan Check No: J�� I L E
- �Address:---9 6— -�Date:
-�------ ----------------------- ----- r------ _- �-/------------------- ----- --------
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. �4t
shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to
(ECDC 18.80.060D)
10. 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# (C, Fees paid: Yes No Charge 0. (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)
PRWAPP.DOC
ROUTE TO OnV3Back 9/LI Add? Total Days Mailed
RESUB # 1 ON To Back Add? Total Days Mailed
q 7"
RESUB #2 ON To Back Add? Total Days Mailed FILE.
1. Site/Drainage Plan & Calcs k✓/ -A OK
2. Grading Plan/Calcs/CYG SEPA? OK 0 l5.
3. Driveway Slope % Profile OK.
4. Truck Route Plan OK
5. Street Dedication? .411A FEET
6. Easementt//A---Type OK
OTHER COMMENTS:
Corrections Required
1.
2.
3
4.
PW REVIEW Date Sent Back FIRE REVIEW Date Sent Back
PLANNING REVIEW TIME TOTAL DAYS *** ENG REVIEW TIME
FIRE DEPT REVIEW TIME TOTAL DAYS *** PW REVIEW
BUILDING DEPT REVIEW TIME: In -House Outside TOTAL DAYS
.Received '
TOTAL DAYS
TOTAL DAYS.
ORDINANCE COMPLETION DATE COMPLETION DATE TOTAL REVIEW TIME DAYS
PERMIT # ISSUE DATE
*CONTACT PERSON STATEMENT*
BY SIGNING THIS FORM I UNDERSTAND THAT I AM THE ACKNOWLEDGED CONTACT PERSON FOR
THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY
AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE PERMIT. I UNDERSTAND THAT IT IS
MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY
PERMITS THAT MAY BE APPLICABLE TO THIS PROJECTS I ACKNOWLEDGE THAT TO THE BEST OF
MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A
COMPLETE APPLIC ON.
Signed Date o� Mailing Address
`%6A) 7�e%c f 1�55 _
Contact Person (Print Clearly)
Phone Number FAX Number 7/7 f
7�y `7 %.
ROUTE.DOC/L)TempBl onns-5/96
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890 19')v
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number: 4y- /,5;,?,
Issue Date: —
A. Address or Vicinity of Construction: 9122 Olympic —View Dr (9415420)
B. Type of Work (be specific): Install, New Service
C. Contractor: Washington Natural Gas Company Contact: Frank Swan '
Mailing Address: 815 Mercer St, Seattle, WAPhone: 224-2278
State License #:
Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. ❑ Commercial ❑ Subdivision ❑ City Project ® Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR: INSPECTOR: ! A 1� ; 1
F. Pavement or Concrete Cut : [Yes VNo G. Size of Cut__1444-4— H. Charge $
AL
ANT TO READ AND S�
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold ity of Edmonds harmle r041rrtjt� damages, or
claims of any kind or description whauoever, foreseen or ttnforeen, that may be made against City of Edmonds, or any o its deparm ents or employ-
ees, -including or not limited to the defense of any legal proceedings including defense costs, and.attorney/feces by reason of grantin this permit.
gj
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD'OF~ONE YEAR FOLLOWING THE FINAL INSPECTION,
AND ACCEPTANCE OF THE WORK. ES77MATE•D RESTORATION FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY
C17Y FORCES; AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR`JSSR41I , - E� N THE APPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Department-�
Work is to be inspected during progress and at completion. i
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; o
NO EXCEPTIONS.
1 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 for inspection p wp&es.
Signature: Date: April 15, 1994
(Contractor or Agent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
�' r >FOR CtTY.1 ONLYrt
A-t
APPROVED, BY ` . N . „1....... ........
... .. .....
.. ..... .
T....RIGHT OF:;WAY DEPOSI.......
TIME: AUTHORIZED VOID AFTER DAYS''<.'
..................... .
.. . ................. .. ................. . . ............. ...
......................... .......
DISRUPTION'FEE/FUND 111......... .... . ..............
.:.: ...
:..:SPECIAL CONDITIONS-:::;::::::::::
:
RESTORATION FEE
, ,;, ... j.,..:'. /'.. ,.
`A t_�
PERIGIIT FEE;
TOTAL FEE:
COMMENTS .
RECEIPT NO
v
DATE
ISSUEMBY 2`�� � .r-
NO WORK SHALL BEGIN PRIOR TO. PERMIT ISSUANCE
Engrg. Div. 1991
FIELD INSPECTION NOTES (Fund I II - Route copy to Street Dept.)
Comments:
Diagram:
i
CONTRACTOR CALLED FOR INSPECTION ❑ YES.
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Cng, u►v. my
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Addendum to CitX of Edmonds
Right ofWay
Permit Application
Submitted by: MITCHELL S . - LANKFORD
Engineering Aide .
Washington Natural Gas
•521-5246
122
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CA FILE NO.
Critical Areas Checklist
Site Information (soils/topography/hydrolo�gyf/vegetation)
1. Site Address/Location:1 �w ��
2. Property Tax Account Number: _!G?d7O at) .3LfOdo 7
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; A no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
[/kolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise
of 10-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
Rev o9n9/93
a90.199-
City of Edmonds
Critical Areas Checklist
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 a development
permit 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).
An applicant, or his/her 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.
With a signed copy of this form" the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). In
addition, the applicant shall include'
other pertinent information (e.g. site
plan, topography map, etc.) or studies in
conjunction with this Checklist to assist
staff in completing their preliminary
assessment of the site.
I have completed the. attached Critical Area Checklist and 'attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate. column below).
Owner / Applicant:
�J e 010 C,41�1_z l-
Name
1 ew
Street Address
Applicant Representative:
Name
,03
Street Address
f (-
City, State, ZIP Phone City, State, ±IP Phone
l0 ZI rz3 /G Gl, a
as Date Signature Date
City of Edmonds
Critical Areas Determination
Applicant: Jeffery Cable Determination #: CA-93-260
Project Name: Permit Number:
Site Location: 9122-Olympic View Drive Property Tax Acct #: 18270420380007
Project Description:
Single Family Residence
Waiver Criteria (all criteria must be found to apply):
XXX There will be no alteration of the Critical Area or its required buffers;
XXX The development proposal will not impact the Critical Area in a manner
contrary to the goals, purposes, objectives and requirements of the
Critical Areas ordinance;
XXX The development proposal meets the minimum standards of the Critical
Areas ordinance;
XXX The above findings are based on the following conditions of approval:
1. Before any permit application may be applied for, submit to the Planning
Department a topographic survey prepared by a Licensed Land Surveyor
delineating Steep Slope Hazard Areas: Any slope over 30% with more than 10 feet
of rise will be classified as a Steep Slope Hazard Area. A 50 foot buffer is
required from both the top and toe of the slope. A 15 foot building setback is
required from the 50 foot buffer.
2. If the results of the above survey determine the lot unbuildable, any
development which is not identified as an exception per ECDC Chapter 20.15B
must receive a Reasonable Use Exception or a Variance pursuant to ECDC
20.15B.180A and 20.15B.040C).
3. All proposed development of the subject lot must meet the requirements
of Chapter 19.05 of the Edmonds Community Development Code.
Name Signature Da
: * 'A-• ALL REQUIREMENTS AND(—NDITIONS OF THIS SUBDIVISION MU4` BE COMPLETED
PRIOR TO ISSUANCE-TO",jUILDING PERMITS.
I: EXHIBIT
N. IV. 114 SEC, •18, TIVN. 27 N., R. 4 E'., IV. M.
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AUTHORIZED
• • EOIf1E.. so � • / EvmnEEN i EE i0 q'MR RECORDING
�w::nOS DOOMOW ME CITY OF EDMONDS
PL, O.14473
BY?s
it s
P. W. DEPT. ENGINEMING DIV.
DATE_ 3-tea- ro PARAGON LAND SURVE G EYAP IN0
OF . W 90200 262-7733 BY vr=- DnTe
90 10 11 () 3A 9- you'.2384PAGE2926
8g0.19
Address of Construction:
PERMIT .i%Q 8582
1
912 Z-
Property Legal Description (Include all easements):
2 �= a yz - odY -moo
RECEIVED
4
PT
Owner and/or Contractor*. <,- 27
State License No. �G1��'l l✓ST -Building Permit No. 4_7/ 0
K'Single Family
❑ Multi -Family (No. of Units )
❑ Commercial
' ❑ Public
Invasion into City Right-of-Way:4'N,o ❑ Yes
RW Construction Permit No.
Cross other Private Property: �(No ❑ Yes
Attach legal description and copy of recorded easement
that I have read and shall comply with all city requirements
ndicated on the back of the Permit Card.
5"tz0 - 9
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
Reason Rejected:
Final Inspection Approved: Date;�
Date Initial
by 4 • t4wgVcC_
��
Initial/A '
i-w5q ecJ,_-t
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Butt Copy: Applicant
Revised 3'90
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PLANNING DATA
SITE ADDRESS:-Uz 011)(INXIC Vb.oATE: 11UA41
ZONING: I !i PERMIT#:
PROJECT DESCRIPTION:
SETBACKS:
Required Setbacks:
Front:215 Left Side:Right Side:_Rear:
Actual Setbacks:
Front:4e�_Left Side: IV Side:/,S Rear:1!5;
LOT COVERAGE: d
Maximum Allowed 6 "7 Actual: '2 c
BUILDING HEIGHT: / Maximum Allowed: 0 25 Actual Height:
SUBDIVISION:
CRITICAL AREAS #: ! "� - 26
SEPA DETERMINATION: /V[7T ?S�.a0k3 "i
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i?a4 PROJECT REVIEW CHECKLIST
PUBLIC WORKS DEF
PROJECT NAME:
PROJECT ADDRESS:
1, L_A A) fi /Z-0 i
PLAN CHECK #:��r1�
RECEIPT DATE: — 474—
Reviewed By:
FIRE � PLANNING STh-
L�IN�#6.1� PU LI WORKS
PERMIT APPLICATION REQUIREMENTS.
To: Applicant
From: Lyle Chrisman, Engineering Inspector
Owner. _ A-9J, (
Address:
P1anCheckNo:
Date: S* V;FPJ ffQf
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 1830.030d)
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
1830.50G)
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 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% without a waiver. Every attempt should be made to keep the slop�eO low 14%. Waiver granted to
(ECDC 18.80.060D) VIO '!!%� G!}}ASL'i/ �-- l
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 t9 the City sanitary system is uired. A separate permit isrequired.
LID# 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) %,r " "- t�' ,� � . J
PRMIREQR.DOT
CITY OF EDMONDS TR E�x-r M
250 5TH AVENUE NORTH, EDMONDS, WA 98020 (206) 771-0220
•� 1 f5'
RCW'197-11-970 Detennination of Nonsignificance (DNS) 1994
DETERMINATION OF NONSIGNIFICANCE
Description of proposal: Single family residence totaling 2,873 sq.ft. Grading of 1100 cubic yards.
City of Edmonds Building Plan Check No. 94-19).
Proponent: Jon Daeley
Location of proposal, including street address if any: 9122 Olympic View Drive, 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 envirpmuental 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, Edmon WA 98020
Date: 3 j r S'I44 Signature: r.�-� -�•�
XX You may appeal this deterniination to Robert. Chave, Planning Manager, at 250 5th Avenue
North, Edmonds, WA 98020, no later than 3 — 3 1 . 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 3— 14e — , 1994, at the Edmonds Public Library, Edmonds Community
Services Building, and the Edmonds Post Office.
XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the
Checklist.
Mailed to the following along with the Environmental Checklist:
XX Department of Ecology
Environmental Review Section
P.O. Box 4770
Olympia, WA 98504-7703
XX Jon and Maurine Daeley (Applicant)
10430 231st S.W.
Edmonds, WA 98020
Attachments:
Critical Areas Detennination tt CA-93-260
Enviromnental Checklist
PC: Building Plan Check No. 94-19
SEPA Notebook
Robert Chave, Planning Manager
Page 1 of 2
CITY OF EDMONDS
ENVIRONMENTAL CHECKLIST
6190 199-
Purpose of Checklist:
PCERIMIT COUTITER
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 hest 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
Name of proposed pr(kject, if applicable: DAEVEy
2. Name of applicant: 0 K A-o.tp 01 A"tat" C �D►a0LIC--q
3. Address and phone number of applicant and contact person:
10`430 a3► St i5
iF—DmoN0s, (.,uA ggo20
CoN_rA �� : SA)
4. Date checklist prepared: 3/2-/9el
Page I of 22
c1 Kurno-25-93 AnsriT
5. Agency requesting checklist: City of Edmonds.
6. Proposed timing or schedule (including phasing, if applicable): B E9.i nn-f Kg rA C
(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 COMINJENTS)
8. List any environmental information you know about that has been prepared, or will be prepared, directly
related to this proposal.
NO ti5�'-
(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)
10. List any government approvals or permits that will be needed for your proposal, if known.
Cry ' o t= I �m aryOS B(A-t (--p 1 04-G f`' 'f� 17.
(STAFF COMMENTS)
Page 2 of 22
CUKU110.=5-93AM r[R
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.
00A!51-2u c-TI 010 o -F- A ScNcs-Gf- FA I Ly (2-9S LOe,uG£ , /•V CLUAfN 6
f_� X CA c/14`i I OA3 .
(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
related to this checklist.
Lir gzy .
(STAFF COMMENTS)
TO BE COMPLETED BY APPLICANT
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site (circle one): Flat, rolling, illy steep slopes, mountainous, other:
W (C.W
(STAFF COMMENTS)
b. What is the steepest slope on the site (approximate percent slope)? d?U %
(STAFF COMMENTS)
C. What general types of soils are found on the site (for example, clay, sand, gravel, peat, muck)? If you
know the classification of agricultural soils, specify them and note any prime farmland.
Page 3 of 22
C1FKLT/10.=5.93.MAti Il:R
(STAFF COMMENTS)
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe.
(STAFF COMMENTS)
e. Describe the purpose, type and approximate quantities of any tilling or grading proposed. Indicate source
of till.
OUT 5-00 CuB►C YA405. FM Qt?ty£w4Y ACee5Se
Oa T 350 Cot 81 c y A-{LO 5 V;Oa t3O%A S r, l=-ou N 1J ►4�7 orJ
CLA T AOO C"61C y P, . FOa PVpp 1-n O-Aw4C 51'T*- Prf-P*1CAT-70K)
(STAFF COMMENTS)
Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
(STAFF COMMENTS)
g. About what percent of the site will be covered with impervious surfaces after project construction (for
example, asphalt or buildings)?
�I0o0 sc,: F-rlie. ,00 sca I--t a�S°lo
(STAFF COMMENTS)
Page 4 of 22
CIMU/10-25-93.MAbT ER
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
Q;�CIL�2►£5 r ct�£f� Zr3rKF► A Soy L. ?P-£Ve�v i
i (ZO S1 O-
(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.
N6Nf—
(STAFF COMMENTS)
b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally
describe.
NONE
(STAFF COMMENTS)
C. Proposed measures to reduce or control emissions or other impacts to the, if any:
N f,4 - C>OeS NbT PIPPt-y
(STAFF COMMENTS)
3. WATER
a. Surface:
(1) Is there any surface water body on or in the immediate vicinity of the site (including year-round
and seasonal streams, saltwater, lakes, ponds, wetlands)? If yes, describe type and provide names.
If appropriate, state what stream or river it flows into.
NONE
(STAFF COMMENTS)
CI IFLT110.'_5A3. \1 Ati iGH
Page 5 of'22
(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.
(STAFF COMMENTS)
(3) Estimate the amount of till and dredge material that would be placed in or removed from surface
water or wetlands and indicate the area, of the site that would be affected. Indicate the source of fill
material.
PO4 5 NOT APPZ. y
(STAFF COMMENTS)
(4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities it' known.
Does Nay-
(STAFF COMMENTS)
(5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
(STAFF COMMENTS)
(6) Does the proposal involve any discharges of waste materials to surface waters? If so, describe the
type of waste and anticipated volume of discharge.
(STAFF COMMENTS)
Paige 6 of 22
C11Kurn 0-25.93.MASTHR
b. Ground:
(1) Will ground water he withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities if known.
FA
(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 numher of houses to be served (if applicable), or the
number of animals or humans the system(s) are expected to serve.
LDome5- 1L 5ew R St - Fa-2 o3ue- tAor✓► f- Pov-
r%vf— Cep Pt_�
(STAFF COMMENTS)
C. Water Runoff (including storm water):
(1) Describe the source of runoff (including storm water) and method of collection and
disposal, if any (include quantities, if known). Where will this water flow? Will this
water flow into other waters? If so, describe.
5 �o w &Nv�Z coL e- c.T i5p i m
C; ► -nj a-= f'O rna-'O5 snot to w�2 sysTsm .
(STAFF COMMENTS)
(2) Could waste materials enter ground or surface waters? If so, generally describe.
(STAFF COMMENTS)
Page 7 422
CIiK I_T/ 10-25-93. M AS rER
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any:
T-
�[� ,m awns 2£G2 µ,t (ie-, A<e I-) 5
(STAFF COMMENTS)
4. Plants
a. Check or circle types of vegetation found on the site:
deciduous tree: alder, maple, aspen, other:
✓ evergreen tree: fir, cedar, pine, other: Or-04a.' ��yoytf 1+15 rJloc/L
shrubs
✓ grass
pasture
crop or grain
wet soil plants: cattail, buttercup, bulrush, skunk cabbage, other:
water plants: water lily, eelgrass, milfoil, other:
other types of vegetation: N6A) li
(STAFF COMMENTS)
b. What kind and amount of vegetation will he removed or altered?
u �iti� -r2fES vo /��vlo� �-c'cess . vz� hn2o(�2Py
(STAFF COMMENTS)
C. List threatened or endangered species known to he on or near the site.
(STAFF COMMENTS)
d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the
site, if any:
Page S of 22
CI I K I_TI10-25.91 M AKIT- R
Gy> &.114t Ift
Oew57T2uC'ril3;PO
(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: AIO�V�
birds: hawk, heron, eagle, songbirds, other:
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.
(STAFF COMMENTS)
C. Is the site part of a migration route? If so, explain.
(STAFF COMMENTS)
d. Proposed measures to preserve or enhance wildlife, if any:
aUeS Ivor 1W)Oe- Y
(STAFF COMMENTS)
6. Energy and Natural Resources
Page 9 oP 22
CI IKLT/10-_5-93. N1 A. 1' I;N
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 he used for heating, manufacturing, etc.
tW—ATl MG — NAwaA-C, Qk5
Gl.EGT2 lC� —t�2 �w£Y N iQ0 5
(STAFF COMMENTS)
b. Would your prgject affect the potential use of solar energy by adjacent properties? If so, generally
describe.
(STAFF COMMENTS)
C. What kinds of energy conservation features are included in the plans of this proposal? List other
proposed measures to reduce, or control energy impacts, if any:
Coo V14 a l- I A N LE w ► Ttk- C t'N Or" FO M'o-f05 f3 u I L 01 C°Op-c-
(STAFF COMMENTS)
7. Environmental Health
a. Are there any environmental health hazards, including exposure to toxic chemicals, risk of fire and
explosion, spill, or hazardous waste, that could occur as a result of this proposal? If so describe.
ND/V�
(STAFF COMMENTS)
Page 10 of 32
CI OC LT/ 10.?5-93.MA..W GR
(1) Describe special emergency service that might he required.
na&5 NOT
(STAFF COMMENTS)
(2) Proposed measures to reduce or control environmental health hazards, if any:
DO &S 1V U T /9.1PPL 1�
(STAFF COMMENTS)
b. Noise
(1) What types of noise exist in the area which may affect your project (for example: traffic,
equipment, operation, other)?
NbN E
(STAFF COMMENTS)
(2) What types and levels of noise would he 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.
(STAFF COMMENTS)
(3) Proposed measures to reduce or control noise impacts, if any:
(STAFF COMMENTS)
Page I I of 22
CI IK LTl10-25.93. M A. I' IiN
8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties"
(2E51 DNruTt Ar(- CS( "Cl I e-. J�7 A-M t L �>
(STAFF COMMENTS)
b. Has the site been used for agriculture? If so, describe.
(STAFF COMMENTS)
C. Describe any, structures on the site.
► m t1 f—
(STAFF COMMENTS)
d. Will any structures be demolished? If so, what?
'poeS "0T-- A-PPi1-/
(STAFF COMMENTS)
e. What is the current zoning classification of the site?
2!- k 2000
(STAFF COMMENTS)
Page 12 of 22
C I I LT/ I r-2.5-93. NI Ml"E.R
f. What is the current comprehensive plan designation of the site?
L vw ejo 5 r^ry �5 I oer-;-r &.-
(STAFF COMMENTS)
g. If applicable, what is the current shoreline master plan designation of the site?
Does N-0 T PA
(STAFF COMMENTS)
h. Has any part of the site been classified as an "environmentally sensitive" area? If so,. specify.
N C)
(STAFF COMMENTS)
i. Approximately how many people would reside or work in the completed project?
(STAFF COMMENTS)
J. Approximately how many people would the completed project displace?
(STAFF COMMENTS)
Page 13 of 22
CI M LT/ 10-2.i_93. M AMER
k. Proposed measures to avoid or reduce displacement impacts, if any:
1poe8 NO—T iA'gM
(STAFF COMMENTS)
1. Proposed measures to ensure the proposal is compatible with existing and projected land uses and plans,
if any:
N Otte —
(STAFF COMMENTS)
9. Housing
a. Approximately how many units would he provided, if any? Indicate whether high, middle, or low-income
housing.
CO N C $ i t4 I P 40A I L y (2- S t oe tU C_ e,gM 1 p-O-L VNl Gy►'%'t f
(STAFF COMMENTS)
b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low-
income housing.
/VOAJ S
(STAFF CONINIENTS)
C. Proposed measures to reduce or control housing impacts, if any:
IDOPS iu07— /9-FPZ-Y
(STAFF COMMENTS)
Page 14 of 22
CI IhLT/ 10.15-93. AI ASI'I-R
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?
0�5 FAT F2orti otiic/Nq-L �2�OE �2 C/ ofnmmv�5
RW14-D />v(:5- tLf-0Ul2£M&"-)TS
(STAFF COMMENTS)
b. What views in the immediate vicinity would be altered or obstructed?
/A/vNC
(STAFF COMMENTS)
C. Proposed measures to reduce or control aesthetic impacts, if any:
(-" 05E HOrwE S/T£ �¢ S 4,0W .45 POS5 i BL.£
✓79/ T/cs-q T£ /` ,V V 4 0 57WC 7-16 //%9P4r_ry-7S.
(STAFF COMMENTS)
11. Light and Glare
a. What type of light or glare will the proposal produce? What time of day would it mainly occur?
0005 /VOr /4RP1 y
(STAFF COMMENTS)
b. Could light or glare from the finished project be a safety hazard or interfere with views?
HONIE
(STAFF COMMENTS)
Page 15 o1.22
CI h UP I0-25-93. M At rER
C. What existing (ill' -site sources of light or glare may affect your proposal?
(STAFF COMMENTS)
d. Proposed measures to reduce or control light and glare impacts, if any:
f--,;O&,S NOT- APp''`{
(STAFF COMMENTS)
12. ' Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?
rU O�
(STAFF COMMENTS)
b. Would the proposed project displace any existing recreation uses? If so, describe.
NO
(STAFF COMMENTS)
C. Proposed measures to reduce or control impacts on recreation, including recreation opportunities to be
provided by the project or applicant, if any:
TJOto- S ry c)- — A-PPe- y
(STAFF COMMENTS)
Page 16 of 22
C11K LT/ 10-25.93. M A31'f It
13. Historic and Cultural Preservation
a. Are there any places or objects listed on, or proposed for, national, state, or local preservation registers
known to he on or next to the site? If so, generally describe.
(STAFF COMMENTS)
b. Generally describe my landmarks br evidence of historic, archaeological, scientific, or cultural
importance known to be on or next to the site.
NogE-
(STAFF COMMENTS)
C. Proposed measures to reduce or control impacts, if any:
caoe-S- NUT APPLY
(STAFF COMMENTS)
14. Transportation
a. Identify public streets and highways serving the site, and describe proposed access to the existing street
system. Show on site plans, if any.
f77We1V-0,�0 SITE
(STAFF CONIN1ENTS)
b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit
stop?
NO. VZ
Page 17 of 22
cub UP/ I O-_9-93. M A."TR
(STAFF COMMENTS)
C. How many parking spaces would the completed project have? How many would the project eliminate?
-T4 (2f f !A 14, e A�1
7.c,►1M 11�L tNq2z'S NO �JK ► n cL. 5 �►g C,� s
(STAFF COMMENTS)
d. Will the proposal require any new roads or streets, or improvements to existing roads or streets, not
including.driveways? If so, generally describe (indicate whether public or private).
(STAFF COMMENTS)
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so,
generally describe.
(STAFF COMMENTS)
f. How many vehicular trips per day would he generated by the completed project? If known, indicate when
peak volumes would occur.
(STAFF COMMENTS)
CI IKLT/10•25.93. AilAS1'I R
Page 18 of 22
g. Proposed measures to reduce or control transportation impact_,, if any:
(STAFF COMMENTS)
15. Public Service.,
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.
NO
(STAFF COMMENTS)
b. Proposed measure., to reduce or control direct impacts on public services, if any:
Pa�-S A)y T- kv PLy
(STAFF COMMENTS)
16. Utilities
a. Circle utilities currently available at the site: ectri� natural g vate (fefuse servic epho ,
mtary Tsen septic system, other:
(STAFF COMMENTS)
Page 19 of 22
CHK LT/ 10-25-93. MASf 14R
b. Describe the utilities that are proposed for the protect, the utility providing the service, and the general
construction activities oil the site or in the immediate vicinity which might be needed.
65k&— 2/ wt, - �N/o rlo-�/rri s� Goo
�s�lig (/�l15Ni/7y 7�%V /xATd2�C-
6GE°Na'x%� - �G 1�197Gr2 �£eo C'2 - Ca a ? . o F -FO1&d1Wg .
(STAFF COMMENTS)
C. SIGNATURE
The above answers are true and complete to the best of my knowledge. I understand that the lead agency is relying on them
to make its decision.
Signature of Proponent
Date Submitted
CI IK LT/ 10-'_9-93 \1 A%I'lik
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1
CITY OF EDMONDS STREET FUE
250 5T11 AVENUE NORTH, EDMONDS, NVA 98020 (206) 771-0220
RCW 197-11-970 Determination of Nonsignificance (DNS)
DETERMINATION OF NONSIGNIFICANCE
Description of proposal: Single family residence totaling 2,873 sq.ft. Grading of 1100 cubic yards.
City of Edmonds Building Plan Check No. 94-19).
Proponent: Jon Daeley
Location of proposal, including street address if any: 9122 Olympic View Drive, 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, Edmo11 WA 98020
Date: 3Irf�4Y Signature: C.v c-�—
XX You may appeal this determination to Robert Chave, Planning Manager, at 250 5th Avenue
North, Edmonds, WA 98020, no later than 3 - 3 I , 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 3 - 16 . 1994, at the Edmonds Public Library, Edmonds Community
Services Building, and the Edmonds Post Office.
XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the
Checklist.
Mailed to the following along with the Environmental Checklist:
XX Department of Ecology
Environmental Review Section
P.O. Box 4770
Olympia, WA 98504-7703
XX Jon and Maurine Daeley (Applicant)
10430 231 st S.W.
Edmonds, WA 98020
Attachments:
Critical Areas Determination it CA-93-260
Environmental Checklist
PC: Building Plan Check No. 94-19
SEPA Notebook
Robert Chave, Plam-dng'Manager
Page 1 of 2 .
ET F � L F � CA FILE NO. 6(3 --L1x
����'� Critical Areas Checklist
Site Information (soils/topography/h drology��/vegettaation)
1. Site Address/Location:��� �c�/(ew �"✓/�'
2. Property Tax Account Number: 18,,27 CV�aU 3,f;'0l0u 7
3. Approximate Site Size (acres or square feet): 16113i
4. Is this site currently developed? yes; /C no.
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
RECEIVE:®
BAN 2 1 1994
PERMIT COUNTER
!/Rolling: slopes on site generally less than 15% (a vertical rise of .1 0-feet over a
horizontal distance of 66-feet).
r/-
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 rise of 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
61. Site contains areas of year-round standing water: /1tU ; Approx. Depth:
7. Site contains areas of seasonal standing water. ; Approx. Depth:
What season(s) of the year?
8. Site is in the tloodway 10 )_ floodplain / (l of a water course.
9. Site contains a,cy. k or an area where water flows across the grounds surface? Flows are year-
round? /l(,0 Flows are seasonal? (What time of year? I
.10. Site is primarily: forested ; meadow ; shrubs ; mixed ;
— urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
Rev 09n9/93
NO -
City of Edmonds
Critical Areas Determination
Applicant: Jeffery Cable Determination #: CA-93-260
Project Name: Permit Number:
Site Location: 9122-Olympic View Drive Property Tax Acct #: 19170420380007
Project Description:
Single Family Residence
Waiver Criteria (all criteria must be found to apply):
XXX There will be no alteration of the Critical Area or its required buffers;
XXX The development proposal will not impact the Critical Area in a manner
contrary to the goals, purposes, objectives and requirements of the
Critical Areas ordinance;
XXX The development proposal meets the minimum standards of the Critical
Areas ordinance;
XXX The above findings are based on the following conditions of approval:
1. Before any permit application maybe applied for, submit to the Planning
�,,, 4L(e Department. a topographic survey prepared by a Licensed Land Surveyor
�6r e meat.ing Steep Slope Hazard Areas. Any slope over 30% with more than 10 feet
of rise will be classified as a Steep Slope Hazard Area. A 50 foot buffer is
6104i?-required
required from both the top and toe of the slope. A 15 foot building setback is
from the 50 foot. buffer.
2. If the results of the above survey determine the lot unbuildable, any
development which is not identified as an exception per ECDC Chapter 20.15B
must receive a Reasonable Use Exception or a Variance pursuant to ECDC
20.15B.180A and 20.15B.040C).
3. All proposed development of the subject lot must meet the requirements
of Chapter 19.05 of the Edmonds Community Development. Code.
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This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewolks,
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
"Applicant, on behalf of his or her spouse, heirs, assigns and
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successors in interest, agrees to indemnify, defend and hold
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PLAN CHECK DEPOSIT
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whatever nature, arising directly or indirectly from the issuance
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modify,•.waive or reduce any requirement of any city ordinance
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Inor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
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provision."
✓
I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
information given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until
state laws regulating construction; and in doing the work authoriz• AUTHORIZES
THE signed by the Building Official or his/her
ed thereby, no person will be employed in violation of the Labor ONLY
WORK NOTED Deputy; and fees are paid, and receipt is
Code of the State of Washington relating to Workmen's Compensa-
acknowledged in space provided.
tion Insurance and RCW 18.27. INSPECTION
SIGNATURE tOwNER OR AGENT) DATE SIG NEDn� DEPARTMENT
OFFIC S )GNAT E DATE
CITY OF
EDMONDS
LEAS 1 BY7: r / DATE
CALL FOR
ATTENTION 4-
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
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A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
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j or occurs during the permitted project.
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