Highway 99 Planned Action Application.pdfCITY OF EDMONDS
121511 Avenue North, Edmonds WA 98020
Phone: 425.771.0220 • Fax: 425.771.0221 • Web: www.edmondswa.gov
DEVELOPMENT SERVICES DEPARTMENT • PLANNING DIVISION
Highway 99 Planned Action
Review Checklist
This checklist is used to determine whether a project is eligible to be considered a Planned Action
exempt from further review under the State Environmental Policy Act (SEPA). Section One is to be
completed by the applicant and Sections Two and Three are to be completed by the City. A completed
SEPA Checklist shall accompany this Highway 99 Planned action checklist.
Project Name: Edmonds CA Senior Living Community
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Address: 21200 72nd Avenue W, Edmonds, Washington
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Parcel Number: 00580700000401
Name/Company: JAS Group LLC
Mailing Address: 3833 W. Lake Sammamish Parkway SE, Bellevue, WA 98008
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Phone: 206-818-8386
Email: sam.lai@jas-group.com
Name/Company: Michael Duggan, CA Senior Living Holdings, LLC
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Mailing Address: 130 East Randolph Street, Suite 2100, Chicago, IL 60601
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Phone:312-248-2091
Email: MDuggan@ca-ventures.com
Describe the existing land use: Existing office building and associated parking lot area.
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Proposed land use (check all that apply):
a
N
®Multiple dwellings
❑Office
d
[]Retail and Services
❑Medical and Health Care
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'o
❑Mixed use
El Utilities and capital facilities
a
❑Other:
Number of residential dwelling units
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m
Existing: 0
Proposed: 120
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Non-residential uses including office, retail, service and medical/health care uses (square
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.,
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feet)
E
Existing: 6,770 SF
Proposed 21,084 SF
a
d
Transportation
c
Number of new ak ho rips: 4 less PM peak hour trips
Applicant Signature: Date: 3 • �j o I
Section Two: Review Criteria (city to complete)
The city's SEPA responsible official may designate conforming projects as "planned actions"
pursuant to RCW 43.21C.440 the meet the following conditions per Ordinance No. 4079.
Criteria (Ordinance No. 4079 Section 4.E)
Complies (if no, explain on
separate sheet and attach)
The proposal is located within the Planned Action Area as identified
❑ Yes
❑ No
in Exhibit A of Ordinance No. 4079.
The proposal does not cause the Planned Actions thresholds and
❑ Yes
❑ No
other criteria of Ordinance No. 4079 Section 4.D to be exceeded,
Planned Action Thresholds
Project
Permitted Planned Action
Residential Dwelling Units: 3,325
Proposed Units:
Cumulative Units:
Non-residential Uses: 1,634,685 sf.
Proposed sf:
Cumulative sf:
PM Peak Hour Trips: 2,755
Proposed Trips:
Cumulative Trips:
The proposal is consistent with the City of Edmonds Comprehensive
❑ Yes
❑ No
Plan and the Highway 99 Subarea Plan.
The proposals significant adverse environmental impacts have been
❑ Yes
❑ No
identified in the Planned Action EIS.
The proposals significant impacts have been mitigated by
application of the measures identified in Ordinance No. 4079
❑ Yes
❑ No
Exhibit B, and other applicable city regulations, together with any
modifications or variances or special permits that may be required.
The proposal complies with all applicable local, state and/or federal
laws and regulations, and the responsible official determines that
❑ Yes
❑ No
these constitute adequate mitigation.
The proposal is not an essential public facility as defined by RCW
❑ Yes
❑ No
36.70A.200(1).
Section Three: Planned Action Determination (city to complete)
Qualifies as a Planned Action: The application is consistent with the Planned Action
Ordinance and thereby qualifies as a Planned Action project. The project shall proceed in
❑ Yes
accordance with the applicable permit review procedures specified in Chapter 20.02 ECDC,
except that no additional SEPA threshold determination, EIS or additional SEPA review will
be required.
Does Not Qualify as a Planned Action: The application is not consistent with the Planned
Action Ordinance and does not qualify as a Planned Action project. Please see the
attached for an explanation of why the application does not qualify.
❑ No
Additional SEPA Review Required: Projects that fail to qualify as Planned Actions may
incorporate or otherwise use relevant elements of the Planned Action EIS, as well as other
relevant SEPA documents, to meet their SEPA requirements. The SEPA Responsible Official
may limit the scope of SEPA review for the non -qualifying project to those issues and
environmental impacts not previously addressed in the Planned Action EIS.
Signature (Director or Designee):
Date: