16036 68TH AVE W11111111111111
14905
16036 63TH AVE W
Water Service Drawing
The City of Edmonds EASEMENT NO . ........................................
NEW CONSTRUCTION .0 REPAIRS 0 LID NO . .................. . ASMT. NO . ..................
OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO. ?903illo-
JOB ADDRESS .1603.6 ...... (0. V-A ............................................... LEGAL DESCRIPl [ON: LOT.. NO . ....................................... BLOCK NO. ....................................
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NAMEOF ADDITION ..: ................. ...................................................................................................
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PV4W-0001-1 1175 (REV.1 1178) DATE ... 0 ...... ................................ By ..� ....... &-"j ...................................
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SIDE SEf'ER
PERMIT N2
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\(e,net. Ic-)W,<f 73io't 1J,,r
90 DAYs
PERMIT
9051
RECEIVED
JUL 2 31999
; PUBLIC WORKS DEP1
Building Permit No. 9(?10 -3 4 1�
Invasion into City Right -of -Way: ❑ No ❑ Yes
RW Construction Permit No.
Cross other Private Property: ❑ No ❑ Yes
Attach legal description and copy of recorded easement
LYNNWpOD LINE
I ceftify chat I have read and shall comply with all city requirements Date
as indicated on the back of the Permit Card.
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* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CITY OF EDMONDS
8g0.19
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Address of Construction: VbQ 36 A,)
Property Legal Description (Include all easements)
Owner and/or Contractor: ,"�
State License No.
Single Family
❑ Multi -Family (No. of Units )
❑ Commercial
❑ Public
OFFICE USE ONLY
* FOR INSPECTION CALL 771-2, PUBLIC WORKS DEPT.
Permit Fee: �4(/" D Issued By
Trunk Charge: 5'� _. Date Issued:
Assessment Fee: Receipt No.: % 9
Lid No.:
Partial Inspection: Date -Initial -
Comments
Reason Rejected: Date -Initial -
Final Inspection Approved: Date,8-16-22lnitial�i
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Bull Copy: Applicant _
Revised 3.190
Side Sewer Drawing 4
The City of Edmonds EASEMENT NO . ............................................
I
NEW CONSTRUCTION X REPAIRS ❑ LID NO. .— ............... ASMT. NO. ..................
OWNER............. ..................................... CONTRACTOR..-....-..-.-.-.-...-............--.-...-...----....................-----...-....... PERMIT NO. ..-.1.-.5..�
JOB ADDRESS ........ ....... 65` . ,je----.�"J------------------ LEGAL DESCRIPTION: LOT NO....................................... BLOCK NO. ....................................
NAMEOF ADDITION.........................................•.-...-.----•------------•-••-•---".-..-.--.-.-••----•------•.--...-..-.....•.
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PWW-0001-11175 (REV.11/78) DATE ...8 : -9 c----------------•----- BY ....---'-`- .J..-- ....................
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OPR 3 01999
DEVELOPMENT ERVICES CTR.
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PHLLP I.INARY SHUN! VLA I MAID
S.E. 114, S.W. 114, SEC. 5, TWP. 27 N., RGE. 4 E., W.M.
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6820-ISOIII St S.W. 25.00' /
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EDYONOS -- ' ' — — L - J8.06'
LOT I
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CURB CUT
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OANIEL V. FENRENBAGIER �� f J, 692 S.F. ++
M26-ISOFII Sr. SW 1 , .� Do 1 1,
COMM A ;. 1 tL) I g 14
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20 DRIVEWAY
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OWER: NI 3 1 1 ' 1 AAM DEUMERT JR.
MEAOOWDALE RIDGE .1,.'.� 161l6-681H AVE W.
ANDREW B. ANDERSON 1
8206—FREMONT AVE, N. 1 S^ 1 EW/ONDS
SEATTLE, WA 98013 GRAPHIC SCALE I 1
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) 783-4894 so I o 75 so
APPLICANT:
GARY & DONNA EMBREE I m m4 1
EDMONDS. WAST9802W6. I ( IN FEET )
(425) 743-7709 I 1 Inch 50 IL �� 1
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yTEXTUAD DATA: —' — —
Exlsnw 20". RS-12 — ATTACHMENT 3
PROPOSED IChM RS-12
CROSS SUBDIVISION ARLI 1.05 ACRES (45.584 S.F.) ♦p C,, (y�.�
LEGAL DESCRIPTION: �. �, t x` I, , ✓
THE EAST 305 FEET OF LOT 46• MEADOWDALE BEACH, aT PA
ACCORDING TO THE PLAT THEREOF. RECORDED IN "+ x
VOLUME 5. OF PLATS, PAGE 38. RECORDS OF SNOHOMISH : a
COUNTY. WASHINGTON; 2 o
EXCEPT THE WEST 150 FEET THEREOF; AND 44
I9
EXCEPT THE SOUTH 15 FEET OF THE REMAINDER, \ L . C1
BASIS OF BEARING: �jU U
C lREf E/85/00
PLAT OF A/EADOWI)AL.E RIDGE
LEGEND: A.F.M. INDUSTRIES, INC.
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%4 0041b sr. S.W. PIIONP.t (48G) 7y0—t�'
• SfT REBAR & CAP L.S. 130442 .YHNWnnn. WA. awnnw a.v. 1.041 e-so_A 1
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APR 3 01999
_ C;� ^lr FAImI®I�ASSERVECESCTR
OF EDMOanc
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.
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 assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant:
/ /� A��
Name
Street Address
City State Zip
;: � 66 -�6-� - � T It
Tee hone,��J
}
J
L� r
ignature
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
I
Date
c:reception\jana\cacl. doc
Date
(over)
C ' " 1LE NO.
Critical Areas Checklist RECEIVE®
---------------------------------------------------------------
Site Information (soils/topography/hydrology/vegetation) JAN 2 2 1998
1. Site, Address Location: /L 7 Y 5,� ���� Sf ��' PLAPVhu / 5 rah rs� �, ; _��%fL, DEBT.
2. Property Tax Account Number: 5% 3 % - pC?G - 04 -y e
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? _ yes; _�Zno.
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.
Rolling: 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):
6. Site contains areas of year-round standing water: &O ; Approx. Depth:
7. Site contains areas of seasonal standing water:_; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway_ /�'y floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are
year-round? /Vi, Flows are seasonal? (What time of year? ),
10. Site is primarily: forested S meadow ; shrubs ; mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site: N
'`ca—chkdoc; Rev 02/11/97
PLANNING DATA
NAME: LLz 1-I—Vl r,c-.
SITE ADDRESS: 1 &0 36 ' tog" Atie. W. DATE:
ZONING: Q-5' 12- PLAN CHK#: 99 - 106,
PROJECT DESCRIPTION:
CORNER LOT go (Yes/No) FLAG LOT N'a (Yes/No)
SETBACKS:
Required Setbacks: '�w"`'`,uL ` e. -G6 �'�°"
Front: ZS, Left Side: L o' Right Side: 10 ' Rear: Z S '
Actual Setbacks: - = 2s'
Front: --3+Left Side:-4<)12- Right Side: a'- Rear: -{
Street map checked for additional setback required? nk - A—) (Yes/No)
2 5' 7 i� 9'
,tinr? LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED /if (Y/N)
,F LOT COVERAGE: i6,44 f749 a- 3i0 24 Z8
Maximum Allowed: 35-2 Actual: 13 2-47- , 3 a z g �o
BUILDING HEIGHT:
Maximum Allowed: Z S' Actual Height: 2 3 '
Datum Point:Datum Elevation:_ 42,o. 53 s,�&A /6
A.D.U. CREATED?:
SUBDIVISION:
CRITICAL AREAS #: 98.- 2-9 6ja..V<--
- SEPA DETERMINATION: Ar /-qe 3f-R9 X-Pt" ti=tti 4"',-M&4
DNS -
LOT AREA: l 3 Zq- 2-
OTHER: 6u+^cz- h ova M ; s Sj '
PAUNV - o It- .
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I
Plan Review By:
c\81a%pc m61^p1andadw
J LOT of g*• A • 433: 1
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APPROVED BY PLANii,Nu w"me
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LEIF HELLEREW COM-* INC.
CITY OF EDMONDS
Fsl j 890 121- 5TH AVENUE NORTH, EDMONDS, WA 98020 (425) 771-0220
RCW 197-11-970 Determination of Nonsignificance (DNS)
DETERMINATION OF NONSIGNIFICANCE
C
tion of proposal: Construct a new single-family residence and perform related grading (City of Edmonds
99=.106).,,
Proponen . eren Construction Inc.
Location of proposal, including street address if any: 16036 — 68 h Avenue W., 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.
X 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 14 days from
the date below. Comments must be submitted by
Responsible Official: Jeffrey S. Wilson
Position/Title: Planning Supervisor, Department of Community Services - Planning Division
Phone: (425)771-0220
Address: City of Edmonds, 121 - 5th Avenue North, Edmonds, WA 98020
Date:
T
XX You may appeal this determination to Robert Chave, Planning Manager, at 121 - 5th Avenue North,
Edmonds, WA 98020, no later than M 6w i 0 1999, by filing a written appeal citing the
reasons. Ili
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 m '�7 1999, 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.
Page 1 of 2
PC-99- I I I D.DOC
5/27/99.SEPA
Mailed to the following along with the Environmental Checklist:
XX Environmental Review Section
Department of Ecology
P.O. Box 47703
Olympia, WA 98504-7703
XX Applicant & Owner: Leif Helleren Const. Inc.
P.O. Box 1764
Edmonds, WA 98020
pc: File No. PC-99-106
SEPA Notebook
Page 2 of 2
PC-99-111 D.DOC
5/27/99.SEPA