CRA2021-0187 waiver determinationCITY OF EDMONDS
121 5t" Avenue North, Edmonds WA 98020
Phone: 425.771.0220 • Fax: 425.771.0221 • Web: www.edmondswa
DEVELOPMENT SERVICES DEPARTMENT • PLANNING DIVISION
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10/5/2021
MATTHEW & JENNIFER KELLER
20721 86TH PL W
EDMONDS, WA 98026-6617
Subject: Critical Areas Determination (CRA2021-0187)
Site Address: 20721 86TH PL W
Dear Applicant/Owner,
Please find the enclosed critical area determination for the Critical Areas Checklist you
submitted to the City of Edmonds Planning Division. The critical area determination for your
property is "WAIVER." Note that this determination is a site -specific determination and not a
project -specific determination.
If the critical area determination is "CRITICAL AREA PRESENT," additional critical areas
information or critical areas specific studies may be required for development or alteration of
your property depending on the location of the activity. "WAIVER" means no further critical
area review is required for development or alteration of your property.
If you have any questions regarding this critical area determination, please contact the planner
on duty at 425.771.0220.
Regards,
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MICHAEL CLUGGSTON
Enc: Critical Area Determination
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MyBuildingPermit.com
Jurisdiction: Edmonds
Project Name: Bump out existing structure
Application ID: 1027067
Supplemental Name: Critical Area Checklist Questionnaire
As the owner or their duly authorized agent, I certify that the information and exhibits herewith submitted are true and correct to the
best of my knowledge and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject
property for the purposes of inspection attendant to this application. The property owner, and his/her/its heirs, and assigns, in
consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from
any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false,
misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees.
I do so certify.
Approximate size of the site (specify acres or sq. ft.):
10,019 sq ft
Is the subject site currently developed?
Yes
Describe the general site topography. Check all that apply:
Flat to Rolling: No slope on/adjacent to the site or slopes generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-
feet).
Have there been landslides on or near the site in the past?
No
If "yes" please describe...
Site contains areas of year-round standing water?
No
If "yes", what is the approximate depth of the water?
Site contains areas of seasonal standing water?
No
If "yes", what is the approximate depth of the water? During what season(s) of the year?
Site is in the floodway or floodplain of a water course?
None of the above
Site contains a creek or an area where water flows across the grounds surface?
WO
If "yes", are flows year-round or seasonal?
Is an obvious wetland present on the site?
No
CITY OF EDMONDS MyBuildingPermit.com
Land Use Application #1027067 - Bump out existing structure
Applicant
First Name Last Name Company Name
Matthew Keller
Number Street Apartment or Suite Number E-mail Address
20721 86th Place West mjkellermd@gmail.com
City State Zip Phone Number Extension
Edmonds WA 98026 4252329405
Contractor
Company Name
Number Street Apartment or Suite Number
City State Zip Phone Number Extension
State License Number License Expiration Date UBI # E-mail Address
Project Location
Number Street Floor Number Suite or Room Number
20721 86TH PL W
City Zip Code County Parcel Number
EDMONDS 98026 00544600004604
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Matthew & Jennifer Keller
Number Street Apartment or Suite Number
20721 86TH PL W
City State Zip
EDMONDS WA 98026
Certification Statement - The applicant states:
I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and
authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I
have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work
requires a licensed contractor to perform the work, the information will be provided prior to permit issuance.
Date Submitted: 9/29/2021 Submitted By: Matthew Keller
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CITY OF EDMONDS MyBuildingPermit.com
Land Use Application #1027067 - Bump out existing structure
Project Contact
Company Name:
Name:
Address:
Project Type
New
Matthew Keller Email: mjkellermd@gmail.com
20721 86th Place West Phone #: 4252329405
Edmonds WA 98026
Activity Type
Critical Areas
Scope of Work
Critical Areas Review
Project Name: Bump out existing structure
Description of Work: Bumping our the South east corner of the home by 18 ft East to West and 16 ft North to
South. It would be on two levels but not exceed the height of the existing structure.
Project Details
Critical Area Information
Unknown
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