CRA2020-0098 determination waiverCITY 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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7/7/2020
STEPHANIE MOCK
21811 95TH AVE W
EDMONDS, WA 98020-3914
Subject: Critical Areas Determination (CRA2020-0098)
Site Address: 2181195TH AVE 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 "STUDY REQUIRED," 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,
V116�Clil�
MICHAEL CLUGSTON
Planning Division
Development Services Department
Enc: Critical Area Determination
CITY OF EDMONDS MyBuildingPermit.com
Land Use Application #822165 - BLD2020-0402
Applicant
First Name Last Name Company Name
Scott Carpenter
Number Street Apartment or Suite Number E-mail Address
21811 95th Ave W scarpenter@axiomdesignbuild.com
City State Zip Phone Number Extension
Edmonds WA 98020 206-499-5446
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
21811 95TH AVE W 1 none
City Zip Code County Parcel Number
EDMONDS 98020 00527900001900
Associated Building Permit Number Tenant Name
BLD2020-0402 Scott Carpenter
Additional Information (i.e. equipment location or special instructions)_
Work Location
Property Owner
First Name Last Name or Company Name
Stephanie Mock
Number Street Apartment or Suite Number
21811 95TH AVE W
City State Zip
EDMONDS WA 98020-3914
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: 6/25/2020 Submitted By: Scott Carpenter
Page 1 of 2
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CITY OF EDMONDS MyBuildingPermit.com
Land Use Application #822165 - BLD2020-0402
Project Contact
Company Name:
Name: Scott Carpenter Email: scarpenter@axiomdesignbuild.com
Address: 21811 95th Ave W Phone #: 206-499-5446
Edmonds WA 98020
Project Type Activity Type Scope of Work
New Critical Areas Critical Areas Review
Project Name: BLD2020-0402
Description of Work: Addition off of back of house, 450 SF
Project Details
Critical Area Information
Unknown
Page 2 of 2
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MyBuildingPermit.com
Jurisdiction: Edmonds
Project Name: BLD2020-0402
Application ID: 822165
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.):
8050
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