10220 238TH ST SW (2).PDFiiiiiiiiIIII lill
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10220 238TH ST SW
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ADDRESS: GO2?(/ SF-Sw
TAX ACCOUNT/PARCEL NUMBER: O
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: 7iZ9+2&2,6DETERMINATION: ❑ Conditional Waiver ❑Study Required Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENTS) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED: -
SCALED PLOT PLAN DATED:T1 qp
D
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSTs\Fonns\St=t File Checklist.doc
Is this site currently developed? des; no.
k If yes; how is site developed?• Church- Building and- paved' parking -lot,;
-S Describe thi general site topography `Check all that apply.<�; a ; .�p u
Hat., " # ! A
Fi,
Tess titan 5�eet elevation -change over'erttire site. ` Q�pl
R Rolling: slopes on site generally less than 15% is vertical rise of IA -feet aver a
horuzomal distance of 66-feet).
:ra.r =rr• ... :.: .
"• "= Rilly.'' 'slopes ,present on site of itiore than 15% and less than 30% (a verttcal'rise
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: NO ; Approx. Depth:: '
T . Site contains areas of seasonal stahcliiig"vrAw- NO ; Approx. Depth:
What seasons) of the eir?.
S. Site is in the floodwa NOr r' 'rr floodplain NO
y of a water course.
9. Site oontains a creek or an area where water flaws across the ands surface. lows are , ear- +
round? NO' ... _ ' � � �` _ . ,. year-
round? are seasonal. NO (What time of year? ). .
10. Site is primarily: forested ; meadow _;shrubs ; mixed
urban landscaped (lawn,shrubs etc) $
11. Obvious wetland is present on site: NO
For City Staff Use only
1. Site is Zoned? S _
2. SCs mapped soil type(s)? Uv.let ^111 ��•✓� Z — 8 to sie�C
3. Wetland inventory or C.A. map indicates wetland present on site?'
4 • -,Critical Areas inventory or C.A. map indicates Critical Area on site? ti0
5.. Site within designated earth subsidence landslide- hazard area?-
6. Site designated on the Environmentally Sensitive Areas Map?
.DETERMINATION
'"STUDY REQUIRED CONDI770NAL WAIVER.
_WAIVER
Revieewedby:
.. Fr
Planner Date
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yy l_r':C ..`.litf.. 'E�dtdt�'-Ov
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rf#rcaI -Area RC Seckl r :� s# _ R
The Critical Areas��'7�`��;_";'r:,:�� �.,;•�f �� �•;;s:t9%'�:b� �•�i�?t�'M.t��,��:;� `[�ctit� µ�i�f���.;F. •
Checklist contained on and submit it to, the, City J The C, wi11 +
this form, is to be filled out by any person,: _ �, review the checklist, make a precursory site
preparing a Development Permit ~: M=4 and.make a determination of the
Application for the City of Edmonds prior subsequent steps necessary to complete a
to his/her submittal of a development developmentermitapplication. `
permit to the City.
_ With a signed copy of this form, the
The purpose of the Checklist is to enableapplicant should also submit a vicinity reap
City staff to determine whether any r or plot plan. for individual lots of the parceP-
potential Critical Areas are orm-be with eagh detail that City staff can find''.,
Present on the subject property. • The and identify the subject parcel(s)_ In w
information needed' Lo complete the addition, the apppicant'shall include
Checklist should be easily available from • . -,other pertinent in%zzrtation site
observations of the site or data available at plan, topography map,, etc-) or studies in.
City hall (Critical Areas inventories, maps, conjunction with this Checklist to assist .
or soil surveys). staff in completing their preliminary
assessment of the site_
An applicant, or his/her representative, - -
must fill out the checklist, sign and date it,
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: Applicant Representative:
FAITH COMMUNITY CHURCH Tiira Tlciimi Q
Name Name
10220 — 238th- Street S. W. 731 Walnut Street
Street Address Street Address
Edmonds, WA 98020, (206) 542-8883 Edmonds, WA`..98020 () 776-8636
City, State, ZIP Phone City, State, Phone
// M
Si ture P Assink, . Date. ignature Date`
Pastor
r �, yr t,. u C>~iticai'Areas" Checklkst- q 1, '
. Site n o
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2_ Property Tax Account Number: 5551-000 003-0207 `and 362703-3 022 0002°
3. Approximate
Site Size (acres or square feet) 'So„a,-P' feet
4. Is this site currently developed? _yes; so_�
If es • how is site developed. g P P f�
y 9 Church Building and - aved arkin ��lot '- '
g r Np �� '
5. Describe the general site tope h . Check all that 1 �� `•� %p��
Fiat: less than Y y, ,'``�� ,�� r,�r't/�Yi
5-feet elevation change over -enure site.
X Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet aver1a r, y' �
k C 3 3,4K .t,M,. -q w a �. Tcl
horizontal distance of 6fi-feet). r s =' � .0 1,
• "{« �"%`:' S,.'' • •' 1 :.«♦ : � ,�.s.[�r' -45311 S,r '`n.-�,t y�s '» a~l{� ,% GK�
Hilly: S14M Present on site of more than 15% and less.than 3 0 % (a veRtcai; rise
Of I0-feet over a horizontal distance of 33 to 664eet):
A!" �
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 round standin -
ofyear- g water: �O , Approx. Depth:
7. Site contains areas of seasonal standing water. NO ; Approx. Depth:
what ease ()
Seasons tyf the yeaf�'
S. Site is in the NO• . ..:.
floodway #loodplain NO . of a water course _
Ar. ; r
9. Site contains a creek or an area where water news across the grounds surface?% Flows are year- f `•.
round? NO Flows are seasonal? NO (What time of year?
10. Site is primarily: forested ;meadow ; shrubs ; mixed ;
urban landscaped (lawn,shrubs etc) $
11. Obvious wetland is present on site: NO
For City StatiUse Only
L Site is Zoned? _ J� 2> -�t- - li
2. SCS mapped soil ty�e(s)? /�� �,/oo ',. a.vd COL/P,< 2 -8 �p .3o/�C
3_ Weiland inventory or C.A_ map indicates wetland present on site? A/0
4a• -,Critical Areas inventory or C-A. map indicates Critical Area on site? /VO
5.. Site within designated earth subsidence landslide hazard area? Aei
6. Sitz designated on the Environmentally Sensitive Areas Map? _ �0
,DETERMINATION
:: ''STUDY REQUIRED CONDITIONAL WAIVER
WAIVER a
Reviewed by:
Plannar0r.Date
' Rer01/0091 ^ice � .:F;'a: :y ;:iG , a. .... .. •
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Cit,., � � � :.. •.* �r z i 1. �y, � +' i ��• ;
y of �Edmofids «. sky Cr c� 1 ] t +a lt�f f i�+� p'Agiiat s} # �% `
- Crit'icai Are`a*`O�� �f����=r -kli'�.� '�� ..<.. v i;i ipEy .'�.Tt � R�• t 4� .
a '
'Me Critical Areas Checklist '"+contained on %'=d,S5dbI1iIitJt.'!Wo the ' .The:."
this form is to be filled b City..
out y any Person review the chr, .
t ecklist,,,`make a recurso site
F <. P.
r ,
p eparing a Development permit •' '... Application for the vet, ande a determination of the
APP City of Edmonds prior` subsequent.-StePs necessary to complete a '
to his/her submittal of a development level ent - ' --
permit to the City.
opm permit application_
'i he purpose of the Checklist is to 'enable
City staff to determine whether any
potential Critical Areas are or may be
present on the subject propeity. Ile
information needed'to complete the
Checklist should be easily available front
observations of the site or dais available at
City Ball (Critical Areas inventories,maps,
or soil surveys). '
An applicant, or his/her representative,
must fill out the checklist, sign and date it,
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 enottgli detail that . Citystaff can; find[
and -identify the subject parcel(s)_' In
addition, .the appfica shall e
= other.pertinent inl'ornzationi I g.Ysrte t� =y -Z
,topography -map, etc.j or studies in
coaj•unction-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 I Applicant:
FAITH COMMUNITY CHURCH
Name
Applicant Representative:
10220 — 238th Street
S. W.
Street Address
731 Walnut
Street
.. o
Street Address
Edmonds, .WA 98020
(206). 542-8883
Edmonds '-JIA,.
98020
City, State, ZIP
- Phone71
776-8636
City, State,
o
/" Phone.
Si cure P Assink,..
Pastor-"
.:.Date:
ignature
Date
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APPROVED BY PLANNING
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- _ 238TH hTKE�T S.W. -
69' 4d
51TE FLAN m ([III(( =
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51 ql-", ul,l),j
MAR 17
FATFH
�COMMUNITY
rew ?hbly T 4W
WMONP5, WA
41TF- PLAN
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. el 1 '-711
"Nothing in this permit approval process dW1 be
interpreted as allowing or permitting the me nAW zN%��
nonconforming or unpermitted building, structure
or site condition which is outside the scope of the
permit application, regardless of whether such
building, structure or condition is shown on the
Bite Ian or drawing. Such building, structure or
condition may be the subject of a separate
enforcement action."
APPROVED BY PLANMINIC�,
4�-
r4451 �-'
T-
Zone Zs' g Comer — Fla
Setbacks Re wired 4AACtut
Front
Sides
Rear
Other
H6
I PARKING SPACES REO'R. I
PARKING SPACES PROPOSER..
FREE P SPACES: BARRIER FR PARKING SPA S: 41
I * 'C"71 11
[a
o
APPROVED
q. r-l.
WOMrIN
- i�' IF, LIA, RECEIVED
MAY 3 0 2067
BUILDING DEPT.
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40' 00*t** I 6vanc-'bo'?, '. : .':- I .
v I L.Lk -r G`-.2.. K�71'K 'Cr:v t, 1,N or, 11F— 4
REVISIONS
BY
Deric Von Schlieder
Deric Von Schileder
Architect AIA
728 15th Street SW
Edmonds, WA 98020
Tel. 425 771-7742
Cel. 425 387-7105
Fax 206 546-7606
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RECEIVED
MAY 3 0 2007
BUILDING DEPT
.: e4 STREET FILE
op -
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I�c.1S9"1
CITY OF EDMONDS
250 5TH AVENUE NORTH • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771.0221
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning • Parks and Recreation • Engineering
December 4, 1996
Faith Community Church
10220 - 238th St. S.W
Edmonds, WA 98020
Subject: Your letter of November 18, 1996
Dear Ms. Downing:
BARBARA FAHEY
MAYOR
l?� lz1`//96
The Engineering Division staff has reviewed your proposal and has
determined that there are not sufficient impacts created to require that frontage
improvements be constructed across 238th St. S.W. Typically, those
requirements are made when a development proposal will result in additional
traffic on or around the site. Thank you for your interest in having the issue
clarified.
If there are any questions, do not hesitate to contact Gordy Hyde at 771-
0220, ext. 325.
Sincerely,
) 4 /4 � e.q (/
James C. Walker, P.E.
City Engineer.
GCH/JCW/sf
FAITH238.DOC
o Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
f
Faith
I.�
Community
Church
November 18, 1996
f
t
Mr. Gordon Hyde
City of Edmonds
Engineering Coordinator
250 Fifth Avenue North
i
Edmonds, WA 98020
f
Dear Mr. Hyde:
Pre- L- ►, ,'..
N O V 22 1.99E
We are proposing the installation of a residential elevator in our church
with an exterior entryway on the east side of the building and request a
preliminary determination by your department as to whether frontage
improvements would be required by the City.
F'
f
Enclosed is a map showing the location of the property.
j If you require any further information please call.
I Sincerely,
.i Ali A. Downing
Barrier Free Access Team
Phil Assink, Pastor
j
10220 - 238th St. S. W.
Edmonds, WA 98020
(206) 542-8883 'A Church with a Heart for Peopfe"
. 1 ,
PA1RKiNG.
PAV E-0
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NEW-- -- --
h It7E \
>A
_CHURCH
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NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its .Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
bF ,ED,LI
CITY OF EDMONDS
ENVIRONMENTAL CHECKLIST
St. 1
Purpose of Checklist.
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 best 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
1. Name of proposed project, if applicable: Faith Community Church
Accessibility Improvement
2. Name of applicant: Faith Community Church, Phil Assink Pastor
3. Address and phone number of applicant and contact person:
Phil Assink, Pastor 10220 — 238 S.W., Edmonds, WA 98020 (206) 542-8883
Deric VonSchlieder, Contact 539 — Third South, Edmonds,WA (206) 771-7742
Judi Downing, Contact 731 Walnut St., Edmonds, WA (206) 776-8636
CHKLT.DOG11•N0V-93 Page 1 of 24
MASMSPBA
4. Date checklist prepared: Feb 10, 1997
5. Agency requesting checklist: City of Edmonds.
6. Proposed timing or schedule (including phasing, if applicable):
Construction to begin upon granting of building permit and
completed one year later.
(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.
No
(STAFF COMMENTS)
8. List any environmental information you know about that has been prepared, or will be prepared, directly related
to this proposal.
None
(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.
None are pending.
(STAFF COMMENTS)
Page 2 of 24
10. List any government approvals or permits that will be needed for your proposal, if known.
Critical Areas:;Checklist (City of Edmonds) Process complete.
City of Edmonds Engineering Dept Waiver ot Frontage Improvements — Secured
City of Edrnnnd a � (ndrT i t-i nna 1 TTaa Parma t
City of Edmonds, Building Permit
(STAFF COMMENTS)
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.
Installation of interior 3' x 5' residential lift with entrance
from exterior door and provisions for suitable restroom facilities.
(STAFF COMMENTS) — Lnua,yonJA ('25Z.7 .r/?
Ckt c�( A-01 r c,� AA/.-o,e— G-X e f-,vSedaJ +.J/ n�
LN7/
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.
Street address: 10220-238th S.W.,Edmonds,WA 98020. Legal: Sec 36 Twp 27 Rge 03 Rt-31B
West 145' of E1/2 SW1/4 NE1/4 SW1/4 less N 20T-for Rd & less S 250 thereof & less
'ir+T 3 0 n /II/. .... Qom... r+.. ;:__ T)A ATTT r• Gnf _G o r L __ —___ _i _ — i
Tract 4, Richmond Villa Tracts, Blk 000-2-02. (see attached site plan and map.
(STAFF COMMENTS)
Pap 3 of 24
CHKLT. WI-NOV•93
MASMUSPEA
TO BE COMPLETED BY APPLICANT
B. ENVIRONMENTAL ELEMENTS
1. Earth
a. General description of the site (circle one): Flat, rolling, hilly, steep slopes, mountainous, other:
b.
Generally flat area with overall north/south slope less than 2%
Landscaping rockery at northwest.corner 2 feet high.
(STAFF COMMENTS)
What is the steepest slope on the site (approximate percent slope)?
Two foot high landscape rockery at Northwest corner.
(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..
Slightly silty gralrelly sand
(STAFF COMMENTS)
d. Are there surface indications or history of unstable soils in the immediate vicinity? If so, describe.
No
(STAFF COMMENTS)
Page 4 of 24
CHKLT.DOC\bNOV•93
NASIBMEA
e. Describe the purpose, type and approximate quantities of any filling or grading proposed. Indicate source
Of fill.
None
(STAFF COMMENTS)
f. Could erosion occur as a result of clearing, construction, or use? If so, generally describe.
No
(STAFF COMMENTS)
g. About what percent of the site will be covered with impervious surfaces after project construction (for
example, asphalt or buildings)?
_ Presently — 54.04%
After project — 54.11%
(STAFF COMMENTS)
h. Proposed measures to reduce or control erosion, or other impacts to the earth, if any:
Does not apply.
(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.
None
(STAFF COMMENTS)
Page 3 of 24
CHKLT.DOC11•NOV•93
b. Are there any off -site sources of emissions or odor that may effect your proposal? If so, generally describe.
No.
(STAFF COMMENTS)
C. Proposed measures to reduce or control emissions or other impacts to the, if any:
Does not apply
(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.
No
(STAFF COMMENTS)
(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.
Does not apply
(STAFF COMMENTS) &-b�rr
(3) Estimate the amount of fill 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.
None
(STAFF COMMENTS)
Page 6 of 24
CHUTAO01-NOV-93
MASISR%PEA
(4) Will the proposal require surface water withdrawals or diversions? Give general description,
purpose, and approximate quantities if known.
No
(STAFF COMMENTS)
(5) Does the proposal lie within a 100-year floodplain? If so, note location on the site plan.
No
(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.
No
(STAFF COMMENTS)
b. Ground:
(1) Will ground water be withdrawn, or will water be discharged to ground water? Give
general description, purpose, and approximate quantities if known.
No
(STAFF COMMENTS)
Page 7 of 24
CHUT.DC01-NOV-93
MAMMSPBA
(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 number of houses to be served (if applicable), or the
number of animals or humans the system(s) are expected to serve.
None
(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.
New porch roof area will require gutters and
.downspouts tied to existing system.
(STAFF COMMENTS)
(2) Could waste materials enter ground or surface waters? If so, generally describe.
No
(STAFF COMMENTS)
d. Proposed measures to reduce or control surface, ground, and runoff water impacts, if any:
Does not apply.
(STAFF COMMENTS)
Page 8 of 24
CHKLT.DOCU•NOV•93
MAST MPEA
1
4. Plants
a. Check or circle types of vegetation found on the site:
X deciduous tree: alder, maple, aspen, other:
X evergreen tree: fir, cedar, pine, other:
X shrubs
X 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:
(STAFF COMMENTS)
b. What kind and amount of vegetation will be removed or altered?
Some shrubs along east side of building.
(STAFF COMMENTS)
C. List threatened or endangered species known to be on or near the site.
None
(STAFF COMMENTS)
Page 9 of 24
d. Proposed landscaping, use of native plants, or other materials to preserve or enhance vegetation on the
site, if any:
Does not apply.
(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:
x birds: hawk, heron, ii�rds)other:
_ mammals: deer; bear, —elk; beaver, other:,.Svv�,
fish: bass, salmon, trout, herring, shellfish, other:
(STAFF COMMENTS)
b. List any threatened or endangered species known to be on or near the site.
None
(STAFF COMMENTS)
C. Is the site part of a migration route? If so, explain.
No
(STAFF COMMENTS)
CHICLS.DOG1l-NOV•93 Page 10 of 24
MA.MMSPBA
d. Proposed measures to preserve or enhance wildlife, if any:
Does not apply
(STAFF COMMENTS)
6. Energy and Natural Resources
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 be used for heating, manufacturing, etc.
Flectricity w ll be -used to operate
the installed 1 ed lift.
(STAFF COMMENTS)
b. Would your project affect the potential use of solar energy by adjacent properties? If so, generally
describe.
No
(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:
Wall and roofing insulation, insulated windows and doors.
(STAFF COMMENTS)
Page. 11 of 24
CHKLT.DOCII-NOV-93
MASTEMSPEA
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.
No
(STAFF COMMENTS)
(1) Describe special emergency services that might be required.
Does not apply
(STAFF COMMENTS)
(2) Proposed measures to reduce or control environmental health hazards, if any:
Does not apply
(STAFF COMMENTS)
b. Noise
(1) What types of noise exist in the area which may affect your project (for example: traffic,
equipment, operation, other)?
None
(STAFF COMMENTS)
Page 12 of 24
CHUT.DMI-NOV-93
MASMSPEA
(2) What types and levels of noise would be 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.
Slight, short-term construction noise.
(STAFF COMMENTS)
(3) Proposed measures to reduce or control noise impacts, if any:
Does not apply
(STAFF COMMENTS) �,�y,/tzrc�� dot L cy Qc�,cry /7,c✓ r��-e:- �c'cs
r <
8. Land and Shoreline Use
a. What is the current use of the site and adjacent properties?
C:hurrh hnilding on thin zitp- hnmac nd1nrant
(STAFF COMMENTS)
b. Has the site been used for agriculture? If so, describe.
No
(STAFF COMMENTS)
CWtLT.DOL11-N0V•93 Page 13 of 24
MAS ERWEA
�4 •,1
C. Describe any structures on the site.
8,350 square foot, two —level, church building
8' x 10' Portable shed.
(STAFF COMMENTS)
d. Will any structures be demolished? If so, what?
No
(STAFF COMMENTS)
e. What is the current zoning classification of the site?
RS-8 Residential — Single family
(STAFF COMMENTS)
f. What is the current comprehensive plan designation of the site?
This property was annexed to City of Edmonds in November, 1995
and is not included within the comprehensive plan: now existing.
(STAFF COMMENTS)
g. If applicable, what is the current shoreline master plan designation of the site?
Does not apply
(STAFF COMMENTS)
CHKLT.DOC11•NOV•93 Page 14 of 24
MASMSPBA
1
h. Has any part of the site been classified as an "environmentally sensitive" area? If so, specify.
No
(STAFF COMMENTS)
i. Approximately how many people would reside or work in the completed project?
2 workers
0 residents
(STAFF COMMENTS)
j. Approximately how many people would the completed project displace?
None
(STAFF COMMENTS)
k. Proposed measures to avoid or reduce displacement impacts, if any:
Does not :apply
(STAFF COMMENTS)
1. Proposed measures to ensure the proposal is compatible with existing and.projected land uses and plans, if
any:
Application for Conditional Use pending.
(STAFF COMMENTS)
Page 15 of 24
CHnT.DWI-NOV-93
9. Housing
a. Approximately how many units would be provided, if any? Indicate whether high, middle, or low-income
housing.
Does not apply.
(STAFF COMMENTS)
b. Approximately how many units, if any would be eliminated? Indicate whether high, middle, or low-
income housing.
Does not apply
(STAFF COMMENTS)
C. Proposed measures to reduce or control housing impacts, if any:
Does not apply
(STAFF COMMENTS)
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?
12 feet.
Tnjnn4 a j rl i n
(STAFF COMMENTS)
Page 16 of 24
CHUT.DMI-NOV-93
MAMMSPSA
l
b. What views in the immediate vicinity would be altered or obstructed?
None
(STAFF COMMENTS)
C. Proposed measures to reduce or control aesthetic impacts, if any:
Does not apply.
(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?
Exterior shielded porch light.
(STAFF COMMENTS)
b. Could light or glare from the finished project be a safety hazard or interfere with views?
No
(STAFF COMMENTS)
C. What existing off -site sources of light or glare may affect your proposal?
None
(STAFF COMMENTS)
Page 17 of 24
CHKLT.D=I-NOV-93
d. Proposed measures to reduce or control light and glare impacts, if any:
Does not apply.
(STAFF COMMENTS)
12. Recreation
a. What designated and informal recreational opportunities are in the immediate vicinity?
None
(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:
Does not apply.
(STAFF COMMENTS)
Page IS of 24
CHMT.DWI-NOV•93
MASMR%PEA
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 be on or neat to the site? If so, generally describe.
No
(STAFF COMMENTS)
b. Generally describe any landmarks or evidence of historic, archaeological, scientific, or cultural
importance known to be on or neat to the site.
None
(STAFF COMMENTS)
C. Proposed measures to reduce or control impacts, if any:
Does not 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.
238th Street S. W. present access to site. No change is proposed.
(STAFF COMMENTS)
Page 19 of 24
b. Is site currently served by public transit? If no, what is the approximate distance to the nearest transit
stop?
No Two blocks to nearest h Is line -
(STAFF COMMENTS)
C. How many parking spaces would the completed project have? How many would the project eliminate?
Space for 62 vehicles' (including 3 handicap)
(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).
No
(STAFF COMMENTS)
e. Will the project use (or occur in the immediate vicinity of) water, rail, or air transportation? If so,
generally describe.
No
(STAFF COMMENTS)
Page 20 of 24
CHKLT.DWI-NOV-93
MASMSPSA
L How many vehicular trips per day would be generated by the completed project? If known, indicate when
peak volumes would occur.
No change to existing.
(STAFF COMMENTS)
g. Proposed measures to reduce or control transportation impacts, if any:
Does not apply.
(STAFF COMMENTS)
15. Public Services
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 measures to reduce or control direct impacts on public services, if any:
Does not apply
(STAFF COMMENTS)
.Page 21 of 24
16. Utilities
a. Circle utilities currently available at the site: ele�_ natural gas, water, efuse service telephone
(san ary sewe,,, septic system, other:
(STAFF COMMENTS)
b. Describe .the utilities that are proposed for the project, the utility providing the service, and the general
construction activities on the site or in the immediate vicinity which might be needed.
No change to existing services.
(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.
• 4
Signature of Proponent Date Submitted
Page 22 of 24
CHKLTJMI-NOV•93
MA=R\SPEA
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.,ITE 'PLAN
P95 11•1
. l APE ON THIS SIDE WITHIN BOAT-S
3704-000-001 3704-000-001 3704-000-002
Continental, Inc. Resident/Owner Norma Young
John Schlatter 23806-101 st PI. W. 23814-101 st PI. W.
601 Union St. Ste 2000 Edmonds, WA 98020 Edmonds, WA 98020
Seattle, WA 98101
3704-000-003 3704-000-003 3704-000-004
Northwest Mtg Inc Resident/Owner Wm. C. Buenger
Ann Mann 23820-101st PI. W. 23830-101st PI. W.
405 S.W. 5th St Edmonds, WA 98020 Edmonds, WA 98020
DesMoines, IA 50309
3704-000-005 3704-000-005 3704-000-006
Chemical Mtg Co Resident/Owner Frances Vassallo
Darren M. Church 23829-101st PI. W. 23821-101st PI. W.
200 Old Wilson Bridge Rd. Edmonds, WA 98020 Edmonds, WA 98020
Worthington, OH 43085
3704-000-007 3704-000-008 5891-000-001
Eleanor Grimm Maurice & Ann Field Wash Mutual Sav Bank
23813-101 st PI. W. 23805-101 st PI. W. Wm. L. Brayer
Edmonds, WA 98020 Edmonds, WA 98020 P. O. Box 91006 SAS 0701
Seattle, WA 98111
5891-000-001 5891-000-002 5891-000-002
Resident/Owner Countrywide Fund Corp Resident/Owner
23910 - 102 W. Wm. Chaput 23912-102nd W.
Edmonds, WA 98020 P. O. Box 10211 Edmonds, WA 98020
VanNuys, CA 91410
5891-000-003 5891-000-004 5891-000-004
Edward Hinchy III Countrywide Fund Corp Resident/Owner
23914 - 102nd W. Vicki L. Dalton 23916 - 102nd W.
Edmonds, WA 98020 P. O. Box 10211 Edmonds, WA 98020
VanNuys, CA 91410
5891-000-005 5891-000-006 5891-000-007
Cecil D. and Donna F. Clouse Thomas & Learsey Fareen Philip Kollen
23915 - 102nd W. 23911 - 102nd West 23926-101 st PI. W.
Edmonds, WA 98020 Edmonds, WA 98020 Edmonds, WA 98020
5891-000-008
Principal Mutual Life Ins.
Kimathy G. Brooks
711 High Street
Des Moines, IA 50307
5891-000-009
Resident/Owner
23920-101st PI. W.
Edmonds, WA 98020
5891-000-008
Resident/Owner
23928-101 st PI. W.
Edmonds, WA 98020
5891-000-010
Scott & Sharon McLachlan
23924-101st PI. W.
Edmonds, WA 98020
5891-000-009
Washington Mutual Sav Bank
John Jordan
P. O. Box 91006 SAS0701
Seattle, WA 98111
5891-000-011
Foster Mtg Co
G. R. Partee
405 W. Loop 820 S
Fort Worth, TX 76108
5891-000-011 5891-000-012 5891-000-012
Resident/Owner Washington Mutual Sav Resident/Owner
23903 - 102 West Harold K. Small 23908 - 101st PI. W.
Edmonds, WA 98020 P. O. Box 91006 SAS 0701 Edmonds, WA 98020
l rPE ON THIS SIDE WITHIN BO..�-S
5551-000-001
5551-000-002
5551-000-003-0108
David and Kathy Mischke
David and Kathy Mischke
Rossi Ltd Partnership
23809 - 104 West
23817 - 104 West
Jacqueline Rossi
Edmonds, WA 98020
Edmonds, WA 98020
225 Ward Street
Seattle, WA 98109
5551-000-003-0108
5551-000-003-0207
5551-000-004
Resident/Owner
Woodway Comm Ref Church
Source One Mtg
10310 - 238th S.W.
10306 - 238th S.W.
Michael T. Shane
Edmonds, WA 98020
Edmonds, WA 98020
27555 Farmington Rd
Farmington Hills, MI 48334
5551-000-004
5551-000-005
5551-000-005
Michael T. Shane
Continental, Inc
Resident/Owner
10304 - 238th S.W.
Dale Kerslake
23827 - 104 West
Edmonds, WA 98020
601 Union St. Ste 2000
Edmonds, WA 98020
Seattle, WA 98101
5551-000-005-0106
5551-000-007
5551-000-008
Lou Berkey
Dirk Hansen
Carl and Susan Harrington
23905 - 104 West
23911-104 West
23919 - 104 West
Edmonds, WA 98020
Edmonds, WA 98020
Edmonds, WA 98020
5551-000-009
5551-000-009
4527-000-001-005
RBMG
Resident/Owner
Restlawn Memorial Garden Inc
C. Harrington
23927 - 104 West
P. O. Box 455
P. O. Box 7126
Edmonds, WA 98020
Edmonds, WA 98020
Columbia, SC 29202
4527-000-002-0004
4527-000-003-0003
4527-000-004-0002
Restlawn Memorial Garden Inc
Restlawn Memorial Garden Inc
Restlawn Memorial Garden Inc
P. O. Box 455
P. O. Box 455
P. O. Box 455
Edmonds, WA 98020
Edmonds, WA 98020
Edmonds, WA 98020
4527-000-005-0001
4058-000-010-001
4058-000-010-001
Restlawn Memorial Garden Inc
PNC Mtg
Resident/Owner
P. O. Box 455
Harold M. Bernett
23706 - 102 PI. West
Edmonds, WA 98020
P. O. Box 8108
Edmonds, WA 98020
Vernon Hills, IL
4058-000-011-0000
4058-000-011-0000
4058-000-012-0009
Bank of America
Resident/Owner
Fleet Mtg Group
J. R. Branom
23716-102nd PI. W.
Shaun D. Gleim
3800 W. Chapman LSC #791
Edmonds, WA 98020
P. O. Box 100563
Orange, CA 92668
Florence, SC 29501
4058-000-012-0009
4058-000-013-0008
4058-000-013-0008
Resident/Owner
Fleet Mtg Group
Resident/Owner
23726 - 102nd PI. W.
James C. Fegler
23707 - 102nd PI. West
Edmonds, WA 98020
P. O. Box 100563
Edmonds, WA 98020
Florence, SC 29501
362703-3-003-0005
362703-3-003-0005
362703-3-004-0004
Fleet Mtg Group
Resident/Owner
Ruth McCright
David C. Enslow
10127 - 238th S.W.
10125 - 238th S. W.
P. O. Box 100563
Edmonds, WA 98020
Edmonds, WA 98020
TYPE ON THIS
SIDE WITHIN BOkeS
362703-3-005-0003
Betty Biggs
10121 - 238th S.W.
Edmonds, WA 98020
362703-3-012-0004
Verne & Michelle Matriotti
10207 - 238th S. W.
Edmonds, WA 98020
362703-3-018-0008
Howard D. Hustler
21527 - 88th West
Edmonds, WA 98026
362703-3-013-003
Resident/Owner
23711 - 104 West
Edmonds, WA 98020
362703-3-024
Ralph J. Larson
23828 - 102nd West
Edmonds, WA 98020
5650-000-002
Banc Boston Mtg Co Inc
Edwin L. Ganwich
7301 Bay Meadows Or
Jacksonville, FL 32216
5550-000-032-0005
University Sav Bank
Mack Owens
6400 Roosevelt Way N.E.
Seattle, WA 98115
5550-000-034
Washington Mutual Sav Bank
T. E. Moseley
P. O. Box 91006 SAS 0701
Seattle, WA 98111
362703-3-011-0005
Main Street Mtg Co.
Verne Matriotti
100 Second Avenue
St. Petersburg, FL 33701
362703-3-007-0001
Alliance Mtg Co.
Evan Porelli
P. O. Box 2329
Jacksonville, FL 32203
362703-3-018-0008
Resident/Owner
10319 - 238th S.W.
Edmonds, WA 98020
362703-3-019-0007
Klahaya Pool, Inc
P. O. Box 74
Edmonds, WA 98020
362703-3-025-0009
Fleet Mtg Group
Robert Bernstein
P. O. Box 100563
Florence, SC 29501
5650-000-002
Resident/Owner
10317-240th PI. S.W.
Edmonds, WA 98020
5550-000-032-0005
Resident/Owner
10203 - 240th Pl. S.W.
Edmonds, WA 98020
5550-000-034
Resident/Owner
10221 - 240th PI. S.W.
Edmonds, WA 98020
3783-000-001-0006 3783-000-002-0005
Greta J. Scales Pauline Appleton
10214-238th S.W. 23814-102nd West
Edmonds, WA 98020 Edmonds, WA 98020
362703-3-011-0005
Resident/Owner
10201 - 238th S.W.
Edmonds, WA 98020
362703-3-007-0001
Resident/Owner
23719 - 102nd PI. W.
Edmonds, WA 98020
362703-3-013-003
First Insterstate Bank of Oregon
Terry L. Kelly
2701 N.W. Vaughn
Portland, OR 97201
362703-3-023-0001
Kathleen Goodwin
23902 - 102nd West
Edmonds, WA 98020
362703-3-025-0009
Resident/Owner
23830 - 102nd West
Edmonds, WA 98020
5650-000-003-0009
Kathleen Watters
10307 - 240th PI. S.W.
Edmonds, WA 98020
5550-000-033
Viola K. Parkhurst
10213 - 240th Pl. S.W.
Edmonds, WA 98020
5550-000-035-002
Donald Hughes
24012 - 102nd PI. West
Edmonds, WA 98020
ADJACENT PROPERTY OWNERS LIST
Attach this notarized declaration to the adjacent property owners list.
On my oath, I certify that the names and addresses provided represent all properties
located within 300 feet of the subject property.
WINFArd,
nature of Applicant or Applicant's ReP/esentative
Subscribed and sworn to before me this l day of
� Notary Public in an or th State f`Washington
y 1CAY y ��, 'y
00 -�r10TARY
i --�°�-- Rosiding at )
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