1030 GRANDVIEW ST.PDF1111111111111111444
1030 GRANDVIEW
ST
0 0
ADDRESS: /03O dr n(/IeL() ,S'
TAX ACCOUNT/PARCEL #&j �f,S1j0D000 U
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS(RECORDED)FOR:
CRITICAL AREAS #: 9 — DETERMINATION: ❑ Conditional Waiver ElStudy Required
Waiver
CRITICAL AREAS #: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
rut
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
CA F* NO.
`Critical .Areas Checklist
by to r,y�t ti`ti-
3"4" Information "(soils/topography/hydrology/vegetation)
1 'Site d ress%L.ocation: f 036 CA11 U)Vl 6 -J U / 7 jE...%O iVV s
t► r r> / . Y
`2irort►R�aic Account Number: `5`9S/ — OU - c>O Y - Ov t�
3. Approximate Site Size (acres or square feet): egeRG
4. Is this site currently developed? eyes; no.
If yes; ow h holy/ d'g6 CU,t>,ve c° � ,. >
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: ; Approx. Depth:
7. ` Site contains areas of seasonal standing water: _/--�_Q Approx. Depth:
�..L What seasons) of the year?
S. Site is in the floodway WO floodplain of a water course.,
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? o Flows are seasonal? (What time of year? ).
10. Site is primarily: forested ; meadow ; shrubs ; mixed
urban landscaped (lawn,shrubs etc) _j,,1 .
11. Obvious wetland is present on site: —A,) 0 .
RM004W
R.
i.� y' .^s sbZ." �d♦ ter. 1
r � � .
•�in%.�cL.{
.4 .F - � -
`i.w�•Pd��`�t ll�xly�^'i'?'g
V Q ^ {� ,
it^�!Fli f.Q��e,2
, r-,�� y ,•
„Cf ' es ,G,�i.n. +r"�: �'�, ..a' \
w -���,� X
��i „
�;FEB
�:2 ? 4997 ,
�ui t*- C+• v ry1�n.�•y� '>i°'l�s"�. M r•o
/►flUM��N'I
f_t ...' .�r �.wa�.wM `z++". :� •ww •s 3+'. awi+we:.
. NM1� ^•
:
�:..,_ �
� �. � � � �• •
City of Edm:onds
,..�. �
...
� s Small, c''IAea sJ�ZrithrCeci
,
'
Via, -, rrta� t'`r .�`t ���i' s:C�{ � �'•
.�� i
The Critical.Areas Checklist contained on P� .'-��2and submit it to the City. The City will
this form is to be filled out by any person,;+ f,
= : t- , review the checklist, make a precursory site
preparing a Development Permit
visit, and make a determination of the
Application for the City of Edmondsprior
subsequent steps necessary to complete a
to his/her submittal of a development r.,., .,..,
r. development permit application.
permit to the City.
_'With a signed copy of this form, the
The purpose of the Checklist is to` enable"" ""
"`' applicant should also submit a vicinity map
City staff to determine. whether any ... _ �.. _ or plot plan for individual lots of the parcel
.potential Critical Areas are or.may be.....�_.....:
-... with enough detail that City staff can find
present on the subject property. The:. ;.:;F. and identify the subject parcel(s). - In
information needed to complete the ; .
„;;;t'4. addition, the applicant shall include r
Checklist should be easily available from
``` ' other pertinentinformation (e.g, site
observations of the site or data available at ::�.,
.:.....plan, topography map, etc.) or studies in
City Hall (Critical Areas inventories, maps,
, :" : cogjunction 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). -a
Owner / Applicant:
s &J
sine
Applicant Representative:
Name
UO. cgd2�sJDVl1-CJ ST.
Street Address Street Address
City,
S IAA. 9 �o �o
ZIP : --Phc
The City of Edmonds Side Sewer Drawing EASEMENT NO- . . ........................... -----------
217-04300 NEW CONSTRUCTION 0 REPAIRS E LID NO----------------_. ASMT. NO. . ------------- - -
OWNER ------ FiL&N-C-1S. --- GUNNINGIUU1 ...................................... CONTRACTOR ------------------------------------------------------------------ ---------------- PERMIT NO. ...... -----------
JOB ADDRESS ----- l-Q3D ... GRANDVIEW ... STREET ------------ -------- LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. -- ......... ------------------ -
11
IF
f
--------------------------------------------------------------------------------------------------- I ..............................................................
NAMEOF ADDITION ----------------------------------- ----------------------------------------------- ...................................
DYE TESTED ON SEWER
Approved:
PWW-0001-1 1/75 (REVA 1/78) DATE ................................. ---------- By - --------------------------------------------------