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1106 12TH AVE N
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PLEASE SH014 BELOW A VICINITY SKETCH AS PER EXAMPLE,
INDICATING NORTH.
E
�TDM REE DMONDS,, WASHINGTON
APPLICATION TO HEARING EWIINER
FOR CONDITIONAL USE PERMIT
File No &i-
Date
Fee A ��
APO'S
R e c t . No . 40 / 6;. e ilezrG
HEARING DATE,r_-/q- 1,STI/
Sharon Lloyd DBA
APPLICANT: Lloyd and Com )an._ADDRESS 8641 N,. E_ 124th PHONE .823-8�2_
Indicate type or degree of interest in theiriy:��A' 98033 823-53b9
0W%%ER: Edward Scherrer ADDRESS 20201 idatilewood DrPHONF _771-3473
LOCATION OF PROPERTY (ADDRESS) Edmonds
1106 -12_h Ave_ Now, Edmonds
LEGAL DESCRIPTION OF PROPERTY Northview Estates —Lot 3
X •• X * X .. X* * *.. **,,
To be completed by the Planning Division: Use Zone x_1J.s - /7
Legal description checked and approved by: Date:
VICINITY SKETCH:
Examp'
CONDITIONAL USE REQUESTED: To remove 2,00�-500 an ids- of spll•
DETAILS OF PROPOSED USAGE: To remove 2 , 000-p 000 nil. "as- nf_rlirt
from residential lot site in order to make construction of a
sin --le family residar.nn nntSihla nn4 IN11 +- 1,- --..-A a-_
City of Edmonds site at 88th and Main
Signature of Applicant, Ou-ner or
Representative
RELEASE/HOLD HARMLESS AGREEMENT
The undersigned applicant, his heirs and assigns, in consideration for the
City processing the application agrees to release, indemnify, defend and
hold the City of Edmonds harmless from any and all damages and/or claims for
damages, including reasonable attorneys' fees, arising from any action or
inaction of the City whenever such action or inaction is based in whole or
in part upon false, misleading or incomplete information furnished by the
applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY
The undersigned applicant grants his, her or its permission for public
officials and the staff of the City of Edmonds to enter the subject
property for the purpose of'inspection and posting atten n to this
application.
y, MU e—olt AvD.Yi-c-a�,-,ner or
Representative
STREET FILE
INTER -OFFICE COMMUNICATIONS
DATE May 3, 19 83
TO Ga.ryMccomas./,Fire Marshal I FROM Teresa Quigley/Planning Secretary .
...a
ID&n Smith /Engineering Inspector;"
. i
SUBJECT: CORD'ITTONAL USE PERMIT -TO -RE -MOVE 21 2,500 CU: FT. OF,SOI'L
AT 1106 - 12TH, AVE . N . (CU-18-83 )
Please review the attached application and return your comments to Duane Bowman
1Tharnk's !*.,
u
� ^-rR§ET•
FILE
ENVIRONMENTAL CHECKLIST
A. BACKGROUND
1. Name of Proponent Edward Scherrer—heing representad iy Sharon Lloyd
2. Address and Phone Number of Proponent 8641 N-E124t.h, Kirklavir], WA 9R033
Phone number: 8238022 or 823_ 5364
3. Date Checklist Submitted April 29. 19a3
4. Agency Requiring Checklist
5. Name of Proposal, if applicable
6. Nature and Brief Description of Proposal (including but not limited to
its size, general design elements, and other factors that will give an
accurate understanding of its scope and nature:
• r t 11 11 • • • .., - • : • AT-MM'0MIC. .
7. Location of Proposal (describe the physical setting of the proposal, as
well as the extent of the land area affected by any environmental im-
pacts, including any other information needed to give an accurate under-
standing of the environmental setting of the proposal):
••: ... 1WOMMOMMIMAR-ar-MY911.:
on the east side 326-33— 20-h5- on the cij rim sar nr smithAnstgr13gidA
from 326.33 to 315_ - and on the southwesterly side from 31 �5 to 298 _ S _
The west side of the lot grades from 298.5 to 296.5. The soil removal
ent
8. sotima"rye*d Date for Completion of the Proposal Tlllw 31_ t, qg3
9. List of all Permits, Licenses, or Government Approvals Required for all
Proposal (federal, state, and local — including rezones):
Conditional Use Permit from the City of .dmnnds
10. Do you have any plans for future additions, expansions, or further
activity related to or connected with this proposal? If yes, explain.
NO
11. Do you know of any plans by others which may affect the property covered
by your proposal? If yes, explain. -
12. Attach any other application form that has been completed regarding the
proposal; if none has been completed, but is expected to be filed at
some future date, describe the nature of such application form:
-aP - _ i i .. ,4 "C �: ry •�-%�. . Y A'' Y 'i t l a �, �! Jl �n 11
t °9
B. ENVIRONMENTAL IMPACTS (Explanations of all "yes" and "maybe" answers are required).
YES MAYBE NO
1. Earth. Will the proposal result in:
a. Unstable earth conditions or in changes
in geologic substructures? X
b. Disruptions, displacements, compaction
or overcovering of the soil?
c. Change in topography or ground surface
relief features? X
d. The destruction, covering or modifica-
tion of any unique geologic or physical
features? _ X
e. Any increase in wind or water erosion
of soils, either on or off the site? Y
f. Changes in deposition or erosion of
beach sands, or changes in siltation,
deposition or erosion which may modify
the channel or a river or stream or the
bed of the ocean or any bay, inlet or
lake? _ X
Explanation: While the existing tologrraphy will nh ngp , the new st 11-tura
(single family residence) will fill the void left from the excavation Any
exposed soil cuts will be retained by an engineered approved rockery sy .em_
2. Air. Will the proposal.result in:
a. Air emissions or deterioration of
ambient air quality? X
b. The creation of objectionable odors?
c. Alteration of air movement, moisture
or temperature, or any change in climate,
either locally or regionally? _
Explanation:
3. Water. Will the proposal result in:
a. Changes in currents, or the course
or direction of water movements, in either
marine or fresh waters? _
b. Changes in absorption rates, drainage
patterns, or the rate and amount of sur-
face water runoff? X _
2
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YES MAYBE NO
c. Alterations to the course or flow
of flood waters?
d. Change in the amount of surface water
in any water body? X
e. Discharge into surface waters, or in
any alteration of surface water quality,
including but not limited to temperature,
dissolved oxygen or turbidity? — _ X
f. Alteration of the direction or rate
of flow of ground waters?_
g. Change in the quantity of ground
waters, either through direct additions
or withdrawals, or through interception
of an aquifer by cuts or excavations? X
h. Deterioration in ground water quality,
either through direct injection, or through
the seepage of leachate, phosphates, deter-
gents, waterborne virus or bacteria, or
other substances into the ground waters? _
i. Reduction in the amount of water
otherwise available for public water
supplies? — _ X
Explanation: The surface ground water that would nnrmally f21l on that,port-
ion of ground envarad h3.r the ne r reSidgnge will he diverted to_a dr-T we17
system as is done with most residential housing.
4. Flora. Will the proposal result in:
a. Change in the diversity of species,
or numbers of any species of flora (in-
cluding trees, shrubs, grass, crops,
microflora and aquatic plants)? X
b. Reduction of the numbers of any
unique, rare or endangered species
of flora?
c. Introduction of new species of
flora into an area, or in a barrier
to the normal replenishment of exist-
- ing species?
X
d. Recution in acreage of any agri-
cultural crop? X
Explanation:
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t�✓.. ..i��, c;`' r � a Y �; r _ rT_`.'. s'f: r .1: �i� � -, hr. � r;r r.i •.. s .y e.l.�_ :,�t. t ycy �• n s �v� uaa r. z �.,
5.
Fauna_. WIll the proposal result in:
a. Changes in the diversity of species,
or numbers of any species of fauna (birds,
land animals including reptiles, fish and
shellfish, benthic organisms, insects or
microfauna)?
b. Reduction of the numbers of any
unique, rare or endangered species
of fauna?
c. Introduction of new species of
fauna into an area, or result in a
barrier to the migration or movement
of fauna?
d. Deterioration to existing fish or
wildlife habitat?
Explanation:
YES MAYBE NO
X
X
6. Noise. Will the proposal increase
existing noise levels?
Explanation: Mring the few days of exnava ti nn the nni sn l noel will },a acafj
through the use of trucks and heave egjjiinment_
7. Light and Glare. Will the proposal
produce new Tight or glare?
Explanation:
8. Land Use. Will the proposal result
in the alteration of the present or
planned land use of an area?
Explanation:
a
Natural Resources. Will the proposal
result in:
a. Increase in the rate of use of any
natural resource?
b. Depletion of any nonrenewable
natural resource?
Explanation:
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ear :.. ,...:v p� ... •� r - r . {. r; n r r:,. .
;u..i�ir�..��i..�uL: ''_.t�'�:-�.................w.� ....,...il:.i:: �`,:S.r+:%,�J.d.3? 1..::2.Ln.�..~..._- .)
YES MAYBE NO
10. Risk of Upset. Does the proposal involve
a risk of an explosion or release of hazard-
ous substances (including, but not limited
to, oil, pesticides, chemicals or radiation)
�in the event of an accident or upset condi-
tions?
Explanation:
11. Population. Will the proposal alter the
location, distribution, density, or growth
rate of the human population of an area? X
Explanation:
12. Housing. Will the proposal affect existing
housing, or create a demand for additional
housing?
Explanation:
13. Transportation/Circulation. Will the pro-
posal result in:
a. Generation of additional vehicular
movement? _ x__ _
b. Effects on existing parking facili-
ties, or demand for new parking?
c. Impact upon existing transportation
systems? —x
d. Alterations to present patterns of
circulation or movement of people and/or
goods? — �-
e. Alterations to waterborne, rail or
air traffic?
f. Increase in traffic hazards to motor
vehicles, bicyclists or pedestrians? X
Explanation: During the week of moving the RM1 anpprn)dmAt-g1W blonks
by irk- there will he that_ y;3 }Agpea69—zn—traffi
�{4 !T!M �ikm —.�•• _• En't.�� .S�Lb:.a.:i � t• ..-r�.a.....��._
•
YES MAYBE NO
14. Public Services. Will the proposal have
an effect upon, or result in a need for
new or altered governmental services in
any of the following areas:
a. Fire protection?
b. Police protection?
c. Schools?
d. Parks or other recreational
facilities?
e. Maintenance of public facilities,
including roads?
f. Other governmental services?
Explanation:
15. Energy. Will the proposal result in:
a. Use of substantial amounts of fuel
or energy?
b. Demand upon existing sources of
energy, or require the development
of new sources of energy?
Explanation:
16. Utilities. Will the proposal result in
a ne— eFTo—r new systems or alterations to
the following utilities:
a. Power or natural gas?
b. Communications systems?
c. Water?
d. Sewer or septic tanks?
e. Storm water drainage?
f. Solid waste and disposal?
Explanation:
X_
X
X
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YES MAYBE NO
17. Human Health. Will the proposal result
in the creation of any health hazard or
potential health hazard (excluding
mental health)? _ X
Explanation:
18. Aesthetics. Will the proposal result.
in the obstruction of any scenic vista
or view open to the public, or will the
proposal result in the creation of an
aesthetically offensive site open to
public view?
Explanation:
19. Recreation. Will
in an impact upon
tity of existing
tunities?
Explanation:
the proposal result
the,quality or quan-
recreational oppor-
20. Archeological/Historical. Will the
proposal result in an alteration of
a significant archeological or his-
torical site, structure, object or.
building?
Explanation:
x
(quite the opposi
C. SIGNATURE
I, the undersigned, state that to the best of my knowledge the above information is
true and complete. It is understood that the lead agency may withdraw any declaration
or non -significance that it might issue in reliance upon this checklist should there
be any willful misrepresentation or willful lack of full disclosure on my part.
PROPONENT:
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CITY OF ED NOS
i� CONSTRUCTION PERMIT APP
I
NAME (OR NAME OF BUSINESS)
Ed and Nancy Scherrer
Z MAILING ADDRESS
o _ 20201 Ma lewood Drive
len and Associates
Willows Road N.E.
Tj
iuite 1 2
TONE NUMBER
823- 5116
FZONFILE PERMIT
NUMBER
JOB
ADDRESS---L--
LEGAL DESCRIPTION CHECK SUBDIVISION NO.
PUBLIC, RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING WREQUIREDDEDICATION
PROPOSED_
b..
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED []
STREET USE PERMIT REQUIRED ❑
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
-r V METER SIZE BUILDING SUPPLY SIZE
01� 98033 FIXTUF
i TELEPHONE NUMBER
O
O STATE LICENSE N BER — REMARKS
CITY LICENSE NUMBER
22 -01 LLOYDC*188DB SIGN AREA
Legal Description of Property - include all easements ALLOWED PROPOSED ENV. REVIEW
Z (show below or attach four cc Ies) COMPLETE t EXEMPT
0 of Northview Estates Accordin to
the plat recorded in V01.42 of plats, pp
S
ti 6 ecords of Snohomish WA.
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VARIANCE OR CU
Height of house &any plant,bree,shrub o
W i.tem which mi ht obstruct view from lots
YARDS
J #2 & #5 of Northview Estates, other than
FRONT !`Q
mature evrereen located on sub *get Prop
SIDI
REMARKS
ty
f_�hNE 1 no eceed fee aL�ve sea eve
RESIDE A
PLUMBING
ADDIALTER NON-RESIDENTIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE ❑ FENCE X__FT)
DEMOLISH EX FILL
CHECKED BV TYPF pF CON4
�,
ElPRE-MOVE INSPJ ❑ swim
COMPLIANCE INSP. POOL
SPECIAL INSPECTOR AREA
SIDE SEWER WATER LINE ❑
REQUIRED
I • YES NO
Z
REMARKS
❑ ❑
U
�+ NUMBER OF STORIES NUMBER OF
DWELLING
6 $ +basement UNITS one
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
o construct a sin le family residence
at 1106 - nue North Edmonds
PLAN CHECK FEE
le BUILDING
PLUMBING
I'
MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
,- Permit Application: 180 Days
Permit Limit: 1 Year- Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
:mployees, and agents from any and all claims for damages of
'hatever nature, arising directly or indirectly from the issuance
' this permit. Issuances of this �..
UNITS
ADB NO.
ORELINE N
----_-- LOT COVER,
REAR �r:�"� C)
OCCUPANCY �'•_ f OCCUPANT
GROUP )) LOAD
VALUATION
1
1s
Pdr-91 "ev".1ov
•
BUILDING PERMIT REVIEW
/lr)�) %1 j
t/r=
(ad ess
ter
0
Street Right -of -Way Exist' /gyp REQD
Z
Access Easemalts Existing /y�nl REQD
ad
Utility Easenent Existing 42 P Pl-a=46701-- IC-lI�r� EQD
W
Lot Per Subdivision Plat -.74ro Assessor Map k
W
Site Plan Checked for Accuracy
Z
Z
Underground Wiring Reqd. C'
Check Accuracy of g 1 ,cripti
Z
Review by % : ' - . y Date 1
Existing Water Main Size �
Water Main Required WIA
Service Line Required "
Hydrant Size Existing
c4
Hydrant Reqd Per Fire Code Size
W
Detector Check Meter Regd--�
Cross Connection Inspection '-
Fire Department Comnents -'
3
Water Meter Charge Read. ��', mC)
Review by,�;,-2- Date -
Septic Tank Design Approved &I/A Date
Septic Tank Permit Reqd. N/p Permit No.
Sanitary Sewer Availability P Proj.
Drawing No. al Di' L1 PA/ T a ile No.
a
Side Sewer Availabil ty Al
w
Sanitary Sewe ection Fe Re d.
3
Review by Date /C
w
Open Ditch Existing Q 0 Regd.
Culvert Reqd. Size
a
Catch Basin Reqd. Indicate on Site Plan
Shoulder drainage maintain collection on swale open runoff
H
y
Manhole read. Indicate on Site Plan
Soil Conditi dpund Wyter Field Checked
f��'
P.�rJ� Date S
Review by ��'
levised: lv10-1977
rv�
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EXHIBIT 3
JTAKf OAUJ TO MANTA/N
PAJ/T/0N, AJ AfQU/Rf0 C.
,STRAW BAlfJ, AS AfQU/RED
r �0RA/NA61 J/LTAT/ON 00*0/NO
SIL TAT108 CONTROZ RL rfA
NTS
►,
SWALE DETAIL
(EROSION CON7IZ01- SWALE )
TEMPORARY EROSION � SEDIMENTATION
s SITE GRADING PLAN
F-OR
DATE:
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ is Works Department
SUBJECT: LL ' _.,� �7L4-Vz- / -
After review of the subject Building Permit application, we have the following
comments:
1. Connection to City water system required.
2. Connection to City sanitary sewer system required.
3. Right -of. -way permit required for any work on City property.
4. Driveway slope not to exceed 14%
5. Backwater valve re u_ired ifdownstairsplumbing is below elevation of
upstream manho e. - ----------
G. Water- and sewer lines to be separated by 10 foot minimum.
7. Builder/Owner responsible for containing all temporary —runoff and erosion
11
on site and may not impact neighboring properties in any wa_y_
der' �
Ub 6/82
67
0
EASEMENT AGREEMENT
TO ALL WHOM THESE PRESENTS CONCERN:
Notice is hereby given that RICHARD D. BESELIN and SUSAN BESELIN, his wife,
owners of the following described property, situated in the County of Snohomish,
State of Washington, to wit:
Lot 4, Northview Estates, according to the plat thereof recorded in
Volume 42 of Plats, on pages 60 and 61, records of Snohomish County,
Washington.
and that ED C. SCHERRER and NANCY ANN SCHERRER, his wife, owners of the follow-
ing described property, situated in the County of Snohomish, State of Washington,
to wit:
Lot 3, Northview Estates, according to the plat thereof recorded in.
Volume 42 of Plats, on pages 60 and 61, records of Snohomish County,
Washington.
do hereby mutually agree and consent, in behalf of themselves, their heirs,
successors, and assigns, as follows, to wit:
1. A permanent easement for ingress and egress is hereby
reserved for and conveyed unto the owners, their heirs,
successors, and assigns, of the hereinabove described
Lot 3, over, under, across, through, and upon the
following described property, situated in the County
of Snohomish, State of Washington, to wit:
That portion of Lot 4, Northview Estates, according
to the plat thereof recorded in Volume 42 of Plats,
on pages 60 an 61, records of Snohomish County,
Washington, described as follows: Beginning at the
southeast corner of said Lot 4; thence N 55°00'00" E,
along the easterly line of said Lot 4, a distance of
25.00 feet to the easterlymost corner of said Lot 4;
thence N 44020100" W, along the easterly line of said
Lot 4, a distance of 29.63 feet; thence S 0°21'49" E,
a distance of 35.53 feet to the point of beginning.
This agreement shall be a covenant running with the lands hereinabove
described and will be binding upon the parties hereto, their heirs, successors,
and assigns, forever.
IN WITNESS WHEREOF, we hereunto set our signatures and seals this A TW
day of ��y,.css 1983 A.D..
RI RD D. BESELIN
EDC.SCHERRER
•
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Page 1 of 2 Pages
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-,....3. f:ii;�1:r'�i 1°a'��&�k6��,a �,.,4!4m"'' `�f.�Y a+a2�r.+1� dN..o�.tiS. �.,.�wP..:4sA.iig SU � � .,� g �� Z�"'£`�.'"T � """iY"'"',..
' STATE OF WASHINGTON
}
! ) SS.
COUNTY OF }
On this day personally appeared before me RICHARD D. BESELIN and SUSAN
BESELIN, his wife, to me known to be the individuals described in and who
executed the within and foregoing instrument, and acknowledged that they
signed the same as their free and voluntary act and deed, for the uses and
purposes therein mentioned.
GIVEN under my hand and official seal this , day
71
1983,
mLary ruoilc in an0
Washington, `residing
STATE OF WASHINGTON)
SS.
COUNTY OF )
On this day personally appeared before me ED C. SCHEMER and NANCY ANN
SCHEMER, his.wife, to me known to be the individuals described in and who
executed the within and foregoing instrument, and acknowledged that they
signed the same as their free and voluntary act and deed, for the uses and
purposes therein mentioned.
GIVEN under my hand and official seal this /S�day of( LL4 %i.� ,
1983.
6" G :�
Notary Publi—c-1—nand forl� t o State p
Washington, residing at C 111/0//'Yl _ )
Page 2 of 2 Pages
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