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23911 76TH AVE WIIIIIIIIIIIIII15152 23911 76TH AVE W ADDRESS: TAX ACCOUNT/PARCEL NUMBER: V SCR q 00 2 O o 66 y BUILDING PERMIT (NEW STRUCTURE): N COVENANTS (RECORDED) FOR: 115�6®m CRITICAL AREAS:, Ut' U 3 — A DETERMINATION: ❑ Conditional WaiverStu t< dy Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: "I S�CQ 3 SIDE SEWER PERMIT(S) #: D GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: OTHER: LATEMMSTs\Forms\Street File Checklist.doc APPLICATION The City of Edmonds for Y S7REETSIDE SEWER PERMIT IDE INSIDE REPAIRS El CARDNo . ...................................... EASEMENT No. ..... ................................ OWNER 4(...w ;Y-j CT....... •..!Sf�i-- �.S ................................ CONTRACTOR ........ �L�C/ �' rS........-•---------------- ..................... •.... PERMIT No. U... C 2C STREET . HOUSE No.. ✓... /..�/— 7� / ................................. AVENUE LOT No. ..................................................................... �// BLOCK No. ..........�j NAME ADD. .......� .....1�..< rG ---- S ---.a ................ ... Date Approved: BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ ....................................... i SEWER WORK ORDER ISSUED .......................................... DATE 7— ------------------ BY 7 NP P ROV Ep y- 'A 010� ��� ---------------------- 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 this map(s), nor for any one representation provided based upon said map(s). Development Service Planning Division . Phone: 425.771.620 Fax:- _.425.771'.0221 iA10 d.s.. s Department The Critical Areas Checklist contained on this form is to be filled out by any person .preparing a Development Permit Application for the City of Edmonds ;'prior --to' his/her submittal of the application to the City. The purpose of the Checklist is to enable City ,staff. to determine whether any potential Critical Areas are, or may be, present on the subject property. The information.; needed to complete the Checklist should be easily available from observations of the site or data"available at City Hall (Critical areas inventories, maps, or `soil surveys). A..property..,owner; or._his/her authorized.,representative, must fill out the'checklist, sign and date it, and; submit it to the'. City:` Tlie'.City will review the checklist, make a precursory- site visit,, and make a . determination of the subsequent* steps necessary to complete a development permit application: Please submit a vicinity map, along with the signed copy of this form to_.assist City=staff=in finding and locating the specific piece of property described on this form. In addition, the 'applicarrt'; shall ` `include other pertinent information'(e! . ' site -plan; a topography map, etc.) or studies in conjunction with,this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, 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 infractions based'' in "Whole & part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this application on the behalf of -the owner as listed below. SIGNATURE OF APPLICANT/AGENT DATE Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, 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 and posting attendant tom this application. SIGNATURE OF OWNER Owner/Applicant: Name Street Address 5 UJuN- l �U Z CP City State Zip Telephone: Email address (optional): Critical Areas Checklist.doc/3.19.2001 DATE Applicant Representative: Name Street Address, City' State Zip Telephone: Email Address (optional): 0 i CA File No: Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: a6�.1) � c0 �3 IK � -r 2. Property,Tax Account Number: g 00 3. Approximate Site Size (acres or square feet) 4. Is this site currently developed? yes; no. If yes; how is site developed? r3,j\A 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 Ion 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). 6. 7. 8. 9. 10. Other (please describe): Site contains areas of year-round standing water: ;Approx. Depth: Site contains areas of seasonal standing water: I ; Approx. Depth: What season(s) of the year? Site is in the floodway floodplain of a water course. —4 Site conta' a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? ) Site is primarily: forested ; meadow ; shrubs ; mixed urban landscaped (lawn,shrubs etc) Obvious wetland is present on site: Critical Areas Checklist.doc/3.19.2001 CI1 Y OF EDMONDS CRITICAL AREAS DETERMINATION Site Location: 23911 76 h Ave W Tax Acct. Number: 4888 006 005 00 01 Determination:. Study Required Determination #: CA-03-2 Applicant: Harry Christian Owner: Harry Christian CRITICAL AREAS DETERMINATION: STUDY REQUIRED (CA-03-2) During review and inspection of the subject site, it was found that the site may contain a Steep Slope Hazard Area, pursuant to Edmonds Community Development Code (ECDC) 20.15B.060A3c. A Critical Areas Study will be required to delineate the boundaries of the critical area, buffers, and setbacks: STUDY REQUIREMENT — STEEP SLOPE HAZARD AREA Prior to submission of any development permit, you will be required satisfy the requirements of the Critical Areas Chapter 20.1513 by completing the following Steep Slope Hazard Area Delineation Requirements: 1. A topographic survey must be prepared by a Licensed Land Surveyor to delineate any Steep Slope Hazard Areas. - A steep slope hazard areas is defined. by ECDC 20.156.060 as ground that rises at an inclination of 40% or greater within at least 20 feet of elevation change. In order to delineate a steep slope hazard area, it is necessary to locate the top and toe of the slope. The inclination of the slope is established by averaging the inclination over at least 20 feet of vertical relief. A 50 foot wide buffer plus a 15-foot building setback will be required from both. the top and the toe of the steep slope hazard area. Refer to ECDC 20.15B.080C and 20.15B.110A. 2. In order to complete the Study Requirement, a -map must be submitted to the Planning Division for review and approval. DEVELOPMENT PROPOSALS ON A SITE WITH STEEP SLOPE HAZARD AREAS Development is restricted within the Steep Slope Hazard Area, its buffer, and/or building setback. If development must occur within these areas, the applicant may pursue certain processes provided in the Critical Areas Chapter of the Edmonds Community Development Code. The applicable process depends on the specific development proposal and site but may include one of the following: Buffer Reduction. For development proposals within 65-feet (50-foot buffer plus 15-foot building setback), but no closer than 25 feet (10-foot buffer plus a 15-foot building setback) from the top or toe of the slope, the 50-foot buffer requirement may be reduced. to 10 feet if a study is completed by a licensed geologist or geotechnical engineer. The study must clearly demonstrate that the proposed buffer alteration will have no adverse impact upon the site, the public, or any private party. Essentially, development co• be allowed as close as 25 feet from the ton or toe of the slope_ The 15-foot building setback always applies no matter how much the buffer is reduced. Refer to ECDC 20.15B.110A. Steep Slope Exemption, Critical Areas Variance, or Reasonable Use Exception. Development. proposals closer than 25 feet from the top or toe of the slope may be allowed through the approval of a steep slope exception, critical areas variance, and/or a reasonable use exception. These Land Use Permits that must be obtained through the Planning Division. Refer to ECDC 20.1513.110D2, 20.1513170A, and 20.156.040C. PROJECT SPECIFIC CONDITIONAL WAIVERS If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Areas located on the site, they may submit their proposal to the Planning Department for review. If the Planning Department finds that the proposed development permit will not adversely impact a Critical Area or its buffers, a conditional waiver may be issued on a project by project basis. EXEMPT DEVELOPMENT PROPOSALS Certain development proposals may be exempt from Critical Areas Requirements. Refer to ECDC 20.15B.040. na[rneen i s for v January i b Name Signat Date If you need additional information, please contact a Planner. Cited sections of the Edmonds Community Development Code (ECDC) can be found on the City of Edmonds website at www.ci.edmonds.wa.us. 2 �I CITY OF EDMONDS x 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.d.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Inc. 189� Planning • Building • Engineering May 18, 2005 MEMO TO: Edmonds School District Verizon Northwest SNOCOM Police and Fire Dispatch SNOPAC Snohomish County E911 U.S. Post Office Snohomish County Assessor's Office Snohomish County Information Services Snohomish County P.U.D. Puget Sound Energy GARY HAAKENSON MAYOR STREET FILE Edmonds Fire Department Edmonds Police Department Edmonds Utility Billing Edmonds Public Works Edmonds Building/Street File Edmonds Address Files Lynnwood Disposal Comcast Cable Waste Management Northwest Please be advised that the attached addresses have been X'o the Edmonds address system: Occupancy: R3 Tax ID Numbers (for short plat): 00488800600500 Subdivision: S-03-53 / Christian Lot #'s: 1, 2, 3, 4 Also, be advised that 23911— 761h Ave, W (short platted lot) address has been retired. If you have any questions regarding this letter, please contact me at 425-771-0220 or Urnbaugh@ci.edmonds.wa.us. Please contact me if you wish to be removed from this list. Respectfully, —/ A"111 Theresa Umbaugh Permit Coordinator Edmonds Building Department L\Temp\DST's\Master Letters\New Address5/18/2005 • Incorporated August 11, 1890 • Sister City Hekinan, Japan INUT IN . 30J.6D _..�__��__�-_��_�__��_ i _ �"' _'� PROACT DATA , - - SW 1 /4- SECTION 32. TOWMSHP 27 NORM RANGE 4 EAST, W.M. 1A2 LOT N1A,SERS; OORpSpOpyppg00 . a • ' PRESENT ZONVt01 PROPOSED USE! SINGLE FAYLY OCTA041D I\V� . (0.001 AC) _ -�__.__ r LOTS PROPOSER 1 SCALE t'�Qp' I LOT 4, BLOCK 6 A1ERAGE LOT SZL, 4L7OF LAKE BALK&ONLINGER LAND Co. i adAll T LOT! OF PROPOM 0 >y OD LroBDwR WASINOTON I I WCRV'd- AREA 13.500 (35S OF SITE AREA) STATE DOMINATE S"lEj WORTH I SUBDI NSlON No. 1 I ZONE 3 VOL. 9, P. 57 R[IrACESS WATER RO10RpIC[.• USMICINOM COUNTY 00NTROL uArtr R I PURVEYOR; OLYWPIC VIEW WATER DISTRICT SEWER PLNVEYm DANW NOND t929 W I I , OLYMPIC NEW SEVER DISTRICT OIWOL O'STRmr-EDNOFW SCHOOL DISTRICT No. 13 r=3&SsRASS SG/CH N9;SUTgdOsvERTI . i a I MDSTRCT. On OF EDMOWS E1J:CTRIC SNONpNSH COUNTY I NYu WALL NEAR NVLY OORNEA Or BUAOiNO AT yc W W/�ATPAO( 2 UO N1 PNo.I TELEPHONE; KJB TELEPHONE; TU4ONE 23423 MWWAY OB. '. OdVATIM . axINAUNNOAS: I w FUIt! CORNu td WIDE PRIVATE D4w CoANY r A; EASdG T 1 PUOET SOUND ENERGY COMPANY I Olt TO* MCS KAOBOLT Cw FI1It HYORANt AT SE CORNER 01 74M ♦'t,,, AVC W N NeALCER WAY 40436 C _ __ JV 7100 _._-_---••--___ 4 - i SET 1/`YV RESAR .. .t Pe • - \ I .. I 1 20-01 FOUND 3/W L PWE 44' N SHOP I i % O.Y W. FENCE 0. 4d N S DA' [ . TOP _ 3000 INV. TOP _ 30143 INV. _ 207.44 ow — TOP . 302.2 WV.. 3=0 .S CB --Fmu Ij N . 2%.3 Dyj(J t _ 29gs s _ MIN >n 9 �F17lMtl t//ri NEAR SS9R3'4t'E , • CAP 11a 1M71 _ ORAWACE tASEYENT r r h I R.C.S. V. 34, P. BO I I LOT 1 i 4D1Y�� Hw 239ii TO SE REVOM . -- ---- -------- GRAVEL DPi Z11 11 i Na 144n oN LOT 2 It I acoRNER LOT 8, BLOCK 6 TO OE R(ldowo I L--___ LOT .2 a �' , R. 0. S. Y. 17, P. 40 I 1 PREPARED.FOR HARRY CHRISTIAN 23911 — 76th AVENUE W EDMONDS, WA 98028 TEL 425-672-7149` 70.0 MIN. LOT VAOTH CIRCLE, TYPICAL LOT 3 8.931 Sq.R FOUND I/Y4 Nam _ A. CAP ACROSS FOILY OX N OF CALL OM13L _ SP S-97-71 I (99032JQ042) I CITY OF EDMONDS SHORT SUBDIVISION FILE No. 6141 NE BOTHELL WAY KENMORE, WA 98028 TEL: 425=485-9711 • 9019 A cOL9 BOLE }, .. o... w.e...-w �.. .»-.,......a... i§� .....«.w>.w.�.a.,e...r..p.a r. .w.. �..P.x ,.. r.-e. +.. �. ................. ,a..wk...-,. a+. �.». .+.n.v>.._.w � .. «.. .w•..nec+. ...n+e�. 100E LOOL fi 1101, d t�t�'�t®tit a OL f! ZOL t�tot®tit• Sou fl t �t 601 L 9- totow cu ' m r1 IZ,L 62,Ecz 4; d I -s J 70 sozL 1 6,zz of ®tit®,® SUL �Btfttft1mail=1 rtf ,( 01011111 t @&t g. L,EL f1 - 74TN AV6 N wL05c 909Lzosc USEz' vosc i+ SISL Sam 4 c � A R _ A A g ,! " e - $ eovL S33 zlooz y' OESL &OSL a lost � 9 ae G st use a olsL p SzsL tzSL 025E CIEoL O a E 7 6,SL t0,v2 6, lvz &ESL N OE9c Steve ol9c zoovz DJ R 1 1 1 tM f! ® r w� CITY CLERK CITY OF EDMONDS 121 5TH AVENUE NO. EDMONDS, WA 98020 J STATEMENT ON ACCESSORY DWELLING UNITS GRANTOR: ' 1 GRANTEE: 044 Property Address: Z �J �� 7b.��/ — Edmonds, Washington Legal Description: 7 % , 0119, C 6 6 3 olk S-A j Assessor's Parcel Number: ao Q0�j I have read the requirements for accessory dwelling units contained in Chapter 20.21 of the Edmonds Community Development Code (ECDC) and understand that an accessory dwelling unit, including a second kitchen, as defined in ECDC Section 21.05.015 is prohibited until an Accessory Dwelling Unit Permit is approved. I also understand that an Accessory Dwelling Unit Permit cannot be approved unless all the criteria in Chapter 20.21 are met, and all the necessary items are submitted, including an affidavit of occupancy and a covenant to be filed with the Snohomish County regarding the regulations imposed on Accessory Dwelling Units. Property Owner Signature: Property Owner Name (printed): I Date: 1 / v /03 STATE OF WASHINGTON ) COUNTY _OF SNOHOMISH) - ,,ff I certify that I know or have satisfactory evidence that � A-r rg L signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and purposes mentioned in this instrument. Notary's pressure seals must be smudged. Dated: Signature of job, a Notary Public: CARLA RAYMOND NOTARY PUBLIC esiding at: L d� STATE OF WASwIrIDTON y Appointment COMMISSION EXPIRES it ApRIL 13, 2003 x P es:-/ 3----------------------- U 3 THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.