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1031 12TH AVE N.PDF1111IIII lill IIII III603 1031 12TH AVE N N CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS,WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 l�rc. 1 8N0 *PERMIT MUST BE POSTED ON JOBSITE* STATUS: ISSUED ENG20080450 N [IN . Y Y[I) �h`/\•/ � fl N1l 1 Y Y[f IS.�TiT3 tEf xTi'itl9 Permit Number: ENG20080450 Expiration Date: 1 /23/2009 Job Address: 1031 12TH AVE N, EDMONDS Location: CONTRACTOR EMERALD PAVING, INC EMERALD PAVING, INC 20417 87TH AVE SE 20417 87TH AVE SE SNOHOMISH, WA 98296 SNOHOMISH, WA 98296 206-722-7283 LICENSE #: EMERAPI 173KR EXP: 2/4/2009 O' DESCRIPTION Asphalt overlay in City ROW (see attached). Additional easement area will also be paved, but does not fall under City authorization as it is private property. Private drive serves 7 HOMES - 1031, 1100, 1101, 1103, 1105, 1107 & 1109 DISRUPTION ASSESSED VALUE: $0.00 PROPERTY AREA: 0 SIDEWALK: (OXO) DURATION IN MONTHS. 0 FEE. $0.00 STREET DISRUPTION TRENCH CUT: ( 0 X 0 ) PARKING: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 YEAR OF OVERLAY: 0 FEE: $0.00 ALLEY: ( OXO) DURATION IN MONTHS: 0 FEE: $0.00 INDEMNITY.• TheApplicant has signed an application which states he/she holds the City of Edmonds harmless from injuries, damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and attorney fees by reason ofgranting this permit. THECONTRACTOR IS RESPONSHILEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OFONEYEAR FOLLOWING THEFINAL INSPECTION AND ACCEPTANCE OF THE WORK. • Traffic Control and public safety shall be in accordance With City regulations as required by the City Engineer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their possesion. • Restoration is to be in accordance with City codes. All street -cut trench work shall be patched with asphalt or City approved material prior to the end of the workday- NO EXCEPTIONS. • Three sets of construction drawings of proposed work are required with the permit application. CALL DIAL A -DIG (1-800424-5555) BEFOREANY EXCAVATION CALL FOR INSPECTION (425) 771-0220 EXT. 1326 24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS THIS APPLICATION IS NOT PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. Printed: Tuesday. November 1 FILE COPY INSPECTOR COPY ❑ APPLICANT COPY STATUS: ISSUED ENG20080450 • Restore ROW to City standards • Restore Landscape to like or better conditions. • Alert affected residents and/or businesses prior to work start. • Maintain erosion & sedimentation control. Keep street clean. • Construction hours are Monday -Friday 7arrr6pm and Saturdays l0arrr6pm. No work on Sundays or Federal Holidays. • Call for required inspections as noted. • Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. • IsPavement Subgrade • &Engineering Final PARTIAL INSPECTION PARTIAL INSPECTION FINAL INSPECTION APPROVED INSPECTIONS INITIAL: NOTES: INITIAL: NOTES: ][MTIA),: \: DECLARATION OF ROAD MAINTENANCE AGREEMENT THIS DECLARAIkION OF ROAD MAINTENANCE AGREEMENT made and executed by William R. and Xathleen Neyring, and Stanley J. and Doris Hovik, and Alden H. Bowes, ' and Bruce T. and Greta A. Breiwick this 36day of December, 1982. WITNESSETH: V:J THAT WHEREAS, the parties hereto are owners of tracts of land in Snohomish County, Washington, described as follows: Parcel A (Meyring Prop. That portion of the North 119.0 feet of Tract 20, Plat of Puget Sound Machinery Depot Five Acre Tracts as recorded in Volume 5 of plats, on page 47 records of Snohomish County continued as follows together with an easement for ingress and egress only over and across the South 15 feet of the West half of Tract 27 Puget Sound Machinery Depot Tracts as recorded in Volume 5 of plats pane 47 records of Snohomish County except for the East 142 feet thereof. Parcel B (Hovik Prop.) Puget Sound Machinery Depot Five Acre Tracts the ►'•st 80 feet of the South half of Tract 27 as recorded in Volume 5 of plats, on page 47 records of Snohomish County. Alao tht Sast 90 feit of the 3ov_h Sslr of :'rac: 19. Parcel C (Bowes Prop.) Lot 1 Wagner addition to Edmonds according to the plat thereof as recorded in Volume 35 of plats, on page 2 records of Snohoimish County. Parcel D (Breiwick Prop.) Puget Sound Machinery Depot Five Acre Tracts`auuth } of the West ) of Lot 27 less East 132 feet thereof and less West 80 feet thereof less South 15 feet of East 58.44 feet of said tract to City of Edmons per Quit Claim Deed 1314/739 auditor file 7805240272. WHEREAS the parties hereto desire to create a road maintenance agreement: NOW. THEREFORE, the parties hereto do hereby grant and declare a road maintenance agreement for the roadway over, under and across following described property: South 15 feet of the West'helf of Tract 27 except the East 142 feet thereof a upon the following conditions: % . 1. The owners of Parcel D, their heirs, successors and assigns hereby agree that their easement shall be confined to the Easterly 51.0 feet of the above described, easement, and that their maintenance responsibilit$es are limited to of any and all maintenance costs2 or' Ship 5'/. 0 r +•' ( � �7 OLiVeMs /' OF Kee t ID Mee !.!ovate Fer rr7.Ts�r.✓~. Mn. C-� Cea vveY 2. That .the easement area shall be used only for ingress, egress and n+rn utilities and for no other purpose. 3. That there shall be no storage of vehicles or any other property within ...v the easement area at any time. 4. The easement surface is now improved with asphalt suitable for normal vehicle travel; no person shall cause or permit the use of any machinery or equipment which shall cause datpage to the existing surfacer provided further that if it becomes necessary, for any benefitted parcel to make use of the easement area by such equipment or to penetrate the surface for inotallation of utilities, the owner of said benefitted parcel shall cause every portion of the easement area which is damaged thereby to promptly restore the surface to a condition equal or better than prior to such activity. 8301060455 1771 �� ' I1EM&H TION OF ROAD MAINTM(ANCE AGJCK! siir PAGE 2 ' Gam' 5• There shall be no general repair or reconstruction except upon tf;e >' written agreement of 75% of the parcels represented by the parties hereto; provided that in the event of any work under this clause, the written agreement shall provide the amount to be paid therefore u,- by each of the parties. "i re 6. Each party hereto agrees to abide by this agreement and further agrees that this agreement may be inforced by an edtion rcr'spacifis uerfurmance or for damages and that in the event of any such action the court shall Faward s � to the prevailing party a reasonable' attorneys fees. K fi 7. Under no conditions or circumstances shall a non consenting .,arty pa -..an amount directly or indirectly on behal# of any non contributing party or non party to this agreement who may legally use the herein described easement. 8. 77HS AC�:6wmhvT DONS .t)6T CDw-Yt /[c•R'D /M+Pnev�v7n� All rights and obligations herein shall be deezed tz be covenants running ' with the land and shall be bindine. upon the owners thereof, their heirs . ; and assigns. r-i tM A //"V, z i a, X 2� 83DIG60055 -mac-., t_ _J. _P t- / �J VOL. NO. PAGE RECORDED FtErj6 OF TrunaftATM Irm Ca JAN 61983 Am 9-0 DEAN V. WILLIAMS, AUDITOR SNDHOMW caunrr, WA&L tr&t.V I -pt, 2 a2 5 FILE N0.-s-60-77 .: .1.+.. `',j ° . E. a 0r nera. and all" persons having any Present or subsequent ownership. S' 1merest fir these tands.. and the•:ucoessort and assi gns of owners or I ofzerpartier-*o aWng a",sai'd interest, hereby. agree that the -City - _ - - _ _-4 of Edaonds.shall beheld harmless. in all resoects.from any and all _ t clam for damages. for injunctive relief whic'f may' be'ocrasioned- now .airiq=.tbe future to adjacent land or improvements by reason ' M, l of the construction, operation and maintenance -Of .the drainage system - and - he reby • Y waive and release the•City of ECmonds from any and all claims for damages. excluding damage caused soley by -an act or i i o^ission of said City and injunctive relief which the owners, or their sucr�sors or assigns. may themselves have now or in' the future by reason'of the construction, maintenance and operation of T - said drainage systear.. - _ ... AUTIiORIZED ' RECORDING i -TnI.OE.E-D1'IONDS Pare 80606.0321 - VOLD Z PAGE 33 - I sskm A Snohomish County Online Property Information Wt V Page 1 of I omish Countv Online Propertv Information . nohomish County disclaims any warranty of merchantability or warranty of ness of this data for any particular purpose, either express or implied. No !presentation or warranty is made concerning the accuracy, currency, )mpleteness or quality of data depicted. Any user of this data assumes all sponsibility for use thereof, and further agrees to hold Snohomish County armless from and against any damage, loss, or liability arising from any 5e of this data. on: 6/18/2008 Legend street Narnes Cities U61—W anod Casty h=TW. fed City l _I Tax Paroels Rural Miles r,_... I_ ! Township/Range Grid section Grid Airports 2007 Photo Extent 2007 Aerial Photo http://gis.co.snohlomish.wa.us/servlet/com.esri.esrimap.Esrimap?ServiceName=Overview... 6/ 18/2008 APPLICATION for "The City of Edmonds SEDE SEWER PERMIT -EASEMENT No . .................. ......................... NEW CONSTRUCTION REPAIRS 0 4 _//Q 1—r70 136 OWNER ...... 1.4 ..... 4-I.P. ..... /-.:. ................................................................ �s ......... ................. CONTRACTOR ..................................... ............ ---------_----_--- PERMIT No. ".)(b ............. ,ADDRESS ......7L.1-5tt ..... A LEGAL DESCRIPTION: LOT No: .............................................. BLOCK No...... ---..-.-.......... NAMEOF ADDITION ........ ............................................................................ p DATE................................................. By ------------- ............ .... ............................ L ; -TY CITY OF EDMONDS - SIDE SEWER PERMIT r WATER -SEWER DEPARTMENT PERMIT Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction. Inspection will be provided within '•• , 24 hours after re ust • - 9 NO Sat. Sun. or holiday t construction.) Inspection . y inspections./ ADDRESS LOCATION OF CONSTRUCTION.---..-. 1:�21 _ 1 2 h Avenue irior !� -------------- • •---...---•--...--...--••--....--....--..............---..--........--••---•-•_-.......-•---...--...... ....................................................... t PROPERTY LEGAL DESCRIPTION-•--•---LQ °•--!=iaciners �idj1 tYoi�....-.-... .-•--........-_...................................... I----------------------------------------------------------------OWNER AND/OR BUILDER ....-ALDE�N lie BOWES ........... ................ CONTRACTOR'S N ADDRESS QUINr � NAME & DR SS-..---••---• i`txdssion is granted ---••--�F�?�'U�Y'V � �= ----•----19�Q--•----•----------------•--••--•--•---••--•--...._._.-..--•--•--...---•--•------•---_..-.-....--•---•----...-.........--•---..--...-.-...... .. r "p Itmn in accordance with City of Edmonds ordinances, for repair and/or connection of a side sewer to the city sanitary sewer ' A__ITION IS CALLED TO THE FOLLOWING: - - NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations - •' NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line ands 12 inchng side es inside property l newers when You get e; minimum grade of 2 -' sharper than % will be permitted. g %. No bends in grade - NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper • �' - : work which may develop within one year of completion. NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do an work on the main sewer or its a - in- sert the pipe into the wye. y appurtenances except to - - DISAPPROVED ❑ Date---_...._, ....................•----. By. • Date.--... .._..--- Date..-. -- ................... y ........--..... APPROVED - Dae he A i �� By "ems. — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — C (Owner of Contracting Firm Performing Construction) here certify that a side sewer installation constructed under this permit '--- - '• - - - by tify t t th _ti v installed in accordance with all governing ordinances of the City of Edmonds. Dated this ---------------------------- day of--.................. Check BEFORE you dig for: Water ❑, G ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ V V 'i p'� •„�• , ,��;,�i r� .`+r i:,'`..�En�''��i: ltss.u3'�:�i _� - rn.... STREET FILE APPLIfor CATION The City of Edmonds SIDE SEWER PERMIT EASEMENT No ............................... NEW CONSTRUCTION 0 REPAIRS OWNER 1�,LI»I -....H.!- BOW CONTRACTOR ........ -' ............ ..... PERMIT No.-4�-(•O ADDRESS --lZ--AVENUE N09TH LEGAL DESCRIPTION: LOT No ................ ........................... BLOCK No............................................. 1031 NAME OF ADDITION ......v.!. NER� 1J P I9 I o Fz, ► v I 0 Z R qnl ( 471 • WITH S/o Q 4'C3=F�- 2'l=VaM4= JIMn f INACTION ire 29 � Approved: N S'1 CITY of�EDMONDS 8OSTRfieT f ILIJA:T10N D LICENSE NO. _ ,..�_Y l , 'i K Civic Center • Edmonds, Washington 98020 City Clerk Phone 775-2525 ANNUAL FEES PENALTY AFTER FEB. 15 HOME OCCUPATION INSTRUCTIONS: CLASSYEAR LIC. EFFEC. DATE IREASG. LIC. NO. SPEC. . $10.00 (A) ADDITIONAL $5.00 ❑ • All items must be. completed ❑ SMALL BUSINESS or application will not be aC- RECEIPT DATE PAID PRINT 'x' $15.00 (B) ADDITIONAL $7.50 ❑ cepted. IN SPEC. eox . ❑ Business with 10 or FOR ISSUE OF • Sign and return application PEE PAID P NALTI PAID CORRECTED more employees ADDITIONAL $25.00 ❑ with fee. Renewals received LCEACTION. $50.00 (C) after February 15 must . pay F� NEW APPLICATION (LA) penalty in addition to fee. ❑ RENEWAL (LB) NEW BUSINESSES AFTER ❑ CHANGE (LC) JULY 31, 1/2 FEE. - (PLEASE MAKE ANY NECESSARY CHANGES) ❑ DELETE (LD) NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES MAILING ADDRESS NATURE OF BUSINESS 1 BUSINES INDIVIDUAL PARTNERSHIP CORPORATION EZq (S) 0 (P) (C) HOME ADDRESS d HO E PHONE D FBI TH P E OF BIRTH SOCIAL SECURITY NUMBER — ;ZL2:� 91:�4 e-el",J — / C, — �s -S; I/ c EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE (PLEASE. LIST TWO) (2) NAME & TELEPHONE �•SLf �/ySD/l� l_FiY��-Z.=�/lc WASHINGTON STATE TAX NO. APPLICANT'S SIGNATURE CL_•��=:c.'-2 L /�• :�'�C.�� DO NOT WRITE BELOW THIS LINE STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT DATE _3�_ ? / LAND USE CODE ZONING CODE L7 APPROVE ❑ DISAPPROVE SIGNATURE WIM 1 ��// CONDITIONAL USE PERMIT COMMENTS H01yY1 P C�C.0 UIJA L Can C U I �ILDING DEPARTMENT DATE �'�� APPROVE ❑ DISAPPROVE SIGNATURE -�--•- •-�..� Building Permit ❑ Hotel/Motel ❑ Apt. Bldg. L ( ) (A) ®❑ Office Bldg. (0) COMMENTS: ,.c,0_ (��.c�,� r Occupancy. ❑ Restaurant (R) �^ Grou ❑ Hosp/Nurs Home (H) . ® CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) ❑ School (S) FIRE DEPARTMENT DATE - -7 7 U.F.I.R. APPROVE ❑ DISAPPROVE SIGNATURE 3 9� COMMENTS: POLICE DEPARTMENT ��' APPROVE ❑ DISAPPROVE DATE '� SIGNATURE �' = COMMENTS: PUBVC WORKS DEPARTMENT APPROVE ❑ DISAPPROVE DATE �/� 7 SIGNATURE COMMENTS: PLEASE RETURN TO CITY CLERK 07/17/2003 07:30 HALLS LK CONS 41 96725750 NO.356 002 soao aNs�ucrta � 4— SEE NOTE i ROAD NARROWS I (V5-D I 30 SEE NOTE 1 TAPER LENGTH (TABLE A) WORK AREA QI I o TABLE A i n° I Q TRUCK WITH TAPER ,LENGTH 10,15 0 m RO.tO BORES m OVERHEAD LINES A I.J. UYIU?Y POTH04E �, RJ�IT. SUBMITTED 8 Y Uc 7R�uCxskG --�1G7 CD GTE I - • N r r , - R.O. 0 ru — — — — r _ — w w . _ � a7 ro 1, ---- +`ul � —fto — Z Curs W Rl 00 a m w i . EDMONDS UTILITIES CONSORTIUM rA► "'ems Job Notificati Permit Number 2003-0169 Address or vicinity of construction: 1 1014 12` Ave N Description of work to be performed: Blanket P 4u 10-3) t No Placement of buried telephone wire by plowing for 97ft and pushing 1 road for 37 ft for a total of 13 5 ft in r/w Pavement or concrete cuts: Yes Construction Date: 07/31/03 Activity start or complete): Complete Other information: Had 5ft x 5ftpavement cut CADocuments and Settings\mcconne1.EDM0NDS\Local Settings\Temporary Internet Fi1es\0LK4\3SC-125.doc �City Of Edmonds Permit No:.� 3— RIGHT-OF-WAY CONSTRUCTION PERMIT' Issue Date: D3 A. Address or Vicinity of Construction: ��. I /�� I� � r�i oF- B. Type of Work (be specific):%ER IZbN � 0 PACE-, + fli.A tAj 1AJ' I AUk � .5E eo;r_ /a )r �E t ROn1 ExrSt�N4 pEcif5-A(41 q3. L(ICAT,5J A /03I /aAvF_1U- TArt) SoUt to A RE_SI.dENCB Al /0P/ /ate AUE IU,J �/F,e tzUN fc� D1orJ 97' Gt n�rl n°u5/► % h't)Ar� �7 -ieef . A 0. G), lnni*& t *S . /341— u s,z6 5 x5 C. Contractor: V F R 1. ZCS IJ JJ Contact: b r)(J a A k d s Mailing Address: 11�3 0 _ C. 1'ii CASINO )(ICI Phone: 7 /- �2 %3,0 . State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ EUC (PUD, VE�RIZO_N-, PSE, AT&T,.AT& T,.OVW) ❑ Multi -Family ❑ .Single Family ❑ Other - INSPECTOR: F. PAVEMENT CUT: ❑ YES`- '" '❑ NO SIZE OF CUT' :5 X CONCRETE CUT: ❑ YES ❑ NO INDEMNITY. • Applicant understands by his/her signature to this application he/she holds the City of -Edmonds harmless from injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or, any of its departments -or employees, including but not. limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this, permit. THE- CONTRACTOR IS' RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. ♦ Traffic control and public safety shall be in accordance with City regulations as, required by the City Engineer.. Every' ' flagger must be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their possession. ♦ Restoration is to be in accordance with City codes. All street=cut trench work shall be patched with asphalt or City- approved material prior to the end of the workday — NO EXCEPTIONS. ♦ Three sets of construction drawings of proposed work are required with the permit application. CALL DIAL -A -DIG (1-800-424-5555) PRIOR TO BEGINNING WORK I HAVE READ THE ABOVE STATEMENTS AND UNDERSTAND THE PERMIT REQUIREMENTS AND ACKNOWLEDGE THAT I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE AT ALL TIMES FOR INSPECTIONS Signature: or Date: 6 C?.- I_ 3 FOR ,CITY USE ONLY Approved by: 1�., ql vn' Right-of-way Fee: " Time Authorized: Void After �' llltr l ('� Disruption Fee/Fund 111: Special Conditions: ize A* Restoration Fee: 'STANOAPLQSl 'MWJP 000 YU1, PIA4 Aff1b 415D Total Fee: Ael Pirty, , 51-U S' AWAV FROM W AND Receipt No: � Issued by: ' •;,. , R UPON.COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL INSPECTION IS. REQUIRED PER CHAPTER 18.00 OF THE EDMONDS COMMUNITY DEVELOPMENT CODE (Phone 5-771-0220, Ext. 132 ) FINAL APPROVAL OF PERMITTED WORK:.. DATE: 7 • -� Ins Actor's na u For inspection requirements see Engineering Inspection Information handout. NO WOIlh SI-IALL l31?GIN PIZIOIt TO PF;RMIT ISSUANCC