1055 DALEY ST.PDF11111111,11111
10725
1055 DALEY ST
d ADDRESS: 'ram
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)FOR: .
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver Study Required Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER): [ - I gcD , lQ%_ � I �I OAS "I I�Q [1C1
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #:
SHORT PLAT FILE: i b -231 LOT: BLOCK: 'I C
SIDE SEWER AS BUILT DATED: �iU�. tC4
SIDE SEWER PERMITS)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
„TuUD."�)V1W CIt--IIn TltVIS�,11 G"lOnhnn
L:\TEMP\DST's\Forms\Street File Checklist.doc
•
Critical Areas ChecklistSTREET FILE
Site Information
Project Name: -Sarrasin Short Plat permit Number..
Site Location: 505 Olympic Avenue Property Tax Account Number- .4`i42-044-021-00
Approximate Site Size (acres or square feet): 13.379 sq . ft . /0.307 ae .
Have you filled out a Critical Areas Checklist for a project on this site before? no
General Site Conditions
1. Has the site been cleared or logged? no Date of most recent action:
Soils / Topography
2: In the Snohomish County Soil Survey, what is the mapped soil type(s)? A 1 d. e rw o o d -Urban land
complex; - /o slopes
3. Describe the general site topography. Chock all that apply.
Flat less than 5 fed 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 fed of horizontal'distance.)
Steep: grades of greater than 30% present on site.
Comments
Hyd rologyNegetation
4. Site contains areas of year-round standing water: no
5. Site contains areas of seasonal standing water. no Approx. Depth: n a
6. Site is in the floodway no floodplain no of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? no flows
are year-round? no Flows are seasonal? no
8. Site is primarily: forested no : meadow no ;shrubs no ; mixed
9. Obvious. wetland is present on site: no
10. Wetland inventory or map indicates wetland present on site: no
I Critical Areas inventory or map indicates any Critical Area on site: none
�For:City. Ilse -Only
•t9SYr����<ti
e9�.199
O
City of Edmonds
Critical Areas Checklist
The Qitical Arcas Checklist contained on
this foam is to be filled out by nay person
prgmdng a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development permit
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 C%ddist should be easily
available from observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
An applicant; or his/her representative, must
fillout the checklist, sign and date it, and
submit it to the (Sty_ The citywill review
the cheddist, make a pretxusory site visit,
and ragm a determination of flee subsequent
steps necessary to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parocl(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction 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 / Applicant:
Jeannette Sarrasin
Name
owner
Title
505 Olympic Ave
Street Address
Edmonds, WA 98020 774-5480
City, State, ZIP Phone
Applicant Representative:
John W. Mellor P.E.
Name
Project Engineer.
Title
606 Sater Lane
Street Address
Edmonds, WA 98020 77 - '317
City, State, ZIP Phone
Signature
12/10/93 12/10/99
Date Signature Date
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT EASEMENT No ...........................................
NEW CONSTRUCTION O REPAIRS O
118-04500
OWNER. ---.......Earl... F-.....W.ser.............................................................. CONTRACTOR......................................--.......................................................... PERMIT No. ......................
ADDRESS ...... 505... Q1ytilpl_C--AupOUE.................•----.............................. LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No . ............................................
NAMEOF ADDITION..............................................................•-------.......................--..........................................
•
lj
i
QD
Dye Tested On Sewer 1972
Approved:
DATE................................................ By ...............
n
1 ,
DECLARATION AND GRANT OF EASEMENT
KNOW ALL BY THESE PRESENTS, that Jeannette M. A. Sarrasin, is the owner of the
following described property situated in the County of Snohomish, State of Washington, to -wit:
That portion of the following described property lying West of the East 60.00 feet
thereof. Lots 21, 22, 23, 24, and the East 20 feet ol'Lot 25, block 44 of Plat of City
of Edmonds, as per plat recorded in Volume 2 of Plats, Pages 38 and 39, records of
Snohomish County, EXCEPT that portion of Lot 21 for street purposes.
For and in consideration of the mutual benefits to be derived therefrom, she does hereby
declare, establish and create a non-exclusive easement solely for the purpose of view preservation and
height restriction, over and across that portion of the above described property as follows:
The North 20 feet (approx), lying between the North lot line of the property described
herein and the North end of the existing house, of that portion of the following
described property lying West of the East 60.00 feet thereof. Lots 21, 22, 23, 24, and
the East 20 feet of Lot 25, block 44 of Plat of City of Edmonds, as per plat recorded
in Volume 2 of Plats, Pages 38 and 39, records of Snohomish County, EXCEPT that
portion of Lot 2.1 for street purposes.
This easement is for the benefit of the present and future owners or successors in interest of.
The East 60.00 feet of the following described property: Lots 21, 22, 23, 24, and the
East 20 feet of Lot 25, block 44 of Plat of City of Edmonds, as per plat recorded in
Volume 2 of Plats, Pages 38 and 39, records of Snohomish County, EXCEPT that
portion of Lot 21 for street purposes;
Situated in Snohomish County, Washington,
and is intended to run with the lands so affected, and she does hereby grant and convey to the present
and future owners or successors in interest of said real property the right to restrict the height of the
vegetation and structures, including the garage and deck, lying within the easement area to a height
(.. •) '; I . I*)
i
not to exceed the top of garage elevation 200.2, foliage elevation 201.0 datum based on manhole #10
of City of Edmonds having an invert elevation above sea level of 190.96 feet from sewer datum L.I.D.
#71, drawing 5302-02 1953 datum, with the exception of a railing to be constructed around the deck
area. Maintenance of the aforesaid structures and vegetation within this easement is to be the sole
responsibility of the owner(s) of the above -described property subject to this grant of easement.
In the event of any action to enforce these covenants, the prevailing party shall be entitled, in addition
to any other remedy or relief, to an award of its costs and expenses in connection with such litigation,
including reasonable attorneys' fees.
THESE COVENANTS SHALL RUN WITH THE LANDS SO AFFECTED AND
SHALL BE BINDING ON AND SHALL INURE TO THE BENEFIT OF ALL
OWNERS AND FUTURE OWNERS OF THE REAL PROPERTIES DESCRIBED
HEREIN.
Dated this Y
da of )["4*
, 1994.
Jeannette M. A. Sarrasin
STATE OF WASHINGTON)
) ss.
COUNTY OF SNOHOMISH)
On this day personally appeared before me Jeannette M. A. Sarrasin, to me known to be the
individual described in and who executed the within and foregoing instrument, and acknowledged that
she signed the same as her free and voluntary act and deed, for the uses and purposes therein
mentioned.
GIVEN tinder my hand and official seal this / day of May, 1994.
t;
N TARY PUBLIC in and for the State of
W sliington, residing at
My commission expires:
-2-
• ATTACHMENI�
PROPERTY DESCRIPTION:
PARCEL 'A'
THAT PORTION OF THE FOLLOWING DESCRIBED PROPERTY LYING
WEST OF THE EAST 60.00 FEET THEREOF: LOTS 219 299 23, 24
AND THE EAST 20 FEET OF LOT 23, BLOCK 44 OF PLAT OF CITY
OF EDMON039 AS PER PLAT RECORDED IN VOLUME 2 OF PLATS,
PAGES 38 AND 399 RECORDS' OF SNOHOMISH COUNTY, EXCEPT
THAT PORTION OF LOT 21 FOR 'STREET.
PARCEL 060
THE EAST 60.00 FEET OF THE ' FOLLOWING DESCRIBED PROPERTY';
LOTS 21, 22,, 239 24 AND THE EAST .20 FEET OF LOT 259IN
BLOCK 44 OF PLAT OF CITY OF EDMONDS, AS PER PLAT
RECORDED IN VOLUME 2 OF PLATS, PAGES 39 AND 399 RECORDS
OF SNOHOMISH COUNTY,. EXCEPT THAT PORTION OF LOT 21 FOR
STREET.
`-2
l�m�e .i i
a rn ✓�.� �o rci o wq
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1 L4 P_ 6--e-l-, e- -1, c. 7'kAL 1, v -e_ ce
a�
AUTHORIZED
FOR RECORDING
CITY OF EDMONDS
PLANEN6`�
PAGE OFF.
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589.49
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is '
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+ 7
0.05
O �` �rM
I
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.
mEXIST y u
I r HOUSE 1/�/�
I
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6,779 SQ.FT.
0.70
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W
13.T-;•�
? `GRAVEL
6,600 SQ. FT. 1 n
jDRIVE
M FAA o
02
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30
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z
14.7
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00.00
n 7
D
195.....'... ._ N 0.1393• W.
EXIST. STORM
P
�- N 0'1313- W 130.4T \) `
OLYMPI�C AYE
LEGEND:
N .
DENOTES FOUND CASED CONC. MONUMENT'
CONTINENTAL ENGINEERING CO.
10007 GREENWOOD AVENUE N.
DENOTES SIT REBAR WITH LS CAP No. 6566
Donald L. Hall William McCormack I
432 Olympic Ave I 502.Olympic Ave I
SAR RAS I N
SHORT PLAT
AREA 13,379 SQ. FT. = 0.307 ACRES
ZONING RS - 6 ,.�.. _ ... , ..
0
2XC RIM Jo/s 7-
---------- -
2XC Joys r
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NOTES: ALL DEC k _ i1?iMIER[ /9L To -
flM�E � /'►'gTl/l�,a� 2ES'/STANCE i o __,
DECA91 O 2 13 E PRESS !/)ZE j'/?,EATEO
JUL-22-'94 FRI 11.:24 I2:t19LL5 LRKE PUD TEL PLO:206
M.
.ai.
• v ' phoae: ' � `7
Ibis WS A.ddre Bond.
State Lir:ense :.. . 'E*.p11VNoS , � •L'6 ty twurwwz-
D. Building Pcr�it �tapplicable):
Sids Sawar Permit 0 (if appticabl*
E. D commercial D s1, , di YOM" ...;a. ` .
multi=Family singtc Pstniir
1NSP&C!r0R:
❑ City Prcod . Xtility (PUD; GTE. WNG, CABLE, WATER)
O *Mt
INSPECTOR:
J
S, t or Coacrets tstt : � Size of that, X �_ H.. ChU,$
96
1'avemct,
APPLI
C.4Iv'I' 7CO jig AN IGN �: J .... f THY o1 hG'P4r�a i' ""1�v*s ar
INOialNITY: AADlteaiitHndanitonds es�d by hia 4Ww&+✓a to Ihia applteotion, agrees to AD enta or
rand or doaondwv1 wtutaaeuor, foreseen Or tlMNQeeal, tha0 Rb 4� ne4� against the CitY o! $Qw�bntit, or a+tY of ita " rate
atatau of wW utter '
etAp/oyow, Ind,�dLy' or ► of tbnued to the delenQe of any la8'at prod �,o+;A�a,td
AJVShirP AND �8fA7EfuALS FOR A ,p9JUDD OF ON Yid FOLWWIN .
"R Ftp TH6;INAL
r�►e coNTRACTOR !s R olYsraLrr troll s+oRFcnr
THE
CONT RA D ABC r4Ncs op rhrr WDAK. &S4'WTE'D R,ESTOAAT10w;FEES'ti�LL 8E AUD UNrtL rKS Nk;At• 9� 'ir�'1 PA7K'X
I9 pECT ON A D ACC F(? W CF AT WNIC(1 rA7f1:.* DEDIT Ott ciWDIT WILL ,9Fi PRkiaS ',D FOR I88UANC1 � %TA Pd1�AlVT.
n.
'Construodon drswiing of proposed work required, v7ith!,pelomit applacati D
A 24 hour notice is required �z iunepection; Pleiaea�oall the Min—A.e¢rint bivision; 77{� {]2�0.
Wank and ineterlal is to be,�nspectpd during.progre3s e.nd at completion.
Restoration is to be in Rocordance with- City Code$. .
Street ahell be kcpt dean At &U-9mes. En in"r.
Traffic Control. and Public Safety Shall be f n accordance with ovea rxI aterial p or to the end of the worlrj g day;
A).l street cut dittoes shall be peitchad with asphalt or City pp
NO EXCEPTIONS: b
1 haud read the, abou¢ statements and enders rand the permit requirements and the pink copy Of
tnopermu W; 8
auailaabd oat a m83 f r, PeCU0
. Date:
Sig natut¢:
(Con.trattor or Age t
CALL•DIAL-A-DIG PRIOR TO BEGINNING WORK
F,
. ,-a:,.:.•'�"r;���:rr;r.: s1E •ONLY
OR CITY t►
�i RIGHT OF WAY DEpOSTI'
APPROVED RYt f ,
TI61E AtJTBORIZED. VO1D AFTER DAYS AI$kUT?ri01`� F�E/PlJ2�ID xIt`
...,., .. r;. • . .•-
P% gg3T0RpTION FEE'4-
gpgClAi CGNDITIOIdS: d�� •5:,,. ,�•.,•. ,;;�� x � "'r -
:. b • ,+;rr ,,c PERMIT`T�e
. .
TOT
AL.F•E /
RECRIPT FUE:
COMMENTS! .�---�
ISSUED ITY:
NO WORK SHALL BEGIN PRIOR 5O PERMIT ISSUANCE ►:nIRW (1i., iYal
..................._.......District
City of Edmonds ---Water Departm'
en
TAP CARD
DardPDAIDSEP 1 6195�.
No.-..-.................--....... Tap No
Meter
Size.. ............................ Size.-...............-...........
...........
Mfgrs. ........... ........ St* ................ .... . ................... . .
. .................................................. . ............................................................. . ....... : . ...........
LotNo ........................................... Blk. No
Add................................. ......
Service Location
..........
.............................................................................................................. .....................
Meter Location .
................................................................................................................. . ....... . ..............
MakeTap ....................................................................................................
....................................................................................................... . ....... . ....... . ..........
Pressure.............................. lbs. Test...........................-........ %
Send Bills to
......................................................................... ................................
;/ ..........
Date of Wor 5_1
............................... .......................... Foreman
Guar. Voucher No ........................................... $ ................................... . ...
Remarks: ......................................................................................................
........................................................................................................................ .. . ............ .
............................................................................................... ................. ......... ..............
.................................................. . ......................................................................................
.................................................. ....................................................................... . ...........
.................................................................................................................. . ....... . ...........
................................................................................................ . ....... . ....... . ....... . ..............
........... ...... ........................................... . ......................... . ....... . ..............
.........................................................................................................................
OUTGOING Index .......... Reg ....... Route Bk ......... Stencil. ..... Card..... —
INCOMING Index .......... Reg ....... Route Bk ......... Stencil.... -Card...-...
I -
M ,rial Chargeable to Installation N1/--"'`rs
NO.
SIZE
... ...
DESCRIPTION
Meter ...............
Meter Box Z`................
RATE
AMOUNT
�.__...
------
........2J
o a
.._..
....................•-•_.
Meter Plate ............................
..............
.............
..........
----••---
..........
Check Valve ..........................
..............
.._.........
............ -
.........
Pipe, Galv. Screw .....------ ------
--------------
-•-----------
--- ------
Nipples
•----------
..........
Bushings -----------•---•----••--•------•--
••---------...
.............
..........
..•-•----......
..........
Plain Ells .... ...........................
..............
--•._......_.
..........
..------....
..........
St. Ells -------------------------------•-•--
-----••-----.
..........
Tees -----------------------------------------
------•-
...............
•-----••----
...........
..............
.............
...............
.........
..........
..........
......................-
cl
....................... ._ _.
----------•••---.....................................
• ----------
•--------------
------•
.......................
'----------
•-•----••-
__________
Material Chargeable to Taps Connected
NO. SIZE DESCRIPTION
RATE
AMOUNT
..............
._.._ ....
Pipe, Black Screw ..............
..............
.........••••
..........
..............
..........
Pipe, Galv. Screw ..................
...............
.............
.........
..... .........
Lead Connections ..................
Curb Cocks
------•--•---•
.•----- ......._._:
..�
•-- -
._..._••---•----•-•------
Corp.Cocks --------------------•-•---
.........._
-•-..._
..............
..........
Unions ---•----------------------------•-•-
............
_.._.
..........
.............
..........
Saddles ............... .................................
........... ............
....---•••..............
Nipples ....................................
...............
..---.......
.........
...............
.........
Bushings ----•--••-•------------------ =-...._.._...----•
............
..........
...............
-----•-•--
Plain Ells ................................
............
...................
..............
..........
Street Ells ._...--•--•------•-•---•....
......I .......
.............
..........
-•----
..........
Tees ..........................................
..............
............
... I•--•••
--------------
..........
Curb Boxes .............................
------••---•--
-----------
..........
--••-•-•-_.....--••••_._
S. O. Extensions ....................
---•---- ---••
............
---------•
.....--------------------
Gates ........................................
••--••-----••
----•---••-•
••-•-......
--•
_.._�.............e!.
f..
Plugs __._._... ....... ..............
Couplings ._.��. �,1-!:_.__..._.--------------
..•--•-•-----
------..._..
.........
.
`f...
...............
..........
Gate Boxes ............................
..............
.............
•.........
..............
..........
.-_. y ....
......
...........................................................
.........
•---••-_......
..l.Q.
.............
U G- .
........
.........
..............
-•--•
-..•.......................................................................•---._..I
......................................................
-••------
_
............
..........
...............
--------------
..........
...........................................................
....................................................................
Hours Time —Day Men ........
..............
...............
............
......._._ ....
..........
.............. ..
Hours Time —Monthly Men ..._.__.__._.._.
...../-�.3.2
-•
Hours Time
............
---
-•---•••-----.
..........
Superintendence ----- ...
.............
................
....
.........................
Total��.