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1108 9TH AVE S.PDFIIIIIIIIIIII 9919 1108 9TH AVE S z O w F- U 94 O v. Cf'tY OF EDMONDS_ J'cv Cp COMMUNITY SERVICES DEPARTMENTAv� RIGHT-OF-WAY CONSTRUCTION PERMIT 4.1 A. • Owner: �yWASHINGTON NATURAL GAS COMPANY B. • Contractor: eMercer St Mailing Address Seattld WA 98109 City State Zip STREET FILE' Permit No. Issue Date Name Mailing Address City State Zips State License Number Telephone Number C. • Address or Vicinity of Construction: 1108 9 Ave S Type of Work to be Done: Install new service D. • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects ❑ Commercial ❑ Multifamily M Utility E. • Pavement Cut: ® Y ElN F. • Size of Cut: 2 X 4 @ H2O APPLICANT TO READ AND SIGN INDEMNITY: Applicant 'understands, and ' by his signature to this 'application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or &4 ffi, tdon wha,sbev&r fors?eW& unforseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court cots;" and attorney( fee 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. • A 24 hour notice is required for inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times: • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I. understand the above and that this permit must be available at the job site for inspection purposes at all times. Signature: /%I,A Date:10/19/90-. Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: TVs/ Time Authorized: Void after ,A*1 Z��N da3cs. Special Conditions: fJ A PERMIT FEE: 3O , OCR Restoration Fee: f + 01 SROP71 ON F E F_ 43Z 00 Receipt No.: Fund III Fee: — Street Cut Dimensi RELEASED Date LL-_4 INSPECTED BY Date NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng Div March 19RQ FIELD INSPECTION NOTES (Fund III - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P. W.: Work Disapproved By: FINAL APPROVAL BY: o- ❑ YES ❑ NO Date: Date: Eng. Div. July 1983 APPLICATION for The City of Edmondi--" -- , ' 'E� �'ll SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS NEW No. .......................................... 108-01000 OWNER......... V.i.ctor..San.ders ---------------------------------------------------------------- CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ...... 1-TO& -- - --- ft4--Avenue ... S . ............... ................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAMEOF ADDITION .............................................................................. DYE TESTED ON SEWER JULY, 1972 Approved: DATE................................................ By ...................................................................... IL ide Sewer Drawing The City Of Edmonds"r "° EASEMENT NO- ---------------------_------_-_____-___- NEW CONSTRUCTION ❑ REPAIRS N LID NO-------------------.ASMT. NO. ------------------ E r� OWNER ----------------------------------------- CONTRACTOR---P4.45LS� J92k- `-1 QN PERMIT NO.-6pG7.G JOB ADDRESSLEGAL DESCRIPTION: LOT NO - -------------I ---------------- ------- BLOCK NO. ----------- rL-----------------. PWW-0001-11175 (REV-11/78) NAME OF ADDITION----Y�QS------ Fr -Fn�Tr-----tj:>ckI.rv(=l - ---------------------------- V4-0 1 Sq - i� I E Approved: .--) 7 DATE ...t2_..-A :mJ% ? ----- p n CITY OF EDMONDS PUBLIC WORKS DEPANT SIDE SEWER PERMIT FOR INSPECTION CALI& 775-2525 Ext. 220 Permit r40e _ 0 ° � `' Issue Date AJO V. It, PERMIT MUST BE POSTED ON JOB SITE *_ 1. Address of Construction 2. Property Legal Description (include all• easements) 4,.0p D L( ie12_� PIa+ op N Qs-h MCI'. 3. Single Family Residence (f" Multi -Family No. of Units Commercial 4. Owner and/or_.B.ui_1der, 5. Contractor & License 6. Invasion into City Right -of -Way: No k-'' Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (342-5344) before excavation). 7. Cross other private property: Yes No Easement required - attach legal description and county easement number. READ THE FOL.LOW.I.NG AND SIGN: a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. b. The side sewer contractor assumes full reponCULWH(WIRSach installation for one year`. 6� i �� A '� 6 �� ) C. Commercial establishment requires a minimum €V�( side sewer line. y Hk qO -562-647d. Side sewers ma not be installed closer than inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade. of 2% (1.15°) and maximum grade of 100% (450). f. No turn in side sewer greater than 45° (1/8 bend) is0allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsi4le=-fo-r.-•,right-of-way failure due to poor compaction of fill.`' k. Side sewer must be left uncovered until ected and approved by the City. C 1. Inspection during normal working hours only: Two (2) working days notice required. �`1 DATE: 4� PERMIT FEE i ] CONNECTION FEE: O . 44 1/,, erti=zy tnat 1 n-ave reaa and shall comply with the above DISAPPROVED"By: Date: By: Date: APPROVED By: j-1�,�,,� , Date: 1p � ®_ ,�94 * PERMIT T BE POSTED ON JOB SITE. r � A M M Natur _ Ga ANbftigmn6-WCayVarN -. Addendum to: City of Edmonds Permit Application Engineering Aide: Kerry Walsh Washington Natural Gas 622-6767 x2761 (42 V4) e �4 -zC) - main depth unknown ON Key: -s- sanitary sewer -w- water -g- gas c� water valve -� hydrant 815 Mercer St. (P.O. Box 1869), Seattle, WA 98111(206) 622-6767 v_ a q OF EDAfO St. 1 ENCROACHMENT PERMIT # N& - 4,04 RECORDING # 02000 tOZ70 // TOTAL FEE 164'0"' RECEIPT # Property Owner Name 1) ame �/L�e:5 Phone Property Owner Mailing Address 1499 Business Name (if applicable) ����`` Address of Encroachment �%_� BTU �S A/j'1 'eh < IvA ave-19 Tax Acct. Parcel Number 0l941 A/V AD% 4:1l Building Permit Number Describe type of encroachment and frequency of encroachment (i.e. Marquee for life of building, flower cart during summer months, etc.) '41VI-0 A-LZ&r.1 CRITERIA OF APPROVAL — As outlined per approved building permit or as follows if not associated with a building permit. Criteria is per City Codes and Regulations and failure to comply will result in a Civil Violation, Chapter 20.110. ➢ Must provide, safe pedestrian travel, maintaining a minimum of 48 inches in "clear zone".* ➢ Exterior light fixtures, banners and flags must be a minimum of 8 feet above City right-of-way. ➢ Must maintain clear landings on the exterior side of all required exit doors of 44 inches or no less than width of door, measured toward the street. ➢ No projection into alley of City right-of-way less than 20 feet in width, except when projection exceeds 15 feet above pavement surface. ➢ Cannot block illumination from City light fixtures or hang objects from poles. ➢ Architectural projections must be approved by ADB and conform to UBC standards with approved building .permit. ➢ Must maintain 3 feet of clearance around hydrants, standpipes, manholes, water meters, blowoffs, cleanouts and valves. ➢ Bistro dining tables and chairs must be in accordance with City Ordinance No. 3293. ➢ Merchandise racks, carts (espresso, flower), benches must not be located within "clear zone". ➢ Ramps require a separate building permit and must conform to UBC standards. *Clear Zone refers to an area 8 feet in height and 48 inches in width providing a level, safe walking surface (i.e. measuring 48 inches from edge of street tree grates or newspaper stands towardplace of business and from the ground up to a height of 8 feet). NOTES: Signature: Date: s IT IS THE RESPONSIBILITY OF THE PROPERTY OWNER TO INFORM ALL PRESENT AND FUTURE TENANTS OF THESE REQUIREMENTS 1044 1051 809 1062 . 827 1054 1061 Fc�e S�fZI�T ,No 1105 1114 q' 1109 ��GNC.rc. 'to 13 L 836 1108 Wes,-r p G CROP€ Ti+E 2.0. W. ID-n4 1123 1115 1124. 1125 Ld ,ONGn2 com S 10ilq( a C mn u,� 1128 1136 Q 125 1133 1134 1132 901 1131 1150 1140 1141 1 � 143 900 1146 11 1201 1149 � 1147 1154 •j 841 1160 v) v- CM �— Zoning and Vicinity Map E� El RL 2 �20� Attachment 1 File No. XXX-XXXX-XX t �D ���? BUILDING DEPT. City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 Critical Areas File #: Critical Areas Checklist Fee: $45.00 Date Received by Dev. S7M�2 City Receipt No: Date Mailed to Applicant: CRITICAL AREAS CHEC KLIST 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 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 Checklist 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 fill out the checklist, sign and date it, and submit it to the City. The 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 applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: art //z).!57 61- Street Address 17 City 9tate Zip Signature Date Applicant Representative: Name Street Address City State Zip Telephone Signature Date d:receptlort JanWCACLHandout.doc Revhwd 41IQ2000 CA FILE NO. CA-Zboo'_ BPS Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography./hydrology/vegetation) 1. Site Address/Location: .5 2. Property Tax Account Number:OC-9 / e!�� 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? yes; no. If yes;- how 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): Site contains areas of year-round standing water: ; Approx. Depth: 7. Site contains areas of seasonal standing water: ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? (What time of year? ), 10. Site is primarily: forested : meadow : shrubs : mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: S: thin 8esi`".s d<1artit'.06sfi��`iice:�'atidsl die l�,y.�� -:,.' :: �_�: �, � - .: �j.. 3 ..,.• to ....x.�........w..:...<•..... ...... .. '"'! X •��:��a.{j r" : s.��f`�s: +v<..,.:.• ..: •<.... S\•Tv 4.{•.Y,: •.d. I •• Vim• • wi'u� ta:.iu> .;.. ' }.biztireafa �`ciirti C :.{:»: _.::.(%;c'.: %:{...itcdesig ct.,.,.ii3<..<,.,�M.�...w.. ,...-....!I..>.1: 1 1b1519AMli!TATGJ`t, =M,; :;�;•:, ',:, ":.b=:s;y°:>":,�': ;t;,s°°{y¢ °'ss"�::i< 1 ,.�{i'—�'}..�T�—F �. xi. <r•':a r.^'.; �:s e:• .. �i`: •s .�c:�>.8`O••.. ;•y J•}.:i .+.. ;•}. t�iJ::A'✓+�• �{�j1}�i{eD��',r�.-�JyJ.A�� jy�'�f� 4�v;Y�,�•X'.:n!"':7 .{� . y.: ;;• • � 1.' G.,!�• � •(•�•,� yyJ 1y1.�_�<+t� ^ � �j],�, ; •... Y A<.,<� iiV•. n?:: .. .:. Tl::`l:�?•,,•,MiY.'RA.•'. A Ai•.If t: ,av<.:.' ..',y. :n'•.<i�•'w�•.+mar.i-�;• 1'a:{:.�`p NX C � :Y•.' •:SL`�2.V y'{�'•. (•M. {•}• �..• yGt`ri�S.., !: tip'.. .+ Y.•.•W,.,.(.••t1�1;:..Y}t.!�'.•'iCY1 ••��Vi�• :. i <{#. lei: P: .. 'wK`•W ••C::.: S } •.: \ , •Yi: • }: }S':1i71 M• :i�GNle. e{� Xe i..' j.< b �,•^•.' ` : `tn: y°•^,:::^?s? �! •..'w rc' ..'f • f ->:#yams - . r `;?' r ,�,.','., r'Y ;`ic �i v x - 0 4 °. �,:;Q�+c.K;R.,..• a.;, <.„ b:Y.• ti.�, �yn<'_ -"' •�? 1 A .7%:uaayF `.�f/• A����. r _, ' .'S <,%` ct•�'r.:::.^�::�^•.te'.y •x`.?r>.{`•�".•'0.,':i.,,4: •,e^`a::• �.f�,e, ...5.. •r.•.{.t.-:R. „:;.,, •?� ^.YA:•C''yl2.i. .}:•.. t. ��..%7}�a.{r•.;:b.wt...V..•J'•.=f1..Y9{:.i.n.:.e::»+t ...'Ft2`•tE'.1.:A: +'a dk.dK Rw IQWM City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 Critical Areas File #: Critical Areas Checklist Fee: $45.00 Date Received by Dev. Serv: Dept:-i-a$4= City Receipt No: / to .q&7 Date Mailed to Applicant: CRITICAL AREAS CHECKLIST 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 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 Checklist 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 fill out the checklist, sign and date it, and submit it to the City. The 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 applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Street Address City 9tate Zip Telephone Signature Date Applicant Representative: Name Street Address City State Telephone Signature Date Zip d:receptlonlarWCACt.HandoW.doc Revised 4 io/2000 � p r -2 CA FILE NO. U J -Zoo o• [.J Critical Areas Checklist -------------------------------------------- Site Information (soils/topography./hydrology/vegetation) 1. Site Address/Location: _ _��f%� ` aj� 5- Jam' 2. Property.Tax Account Number: 9/ 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? yes; no.. If yes; how 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: ; Approx. Depth: What season(s) of the year? 8. Site.is in the floodway floodplain of a water course. 9.• Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? Flows are seasonal? (What time of year? ), 10. Site is primarily: forested : meadow ;shrubs : mixed urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: , Sidiy't}ti�t 8'esi iiaegeartfiu6si 8edee:afzdslde li$ `area _ "%` :f.:< : _ �'., , :;<:; :;ti.x? z•.. } . I I'• ti 1. •.t ..� .cltIl, Rfa+:enicv•... {':>';:.:. S!JX '} ";<}:>^;::•.' OS; .♦ .. H♦ v+.. a. ':.+ ..w y,N..v k�.x,n .; :,•:.: w+.V:...M,+..w..,. ,.. v.. .. ..:/.".:Y: .. n..•... r' ;-'I~�• I 11 I T�T�I��••I't�1' JblsZ`:ERk[iiA`'Y'DiAifi: t: M t; . > :u �:. :. - , . • _ ::� ; r<<' ,. , ��t.•'<Ys+:"r^`'i�ri•d.: .. '`Q': .'-0:•:t'. '};S>:•'•• ?#'�:.vµ r '�. +:iµy; ,3:3 r. .5 <�•L:;S,, ;< :. .. t_:y. .71l7..��--{�,y),}��,1�E,�f��.1'•�����yy►yr��'•��..FF}}''►►< yy11{��{ .�: •'.i :.ili•�" } ;K' ':p��i.�:•:i�•_':3 w.+t > < ♦ ��:'i ,++.•:t.n:..+.�:-tj r.`•li�.,;�.µ'�C'yf'C�`v:.n�r:+••..s. .': �::i•.�'�f:F�:�: fi .C.s •:}. "�4 t?. 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'F ` Aa td:kdog Mr JQWMJ CERTIFICATE OF INSURANCE This certifies that ® STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name of policyholder Victor A. & Vesta E. Sanders Address of policyholder Location of operations Description of operations 1108 9th Ave South, Edmonds, WA 98020 same Homeowners The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date ; Expiration Date LIMITS OF LIABILITY (at beginning of policy period) Comprehensive BODILY INJURY AND Business Liability PROPERTY DAMAGE This insurance includes: ❑ Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ ❑ Personal Injury ❑ Advertising Injury General Aggregate $ ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ® Operations Aggregate El EXCESS LIABILITY POLICY PERIOD Effective Date Expiration Date BODILY INJURY AND PROPERTY DAMAGE (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employes Liability Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Effective Date ; Expiration Date LIMITS OF LIABILITY (at beginning of policy period) 97-58-8039-2 Homeowners 05/06/00 05/06/01 $100,000 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE ANn NFITHFR AFFIRMATIVFI Y NOR NFrATIVFI V AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 60 days before cancellation. If however, we fail to mail such notice, Name and Address of Certificate Holder no obligation or liability will be imposed on State Farm or its agents or representatives. 41-4—t coo Signature of Authorized Represe tive AGENT 10/05/00 Title Date Agent6odti 'INS 558-994 a.3 04-1999 Pruned in U.S.A. tie When recorded mail to: City Clerk City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 CONFORMED COPY 200010170114 ' 10: 59 AM Sno P.0003 RECORDED County SPACE ABOVE THIS LINE FOR RECORDER'S USE Assessor's Parcel No.��1 ao Project No. & Name: Right -of -Way Permit No. ENCROACHMENT AGREEMENT This ENCROACHMENT AGUEMENT ("Agreement') : is entered into between the CITY OF EDMONDS ("City") and llLg�,-'Mo 4s2z-5 ("Owner"), in accordance with Chapter 18.70 of the Edmonds Community Development Code. 1. The Property. Owner is the owner of that certain real property located at, _Jja within the City of Edmonds, Washington, Assessor's Parcel Number 604W AW A% l ez✓ , and more particularly described in Exhibit "A" attached hereto and incorporated herein by reference, 2. The Easement. City currently owns an existing easement over, under, and across Owner's property for which easement is described in Exhibit `B" attached hereto and incorporated by reference. 3. The Encroachment. City hereby covenants and agrees and grants its permission to Owner to allow7i,�Ge� - to remain in a portion of the r- a p, L easement. A plat showing the location.of the encroachment is attched as Exhibit "C" attached hereto and incorporated by reference. This Agreement is subject to the following terms and conditions: a. The encroachment shall be installed and maintained in a safe and sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in interest. b. The Owner shall agree at all times to indemnify and hold the City free and harmless from any and all claims, demands, losses, damages or expenses resulting from the construction, maintenance, use, repair or removal of the structure installed hereunder, including - 1 - bi any loss, damage or expense arising out of (1) loss or damages to property and (2) injury to or death of persons. C. The Owner must remove or relocate any part of the encroachment within ten (10) days or such other time as specified in the notice after receipt of it from the City Engineer, or the City Engineer may cause such work to be done and the reasonable cost thereof shall constitute a lien upon the property. d. Whatever rights and obligations were acquired by the City with respect to the easement shall remain and continue in full force and effect and shall in no way be affected by city's grant of permission to construct and maintain the encroachment structure. 4. Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes and replaces all other agreements, oral or written, between the parties with respect to the subject matter. 5. Notices. Any notice which is required or may be given pursuant to this Agreement shall be sent in writing by United States mail, first class, postage pre -paid, registered or certified with return receipt requested, or by other comparable commercial means and addressed as follows: If to the City: City Engineer City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 �. • u.0 which addresses may be changed from time to time by providing notice to the other party in the manner described above. 6. Waiver. City's consent to or approval of any act or omission by Owner shall not constitute a waiver of any other default by Owner and shall not be deemed a waiver or render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver by City of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of the Agreement. 7. Successors and Ass ma. This Agreement shall be binding and inure to the benefit of the parties hereto and their respective legal representatives, successors, and assigns. -2- Owner agrees to incorporate this agreement by reference in any subsequent deeds to the property, but any failure to do so does not invalidate this provision. 8. Capacity. Each party represents that the person(s) executing this Agreement on behalf of such party has the authority to execute this Agreement and by such signature(s) thereby bind such party. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this .,42 day of 41#h ,� v' , 20A0 OWNER: CITY EDMO By: By: Don Fiene, PE Acting City Engineer STATE OF WASHINGTON COUNTY OF SNOHOMISH This day, personally appeared before me, Vj cfc)r A . Sah 6ty\C, , to me known to be the person who executed the within and foregoing document and that, hy , signed the same as his free and voluntary act and deed for the uses and purposes therein mentioned. DE RA L. KARBF_R NOTARY PUBLIC STATE pp WASHINC3T©N CpMp.418SION EXPIRES APFtIL A, 2003 O&M M L4, Notary Public zeb-6- L. Typed or Printed Name My Commission expires: 4 " 9 ,U 3 C:Vdy DoeumemalEngsecTORMS1&croaehAgme.dw — 3 — When recorded mail to: City Clerk City of Edmonds t 4 121 Fifth Avenue North Edmonds, WA 98020 tlld- noh Pish .0003 2AE�owoEo Coun14 ty SPACE ABOVE THIS LINE FOR RECORDER'S USE Assessor's Parcel No. Project No. & Name: Right -of -Way Permit No. ENCROACHMENT AGREEMENT This ENCROACHMENT AGUEMENT ("Agreement") is entered into between the CITY OF EDMONDS ("City") and d �'�"1� ("Owner"), in accordance with Chapter 18.70 of the Edmonds Community Development Code. 1. The Property. Owner is the owner of that certain real property located at, 1 l� �� within the City of Edmonds, Washington, Assessor's Parcel Number /9y 15W gV , and more particularly described in Exhibit "A" attached hereto and incorporated herein by references 2. The Easement. City currently owns an existing easement over, under, and across Owner's property for which easement is described in Exhibit "B" attached hereto and incorporated by reference. 3. The Encroachment. City hereby covenants and agrees and grants its permission 17 to Owner to allow to remain in a portion of the L _ io 416-0-T- &F- Weasement. A plat showing the location of the encroachment is att ched as Exhibit "C" attached hereto and incorporated by reference. This Agreement is subject to the following terms and conditions: a. The encroachment shall be installed and maintained in a safe and sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in interest. b. The Owner shall agree at all times to indemnify and hold the City free and harmless from any and all claims, demands, losses, damages or expenses resulting from the construction, maintenance, use, repair or removal of the structure installed hereunder, including - 1 - any loss, damage or expense arising out of (1) loss or damages to property and (2) injury to or death of persons. C. The Owner must remove or relocate any part of the encroachment within ten (10) days or such other time as specified in the notice after receipt of it from the City Engineer, or the City Engineer may cause such work to be done and the reasonable cost thereof shall constitute a lien upon the property. d. Whatever rights and obligations were acquired by the City with respect to the easement shall remain and continue in full force and effect and shall in no way be affected by city's grant of permission to construct and maintain the encroachment structure. 4. Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes and replaces all other agreements, oral or written, between the parties with respect to the subject matter. 5. Notices. Any notice which is required or may be given pursuant to this Agreement shall be sent in writing by United States mail, first class, postage pre -paid, registered or certified with return receipt requested, or by other comparable commercial means and addressed as follows: 13iit�.T�•� City Engineer City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 which addresses may be changed from time to time by providing notice to the other party in the manner described above. 6. Waiver. City's consent to or approval of any act or omission by Owner shall not constitute a waiver of any other default by Owner and shall not be deemed a waiver or render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver by City of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of the, Agreement. 7. Successors and Assigns. This Agreement shall be binding and inure to the benefit of the parties hereto and their respective legal representatives, successors, and assigns. Owner agrees to incorporate this agreement by reference in any subsequent deeds to the property, but any failure to do so does not invalidate this provision. 8. Ca aci . Each party represents that the person(s) executing this Agreement on behalf of such party has the authority to execute this Agreement and by such signature(s) thereby bind such party. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this day of 4Q426©1 -- 200 —. OWNER: CITY EDMO By: C By; Don Fiene, PE Acting City Engineer STATE OF WASHINGTON COUNTY OF SNOHOMISH This day, personally appeared before me, V1 C±Gr 5GOh cl-f V\C, . to me known to be the person who executed the within and foregoing document and that h v ,, signed the same as his free and voluntary act and deed for the uses and purposes therein mentioned. NDEBRA L. KRBER NOTARY PUBLIC IC STATE OWASHINGTON CORISSION EXPIRES APRIL 0. 2003 Notate Public 0 ebfa L- Va � 6R r Typed or Printed Name a My Commission expires: 4 ` 9 -U 3 CAMP Docmcnu\Fngscc\I:oxMs\EnQoachAvm.aoc — 3 - 1 0 1. � s .:f DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWN R NAME/NAME OF BUSINESS !d Tde MAILING ADDRESS CITY ZIP TELEPHONE A!g 9gzwr 7 7;?— NAME' '/ -p�-� PERMIT EXPIRE H L)U USE PERMIT ZONE_TOO NUMBER JOB K c� SUITE/APTp ADORES)/D q,e L/ �j� ADDRESS cc CITY ZIP TELEPHONE NAME tx ADDRESS O U Q Q • i CITY ZIP TELEPHONE O U STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY J PROPERTY TAX ACCOUNT PARCEL NO. Q t7 W 1 J NEW RESIDENTIAL ❑ PLUMBING / MECH ❑ AUDITION ❑ COMMERCIAL COMPLIANCE OR ❑ CHANGE OF USE ❑ REMODEL ❑ APARTMENT ❑ SIGN ❑ REPAIR GRADING FENC 1 I ❑ CYDS ( �' X 1 2D FT) F ❑ DEMOLISH,.' r" f�r:Q :" TANK ❑ OTHER ❑GARAGE CARPORT RETAINING WALL,' RENEWAL z O ROCKERY a (TYPE OF USE BUSINESS OR ACTIVITY) EXPLAIN: cNUMBER % { NUMBER OF DWELLING CRITICAL AREAS OOF STORIES ( UNITS JJJ .. IV� NUMBER DESCRIB 14 O,XIE DONE LE � HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK O: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. 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 SEE BACK OF PINK PERMIT FOR MORE INFORMATION rn APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND a ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY c FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE J DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- f PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED REQUIRED DEDICATION FT TESCP Approved 0 RW Permit Required 0 Street Use Permit Req'd 0 Inspection Required IJK Sidewalk Required 0 Underground Wiring required 0 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE S ENGINEERING REVIEWED/DATE "ma 1�" A. a, - - 1V FIRE LEVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADBN INSPECTION REQ'D YES ❑ NO I BOND POSTED SEPA REVIEW COMPLETE EXEMPT EXP SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED I PROPOSED 1 (a LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT L/R SIDE REAR PARKING REQ'D I PROVIDED LOT AREA P=IE�W DATE /OwIZ-oo REMARKS - CHECKED BY TYPE OF WNSTRUCTION "J 1. CODE OCCUPANT y� Al GROUP �/ " SPECIAL INSPECTOR AREA REQUIRED ❑ YES OCCUPANT/, LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D VALUATION FEE PLAN CHECK FEE BUILDING �O PLUMBING MECHANICAL GRADING/FILL STATE SURCHARGE f% ENG. i/40 ym ,/' / lj ENG. INSPECTION FEE LA I G I Ib F.- PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE RECEI � � 1-7 GQ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S NSATION INSURANCE AND RCW 18.27. OFFICI N D E SIGNATUR (OWN�G % ; I� DATE SIGNED (425) -� 771-0220 —R7LEASEf BY bAfE ATTENTION EXT1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI 771-.022 1 ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK •OWNER GOLD -ASSESSOR s/98