Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
1200 6TH PL S.PDF
lill Iiiiiiii 5468 1200 6TH PL S ADDRESS: )41 TAX ACCOUNT/PARCEL NUMBER: W-731A 00010100 BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) IS- hw15 CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): 5LD24mi-U072., (DfgXL6jjuf.12�,P( PLANNING DATA CHECKLIST DATED: 4511 b-T SCALED PLOT PLAN DATED: I ILy IO�I SEWER LID FEE $: LID #: SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED: OTHER: LOT: BLOCK: LATEMPIDST's\Forms\Street File ChecklisLdoc (SLOT OLAW lvotiunQ in ibis rmit ap terpreik as a1lo 'ng or •t4 'ntenance of any rrently onconforming or un rmitted r site condition whi outside ermit application, regar eta of v uilding, structure or con isite ppIan or dravnnng. Such ' dir c�ondition may be the subject a IPmforeement action." APPROVED BY shall be the T stfuc�urer Zone — orner_ Flag_ backs red - / No rLTH scope of the her such f �} wn on the Front aawture or $' s Rear Other P. `� i}o1,gEOW�t£RS� Y/ Cps'�Of� _. N " �1� ..,use- be. / qrz 12-0`' _� tSrItJG— OGc� 9 Jam..... - p20Ao5C S i Dc WAL-K. loTu PL&C.G SO. (.PfZl VATE ..CL10. APPROVED 31=-0" c L.0 6 rtOtJS Z: • pEc-�C.- 4 Si C-L STREET A LO-T I eQ'A PLAGC 1A01-4 Edwr S' Assoc. 1 q0" -'o ipRpp Lim ..Je RECEIVED JAN 2 4 2007 RS Avca W04- BUILUINu UEF.AAT)AE;NT :Z> ZAfl gxYi GTV OF EDMONDS -t+m):w u `{I E it ,) ill 5 44 EL2T I o F S PLANNING DATA STREET FILE SINGLE FAMILY RESIDENTIAL Name: t` l Nl I 4ce Vc4vow/1 v-TI Date: 6-1t 7 Site Address: 1 2 OO , 6 "'l ac Plan Check #: Z�C�'� _ OS 6 Project Description: Ap tQ, q 3 d C ��►' n �r n� c Ova �l"�Q -1 °f Reduced Site Plan Provided: (YES �i"� Zoning: �b Map Page: 103 Corner Lot: (YES / NO) IVA Flag Lot: (YES / NO) Critical Areas Determination #: ❑ Study Required Arwaiver SEPA Determination: Lff Exempt LI—Needed (for over 500 cubic yards of grading) ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks, Street: ( 4� D� Side: Q n Side: ( Rearo -i Actual Setbacks Street: Side: Side: Rear: ❑ �P (Q� �x%s �%� c� 1,9L 4ofj NF—ca rn -P — �� IM 1-- ces r / �1 J qA ct 5' /V ep O q35 0 S- t CGl o h ❑ indows/Projecting o "on: rs ec - - C Buildin Height Datum Point: • Datum Elevation: Maximum Height Allowed:-- Actual Height: Other Parking Required: Parking Provided: Lot Area: Area: Maximum Lot Coverage: 35% Proposed: Lot Coverage Calculations:— ADU Created: (YES / NO) �- Subdivision: _--- Legal Nonconforming Land Use Determination Issued: (YES / NO) Comments Plan Review By: Panning Data Form o4-11-06.doc ~ PLANNING DATA SINGLE FAMILY RESIDENTIAL 11 STREET FILE Name: M `me- S G , Date: Site Address: taoo_ C Plan Check #: Q 7- Project Description: F2eP�z.ce �xZeik C\ 1©' x 50� c�e�� c�� c:-UJNoe,�e_ c--.) 1z,,-- \er to' x , V o%�. Reduced Site Plan Provided: YES / NO) Zoning: Map Page: 10 17Corner_Lot: (YES / Flag Lot: (YES / NO Critical Areas Determination #: Gorr. oc� ❑ Study Required ❑ Waiver SEPA Determination: Exec,, Exempt ❑ Needed (for 500 cubic yards of grading or site within 200 feet of Puget Sound or Lake Ballinger) ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks'.. Street: Side: C Side: Rear: Actual Se s; ...: . Street: Side: ` Side: IVe D ec w: R2w.: C\n ❑ Detached Structures: ❑ Rockeries: ❑ Fences/Trellises: e_ S\,0c--." ❑ Bay Windows/Projecting Modulation:3 t Stairs/Deck: S o Buildin Height Datum Point: Datum Elevation: Maximum Height Allowed: Ck C Actual Height: Other Parking Required: Parking Provided: NO Lot Area: C Maximum Lot Coverage: 35% oposed: Lot Coverage Calculations: ADU Created: (YES /@D Subdivision: Legal Nonconforming Land Use Determination Issued: (YES Comments g17e rl,vcNC,c�°�' V Plan Review By: Planning Data Form 04-11-06.doc EDOti STREET 0 CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS,WA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 Inc, i g90 STATUS: APPROVED Permit Number: ENG20070581 Address of Public Use/Encroachment: 1200 6TH PL S, EDMONDS ELM PLACE HOMEOWNERS ASSOC 7810 228TH S W EDMONDS, WA 98020 ENG20070581 7th Ave S. Fence Posts are 9ft w/in ROW, Fence Posts at 6th & Elmcomer are approaamately 9 -10 ft w/in ROW, and sign on 6th Ave is in ROW. STREET USE: Placement of any temporary or movable objects in any portion of public space or City right-of-way shall meet all code requirements as set forth in the following chapters of the Edmonds Community Development Code. ENCROACHMENT. Permanent structures encroaching upon any portion of public space, City right-of-way or easement area shall meet all Code Requirements as set forth in the following chapter of the Edmonds Community Development Code. CODE APPLICATION. Chapter 18. 70, 17.65, and 17.70.040 of the Edmonds Community Development Code. All terms of the adopted ordinance are incorporated herein as if set forth in full and this permit therefore is subject to the terms of those chapters. FOR THE TERM IN WHICH THIS PUBLIC USE/ENCROACHMENT IS IN EFFECT, THE OWNER SHALL COMPL Y WITH THE PERMIT CONDITIONS SET FORTH BY THIS PERMIT. NOTE: The issuance of this permit is understood by the owner to be of a temporary nature, shall vest no permanent right and shall be issued and may in any case be revoked at the sole discretion of the City per ECDC 18.70.040. Applicant is responsible to provide a copy of the insurance certificate to the City at the beginning of each calendar year, no later than the 21st day of January. INDEMNITY: The Applicant understands and agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or 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, court cost, and attorney fees by reason of granting this permit. In addition, the applicant understands that he/she shallprovide and continually maintain during the term of the permit a ceritificate of insurance naming the city as an additional insured, with respect to liability, and providing that it shall be primary as to any other policy of insurance. THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. Printed: Friday. December TE FQECOPY F� INS PECCORCOPY APPLICANT COPY C� 0 STATUS: APPROVED ENG20070581 • The proposal will not adversely impact public space open to vehicular or pedestrian travel. • Architectural Design Board Approval has been granted or the process has been adnrinistratively approved. • The proposal will not unreasonably interfere with the rights of the public. • The proposal either benefits the public interest, safety or convenience (e.g., supports or protects the city street) or is an accessory structure such as fence normally associated with residential use of the property as fully complies with the requirements of criteria 3 above. None 12-00 ► S • When recorded mail to: City Clerk City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 CONFORMED COPY 200711260810 6 PGS 11 /2612007 419 m145.00 SNOHOMISH COUNT �f , ASHINGTON Smlt7flLf SPACE ABOVE THE LINE FOR RECORDERS USE Assessor's Parcel No.: CO -13(0 '4Cyo 1 o loo Applicant: Elm Place Honieowners Assoc: ENCROACHMENT AGREEMENT This ENCROACHMENT AGREEMENT ("Agreement") is entered into between the CITY OF EDMONDS ("City") and the Elm Place Homeowners' Association G'r¢. N+ p {"Owner[s]' ), 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 1200 6th Place South within the City of Edmonds, Washington, Assessor's Parcel Number o0-13u ,$coo 101 00 and more particularly described as floc& 7a2 7 At R3 as described in Exhibit "A" attached hereto and incorporated herein by reference. MW 2. The Easement. The City right -of --way adjacent to owner's property or an existing easement used for (strike those that don't apply) [street, xn>c> �at�K�ea�an�uentyx�t���g>+�>o�.t>�ax 3. The Encroachment. The . Owner desires to encroach upon the public easement and the City hereby covenants and agrees. and grants its. w permisgion to Owner to allow 1) the fence on 7th Ave.. S.. and the fence posts forming a.corner at the intersection of 6th Ave.. E. and Elm. St;.2) 6th Ave S sa;ggo remain in a .portion' of the City right-of-way/easement. A partial site plan, scaled 1"=20', showing the location of the encroachment is attached as Exhibit `B" and incorporated by reference. This Agreement is subject to the following terms and conditions: -1 of4- a. On behalf of themselves, their successors and assigns, the Owner promises to maintain, repair, remove and/or replace the encroachment located in the easement at their sole expense to the standards established by the City. All maintenance, repair, removal and/or replacement shall be conducted solely at the Owners' expense. b. The Owner, on behalf of themselves and their successors and assigns, acknowledge that the City had no obligation to approve the encroachment within the easement for the sole benefit of the Owner, and the agreements contained herein, provide sufficient consideration for the Owner and their successors and assigns to maintain, repair, remove and/or replace said encroachment located in the easement at their sole expense in perpetuity. c.. The Owner promises to indemnify and hold harmless the City, its officers, agents and employees from any loss, claim or liability of any kind or nature arising from or out of its promises contained within this agreement, including any damage that may be caused to the encroachment by the City's operation, maintenance, repair, replacement or other work related to construction activity within the easement This promise to hold harmless and indemnify includes defense by counsel of the City's choosing, the payment of reasonable attorney's fees and court costs. Nothing herein, however, shall be interpreted to require the Owner to indemnify the City from the negligence or intentional tortuous act of its employees, officers, or agents. d. The Owner shall at the request of the City, promptly remove, repair, reconstruct, and/or replace the encroachment at the Owners' sole expense. Upon receipt of notification from the City that the City requires removal of all or portions of the encroachment from within the easement, the. Owner will promptly remove those portions of the encroachment from within the easement area as required by the City at their sole expense. If the portions of the encroachment required by the City to be removed are not timely removed by the Owner;. they shall be removed by the City at the expense of the Owner, and the Owner shall reimburse. the City- for the costs of removal of the encroachment and disposal of 'materials as well as for any increased construction costs or consequential damages incurred by the City.due to the Owners' delay. In the event. that -portions of. the encroachment must be. removed to facilitate utility and/or construction. activity by the City within the easement or other requirements of the City; the Owner shall be solely responsible for replacement of the encroachment at their. expense upon completion of the utility and/or construction or other activity by the City. . e. 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. -2of4- f. The property owner is required to provide and continually maintain during the term of the permit a certificate of insurance naming the City as an additional insured, with respect to liability, and providing that it shall be primary as to any other policy of insurance. A copy of the insurance certificate shall be provided to the City at the. beginning of each calendar year, no later than the 21" day of January. 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. This agreement may not be amended except in writing in a document filed of record with the auditor of Snohomish County, Washington. 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 Cites City Engineer City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 If to the Owner: Elm Place Homeowners' Association 1200 6th Place South Edmonds, WA 812020 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-Aefault concerning the same or any other provision of the Agreement. 7. Termination of Agreement. In addition to any other remedy provided for by law, the City reserves the right to terminate this agreement .in the event the encroachment negatively .impacts or damages the City's easement and/or underlying utility systems or violates any condition of service adopted by the City, at its sole discretion, as may be necessary to prevent damage to the City's utility system, or any other public facility which .may be impacted by the Owners' failure to properly use the easement. 8. 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. -3of4- 9. Capa6ty. 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 24th day of April , 2006 OWNERS): By. y By: WARREN "PAT" PATTISON, Vice -President Elm Place Homewoners' Association STATE OF WASHINGTON ) COUNTY OF SNOHOMISH ) This day, personally appeared before me, Warren "Pat" Pattison , to me known to be the person(�,)cwho executed the within and foregoing document and that (he/she/they) he signed the.same as (his/her/their) his free and voluntary act and deed for the uses and purposes therein mentioned. S`if If IS# N96ry Public f ."' Jan Bush Typed or Printed Name 7► S.06-0 P /j �G My Commission expires: May 6 , 2008 O11WASN���``` CIT LIM -4of4- Legal Description: That portion of the northeast quarter of the northwest quarter of the southwest quarter of Section 25, Township 27 North, Range 3 East W.M., described as follows: Commencing at the northeast corner of said northeast quarter, thence N88`21'27"W along the north line of said northeast quarter, 320.48 feet to a point 7.5 feet east of the west. line of the east half of said northeast quarter, the True Point of Beginning; thence continuing N88031'27"W 198.47.feet; thence S30°45'47"W 34.38 feet; thence N88*31'27"W 34.44 feet; thence S25003'25. W 52.10 feet to the point of curvature of a curve to the. left whose radius point bears S64'056'35"E 455.00 feet; thence along the arc of said curve 190.59 feet, consuming a central angle of 24000'00", to a point 25 feet east of the west line of said northeast quarter; thence S1 0'03'25"W parallel with the said west line, 56.74 feet to the point of curvature of a curve to the left whose radius point bears S88°56'35"E 15.00 feet; thence along the are of said curve 13.62 feet consuming a central angle of 52001'12", to the point of reverse curvature of a curve to the right whose radius point bears S39002'13W 50.00 feet; thence along the arc of said. curve 108.70 feet, consuming a central angle of 124*33'45", to a point 15 feet east of the west line of said northeast quarter; thence S1 003'25"W parallel with said west line, 244.63 feet to the south line of said northeast quarter, thence . S88'030'11"E along said south line 320.81 feet to a point 7.5 feet east of the west line of the east half of the said northeast quarter; thence N1 001 `44"E parallel with the west line of the east half of said'northeast quarter 265.21 feet; thence S88030'11"E parallel with the south line of said northeast quarter 290:68 feet to a point 30 feet west of the east line of said northeast quarter; thence N1 000'02"E parallel with the east line of said northeast quarter 281.49 feet to a point 117 feet south of the north line of said northeast quarter, thence N88°31'27"W parallel with the north line of said northeast quarter, 150.78 feet; thence NI000'02"E parallel with the east line of said northeast quarter, 97.00 feet to a point 20 feet south of the north line of said northeast quarter; thence N88031'27"W parallel with the north line of said northeast quarter, 139.71 feet to a point 7.5 feet east of the west line of the east half of said northeast quarter; thence N1001'44"E parallel with the west line of the east half of said northeast quarter, 20.00 feet to the True Point of Beginning. TOGETHER WITH that portion of the west 15 feet of said northeast quarter, as vacated by Ordinance No. 2158, recorded on September 15, 1980 under Auditor's File No. 8009150176, which, upon vacation, attached to said premises by operation of law. All situatein the County of Snohomish, State. of Washington. EXHIBIT A ELM--P:LACE- A PLANNED RESI`DEN rAL DEVELOPMENT POR. OF NW 1/4 SW 1/4 S EC,25, T.27-N., R.3 E.,W.M -EDMONDS•; WA,f-ry'IN'G'TO-N- w •_s 6e•31,z7" E 635198.47 .97 EL /%>' S;r. r� stet 9;84 NI t39 71 N f 32 00 i 1s87 �^c •34945-•• TRACT 102 N iso.7B —� 60.00 . 'a5 0at 7" 0! 93.94 5z.6z $ I 21 0.. .4 .32 /a 4 20 19 S0. 22WIN ?_ 3Q vi /- \�'�a J� , ro• �� 18 -.-_ a S 18�31.27=E Is0.7! ' B'SI•t7 E _- - lr� u CERTIFICATE OF INSURANCE RECEIVED *g *9 This certifies that IVSTATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois insures the following policyholder for the coverages indicated below: Name of policyholder ELM PLACE HOMEOWNERS ASSOCIATION Address of policyholder Location of operations Description of operations 1200 6th P1 S Edmonds, WA 98020-4615 Same homeowners association JAN 0 4 2001 Y C ffTYY OF iroaVt�OIiIDS CTR. 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 PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy period) g 75 8267-1 G Comprehensive 1 / 01 / 01 1 / 01 / 2002 BODILY INJURY AND PROPERTY DAMAGE Business - ---- -----Liability..------- ---------- -------------------------------------------------- This insurance includes: ❑ Products - Completed Operations ❑ Contractual Liability 1,000,000. ❑ Underground Hazard Coverage Each Occurrence $ ❑ Personal Injury ❑ Advertising Injury 2, 000, 000. General Aggregate $ ❑ Explosion Hazard Coverage Products - Completed 2 000, 000 . ❑ Collapse Hazard Coverage $1 Operations Aggregate $ ❑ General Aggregate Limit applies to each project EXCESS LIABILITY POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE Effective Date Expiration Date (Combined Single Limit) 3 06 0918-0 F Umbrella Each Occurrence $ 1,000,000. n, Other 1/01/01 ? 1/01/2002 Aggregate $ 1,000,000, Parts STATUTORY Part 2 BODILY INJURY Workers' Compensation Each Accident $ and Employers Liability Disease Each Employee $ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date Expiration Date (at beginning of policy period) *This is a continuous policy (certificate) based on payment of renewal premiums. Name and Address of Certificate Holder . City of Edmonds . Community Services Dept. 121 5th Ave N Edmonds, WA 98020 558-M a.2 Rev. 12M PMted in U.S.A. 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 —30- days before cancellation. If, however, we fail to mail such notice, no obligation or liability will be imposed on State Farm or its agents or representa- tives. errit0;7L,� Signature of Authod ed Represerdative Agent 12/29/00 Title Date STATE FARM OARY AYEiIiS, Agent~ J oft 23815 Edmonds Way, P.O. Box 459 ® Edmonds, Washington 98020-0459 i INSURANCE Off. 425-776-3116 Home 425-774-9433 CITY OF EDMONDS 7110 - 210TH ST. SW • EDMONDS, WA 98026 • (206) 771-0235 • FAX (206) 744-6047 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION I �O 8 go 1 9 June 8, 1995 Resident 1200 - 6th Place South Edmonds, WA 98020 Subject: Sewer Project Progress on Sixth Avenue Between Elm & Birch Dear Resident: LAURA M. HALL MAYOR The project is now substantially completed in your area. Completion of ground restoration should be done by Friday, June 9, 1995. The temporary patch work for the homes on Elm Street will remain this way for several months, at which time the road will be completely resurfaced. This is to allow time for any settlement that may occur. Questions may be addressed to Jim Roberts at 771-0220, extension 321, on this issue. The road at 6th and Birch will remain with temporary patching material for several months, due to the ground water in this area. I feel this may be an eye sore, but this will allow adequate time to have any settlement occur before the road is permanently patched. All other aspects of the project restoration have been completed. If you have any questions or concerns, you should direct them to my office as soon as possible. Otherwise, the project restoration will be considered completed. Thank you for your patience and understanding to make this a successful City project. Sincerely, (;4 Ron H411d Water/Sewer Supervisor RH/lk cc: Noel Miller, Superintendent e Incorporated August 11, 1890 • wordata\sewer\sewimpr Sister Cities International — Hekinan, Japan '.� ... ..., r � t ., .. ,.. I .M -. . y _./'., r• -� � - . 1 r Y � . .. . .. • ' ... ' r . �.. .� . . � �1.,-_ l . _ 1, CITY of EDMON'DSEET HUI D E SEWER PERMIT For Inspection Call 771-3202 PERMIT NO.. i� LACE �1 D r VIA EDMONDS WAY. Address of Construction: CJ (p TRUNK LINE Property Legal Description (Include all easements):, Owner and/or Builder: Contractor & License No:14 Single Family Residence No. of Units C� (1(13H� Multi -Family ( Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No �. Yes (If Yes., Right -of -Way Construction Permit required. Call One - Call -Center (1-800-424-5555) before any excavation.) Cross other Private'Property No Yes (If Yes, easement required, attach legal description and county easement number.) PL-E 8E READ THE IgTEES_ L�STED 'ON THE BACK I,certify that I have read and shall comply Date with the items listed on the back. 9 ////,/,////,//,////////,/,S,///,,,,�/,/,//�,//„/////,////// Permit Fee: Issued By:. • - Date Issued: Assessment Fee: .- ceipt No..':, Partial Inspection: Comments Date Initial Final Inspection Approved: 23 -1 Date Initial oRejected: Reason Date Initial a Ln ** PERMIT MUST BE POSTED ON JOB SITE ** a - White Copy - File Green Copy - Inspector Buff Copy - Applicant The City of Edmonds Side Sewer Drawing 1* EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION M REPAIRS ❑ LID NO ................... ASMT. NO . .................. OWNER .................... ---- CONTRACTOR ----------- .................. PERMIT NO.'fSa4 JOB ADDRESS ------- -0. ------------------- -r P_4%C -r LEGAL DESCRIPTION: LOT NO. —1-0.2 - ------------------------ I . - - - .. - --ll BLOCK ............... ........................................................................................................ . ----- --- ------------- ------- -------- --- NAME OF ADDITION ----- ZlMh ...... R C�F . .............. — ----------------- ........................ %^,L00 cor" 1"Dp. LL S 4"r--o-wts—4 > c PWW-0001-1 1175 (REVA 1/78) Approved: DATE B, f.,----------•- F2 cz ao 0 0 50 C2 A, A�O6 A��y `to 10, 8 7x 2 0 -Q sue. �.35 In 34 `. 50 N `. I � � � •� • A6 50.00 A 9 S 89°00'17" III \` 4 i 9 �4` <�p aJ $Da ; ,y F 9 G 'J'• 9 �a QJ •�C s" 5 ti� Q 6Q`lb 11 I16.9 ►: 3I a5pp t` a� ri �'� to S89000"7"E o w t 1 0 6:D •. O a _ t: N M C tR1 N N N N O N N 4 5 N N ft .0 t'f 35.00 3 2 (b.,___--.-.--_--.,—..— 6 90 SAN. SY/R. 8 m Q3.00__. a9000'17" _ 147.00 _. rUTILITY - TRACT 103 - = EASEMENT 50.00 50.0o sO.oO so.0 1 GRANTED' TO e ,4 o U 3 o lo' o to 0 0 -Q�, CITY OF EDMC no n % � 2 ,� I 08 OLYMPIC VIE 50.00 N WATER DISTRI So.00 3o.ao s0.00 9 89"001I7" E 's 320.81 TRACT 102 s 88o 30' 111 TACK COAT ACP OVERLAY EXIST PAVEMENT EXIST BRASS CAP 1690-199V 2' LOW PROFILE CAST IRON CASE (SATHER MODEL #2023) OEQUAL - APPROVED BY ENGINEER SATHER MONUMENT CASE OR EQUAL REVISIONS STANDARD DETAIL APPROVED BY DATE 2" OVERLAY ADJUSTMENT RISER- BRASS CAP DATE 7/24/01 scat¢ NTS jDwr, No. E2:28 2' DIA X 1/8' THICK STEEL SLEEVE, LENGTH MAY VARY a v :. +..r . �• LLI 14. y (U • ,4 • + 2 �• ;.♦•, a �•' J.' ': •:a i69p-199U CITY `.-0- E--D.m:Q-' N D S..' APPROVED BY DATE S TA N D A R D D ETA I L OVERLAY ADJUSTMENT RISER- B.0 (LESS THAN 2") DATE SCALE DWG N0. 7/24/O1 NTS E2.29 TACK COAT ACP OVERLAY EXIST PAVEMENT APPROVED ADHESI APPROVED BY I DATE 'cr90-199V T IRON RISER APPROVED BY ENGINEER ACP OVERLAY EXIST PAVEMENT j SATHER MONUMENT RISER OR EQUAL STANDARD DETAIL OVERLAY ADJUSTMENT RISER- CASED MON DATE 7/24/01 1 SCALE NTS DWG ND. E2.30 TACK COAT ACP OVERLAY EXIST PAVEMENT APPROVED ADHESIVE 1090-199V CAST IRON RISER APPROVED BY ENGINEER ❑VERLAYFACP XIST PAVEMENT SATHER VALVE RISER OR EQUAL E.. D:.I`� * " N.''D S... REVISIONS APPROVED BY DATE STANDARD DETAIL OVERLAY ADJUSTMENT RISER- WATER VALVE DATE 7/24/01 SCALE NTS DWG NO. E2.31 I, EXCAVATION LIMITS MANHOLE ADJUSTMENT ACP OVERLAY 1 �1 EXIST PAVEMENT) CONC. DONUT RING OR- / BRICK, GROUTED IN PLACE WITH EMBECO NON -SHRINK GROUT #636 OR APPROVED EQUAL 'a90-199v FILL WITH SATURATED WASHED SAND AND 3" OF CLASS "G" ACP AND COMPACT Ty REvisioNs STANDARD DETAIL APPROVED BY DATE MANHOLE ADJUSTMENT DETAIL DATE SCALE NTS DWG N0. E2.32 7/24/01 City of Edmonds Permit No: RIGHT-OF-WAY CONSTRUCTION PERMIT Issue Date: r // 05 A. Address or Vicinity of Construction: -IM P.14CG S B. Type of Work (be specific): C'r the e xt 5 f 11-1 a S r h < f %G e k 'aon DA a/e 9 C. Contractor: /V �%�"�S f90 re 17y t rk c .- Contact: / /t e,- 5er AW�O-V. Mailing Address': �� Rdi( l ��3 Se A-- iI 016 ��O'�/Ph ne: �(/-S State -License.#: -'A LIO1?TNT-/�'-•-13.E- 7- Liability Insurancel Bond: $ 1 a i 0 0 D 6,+r+r J r- City Business License #: A( V ( D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ Multi -Family ❑ Single Family INSPECTOR: ❑ City Project ❑ EUC (PUD, VERIZON, PSE, COMCAS�, OVWSD) Other F. PAVEMENT CUT: ❑ YES •O G. SIZE OF CUT X CONCRETE CUT: ❑ YES u NO G. ❑ Mail Approved Permit Call for Pickup APPLICANT TO READ AND SIGN ; INDEMNITY: Applicant understands by his/her signature to this application he/she holds the City of Edmonds harmless from "injuries, damages or cldims 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 a required by (WAC) 296-155-305 and must have . certification verifying completion of the required training in their possessiii ,_.;;♦ Restoration is to be in accordance%ith City codes. All street -cut trench work shall be patched with asphalt or City - Restoration to the end of the workday — NO EXCEPTIONS. ♦ Three sets -of construction drawings of proposed wo]k 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: (Contractor or Agent) Date: ' OS FOR'CITYUSE-ONLY Approved by: �IIM `�KWt ELZ=2.- Right of .way Fee;x& Time Authorized: Void After Og l .� �! l d4 5'' Disruption=Fee/Fund -111.: Special Conditions: LI-C'U Sgt ., 'Inspection Fee AS`19. °'P -V RObt61A aPA i +•r` tp-TH : tAltR K. r4t. , 1/A L OAS Total Fee: M1{tS 15�tC . WITFf PAi1hIGn D .f1 tlON. ' 41Sa% Receipt'No:; U'f1U"f1V-S '0 t� Mo fl�n.�r_ �dMn 10— A/Js)l.by' x T -1,, CInl �D n=r.-791A t' —,,A•,r� �1�CJ"Ji.�i/i d/iw.A/. REQUIRED INSPECTIONS: 1 7al.4L ChntnQl fx) lt,pp ' Nae A 4o ► (\v0ice- fbQ- �, Call 425-771-0220, Ezt. 1326 for a 24-hot& voice -recorded inspection request line. FINAL APPROVAL OF PERMITTED WOR.Ka,114 ` .t l f/l.4_DATE: L t% Inspector's Signature C:\Documents and Settings\CurtisNy Documents\Forms\Engmng\ROWpermit_ doc Revised 10/01/03