The URL can be used to link to this page

1327 9TH AVE N.PDF111111111111 9835 1327 9TH AVE N 0 ADDRESS: k7 _ /qW— /V TAX ACCOUNT/PARCEL NUMBER: UD `- a / OM 00 2— 6 q 0 BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: &A CRITICAL AREAS: DISCRETIONARY PERMIT #'S: DRAINAGE PLANDA' PARKING AGREEMENTS DA' EASEMENT(S) RECORDED PERMITS PLANNING DATA CHECKLIST DATED: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #:- SHORT PLAT FILE: —t LOT: BLOCK: SIDE SEWER AS BUILT DATED: t o l I -6� q I i 1 SIDE SEWER PERMITS) #: -7q 11,34 (o5 GEOTECH REPORT DATED: \ STREET USE / ENCROACHMENT PERMIT #: FOR. WATER METER TAP CARD DATED: L:\TEMP\DST's\Forms\Street File Checklist.doc CITY of EDM DS RE fgrv1nspection Call 771-3202 Address of Construction: DIM % _ S Y SEWER PER,MI MIT N0. 07011 Tj3E ETFIL15 /yv? /— �. f dv7 o dd 5 Property Legal Description (Include all easements): Owner and/or Builder: Contractor & License No: Single Family Residence Multi -Family V, iJ C (No. of Units kC414_ - EDMON0S TREATMENT PLANT Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No J.,_� 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 z Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE MS LISTED ON THE BACK a C', le�,-�4 6c+A11, /0- 1-s-F I certify that I have0lead and shall comply Date with the items liste lin the back. Permit Fee: 30C) .Issued By: -016 Trunk Charge: Date Issued: o— — Assessment Fee: Receipt No.: y Partial Inspection: Comments Date Initial Final Inspection Approved: Date Tnitial - Rejected: CD r- Reason Date Initial -v a� ** PERMIT MUST BE POSTED ON JOB SITE ** a� White Copy - File Green Copy -'Inspector Buff Copy - Applicant 2 The City of Edmonds Side Sewer Drawing NEW CONSTRUCTION ❑ '��c01�.- Cx tZ OWNER..------------ ---�--------------•--••---......--•----•-•- 2 Tl� 4rc --------------------- PWW-0001.11/75 (REV.11 EASEMENT NO. ------------------ ------------------------- REPAIRS Ld LID NO ................... .ASMT. NO. ------------------ CONTRACTOR ---------------------------------------------------------------------------------- PERMIT NO. C--JAI LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. -------------- --------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------ NAMEOF ADDITION----------------------------------------------------------------------------------------------------------------------- 1 Approved: DATE (... ! 0 D EDMONDS TREATMENT PLANT CITY OF EDMONDS CIVIC 'CENTER — WATER -SEWER DEPARTMENT ART11gE cal] PRoapect 6-1107 when work �'®Eis ready for inspection. (No ULM-- SEWER PERMIT lions Saturday, Sunday or holidays.) N° 3463 ADDRESS..............1327-- Ninth ---Avenue-- North- ----------------------------- OWNER .................... LYa-e ... Z- - -•--•- -••---•--OxTRACTOR.-. �uCkex..�cns ...................................... Permission is granted _ With City Sewers in accord -__ accordance with Swith 19 19.-6-9-, for ........................ days to REPAIR or application on file and CONNECT governing ordinances. aside sewer ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a be employed to construct side sewer in stret ax Permit toconstruct notucover an Inside NOTE No. 2 Property line. A licensed be Side Sewer Contractor —Obtain full information regarding y POI'Uon of sewer before it has been ins Nr (o• 3—Top of side sewer must have at least 3i0 nce 11-1verage 6.030 d Re must Regulations line governing aide sewers when Petted y No bends in grade sharper than % will be you get Permit. J�'No. 4—^ Permitted. Property ]ine and 12 inches inside property line; minimum trenches in street must be water settled and surface of street restored to original condition. Contractors s failure due to improper work which grade of 2q,. NOTE No. �It is unlawful to alter or do an may develop within one tenances except to insert the pipe other rwyen� Is year of completion. hall be responsible for Provided for !n the permit, or to do any work on the main sewer or its appur It REQUEST FOR INSPECTION- Adult Family Home APPLICATION NUMBER: Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed. qqSECTION 1 - PROPERTY INFORMATION SITE ADDRESS: 1 ASSESSOR'S TAX/PARCEL #: SECTION•• • PROPERTY OWNER NAME: DAYTIME PHONE: LICENSEE NAME (IF Do-MREf l: DAYTIME PHONE: SECTION• • A complete floor plan must include all sleeping rooms, identified by number (#1, #2, #3 etc.) and all components for exiting, i.e. stairs, ramps, platform lifts and elevators. (Attach additional sheets if necessary) DN 4 — DISCLAIMER/SIGNATURE RLC I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and that I am authorized by the owner of the above premises to request inspection for and operate an Adult Family Home at this location. I further certify that I have made application to the Department of Social and Health Services and the jurisdiction for the appropriate license(s) to conduct such business at this location. I further agree to hold harmless the jurisdiction conducting such inspections at my request as to any claim (including costs, expenses, and attomeys' fees incurred in.the investigation o uch claim), which may be made by any person, including the undersigned, and filed against the jurisdiction,-but-"y_w ere such claim ari ut of the reliance of the jurisdiction, including its officers and employees, upon the accuracy of the information s�+pp_lkxLto.thequ iction as a art of thi application. NAME/TITLE: DATE: V/PROPERTY OWNER ❑ APPLICANT ❑ LICENSEE YES NO Home licensed (or applying for license) on or after July 1, 2001 Er ❑. SLEEPING ROOMS Z' ❑ Sleeping Room #1 ❑ S NS1 ❑ NS2 Bedroom door is openable from the outside when locked �' ❑ Closet doors are readily openable from the inside ❑` ❑ Smoke alarm is installed in the bedroom /� ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20",wide) ❑ Sleeping room window has a maximum sill height of 44" Sleeping Room #2 ❑ S NS 1 ❑ NS2 ❑ Bedroom door is openable from the outside when locked ❑ Closet doors are readily openable from the insidej2r ❑ Smoke alarm is installed in the bedroom pf ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) /� ❑ Sleeping room window has a maximum sill height of 44" p� ❑ . Sleeping Room #3 ❑ S NS 1 ❑ NS2 / Bedroom door is openable from the outside when locked ❑ Closet doors are readily openable from the inside ❑ Smoke alarm is installed in the bedroom ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) ❑ Sleeping room window has a maximum sill height of 44" ❑ Sleeping Room #4 ❑ S NS 1 ❑ NS2 Bedroom door is openable from the outside when locked / ❑ Closet doors are readily openable from the inside ❑ Smoke alarm is installed in the bedroom ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) ❑ Sleeping room window has a maximum sill height of 44" ❑ Sleeping Room #5 ❑ S ❑ NS 1 ❑ NS2 Bedroom door is openable from the outside when locked ❑ ❑ Closet doors are readily openable from the inside ❑ ❑ Smoke alarm is installed in the bedroom ❑ ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) ❑ ❑ Sleeping room window has a maximum sill height of 44" ❑ ❑ Sleeping' Room #6 ❑ S ❑ NS1 ❑ NS2 Bedroom door is openable from the outside when locked ❑ ❑ Closet doors are-readily:openable from the inside - ❑ ❑ Smoke alarm is installed in the bedroom ❑ ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) ❑ ❑ Sleeping room window has a maximum sill height of 44" ❑ ❑ , GENERAL Bathroom doors are openable from the outside when locked ❑ ❑ Smoke alarms are installed on all levels of the dwelling ❑ ❑ All smoke alarms are audible in all parts of the dwelling upon activation of a single device ❑ ❑ Access road and water supply approved by Fire Department ❑ ❑ ' PASSED ❑ CWRR�NS REQUIRED !/INSPECTOR: DATE: c ❑ PERMIT REQUIRED ROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION c� FROM: LFIRE DEPARTMENT DATE 6 / "dJ' PLEASE SIGN ENGINEERING DIVISION DATE PLEASESIGN PLANNING DIVISION DATE PLEASE SIGN PROJECT (1 a SITE ADDRESS % K G� (//� /V PERMIT #6 i 0 13 ADB# DATE INSPECTED '� 0 DESCRIPTION OF WORK TO BE INSPECTED C �/t-t�JL/� �✓G ' A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department . to the release of PERFORMANCE BONDS and the granting of: GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED ❑ Copy of CONDITIONS given to owner/contractor by inspector 1. FAILED FINAL INSPECTION - OUTSTANDING ISSUES 0 Copy of CORRECTION NOTICE given to owner/contractor by inpector 1. !A 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Signature 1: temp: bldg: forms:ocaprvl 3/25/04 ........ ..... ....-'RETURN ADDRESS: ....6ty-of. Edmonds, City Clerk 200506201022 3 PG$ Avenue North 06-20-2005 04:33pm $21-00 &ft96ndi;-WA'08020 SNOHOMISH COUNTY. WASHINGTON �N4?ME OF LEMTATION AND COVENANT ADULT FAMILY HOME Reference #: 913 Additional on pg. Grantor(s): (1) lolfl-P�1L _RAa/ Legal Description OR �-Block Hat " . , Assessor's Tax Pared ZWs): (1i - thoa (2) Assessoi's Tarfar6ej ]D# not yet assigned ....... ... AUTH0R1M.F.01k)?"6RQ1NG City of Edinon&.. BY: —77A "Dati: Page of - WHEREAS, the undersigned owners of property vr In Edmonds, described below or on the attached Exhibit A, have applied (6i a-Aigildhig permit for compliance and/or to remodel a structure located on the an WHEREAS, the applicant has notified the City of applicant'i 166ti6n. to utilize the Improvements and/or to convert an existing single family structure to, -.an adult family home; and WHEREAS, under the Uniform Building Code the number of oit<ijilants: ' Or; a structure trigger certain requirements relating to the fire suppression Jkn4"ex'Ftt'n'z.--* requirements; and WHEREAS, the City has notified the applicant that the permit will be-EV...." conditioned on limitation of residents to. ff or fewer residents and el�. caretakers; and WHEREAS, the City has Issued a permit based upon such representations; NOW, THEREFORE, the undersigned property owners (hereinafter "Owner") In consideration of the Issuance of a building permit and In order to confirm the promises upon which such Issuance Is based while providing notice to any future owners or mortgagors of the property does hereby stipulate, covenant and agree as follows: ....... ......... 1. Covenant- Limitation on Residence, The owner hereby stipulates that occupancy of the structure as an adult family home shall be limited �--.or fewer adults and their caretakers as allowed by applicable .#rpylsiongi.of state law. The owner acknowledges that In the event that the applicant . seeks ;*vLqlon of -the applicant's state license to operate an adult family home with '-.. an' 6icupA#'cy'of grister than —6- residents or attempts to rent, lease or 6theMsti"Drovidi Rsldence for additional residents above the permitted in the current occupancy classification, the structure shall _ be vacked.afid all ieiWiMial use ceased until such time as the property Is brought Into cotpl)'Hance *1611 e* O"rovisions of the State Building Code, under the edition of the Uniforin Ilifliding Code then In effect. The owner further stipulates that this .., c,. ahes...n d covenant tikuconcerns the land so long as the present structure and use continues and sbill MU with the land to all future purchasers and assigns. 2. SgWt T iih'. h , i�--gbove stipulation and promises shall ply to and I af ran with the land Willf'reipept"to a residential structure located at 09V& -,..E&6n-ds, Washington and legally described as: .. -7 . - 3. Notification to Future Purchasers and Asshmem&,- , "This' . nd . tiflei ition and covenant has been recorded In the records of Snohomish Coilio-j-'Washbwop In order to provide notice to any and all future owners of the Oropdrty of..4he--.-- limitation at the current level of Improvement to single families andand adult -family home residents fewer than 6- In number. 4. Enforcement. In addition to any and other remedies dvil or criminal.: ---.! which the City may have, the property owner hereby agrees and stipulates that this'...-` grant of covenant shall entitle the City to enforce by Injunction the provisions of thfs code and, In so doing, to recover Its reasonable attorney's fees and costs. AUTHORIZED FOR rwcomm City of Edmonds By: 9A Date: AI BATED this —day of 20_/ ...ACCEPTED BY: APPLICANUPROPERTY OW Applicant Jeanffine.L,.'Gmt Ap ... 1. t BuI1dInkO01tIa1..-* Ownt Olt Owner COVENANT AND NOTIFICATION ACKNOWLEDGED: ...Mortgagor NOTARY FOR OWNER SIGNATURES., State of Washington )ss County of 6I 0 I certify that I know or have satisfactory 01depee thgt signed this Instrument, on oath stated that hpl 31a 4.�aufhoi . -fij lostrunignt and.4cknowledged It as the Pbn;& (MMS-of party on behalf on whoia the free and voluntary act of such party for the t Instrument. Subscribed and sworn to before me )d4,4_14 d40316i No Public In an dbr the State� My commission expires ]Ei I to execut44h-e , (tide) of 4wws is executed) to be es mentions in this FAY I certify that I know or have satisfactory evloence that e-dfra ./j -FT signed this Instrument, on oath stated tlmWshe was authorized tR.o.i6m - — instrument anoackpowledged It as the (tltley4 AA6!,,,2AeTfiMeof party on behalf on whom Instrument was executed)' to be*'*-. the free and voluntary act of such party for the uses and purposes mend").n,',, Instrument. Subscribed rid sw to'before me this 1'7""" day of 41468n., lie :A R4 06 la�sho—q-K't"41 Notary Public In and for the State of W& gt6 My commission expires- AUTHORDED FOR RECORDING 0'* WV A Ity of Edmonds %%,,, . By: Da Page ofvq,,�!j L.ATMNP%8t)ILDD4G"RMS%&DF-CGVJ)OC2nO)D4 REQUEST FOR INSPECTION- Adult Family Home APPLICATION NUMBER: Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed. SECTION 1 - PROPERTY INFORMATION SITE ADDRESS: ' ~ ASSESSOR'S TAX/PARCEL #: - •N 2 - APPLICANT INFORMATION PROPERTY OWNER NAME: DAYTIME PHONE: LICENSEE NAME (IF DUffRENn: DAYTIME PHONE: SECTION••• PLAN i A complete floor, plan must include all sleeping rooms, identified by number (#1, #2, #3 etc.) and all components for exiting, i.e. stairs, ramps; platform lifts and.elevators. (Attach additional sheets if necessary) 3N 4 — DISCLAIMER/SIGNATURE Rt C I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and that I am authorized by the owner of the above premises to request inspection for and operate an Adult Family Home at this location. I further certify that I have made application to the Department of Social and Health Services and the jurisdiction for the appropriate license(s) to conduct such business at this location. I further agree to hold harmless the jurisdiction conducting such inspections at my request as to any claim (including costs, expenses, and attomeys' fees incurred in,.the investigation a uch claim), :which may be made by any person, including the undersigned, and filed against the jurisdiction,-�odeAt/_ (e such claim a ' but of the reliance of the jurisdiction, including its officers and employees, upon the accuracy of the information sWpliedto the lu ktion as a art of th' application. NAME/TITLE: DATE: V/PROPERTY OWNER 11 APPLICANT ❑ LICENSEE YES NO Home licensed (or applying for license) on or after July 1, 2001 .Er ❑. SLEEPING ROOMS . n ❑ Sleeping Room #1 ❑ S NS 1 ❑ NS2 Bedroom door is openable from the outside when locked 2, ❑ Closet doors are readily openable from the inside ❑` ❑ Smoke alarm is installed in the bedroom / ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20"•wide) ❑ Sleeping room window has a maximum sill height of 44" Sleeping Room #2 ❑ S NS 1 ❑ NS2 /� ❑ Bedroom door is openable from the outside when locked ,� ❑ Closet doors are readily openable from the inside )' ❑ Smoke alarm is installed in the bedroom ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) /� ❑ Sleeping room window has a maximum sill height of 44" p� ❑ . Sleeping Room #3 ❑ S NS 1 ❑ NS2 / Bedroom door is openable from the outside when locked ❑ Closet doors are readily openable from the inside �' ❑ Smoke alarm is installed in the bedroom p Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) ❑ Sleeping room window has a maximum sill height of 44" ❑ Sleeping Room #4 ❑ S NS 1 ❑ NS2 Bedroom door is openable from the outside when locked / p( ❑ Closet doors are readily openable from the inside �i' ❑ Smoke alarm is installed in the bedroom ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) ❑ Sleeping room window has a maximum sill height of 44" ❑ Sleeping Room #5 ❑ S ❑ NS 1 ❑ NS2 Bedroom door is openable from the outside when locked ❑ ❑ Closet doors are readily openable from the inside ❑ ❑ Smoke alarm is installed in the bedroom ❑ ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) ❑ ❑ Sleeping room window has a maximum sill height of 44" ❑ ❑ Sleeping°Room #6 ❑ S ❑ NS 1 ❑ NS2 Bedroom door is openable from the outside when locked ❑ ❑ Closet doors are readily openable from the inside - ❑ ❑ Smoke alarm is installed in the bedroom ❑ ❑ Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide) ❑ ❑ Sleeping room window has a maximum sill height of 44" ❑ ❑ , GENERAL Bathroom doors are openable from the outside when locked ❑ ❑ Smoke alarms are installed onall levels of the dwelling ❑ ❑ All smoke alarms are audible in all parts of the dwelling upon activation of a single device ❑ ❑ Access road and water supply approved by Fire Department ❑ ❑ A PASSED ❑ CORR ONS REQUIRED ❑ PERMIT REQUIRED INSPECTOR: DATE:. J viA, .' .. n .. so '/¢`` RTFIENT OF ti tt Ad"Ulta z h ® V. M,_ License Number: 42801 Pursuant to the aW'sof!the 'e,o a i'ngton a> t,; _�° um& Si ' eauirements of theeipartmen ,? �a ialr . d health Ses5A= ie=Ys hereby meted to. ems` ` RADU andQQ,ER e;� Y rp;j � L obi uct ana,m 1iO`9 y Rd- i" C of[xEDMO 4 ode "9�802W County; $ e o�V �,slu CorfiT an Au`it` i. H-eAr*Ae,4z=are iil�#°sj' b` 3; hour care fob This license shall be in force oi"tlite.�9 hdiYlay;�0�{ h st�'jec its ;es �Srre;,aetiai�,o ..tlueroexe pi ett 'P �`,va.,.}yi 'i e'•( t .i�{`-�`s7 }, � ( a. y •St+j� 7'et''i �..�. �a14 _•j f-,T 3L�F.�''c .Y f?X•jtFy�^+s�..t� .This home has a special designation to prod eFse icej olp 'sons with:' 1 ess. = �' Conditions on License', .if any:gy r" i censing Authority: NOTE: The departriient renewal of a license doffs not"preclude th d t ( taking, ny act4 u under WAC`388-76-76, based on inspection This license is not transferable, and is valid only forbthe corpoion partn(p orr1ndiv�jd a s�!to "whom it is Issued and at the location above.described Issued 70:12 by i i u5nington State DE PARTMENT ENT OF SOCIALL.& HEAL:fH SERVICES Adult Ho'mc Llcen8e In compliance with and pursuant to the laws of the State of Washington and the Minimum Licensing Requirements of the Department of Social and Health Services a license is hereby granted � f to MARV ZM License Number 409495 to conduct and maintain at , 327 9TH AVEME KWT8 , city of EDMONDS , zip code 98020 , county of SH State of Washington, an Adult Family Home for the care and supervision of adults as follows: 24-hour family care for no more than adults nuns er • This license shall be in force from the 22= day of 9 _, 19g,, to and including the 27TH day of DEC—R- , 19_ag , subject to revocation for due .cause. 'mun'ruy NOTE: This license is not transferable, and is valid only for use by the individual(s) to whom it is issued and at the location above described. Issued by Authority of Chapter 172, Laws of 1967, and RCW 70.128. "'—"— CITY CLERK NOTICE OF LIMITATION AND COVENANT OCT [' 1996 CITY OF EDMONDS ADULT FAMILY HOME PERMIT COUNTER 505 BELL STREET EDMONDS, WW1 ft4S, the undersigned owners of. property located at 13 2 7 - 9 t h Ave. N . , in Edmonds, Washington legally described below or on the attached Exhibit A, have applied for a building, permit for compliance and/or to remodel a structure located on the site; and WHEREAS, the applicant has notified the City of the applicant's intention to utilize the improvements and/or to convert an existing single family structure to an.adult family home; and WHEREAS, under the Uniform Building Code the number of occupants of a structure trigger certain requirements relating to the fire suppression and exiting requirements; and WHEREAS; the City has notified the applicant that the permit will be issued conditioned on limitation of residents to� or fewer residents , and �� o/9 WHEREAS, the City has issued a permit based upon such representations; ® NOW, THEREFORE, the undersigned property owners (hereinafter "Owner') in consideration_ of the issuance of a building permit and in order to confirm the promises upon which such issuance is based while providing notice to any future owners or mortgagors of the property does hereby stipulate, covenant and.agree as follows: 0 1. . Covenant: Limitation on Residence The owner hereby stipulates and agrees that o"upan o-f3thh�e structure as an adult family home shall be limited to or fewer�W caretakers as allowed by applicable provisions of state law. The owner tr-1 acknowledges that in the event that the applicant seeks revision of the applicant's state license to operate an adult family home with an occupancy of greater than- 9 residents or attempts to rent, . Tease or . otherwise provide residence for additional residents above the_permitted permitted in the current occupancy classification, the structure shall be vacated and all residential use ceased until such time as the property is brought into compliance with the provisions of the State Building .Code, under the edition of the Uniform Building Code -then in effect. The owner, further stipulates that this covenant -touches and concerns the land so long as the present structure and use continues and shall run with the land to all future purchasers and assigns. 2. Subject Tract. The above stipulation and promises shall apply to and run with the land with respect to a residential structure located at 1327 - 9 th Ave. North Edmonds, Washington and legally described as: HAGGARDS SOUND VIEW ADD BLK 000 D-04 - S 80FT OF N 80.50FT OF E 154FT LOT 2 SUE- J ' 10 ESE PUD LP ANY 3. Notification to Future Purchasers and Assignees This notification and covenant has been recorded in the records of Snohomish County, Washington in order to provide notice to any and all future owners of the property of the limitation at the current level of improvement to single families and adult family home residents fewer than — in number. ,61d9 AAqt% cI6D6?,Z. BUILDING L5 p1FormsV_MT Cov.Doc21"NOV ) 2 1996 YOL..3 219 PAGE 4. Enforcement. In addition to any and other remedies civil or criminal which the City may have, the property owner hereby agrees and stipulates that this grant of covenant shall entitle the City to enforce by injunction the provisions of this code and, in so doing, to recover its reasonable attorney's fees and costs. DATED this third day of October , 19 96 ACCEPTED BY: APPLICANT/PROPERTY OWNER: u ppli n rt !KAM annine L: Graf Applicant Building Official `772 AF/y ,SZ 1140g1 ? . LMGREN COVENANT AND NOTIFICATION CA ACKNOWLEDGED: r zo erk s o N Mortgagor C 0 NOTARY FOR OWNER SIGNATURES 3 State of Washington) =�� CDcoA=' co County of ) 1 certify that I know or have satisfactory evidence that signed this instrument, on oath stated that he/she was authorized to execute the instrument and .acknowledged it as the oc-Ljit ers (title) of party on behalf on whom instrument was executed) to be the free and voluntary act of such party for the uses and purposes mentions in this instument.Subscribed and sworn to before me Shis- - - 1— - Liu- Qf_ 0-7b b -e, 19 9 (, NOTARY PUBLIC o C �-- STATE OF WASHINGTON DLA BOCK Notary Public in and for the State of Washington. MyAppolntmentEq*esMAY 30,1997 My commission expires ?LCQ 19'? 77 I. certify that I know or have satisfactory evidence that signed this instrument, on oath stated that he/she was authorized to execute the instrument and acknowledged it as the o c d r! (title) of4-40-4' tea -(dame of party on behalf on whom instrument was executed) to be. the free and voluntary act of such party for the If and purposes mentions in this instument.Subscribed and sworn to before me this d- day of er , 19 % to Notary Public in and for the State of Washington. NOTE, PUBLIC My commission expires � 19 9 7 STATE OF WASHINGTON DIA BOCK My Appowment Epee MAY 30.1997 LlTemplFormsILMT Cov.Doc ?16/95 9610O9 0160 YOI. 3219PAGE2820 M 0 46 FIL CITY OF E0990s 0 200 DAYTON ST. • EDMONDS, WASHINGTON 98020 • (206) 775-2525 DEPARTMENT OF PUBLIC WORKS July 23, 1980 Mr. Michael Arnim 1327 9th Avenue North Edmonds, Washington 98020 Dear Mr. Arnim: FILE COPY HARVE H. HARRISON MAYOR Several months ago you were contacted concerning the storm water that is draining from your property into the City sanitary sewer system. If you have not yet corrected this problem, the "Disconnect Handbook" included with this letter will describe the 5 solutions to this problem suggested by the City. These solutions will either direct this water into the City storm water system, or into other parts of your yard. In either case, the removal of this water from the sanitary sewer system will help to reduce the volume of our often overtaxed Sewage Treatment Plant. Please contact Dan Smith or Bob Franklin of the Engineering Division at'775-2525, extensions 220 or 252, when you have disconnected. Your cooperation is greatly appreciated. DS: jky Enclosure DAN SMITH D T. Sincerely, G �d� J �SEE— ADAMS, P.E. City Engineer BOB FRANKLIN DT. STREET FILE CITY OF EDMONDS 200 DAYTON ST.•EDMONDS. WASHINGTON 98020•(206) 775-2525 .-i DEPARTMENT OF PUBLIC WORKS January 22, 1980 Mr. Michael Arnim .1327 Ninth Avenue North Edmonds, Washirgton 98020 Dear Mr-. Arnim: HARVE H. HARRISON MAYOR The City of Edmonds is currently engaging, in a program to improve its sewage wastewater treatment system. One of the major parts of the program is reducing the volume of flow into our treatment plant. A major item contributing to this problem is the infiltration of stormwater runoff from roofs, drains, etc. into our sanitary sewers. A series of tests were completed by an independent engineering firm. They pumped smoke.into sewer lines and recorded where it was escaping, thereby locating the storm - water infiltration sources. Your property contains such a source and the City now requires, by Ordinance, that this problem be corrected. The attached sketch shows your property and the sources of infil- trating stormwater. Please contact the Engineering Division by the date indicated on the sketch. Members of.the staff will be glad to advise you as to your best solution. Please contact Dan Smith or Bob Franklin at 775-2525, extension 220, for assistance. Yours very truly, FRED F. HERZBERG, P.E. Director of Public Works DS : BF : j ak Attachment J 1327 9"'AVc--N Am Z-57 t� j MN z67q Am Z56 1 7-W ►327 L --rtiC. 9,06C /Llrl i2KEp � is Ti/G- .�QC&T/F,C-OLexe- pGIITC~ 6ffr1tG7' a ?-)Y USE PERMIT CITY OF EDMONDS. ZONE NUMBER PERMIT APPLICATION JOB ADDRESS 1327 - 9th ,Ave. N. SUITE/APTa .CON'STRUCTION OWNER NAME NAME OF BUSINESS Mary` A • H0lmgren LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. w MAILING ADDRESS 2 0 1327 - 9th Ave. North PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved O RW Permit Required ❑ CITY ZIP TELEPHONE NUMBER B dmoiid s WA 9 8 0 2 0 7 7 S- 9 6 9 3 MISTING REQUIRED OEOtCATION Street Use Permit Req d O Inspection Required a PROPOSED Sidewalk Required E3 ¢ W NAME • METER SIZE LINE SIZE NO.OF FIXTURES PRV REQUIRED LOU YES ❑ NO ❑ o ADDRESS _ REMARK , -a, U W Z CITY ZIP TELEPHONE NUMBER •� r ... I o • NAME ...... V _ ri ADDRESS cc Militia ENGINEERING MEMO DATED ` REVIEWED BY U CITY ZIP•. TELEPHONENUMBER ¢ FIRE MEMO DATED (_ // REVIEWED BY a r- Z 8 STATE LICENSE NUMBER"' EXPIRATION DATE �Jy; SIGN AREA SEPA REVIEW —ADS NO. ALLOWED PROPOSED COMPLETE EXEMPT Legal Description of Property - include all easements SHORELINE Z O EXP VARIANCE OR CU PLANNING REVIEW BY DATE LU SETBACKS — FEET HEIGHT LOT COVERAGE Z c LU FRONT SIDE REAR Z S .Property REMARKS IL Tax A«amf 4 615 - 0 0 0- 0 0 2- 0 4 0 3 Pai d.No. El NEW RESIDENTIAL PLUMBINGIMECH COMPLL46NCE OR C� ADDITION COMMERCIAL CHANGE OF USE BLDG. REMODELAPT SIGN CHECKED BY / /�u TYPE OF CONSTRUCTION CODE ��pppQQQ GRC>j 000 REPAIR1:1 GRADING FENCE CYOS. (_x�v DEMOLISH WOODSTOVE D SWIM POOL INSERT HOTTUB/SPA SPECIALINSPECTOR AREA OCCUPAyT- REQUIRED ❑YES LOAD GARAGE RETAINING WALL/ RENEWAL REMARKS CARPORT ROCKERY o PROGRESS INSPECTIONS PER UBC 108 c (TYP OF USE, BUSINESS OR ACT V jjgt I ' %fiN� /�d✓c! u o3�g m NUM NUMBER OF CRITICAL o OF F� DWELLING AREAS m O STOR UNITS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT FINAL INSPECTION REQUIRED 1 AAAW- A4e10 p VALUATION FEE PLAN CHECK FEE �4w BUILDING HEAT SOURCE: GLAZING PLUMBING Plan. Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Applicatim, 180 Days Permit Umit:1 Year - Provided Work Is Started WMhin 180 Days . STORM DRAINAGE FEE ENG. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and 'A successors in interest, agrees to indemnify, defend and hold J harmless the City of Edmonds, Washington, its officials, x employees, and agents from any and all claims for damages of Ix whatever nature, arising directly or Indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT i modify, ware or reduce any requirement of any city ordinance 'nor in City's to ��.,►��M.�+ G 2647 limit any way the ability enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that 1 have read this application; that the ATTENTION APPLICATION APPROVAL ' Information given is correct; and that I am the owner, or the duly .,authorized agent of the owner. 1 agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. SIGNATURE tOWNER OR AGENT) DATE SIGNED DEPARTMENT GNATURE 10 - 3 - 9 6 CITY OF EDMONDS RELEASg CALL FOR : DATE ATTE ION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE w20 UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771O1 ORIGINAL. — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC - SECTION 109 PINK — Owner GOLD — Assessor ttlbs� w DATE RECEIVED PERMIT EXPIRESSE f CITY OF EDMONDS ZONE BE 2 NU CONSTRUCTION PERMIT APPLICATION JOB ,� /_ SUITE/APT# ADDRESS / -7 �t.'{� /� �� OWNER NAME/NAME OF BUSINESS / _ r ( �'"� d/ PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS ,LID=FEE'$ / /f!_1 �� - ��✓ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP q y Per�Proved Requiired OO CITY ZIP TELEPHONE EXISTING PROPOSED Street Use Permit Req'd O Inspection Required 0 Sidewalk Required 0 / VRn 2 0 �� 1I2 5- ! 7 I (/ REQUIRED DEDICATION FT Underground Wiring required Q NAM METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED. ii / r �L1 /� �'" Vc PC YES ❑ NO ❑ c7 s Ui _C V fL� W Z ADDRESS REMARKS _ � � OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE and / (/� /i�-a --> • � CITY ZIP TELEPHONEY2 pp 5' 90 NAME tcB ! Lk ENGINEERING REVIEWED BY DATE I•i .ADDRESS r FIRE REVIEWED BY DATE w CITY ZIP TELEPHONE Q LL VARIANCE OR CU SHORELINE OR ADB# INSPECTION REQ'D BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY OYES NO SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED q PROPERTY TAX ACCOUNT P RCEL NO. /� DD� u �5 EXP ❑ NEW RESIDENTIAL ❑ PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) 'REAR PROPOSED" ETBACKS (FT.) 'UR,SIDE ALLOWED PROPOSED FRONT SIDE. FRONT REAR t7 ADDITION ❑ ❑ COMMERCIAL OMPLIANCE OR HANGE OF USE C W) Z ❑ REMODEL ❑ MULTIFAMILY ❑ SIGN PARKING REQ'D PROVIDED LOT AREA„_ ,P.,LANNING-REVIEWED BY DATE i a I • �^ 7✓�i U ❑ REPAIR ❑ GRADING ❑ FENCE �� eX� CYDS' ( FT) X RKS ❑ DEMOLISH ❑ TANK ❑ OTHER ❑GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ❑ ❑ r- Z O C ROCKERY FIRE ALARM ; (TYPE OF USE, BUSINESS OR ACTIVITY) LAIN: �/ / �jMass �j� A(/:�IT I/IiI CHECKED BY TYPE OF CONSTRUCTION CO V !/OC � GROUP � o NUMBER,'"L;' OF CRITICAL c0^4JVAW14 OF .NUMBER DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT O STORIES UNITS NUMBER REQUIRED ❑ YES LOAD C� J DESCRIBE WORK TO BE DONE REMARKS CT, PROGRESS INSPECTIONS PER UBC 1081IBC109/IRC109 FINAL INSPECTION REO'D 9 m VALUATION Description FEES Description FEE 1 Plan Check ��-^� State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit d Surcharge / f City PLAN CH�C O: VESTED DATE Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN Grading M (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t SEPARATE PERMISSION. s Engr. Review w PERMIT APPLICATION: ISO DAYS a PERMIT LIMIT. 1 YEAR • PROVIDED WORK IS. STARTED WITHIN 180 DAYS En9f. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION H 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST. AGREES TO INDEMNIFY• DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF Fire Inspection Receipt # a = WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF. THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE L] DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape lnsp.. Total Amt. Due �— = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # ----�"" HAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION NOWLEDGE TTHAT GIVEN IS CORRECT; RECT; AND 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 C ATION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE - ER y ENT) DATE SIGNED (425) Zd, a/ a ' 0 771-0,220, RELE I DATE ATTENTION EXT.:1333 �'" IT IS UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILAFINAL I( INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- PANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. ORIGIN�-- FILE YELLOW- IN4PECTOR. PINK -OWNER GOLD - ASSESSOR IYETURN ADDRESS: City of Edmonds, City Clerk 121 5th Avenue North Edmonds, WA 98020 A' 7- ra 61.17 e /�k_ /' /Oypa4r 6 ->-r�s NOTICE OF LIMITATION AND COVENANT ADULT FAXHLY HOME Reference #: 76 Grantor(s): (1) FC-1 P.1 k49ZQ (2Additional on pg. Grantee(s): Legal Description (abbreviated): Sec_.Z2�Twn_!:1_RngQtr� �) OR Lot 2_Block Plat Assessor's Tax Parcel ID#(s): (1) 00(0,156D9 (2) Assessor's Tax Parcel ID# not yet assigned AUTHORIZED FOR RECORDING City of Edmonds By: `-i( _. Date:� bq Page I of WHEREAS, the undersigned owners of property located at Alf in Edmonds, Washington legally described below or on the attached Exhibit A, have applied for a building permit for compliance and/or to remodel a structure located on the site; and WHEREAS, the applicant has notified the City of applicant's intention to utilize the improvements and/or to convert an existing single family structure to an adult family home; and WHEREAS, under the Uniform Building Code the number of occupants of . a structure trigger certain requirements relating to the fire suppression and exiting requirements; and WHEREAS, the City has notified the applicant that the permit will be issued conditioned on limitation of residents to f or fewer residents and their caretakers; and WHEREAS, the City has issued a permit based upon such representations; NOW, THEREFORE, the undersigned property owners (hereinafter "Owner") in consideration of the issuance of a building permit and in order to confirm the promises upon which such issuance is based while providing notice to any future owners or mortgagors of the property does hereby stipulate, covenant and agree as follows: 1. Covenant: Limitation on Residence. The owner hereby stipulates and agrees that occupancy of the structure as an adult family home shall be limited to H or fewer adults and their caretakers as allowed by applicable provisions of state law. The owner acknowledges that in the event that the applicant seeks revision of the applicant's state license to operate an adult family home with. an occupancy of greater than -�S- residents or attempts to rent, lease or otherwise provide residence for additional residents above the .S permitted in the current occupancy classification, the structure shall be vacated and all residential use ceased until such time as the property is brought Into compliance with the provisions of the State Building Code, under the edition of the Uniform Building Code then in effect. The owner further stipulates that this covenant touches and concerns the land so long as the present structure and use. continues and shall run with the land to all future purchasers and assigns. 2. Subiect Tract. The above stipulation and promises shall apply to and run with the land with respect to a residential structure located at / 3Z7 d9VC ! A-7) , Edmonds, Washington and legally described as: 3. Notification to Future Purchasers and Assignees. This notification and covenant has been recorded in the records of Snohomish County, Washington in order to provide notice to any and all future owners of the property of the limitation at the current level of improvement to single families and adult family home residents fewer than 6- -in number. 4. Enforcement. In addition to any and other remedies civil or criminal which the City may have, the property owner hereby agrees and stipulates that this grant of covenant shall entitle the City to enforce by injunction the provisions of this code and, in so doing, to recover its reasonable attorney's fees and costs. AUTHORIZED FOR RECORDING City of Edmonds By: Date: Page of - DATED this �� day of 20d ACCEPTED BY:. APPLICANT/PROPERTY OWNER: Applicant Appkicknt Jeannine L. Graf Building Official RFl U� gFi '�Z0o r NOTIFICATION NOTARY FOR OWNER SIGNATURES State of Washington Owner COVENANT AND ACKNOWLEDGED: Mortgagor )ss County of pp // I certify that I know or have satisfactory evidence that Rod i Chu signed this instrument, on oath stated that has authorized to execu he i strumy�t and acknowledged it as the �tin�aa.J (title) of /'d►�►' ( -of party on behalf on whom instrument was .executed) to be the free and voluntary act of such party for the uses and purposes mentions in t is instrument. Subscribed and sworn to before me this. /SCi day of NotaW Public in andLor the Sta of W fin My commission expires S I certify that I know or have satisfactory evi ence that signed this instrument, on oath stated that &she was authorized to ezec'otte��, , instrument an cknowledged it as the /�GU/ML' (title) of /-Ca Gll-d Aof party on behalf on whom instrument was executed) to be the free an voluntary act of such party for the uses and urr sementions 'n this instrument. Subscribed and sw/o/ n to before me this �% s day of T _ 2-Z Notary Public in and for the State of Washkiw My commission expires Z/ .�.B .0 AUTHORIZED FOR RECORDING ►`r, iOk tiyq�,NR�O ��ity of Edmonds Date: 101V144 Page I of-3-1 L:\TEMF\BUII.DING\FORMS\ADF_COV.DOC1✓10/04