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1400 OLYMPIC AVE.PDF1400 OLYMPIC AVE ROBERT T. KENNEDY 1221 FEDERAL AVE. EAST EAst 5-9365 SEATTLE, WASH. 96102 Plot Plan Plot Plan Plot Plan of PORTION OF TRACT 92, EDMONDS SEAVIEW TRACTS Snohomish County Washington June 1976 • • %*-4. ` _ , Qi �, � # 76-.! q; 35) + re L11JE MEYRINC, & ASSOC, INC, 2-)423 Highway 99 Edmonds, NVA 98020 A Box 32 Lynnwood, WA .98036 TISLwv '.''G�IY"Ata""�s.�un`�.':t•"'""h7�R"T�"a2'""1a,' "� '"�'�'�fa�,r^.�.:�;.�]q:.ri�i�•�woBv�Y+'�1�F�+�':!"'...^"'�^?".„R;;,,,,j*�i-^r:i :+m.r.. ^�a-.vr� �v�l�..��, City of Edmonds - C. Inc. lg90 RIGHT70F, ,,WAY CMSTRUCTION "..PER-MIT-7 - o •• • Permit Number. c� Issue Date: d A. Address or Vicinity of Construction: _ "(Je B. Type of Work (be specific): Contractor: Contact: Mailing Address: Phone: State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Sidq Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision F11r City Project 'Y[] Utility (PUD, GTE, WWN•GG,, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: ❑ Yes ❑No G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or • employees, including or 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 INSPEC- TION 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. Two sets of construction drawings of proposed work required with permit application. A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times for inspection purposes. - .. • Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments I' CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO' Partial Work Inspection by-P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: L w 040. LIFE & CASUALTY * The AEtna Casualty and Surety Company * The Standard Fire Insurance Company Hartford, Connecticut To CITY OF EDMONDS STREET FILE Date June 4, 1976 Gentlemen: This is to certify that insurance policies, subject to their terms, conditions and exclusions, are at present in force in the Company indicated above by ©, as follows: Name of Insured Sunset Contractors, Inc. 1324 North 167th, Seattle, Wa 98133 Covering Single Family Dwelling at: 1400 Olympic Ave.,.Edmonds, Wa KIND OF INSURANCE LIMITS OF LIABILITY Aggregate POLICY NO. EFFECTIVE EXPIRATION Each Person Each Occurrence Workmen's Compensation Manufacturers' & Contractors' Bodily Injury Liability $ 000 Property Damage Liability mom $ .000 $ '000 Owners' or Contractors' Protective Bodily Injury Liability $ 000 Property Damage Liability $ .000 $ 000 Comprehensive Automobile Bodily Injury Liability $ 000 $ Property Damage Liability $ '000 Comprehensive General Bodily Injury Liability $ 300 1000 $ 300 ,000 81AB201079 2/13/74 2/13/77 Property Damage Liability $ 000 $ 100 ,000 Bodily Injury Liability $ ,000 $ 000 $ 000 Property Damage Liability a $ 000 To include City of Edmonds as an additional insured but onl _as resp 4 cts their interest its such_ In event of cancellation, ten (10) written notice will be given to the party S E-IS INC. to whom this certificate is addressed. By A1FA.thmAWeaA&&-&6L— (CC-5194) 1-73 CAT. 273562 PRINTED IN U.S.A. .a 0 A w V U STREET FILE A -A SHILv&S t BF�h CITY OF EDMONDS ENGINEERING DEPARTMENT 505 BELL STREET EDMONDS, WASHINGTON 98020 STREET ,FILE APPLICATION FOR STREET USE PERMIT Name of Applicant: 5 (t A/ 0 A(' r Mailing Address: 1.• * Al. A Sj�L Telephone Number: L���d Dater2. ��. Description of Public Place or Portion thereof desired to be used: (exhibit may be attached) of • &.01 i C40"s Type -of Use desired to be made of Public Place: n.. s . _ ----� If applicable, attach plans and specificatiofpr any utility or structure to be erected and/or maintained on the Public Place: N TEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood by applicant to be wholly of a temporary nature, that it vests no permanent right whatsoever. If the permitted use becomes dangerous or such structure shall become insecure or unsafe, or shall not be constructed, maintained or used in accordance with the provisions of this title, the same may be revoked and the structure and obstructions ordered removed by order of the City Engineer. If this app 'cation is for a specified period of time, the terms of said application is: 4FJ A/;M 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 descrip- tion whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, includinq but not limited to the defense of any legal proceedings including defense costs, court costs, and -attorney fees by reason of granting this permit. In addition,. applicant understands.that the City shall be -.provided. a certificate of insurance to indemnify and hold the City of Edmonds harmless from all claims and/or property damage, naming the City of Edmonds as.an also insured. APPLICATION OF'CHAPTER 6.40 OF THE EDMONDS CITY CODE. Applicant warrants that he has read, or had the opportunity to read, Chapter 6.40 of t e Edmonds City Code, attached herewith, and understands that all terms of that Ordinance are incorporated herein as if set forth in full and this application and permit therefore are subject to the terms of that Chapter of the Edmonds City Code. Applicant's Signature V e3l 74 ate 11/7/74 rev. City of Edmonds Engineering Department APPLICATION FOR STREET USE PERMIT -- Page 2 STREET FILE Approval (and Agreement, if applicable) of Abutting. Property Owners: Signature Printed Name Address Date DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) City Council Approval (Attach Minute Entry): Permit Fee: Annual Fee: due January 1, 19 Amenities Design Board Approval (if applicable) Attach Minute Entry: Building Official Approval (if applicable): Signature Date Provision for Indemnity: Terms and Provision of Performance Bond, if. applicable: (Reference. 6.40.050 of applicable Ordinance) PERMIT AUTHORIZATION BY CITY ENGINEER: ignature Date PERMIT, NO. _�'�� — %� DATE 6 1171,; 7�___ Remarks: ;-1.1/7/74 rev. 0 STREET FILE �� CITY 01= E DM!0NDS FNIGINEERIN G D,:PARTMEN'f 505 BELL STREET Mr ONDS, !•JASHINGTON 98020 APPLICATION FOR STREET USE PERI-ITT dame of Appl i cant:,._ �.,� �� C ��/�� FG _-- Mailing Address: _�� .7 n Telephone Nuwiber:--- �S�® Dater Description of Public Place or Portion thereof desired to be used: (exhibit n;ay be attached) U s&I Type of Use desired to be made of Public Place:�r�C`„ s C,41v�- If applicable, attach plans and specificatiy.Wfpr any utility or structure to be erected /M .� and/or maintained on the Public Place: TEMPORARY PcRYIT: Unless othe_r�•;ise designated herein, this permit is understocd by applicant to be wholly of a temporary nature, that it vests no permanent right whatsoever. If the permitted use becomes dangerous or such structure shall become insecure or unsafe, or shall not be constructed, maintained or used in accordance with the provisions of this title, the same may he revoked and the structure and obstructions ordered removed by order of tr1e City Engineer. If this app Jcation is for a specified period of time, the terms of said application i s : '° MAJk = / k/ / I-r INDEMNITY_: Applicant understand; 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 descri,1- tion whatsoever, foreseen or unforeseen, that may be mace 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 costs, and attorney fees by reason of granting this permit. In addition, applicant understands that the City shall be provided a certificate of insurance to indemnify and hold the City of Edmonds harmless from all claims and/or property damage, naming the City of Edmonds as an also insured. APPLICATION OF CHAPTER 6.40 OF THE EDI'IONDS CITY_ CODE: Applicant warrants that he has read, or had the opportunity"to read, Chapter 6.40 of tie Edmonds City Code, attached herewith, and understands that all terms of that Ordinance are incorporated herein as if set forth in full and this application and permit therefore are subject to the terms of that Chapter of the Edmonds City Code. �MD i"icegnature — 11/7/74 rev. City of 1.dl. fonds Ens g i nceri ng Department APPLICATION FOR STREET USE P; R'r-1IT -- Page Approval (and Agreement, if applicable) of Abutting Property Owners: Signature Printed Name Address Date DO NOT EIRITE B11-1017 THIS LINE (To be completed by Issuing Agency) City Council Approval (Attach Minute Entry): Permit Fee: Annual Fee: due January 1, 19 Amenities Design Board Approval (if applicable) Attach Minute Entry: Building Official Approval (if applicable): Signature Date Provision for Indemnity: Terms and Provision of Performance Bond, if applicable: (Reference 6.40.050 of applicable Ordinance) PERMIT AUTHORIZATION BY CITY ENGINEER: gnature PERflIT NO. Remarks: A-, C ate DATE i 17/7/7G rev. LIFE & CASUALTY unri * The Atna Casualty and Surety Company ❑ The Standard Fire Insurance Company Hartford, Connecticut To CITY OF EDMONDS Date June 4, 1976 Gentlemen: This is to certify that insurance policies, subject to their terms, conditions and exclusions, are at present in force in the Company indicated above by ©, as follows: Name of Insured Sunset Contractors, Inc. 1324, North 167th, Seattle, Wa 98133 Covering Single Family Dwelling at: 1400 Olympic Ave., Edmonds, Wa KIND OF INSURANCE LIMITS OF LIABILITY POLICY NO. EFFECTIVE EXPIRATION Each Person Each Occurrence Aggregate Workmen's Compensation Manufacturers' & Contractors' Bodily Injury Liability $ 000 IBM Property Damage Liability $ 000 $ 000 Owners' or Contractors' Protective Bodily Injury Liability $ 000 Property Damage LiabilityOWN $ 000 $ 000 Comprehensive Automobile Bodily Injury Liability $ 000 $ Property Damage Liability $ 000 Comprehensive General Bodily Injury Liability $ 300 000 $ 300 000 81AB201079 2/13/74 2/13/77 Property Damage Liability $ .000 $ 100 ,000 Bodily Injury Liability $ ,000 $ 000 $ '000 Property Damage Liability $ '000 $ '000 To include City of Edmonds as an additional insured but only as respects interests In event of cancellation, ten (10 ) written notice will be given to the party S E—IS INC. to whom this certificate is addressed.5 BY Authoriz (CC-5194) 1-73 CAT. 273562 PRINTED IN U.S.A. OIYMpIC Add ,t rj APPLICATION The City of Edmonds for EASEMENT NO. ..... .......................... SIDE SEWER PERMIT E NEW CONSTRUCTION REPAIRS ❑ LID NO. ._1— 0...----- ASMT. NO. .4� OWNER ... 1 �N7�- . CUh1TR.L�C_TOR�S CONTRACTOR ._�-YfVNWOOi� -' PERMIT NO. ------------------------------- ---------------.................... JOB ADDRESS . 14� — c��YMPIG l��/��It` 1� LEGAL DESCRIPTION: LOT NO ....................................... BLOCK NO. ................................... .............................................. 1 CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT bU*. 50® Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.l Inspection will be provided within 2244 hours after requst. NO Sat., sun., or holiday inspections./ ADDRESS LOCATION OF CONSTRUCTION.....----��01.y.Wk...Alim� ........................................... PROPERTY LEGAL DESCRIPTION...........................SEE..ATTACM ........................................................................................................... ...........................................•---................_OWNER AND/OR BUILDER ......... SLINSFT...CONST..........---._...------................................................................. T RACTOR'S NAME & ADDRESS .......... Ly%]l'1W000.. Sewer. COnst. is granted ...............S.eT6t r...29;.......... 1915, for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. OENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct - side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted. NOTE No. 5--Trenches in street must be water settled and surface of street restored to original condition. Contractors sball be responsible for failure due to improper work which may develop within one year of completion. NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. - DISAPPROVED APPROVED ❑ Date_-._ ......... .......... .............. ,By---------------- Date............. By ................ Date ............... -................... 'By--............. C Date ...... .� BY..... ---------- _------ ---------------- _... Remarks: ....... .................•••••••••••••••••••-••••••••............._..........••.••.••••-••-••••••••••••••••--•••••••••.....-•••••---•••......••--••......•••...••.. .................................................... ........................•--•-----------•---..._._....._......-----------......--•-----•-----•------------------•--------...--•---•--•------------•--•---------•..•------•-----•-----•-•-•--.....---..._...__.._........._..................-•••••• ......... B=Permits MU T Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection......... ............ ..... _--, hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firmti Perfc ming Construction) nstalled in accordance with all governing ordinances of the City of Edmonds. ' Dated this ............................day of ................................................................. 19......... . J J Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ J J APPLICATION The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO- ------------------ ----------- NEW CONSTRUCTION ❑ REPAIRS 0 LID NO. ----- - ASMT. No. OWNER ......................... 4 CONTRACTOR �r --- C-D.X fPERMIT NO. JOB ADDRESS ------ ---------- ------ LEGAL DESCRIPTION: LOT NO. -------------------------------------- BLOCK NO. ----------- ------------------------ .......... I ---------------------------------- - S��-a ............. lk+�at�U4 ------------------------------------------------------------------------- NAME OF ADDITION ------------------------------ 0 a ZA Ia6fik �u� Approved: DATE-------------------------------------------- By VED — DAT� --- . ........ 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' '31 REGI STERED �f� lmeARCHITECT 2106 1/2 ne 65th Seattle washington 98115 to 2 0440 EC - drwn STATE OF WASHINGTON Chkd p -_�,;r cr L;�:r:�►:;� -- " ---- date N- -- --- — - _ - - t STREET FILE .y CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT Routing of Building Permit Applications Proposed Property Address of Application: DEPARTMENT COMMENTS DATE WaTER S T R E E T S E W E R r —' N 0 T E S BUILDING DEPARTMENT COMMENTS /'/ , 117,' r INTER -OFFICE COMMUNICATIONS DATE October 7 19 75 To Utility Billing FROM Building Dept. Dorothy Drobner SUBJECT: CHANGE OF ADDRESS Sunset Contractors Inc. was issued Permit #750109 with the address of 19533 Olympic View Drive. Please change this address to 1400 Olympic Avenue. Also please give my thanks to Lee. Ann 37 •` USE PERMIT ZONE BUILDING DEPARTMENT Applicant Fill v = PERMIT APPLICATION Inside Heavy Lines —ToB — ADDRESS / NAME (OR NAME OF BUSINESS) "'7=4PACT PERMISSIBLE LN ,Er. C01YrAh C70)7j CjV C LOT COVERAGT OVERAGE a' MAILING ADDRESS PERMISSIBLE —7 /� HEIGHT PROPOSED HEIGHT 0 �y / G / Tom/ CITY TELEPHONE NUM�BE/RQ ACTUAL LOT AREA TOTAL BLDG. AREA A C" ✓ // / r�'rj —`�a REQUIRED YARDS PROPOSED YARDS NAME FRONT SIDE REAR FRONT SIDE REAR ADDRESS LEGAL LOT VARIANCE OR CONDITIONAL USE YES Ej NO PERMIT NUMBER U PLANNING DEPT. APPROVAL DATE: CITY TELEPHONE NUMBER STREET R/W EXISTING STREET R/W ............FT. DEFICIENCY THIS PROPERTY NAME O x ►�+�l�c COMP. PLAN ST. R/W ............FT. FT, C S �l D/� r—)7'l C (�"�'J C REMARKS OC .y ADDRESS O _ 4 7 CHECKED BY O x w F CITY TELEPHONE NUMBER U STATE LICENSE NUMBER METER SIZE: I SERVICE BIZE CLEARANCE ED BY LICENS NUMBER - t3 — O I —/ 4 9 (Q ICHECK v ICITY wG REMARKS Legal Description of Property (Show Below or Attach Four Copies) E" C I i TYPE CONNECTION yr nrcrcr� o V �O w a a c� a NEW ❑ ADD ALTER REPAIR NUMBER OF 8 Z ® RESIDENTIAL a GAS LINE NON-RESIDENTIAL ❑ SIGN DEMOLISH . RETAINING WALL FENCE ❑EXCAVATE OR FILL (..........z..........Ft. ) EDPRE -MOVE INSP. a swim POOL IES OF INUMBER DWELLING UNITS x P/VF )e1vE I�S C IN U PLOT PLAN (Indicate Building setbacks, abutting streets) O RECEIVED FEB 10 1975 0 FIRE ZONE I TYPE OF CONSTRUCTION STREET IMPROVED -AYES ENO SPECIAL INSPECTOR REQUIRED -OCCUPANCY GROUP YES ❑ NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX REMARKS SHOULD BE CODED 31.04. Plan Check No ..................... BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN tRETAINING WALL N ISWIMMING POOL DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL. Valuation Fee I Receipt No. 9 0 It WI fil PC 11 CL m 11 -