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1418 9TH AVE N (2).PDFIIIIIIIIIIII9842 1418 9TH AVE N ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE):�`7 COVENANTS (RECORDED) FOR CRITICAL AREAS :_�j% PETERMINATION: ❑ Conditional Waiver ❑ Study Required 1A Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DA EASEMENT(S) RECORDED FOR: PERMITS (OTHER):���(� PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DA SEWER LID FEE SHORT PLAT FILE: SIDE SEWER AS BUILT DA SIDE SEWER PERMITS) #: -F-716— 5' GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: LID #: t/1y. L:\TEMP\DSTs\Forms\Street File Checklist.doc Per RCW 70.128.175, state requires Adult Family Home. be considered allowed uses in all Single -Family Residential zones. � I 7- 6 ks" \ C, g 0 40H M' aO P,-, i§ - cc =91 8 44 -5 g 0 2 o ,20 8 013 0 A ZfHApo . -s a 903 ON' O. CO , �Acet_ 90 AW 0�764 APPROVED AS Nd,rED NGINEERING 4 4 4fe: 12.-& 1 0? I � r,'o5-r. 4�, lzv 6-WV5'7;,7-4-) Zone .- Corner Mg-Z-- Setba Actual Sides Reef Other Hey to - APPR D BY PLANNING 7-- P6,111 - ESUB (9 NOV 2 6 2007 31.1 BUILDING DEPARTMENT CITY OF EDMONDS a. SIRE � n ET FILt A/- PLANNING DATA SINGLE FAMILY RESIDENTIAL ilSTREET FILE Name: Date: G�. Site Address: _ Plan Check #:.a v Project Description: = er:oc' celD0 e.( 401 c- AICICA T cr0 -cc,—IC, r)e c7 Reduced Site Plan Provided: NO) Zoning: _ Map Page: Corner Lot: (YES /� Flag Lot: YES NO) Critical Areas Determination ❑ Study Required 39 Waiver SEPA Determination: Exempt ❑ Needed (for over 500 cubic yards of grading) ❑ Fee ❑ Checklist ❑ APO List with notarized form Required Setbacks 51:c- : Side: E Side: ko O Actual Setbacks To Side: to' Side: o +a- ❑ Detached Structures: ❑ Rockeries: ElFences/Trellises: %lo��ocJ^ on �►�g ❑ Bay Windows/Projecting Modulation: Stairs/Deck: CXi Ql" S6;rs SVc>,z , oCN Buildin Hei ht Datum Point: NIA, Datum Elevation: Maximum Height Allowed: Actual Height: Other Parking Required: Parking Provided: Lot Area: Maximum Lot Coverage: 35% er. Pr osed:NGir1� Lot Coverage Calculations: ADU Created: (YES /®O A I' o e^ Subdivision Legal Nonconforming Land Use Determination Issued: (YES' Comments . Plan Review By: / Planning Data Form 04-11-06.doc STREEIR FILE•� , oc52� :So ZONE SETBACKS; a ! MCONT �tbxk I Y :.ri oC Jr OTHER �, I HEIGHT / --I>i rc, I 2 -7 __ I \ i I o o: I I i SCALE l 50 I o 1418 9r" AVE. W .LOT 2 OF TRACT 5 i .,WALLACE TRACTS — EDMONDS) WA. 31-" - 0 HUMMEL HOMES JOB 83 2 -7o.00' 7 7 .� ... ;3., i1� _ .. .. ._ :�. i .. w... .'....... • __. ._�. _tom_ _.�a__.. _. _ _ _._ STANDARD DRAINAGE PLAN UPPER . CATCH BA %N orLTENTION PIP! LENGTH CONTROL CATCH (VfiNT) SAS1►4-� )r- I' MAN , 2' MAX COVER —Z OUTLET C O NT;t0 c 5LOPE-O. I _., 4' s . TO OUT L.6T (RI PRAP OR RUN OF F SP READER SYSTEM CROSS SECTION SEE PAGE 3 FOR OUTLET CONTROL DETAIL. 2' , 2' A it" DEC?, 4"- 16 SPALLL (OR eou^L) Vx 2' r B" DEEP, j'- CRUSHED ROCK CLTLET RIPRAP OUTLET WASHED CIRAVEL OUTFLOW T$kENCH, MIN 10' LONG, 1 TOP 4 4" PERF PIPE TO BE LEVEL ---a. I . - "I FRCM OUTLET CONTROL 4" PERF PIPE WITH CAPS RUNOFF SPREADER OUTLET DETENTION SYSTEM PAGE I OF 3 for HUMMEL HOMES INC. location 141R 9TH AVE. W. CC IOND , WA. 99429 plan by phone date OCTOBER 17, 1983 DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Length Diameter NOTES 1. Call Engineering Division (771-3202` for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the resoonsibility of the property owner(s). Material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation. The outlet control orifice must be kept open at all times. CITY OF EDMONDS CITY OF EDMONDS PUBLIC WORKS DEPAR NT .­'SI.DE': SEWER PERMIT FOR INS L 6m IVPermit® MA1WU Ext. '2'Yd Issue Date 771-,%7n,) 70% * PERMIT MUST BE POSTED ON JOB SITE * -- 1. Address.of Construction �� EDMONDS . 2. Property Legal Description (include all, easements) a 3. Single Family Residence L,- Multi -Family No. of Units Commercial 4. Owner and/or Builder J,/./��,� �,� / LIQA) J-iV�'%�""�C� �c _ v 5. Contractor & License No. 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (�/L���4/4 ) before excavation) . 1-800-424-5555 7. Cross other private property: Yes U11111" No Easement required - attach legal description and county easement number. READ THE FOLLOWING 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 reponsibility for each installation for one year. C. Commercial establishment requires a minimum of a six inch (6") side sewer line. d. Side sewers may not be installed closer than thirty 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) is°allowed. 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 responsible=fr right-of-way failure due -to poor compaction of fill. r k.. Side sewer must be left uncovered until. inspected and approved by the City. 1: Inspection during normal workin, hours only. o (2) working days notice requi ed. 1 ' DATE: Q/_ dcptify that I have read and shall comply with the above IR, PERMIT FEE: F(� �- CONNECTION AE: O DISAPPROVED By: By: APPROVED By Date: Date: Date: tMI T T BE POSTED ON JOB SITE The City of Edmonds Side Sewer Drawing EASEMENT NO - --------- NEW CONSTRUCTION REPAIRS ❑ LID NO_ ---------------- .- ASMT. NO. ------------------ OWNER -AAWAAF—An ----- PO(A-E:5 ------------------- ------ - --------------- ----- CONTRACTOR ------------------------------------------- ----------- ---------------------------- PERMIT NO. 71-53 ---- JOB ADDRESS ---- ...A-4 I - ----------------------- LEGAL DESCRIPTION: LOT NO - ----- --- BLOCK NO. 'ONDS -:NT___PLJANT I PWW-0001 -11/75 (REV. 11/78) M Approved: DATE -3(01 ...... By ----- -4 ---------------- —Y, --- --- . CITY OF EDMONDS -CONSTRUCTION PERMIT APPLI ATION KIP HERMIT Z NE NUMBER JOB ADDRESS NAME (OR NAME OF BUSINESS) Cr 0 HUMMEL HOMES INCORPORATED LEGAL DESCRIPTION CHECKI 2'. SUBDIVISION NO. LID NO. 4 R ' 3 J MAILING ADDRESS 6308 212TH ST. S.W. PUBLIC RIGHTZF WAY PER OFFICIAL STREET MAP. EXISTING `� REQUIRED DEDICATION C_ PROPOSED cr W CITY LYNNWOOD WA. 98036 TELEPHONE NUMBER 771-8366 NAME DESIGN CONSULTANTS RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 1:) w Lx 0 ADDRESS 903 18TH ST. STREET USE PERMIT REQUIRED I.-1 z Z W SEE ENGINEERING MEMO DATED l7 SEE PIW DEPT. REVIEW CHECK LIST DATED CITY TELEPHONE NUMBER MULKETIO WA. 1745-6569 REMARKS NAME HUMMEL HOMES INCORPORATEDcc r �� ADDRESS cc 6308 212TH ST. S.W. METER SIZE BUILDING SUPPLY SIZE IFIXTURE UNITS CITY TELEPHONE NUMBER o U LYNNWOOD WA. 98036 771-8366 3 REMARKS STATE LICENSE NUMBER CITY LICENSE NUMBER HUMMEI 224C3 SIGN AREA ALLOWED PROPOSED ENV. REVIEW COMPLETE EXEMPT ADB NO. z O Legal Description of Property • include all easements (show below or attach four copies) SHORELINE p LOT 2 OF TRACT 5, a u o Q W J z Z z Q J a VARIANCE OR CU PL, N6&A.NING REVI W BY // DATE .s WALLACE TRACTS YARDS �� Z �y zs' FRONT SIDE REAR LOT COVERA E 35 < C SEE ATTACHED) REMARKS NEW RESIDENTIAL PLUMBING ADDIALTER NON-RESIDENTIAL MECHANICAL y ,y /�-�„� -ll�%.SQL •�n/'—�/t�v�C REPAIR RETAINING WALL SIGN EXCAVATE FENCE DEMOLISH El OR FILL ( x FT) CHECKED BY I TYPE OF CONSTRUCTION CODE J HEIGHT z o PRE-MOVE INSP./ ❑ swim COMPLIANCE INSP. POOL Lv a SPECIAL INSPFCTOR REQUIRED I:.I YES I ; NO AREA JOCCUPANCY GROUP OCCUPANT LOAD SIDE SEWER ❑ WATER LINE F REMARKS 0 - ❑ ¢ NNUMBER j m OF STORIES NUMBER OF o DWELLING - m O UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) CONSTRUCT SINGLE FAMILY DETACHED DWELLING VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, GRADINGIFILL driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and y) successors in interest, agrees to indemnify, defend and hold w memployees, harmless the City of Edmonds, Washington, its officials, and agents from any and all claims for damages of ,vh;,t­uar n,iture. Arising, dirortIv nr inriirnrtly from thn is c:�n�rn 1 ( I I I •i I ! DATE MEMO TO: Building; Division Community Development Department FROM: Engineering Department SUBJECT: ���/� 1`Z//I1/C /V After review of the subject Building Permit application, we have the following, comments: 1 Connection to City water system required. 2 Connection to City sanitary sewer system required. 3 Right-of-way Permit required for any work on City property.__ 4 Driveway slope not to exceed 14;0, S. Backwater valve required if downstairs plumbing is below elevation of upstream manhole. 6. Water and sewer lines to be separated by 10 foot minimum. 7. Builder/Owner responsible for containing all temporary run- off and erosion on site and may not impact neighboring properties in any way. SignatureLI ;t y CITY OF EDMONDS CIVIC CENTER - EDMONDS. WASHINGTON W020 SINGLE FAMILY 11ULTIPLE COMMERCIAL PROJECT NAME ADDRESS _ /L� 9 7hV ACCESS SLOPE AND VEHICLE ACCESS DRAINAGE PLAN STREET FILE LEGAL DESCRIPTION VERIFICATION QUIT CLAIM/DEDICATIONS EASEMENT - PUBLIC/PRIVATE CALCULATE SEWER CONNECTION IF NO LID 0 ENGINEERING & PUBLIC WORKS PROJECT REVIEW CHECK LIST CONTACT NAME b .TELEPHONE NUMBER 1;171- - 7 STREET PAVING REQUIRED IlLe CURB AND GUTTER REQUIRED SIDEWALK REQUIRED CURB CUT FOR DRIVEWAY. REQUIRED RIGHT-OF-WAY CONSTRUCTION PERMIT REQUIRED BOND REQUIRED FOR PUBLIC IMPROVEMENTS STREET NAME SIGN REQUIRED OTHER SIGNING REQUIRED (ADDITIONAL COMMENTS ON BACK) EXIST W WATER MAIN SIZE WATER MAIN REQUIRED SERVICE LINE REQUIRED HYDRANT SIZE EXISTING HYDRANT REQUIRED PER FIRE CODE __ Z/ SIZE CROSS CONNECTION INSPECTION HATER METER CHARGE REQUIRED REVIEW BY (ADDITIONAL COMMENTS ON BACK) ti SANITARY SEWER DRAWING NUMBER FILE NUMBER SIDE SEWER AVAILABILITY j � SANITARY SEWER CONNECTION FEE REQUIRED OPEN DITCH EXISTING REQUIRED C&TCM SASiN: l &M•1s3o(ow ..w.L.) _ ' •4 -nvMfu M � � 4►[RF ►► TEE W/ 4MLONG TRGNCM L-KNQTN. : M i� 'ritI[WM COVER ' LlVNL TRCN", PC CAP ' LE GS SYSTEM CROSS-SECTION M I RA.F I 140 N or, ruly e L.E�I-r TO B LAYED OW o wnsH ED rzoc.K u TvmNCH COVER 3/4� GRAVEL n .� TRENCH CROSS—SECTION STANDARD DRAINAGE PLAN:. 'e-� INFILTRATION SYSTEM PAGE I OF 2 HUMMEL HOMES INCORPORATED for location 418 9 AVE.- F mond4 i►A plan .by ucP ammo phone 771 k 366 date 1 9 h—k 3 DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.-ft. Area Req. I I ✓1 1-&� 1/ZZ NOTES 1. Call Engineering Division (771-3202)' for prebackfill and final inspections..'-. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive 1. maintenance consists of preventing soil and other materials from entering. trench during construction as well as:. after construction. Catch basins should be cleaned of floating material and......' sediment at regular intervals (at least twice per year). Footing dAa,in .to Aonohnto R I ' lJ FOOTING DRFrN POw"yo,>C LAASN �/41 I - ^�• - ' yq J S ALE 1418 9"' AVE. W LOT;?. OF TRACT WAL L AGE TRACTS - - - - �- SITE PLAN, SCALE: 1" = ',0 � 70. STANDARD DRAINAGE PLAN NOTE: DO NOT USE INFILTRATION SYSTEM,INFILTRATION SYSTEM ON SLOPES OVER 15 PERCENT (15 FOOT RISE PER: 100 FEET HORIZONTAL.') PAGE 2 OF 2 Dna.inage Injitt cation System ( Eietd. Penc. tut ) JOB # 83-2 ADDRESS 1418 9-th Avenue Nonth EDMONDS, WA. I. Dug two 12) test hote�s, 24" deep. Hv.2e6 #1 and #2 hound sitty 6ine .sand with some gnavet, and appnox.i"matety 15 - 30 'peAcent 6 ne.6. IZ. Ptaced 2" o6 gnave.2 in bottom o6 hotes. III. Fitted each .hole With. 6" o6 water and ob.Se ved the 6ottowing. HOLE #1 HOLE#2 6" ob water 9:57 6" o6 water 9:59 .4" o6 waxen 10:21 3" ob water 10:29 I V . DiameteA o6 ho.2u Hote #1 6" Hote 02 6.5" V. Penc. Rate ( minutu pen inch ) .Hote " 1 15 minutes pen finch Hote # 2 10 minutes pen inch' VI. Trench Length Ptacing injittnati.on trench in ahea ,o'6- hotez 1 and 2 and u16ing a penc. hate o6 12. 5 minutes pen inch a trench .length : ob 71' -us xequiAed 2.265 x 34' = 77' VII. Impenv.io" Area 2265 zquane beet Inctude-s D)tiveway, .Roo6 and ovenhang�,, VIII. Footing dna,in Footing drain connected to .sepenate ' dxywett, ass zhown on drainage plan. • #P20 Critical Areas Checklist CA File No: 01 Site Information (soils/topography/hydrology/vegetation) 1. Site Address/ Location: 1 Lt (�� y I A-V • Mo rl k� S \/\/ 2. Property Tax Account Number: 00 60� O 00 O O 5 O 3. Approximate Site Size (acres or square feet): O, u i A Cr2—FS 4. . Is this site currently developed? X_ yes; no. If yes; how is site developed? N T t. A L 5. Describe the general site topography. Check all that apply. iL 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: No ; Approx. Depth: 7. Site contains areas of seasonal standing water: O ; Approx. Depth: _ What season(s) of the year? 8. Site is in the floodway N floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? /y Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ;shrubs ; mixed ?C urban landscaped (lawn, shrubs etc) 11. Obvious wetland is present on site: _ 1. 2. 3. 4. 5 For City Staff Use Only Plan Check Number, if applicable? Site is Zoned? S Z SCS mapped soil type(s)? A j ,� wc:o (� (` (77 c-, I OA j Co MpfJL Z — Critical Areas inventory or C.A. map indicates Critical Area on site? ► (� Site within designated earth subsidence landslide hazard area? NO DETERMINATION Reviewed by: f WAIVER "eC: 1 s9" e#rzu City. of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Fax: 425.771.0221 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 the application 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). Date Received: City Receipt #:c'e,11691�� --'� Critical Areas File #: BRA.-D ooj6 \ 41 Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant:: A property owner, or his/her authorized 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 fmding 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 assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits herewith submitted are true and convect to the best of my knowledge and that I am authorized to file this pplication on the behalf of the owner as listed below. SIGNATURE OF APPLICANT/AGENT "" 1 DATE O I'2 5 I Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting att ndant to this application. I D/SIGNATURE OF OWNER DATE /0 PLEASE PRINT CLEARLY Owner/Applicant: AhKx* A� Name Street Address �E M D M6 S 1nl �� 020 City State Zip Telephone: Applicant Representative: Name Street Address City State Zip Telephone: Email address (optional): Email Address (optional): l� • • / VO boa 90 ,La-oO 766 COVENANT For Adult Family Home's Second Kitchen Whereas, the Grantor(s) ADRt!}hl M 1gRGhNs RNP�. ARt.I MPtPCN1S hereafter referred to as "Grantor(s)", have received a Building Permit # dLb2oof O927 for property.which is zoned single family residential, and is located at l �� g 9TH prvF , N D rV\ 1y1J s w A- g p 2 0 tax account parcel number O O 6 O O 0 © O O 5 01 ,and legally described as follows: S�T-- P,TrA-CHr=N 5Ct-i'F-DvLs A 5�5-C 941 7-cg?71U GE 3 e,55G///;I Whereas, the City of Edmonds has received a building permit application for an Adult Family Home with a second kitchen to be located in an existing single family residence in a single family residential zone. Whereas, pursuant to WAC 388-76-190 an adult family home is considered a residential use of property for zoning purposes, and are permitted in areas zoned for single family dwellings. Whereas,.the City.. desires to approve utilization of a second kitchen in the Adult Family Home as a reasonable accommodation to the facility as care provider to the disabled for so long as the second kitchen is utilized, and only utilized, in conjunction with the Adult Family Home use. Therefore, in consideration of the City of Edmonds, Washington approving the second kitchen as a reasonable accommodation by issuance of a building permit, the Grantors agree as follows: E 1. This covenant and all terms hereof shall be binding on Grantor, heirs, assigns and successors in interest, and shall be deemed to run with the land and bind all future owners to the real properties described above. 2. This covenant shall be recorded with the Snohomish County Auditor and Grantors shall pay for all recording fees. 3. Grantors hereby covenant that the kitchen on the lower, basement floor of the subject residence can be used only in conjunction with the Adult Family Home and that the said kitchen shall be removed immediately upon termination of the Adult Family Home State License # :z I a& I for the subject facility or cessation of use of the property as an Adult Family Home, unless, or until, zoning laws allow otherwise. 4. The provisions of paragraph 3 above shall be specifically enforceable in the Superior Court of Snohomish County. The prevailing part shall be entitled to its attorneys' fees in such a proceeding. 5. Grantors acknowledge and agree that approval of the second kitchen for the Adult Family Home use and the creation of this Covenant are a reasonable accommodation of Grantors' rights as a care provider to the disabled and of its clients' foreseeable needs. The Grantors, therefore, on behalf of themselves, their successors and assigns do hereby waive any and all claims of the Americans With Disabilities Act or the Washington Law Against Discrimination which they may have as of the date of the execution of this Covenant and promise to hold harmless and indemnify the City, its _officers, agents and employees from any cost, claim or liability which may be incurred in defense of such a claim. By signing and execution of this Covenant, the parties hereto agree that Grantors are in compliance with existing zoning regulations. Signedn dam` Cci�u '1 Subscribed and sworn to before me this C� clay of sties Notary Public in and for t e State of Washington. Residing at .. . SCHEDULE A Order No.: 166252-5 That portion of Tract 5, WALLACE TRACTS, according, to the plat thereof recorded in Volume 12 of Plats, Page _7, in Snohomish County, Washington, described as follows: Commencing at the Northwest corner of the South 70.00 feet of the West 140.00 feet of said Tract 5; thence North 89 ° 48'00" East along the North line of said South 70.00 feet, 140:00 feet to the Point of Beginning; thence continuing North 89°48'00" East 90.00 feet; thence North 30o36'32"East 106.90 feet to the Northeasterly boundary of said Tract; thence South 51 ° 26'00" East along the Northeasterly boundary of said Tract 120.98 feet; thence South 00 ° 12'00" East parallel with the East line of said Tract 54.89 feet, . more or less, to the South line of said Tract; thence South 89 ° 48'00" West 219.08 feet; thence South 00 ° 12'00" East 31.1 7feet; thence South 89°48'00" West 20.00 feet to the East line of said West 140.00 feet; thence North 00 ° 12'00" West along said line 70.00 feet to the Point of Beginning. Being a portion of Parcel 2 of Short Plat No. S-22-81 recorded December 23, 1981 under Recording Number 8112230187; TOGETHER WITH an easement for ingress, egress, drainage and utilities over, under and across the North 20.00 feet of the South 90.00 feet of the Westerly 170.00-Jeet of said Tract 5; _ ALSO KNOWN AS Lot B of Short Plat recorded under Recording Number 8,612170323, records of Snohomish County, Washington); Situate in .the City of Edmonds, County of Snohomish, State of Washington Abbreviated legal . Portion of Tract 5, WALLACE TRACTS, V 12, P 7. ... END OF SCHEDULE A.- . CITY OF EDMONDS ASSET INFORMATION SHEET 2 NEW • ❑ ADDITION ❑ RETIREMENT DESCRIPTION LOCATION **PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST ASSET NO. 120544;�� ADDITION TO ASSET NO. SERIAL NO. *PROJECT NUMBER PROJECT COMPLETION DATE COST /-22 B.A.R.S. ACCOUNT NO. • ESTIMATED LIFE INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY l DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT • G.L. ENTRY REFERENCE DATE VERIFIED BY PROCESSED r-7 -- r. BATCH NO. INITIAL by DEPARTMENT FILE .0 STREET ADD F:er FILE CITY OF EDMONDS BARBARA FAHEY MAYOR 7110 - 210TH ST S.W. • EDMONDS, WA 98026 • (425) 771-0235 • FAX (425) 744-6057 COMMUNITY SERVICES DEPARTMENT - PUBLIC WORKS DIVISION 1nc.1SO) December 1, 1997 Lynda Siriwatanarong 1418 - 9th Ave. N. Edmonds, WA 98020 Dear Ms. Siriwatanarong: I have received a claim for excessive water consumption and a request for a water bill adjustment. After careful consideration and looking at your past water use history, your water consumption fortunately does not show excessive water use. At this time, since the water consumption does not appear to be abnormal, a credit will not be issued. Should you have any questions, please call me at 425-771-0235, extension. Sincerely, Jim Waite Water/Sewer Supervisor JW/lk wordata\waterWriwata • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan November 22, 1997 City of Edmonds Combined Utility 121 5 h Ave. N. P.O. Box 2008 Edmonds, WA 98020-3163 Dear Jim Waite: RECEIVE® N 0V Z 5 1997 PUBLIC WORKS OEPI After speaking with one of your representatives shortly after receiving my September statement regarding an overcharge, I was told to inform you through a formal letter to insure compensation. My September statement was billed in the amount of $295.97 which is about $200 more than I am usually billed. I looked into this situation and was told that there was a leak in our water sprinkler system therefore increasing my bill by $200. After speaking with your representative and explaining my situation she told me that I would be credited the difference after submitting a formal letter. I hope we can resolve this situation as soon as possible. I thank you for your time and hope to hear from you soon. If you have any questions please do not hesitate to call me at (425) 771-8202. Sincerely, �t�a-rsn Lynda Siriwatanarong UMMASMNT City of Edmonds PAGE 2 12/01/97 09:19 Print Master File Account Details Account: 1-13975 History 1) Water Surcharge Sewer Misc Fees DEP: Unapp Total 2) Penalty DEP: Balance Read Date Sery Days Read 1 Read 2 Read 3 Consumptio Avg/Day [Memo) -------------------------------------------------------------------------- 10/22/97 R 1 71.25- 4.10- 68.82- 0.00 0.00 0.00 144.17- Balance: 0.00 10/09/97 Water 09/24/97 56 5360 0 0 31/ 0.553 B 1 71.25 4.10 68.82 ' 0.00 0.00 0.00 144.17 Balance: 144.17 08/27/97 R 1 58.25- 3.35- 46.62- 0.00 0.00 0.00 108.22- Balance: 0.00 08/14/97 Water 07/30/97 70 5329 0 0 21 0.300 B 1 58.25 3.35 46.62. 0.00 0.00 0.00 108.22 Balance: 108.22 06/25/97 R 1 41.35- 2.38- 17.76- 0.00 0.00 0.00 61.49- Balance: 0.00 06/12/97 Water 05/21/97 56 530B 0 0 8 0.142 B 1 41.35 2.38 17.76 ,0.00 0.00 0.00 61.49 Balance: 61.49 04/16/97 R 1 50.45- 2.90- 33.30- 0.00 0.00 0.00 86.65- Balance: 0.00 04/10/97 Water 03/26/97 56 5300 0 0 15 0.267 B 1 50.45 2.90 33.30 0.00 0.00 0.00 86.65 Balance: 86.65 02/19/97 R 1 33.55- 1.93- 4.44- 0.00 0.00 0.00 39.92- Balance: 0.00 02/11/97 Water 01/29/97 65 5285 0 0 2 0.030 B 1 33.55 1.93 4.44 0.00 0.00 0.00 39.92 Balance: 39.92 12/18/96 R 1 66.05- 3.80- 59.94- 0.00 0.00 0.00 129.79- Balance: 0.00 12/10/96 Water 11/25/96 61 5283 0 0 27 0.442 B 1 66.05 3.80 59.94 0.00 0.00 0.00 129.79 Balance: 129.79 10/23/96 R 1 81.65- 4.69- 86.58- 0.00 0.00 0.00 172.92- Balance: 0.00 10/10/96 r Water 09/25/96 61 5256 0 0 39) 0.639 B 1 81.65 4.69 86.58 0.00 0.00 0.00 172.92 Balance: 172.92 08/21/96 R 1 84.25' 4.84- 91.02- 0.00 0.00 0.00 180.11- • UMMASMNT City of Edmonds PAGE 3 12/01/97 09:19 Print Master File Account Details Account: 1-13975 History -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- 1) Water Surcharge Sewer Misc Fees DEP: Unapp Total 2) Penalty DEP: Balance Read Date Sery Days Read 1 Read 2 Read 3 'Consumptio Avg/Day [Memo] ----------------------------------------------- -------------------------- Balance: 0.00 ' 08/12/96 Water 07/26/96 64 5217 0 0 41 0.640 B 1 84.25 4.84 91.02 0.00 0.00 0.00 180.11 Balance: 180.11 06/21/96 OPER OPERATOR CORRECTION RA 1 0.00 0.00 0.00 0.00 0.00 298.74 298.74 Balance: 0.00 06/19/96 R 1 0.00 0.00 0.00 0.00 0.00 298.74- 298.74- Balance: 298.74- R 1 127.15- 7.31- 164.28- 0.00 0.00 0.00 298.74- -Balance: 0.00 06/11/96 Water 05/23/96 56 5176 0 0 74 1.321 B 1 127.15 7.31 164.28 0.00 0.00 0.00 298.74 Balance: 298.74 04/18/96 R 1 203.85- 11.72- 295.26- 0.00 0.00 0.00 510.83- Balance: 0.00 04/11/96. Water 03/28/96 63 5102 0 0 133 2.111 B 1 203.85 11.72 295.26 .0.00 0.00 0.00 510.83 Balance: 510.83 02/22/96 R 1 112.85- 6.49- 139.86- 0.00 0.00 0.00 259.20- Balance: 0.00 02/14/96 Water 01/25/96 58 4969 0 0 63 1.086 B 1 112.85 6.49 139.86 0.00 0.00 0.00 259.20 Balance: 259.20 12/21/95 R 1 142.75- 8.21- 190.92- 0.00 0.00 0.00 341.88- Balance: 0.00 12/14/95 Water 11/28/95 63 4906 0 0 86 1.365 B 1 142.75 8.21 190.92 0.00 0.00 0.00 341.88 Balance: 341.88 11/08/95 M-C LEAK CREDIT 1-16-95 10/26/95 R 1 78.06- 4.49- 91.02- 0.00 0.00 0.00 173.57- Balance: 0.00 10/12/95 Water 09/26/95 48 4820 0 0 W% 0.854 B 1 78.06 4.49 91.02 0.00 0.00 0.00 173.57 Balance: 173.57 09/13/95 R 1 129.17- 7.43- 155.40- 0.00 0.00 0.00 292.00- Balance: 0.00 08/28/95 Water 08/09/95 14 4779 0 0 15 1.071 , UMMASMNT City of Edmonds PAGE 4 12/01/97 09:19 Print Master File Account Details Account: 1-13975 History 1) Water Surcharge Sewer Misc Fees DEP: Unapp Total 2) Penalty DEP: Balance Read Date Sery Days Read 1 Read 2 Read 3 Consumptio Avg/Day [Memo] -------------------------------------------------------------------------- CB 1 26.72 1.54 33.30 0.00 0.00 0.00 61.56 Balance: 292.00 08/15/95 Water 07/26/95 62 4764 0 0 55 0.887 B 1 102.45 5.89 122.10 0.00 0.00 0.00 230.44 Balance: 230.44 07/17/95 R 1 115.45- 6.64- 144.30- 0.00 0.00 0.00 266.39- Balance: 0.00 06/14/95 Water 05/25/95 62 4709 0 0 65 1.048 B 1 115.45 6.64 144.30 0.00 0.00 0.00 266.39 Balance: 266.39 05/19/95 R 1 59.65- 3.43- 74.24- 0.00 0.00 0.00 137.32- Balance: 0.00 04/13/95 Water 00/00/00 58 4644 0 0 64 1.103 B 1 114.15 6.56 142.08 0.00 0.00 0.00 262.79 Balance: 0.00 02/15/95 Water 00/00/00 57 4580 0 0 61 1.070 B 1 110.25 6.34 135.42 0.00 0.00 0.00 252.01 Balance: 0.00 01/16/95 BA 1 86.14- 4.96- 286.38- 0.00 0.00 0.00 377.48- Balance: 0.00 UMMASMNT City of Edonds PAGE 1 12/01/97 09:19 Print Master File Account Details Account: 1-13975 Screen 1 *** Tenant Information *** *** Owner Information *** O1 Name CITY OF EDMONDS 09 Name CITY OF EDMONDS 02 Care of 10 Care of 03 Addr 1 121 5TH AVE N 11 Addr 1 501 BELL ST 04 Addr 2 12 Addr 2 05 City EDMONDS 13 City EDMONDS 06 State WA 07 Zip 98020-3163 14 State WA 15 Zip 98020-3147 08 Phone (000) 775-1600 16 Phone (206) 771-0240 --------------------------- --------------------------- 18 Water 0.00 ===Meter Reading Information== 19 Surcharge 0.00 17 Location 121 STH AV N 20 Sewer 0.00 Current Previous 21 Previous Due 0.00 24 Curr 31 25 Date 09/24/97 26 07/30/97 22 Current Due 0.00 27 YTD 77 28 Rdng 5360 29 5329 23 Balance 0.00 32 LTD 765 30 Rdng 0 31 0 33 Meter #: 2346 35 Extension Dt 00/00/00 34 Location 36 Acct Setup 00/00/00 3FT N OF HYD 37 Last Pay 10/22/97 38 Last Bill 10/09/97 39 Due Date 11/12/97 40 Status A Screen 2 ** Misc Codes ** *** Rate Codes *** ** Units ** ***Meter Info*** O1 Status A 14 Water 009 1"MTR 15 13.00 24 Meter BrndSR 02 Type 19 16 Surcharge001 TAX 17 1.00 25 Meter #: 2346 03 Cycle 02 18 Sewer 010 111MTR 19 13.00 26 ID Meter 04 In/Out I 20 Misc 000 NOCHG 21 0.00 27 Type M B O5 Sort Cd 9999 22 Penalty 23 0.00 28 # Readings 1 06 Est Flag N 29 Mess Code HCF 07 #Tenant 0 30 Install Dt 04/16/80 08 #Owner 1 31 Shutoff Dt 00/00/00 09 Respon? O 32 Route 103 33 Sequ 13500 10 Penalty Y 34 Codes SE52E 11 Past Note 0 35 ADDR CODE 1 00 12 Shut Note 0 36 ADDR CODE 2 00 13 Account Info RETURN ADDRESS: ity of Edmonds, City Clerk 12 T Sth Avenue North .,Edmonds, WA 98020 Re-e, a00g0��07i 7 NOTICE OF LIMITATION AND COVENANT ADULT FAMILY HOME Reference #: MJZ�51 - / Gr:antor.(s): M kIk4N MAF C•HK (2) IAL MA CHIS Additional on pg. Grantee(s): City of Edmonds , ,Legal Description (abbreviated): Sec ay Twn/A7,tJ Rng C tr�_ OR Lot Block Plat :Assessor's Tax Parcel ID#(s): (1) 0060g100 000 501 (2) . Assessor's Tax Parcel ID# not yet assigned AUTHORIZED FOR RECORDING ity of Edmonds By: Date: Page 4-- of `WHEREAS the undersigned owners of property located at �y �$ �jPtV � g in Edmonds, Washington legally described -.6'el.ow 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 6 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 tt' 6 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 ap.:occup'ancy of greater than ig residents or attempts to rent, lease or otherw:ise.provide residence for additional residents above the permitted in the current occupancy classification, the structure shall :be.va�ated and all residential use ceased until such time as the property is brought visions of the State Building Code, under the edition of into.compliance with the pro `4tlie' ,Uniform Building Code then in effect. The owner further stipulates that this covenanttouches 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 apprl�y to and run with the land with respect to a residential structure located at 1411 Edmonds, Washington and legally described as: S:'F--E Ai i fl-c�A !F-D SckAlp- tUL F= 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 .hone residents fewer than = 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 ity of Edmon d�r By -:Date 4 % Page of • • i :DATED this i day of i Acce. ed y: dng Official SIGNATURES Pr pnro,.4,1 ') Property ner License Holder 2 NOTARY FOR OWNER SIGNATURES State of Washington ) )ss County. of .oft/ 5W I:certify that I know or have satisfactory evidence that //"va-4 222/'1'6�1-S signed this instrument, on oath stated tha he/ he was authorized to execute the instrument and acknowledged it as the (title) of 4m: (name of party on behalf on whom instrument was executed) to be ee and voluntary act of such party for the uses and purposes mentions in this t'-.ins�rument., Subscribed and sworn to before me this day of b L4 Notaa y Public in and for the State of Washington. My commission expires - 19' o?b// a. I know or have satisfactory evidence that „(, L/ f"l &'15 isinstrument, on oath stated that he/ he as authorized to execute the instrument and acknowledged it as the r (title) of (name of party on behalf on whom instrument was executed) to be t'efree an voluntary act of such party for the uses and purposes mentions in this ms „umen t. Subscribed and sworn to before me this day of \✓1/1,/ i `� •' i ::Bye'•. a N:ota Public in and for th State of Washington. z tea MYcomi fission expires AUTHORIZED FOR RECORDING i y of Edmonds By: Date: age ,�;L of L:\TEMP\BUILDING\FORMSIA FH CO V ENANT7/07 That portion. of Tract 5, WALLACE TRACTS, according to the plat thereof recorded ih.Volume 12 of Plats, Page 7, in Snohomish County, Washington, described as fellows: Commencing at the Northwest corner of the South 70.00 feet of the West 140.00 :feet;of :said Tract 5; tkience'North 89°48'00" East along the North line of said South 70.00 feet, 140.00 -,;;feet;to the Point of Beginning; ;`thence: continuing North 89°48'00" East 90.00 feet; thi3nce North 30o3632" East 106.90 feet to the Northeasterly boundary of said thence South. 51 ° 26'00" East along the Northeasterly boundary of said Tract • 12098'feet; thence South 00 ° 12'00" East parallel with the East line of said Tract 54.89 feet, more or less; to the South line of said Tract; ...thence South 89 ° 48'00" West 219.08 feet; ., thence South 00 ° 12'00" East 31.17 feet; thence South 89048'00" West 20.00 feet to the East line of said West 140.00. feet; thence. North 000 12'00" West along said line 70.00 feet to the Point of Beginning. ;i3eing .a portion of Parcel 2 of Short Plat No. S-22-81 recorded December 23, 1981 under.- Recording Number 8112230187; , JO:GETHER WITH an easement for ingress, egress, drainage and utilities over, under .and across the North 20.00 feet of the South 90.00 feet of the Westerly � 170 OJeet .of said Tract 5; _......_ . _ ... ALSO KNOWN AS Lot B of Short Plat recorded under Recording Number ' 8612170323, records of Snohomish County, Washington); Situate in the City of Edmonds, County of Snohomish, State of. Washington. Abbreviated legal Portion of Tract 5, WALLACE TRACTS, V 12, P 7. .. END OF SCHEDULE A ... }1 ,Al ! q;;, , �i