15731 70TH AVE W.PDF15731 70TH AVE W
CITY OF EDMONDS ASSET INFORMATION SHEET
STREET R
LE.
TA .
-
LJ NEW `r ,ASSET N0 -�0 qq
C ,
❑ ADDITION ADDITION TO'ASSET NO.-:`_"`
t
RETIREMENT
DESCRIPTION
r
SERIAL NO.
LOCATION _ �7 �1
' 1 , E
DE N0.
"PURCHASE ORDER NO.
.4. • +Ybs i4.'dj t .uu„}'rt,,.�, -L..� 1�F '•As
pROJECT NUMBER��
PURCHASE ORDER DATE
c
COST
B.A.R.S. ACCOUNT
ESTIMATED LIFE
yorl t
INITIATED BY DATE '`:r`V, .=: '° .-`. ;':- APPROVED. BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL:PAYMENT REQUEST::;,-: .','°
'SUBMIT ASSET INFORMATION SHEET UPON CLOSE: OF: PROJECT:`
ACCOUNTING ONLY
VERIFIED BY
E DEPRECIATE
MONTHLY DEPRECIATION AMOUNT `• PROCESSED _:
ANNUAL DEPRECIATION AMOUNT BATCH NO.
C F
G.L. ENTRY '-: t• �"����' �
REFERENCE DATE
INITIAL
by
DEPARTMENT FILE
The City of Edmonds
Side Sewer Drawing
EASEMENT NO- --------- ----------------------------------
NEW CONSTRUCTION REPAIRS ❑ LID NO_ ------------------ - ASMT. NO. ___-_-_-_-__--_-__
OWNER Duiqwc... ... HsimtG- --------------------- ------- -- ------------ CONTRACTOR 4-S-OtAPERMIT NO�
_ ------------------------------- . SP��
J[OB ADDRESS A,5731 ----------- 70714 --------- W ------ - -------------- LEGAL DESCRIPTION: LOT NO. ---------------------- --------------- BLOCK NO. -----
LYNN1Nppp LINE
-------------------------------------------------------------------------------------- ---------------------------------------
NAME OF ADDITION ------------
15 731 7n -r"
I kJ AWL
-Vc,0-W--v. Jt- k V
23
46'
3,Dp 6rc4,W!W-
C-A. CAP a, OP. I
PWW-ftl-1 1/75 (REV- 11/74) " DATE .-9:7J4.:B.4 -----
70YA-4 F— \j 4.
City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.02-21
DATED RECEIVED:_
CITY RECEIPT#:_ 1-7 Z2.p'
Critical Areas File #:_ ?oo 1 — 00 51
Critical Areas Checklist Fee: $45.00
DATE MAILED TO APPLICANT:.4--Z-2cbo
.CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of a development permit to the City.
The purpose of the Checklist is to enable City. staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from observations of the site or data
available at City Hall (Critical areas inventories, maps,
or soil surveys).
An applicant, or his/or representative, must fill out the
checklist, sign and date it, and submit it to the City.
•
The City will review the checklist, make a precursory
site visit, and make a determination of the subsequent
steps necessary to complete a development permit
application.
Please submit a vicinity map, along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on this
form. In addition, the applicant shall include other
pertinent information (e.g. site plan, topography map,
etc.) or studies in conjunction with this Checklist to
assistant staff in completing their preliminary
assessment of the site.
•
I have completed the attached CRITICAL AREAS CHECKLIST and attest that the answers provided are
factual to the best of my knowledge (fill out the appropriate column below).
Owner/ pplicant:
—I
Name
1 -50
Street Address
S w
City Statl Zip
Telephone: - �� �_ ",.`T 4 (—
Date: +'
Applicant Representative:
Name
Street Address
City State Zip
Telephone:
Signature
Date: •
G:\ShareEibrwy'PlanningTorms\Public Handouts\ Critical Areas Checklist Doc/1-1&2001
Critical Areas Checklist
CA File No: u� - N -5i
Site Information (soils/topography/hydrologyve
• Site Address/Location: 1_c�1 a� ��-
2. Property Tax Account Number. _ 5 ( -J 1 00 0 ct 1 6 rp
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? ✓yes; no.
If yes; how is site developed? sV%-cVVN�
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet o -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.
i
Site contains areas of year-round standing water: ; Approx. Depth:
Site contains areas of seasonal standing water: ; Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year? / ),
10. Site is primarily: forested ; meadow : shrubs ; mixed V
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
G:�Shar EibraryTiwmingWorms%Public Handouts% Critical Areas Checklist Doc/1-16-2001
19
a dye•' .�,:� a.
t,f
�.. City of Edmonds
RIGHT-OF-WAY CONSTRUCTION .
PERMIT Permit Number.
Issue Date: 5
A. Address or Vicinity of Construction: 15731 70 AV, W (9601336)
18 9 9 B. Type of Work (be specific): Tntstsal l Cs.rviee
p-1
C. Contractor: -Washington Natural Gas Contact: Frank Swan
Mailing Address: 1122 75 St SW. Everett Phone: 447-3284
State License #: 98203 Liability Insurance: Bond: $
D. Building Permit # (if applicable): Side Sewer Permit #-(if applicable):
F
E. ❑ Commercial ❑ Subdivision ❑ City Project Utility (PUD, GTE, WNG, CABLE, WATER)
❑ Multi -Family ❑ Single Family ❑ Other
INSPECTOR: INSPECTOR:
F. Pavement or,Concrete Cut: ❑ Yes ®No G. Size of Cut: ;z/ H. Charge $
f, r•
APPLICANT TO READ AND I y N
INDEMNITY: Applicant understands and by his signature to this application, agrees to -hold the City of Edmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that maybe made agaiAZ-11he City of Edmonds, br any of i 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 AA PEOD OF ONE YEAR FOLLOWING THE FINAL
- INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT.
Construction drawing 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 ditches 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 tioAwrorr inspe io purposes.
Signature: �M Date: 10-30-9 S
(Contractor or Agent)
CALL DIAL -A -DIG` PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID. AFTER yfA �" DAYSDISRUPTION FEE/FUND II I:
SPECIAL CONDITIONS: RESTORATION.FEE: .
PERMIT FEE: ,-tog)
TOTAL FEE:
COMMENTS:
RECEIPT FEE:
DATE: ISSUED, BY: . 11c r
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:
Diagram.:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
M
nwe V-gtonfr-WCarpany
d
Addendum to: City of Edmonds
Bight of Way
Permit Application
Submitted by: Mariamne Kingsbury
Engineering Aide
Washington Natural Gas
0356=7500 X7596
qua( 33�
:�Dl o AV
C."J 1 S
CpO �T �W
Key:
Watertaain depth NJpt -Y- Water-G- Gas
/ -SS- Sever
2 " gas main $. Water hydrant
O Water valve
Washington Natural Gas Company
1122 75th Street S.W.. Evcrett, Washington 98203, (206) 355-3331
2S
Pioneer National Title Insurance Company
WASHINGTON TITLE DIVISION
I' fled for Record at Request of
THIS SPACE RESERVED FOFf 1-OCD[
I994 A uG 29 PM 3: 00
11E.Ah v. ,T11r t lf`�t�17 AUfI
SNOHC►. E:f C"UNI Y. sil
�1'; .Sti
n aEVENIlE STAM►S
CITY CLERK.
CIVIC CENTER
EDMONDS. WA 98020
Tom_ ' aUP.�-
w
Foam Lse a
Quit Claim Deed
THE GRANTOR Duane and Debra Herzig
for and inconsideration of mutual benefits derived on Building Permit #840426 for
15731 70th Avenue W.
convey and quit claim to the City of Edmonds
the following described real estate, situated In the County of Snohomish
State of Washington including any interest therein which. grantor n:ay hereafter acquire:
The West 10' of the following described property:
All that portion of Tract 21, Meadowdale Beach, according to plat thereof recorded
in.Volume 5 of Plats, page 38, records of Snohomish County, Washington described
as follows:
BEGINNING at a point on the South.line of said Tract 21, which is 20.04 feet East
of the Southwest corner thereof; thence North 002' East parallel with the It
line of Tract 21, a distance of 178.76 feet, more or less, to the South line of
land being sold on.contract to t% rk P. Miller and I -life, by instrument recorded
under Auditor's File No. 1211122; thence South 85038'20" East.alonn South line
of said Puller Tract,.a distance of 100 feet to the Northwest corner of land being
sold on contract to Hilda 111. Cary, a widow, by instrument recorded under Auditor's
File No. 1682642; thence South 1002'23" West along the West line of said Cary
Tract, a distance of 179.07 feet to a point on the South line of Tract 21, that
is-120.04 feet Easterly from the Southwest corner; thence North 85027'40" I'lest along
South line, a distance of 100 feet to the POINT of BEGINNING:
EXCEPT the South 15 feet thereof for private roadway and utility access.
together with the right to make all necessary cut or fill slopes on
the land of grantor's adjacent to the above -described real property
in connection with the construction, maintenance or improvement of
the above -described real property for purposes of a public roadway.
Dated this ��A . day of Jv�� w4
A
NO EXCISE TAX
REQUIRED _
1Tus ..._ ....._.._....ta>�►,l
aid,
_----_Glm....-
STATE OF WASHINGT $pgpppU>j(1 CODUIi ItU83Uttt
County of Snohomi sh
On this day personally appeared before me Duane and Debra Herzig
to me known to be the individuals described in and who executed the within and foregoing Iestrument, and
acknowledged that they signed the same as their free and voluntary act and deed, for the
uses and purposes therein mentioned.
GIVEN under my hand and official seal this �2--7 day of
!Votary Public ihn aid or ibe state of Wa:kart , top,
4 ®$ ® 19
VOL _,L860 PAGE1{jti`�r '
BUILDING DIVISION Applicant Fill
PERMIT APPLICATION Inside Heavy Lines
NAME (OR NAME OF BUSINESS)
J. Herb Gilbo
yl MAILING ADDRESS
18709 S. E. 43rd Place
0 CITY ELEPHONE NUMBER
Issaquah, WA 98027 IT 746-5297
f
u Ownpr
W ADDRESS
i Same as above
u
H CITY TELEPHONE NUMBER
NAME
Owner
H
0 ADDRESS
Same as above
<
H CITY TELEPHONE NUMBER
I-
2
0
U STATE LICENSE NUMBER ICITV LICENSE NUMBS
4 copies attached
0
a
Q
U
FA
W
0
J
<
V
W
J
or Attach Four
USE IT �{''"�
ZONE ER ON lil l7�{
JOBADDRFSS —
15731 70th Avenue West
LEGAL DESCR7 PTION I SUBDIVISION, 3M`ORT SUB NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING
PROPOSED
DEFICIENCY OF RIGHT OF WAY
PUBLIC IMPROVEMENTS REQUIRED
❑
DRAINAGE IMPROVEMENTS REQUIRED
❑
DRAINAGE PLAN REQUIRED
❑
UNDERGROUND WIRING REQUIRED
❑
CONNECTION TO SANITARY SEWER
❑
SEPTIC TANK PERMIT REQ'D ❑ NO.
ELEVATION OF PROPERTY CORNERS
❑
& FOOTINGS REQ'D
SEE ENGINEERING MEMO DATED
CHECKED BY 'I
METER SIZE I BUILDING SUPPLY SIZE
REMARKS
N/A
SIGN AREA ENV. REVIEW
ALLOWED I PROPOSED COMPLETEI EXEMPT
REMARKS
VARIANCE OR CU
N/R
YARDS
l� �A
'
a NEW
® RHSIDENTIAL
GAS
LINE
FR01q T
FIRE ZONE
TV
-
NON-RESIDENTIAL
❑ SIGN
3
D ADD
❑ DEMOLISH
❑ RETAINING
SPECIAL INSPECTOR
❑ ALTER
� ORCFILL TE
WALL
❑ I X_-FT) ENCE
REQUIRED
❑ YES NO
PLAN CHECKED BY
REPAIR
INSP. E
swim
POOL
REMARKS
NUMBER OF STORIES
Z
NUMBER OF
0Renewal
DWELLING
F ---
ulvlTs
---
a NATURE OF WORK TO BE DONE
N Grading
45 cu. yds.
W
m
0
PLAN CHECK FEE
PLOT PLAN
4 copies
attached
BUILDING
PLUMBING
MECHANICAL
FENCE
N "Applicant, on behalf of his or her spouse, heirs, assigns and
SIGN
� successors in interest, agrees to indemnify, defend and hold harmless
f the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
agents from any and all claims for damages of whatever nature,
x arising directly or indirectly from the issuance of this permit. lssu-
SWIMMING Pool
A
L
PLANNING REVIEW BY DATE
LOT COVERAGE
SIDE REAR
F CONSTRUCTION CODE HEIGHT
Gradinq 1976
AREA OCCUPANCY OCCUPA
GROUP LOAD
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
VALUATION I FEE
W
W
I-
Q
3
ofance of this permit shall not be deemed to modify, waive or reduce
any requirement of any city ordinance. nor limit in any way the
1; TT III.
Du Dc.p.-Irrilic-11",
"'101-1',S
SUbjeCL
c ol. III s
I -y • y t y�� � . • '� 'Y �.4� t i y, - d'f •,�� ,�'!13MI�r
'10, ALI',
Ir
ow
' ,, , ' � � �� � ...� .•�.—� -� ter— �,w 4 ..
77e
~• ;��,.'(.�� .�f �r '.�%117 4� :.uV ' ., '1, r. ;.'t' r t, d -t'-' vYY' S :r�t`` 3..
�.-. 1•i,1a-? � y�a� ss � .��Re 11,E
>i - r - N' - Y, +t- 3. •J•"': t - Tt .r a ^ t fr �`
.rt, 11O4c,.(•➢:1�`
rj t �"' , ►. r t ,{C i++' tff� a � �',b1 M ��. .t r� �:. a,. a r � '&
Nf
t � � ��R '' � .f •.r = 'j r fir rd',. 9 � , h1^ � „ � t.
a 9 ter.
�' -- ECED
F-187961
780 0
--EXHIBIT A, �.
ALL THAT"PORTION OF TRACT 21, MEADOWDALE BEACH, ACCORDING TO
PLAT THEREOF RECORDED IN VOLUME OF PLATS, PAGE 38, RECORDS
-.-OF SNOHOMISH COUNTY, WASHINGTON, DESCRIBED AS FOLLOWS:
BEGINNING AT A POINT ON THE SOUTH LINE OF SAID.TRACT 21, WHICH
-IS .20.04 FEET EAST OF THE SOUTHWEST CORNER THEREOF; THENCE
NORTH 100.2' EAST PARALLEL WITH THE WEST LINE OF TRACT 21, A
DISTANCE OF-178.76 FEET, MORE OR LESS, TO THE SOUTH LINE OF
LAND BEING'SOLD ON CONTRACT TO MARK P. MILLER AND WIFE, BY
INSTRUMENT RECORDED UNDER AUDITOR'S FILE NO. 1211122; THENCE
SOUTH 8503.8.'20" EAST ALONG SOUTH LINE OF SAID MILLER TRACT, A
DISTANCE-OF.100 FEET TO -THE NORTHWEST CORNER OF LAND BEING
-SOLD ON CONTRACT TO HILDA M. CARY, A WIDOW, BY INSTRUMENT
RECORDED UNDER AUDITOR'S FILE NO. 1682642; THENCE SOUTH 1002'
23" WEST''ALONG .THE WEST LINE OF SAID CARY TRACT, A DISTANCE
OF.179.07-FEET TO A POINT ON THE SOUTH LINE OF TRACT 21,.THAT
IS 120.04.FEET EASTERLY FROM THE SOUTHWEST.CORNER; THENCE
NORTH 85027140" WEST ALONG SOUTH LINE A DISTANCE OF 100 FEET
,T0 THE.POINT.OF BEGINNING;
EXCEPT THE'SOUTH 15 FEET THEREOF FOR PRIVATE ROADWAY AND
UTIL-ITY,ACCESS.
City LOV ECI..",ANDS
g1DG. QEPT.
ZONE
CONDITidNA .-PER
Mir
-SETBACKS:
'WORK�pPC.tS)
_ FRONT
PRE
OWNER-. �P , !
APPROVER
cl
f5Y �, , , aTHtR
BLDG ar�,t ; �L:.
—_� HEIGHT
KEEP .THc: E STAMPED'
PLANS . C)i'4OSlTE rOR.:.
ALL INI:',PECTIONS
PERMIT N0. _ SHEET
R:CIVE -:
-- - - OF t
80
CIiY OF EDMOND" - - -
-76 CITY CLERK
`"� �0 Civic Center
Edmonds, washingto
0
MOTILITY EASEMENT
it
® IN ►0 SSiiI,D ON of $1, 040. 00 in hand received and other
� benefits to acto the grantors herein, the undersigned,
p�Q Richard D. H�os and and Joan Howard , hereby grant to the CITY OF
® , a Municipal Corporation, .a permanent easement for the
installation, operation and maintenance of a utility over, across,
through, and below the following described property; and the further
Cylj right to remove trees, bushes, undergrowth and other obstructions
00 interfering with the location, construction and maintenance of said
utility or utilities, together with the right of access to the ease-
ment at any time for the stated.purposes.
The easement and right-of-way hereby granted is located in the
Couhty.,of Snohomish, State of Washington, and is more particularly
described as follows:
A ten foot strip of land that is 5.00 feet on each side of
the sanitary sewer as it now exists or as located in the
future. Within the following described property:
All that portion of Tract 21, Meadowdale Beach, according
to the plat thereof recorded in Volume 5 of Plats, page 38,
records of the Auditor of the County of Snohomish, State of
Washington, described as follows:
Beginning at a point on the South line of said Tract 21,
which is 220.04 feet Easterly along the South line from
the Southwest corner; thence North 1002130" East 179.30
feet, more or less, to the North line of that certain
property described in deed recorded under Auditor's File
No. 1613258; thence Easterly along said North line for
99.83 feet, more or less, to the East line of the West
half of Tract 21; thence Southerly along said East line
of said West half of Tract 21 for 178.70 feet, more or
less, to the.South line.of said Tract 21; thence North
85027140" West' along said South line 99.97 feet, more or
less, to the true point of beginning.
TOGETHER WITH
a non-exclusive easement for ingress, egress,
and utilities
over and across the South 15 feet of the East
200.4 feet of
the West 220.4 feet of Tract 21, Meadowdale
Beach.
TOGETHER WITH
a temporary 10 foot construction easement
over the aforementioned
property. Said construction ease-
ment will end
upon completion of the construction of the
sanitary sewer,
or January 1, 1985, whichever comes first.
THE CITY agrees
to restore to substantially the original con-
dition such improvements
as are disturbed during the construction,
maintenance and repair
of said utility or utilities; provided the
grantors, their heirs,
or assigns shall not construct any permanent
structure over, upon,
or within the permanent easement.
c;"
c�
.
0. • ar
>-
c:::.00T
1.4.1983
o�
HIND1141 Q83ffff
83-10130273
Elm
"VOL
CITY CLERK
Civic Center,
Edmonds, Washington
DATED this 1—:S day of f 19
STATE OF WASHINGTON)
ss
COUNTY OF SNOHOMISH)
On this day personally appeared before me Richard.D. Howard
and Joan Howard to me known to be the individual s
described in and who executed the within and foregoing instrument,
and acknowledged that they signed the same as their
free and voluntary act and deed, for the uses and purposes therein,
mentioned.
UNDER MY HAND AND OFFICIAL SEAL THIS 3rd c'.lx:p A
October 19 83;!
. W •r. .n'
N TARY PUBLILV in arfd. `'f , `hgeate
of Washington residi41
�'.,al�;
Edmonds
At 1302'73
ENGINEERING i PUBLIC WORKS
S
W
r
J
CC
W
3
W
so
}
: tt
t—
i PLE
CITY OF EDMONOS
Ov[ UMTgot wAL•wGrow ee=
SINGLE FA141LY MULTIPLE COMMERCIAL
PROJECT
CHECK
REVIEW
LIST
PROJECT NAME /T — �/C� CONTACT NAME & TELEPHONE NUMBER
ADDRESS �� D
ACCESS SLOPE AND VEHICLE ACCESS
DRAINAGE PLAN
STREET FILE
LEGAL DESCRIPTION VERIFICATION
,QUIT CLAIM/DEDICATIONS
EASEMENT - PUBLIC/PRIVATE
CALCULATE SEVER CONNECTION IF NO LID
STREET PAYING REQUIRED ov P ,
CURB AND GUTTER REQUIRE6 4
SIDEWALK REQUIRED
CURB CUT FOR DRIYEWAY.REQUIREO
RIGHT-OF-WAY CONSTRUCTION PERMIT REQUIRED
BOND REQUIRED FOR PUBLIC IMPROVEMENTS
STREET NAME SIGH REQUIRED
OTHER SIGHING REQUIRED
(ADDITIONAL COMMENTS ON BAC
EXISTINC WATER MAIN SIZE �f Q,�
WATER MAIN REQUIRCO HQ
SERVICE LINE REQUIP.EO /`j��
HYDRANT SIZE EXISTING
HYDRANT REQUIRED PER FIRE CODE _ A SIZE
CROSS CONNECTION INSPECTION r
WATER HFTER CHARGE REQUIRED
REVIEW B DATE
/���� (ADDITIONAL COMMENTS Ott
SA)(ITART SEWER D'WIIHG 11U'.BER FILE WISER _
SIDE SEWER AVAILABILITY SANITARY SEVER C0.114ECTION FEE REWIRED
OPEN DITCH EXIST 111, REQUIRED
CULVERT REgU1REDjjrr_))E`12-Izw ,Q�(,� G�tJ SIZE
CATCH BASIN REgU1REQ INDICATED ON SITE PLAN
i�
INTER -OFFICE COMMUNICATIONS
FOR. 41 - LITTLE'S
SUBJECT: 51c�e
l
�__ 1_1rA
DATE 2,0 19
FROM
/�T 7,51 2c�) 1`�
4 O, �' Ae:w Ol°
, zv7�b"e"��
NAME (OR NAME OF BUSINESS)
ADDRESS i .5 7 •3 % 7 O -f. h / \1
) -
LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
W MAILING ADDRESS
Z
0
w
�
=
v
a
PUBLIC RIGHT OF AY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED
W
I++
z
t7
Z
W
CITY
4Y� /i w CI o Q 1ALIA,
TELEPHONE NUMBER
O W
NAME zs�i _ � S443
w -
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED -
STREET USE PERMIT REQUIRED C.
ADDRESS
SEE ENGINEERING MEMO DATED _ _ _
SEE PIW DEPT. REVIEW CHECK LIST TED
CITY
TELEPHONE NUMBER
REMARKS
NAME
S OcJ A) E
¢
ADDRESS
O
L)
U
U
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
¢
W
3
CITY
TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
CITY LICENSE NUMBER
Z
O
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
SHORELINE #
Legal Description Qf Property - include all easements
(show below or attach four copies)
(1
l-
a_
¢
U
rn
VARIANCE OR CU
PLANNING REVIE BY
DAT
w
0
¢
z
Z
�
YARDS
FRONT SIDE REAR
LOT COVER
v
REMARKS
IVY NEW 19 RESIDENTIAL PLUMBING
ADD/ALTER 11 NON-RESIDENTIAL MECHANICAL
REPAIR 1:1RETAINING WALL SIGN
DEMOLISH1:1 EXCOR AVATE
ILL ❑ FENCE x-�
CHECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
PRE -MOVE INSP./ SWIM
COMPLIANCE INSP. POOL
SPECIAL INSPECTOR
REQUIRED
El YES NO
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
CI
2
w
SIDE SEWER WATER LINE
O
m
REMARKS
NUMBER OF STORIES
FNuMBER OF
WI-LLINU
m
ON1
I b
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
� t i2�sloe�c-
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,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
GRADING/FILL
N
iW
a
0
°
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors 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
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
PAC(Q C heCA-_
TOTAL AMOUNT DUE
hereby acknowledge that I have real fh;c -
W 1/4, SEC. 5, T. 27 N., R. 4 E.W M.
1 11 = 200'
hV T.
lk INT.
'/-3 JvT,
I z — -1561h.---ST—
N � Cot Gov't.Lot.? 03 04 -7
NO
IDOWDALE
02
V
22 12
02
0.
23
07
L --T -6 r
157 111 3 5. W.
/9 1 20
— t
15 13 /0
18
10
I REACH SUPPL T
/7
02 1 14
CL.
04
(Dal
03
\j
36
Ob ► Oy
07
-7_
. PI -I W- 101
09
7-76
,.0—, - ,-
114 sec. C,
- -S-71-167
C)
I
A-
1
LLJ
05 00
04 1
1
1.
17
0/
LLI
LL
F
0
77
05
09 7 - b.!O
<
I
1 07
, 4-
DATE.:
14EMO TO: Building; Division '
Community Development Department
FROM: Engineering Department
SUBJECT: AT / '--ZJ -711 /1AZI-0 /. )
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 ro ert .
4. Driveway slope not to exceed 14%
5. Backwater valve required if doovnstair.s plumbing is below
elevation of upstream manhole.
6. Water and sewer lines to he separated by 10 foot minimum.
7. Builder/Owner responsible for containing all temporary run-
off and erosion on site and may not impact neighboring
1
FILED FOR RECORD AT REQUEST OF i 1
1 t
1 1
1 t
1 1
1
1 1
W14EN RECORDED RETURN TO
Name Performance Escrow, Inc. t
1 1
Address 18904 Hiway 99, (tG 1 '
• 1 1
1.
1 .
City, Slate lip Lynnwood, Washington 98036
E411078
Deed of Trust
(Filr Use in the Slate nl• Washington On(V)
THIS DEED OF TRUST, made this 16th day of December , 19 83 , between
DUANE HERZIG and DEBRA HERZIG, husband and wife , GRANTOR,
whose address is 5510 - 179th Place S . W. , Lynnwood, Washington 98036
STEWART TITLE COMPANY OF WASHINGTON, INC., a corporation, TRUSTEE, whose address Is 901 Second
Avenue, Seattle, WA 98104
WILLIAM A. BROWNING and SHIRLEY BROWNING, husband and wife BENEFICIARY,
whose address is P. 0. Box 74, Indianola, Washington 98342
WITNESSETH: Grantor hereby bargains, sells and conveys to Trustee in Trust, with power of sale, the
following described real property in Snohomish County, Wash" tqn:
All that portion of Tract 21, Meadowdale Beach, according to plat thereof recorded in
Volume 5 of Plats, page 38, records of Snohomish County, Washington, described as follows:
BEGINNING at a point on the South line of said Tract 21, which is 20.04 feet East of the
Southwest corner thereof; thence North 1002' East parallel with the West line of
Tract 21, a distance of 178.76 feet, more or less, to the South line of land being
sold on contract to Mark P. Miller and Wife, by instrument recorded under Auditor's
File No. 1211122; thence South 85038'20" East along South line of said Miller Tract,
a distance of 100 feet to the Northwest corner of land being sold on contract to
Hilda M. Cary, a widow, by instrument recorded under Auditor's File No. 1682642;
thence South 1002'23" West along the West line of said Cary Tract, a distance of
179.07 feet to a point on the South line of Tract 21, that is 120.04 feet Easterly
from the Southwest corner; thence North 85027'40" West along South line, a distance
of 100 feet to the POINT OF BEGINNING:
" EXCEPT the South 15 feet thereof for private roadway and utility access.
S. NOTE SECURED BY THIS DEED OF TRUST SHALL BE DUE IN FULL ON OR BEFORE ONE(1) YEAR
FROM THE DATE OF CLOSING. DATE OF CLOSING SHALL BE
eV
E�
M
}!iw
4{
which real property is not used principally for agricultural or farming purposes, together with all the tenements, hereditaments,
t?'! and appurtenances now or hereafter thereunto hclonging or in any wise appertaining, and the rents, issues and profits thereof.
This deed is for the purpose of securing performance of each agreement of grantor herein contained, and
payment of ►ht sum of
TWENTY SIX THOUSAND THREE HUNDRED SIXTY AND NO/100t jars (S 26.360.t110
BUILDING DEPART N T'
USE P
NU ER
Applicant FillZONE
°PERMIT APPLICATION inside Heavy Lines
JOB a"
1 Tlk r, li , !
ADDRESS 15� { \�S 1.
NAME IOR NAME OF BUSINESS)„
Herb Gilbo
LEGAL LOT
PLAT NAME
SUBDIVISION NO. -,
J.
OYES El NO
W
MAILING ADDRESS
Z
0
18709 S.E. 43rd Place
PUBLIC RIGHT OF WAY PER ORDINANCE NO.
CITY
TELEPHONE NUMBER
Issaquah, WA 98027
206/746-5297
EXISTING RIGHT OF WAY
PROPOSED RIGHT OF WAY .
NAME
13
Owner
DEFICIENCY OF RIGHT OF WAY
In
F
ADDRESS
STREET/UTILITY WORK REQUIRED OYES ❑NO
Y
K
Same as above
PERMIT FOR WORK IN PUBLIC R/W ❑ YES ❑ NO
UNDERGROUND WIRING REQUIRED ❑YES ❑NO
0
;
U_
M
Q
CITY ]TELEPHONE
NUMBER
CONNECTION TO SANITARY SEWER El YES ❑NO
SEPTIC TANK PERMIT REQUIRED El YES ❑NO
J
m
IL
NAME
Owner
SEPTIC TANK PERMIT NO.
0
ADDRESS
F
<
Same
SEE MEMO DATED
as above
Ir
i-
CITY
TELEPHONE NUMBER
REMARKS'
Z
0
U
STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED BY
A
NA'ILL
I
Legal Description of Property Show Below or Attach Four Copies)
METER SIZE
BUILDING SUPPLY SIZE
7
copiesattached
W
F
REMARKS
Z
;
0
H
a_
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
U
N
W
SHORELINE
0
J
REMARKS
Q
1,
W
J
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
LOT COVERAGE
NEW RESIDENTIAL ❑ GAS
FRONT SIDE REAR
FIRE ZO���NJJJE
TYPE OF CONSTRUCTION
CODE HEIGHT
LINE
El NON-RESIDENTIAL SIGN
f
❑ADD
SPECIAL INSPECTOR
AREA
OCCUPANCY OCCUPANT
DEMOLISH ❑ RETAINING
❑
WALL
ALTER EXCAVATE FENCE
❑
REQUIRED
❑ YES
GROUP LOAD
�' OR FILL ❑ ( X_FT)
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
PRE -MOVE swim
REPAIR a INSP. El POOL
Z
F
�
NUMBER OF STORIES
NUMBER OF
REMARKS
0
DWELLING
I-
UNITS
W
NATURE OF WORK TO BE DONE
d
f
,, ++ ^ C
�V' VJ
W
Q
0
L
m
W
0
PLAN CHECK FEE
VALUATION
FEE
0
PROPOSED USE
F
Single Family,Residential
W
PLOT PLAN INDICATE BUILDING SETBACKS,
i
ABUTTING STREETS)
BUILDING
IL
N
4 copies attached
0
PLUMBING
W
W
O
m
W
0
MECHANICAL
0
FENCE
F
SIGN
Z
In N
"Applicant, on behalf of his or her spouse, heirs, assigns and
W
successors in interest, agrees to indemnify, defend and hold harmless
f
the City of Edmonds, Washington, Its officials, employees, and
RETAINING WALL
0
e
agents from any and all claims for dainages of whatever nature,
U
x
arising directly or indirectly from the issuance of this permit. Issn_
SWIMMING POOL
n
:ulce of thi:: i-miit shall not be dreincd to modify, wnivo or reduce
Date
MEMO TO:
FROM:
SUBJECT:
Building Division
Community Development Department
Engineering Division
Public Works Department
After review of the subject building permit application, we have the
following comments:
/_ Coordination of the location of any structure with respect to
utilities, streets, property lines and driveway grades is the
responsibility of the contractor.
WThe contractor is required to keep the abutting streets cleaned
of dirt and.debris caused by the construction.
The "Right -of -Way Construction Permit" is required, from the
Engineering Division of Public Works, for any work within the
Public Right -of -Way or public easement.
/_7 Driveway slope not to exceed 14%.
Connection to sanitary sewer required.
Septic Tank Permit required, submit design..
Fire hydrant required, submit design..
Site drainage per code # See approved plans
Curb Sidewalk /_% Paving required.
Bond required for public improvements. Submit cost estimate.
Underground wiring required.
Approved Engineering Plans required when applicable.
Fo re erz erg, P.E.
City Engineer
Department of Public Works
7�
I NI PRE"
,.a CITY OF EDMONDS
;PUBLIC WORKS DEPARTMENT
FOR INSPECTION
CALL Permit .40@690
SIDE SEWER PERMIT
PT7°5-2°52-5 Ext.
W1-3-407
22-0, Issue Date
PERMIT MUST BE POSTED ON
•
JOB SITE
'AK
FYNNWOOP LINE
1. Address of Construction
J.S�-7 .zz
Property Legal Description (include all, easements)
C _
Single Family Residence Multi -Family No. of Units
Commercial
Owner and/or Builder y)1 J 14. J L-=
Contractor & License No.,
Invasion into City Right -of -Way:
way Construction Permit Required
excavation).
}
No L,-' Yes (If Yes Right -of -
Call Dial Dig ( 3,41Lt�53f4jit) before
1-800-454-5555
7. Cross other private property: Yes No L�Easement required -
v attach legal description and county easement number.
H
w READ THE FOLLOWING AND SIGN:
a
4 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.
w b. The side sewer contractor assumes full reponsibility for each
H installation for one year.
wC.Commercial establishment requires a minimum of a six inch.(6")
z side sewer line.
o 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% (1.150)
o_ and maximum grade of 100% (450). O
H 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 for right-of-way failure
due to poor compaction of fill.
k.. Side. sewer must be left uncovered until -inspected and approved
by the City. /I,
1. Inspection during normal working hours only. Two (2) working
days notice/ requ' r`ed. f
DATE:
i ,�I/editi y that I have read
and shallcomply with the above
PERMIT FEE: 30- o0 DISAPPROVED BY: Date:
UW x ft . 6 k c' h6- C 2_ ? :s--UO By Date:
tn
� CONNECTION FEE: APPROVED By: Date•
w �z��
* PERMIT MUST BE POSTED O1`I JOB 5 TE
Name Performance Escrow, Inc. 1
� I
Address 18904 Hiway 99, (tG
City, State, Zip Lynnwood, Washington 98036
E#1078
Deed of Trust
(/•in- Use in the State of 14'ashington Only)
THIS DEED OF TRUST, made this 16th day of December 19 83 between
DUANE HERZIG and DEBRA HERZIG, husband and wife , GRANTOR,
whose address is 5510 - 179th Place S. W., Lynnwood, Washington 98036
STEWART TITLE COMPANY OF WASHINGTON, INC., a corporation, TRUSTEE, whose address is 801 Second
Avenue, Seattle, WA 98104
WILLIAM A. BROWNING and SHIRLEY BROWNING,,husband and wife
, BENEFICIARY,
whose address is P • 0. Box 74, Indianola, Washington 98342
WITNESSETH: Grantor hereby bargains, sells and conveys to Trustee in Trust, with power of sale, the
followingdescribed real property in Snohomish
P P Y County, Washirtgtpn:
All that portion of Tract 21, Meadowdale Beach, according to plat thereof recorded in
Volume 5 of Plats, page 38, records of Snohomish County, Washington, described as follows:
BEGINNING at a point on the South line of said Tract 21, which is 20.04 feet East of the
Southwest corner thereof; thence North 1002' East parallel with the West line of
Tract 21, a distance of 178.76 feet, more or less, to the South line of land being
sold on contract to Mark P. Miller and Wife, by instrument recorded under Auditor's
File No. 1211122; thence South 85038'20" East along South line of said Miller Tract,
a distance of 100 feet to the Northwest corner of land being sold on contract to
Hilda M. Cary, a widow, by instrument recorded under Auditor's File No. 1682642;
thence South 1002'23" West along the West line of said Cary Tract, a distance of
179.07 feet to a point on the South line of Tract 21, that is 120.04 feet Easterly
from the Southwest corner; thence North 85027'40" West along South line, a distance
of 100 feet to the POINT OF BEGINNING:
EXCEPT the South 15 feet thereof for private roadway and utility access.
NOTE SECURED BY THIS DEED OF TRUST SHALL BE DUE IN FULL ON OR BEFORE ONE(1) YEAR
FROM THE DATE OF CLOSING. DATE OF CLOSING SHALL BE
which real properly is not used principally for agricultural or farming purposes, together with all the tenements, hereditaments,
and appurtenances now or hereafter 1hereunto tx longing or in any wise appertaining, and the rents, issues and profits thereof.
This deed, is for the purpose of securing performance of each agreement of grantor herein contained, and
T4i1?NTY SIX THOUSAND THREE HUNDRED STY AND NO/1000mars ($'J .360. 0
payment of the sum of,• IX
,.. � _
with interest. in aeoordatitcd:iintb`the terms of a promissory note of even date herewith, payable to Beneficiary,or order, and
•,na•Nwe+n- +��•' • also and extensionts thereoL
Graaeor iii�d"tdlatiats turd such further sums as may be advanced or
ltaade by
•w_�.l'"��-i 7w1?/^_:'±' _— _- __ ,,'_=..•c.__,_�.. .. _ .. _ ^ f:-. .. :f.. �y.��t'. _" ..- -• -.. �.�:.a,
• 7
PTO
MyJ'1�/r6Yi wgg .,C,,tl/5a:. afw -'n ILih!JVhY'Y��1bC•r"��"��..� �t. l�.''tffa _Yj
of
C�v�I pii{ICMtAlttlllt 'IIIFS FIf•d 1 E4" T,('
#'Wilful w forth an th(_ map� kss� piaoso of WIN
� I��i<,,,
�i,.:d+.Ca$ inq tl
��, ,l"Ihit�ith' r�;ur� y ra�thyi�ta�a
r, lncl"l�nn"bU'i pE.� �ifili?,.h C:7, thO 101186 0 IN ;, ��M'a.l( IfHii
ilrl.
of Edmon& dial 1i'v �ilr�" �i�,j •y �%
Oaw'e fog tM. i�i:�lrl� �a��.g►v�1! wi this �li` 71wc it ) Ai i
/