Loading...
17014 73RD PL W.PDFIIIIIIIIIIII5819 17014 73RD PL W RECEIVED SEP 18 2000 BUILDING DEPT. -MMATE 'ACCESSRDAC) MOW APPROVED BY PLANNING NEE- T FILE .30joil /t 5XI5TlW6 ROA 3 �� J1JN-27-*)000 15:07 CITY OF EDMONDS 4257710221 P.03i05 When recorded mall to., City Clerk City of Edmonds 121 Fiftlb Avenue North Edmonds, WA 98020 RECORDER'S NOTE: �j PORTIONS OF THIS DOCUMENT ARE POOR QUALITY FOR SCANNING. RECEIVED N 0 V 1 5 2000 11111111111111111111111111111111111 IIIIIIIIII 1111111111111111 EDMONDS CITY CLERK '"1030001" 200010300011 10/30/2000 09:19 AM Snohomish P.0003 RECORDED County SPACE ABOVE I LINE FOR RECORDER'S USE Assessor's parcel No. Project No. & Name: Right-of-Wsy Permit No. ENCROACHMENT AGREEMENT 'This ENCROACHMENT AGREEMENT ("A�reemenQ is entered into between the CITY OF EDMONDS ("Cityt� &'0 and.: F r-A540 L7,1 ("owner"), in accordance with Chapter 18.70 of the Edmonds Community Development Code. ��..-Ti�e Pro ert Owner is the owner of that certain real property located at,. z���I��I}11 1 . WW WAO" 6� within the City of Edmonds, 'Washington, Assessors Parcel Number '7"!i//50000//Wh , and more particularly described in Exhibit "A" attached hereto and incorporated herein by reference: 2. The Easement. City currennt]y owns an existingeasement over, under, and across Owner's property for St L 6)Q- &A L./�1which easement is described in Exhibit `B" attached hereto and incorporated by reference. 3. e Encroachment City hereby coven is and agrees and grants its permission, to Owner to allow cM vL VAA wiIa 011 Tar to remain in a portion of the o WA -I -&A - easement. A p o ge the location of the encroachment is attached as Exhibit "C" attached hereto and incorporated by refere:ce. This Agreement is subject to the following terms and conditions: a. The encroachment shall be installed and maintained in a safe and sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in interest. b. The Owner shall agree at all times to indemnify and hold the City free and barmless from any and all claims, demands, losses, damages or expenses resulting from the construction, maintenance, use, repair or removal of the structure installed hereunder, including -1- JUN-27'2000 15:07 CITY OF EDMONDS 4257710221 P.04i05 any loss, damage or expense arising out of (1) loss or damages to property and (2) injury to or death of persons. C. The Owner must remove or relocate any part of the encroachment within ten (10) days or such other time as specified in the notice after receipt of it. from the City Engineer, or the City Engineer may cause such work to be done and the reasonable cost thereof shall constitute a lion upon the property. d. Whatever rights and obligations were acquired by the City with respect to the easement shall remain and continue in full force and effect and shall in no way be affected by cty's grant of permission to construct and maintain the encroachment structure. 4. Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes and replaces all other agreements, oral or written, between the parties with respect to the subject matter. S. Notices. Any notice which is required, or may be given pursuant to this Agreement shall be sent in writing by United States mail, first class, postage pre -paid, registered or certified with return receipt requested, or by other comparable commercial means, and addressed as follows: If to the City City Engineer RECORDER'S NOTE: City of Edmonds PORTIONS. OF THIS DOCUMENT 121 Fifth Avenue North' ARE POOR' QUALITY FOR SCANNING. Edmonds, WA 98020 which addresses may be changed from time to time by providing notice to the other party in the manner described above. . 6. Waiver. City's consent to or approval of any act or omission by Owner shall not constitute a waiver of any other default by Owner and shall not be deemed a waiver or render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver by City of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of the Agreement. 7. Successors and Assigns. This Agreement shall be binding and inure to the benefit of the parties hereto and their respective legal representatives, successors, and assigns. ISM 4 hN-27-2000 15:07 CITY OF EDMONDS 4257710221 P.05i05 Owner agrees to incorporate this agreement by . reference in any subsequent deeds to the property, but any failure to do so does not invalidate this provision. 8. Capachm Each party represents that the person(s) executing this Agreement on behalf of such party has the authority to execute this Agreement and by such signatures) thereby bind such party. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this ,3__ day of u. LY . 20_ a OWNER: Bye STATE OF WASHINGTON COUNTY OF SNOHOMISH CITY WED.MONDS By: r, PE G} 1, v! q City Engineer This day, personally appeared before me, Jru ZdNNE & /L 511 k_L % to me known to be the person who executed the within and foregoing document and that _5# B signed the same as fj e-A free and voluntary act and deed for the uses and purposes therein mentioned. _ —NNNNN\ � S, � 2� s'sioti • cti9d;�►� Q-:: �� rho •.• � � �, o NOTARY.. U cn PUBLIC i cWAAao" J•��,., g 11 Notary Public 5 VDAt 5. Crf,gsE Typed or Printed Name My Commission expires: . RECORDER'S NOTE: PORTIONS OF THIS DOCUMENT ARE POOR QUALITY FOR SCANNING. -3- TOTAL• P.05 5 `f E D A" CITY OF EDMONDS -r SINGLE FAMILY/DUPLE% COVER SHEET ro,•: 1011 WHITE BOX a ONLY Shaded bones are for City Directions: Applicants are to complete the information In the )s(tj �— use only). This cover sheet must accompany each building permit application for a new single-lemlly residence PROJECT, ADDRESS L — PROPERTY TAX ACCOUNT PARCEL If DESCRIPTION OF WORK Md mi :u0 6� ' OWNER CONTACT PERSON �D'%iUIC- t-MAID �! -33 P H 0 N E_j V 2, SZ? L� QJ�j PHONE � I , C`F -rnA -1 ZS i� � % C Z J<- �� MAILING ADDRESS f �� Y FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTION. BR SIGNING THIS STATEMENT 1 UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY 1 CAN MAKE INQUIRIES ON THE STATUSTAFLTANY OIPSCRETIONARYNPERMITS THATIT SMAYMy RBE APPLICABLETOLITY OOTH THIS PROJECT. IMINE IN AACKNOWLEDGNCE OF IE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A COMPLETE ApfLyeg.n 0►1 AND NO DISCRETI WARY APPROVALS ARE REQUIRED. 7 � DATE S I G N AT U ZONINGANFFiRMATION - ✓ ZONE S'`��� p2,p LOT AREA t NUMBER OF DWELLING UNITS' EXISTING I QDEMOLISHED 0 PROPOSED N-a . 9 Determination r�s Jl DISCRETIONARY APPROVALS CA SUBDIVISION CU VARIANCE SHORELINE SEPA ExpireB OTHER AP- 9 9 - 1 r11Y Use DRIP LOT COVERAGE INFORMATION PROPOSED SF TOTAL $F % EXISTING SF HEIGHT CALCULATION INFORMATION A B C.' D DATUM M A.X AVE ".ACTUAL SETBACK INFORMATION 1 REO ll IgED FRONT o� SIDE? SIDE REAR b� ` PROPOSED. FRONT SIDE SIDE REAR �NLOT�YES©NO FLpG"LOT❑YES©NO STDEDIC.❑®T: YESNO_, kDU STATEMENT REO IIL RE9 ❑YES©NO', RECORDING t; STAFF COMMENT$: / , ] PI." CHECK 0 U0 APPLICANT �/ DATE RECEIVED BUILDING CONSTRUCTION INFORMATION CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS � 2— DESIGN CRITERIA WIND EXPOSURE B WIND SPEED BO MPH SEISMIC ZONE 7 Roof Snow/Live Load Balcony Live Load T Floor Live Load Balcony Dead Load Floor Dead Load— Root Dead Load BASEMENTS FLOOD ZONE NUMBER OF STORIES � YES � NO LOT SLOPE % SOILS REPORT PROVIDED FLOOR (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL) Total Existing Proposed Living Space Garage Carport iN Deck/Covered Porch — 4 Other — ENERGY CODE COMPLIANCE INFORMATION EUE1 TYPE GAS, OIL 0 ELECTRIC 0 OTHER El FORCED AIR HEAT PUMP C]HYDRONIC FNERGIrOD METHOD OF GOM_PLIANCE PRESCRIPTIVE: List Option e_ _ TARGET UA APPROACH: Provide UA Calcualions El SYSTEMS ANALYSIS: Provide Computer Analysis ENERGYIVENTILATION WORKSHEETS PROVIDED 0 WINDOW SCHEDULE PROVIDED VENTILATION CODE COMPLIANCE INFORMATION KITCHEN FAN CFM BATHROOM FAN(S) CFM .i1,OLE HOUSE YEN�ATION SYS7EM EXHAUST OPTION FRESH AIR TO BE PROVIDED TO EACH HABITABLE ROOM WITP OTHER FOR CITY USE ONLY Ceiling Insulation Wall Insulal(OR Floor Insulation Door U-Value Window U-Value Skylight U-Value Glazing %` ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS A`ll'A' EASEMENTS L/Y/GT+f 4AV-) EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SO.FT EXISTING IMPERVIOUS AREA INSTALLED 1977. OR LATER SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE City_Use Only SIDEWALK REQUIRED ❑YES NO DRAINAGE PLAN REQUIRED DYES NO UNDERGROUND WIRING REQUIRED YES [:]NO STREET DEDICATION AAA FT. STAFF COMMENTS: LID# SPECIAL INSPECTIONS REQUIRED FOR THIS PROJECT (City Use Only) SOILS: a START OF WORK EXCAVATION 3 GRADING SHORING INSTALLATION & MONITORING PROOF ROLLING PLACEMENT OF FILL & COMPACTION SUBSURFACE DRAINAGE VERIFY SOIL BEARING PILE PLACEMENT EROSION CONTROL GENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD . GENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD 'DURING WET WEATHER CONSTRUCTION FINAL GRADING & FIELD REPORT OTHER of PLACEMENT OF REINFORCEMENT a PLACEMENT OF CONCRETE BOLTS INSTALLED IN CONCRETE STRUCTURAL MASONRY STRUCTURAL STEEL ERECTION HIGH STRENGTH BOLTING WELDING (WASO CERTIFIED ONLY) OTHER a 1 . 2 BEDROOMS: SO - 75 CFM 11 3 BEDROOMS: 80 - 120 CFM 04 BEDROOMS: 100. 150 CFM 05 BEDROOMS: 120.160 CFM HVAC INTEGRATED OPTION DEDICATED HEAT RECOVERY VENTILATION OPTION SEPARATE PERMITS (City Use Only) .RIGHT OF WAY CONSTRUCTION PERMIT ENCROACHMENT PERMIT STATE ELECTRICAL PERMIT 0FENCE.PERMIT RESIDENTIAL FIRE SPRINKLER PERMIT 0 OTHER 11 MECHANICAL PERMIT PLUMBING PERMIT 11 WATER METER SIDE SEWER PERMIT IRRIGATION (SPRINKLER SYSTEM) OTHER Any request for modification, variance or other administrative deviation (herinafter 'varianee•j must be specifically called out and identified. Approval of any plat or plan Containing provisions which do not comply with the city code and for which a variance has not been specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision of city code or slate low does not approve any items not to code specification. PERMIT ISSUANCE APPROVALS PLANNING REVIEW Q APPROVAL CONDITIONS OF APPROVAL: (City Use Only) DATE ENGINEERING REVIEW at APPROVAL CONDITIONS OF APPROVAL: DATE BUILDING REVIEW at APPROV�`1 CONDITIONS OF APPROVAL: SATE J t ttt - D,yj A. O I v , tiG CITY OF EDMONDS 1215TH AVENUE NORTH • EDMONDS • WA 98020 • (425) 771-0220 http://www.ci.edmonds.wa.us RCW 197-11-970 Determination of Nonsignificance (DNS) DETERMINATION OF NONSIGNIFICANCE Description of proposal: Adding 406.5 square feet of decking to existing lower deck area, and 59.5 square feet of decking to existing upper deck and a circular stair to join upper and lower deck (Plan Check file PC-00462) Proponent: H. Scott Welton and Suzanne Elshult Location of proposal, including street address if any: 17014 — 73`d Place W. Lead agency: CITY OF EDMONDS The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement is not required under RCW 43.21.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. X There is no comment period for this DNS. This DNS is issued under 197-11-340(2); the lead agency will not act on this proposal for 14 days from the date below. Comments must be submitted by , 2000. Responsible Official: Meg Gruwell Position/Title: Planner Phone: 425-771-0220 Address: City of Edmonds 121 - 5th Avenue North Edmonds, WA 98020 Date: 10/ 5 /Z-a Signature: XX You may appeal this determination to Robert Chave, Planning Manager, at 121 5th Avenue North, Edmonds, WA 98020, no later than 64t. 14 , 2000, by filing a written appeal citing the specific factual reasons for the appeal. The appeal submittal must also include the required fees and mailing list. Please contact the Planning Division for specific submittal requirements. XX Posted on Ocr-. S , 2000, at the Edmonds Public Library, Edmonds Community Services Building, and the Edmonds Post Office. XX Distribute to "Checked" Agencies on the reverse side of this form, along with a copy of the Checklist. Page 1 of 2 PC-00-402D.DOC CREATED ON 10/03/00 3:40 PM �xf Mailed to the following along with the Environmental Checklist: XX Environmental Review Section XX Applicant: Scott Welton & Suzanne Elshult 17014 — 73'd Place W. Department of Ecology P.O. Box 47703 Edmonds, WA 98026 Olympia, WA 98504-7703 cc: File No. PC-00-402 SEPA Notebook Page 2 of 2 PC-00-402D.DOC CREATED ON 10/03/00 3:40 PM DATE MEMO TO: Building Division Planning Department FROM: Engineering Division Public Works Department SUBJECT: After revie-.•r of the subject Building Permit application, vie have the follor,ing corrinen is 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. d. Driveway slope not to exceed ld°; 5. Back..iater valve required if downstairs plumbing is below elevation of upstream manho 7. 6. Water and serer lines to be separated by 10 foot minimum. 00 6/82 JUN-27-2000 15:07 CITY OF EDMONDS. 4257710221 P.03i05 When recorded mail to: City Clerk City of Edmonds 121 Fl tb Avenue North Edmonds, WA 98020 CONFORMED COPY 200010300011 10/30/2000 09:19 AM Snohomish P.0003 RECORDED County SPACE ABOVE TSIS LINE FOR RECORDER'S USE Assessor's Parcel No. Project No. & Name: Right -of -Way Permit No. ENCROACHMNT AGREEMENT This ENCROACHMENT AGREEMENT ("Agreement is entered into between the CrrY OF EDMONDS ("City) andL&2 A,1A,, " .Q, 4 U 1 i (••owner"), in accordance with Chapter 18.70 of the Edmonds Community Development Code. 1. The PrrUej:jy. Owner is the owner of that certain real property located at,. within the City of Edmonds, Washington, Assessor's Parcel Number `74//57Q=Z/,�12J . and more particularly described in Exhibit "A" attached hereto and incorporated herein by reference, 2. The Easement. City currently -owns an exis„�'apment over, under, and across Owner's property for `?S6114 LI which easement is described in Exhibit'B" attached hereto and incorporated by reference. 3. The Encroachment City hereby coven is and agrees and grants its permission, to Owner to allow AA UG ✓/Z.t W� d�* G 031 it c.�Atih to remain in a portion of '' c A— - UJA Z&'1A . easement. 9"plFffiowgi� the location of the encroachment is attached as Exhibit "C" attached hereto and incorporated by reference. This Agreement is subject to the following tera►s and conditions: a. The encroachment shall be installed and maintained in a safe and sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in interest. b. The Owner shall agree at all times to indemnify and hold the City free and harmless from any and all claims, demands, losses, damages or expenses resulting from the construction, maintenance, use, repair or removal of the structure installed hereunder, including -1- 3 JUN-27-2000 15:07 CITY OF EDMONDS 4257710221 P.04i05 any loss, damage or expense arising out of (1) loss or damages to property and (2) injury to or death of persons. C. The Owner must remove or relocate any part of the encroachment within ten (10) days or such other time as specified in the notice after receipt of it. from the City Engineer, or the City Engineer may cause such work to be done and the reasonable cost thereof. shall constitute a lien upon the property. d. Whatever rights and obligations were acquired by the City with respect to the easement shall remain and continue in full force and effect and shall in no way be affected by city's grant of permission to construct and maintain the encroachment structure. 4. Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof . and supersedes and replaces all other agreements, oral or written, between the parties with respect to the subject matter. 5. Noti_ces. Any notice which is required' or may be given pursuant to this Agreement shall be sent in 'writing by United States mail, first class, postage pre -paid, registered or certified with return receipt requested, or by other comparable commercial means, and addressed as follows: If to the City: City Engineer City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 If to the Owner: 6v2.,JaiAAL-- -"Z4S -1- which addresses may be changed from time to time by providing notice to the other party in the manner described above. 5. Waiver. City's consent to or approval of any act or omission by Owner shall not constitute a waiver of any other default by Owner and shall not be deemed a waiver or render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver by City of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of the Agreement. 7. Successors and Assigns. This Agreement shall be binding and inure to the benefit of the parties hereto and their respective legal representatives, successors, and assigns. -2- 4 JUN-27-2000 15:07 CITY OF EDMONDS 4257710221 P.05i05 Owner agrees to incorporate this agreement by . reference in any subsequent deeds to the property, but any failure to do so does not invalidate this provision. 8. Ca ac . Each party represents that the person(s) executing this Agreement on behalf of such party has the authority to execute this Agreement and by such signatures) thereby bind such party. IN WITNESS WHLREOF, the parties hereto have executed this Agreement on this day of u.1.Y . 20 Dom•. OWNER: �-•-, STATE OF WASHINGTON COUNTY OF SNOHOMISH CITY OFIWONDS By: t 4 q City Engineer This day, personally appeared before me, 1- % to me known to be the person who executed the within and foregoing document and that 5# 8 signed the same as fER free and voluntary act and 'deed for the uses and purposes therein mentioned. S. ��•'g%ON'. y9S�1 y.'o NOTAAy m CA PUBLIC aWAadw*% J. Notary Public S/jNDQ�¢ s • C f i5 E Typed or Printed Name My Commission expires: I/- 9 —'0 1 -3- TOTAL P.05 5 JUN-27-2000 15:06 1-0c. I S90 CITY OF EDMONDS 4257710221 P.02i05 ENCROACHMENT PERMIT #�7 RECORDING # 2 /D 3 000 / / TOTAL FEE �° -- RECEIPT # Property Owner Name J �Z ' �S L) � . phone #_7 2Sf _l 3 J qiW— Property Owner Mailing Address �� -73 6. P4.' W L 7-4 D��N�S 5-q Business Name (if applicable) (-Al Address 'of Encroachment/101q Tax Acct Parcel #7q/ 5'0009f l000/ Building Permit Number (if applicable) Describe Type of Encroachment and Frequency of Encroachment (i.e. Marquee r life of building, Flower cart 7�1"A04,may w P" during summer months, etc.)el N 7R&,14C7V Ca- c✓ o 7 & GDinPO.r� T� �rL M "��lG t20A [=UAAOi e fP~.`1�.n� ' T '' le 1#1 CRITERIA OF APPROVAL — As outlined per approved building permit or as follows if not associated with a building permit. Criteria is per City Codes and Regulations and failure to comply will result in a Civil Violation, Chapter 20.110. ➢ Must provide safe pedestrian travel, maintaining a minimum or 4$ inches in "clear zone"*. ➢ Exterior light fixtures, banners and flags must be a minimum of 8 feet above City right of way. ➢ Must maintain clear landings on the exterior side of all required exit doors of 44 inches or no less than width of door, measured toward the street. . D No projection into alley or City right of way less than 20 feet in width, except when projection exceeds 15 feet above pavement surface. D Cannot block illumination from City light fixtures or hang objects from poles. A Architectural projections must be approved by ADB and conform to UBC standards with approved building permit. ➢ Must maintain 3 feet of clearance around hydrants, standpipes, manholes, water meters, blowoffs, cleanouts & valves. ➢ Bistro Dining tables and chairs must be in accordance with.City Ordinance #3293. ➢ Merchandise racks, carts (espresso, flower), benches must not be located within "clear zone". ➢ Ramps require a separate building permit and must conform to UBC standards. *Clear Zone refers to an area 8 feet in height and 48 inches in width providing a level, safe walking surface (i.e. measuring 48 inches from edge of street tree grates or newspaper stands towards place of business and from the ground up to a height of 8 feet). FLG-,AST- 56-g- (Property Owner) Lnx aF�A/ Dare: -7/v D IT IS T$E RESPONSIBILITY OF THE PROPERTY OWNER TO INFORM ALL PRESENT AND ,FUTURE TENANTS OF THESE REQUIREMENTS A 2 Attachment "C" ■ MST. as, w CLEAR 3� N � in N 1p 11 e O m Z ao CO2 , m •- I ■ u LEA L Location of Encroachment r Q� N SEA0ol `oo*.IN._: M I I STRUCTURE , EXISTINCy REStL�E,NGE LOT No. 12 JAHURY 28, 1999 I Attachment "Encroachment Permit" Description of Type and Frequency of Encroachment Type and Frequency: The encroaching entity would be a temporary structure (treated wood structure with composite decking and an aluminum and tempered glass rail). Frequency: Structure would remain in place during the term of the lease on the property. Criteria: • Since this is not a "public right of way" there will be no pedestrian travel. However, to the extent the residents of the community are considered `pedestrians', the structure will provide a "safe walking surface" where previously there was none. • No "exterior flags, light fixtures or banners" will be placed. • No "required exit doors" exiting onto the easement, so no provisions necessary for landings. • Easement is 25 feet in width, which exceeds the 20' minimum. • Since there are no "City light fixtures" within 400 feet of the area, the structure will not block illumination provided by "City light fixtures". • Architectural blueprints have been submitted to the Planning Department as part of the application for construction permit, structure has been designed in accordance with UBC standards, and issuance of a building permit is conditioned on approval of the Encroachment Permit. • There are no "hydrants, standpipes, manholes, water meters, blowoffs, cleanouts and valves" within 3 feet of the proposed structure. Nearest is a manhole approximately 40' removed. • City Ordinance #3293 pertains to commercial establishments. The proposed structure will not be part of a commercial establishment. Even so, there will be no "Bistro Dining tables and chairs". • There will be no "merchandise racks, carts (expresso, flower), benches" located within "clear zone" for two reasons: "clear zone" pertains to the access area appurtenant to a commercial establishment (and this is not a commercial establishment), and the existence of a "clear zone" notwithstanding, none of the items referenced above will be placed in the area. • There are no "ramps" planned, required, or included in the building permit application. Please Note the Following: 1. Applicant is applying as Tenant with authorization from the Landlord. Copies of the Lease for the Property are provided as Attachment "#1" attached hereto. Copies of the Landlord approval for construction of the proposed structure are provided as Attachment "#2" attached hereto. 2. City Sewer Review. Chad Cross, City Sewer Leadworker, his supervisor, and Noel Miller (Public Utilities) inspected the site and confirmed the structure does not extend over the existing sewer line at any point except for one 3' edge which protrudes slightly over but not across, approximately 6' directly above the ground covering the sewer line. At that point, the sewer line is buried on a hill, well below the structure. Mr. Cross indicated that should access ever be required, it would be from the street below to the west (opposite side of sewer lime away from structure), due to ease of access considerations. He has also indicated that the need for access to that area by the City is "extremely unlikely." Three of four footings for the structure are several feet to the east from the sewer line. One of footings is within approximately 2' horizontal, and apx. 3' 6" surface distance from the point on the ground that is directly above the sewer line. (See permit application blueprints for details.) Footing would be relocated if desired. Attachment'11" p-J1 LEASE AGREEMENT IS LEASE AGREEMENT, dated as o 19� is between EAGLES NEST OWNERS nonprofit corporat ., n " es and and ("Lessee"). RECITALS f the day of 4M , AS DCIATION, a W �hi ton a T A. Lessor is an Association which is comprised of the owners of residences in the development known as Eagles Nest ("Development") situated in Snohomish County, Washington. Lessor, pursuant to the Declaration of Covenants, Conditions, Restrictions, Easements and Reservations for Eagles Nest as recorded under King County Recording No. 8611170162, ("Declaration") owns and manages the common areas of the Development. Lessee is an individual owner of a residence in the Development. B. Yard areas in the Development are currently owned by Lessor and maintained as common areas. However, Lessor now wishes to lease certain areas adjacent to the residence of the Lessee for use as a residential yard. AGREEMENTS _ 1. Premises. Lessor hereby leases to Lessee, and the Lessee leases from the Lessor, upon the terms and conditions herein set forth the back rd a nt to L ssee's residence, located at�- ,%, 1`l0' ��pLL1,HD,�/� and which is more fully described in Exhibit "A", attached hereto and incorporated herein by this reference. 2. Term. This Lease shall commence on the date first above written and shall be for a term of one (1) year; provided, however, that the term shall be automatically renewed each year unless either party gives thirty (30) days written notice of its desire to terminate this Lease. 3. Rent. Lessee covenants and agrees to pay Lessor, at such place as Lessor may designate, yearly rent in the amount of One Dollar ($1.00). 4. Use. The Premises are intended for and restricted to use as a yard adjacent to Lessee's single family residence, and for social,' recreational, or other r asonable functions normally incident to such use as landscapingNo structures of any nature whatsoever may be placed or constructed upon the Premises unless previously approved in writing by the Lessor/ -- ' 5. Approval of Improvements. Lessee shall make no improvements to the Premises not in accordance with the architectural or landscaping standards of the Development. Accordingly, Lessee shall submit a complete set of plans and specifications for any improvements proposed to be made to the Premises to lessor in accordance with Section 4.5 of the Declaration and shall obtain the express approval of Lessor prior to commencing any such improvements. Any such approved work shall be done at Lessee's sole expense. Lessee shall not be required to notify Lessor of modifications to the originally approved plan unless said modifications are of a material nature. The replacement or addition of plants or modifications which do not change the shape of gardens shall not be considered a material modification. 6. Maintenance and Expenses. Lessee shall, at its own expense and at all times, keep the Premises clean, in good repair and in accordance with the architectural and landscaping standards of the Development. 7. Subletting. Assignments, Liens. Insolvency and Sale. Lessee may not sublet or assign the whole or any part of the Premises separate from Lessee's residence. Lessee shall keep the Premises free from any liens arising by reason of work, labor, services, or materials performed or supplied to Lessee and shall hold Lessor harmless against the same. The Lessee's interest and rights under this Lease shall automatically transfer to the purchaser of the Lessee's residence upon the closing of said sale, unless the purchaser rejects this Lease by written notification to the Lessor within 30 days of closing. 8. Access. Lessor shall have the right to enter the Premises at all reasonable times for the purpose of inspection or of making repairs, additions or alterations. 9. Hold Harmless. Lessee agrees to defend and hold Lessor and its agents harmless from any claim, action and/or judgment for damages to property or injury to persons suffered or alleged to be suffered in or about the Premises unless caused by Lessor's sole negligence. 10. Termination of Lease. a.) By Lessor. If Lessee shall fail to keep and perform any of the covenants and agreements herein contained, and such failure continues for thirty (30) days after written notice from Lessor specifying Lessee's failure(s), and unless appropriate action has been taken by Lessee in good faith to cure such failure, Lessor may terminate this Lease and reenter the Premises. Lessee covenants and agrees to pay the Lessor any expense arising from such default FA including the cost of recovering the Premises and any repairs or maintenance attributable to Lessee. b.) By Lessee. Lessee may terminate this Lease at any time upon 30 days written notice to Lessor. Upon such termination Lessee shall not be liable to Lessor for any costs, unless Lessee is then in default under the terms of this Lease. Upon such termination Lessee's responsibilities for the Premises shall be governed by the Declaration. 11. Lease Subject to Declaration. The terms of this lease are subject in all respects to the provisions of the Declaration, and of the Bylaws and rules and regulations of the Eagles Nest Owners Association. Any failure by the Lessee to comply with the terms of such documents, rules and regulations shall be a default hereunder. 12. Costs and Attorneys' Fees. If by reason of any default or breach on the part of either party in the performance of any of the provisions of this Lease, a legal action is instituted, the losing party as determined by the court shall pay all reasonable costs and attorneys' fees of the prevailing party in connection therewith. 13. Binding Upon Heirs Successors and Assigns. The covenants and agreements of this Lease shall be binding upon the heirs, executors, administrators, successors and assigns of both parties hereto, except as hereinabove provided. EXECUTED as of the date first above written. LESSOR: EAGLES NEST OWNERS ASSOCIATION By: Its IV Zw. y Address: 1 1 ► `c 1 3�' �� i,; L LESSEE' ES A • . _ Attachment "A" Property Description Edmonds View, Division 2: N.W. '/4 Sec 8, Twp. 27N., Rge. 4E., W.M. LEGAL DESCRIPTION Beginning at the Southeast corner of Tract 123. Meadowdale Beach. as per plat recorded.in Volume 5 of Plats, page 36. records of Snohomish County, said point being 30 feet North of the centerline of 172nd Street S.W.; Thence North 89'3621" West along the Northerly margin of said street as deeded to the City of Edmonds under Snohomish County Auditor's File No. 2051425 a distance of 273.41 feet; Thence North 00'23'39" East. 122.17 feet. - Thence North 65'51'50" West, 107.91 feet; Thence 2lorth 41'05'57" West, 11.79 feet to the TRUE POINT OF BECIN'NING; Thence continuing 11orth 41'05'57" West,152.33 feet; Thence North 69'36'21" hest. parallel to the said street margin, 166.85 feet to the Easterly line of an easement as conveyed by instrument recorded under Auditor's File Nos. 7608110293 and 7904260235; Thence North 02'25'12" test along said eiseccnt line, 309.9E feet to a point which lies South 66034*42" East. 30.16 feet from an existing iron pipe at the "occupancy corner" of Tracts 119, 120, 122 and 123 of said Plat of Neadowdale beach, as established and described in Snohomish County 6uperior t.ourt Cause t;o. 78697; Thence North 86'34'42" l;est,10.96 feet; thence North 02'28'04 East; 564.44 feet; Thence South 78'36'02" East. 191.75 feet to the Southwesterly margin of Meador.dale Beach Road; Thence along said Southwesterly margin as deeded to the City of Edmonds by instrument recorded under Auditor's File No. 2051425. through the following courses. South 62*01156" East, 124.44 feet; Thence along a curve to the right having a radius of 339.26 feet through a central angle of 40'00'00". an arc distance of 236.85 feet; Thence South 22'01'56" East, 236.40 feet; Thence along a curve to the left having a radius of 975.37 feet. through a central angle of 01*45159", an arc distance of 30.07 feet. - Thence north 89.16'12" West. 10.98 feet; , Thence along a curve to the left the center of which bears North 66027'59" East. having a radius of 985.37 feet.'through a central angle�of 8'57'32", an arc distance of 154.07leit to the last point on the said road margin; Thence West. 249.68 feet; Thence South 34'01'20" West. 173.76 feef; Thence South 00'23'W' West. 195.00 feet to the TRUE POINT OF. BEGIMUNd; Situate in the County of Snohomish, State of liashington. Attachment "B" Easement Description An easement "reserved for and granted to City of Edmonds under and upon the easements shown on the plat and described herein as `sewer or water easement' to install, maintain, replace, repair and operate sewer or water mains and appurtenances for this subdivision and other property together with the right to enter upon said easements at all times for the purposes stated." Attachment "C" ■ EXU15 T- LLEAR 31 U) C412 0 ON M M 3C *4 .4EW RLICTURE- Location of Encroachment N*85-001."00"W -^, 7MOO' ----- ...... .. ..... . . . .......... LU sX. • )—rRUCT,URE • EXISTING. Re5 I D E.44 C E, LOT 20' JANURY 289 1999 Attachment ' #2" PROJECT CONSENT I am pleased to inform you that the Board of Eagles Nest Owners Association has approved your request to ENLARGE YOUR SECOND STORY DECK ON THE SOUTHWEST CORNER OF YOUR HOME AND TO BUILD A NEW FIRST STORY DECK ON THE WEST AND SOUTH SIDES OF YOUR HOME based upon the documentation that has been submitted. Please be aware that any substantial change in your project will require a review and further approval by the Board. This approval is strictly limited to the consent required by the Covenants for ENOA and does not involve several considerations for which you as the homeowner are solely responsible. Your are and agree to be solely responsible for, but not limited to, obtaining all required City of Edmonds' permits and to comply with all City requirements. It is your responsibility solely to determine and decide that your project has been properly designed and engineered, that construction methods and materials are appropriate and adequate for your intended purpose and use and that applicable soil conditions are suitable. You alone are responsible to select those persons who will providg4a'l?or or materials for your project. If you should have any questions, pl#ase contact any Board member. Good luck with your project. PL-7- 1 ZDI� for the Board BOARD USE: MAILED 0&146"" COPY FILED �- CA FILE NO. Z, Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topogra—p�hy/hy/dr�o/llogy/vegetation)/ 1. Site Address/Location: i J C'? [ J 9/ �f 2. Property Tax Account Number: 0/1- UU 0 0 3. Approximate Site Size (acres or square feet): 4. Is this site currently developed? X yes; no' If yes; how is site developed? 4511u�, �-r AeL i L t4 Zr� 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 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 107feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: IV C) ; Approx. Depth: 7. Site contains areas of seasonal standing water: // ; Approx. Depth: _ What season(s) of the year? / 8. Site is in the floodway 4y floodplain /sue °O 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 urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: --------------------------------- ------- ------------- :For Citv Staff Use Only---------=---+---------- ------------- ----- -=: �c (P11 1 Site is.Zoned?.�- UETIsRMINATION:: STUDY REQUIRED CONDITIONAL WAIVER WAIVER:. Planner Date A� ^ce chk.doc; Rev 10/0V97 City of Edmonds 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/her 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 assist 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/Applicant: Name , / 769 7 3 G, Street Address Applicant Representative: Name Street Address City State Zip City State Telephone Signal,1.2 /7 �✓ Da e Telephone Signature Date Zip (over) c:receptlon\jana\cacl. doc f 1n c ()1) January 13, 1999 CITY OF EDMONDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771.0220 - FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works - Planning/Building - Parks and Recreation - Engineering - Wastewater Treatment Plant Scott Welton 17014 73`d Place West Edmonds.. WA 908026 Subject: Determination regarding Critical Areas Checklist # 99-2 Dear Applicant: Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City is located on the reverse side of the form (bottom of page). It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records. IMPORTANT INFORMATION TO BE NOTED: PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIST OR CRITICAL AREAS STUDY. The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a project -specific determination. y You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL AIN PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. Permit applications include the following: Building Permits Conditional Use Permits Subdivisions Variances Applications to the ADB* Land Use Applications Any other development permit applications. Enc: Critical Areas Determination * Architectural Design Board C: Reception\Jana\CRLTR.doc Thank you. Sharla Graham Planning Secretary • Incorporated August 11, 1890 O Sister Cities International — Hekinan, Japan CITY OF EDMONDS fl PRO ASSET INFORMATION SHEET ICJ NEW ❑ ADDITION ❑ RETIREMENT ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION � DEP . NO. L/. O/ * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST * PROJECT NUMBER�� PROJECT COMPLETION DATE COST 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 VDEP ECIA TE R MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE b a INITIAL DEPARTMENT FILL A,� VERIFIED BY PROCESSED BATCH NO. CITY of EDMONDS SIDE SEWER PERMIT 6 G 19� For Inspection Ca . 771-3202 �� � PERMIT NO. oW �3 CAA�de Construction: �. 3 �L • l� NJ Property Legal Description (Include all easements): --�—S-- LYNNW.00D LINE Owner and/or Builder:, Contractor & License No: Singl:e Family Residence Multi -Family (No. of Units ) Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call 0ne-Call-Center.(1-800-424-5555) before any excavation.) Cross other Private Property: No Yes (If Yes, easement required, k;. attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK I certify that I have read and shall comply Date with the items listed on the back. Permit Fee: A192 Trunk Charge: o?�- Assessment, Fee: Issued By: Dat.e .Issued: //a .Receipt No.: c)'6 Partial Inspection: Comments Final Inspection Approved:%g r% Date Initial oRejected: Reason a, ** PERMIT MUST BE POSTED -ON JOB SITE ** White Copy - File Green Copy - Inspector, Date Initial Date Initial Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO_ _____________________________ NEW CONSTRUCTION IR REPAIRS LID NO. -- -------------- ASMT. NO- ------ ----------- c OWNER . ----------------- ---- CONTRACTOR -------------------------- PERMIT NO. 7618 ----- JOB ADDRESS .17.014 ----------------- r-73-1:zD--P-L-,-Wt ---- LEGAL DESCRIPTION: LOT NO.. __-__1--1 --------------------------- BLOCK NO. SM.W77 I 1"700(2) -73'P-OPC- 3'0P4!c-*-wtsc-1. -1 w0p.VICA-Wor- -, q,bPwIW*f- Wop. 4;'Ycco,,wSr. G%&S-ratAG PWW-Ml -11/75 (REV. 11/78) NAME OF ADDITION F—PC, I IE . . ................... 1-7014, r73r""D -PL. 2L'bP yE 2,0. 5 C., rz cc c-, r! o, C3 CD Z3 to F1 08- ear qr CD * rn P Approved: --------- - ....... ---------- t �PROJDC'P{ REVIEW CflFX�TST .y�; �y PROJDC'P;NAMI�:k r " 5 "r, Pr 00JEC`P ADD S: 4►y`tlk:'i1✓9rt•; .•<Yt!t .3q ,tp , '4•r r.r .• PLICATIOW` RECEIPT<_DATE:' 1 -.- M*1EN'TS '! ,��•+n - fyr' v li, 4_yrY Y - PLANNING Reviewed by:-Minitial date) WT'R/SWR.. STREET ENGNRNG.. �'. c BUILDING ///// // ///// , fit VW' 1. 4 tri: t to r f � 'j , FIRE SINGLE FAMILY/MULTIPLE/OOMMERCLAL , .,..(Circle;_One) 'p. /////,/. /////// f /////// „ *' . SETBACKS ' CFMCM . Planning t, , W :, ., .: 121111171 / r!:'. VARIANCE/SETI9AM'ADJ., r xr CONDITIONAL USE. PERMIT ;-�. ,.. / ////// 171111111 ///////// //////// / / / /) ////////// �2, , ADH •REQUIREMESI'TS CHECKED 777777 umm ZONING MQUIREMEMS `' ✓ ////// ///////// //////// / / ///// ✓9` i ///////// //////// N ��.7:1`IV1iV.aY1•u:t'IJAL'Fi:rllvltL'J ACCESS SLOPE S VEHICLE ACCESS K% ///////// ///////// //////// - 6 DRAINAGE PLAN Ion' Site):-' .... ,Lt%• ////// ///////// ///////// //////// • ., ;;':-. 7 n`STREET FILE: ' Y°LEGALDESCRIPTICN'VERIFICATION.:t ///////// ,' 9 E,QUIT CLAiM/DEDICATIONS " z.,r' i t ;'; /// // ///////// i �,t`EASEt�NP'— PUAT,IC/PRNATE / /777 CALCULATE SEWER'CONNDCTI IF NO�LID#' // ///////// ///////// //////// 12, PLAT/SUBDMSICN REQUIREMENTS f! ////// ///////// /// / // 13; RIGHT-0Fj='WAY CONSTRUCTICN•P`ERM.[IT.'REQD ////// ///////// ///////// 14 r�t U.�!�tTi'F �C '"�y. ;f1•/'",'Vif 'fir Fv i?•3.:'i�:. 31 `M ::' / /// / / /// _ +, BOND.'REQD FOR�PUBLIC IMPROVEMENPS`". ////// ///////// ///////// //////// 15. SOILS .CONDITIalS ; & ; GROUNDy WATERyyg7F"I(EJD.CHECKID,a,�,r 4.,,. ,,, .: lffj: ////// ///////// ///////// ///// / 16`; -1 4. �d ////// 777777777 ///////// ///////// 17,7777777777 STRE�'P PAVING REQUIRED M tfi ,.. CLJRBr.'iAND,GUTTER: REQUIRED °'fir a..:� r •' ////// ///////// ///////// ////////// 18 ». SIDEWALK ID REQUIR,,.+,"yt. ,�'; , ;. ////// ///////// ///////// " s lcJ`: CURB CUTr FOR DRIVEWAY' REQD" 20 �6t "ra ' S'IREE'f NAME SIGN 'READ 21 i t4s ...'.i r Y" ..�-..t - 4,.� r '•�..,.n i4 l +•rr,n;,.. _ 'rCIIf�R: SIGNING REQD c, f / A'}'. / 22 —. SIDE SEWER AVAILABILITYr 23 9�+ ;i -EXISTING WATER MAIN SIZE ,' tt,� ;�.; j1711 ////// ///////// CJ � i //l///// ////////ll 24 !WATER �MFTII2^SIZE '` ///////// a• //////// ////////// 25* ,_`�<..i� : R M ////// n SERVICE:LINE''SIZE;. r _ n t: ;K i > •:Y ////// ///////// ✓' ///"/'//// 26 ` ` AN �RrRD(XIIRID� r c A x ;; /// //////////: 27 � ': � 28 � HYDRANTSIZE EXISTING �' • • ////// ///////// -- __._`—'///%11 d CRO6S CONNDGTION+INSPECTION•READ ////// ///.////// 29 _ la'ATER .[4E'1'ERCRIARGE .RDQD xsi. ' ,+'l d ' 30 ��rj'•$�' �a f r i'f '' '. FIRE1rhh& CHARGE,,RDQD SPRIN(Q.T t;.' c, ,. /////////• 1 /// 31', 32 FaK C:�s^.•;'R'h f 9r gq:' { •' i ' �.i1 OPEN;{DIT H ISTING �f r: ,&25q'� :.'." 33; 6'fY'AYA i1' P'"?IPr1t ,:. h •� , �„ ". ,_ , / /// - v y' ., r t ;t.' 35 `."'"iqr� .. ' ///////// ///////// i `' 36 t,Y ,SIZES,' Y } .5.d 3 . . ////// r jr µ , l.(114+1 '!HA$IN �.��L .1� . } t , Y1lP"+A"d+'9 .. .� x }.: IrrorCal'I'Efl' oN SITS PLAN .`�� r.t .+? ////// ///////// ///////// a•t .'3 y 37 38j y . SHOUI.D>~R ,DRAINAGE;, Ml►Ib)'1'AiN ,' y ^ •.. ...,; " }„ TIT ////// //n///// ///////// 39" SHALE!OPF1J RUNOFF ,..,�t , f., ,. ,. kA°`I•Kr74:=' ?}.. p{ , e; .f•gcw�(7['e+1t. %r' 1 - /// ///// 77TR777.,'_. //////// ,. fL REVIEW PLANNINGAMGR4 ENGINEERING MGR. + n..�.-•,ca�1.Pr"mrlit.=•_s..sp,.r:,Sra:.:...:+w._ st.a.�tia�i� . PUBL WORKS MGR. " ` ' CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ZONE NUMBER J Q J NAME IOR NAME OF BUSINESS) , I 13 i7tir1L"'�tfl•10%CIPARI atahfueiesude all ea:or attach or cop) Lor1i Z,Vawlw_46 of PLATS PPt NEW NI RESIDENTIAL PLUMBING ADDIALTER 1:1COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN ❑ ' FENCE DEMOLISH OR F IE X-FT) PRE - MOVE INSPJ SWIM REMODEL COMPLIANCE INSP. POOL WOO ❑ SERTVEI APT. BLDG RENEWAL i NUMBER OF STORIES ^� NUMBER OF DWELLING oC� 'UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) ADDRESS 114 _EGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. or 1l Eq�l� NEST %6� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION PROPOSED LILd1'r RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑ STREET USE PERMIT REQUIRED ❑ SEE ENGINEERING MEMO DATED n BUILDING SUPPLY SIZE (FIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW ADS NO. ALLOWED PROPOSED COMPLETE I EXEMPT SHORELINE N VARIANCE OR CU PLANNING REVIEW BY DATE YARDS HEIGHT I LOT COVERAGE FRONT SIDE REAR CHECKED BY TYPE OF CONSTRUCTION SPECIAL INSPECTOR AREA OCCUP, REQUIRED GROUP O YES ONO 4 PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADING/FILL 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. STATE SURCHARGE Permit Application:180 Days Permit Limit: 1 Year- Provided Work Is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and w successors In Interest, agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, Its officials, s i omodify,. x 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 walve.or reduce any requirement of any city ordinance nor limit In any way the City's ability to enforce any ordinance provision." PLAN CHECK DEPOSIT TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the Information given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and state laws regulating construction; and In doing the work authoriz- ed thereby, no person will be employed In violation of the Labor THIS PERMIT AUTHORIZES ONLY THE Code of the Stale of Washington relating to Workmen's Compensa- WORK NOTED fivninsurance.h A I INSPECTION DEPARTMENT R O GENT) OAT SIG D aAT f ^ CITY OF VhAki 811, EDMONDS 771.3202 A TENTIO IT IS UNLAWFUL T USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102.78 HEIGHT OCCUPANT LOAD APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged In space provided. OFFICIAL'S SIGNATURE DATE RELEASED BY: DATE 1, Z Z Z 5 v ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor tf•• ,ATE RECEIVED I 0 p PERMIT:'EXPIRBE use PERMIT' . p TY OF EDMgNDS ZONE : a p NUMBER ` CONSTRUCTION` PERMIT APPLICATION JOB ` f % �•� ;" 7 ' I,SUITE/APT• _ s ` OWNER NAME/NAME OF.BUSINESS 7- c! (�z iP T NAME/SUB,DIVISION NO LOT NOi . LID NO. MAILINGB[DDRESS / LID FEE $ PUBLIC RIG OF WAY PER OFFICIAL STREET MAP TESCP Approved p /'�;' RN Permit Required Q O o / Street Use Perms Req'd Q " CITY ZIP :. TELEPHONE r : EXISTING PROPOSED Inspection Required Q g//2 qr Sidewalk Required Q /JN/1 i �� y a lC �� T 7 J. 6'J f7.a. REQUIRED DEDIGATIbN�.. FT, Underground r�mg required VI .• NAtiI METER SIZE > LINE SIZE NO. OF FIXTURES, PRV REQUIRED .. .. Z 4' • /I/!P�/ YES NO ADDRESS e R S z ti OWNER/CONTRACTOR"RESPONSIBLE FOR EROSION,CONTROUDRAINAGE r9vi es� � W CITY ZIP . TELEPHONE.. : ' TI T f a k� Vic. 130 0; 6 � v6, NAME.. /. Tom.ax�V az UN fw.iv �E ... (��J Sf%G F/J 'EN(31yEE LNG N A? (�Yi1L W� EVIEINED/DATE • ADDRESS Z a /%' .c• ' FIRE REVIEWED BY DATE m CITY ZIP. TELEPHONE U - STATE. LICENSE NUMBER ": EXPIRATION DATE CH CKED BY VARIANCE OR CU SHORELINE ORADBp INSPECTION BOND 9 9- 9 5' o" R EaN POSTED �^.z YES O • " r E%(� i ; . SEPA REVIEW SIGN AREA ' HEIGHT < PROPERTY TAX' ACCOUNT PARCEL NO COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED NA' LOT COVERAGE REQUIRED. SETBACKS (FT.) PROPO D SETBACKS (FT:) ❑ NEW RESIDENTIAL',," ❑ PLUMBING/MECH ' : ALLOWED PROPOSED FRONT "'SIDE REAR;. FRONT �URSIDE REAR ADDITION ❑ COMMERCIAL. COMPLIANCE OR N� * U O x 0 z .. " CHANGE OF USE z ❑ REMODEL; ❑ APARTMENT ❑, .SIGN PARKING P LOT ARE PLANNINGREVIEWED'BV: DATE a. REQ'D PROVIDE_ . FENCE . KA T.% vllp �i❑ REPAIR CYDS❑RADINGXFT). MARKS7 T OTHER "(�•'..'S•!�t ZL ''AP— 9. S ❑ DEMOLISH TANK GARAGE RETAINING WALL z ' ❑ CARPORT ❑ ❑ .RENEWAL I- , (TYPE OF USE; BUSINESS OR ACTIVITY) EXPLAIN .�J� l��p 1� , �y*Q f� c • CHEC ED BY TYPE OF CONS R TION E GdeCOPAID ROUP w NUMBER w�!' !" NUMBEROF CRITICAL - / ai OF * `./ DWELLING. AREAS SPECIAL INSPECTOR AREA OCOUPANT O STORIES UNITS .' NUMBER (r(� REQUIRED Q yEB ! :• r i LOAD ' DESCRIBE WORK TO BE PONE - REMARKS PROGRESS INSPECTIONS PER UBC 10WINAL INSPECTION REO'D s le . .CJCU4 o. ��` 9�/z s� VALUATION FEE PLAN CHECK FEE 1 HE T SOURCE GLAZ NG %' COT SLOPE % " q Q BUILDING l PLAN CHECK NO.: VESTED DATE PLUMBING _ 02„...:.... V MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED., THIS PERMIT COVERS WORK TO BE''DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH .PUBLIC .,,s. DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAR6UEES, ETC.) WILL'iEOUIRE l 7 SEPARATE PERMISSION. y. , 2 - .. 'STATE SURCHARGE w PERMIT APPLICATION: 180 DAYS a PERMIT LIMIT: 1 YEAR -PROVIDED WORK IS STARTED WITHIN /80 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION y ;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE 0 2 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND. HOLD HARMLESS THE CITY OF G 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 R EIPT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." RECEIPT �t TOTAL AMOUNT DUE Z • I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT 1 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 pe-rmit 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 COMPENSATION )INSURANCE AND RCW 18.27.' OF IALS SIGNATURE DATE SIGNATUR R T) DATE SIGNED (4- f: ". . .:& C7D' -0220 771 1l RELEASED BY DATE ATT NTION EXT 333 :, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL. �•/�::/ D/Zj �" A FINAL INSPECTION HAS BEEN MADE AND 'APPROVAL OR A CERTIFI= 771-0221 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER • GOLD - ASSESSOR s/98 i e K CITY OF EDMONDS. SINGLE FAMILY/DUPLE% COVER SHEET �IF Direions: Applicants are to complete the Information In the WHITEBOXES ONLY Shaded boxea,are for City ct use only). This cover shoat must accompany each building permit application for a new single-family residence. PROJECT ADDRESS PROPERTY TAX ACCOUNT PARCEL 9 �- DESCRIPTION OF WORK 'Add UY1 6 OWNER I A Attmp PHONE 'V Z.( 3 SD r PHONE I' ) / CONTACT PERSON D1. _ C p 11 i:l± J r A A J 7 ?L G 2 c-MAIL 10C MAILING ADDRESS FAX CORRECTIONS MAIL CORRECTIONS E-MAIL CORRECTION . BY SIGNING THIS STATEMENT I UNDERSTAND THAT I AM THE CONTACT PERSON FOR THIS PROJECT. IT IS MY RESPONSIBILITY TO COORDINATE ALL SUBMITTALS WITH THE CITY AND ONLY I CAN MAKE INQUIRIES ON THE STATUS OF THE APPLICATION. I UNDERSTAND IT IS MY RESPONSIBILITY TO DETERMINE IN ADVANCE OF PERMIT SUBMITTAL ANY DISCRETIONARY PERMITS THAT MAY BE APPLICABLE TO THIS PROJECT. I ACKNOWLEDGE THAT TO THE BEST OF MY ABILITY I HAVE SUBMITTED ALL NECESSARY DOCUMENTATION IN ORDER TO MAKE A COMPLETE APP OM AND NO DISCRETI IPARY APPROVALS ARE REQUIRED. ,.�.,f SIGNATUR DATE � ZONING �FWRMATIONDDZONE ' D `�D LOT AREA 'YGJ L� (eP-v ls►) NUMBER - OF DWELLING :UNITS' EXISTING ( DEMOLISHED O PROPOSED Na Qt1 DISCRETIONARY APPROVALS CA 71'.. Determination SUBDIVISION CU VARIANCE SHORELINE SEPA Expires OTHER AP- 99- 95 LOT COVERAGE INFORMATION EXISTING SF_. PROPOSED SF TOTAL SF % HEIGHT CALCULATION INFORMATION ¢QQtr[�biL . DATUM A. B C.: D AVE MAX. ACTUAL SETBACK INFORMATION ° )° 16r I 0" L w*i °""` �0' ( I —5� AI''•99�15 REQjtM FRONT SIDE y"' SIDE REAR EROPOSED FRONT SIDE SIDE • ` REAR CNR.LOTID© YESNO ELB�GLQIQY. [3 O ST::DEDIC.�YES �11 cTATEMENT REOUIREO , 'OYES ©NO'. RECORDING 9 STAFF COMMENTS: ENGINEERING INFORMATION DRIVEWAY SLOPE % GRADING CYDS EASEMENTS 1/7"/Gri 060 EXISTING IMPERVIOUS AREA CONSTRUCTED BEFORE 1977 SQ.FT EXISTING IMPERVIOUS AREA INSTALLED 1977 OR LATER SO.FT. PROPOSED NEW NET IMPERVIOUS SURFACE City'Usa OWN SIDEWALK REQUIRED 0YES f4N0 DRAINAGE PLAN REQUIRED 0 YES NO UNDERGROUND WIRING REQUIRED OYFSONO STREET DEDICATION FT. LIDI STAFF COMMENTS: SPECIAL INSPECTIONS REOUIRED FOR THIS PROJECT (City Use Only) SOILS: START OF WORK EXCAVATION & GRADING SHORING INSTALLATION 8 MONITORING. PROOF ROLLING PLACEMENT OF FILL & COMPACTION SUBSURFACE DRAINAGE VERIFY SOIL BEARING PILE PLACEMENT EROSION CONTROL GENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD GENERAL SITE MONITORING BY THE GEOTECHNICAL ENGINEER OF RECORD 'DURING WET WEATHER CONSTRUCTION FINAL GRADING A FIELD REPORT OTHER STRUCTURAL: PLACEMENT OF REINFORCEMENT PLACEMENT OF CONCRETE BOLTS INSTALLED IN CONCRETE STRUCTURAL MASONRY STRUCTURAL STEEL ERECTION HIGH STRENGTH BOLTING WELDING (WASO CERTIFIED ONLY) OTHER FLAX CRECE If DATE RECSIVED BUILDING CONSTRUCTION INFORMATION CODE EDITIONS 1997 UBC, UMC, UPC, WSEC, VIAO WITH AMENDMENTS DESIGN CRITERIA WIND EXPOSURE B WIND SPEED 90 MPH SEISMIC ZONE 7 Floor Live Load Root Snow/Live Load Balcony Live Load Floor Dead LoadRoof Dead Load Balcony Dead Load NUMBER OF STORIESBASEMENTS FLOOD ZONE__ LOT SLOPE Y. SOILS REPORT PROVIDED ❑ YES NO FLOOR AREA (MEASURED TO EXTERIOR FACE OF EXTERIOR WALL) Existing Proposed Total Living Spsco Garage Carport Dock/Covered Porch Other ENERGY CODE COMPLIANCE INFORMATION FUFI TYPE 0 GAS, OIL 11 ELECTRIC 11 OTHER FORCED AIR HEAT PUMP [:]HYDRONIC OTHER ENERGY CODE METHOD OF COMPLIANCE 11 PRESCRIPTIVE: List Option e a TARGET UA APPROACH: Provide UA Calcuatlons 11 SYSTEMS ANALYSIS: Provide Computer Analysis 11 ENERGY/VENTILATION WORKSHEETS PROVIDED 13 WINDOW SCHEDULE PROVIDED VENTILATION CODE COMPLIANCE INFORMATION FOR CITY USE ONLY Coiling Insulation Wall Insulation Floor Insulation Door U-Valus Window U-Vslua Skylight U-Value Glazing % KITCHEN FAN CFM BATHROOM FANS) CFM LAUNDRY FAN CFM WHOLE HOUSE VENTILATION SYSTEM EXHAUST OPTION FRESH AIR TO BE PROVIDED TO 0 WINDOW VENTS 0 WALL PORTS EACH HABITABLE ROOM WITH: _-EXHAUST, TO BE.CONTROLLED WITH .24�HOUR TIMER AND SIZED; AS FOLLOWS: �1 • 2 BEDROOMS: 50 - 75 CFM 04 BEDROOMS: 100. 150 CFM 9. BEDROOMS:.80 . 120 CFM �5 BEDROOMS: 120.160 CFM 0 HVAC INTEGRATED OPTION nDEDICATED HEAT RECOVERY VENTILATION OPTION SEPARATE PERMITS (City Use Only) RIGHT OF WAY CONSTRUCTION PERMIT MECHANICAL PERMIT ENCROACHMENT PERMIT PLUMBING PERMIT STATE ELECTRICAL PERMIT WATER METER OFENCE.PERMIT SIDE SEWER PERMIT PRESIDENTIAL FIRE SPRINKLER PERMIT 0 IRRIGATION (SPRINKLER SYSTEM) OTHER OTHER Any request for modification, variance or other administrative deviation (herinalte► 'variants•) must be apecilically called out and identified. Approval of any plat or plan containing provisions which do not comply with the city code and for which a variance has not been specifically Identified, requested and considered by the appropriate city official in accordance with the appropriate provision of city code or stale law does not approve any Items not to code specification. PERMIT ISSUANCE APPROVALS PLANNING REVIEW & APPROVAL. CONDITIONS OF APPROVAL: (City Use Only) DATE ENGINEERING REVIEW e: APPROVAL CONDITIONS OF APPROVAL: DATE BUILDING REVIEW A APPROV CONDITIONS OF APPROVAL: ATE J V