17806 69TH AVE W.PDFIIIIIIIIIIII
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17806 69TH AVE W
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TAX ACCOUNTiPARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:- Re - P�? I DETERMINATION: E] Conditional Waiver El Study Required VWaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DA
SIDE SEWER PERMIT(S).#:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER: —.-----)A-) 1,4101 1AJ- aOO ? /11. L5 7
LATEMMSTs\Fonns\Sh-eet File Cheeklist.doc
#P20
CA File NO:Ci4 *131
Critical Areas Checklist
Site Information (soils/. topography/hydrology/vegetation)
1. Site Address/ Location: 179'0
2. Property TaxAccount Number: nus-,/5 000 1�q -07
3. Approximate Site Size (acres or square feet)`
4. - Is this site currently developed? _4 yes; — no.
If yes, how is site developed?. S-' I A, R 4.n. J, S t cb�
5. Describe the'general site topography. Check all that apply.
�bt: less than 5-feet elevation change over entire site..
Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal
distance of 66-feet).
Hilly:. slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over. a horizontal distance of 33 to 66-feet).
Steep: grades of greater than-30% present on site (a vertical -rise of 10-feet over a horizontal
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-r . ound standing water: Approx. Depth:
7. Site contains areas of seasonal stand�ng water: /10 Approx. Depth -
What season(s) of the year?
8. Site is in the f1bod, . yay _/�O floodplain .11-0 of a water course..
9. Site contains a creek or an area where water flows across the grounds surface?, flows- are. year-round?'
III s are seasonal? (What time of year?
10. Site is primarily: foxested meadow
;shrubs' mixe.l.
urban landscaje7d0awn,'shrubs e �c
11. Obvious wedand -is preseni�on site: .,n,A)
-- - --------- For City Staff Use Only —
1. Plan Check Number, if applicable? 2��24� 2 0!
2. Site is Zoned?
3. SCS mapped soil type(s)? Pi`�,CwW066Lard1VVW QAMdL4AV4M ;P9 I IWCS)
A Akid ( p �j ple)(
h-161?h-wyyd Vvoqvl yvi.,
4. Critical Areas inventory or C.A. map indicates Critical Area. on site? AT)& G�iowv)-
5. Site within designated earth subsidence landslide hazard area? E5MWAM3 OPfiL460 GiVIA11
M oly-� -Hyl A I C.LR—t-C*-0Ai* A A -h'O-�l
DETERMINATION
STUDY REQUIRED WAIVER
Reviewedbv- C�2!Yla Date: 10 / 091 7-D 0 (9
'4C. I W,
* #P20
City, of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on Us form is to
be filled out by any person preparing a Development
Permit- Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, 'or soil
surveys).
Date Received:
City Receipt#:_ 7-32---i��
Critical Areas File #: C F-A - 1-00 ( 6- C) I S I
Critical Areas Checklist Fee: $135.00
Date Mailed to Applicant: �o—ko-=poc,
A property owner., or his/her authorized representative,
must* fill out the. checklist,- sign and date, it, and submit it
to the City. The City will review the checklist.make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this, form to assist City staff in 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.
The undersign ed applicant, and his/her/its heirs, and assigns, 'in consideration, on the processing of the application agrees
to release, indernnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information ftimished by the applicant, histher/its agents or employees.
By my signature,, I cer* that the information and exhibits h Rh submitted are true and correct to the best of my
knowledge and that I am authorized to fil appl, , on be of the owner as listed below.
I
SIGNATURE *oF APPLIcANTIAG,_," 1J —r- V DATE 9V 1 -7
Property Owner's Auffiorization
By my signature, I cer* that I have authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and postW attendant to_aiis-qpplicqti61b,
ISIGNATURE Of
Owner/Appficant:
tolpow 6.
Name'
V-780&
Street Address
city State'.. "Zip;
Telephone: V�)S 7V-�)
Email ad -dress (optional):
DATE el -
Applicant Represe tive:
ti
Namp
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Street Address
City State Zip
Tele'plhone: "Do 6 -367- go Q ji'd
Email Address (optional): 71-5-
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EXHIBIT 'A'
Address 17806 69th Avenue West Parcet Number
Edmonds, WA 98026 00 513 1 000 154 07
Homeowner(s) - GO-11 C, and Loren D, Hlnckley . . I
Return Address:
City Clerk
City of Edmonds
121 - 5th Ave. N.
Edmonds, WA 98020
NO EXCISE TAX
REQUIRED
CONFORMED COPY
200207110537 JUL 11 20OZ
07/11/2002 04:49 PM Snohomish BOB DANTINI, Snohomish CUM Ifeasullff
P.0002 RECORDED County
6y_ BOB _DANTINI
UTILITY EASEMENT
Property Address: 17806 69th Avenue West, Edmonds, Washington-98026
Assessor's Property Tax Parcel No.: 00 5131000 154 07
IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned, Loren D. and Gail
C. Hinckley, hereby grant to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement for the
installation, construction, operation, maintenance, repair, reconstruction or replacement of a waterline and
necessary appurtenances, over, across, through, and below the following described property, and the further right
to remove trees, bushes, undergrowth and other obstructions interfering with the location, construction, operation,
maintenance, repair, reconstruction or replacement of said waterline and necessarV appurtenances, together
with the right of access to the easement at any time for the stated purpose.
Tile easement hereby granted is located in the COUNTY OF SNOHOMISH, STATE OF
WASHINGTON, and is more particularly. described as follows:
COMMENCING at the Southwest Comer of the parcel of land being the west 77 feet of the
following described tract: the East 308 feet of the West 408 feet of Tract 154, as measured from the west line of said
tract, Meadowdale Beach, according to the plat thereof recorded in Volume 5 of Plats, Page 38, records of
Snohomish County, Washington, except the North 467 feet thereof, as measured from the South line of tile road.;
thence North 01'18'31" West along the west line of said parcel a distance of 40.87 feet to the POINT OF
BEGINNING of said centerline of the 10 foot wide easement; thence South 46* 18'3 1 " East a distance of 59.05 feet
more or less to the south line of said parcel and the terminus of said centerline and 10 foot wide easement.
The sidelines of said easement shall be lengthened or shortened as to terminate on said south and west lines of the
above described parcel.
The eas�ment area is depicted in the drawing attached as Exhibit A.
THE CITY agrees to restore to substantially the original condition 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 penrianent easement.
DATED THIS DAY OF 20
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H - ILI yt,
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STATE OF WASHINGTON) Loren D. Hinckley
)ss
COUNTY OF SNOHOMISH)
On this day personally appeared before me Loren D. and Gail C. Hinckley —, . to me known to be the
individual 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.
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EXHIBIT 'A'
Address 17806 69th Avenue West Parcel Number
Eclmoncls, WA 98026 00 5131 000 154 07
Homeowner(s) - Gall C. and Loren D,-Hlnckley
0
CONFORMED COPY
200207110538
07/11/2002 04:49 PM Snohomish
P-0002 RECORDED County
Return Address:
City Clerk
City of Edmonds
121 - 5th Ave. N.
Edmonds, WA 98020
CONSTRUCTION EASEMENT
Property Address: 17806 69'h Avenue West, Edmonds, Washington 98026
Assessor's Property Tax Parcel No.: 00 5131000 154 07
NO EXCISE TAX
.REQUIRED
JUL 112002
BOB DANTIN). Snofloiniso uouny j[.ejWTg[
E�y - 1308 DANTINI
IN CONSIDERATION of benefits to accrue to the grantors herein by reason of the construction and
establishment of an improved waterline, the undersigned Loren D. and Gail C. Hinckley hereby grant to
the CITY OF EDMONDS, a Municipal Corporation, a construction easement for the installation of eight inch
ductile iron waten-nain on the following described property.
The West 77 feet of the following described tract:
The East 308 feet of the West. 408 feet of Tract 154, as measured from the west line of said tract, Meadowdale
Beach, according to the plat thereof recorded in Volume 5 of Plats, Page 38, records of Snohomish County,
Washington, except the North 467 feet thereof, as measured from the South line of the road.
The construction easement shall be temporarily effective only until the construction of the eight inch ductile iron
watermain and appurtenances is completed by acceptance of the work by the official action of the City of Edmonds
Council, or until December 3 1 ", 2003, whichever shall occur first. The construction easement granted is located in
the County of Snohoniish, State of Washington, and is more particularly described as follows:
Said easement being 20.00 feet wide, having 10.00 feet of such width on each side of the following described
centerline:
COMMENCING at the Southwest Comer of said parcel; thence North 0 I'l 8'3 1 " West along the west line of said
parcel a distance of 40.87 feet to the POINT OF BEGINNING of said centerline and 20.00 foot easement; thence
South 46* 18'3 1 " East a distance of 59.05 feet to the south line of the above described parcel and the terminus of said
centerline and 20.00 foot easement.
The sidelines of said * easement shall be lengthened or shortened as to terminate on said south and west lines of tile
above described parcel. -
The easement *'area is depicted in the drawing attached as Exhibit A.
DATED THIS 3 ��
STATE OF WASHINGTON)
)ss
COUNTY OF SNOHOMISH)
On this day personally appeared before me Loren D. and Ggil C. Hinckley I to me !mov.m to be ffie
individuals 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 DAY OF
j 52002
I I Pp
fiQ�'ARY PUBLIC in and for the \Q
N Stdte of Washington, residing at
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.112 C. 18191,
June 14,2002
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Loren D. and Gail C. Hinckley
17806 69th Avenue West
Edmonds, WA 98026
RE: Request for Easements — 17806 69th Avenue West
Dear Mr. and Mrs. Hinckley:
GARY HAAKENSON
MAYOR
The City of Edmonds would like to obtain easements for the installation and maintenance of an
eight -inch ductile iron water main through the southwest comer of your property. This will
provide you and your neighbors with improved water flow.
The Utility Easement, which is 590.5 square feet, is necessary to provide the City with access to
the water main for maintenance and repair. I have enclosed a drawing (Exhibit A) showing the
water main location and easement boundaries for your review. The Temporary Construction
Easement is for the duration of construction only and is necessary to give construction crews
working room. Following installation of the water main, you continue to own the land with full
right to use it, except that you cannot construct permanent structures in the permanent easement
or otherwise impair the City's access to the water main.
Public records indicate that you are the owner of the parcel of land which is needed for this water
improvement project. The City's total offer to you for this easement is $1043.70. The offer is
based on a calculation of 25 % of your assessed value for the square footage of the easement
area, as follows:
Easement Value: $7.07 per square foot x 590.5 square feet x 25% = $1043.70.
Our determination of value is based on the assessed value of your land only, not including
improvements.
The City of Edmonds will remove and dispose of your existing shed. You will be responsible for
removing and relocating the contents of the shed. In addition, the trees located at the south end
of your property (next to your driveway) may need to be removed.
Please review the enclosed Utility and Construction easements carefully. I would especially ask
that you check to be sure we have accurately indicated the correct legal owner name(s), property
address, tax parcel number, etc. on the documents. Following your review, please sign the
easements and have your signatures notarized; then return to me by June 24, 2002. 1 have
included a return envelope with postage for your convenience. Also, for your convenience, your
signature can be notarized here at City Hall.
Incorporated August 11, 1896
Sister Citv - Hekinan. Javan
Loren D. and Gail C. Hincklp'
June 14, 2002
Page 2
If you have any questions or concerns regarding this issue, please do not hesitate to contact
Pamela Lemcke or me at 425-771-0220. Thank you again for your cooperation in this matter.
Sincerely,
DON FIENE, P.E.
Assistant City Engineer
DF/PL/cmc
Enclosures
CADommm and Seuin�\My DocumcmXEngsec\DEVELOPU�a�UiftmUcy69d&Asan=tRequest.doc
0 0
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
,,lIe 1 �8()
June 27, 2002
Loren D. and Gail C. Hinckley
17806 69th Avenue West
Edmonds, WA 98026
91h
RE: Easement Reauest fbbr -17806 6 Avenue W�est
Dear Mr. and Mrs. Hinckley:
GARY HAAKENSON
MAYOR
This letter supersedes our letter dated June 14, 2002 and confirms our negotiated agreement of
June 27, 2002. In consideration for you granting the easements forwarded by our June 14 1h letter,
the City agrees to pay you a total of $2,500.
In addition, the City will remove and dispose of your existing shed and existing trees located at
the south end of your property (next to your driveway). You will be responsible for removing
and relocating the contents of the shed. The City will remove the trees from your property unless
you indicate otherwise in writing.
We have mutually agreed that this is fair and equitable compensation, considering the specific
conditions of the easement and the impact on your property.
Please sign the easements and have them notarized; then return to me by July 3, 2002. For your
convenience, your signature can be notarized here at City Hall. Upon receipt of the signed
easements, we will process payment to you in the amount of $2,500.
If you have any questions or concerns regarding this issue, please do not hesitate to contact me at
425-771-0220, Ext. 1327 or Parnela Lemcke at 425-771-0220, Ext. 1329.
Thank you again for your cooperation in this matter.
Sincerell
DAVID YL GEBERT, P.E.
City Engineer
DKG/PUcmc
QM)oau=ts and Seftings\=is\My D--mw-v-EGAska*wzwkxL."w4"t 11, 1890
Sister City - Hekinan, Japan
Return Address:
City Clerk
City of Edmonds
121 - 5th Ave. N.
Edmonds, WA 98020
CONSTRUCTION EASEMENT
Property Address: 17806 69th Avenue West, Edmonds, Washington 98026
Assessor's Property Tax Parcel No.: 00 5131000 154 07
IN CONSIDERATION of benefits to accrue to the grantors herein by reason of the construction and
establishment of an improved waterline, the undersigned Loren D. and Gail C. Hinckley hereby grant to
the CITY OF EDMONDS, a Municipal Corporation, a construction easement for the installation of eight inch
ductile iron watermain on the following described property.
The West 77 feet of the following described tract:
The East 308 feet of the West 408 feet of Tract 154, as measured from the west line of said tract, Meadowdale
Beach, according to the plat thereof recorded in Volume 5 of Plats, Page 38, records of Snohomish County,
Washington, except the North 467 feet thereof, as measured from the South line of the road.
The construction easement shall be temporarily effective only until the construction of the eight inch ductile iron
watermain and appurtenances is completed by acceptance of the work by the official action of the City of Edmonds
Council, or until December 3 1', 2003, whichever shall occur first. The construction easement granted is located in
the County of Snohomish, State of Washington, and is more particularly described as follows:
Said easement being 20.00 feet wide, having 10.00 feet of such width on each side of the following described
centerline:
COMMENCING at the Southwest Comer of said parcel; thence North 0 1 * 18'3 1 " West along the west line of said
parcel a distance of 40.87 feet to the POINT OF BEGINNING of said centerline and 20.00 foot easement; thence
South 46* 18'3 1 " East a distance of 5 9.05 feet to the south line of the above described parcel and the terminus of said
centerline and 20.00 foot easement.
The sidelines of said easement shall be lengthened or shortened as to terminate on said south and west lines of the
above described parcel.
The easement area is depicted in the drawing attached as Exhibit A.
DATED THIS _ DAY OF 2002
Gail C. Hinckley
Loren 1). Hinckley
STATE OF WASHINGTON)
)ss
COUNTY OF SNOHOMISH)
On this day personally appeared before me Loren D. and Gail C. Hinckley to me known to be the
individuals 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 DAY OF
,2002
NOTARY PUBLIC in and for the
State of Washington, residing at
esm-tenip const.00C
0 0
Return Address:
City Clerk
City of Edmonds
121 - 5th Ave. N.
Edmonds, WA 98020
UTILITY EASEMENT
Property Address: 17806 69th Avenue West, Edmonds, Washington 98026
Assessor's Property Tax Parcel No.: 00 5131000 154 07
IN CONSIDERATION of benefits to accrue to the grantors herein, the undersigned, Loren D. and Gall
C. Hinckley, hereby grant to the CITY OF EDMONDS, a Municipal Corporation, a permanent easement for the
installation, construction, operation, maintenance, repair, reconstruction or replacement of a waterline and
necessary amurtenances, over, across, through, and below the following described property, and the ffirther right
to remove trees, bushes, undergrowth and other obstructions interfering with the location, construction, operation,
maintenance, repair, reconstruction or replacement of said waterline and necessary amurtenances, together
with the right of access to the easement at any time for the stated purpose.
The easement hereby granted is located in the COUNTY OF SNOHOMISH, STATE OF
WASHINGTON, and is more particularly described as follows:
COMMENCING at the Southwest Comer of the parcel of land being the west 77 feet of the
following described tract: the East 308 feet of the West 408 feet of Tract 154, as measured from the west line of said
tract Meadowdale Beach, according to the plat thereof recorded in Volume 5 of Plats, Page 38, records of
Snohomish County, Washington, except the North 467 feet thereof, as measured from the South line of the road.;
thence North 01 * 18'3 1" West along the west line of said parcel a distance of 40.87 feet to the POINT OF
BEGINNING of said centerline of the 10 foot wide easement; thence South 46* 18'3 1 " East a distance of 59.05 feet
more or less to the south line of said parcel and the terniinus of said centerline and 10 foot wide easement.
The sidelines of said easement shall be lengthened or shortened as to terminate on said south and west lines of the
above described parcel.
The easement area is depicted in the drawing attached as Exhibit A.
THE CITY agrees to restore to substantially the original condition 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.
DATED THIS _ DAY OF
Gail C. Hinckley
STATE OF WASHINGTON) Loren D. Hinckley
)ss
COUNTY OF SNOHOMISH)
20
On this day personally appeared before me — Loren D. and Gail C. Hinckley , to me known to be the
individual 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 DAY OF
2002
NOTARY PUBLIC in and for the
State of Washington, residing at
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EXHIBIT 'A'
Address -'17806 69th Avenue West Parcet Number
Edmonds, WA 98026 00 5131 000 154 07
Homeowner(s) - Gall C. and Loren D, Hlnckley