18212 76TH AVE W.PDFIIIIIIIIIIII
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18212 76TH AVE W
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;2
APPROVED BY PLANNING
RECEIVED
MAY 2 6 1995
PERMIT COUNTER
/ a,�' 1-7 -7 /, k� hy
k*.r 0 JA P 0 1 ij
ACCEPTABLE TIGHTLINE ATERIAL
N-12ADS
Sch 40 PVC
SDR 35 (AST M D1034)
N —Itli
��OMES
I LeTwomw-1 wA
4 -17 ZO
L"M :91
.xAL 'Kwow IV hs ef� C-EL. I
Woot�se-keevc, fLACC
C-Iry Ov- &!Dmovlos
, I -
.-HE1614'r CALC�
A- Vf.0.85'..
is 2 24.10
G T
T7077KJ, 714 1,&10 44 9- 2.3 5--.4 04LA-04 -
+
WATER S'ERVICE INSPECTION
R 'ED CALL 771-0235
EQUIR -
RF-CEIVED
MAY 2 6 1995
PERMIT COUNTER
IF,
PROJECT REVIEW CHECKLIST
PRO-JECT,NAME: 4-e- Z6- PLAN CHECK #: 0/,5 -- j, � " 6'
PROJECT ADDRESS: 746 Iq te-P, RECEIPT DATE:--fZ2/6/,9,S-
REVIEW
D BY. (I
hitial/Da
[e)
PLAN.
I
WATER
[Z'
D7
COMMENTS
FIRE
BLDG.
SEWER
STREET
�ENG..
Setbacks/Variance/Setback Adjustment
..... ------- - . . . . . . .
Conditional Use Permit
ADB Requirements
Other Zoning Re uirements
4.
Underground Wiring Required
. . . . . .
Lot Slope 15%
SEPA Environmental Checklist/Hydraulics Permit
Tree Cutting Plan
Plat/Subdivision Requirements
Legai Description Verification
mom
i":A � n
Quit Claim/Street Dedicatio
Easements - Public/Private
A2
Engineering Storm Drain Review Fee T-C>
.:13 -
Engi eering 2.2 Inspection Fee
Drainage Plan (On -Site)
Setback - Top of Bank. Stream, Water Courses
.15
Setback - Storm Drain Une
17
Open Ditch - Existing
i
8
Culvert Required
A
9
Culvert Size
Shoulder Drainage/Shale Open Runoff
......
-, 1 ".11", 7p
..21
Catch Basin Required
22
Driveway Slope & Vehicle Access
All
23
Sidewalk Required
r:.24
Curb & Gutter Required
Curb Cut For Driveway Required
1.26
Street Paving Required
27
Right -Of -Way Construction Permit Required
28
Street Name Sign Required
29
Other Signing Required
30
Bond Required For Public Improvements
----- -- ----- ----
'E?
.31
FEMA Map Check/Water Table
32
Side Sewer Availability yf- 5 P.Z. C140
.,33
Calculate Sewer Connection Fee If No LID # (Af4
34
Create Street File
Existing Water Main Size
.............................
__p3
3 �5
:36
6
Water Meter Size
.37
Service Line Size
-38
Water Meter Charge Required
3 9
Hydrant Required
:.40
Hydrant Size Existing
:::41
Fire Line Charge Required - Sprinkler
42
Street Cut
NI/
Miscellaneous
1-:44
Reviewed By:
FIRE PLANNING
ENGINEERING
PUBLIC WORKS
MOM
FILE:DATAI 23?PROJCKLS.SFN
RECEIVED
MAY 3 0 1995
1� � � v 1% u u I' L, ki I I I A L I )
1
21
2
22
3
23
4
24
5
25
6
26
7
27
8
28
RW PERMIT DATE ISSUED RECEIPT I
9
29
10
30
11
31
12
32
13
PAID $ RECEIPT # DATE
33
SS PERMIT jA7,0',? DATE ISSUED3--Z57-25��RECEIPT #-�5e)2Z.j
14
PAID $ RECEIPT # DATE
34
15
35
16
36
17
37
—V
METER SIZEIV PAID s7(oC) DATF4j-R E C E IPT #
18
38
19
39
20
40
CITY OF EDMONDS SIDE SEWER PERMIT
0. 191�cj G PERMIT 8709
Address of Construction: IT5 2-1 pAtrj*OW'�V 4DAMADS
Property Legal Description (Include all easements):
Owner and/or Contractor: TO t6 tz-s
State License No. zz yk 12-) M J Building Permit No. 95- 6
N Single Family
0 Multi -Family (No. of Units
0 Commercial
El Public
YN)
Invasion into City Right-of-Way)o No El Yes
RW Construction Permit No.
Cross other Private Property:4 No 11 Yes
Attach legal description and copy of recorded easement
I cerJiy`tha� I have read and shall cor;ply with all city requirements
as indicated on the back of the Permit Card.
DWtV
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
_0FFICE'USE.:6NLY.
FOR INSPECTION CALL 771-SM, PUBLIC WORKS DEPT.
0-; -3 5-
Permit Fee: Issued By Lj"V&�
Trunk Charge: 1,41 Date Issued:
Assessment Fee: Receipt No.:
Lid No.: -
Partial Inspection:
Comments
Date -Initial
Reason Rejected: Date -Initial
Final Inspection Approved: Datj��_�Zlnitiae�_
** PERMIT MUST BE POSTED ON JOB SITE **
Whtte Copy: File Green Copy: Inspector Buff Copy: Applicant
Ple�isecl 3!90
The City of Edmonds Side Sewer Drawing I
NEW CONSTRUCTION
OWNER
... 4X
JOB ADDRESS je .... ....... . . ............
... ............
7
tc-k VA-(,VP,�ws—%a,\ketL
OWW-0001-11/75 (REV. 11/78)
EASEMENT NO . ............................................
REPAIRS E] LID NO . .................. . ASMT. NO . ..................
I
CONTRACTOR
....... PERMIT NO . ......
LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ....................................
- ......................................
NAME OF ADDITION
2 it Co.
5'0--P -
F1
.10 —to COMMV
Approved:
r
DATE
..........................
Y/
:5
V)
T
to
4
LINE
"t
12 7. TO
LID "a N
T2 ft Asa T4
10
evft V�r:z—
PL A�
N
V 0 1!"� 'r...
77
HEIC-04'r C,&.Lr-�
2 Af.o. 8 51 .. .
.2.3,0, GT
-pin (D I- P, -AJ T707-K), Vi l,qO Iq v 2-3 f4wA. , *J
r-04�1:
WA
7 ZO
APPR VED By PLANNING RECEIVED
c-l'r-Y Or- Zbmotvlos MAY 2 6 `1995
"I ?Ole - 00 2-
PERMIT COUNTER
,j W5,T) - -3 -n�,
CA FILE NO.
Critical Areas Checklist
ositMformation (soils/topography/hydrology/vegetation)
'"UL - wedf
I Site Address/Location: /,*a - 74,7h A�Z W,6&
2. Property Tax Account Number: 0 76 "9046 -4,Aq�, 9 .7e S, -OtIq -06"?
3. Approximate Site Size (acres or square feet): -C)00- Oct -C�o
4. Is this site currently developed? - y -
,,--Yes;. — no. vyw-gej e1c,
If yes; how is site developed?- ee_e-g9Zde41re_n1 Pea 01.47
�A_
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 10-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: ; Approx. Depth:
7. 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? ' K Flows are seasonal? _ (What time of year?
10. Site is primarily: forested meadow _; shrubs mixed )C
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on 'site: Wo-l- oee_r1&_4v-ed _5&7,q oee?4j1,ot;Lj71e,<S
&&-ZXA�d m,,774-p.? t-joo,�5 cxelre- Ay
For City Staff Use Only
1. Site is Zoned?
2. SCS mapped soil ty s)?
:3. Wetland inventory or C.A. map indicates wettand present on site?
4. Critical Areas inventory or C.A. map indicates Critical Area on site?
5. Site within designated earth subsidence landslide hazard area?
.6. Site designated on the Environmentally Sensitive Areas Map?
:DETERMINATION
STUDY REQUIRED /CONDITIONAL WAIVER
a 9 0 - 19'4
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.
With a signed copy of this form, the
applicant should also submit a vicinity map
or plot plan for individual lots of the parcel
with enough detail that City staff can find
and identify the subject parcel(s). 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 Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Name
Street Address
City, State, ZIP Phone
Signature
Applicant Representative:
Name
Street Address
City, State, ZIP Phone
Date Signature
Date
City of Edmonds
Critical Areas Determination
Applicant: I Belt Homes Determination #
Project Name: Permit Number:
Site Location: 1 18212 76th Ave W. Lot I Property Tax Acct #: 1 —1
Project Description:
New SIF Residence
Waiver Criteria (all criteria must be found to apply):
XX There will be no alteration of the Critical Area 'or its required buffers;
XX The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of tile Critical Areas ordinance;
XX The development proposal ineets the in ininium standards of the Critical Areas
ordinance;
XX The above findings are based oil the following conditions of approval:
1. The subject lot is a part of a 4 lot plat. The plat was reviewed under the
SEPA regulations and a MDNS was issued. The SEPA m itigations, took'
into account the stream and wetland protections requirements found in the
Critical Areas Ordinance. Therefore, to avoid adverse impacts to the
critical areas found on site, all development must be completed in
accordance with the plat requirements and the SEPA mitigations.
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authofized by Chapter
20.15B.150 (B) of the Edi-nonds COMMUnit evelopment Code.
t
gn Date
II / �,
John Bissell
Name i ti
CITY OF EDMONDS
USE
ZONE PERMIT
2— NUMBER -9504 Z 2-
CONSTRUCTION PERMIT APPLICATION
JOB RIESS /q L"e W S71TE—IAPT a
ADD Z/ , W
OWNER NAME /NAME OF BUSINESS
10M !&I A
LEGAL DESCRIPTION CHECK
SUBDIVISION NO LID
I
NO
MAILING ADDRESS -
Z
1�
0
P0 0)( 3/y
PM-2
.
PUBLIC RIGHT OF WAY PER 'OFFICIAL STREET MAP.
EXISTING — REQUIRED DEDICATION
PROPOSED inspection
TESCP Approved 0
RW Permit Required Cl
Street Use Permit Req'd 0
Required
Sidewalk Required
cc
CITY ZIP
LEDMONP_3- 919f 02,0 17-714
TELEPHONE NUMBER
- 172-4)
�i
U
cr
NAME
CIO tv S V T-A lvt _1;
MEjjRjS ZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YE NOO
ADDRESS
13o C
RE RKS
7xllrcw,:f,
W
W
CITY Z17TELEPIIONE
j1hVV,)L-re6 T9Z
NUMBER
'745-- 6.569
Z
NAME
IM
T 0 6 IF
e�;Z I*A AAVt.-' 9�11M AC -PO
ADDRESS
ENGINEERING MEMO DATED REVIEWED BY
0
I`_
cc
0 0:x -3/
I ZI
CITY
TELEPHONE NUMBER
Z
0
L)
b-VM 6WID j;62-C)
FIRE MEMO DATED REVIEWED BY
uj
cc
STATE LICENSE NUMBER EXPIRATION DATE
I_Z. -9 6
SIGN AREA
ALLOWED LPROPOSED
SEPA REVIEW
COMPLETE EXEMPT
E�P4 61/w
A D 8 N,0.
AIIA
SHO LINE #
Z
Legal Dibscription of Property - include all easements
Ilim M It P, & Uri Alf- R 65
SeC-M I ON I L-OT7 -S
VARIANCE 9P CU
AJW
W
?ATE
woolb *L1kLLZ-
_j
6
SETEIACKSr-'FEET LW "' Nkl'
FRONT qg,6 .61 IFLAR
IGHT
LOT C6VER4
Z
Z
P erly jr2Z 000-
rop ciourlt (0— —
Ta. A _31Mt� -
Parcel NO. -d:4 -4=;P*
REMARKS,
Ij .
NEW RIESIDEN'rIAL'' PLUMBING
El ADDITION COMMERCIAL MECHANICAL
1:ffid (0
APT. BLDG.
El REMODEL E-7 SIGN,:
zr- A�
CHE.CKED BY
TYPE OF CONSTRUCTIO
CODE
OCCUPANT
GR4DIN(j FIENC I E .
El REPAIR 150 _=Lgi- CYDS. 11 (_x_FT)
M DEMOLISH WOODSTOVE SWIM POOL
INSERT HOT TUEI/SPA
GARAGE RETAINING WALL/.
GARRART 1:1 ROCKERY ET �FIENEWAL
SPECIAL INSPECTOR
REQUIRED
E3 YES I
AREAI
2
J-5818/jAm Aff-443919
0 UPANT
LOCAD
MARKS
PROGRESS INSPECTIONS PER UBC 305
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
U6
0
at
Res Itewe—L-
NUMBER NUMBER OF ' I CRITICAL
OF DWELLING AREAS
STORIES �2, UNITS NUMBE2�13173
AL Ant 0,74 W-'%-Ce- -y-13 Oltqig2,
D
to
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
L=\-J C-0 y CZ A Q
6 ?-1 A C_
====:I
VALUATION
EE
Is e__o
GLN2 j1\jA
PLAN CHECK FEE
HEAT SOURCE:
Cie K-S P I. hj::
GLAKG %
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
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 .
STORM DRAINAGE FEE
Applicant, on behalf of his or her spouse, heirs, assigns and
'I'nsurance
ENG. INSPECTION FEE
,n
successors in interest, agrees to indemnify, defend and hold
ow
harmless the City of Edmonds, Washington, its officials,
I
m
tr
<
0
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
modify, waive or reduce any requirement of any city ordinance
norl . imit in any way the City's ability to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
jqg,'.7
TOTAL AMOUNT DUE
06y, -5
1 hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and In doing the work authoriz- AUTHORIZES T . his application is not a permit until
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion and RCW 18.27. - I INSPECTION ' acknowledged in space provided.
SIPATURE OWNER OR AGENT) DATE Slqf4E- DEPARTMENT 0 1 IAL'S S NATURE DATE
CITY OF
t EDMONDS
ATTENTION CALL FOR ELEASED - 0A 911"TE
INSPECTION 0 '9 /1's
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL - File YELLOW - Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK - Owner GOLD - Assessor
The City of Edmonds Water Service Drawing EASEMENT NO . ............................................
NEW CONSTRUCTION REPAIRS F-1 LID NO . .................. IASMT. NO . ..................
OWNER 4�7r .... -ZDr...-%
�A
CONTRACTOR ........ L ....................... PERMIT NO.5.5PA2-2-
................................................ ........ .....
JOB ADDRESS ..... .......... 7(� v- \A/ ...... LEGAL DESCRIPTION: LOT NO . ................... I .................. BLOCK NO . ................. ..................
....................... A .......... ......
rpp-�-. ���
I
PWW-0001-1 1/75 (REV.1 1/78)
7BR
7 r8 AvF-. \^./.
----Approved: PAr,'-r,AL- 8-29-9.3 L.-r.H.
DATE-DeC.-...U,.-.).5-9E.... By
-.1. . � I ............ . ----- . ... ......... - ------ -- 0 ------------------------
PERMIT APPLICATION REQUIpXMEN7S
To: Applicant
FfOm: Lyle Chrisman..&glneering Ifispector
owner. Ai-a—AW45
Plan Check No
Address: , XSZ/ z ?4/0AZ Date. &t1f19,;_
------------
After review of the subject Permit aPPlication,'the following requirements must be met:
I - Construction hours are:
WEEKDAYS — 7:00 AlVt-10:00 P-M-WEEKENDS/HOLIDAYS 10:00 A.IVL_6:0() P.M.
2- A separate RIGHT-OF-WAY CONSTRUCTION PERM" is required for all work on public property. (ECDC 1&60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/owner Is responsible for containing all temporary mnoff and erosion control on site.
(ECDC 18-30-030d)
5. NO WORK SHALL BE DONE WITHIN IS FEET OF STREAMS OR 10 FEET
FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR FROM ANY CLOSED DRAINAGE
18.30-SOG) MEMMPYING CONDITIONS ON THE DRAWING. (ECDC
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CO
(ECDC 1&30) NSTRUCTION.
FV
7. INSPWnONS ARE REQUIRED ON STORM DRAINAGE SySIT&M TlGHTLINES AND CATCH BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR To RACKFIL
LING. (ECDC 18JO)
9- Rqmk Or replace all defeetive existing curb, gutter and sidewalk adjaoimt to the propegy.
hF
'r
m" be rNuhv& Contractor shall meet with the City Engineering staffto &Mmine the [fan intersection Is involved, a 4cap
(ECDC I&") adent . Of fq)* Prior to issuance of the permit, P
9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be M86 to keep the slope below 14% WAiver granted to
K (ECDC 1&80.060D)
10. Drivways must be paved
from property "no to City 1;UGHT-OF-WAY. A separate Pemit is requ[W. (ECDC 1 &80.060
C)
11. INSPECMONS ARE REQUIRED ON DRIVZWA Y'S AND SIDEWALKS PRIOR TO AND AFTER POURING.
(l&CDC ISJO)
12. No buraing of construction refim without a Pemit from the Fire Department. ......
13. Connection to City water, system is required. Mere Is
(ECDC 7.20) a separate charge for the water meter.
14 , . A ba* water valve is required if downstairs plumbing is below the elevation of upsunm manhole. (ECDC 7.20y
i5. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 1&10)
A. Connecoon to thlep
ty sanitary system Is required. A separate permit Is require&
LWN - 00*0 Fees paid: Yes NO
-(ECDCI&I
OY
7. UndMpund wiring is required on all
value Of the structure. (ECDC I&9o) new ' construction, and for additioto, AIWWO114 and'
repairs that exceed 50% ofthe total assessed -
8. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR To THE BUILDING DIVISION GRANTING
OF THE BUILDING OR STRUCTURE. (ECDC 1&90) OCCUPANCY
MMEQR"T
STr..EET FILE' J,
�71
PL A�N
OWL.,.,
Alp
.P
pie
iu
P b-TO 164 '1* o i tQ
AAPrw"ROVE9---
"tic
ACCEPTABLE TIGHTLINE ATERIAL
N-12 ADS
—14EIG-14f
Sch 40 PVC
SDR 35 (AST M DJ034)
2 q,.O* 6 T
N
E�=o PL- N VJ 'Ti ING
V-Qfk"-Toxn [Sg,-t-T-
1po ox m.14 L-=i>w;owws wA WATER SERVICE
+
11" P ECTIO,
*Y'7 9 -17 Z 0
'KWOVIV h-c. p%\kC-J!j— I REQUIRED.
CALL.771-10235
Woovst.ktrcElo- fLAC-C
RECEIVED
*r&)e j?OW-OO2_,00(;�oor)q
MAY 2 6 1995'
STP,I:ET FILE
pERMIT COUNnR
PLANNING DATA
SITE ADDRESS: i8`,ZUX -Wt-Aws 141 —DATE: &//1/45
/ I -
ZONING: ')<6 - 12, PLAN CHK#: tF� -8c)
PROJECT DESCRIPTION:
SETBACKS:
Required Setbacks:
Front: Y6 Left Side: Right Side: Rear:
Actual Setbacks:
Front: 40 Left Side: Right Side: Rear:_$��
CORNER LOT
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED A)011—
LOT COVERAGE:
Maximum Allowed: 5,1?)Jd ctual:
f _C65*
v.-** 0 AT' cf= W.
BUILDING HEIGHT: -PATA I_w9f
Maximum Allowed4w. 12 ActualHeight:.
SUBDIVISIOW-1U,op . I, - - - -
CRITICAL AREAS #: q_f7,1�7-11
SEPA DETERMINA
LOT AR
OTHE
EASEMENT FOR -
LOTS 1, 2, 3 AN 0 .4
ui
ui
TRACT.S9.9
PPEN-SPAC E AREA/
NATIVE GROWTH
PROTECTION TRACT
62,75cl SO. FT.
.1.440 A.CRF-9
J.
-�D'l
co
OR I
10' UTILITY
F-ASITENT
TYP 4. L
rl)
U)
d 2.
EAST
240.24'
PRIVATE
WAGE
EASEMEWT
FOR LOTS I
-2,.3 ANO 4
15' PRIVATE
DRAINAGE
0 rEASEMENT
FOR LOTS -
gj 2,3 ANO 4
Z4 5 -q
N-
z
/s,
'370.74'
127.50, '26`�., '-
r
ORAINAGE EASEIAGNTI,
TO CITY OF EPMONVS
p
11, 375
Ve
-14) -j
N % \4 asol- 'o, 14'
I % \ Xlb
0
Ol
3.0
Lu 34.00,
7o
0
7.0 (y) Ljj
00
-,l 7'7*s
0 0
0 6 ol
-Z N
zs� / (y) 9.
4.00, d)
43.00,
%
(o
ON
N
9, 117 to
WORTH
.20.001-- Ol
el-O
a A a-r OL 1> r- 0 1.71
CITY OF EDMONDS
9 0 1 9
Address of Construction: d5 2-1 3—
Property Leg al Descri ption (I ncl u de al I easements):
SIDE SEWER PERMIT
PERMIT N? 3709
Owner and/or Contractor: To M 6 L V) Lf
Sfaie License No. 112 M K 6 1+ -* 12-) 11 J Building Permit No. 9,5- 6 4,�,g
Single Family
0 Multi -Family (No. of Units—)
1:1 commercial
lubl
"'J
Vt
Invasion into City Right-of-Way)o No Yes
RW Construction Permit No.
Cross other Private Property:4 No El Yes�
Attach legal description and copy of recorded easement
51
I certify that I have read and shall comply with all city requirements
as indicated on the back of tMe P'e41it Card.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
FOR INSPECTION CALL 77175=
PUBLIC WORKS DEPT.
P ermit Fee:
Issued. By
Trunk Charge. Date Issued: 2-
Assessment Fee: Receipt No.:
Lid No.:— >LX2 A.) Ct.)6 0,0
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Comments
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PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicw
Re�ised 3/90
CONFORMED COPY
200011160237
111/16/2000 11:45 AM Snohomish
FILED FOR RECORD AT THE REQUEST OF 1P-0007 R . ECORDED County TAX
AND WHEN RECORDED MAIL TO: E01UMED
City Clerk
City of Edmonds
121 5th Ave. N.
Edmonds, WA 98020
NOV I G. 2000
BOB DIATINI, SH!13m� CUMY Treasurer
8 y --1-3 —0 —F3 —L��)�A IN T I N I
M
Title of Document: TEMPORARY CONSTRUCTION EASEMENT
'Grantors: (1) Hillstrom, Philip E. (2) Hillstrom, Maryjane L.
Grantee: City of Edmonds
Legal Description: Lot 1, Woods Creek Place, Vol. 55 of Plats, pp. 295-295.
Additional on page 1 below
Assessor's Tax Parcel ED#: 8226 000 00100 00
TEMPORARY CONSTRUCTION EASEMENT AGREEMENT
This Temporary Construction Easement Agreement (hereinafter "Agreement") is made,
by and between Philip E. Hillstrom and Maryjane L. Hillstrom,' husband and wife, of
18212 76th Ave. W., Edmonds, WA 98026 ("Grantors"-), and the City of Edmonds, a
Municipal Corporation ("Grantee"), to wit: -
RECITALS
A. Grantors are the owners of the property legally described as follows (hereinafter
the "Burdened Property"):
Lot 1, Woods Creek Place, according to the Plat thereof recorded in Volume 55
of Plats, pages 294, and 295, records of Snohomish County, Washington,
Situate in the County of Snohomish, State of -Washington.
B. Grantee is constructing a sanitary sewer main and appurtenances on adjacent
property (the "Project") and requires the temporary use of a portion of the Burdened Property
as depicted on Exhibit A by the shaded portion thereon, which is attached hereto and
incorporated herein as though fully set forth.
TEMPORARY CONSTRUCTION EASEMENT AGREEMENT - 1
i
C. . Grantors are willing to grant an easement to Grantee over the shaded area of the
Burdened Property as indicated in Exhibit A ("Easement Premises") upon the.terms and
conditions set forth hereinbelow. Grantee acknowledges the concerns of Grantors regarding
the impacts of the Project on the Easement Premises and adjoining appurtenant properties,
including, but not necessarily limited to, the effect of the construction on the asphalt . pavement,
concrete driveways, the supporting soils, and the gravel drainage and drain tiles installed on
and adjacent to the Easement Premises.
WHEREFORE, in view of the foregoing recitals, and for valuable consideration, the
receipt of which is hereby acknowledged, the. parties hereto agree as follows:
AGREEMENT
I . Te - orary Easement Grant, Grantors hereby grant to Grantee, solely for the
use by Grantee or its authorized representatives and agents, a temporary construction easement
(hereinafter "Easement") to be used only during the construction of a sanitary sewer and
appurtenances on adjacent property. Subject to the terms and exceptions stated hereinbelow,
the Easement includes the right to remove trees, bushes, undergrowth and other obstructions
interfering with the construction of said sanitary sewer main and appurtenances, together with
a right of access to the Easement Premises for the stated purpose.
2. Duratio - The Easement shall be temporary and shall cease upon acceptance of
the sewer main for maintenance and operation by the Grantee.,
3. Obligations of Grantee
a. Grantors shall be given a minimum of ten (10) days prior notice before
the Grantee installs equipment on or delivers equipment to the Easement Premises, Grantee
estimates the time necessary for completion.of the work for the specific portion of the Project
for which the Easement Premises are required to be a period of 5 to 7 -workdays. Oncesaid
equipment has been installed or delivered, Grantee shall expeditiously and diligently pursue the
completion of the specific portion of the Project for which I the Easement Premises are required,
the period of time for which shall not exceed twenty-one (2 1) calendar days. In the. event that
the equipmentcannot be removed within 21 days of its installation or delivery, Grantee shall
compensate Grantors for all reasonable costs and expenses resulting from the deprivation of
access or inconvenience, including, but not limited to, a per them payment of $50.00 per
Grantor for each day that the equipment remains in place after said 21-day- period.
TEMPORARY CONSTRU!CTION EASENMNT AGREEMENT - 2
i
b.. Grantee shall exercise its best efforts to protect the asphalt and concrete
surfaces presently on the Easement Premises from settlement, cracks or other deterioration or
damage due to construction of the Project. Grantee shall promptly,* upon request of Grantors,
investigate and repair, to industry standards and equal or,better quality as presently exists, any
cracks or settlement in the asphalt and concrete surfaces which appear within three (3) years
from the date of substantial completion of construction of the Project. If upon investigation
said cracks or settlement are demonstrated by Grantee to be caused solely by forces unrelated
to the impact or construction of the Project, Grantors shall reimburse the Grantee for the
reasonable cost of such investigation (not to exceed $500) and the performance of such repairs.
C. Grantee shall exercise its best efforts to protect the drainage pipe, gravel
drainage courses and French drains serving the properties of the Grantors from deterioration
or damage due to construction of the Project. Such efforts shall include measures to prevent
and/or control dirt, mud or other' oozing which could result from the construction work.
Grantee shall promptly, upon request of Grantors, investigate and repair, to industry standards
and equal or better quality as presently exists, any deterioration or damage to such which
appears within three (3) years from the date of substantial completion of construction of the
Project. If upon investigation such deterioration or damage is demonstrated by Grantee to be
caused golely by forces unrelated to the impact or construction of the Project, Grantors shall
reimburse the Grantee for the reasonable cost of such investigation (not to exceed $500) and
the performance of such repairs.
d. Grantee shall not harm or damage the ornamental carved owl that is
presently located on the northern side of the entrance from 76th Avenue West to the Easement
Premises, and should, after exerting its best efforts, any harm or damage occur to said owl,
Grantee shall fully repair and remedy such damage.
e. Grantee shall assure that the sewage pumps serving the Burdened
Property shall not be stopped for a period of more than thirty (30) minutes during any 24-hour
period. Grantee shall protect from damage the sewer line connection pipes that.are in the bank
and immediately repair any damage that may' occur.
f. Grantee shall only operate equipment. on the Easement Premises during
normal construction hours, not earlier than 7 a.m. and not later than 6 p.m. on weekdays, with
the exception of the pullback of piping being installed by horizontal directional drilling, which
cannot be interrupted, once begun, until it is complet ed. Grantee shall provide an access
telephone number of the on -site inspector for the Project in order to address emergency
concerns or problems, with calls to be promptly returned within a reasonable time, but not
more than four (4) hours, or less, depending on the nature of any emergency.
TEMPORARY CONSTRUCTION EASEMIENT AGREEMENT - 3
i
9. Vehicular access to Grantors' home shall not be interrupted for longer
than thirty (30) minutes at any one time. Should Grantors', vehicular access to their home be
interrupted or impeded for a period longer ffian two (2) hours, Grantee shall arrange for secure
parking for. Grantors' motor vehicles within easy walking distance and provide alternative
transportation from such parking to Grantors' home. To provide Grantors an opportunity to
move their vehicles, Grantee shall give at least four (4) hours notice to Grantors before any
interruption of vehicular access in excess of ten (10) minutes.
h. Grantee agrees to andshall restore to substantially the original condition
(which shall be to Grantors' reasonable satisfaction) such improvements as are disturbed during
the Project, provided the Grantors shall not construct any new permanent structure.over, upon,
or within the Easement Premises during the existence of the Easement. The restoration shaH
be completed within thirty (30) days after removal of the equipment for the specific portion of
the Project for which the Easement Premises are required. Such restoration shall include,.but
not necessarily be limited to, (1) payment for replacement with plants and shrubs of suitable
and similar size and quality as are presently located on the bank, adjacent and to the east of the
Easement Premises where the work on the Project is performed, and (2)- appropriate and
necessary hillside stabilization measures to stabilize the slope where the work on the Project
is performed. Grantee shall restore the bank to its original contour and Grantors shall
undertake the responsibility of acquiring and planting the plants and shrubs on the bank and any
other landscaping on the bank adjacent to the Easement Premises as may be necessary., Any
replacement plants or shrubs shall be guaranteed by Grantee for a period of two (2) years from
date of planting and replaced at Grantee's cost with like and like -quality plants or shrubs if they
die during the guarantee period. In the event that there is slope failure on said bank where the
work on the Project is performed which occurs within two (2) years of substantial completion
of the Project, Grantee agrees to install a suitable and acceptable retaining wall (to proper
engineering standards) if needed to prevent erosion and deterioration of the said bank.
L Any release which Grantors are requested to execute regarding
completion of restoration of the Easement Premises shall only operate to indicate satisfaction
with such restoration as is easily visible and such shall not operate as a release of any
obligations of Grantee stated herein.
i - The Grantee'agrees to save, indemnify, defend and hold harmless
Grantors from and against any and all liability, loss, damage, expense, actions and claims,
including costs and reasonable attorneys' fees incurred by Grantors in defense thereof, asserted
or arising directly or indirectly on account of or out of acts or omissions of Grantee and/or
Grantee's tenants, occupants, visitors, business invitees, guests, agents, representatives, or
employees in the exercise of the rights granted in this Agreement, Provided, however, that
TEMPORARY CONSTRUCTTON.EASEMENT AGREEMENT - 4
Grantors shall not be indemnified against liability for damages arising out of bodily injury to
persons or damaged property caused by or resulting from the sole negligence of Grantors. This
indemnity and hold harmless shall include, but not be limited to, any damages resulting from
sewage overflows should such occur.
k. All manhole covers for the Project shall be of the sealed type and shall
be sealed so as to prevent the escape of effluent.
4. Binding Effec . The rights and obligations of the Grantors and.Grantee
hereunder shall inure to the benefit of and be binding upon their respective successors and
assigns. The benefits and burdens created by this Easement Agreement shall be appurtenant
to and a covenant running with the lands for the duration of the Easement 'as set forth above.
EXECUTED as of the. da�y of 2000.
Grantors:
P Olpff fHlillstrom L. Hillsiroffi=o
Grantee: , City of Edmonds
F1 -Z, C� , 0
Printed name: k A Ele
Its: —Jar g ze
v V
TEMPORARY CONSTRUCTION EASEMENT AGREEMENT - 5
-il
STATE OF WASHINGTON
ss.
COUNTY OF Snohomish
I certify that I know or have satisfactory evidence that Philip E. Hillstrom and
Maryjane L. Hillstrom signed this instrument and acknowledg . ed it to their free and voluntary
act for the uses and purposes mentioned in the instrument.
Dated this /07-'I-"day of —S4ft;�J� , 2000
F 1
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4, sio.
0 tAOTAR y 153- r-
M *- 0
C/):
PUBLIC "0'
,it 15�"
STATE OF WASHINGTON
ss.
COUNTY OF Snohomish
'J'"S (Print Name)
�4�TARY PUBLTIn and for the
State of Washinqon, residing
at 1ze4_---Vk
My commission expires: 17-13oloz-
I certify that I know or have satisfactory evidence that �re Wer,,'Ck -D. -gteiie
1AC11%4 6t 1(f &5(AO%f the City of Edmonds, signed this instrument and acknowledged it to
the fr& and �61dntary act of said Municipal Corporation for the uses and purposes mentioned
in the instrument..
44-(-
Dated this 26 'day of Cd5b��,b, 2000.
CONSTANCE IA. CURTIS
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES
APRIL 9. 2003
S:\WPDOCS\VANLOVER\ESMTHILL.002\jsf
9/8/00
(Print Name)
NOTARY PUBLIC in and for the
State of Washington, residing
it 14:�'11114 M t4 //<
My commission expires: o44 /,t q
TEMPORARY CONSTRUCTION EASEMENT AGREEMENT - 6
8
Easement Number
Temporary Easement
S
CONC
HOUSE CONC
W,
rEMPORARY
'aONSTRUCTION
--ASEMENT
18D0
5,
......................
....... .........
H.R MID
H.RA
EXHIBIT A
CITY OF EDMONDS'- PERRINVILLE
L. 1. D. 215 & 216
SEWER EASEMENTS
f25976a-AWRaW SUffEfUl Scale
SaLEVUE, - WA 9SMS25W
1"=50'
WS ENGINEERS INC.
MIL (425) 637,WS FAX (425) W?-JOD4
Sheet
Drawn by VLG Approved by SC
Check ed by RCL Date 6-99