18216 76TH AVE W.PDF111111111111
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18216 76TH AVE W
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7
-SEWER PERMIT.
CITY OF �EDMONDS SIDE
8 9 0 19" A PERMIT, 5
8 6,
Address of Construction: —2— �-7 6
7
Property Legal Description (Include all easements):
'3. K
Single"Family'
M -Famil'
ulti y (N o. of Units
El Commercial
El Public
Invasion into City Righ.t-of-Way: No O.Yes
RW Construction Permit No.
Cross other Private Property.A' No El Yes
Attabh,1'6ga.1 description and cc . py of recorded easement,
I certify thaFI Fave'read and shall comply with all�cii� requirements
as indicated on the back of the Permit Card.
De
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
FOR INSPECTION �CALL 771-3M, PUBLIC WORKS DEPT.
Permit Fee.:.— C) Issued By 3,
Trunk Charge: Date 1ssued:
Assessment Fee: 11 A4... Receipt No.:
Lid No.:
Partial Inspection: Date —Initial
Comments
Reason Rejected: Date —Initial
Final Inspection Approved: Date 1 nitia��
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Re�,sed 3,190
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ '%' I
NEW CONSTRUCTION 1� REPAIRS F� LID NO . .................. . ASMT. NO . ..................
OWNER ............................................................................................. CONTRACTOR .................................................................................... PERMIT NO& COS—
..............
.............................
JOB ADDRESS .1 ......................................................... ..... % ............ LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .......
'7T
4
3
PWW-0001-1 1175 (REVA 1/78)
........................................................................................................................ .
NAMEOF ADDITION ........ I --------------------------- I ............. --------- -------------------------------------- --------------
IT
-Dcv�?
Approved:
.......................
DATE ... ... ? ................. . B ..........
The City of Edmonds Water Service Drawing
EASEMENT NO. ..... ...........................
NEW CONSTRUCTION REPAIRS.E] LID NO . .................. ASMT. NO . ..................
OWNER........................ I ........... ................................... ......... ............... CONTRACTOR .................................................................................... PERMIT NO . ....................
JOB ADDRESS 1.8 .......... 7.�$.r .. .... Av.... w: .................. LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .....................................
=3
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PIPF-
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126
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Approved: THPIA'fl^.L. z -I S- 9.5 //1.
PWW-0001 - 11/75 (R EV. 11/78) 7 G -T A-4. W. DATE ............................................. By ......... ..................................................
PERMIT APPLICATION REQUIREMENTS
To: Applicant
From: Lyle Chrisman, E or FILE
Owner
Address:— l4egl4r.- ;7'e"O&
PlanCheckNo:
Date: 144101114
After review of the subject permit application, the following requirements must be met':
1. Construction hours are:
WEEKDAYS — 7:00 A.M.-10:00 P.M.WEEKENDS/HOLIDAYS — 10:00 A.M.-6:00 P.M.
2. A separate RIGHT-OF-WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 18.60)
3. Truck haul route plan must be submitted and approved prior to permit issuance.
4. Builder/owner is responsible for containing all temporary runoff and erosion control on site.
(ECDC 18.30.030d)
S. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE
FACILITY. BUILDERIOWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC
18.30.50G)
6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION.
(ECDC 18.30)
7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN
INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 18.30)
8. Repair or replace all defective existing curb, gutter and sidewalk adjacent to the property. If an intersection is involved, a handicap ramp
may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit.
(ECDC 18.90)
9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to
%. (ECDC 18.80.060D)
10. Driveways must be paved from property line to City RIGHT-OF-WAY. A separate permit is required. (ECDC 18.80.060C)
11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30)
12. No burning of construction refuse without a,perm-it from the Fire Department.
13. Connection to City water system is required. There is a separate charge for the water meter.
(ECDC 7.20)
14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20)
15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18.10)
16. Connecq*on to the CY, sanitary system is required. A separate permit is required.
LID#. Fees paid: Yes— No Charge (ECDC 18.10)
17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed
value of the structure. (ECDC 18.90)
18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY
OF THE BUILDING OSn�URL (F
.,CDC 18.90)
PRMTREQR.DOT
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PROJECT ADDRESS:
PLAN CHECK #: 94-1,5-e
RECEIPT DATE: 2 -/:2y
REVIEWED
BY: (Initial/Dwe)
PLAN.
WATER
COMMENTS
FIRE'
BLDG.
SEWER
STREET
ENG.
Setbacks/Variance/Setback Adjustment
. . . . . . . . . . . .
Conditional Use Permit
ADB Requirements
I .................
3, -
Other Zoning Requireme�ts
. . . . . . . . . . . . . . . . . . . .
Underground Wiring Required
.1 ....... ... ...
5
Lot Slope 15%
............
SEPA Environmental Checklist/Hydraulics Permit
. . . . . . . . . . . . . . . . . . . . . . ................. . . . . . . . . . . . . . . . . .
Tree Cutting Plan
-.8
Plat/Subdivision Reg uirem entdIl., Z,,l
Legal Description Verification
- - - - - - - - - - - - - - - - - - - - - - - - -
Quit Claim/Street Dedications p- 2,4.4o
1 -1
Easements - Public/Private
Engineering Storm Drain Review Fee
. . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . ..... . . . . .
Engineering 2.2 Inspection Fee
-14-
Drainage Plan (On -Site)
. . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .
M I
Setback - Top of Bank, Stream, Water Courses
116-
Setback - Storm Drain Line
Open Ditch - Existing
----- - - - - - - ---------------- - - - - -
------
. . . . . . . . . . . . . .
Culvert Required
19-
Culvert Size
. . . . . . . . . . . . . .
26
Shoulder Drainage/Shale Open Runoff
Catch Basin Required
Driveway Slope & Vehicle Access
23'.
Sidewalk Required
24.
Curb & Gutter Required.
25
Curb Cut For Driveway Required
. . . . . . . . . . .
Street Paving Required
27.:
Right -Of -Way Construction Permit Required
Street Name Sign Required
Other Signing Required
. . . . . . . . . . . . . .
30:
Bond Required For Public Improvements
....................
FEMA Map Check/Water Table
. ..... . .........
32
Side Sewer Availability
Calculate Sewer Connection Fee If No LID #
. . . . . . . . . . . . . . . . . . . . . . .
34...
Create Street File
Existing Water Main Size
Water Meter Size
.... ....
37
Service Line Size
..............................
Water Meter Charge Required
Hydrant Required
.............
Hydrant Size Existing
Ir u 111,
Fire Line Charge Required - Sprinkler
.............
Street Cut
3:..
Miscellaneous
--- . . . . . . . . ..........
44,
Reviewed By:
FIRE PLANNING
I
STREET FILL
409"--
ENGINEERING
A--\ 2-
I
MALIC WORKS-
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—RECEIVED
CA FILE NO.
5 1993 Rotritical Areas Checklist
MERMIT
Cgo5irmation (soils/topography/hydrology/vegetation) lco7-�g
1. Site Address/Location: 7&771 Ale-,
2.' Property Tax Account Number:J Zag—e�op, — oo6 woaF 7
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? yes; — no.
If yes; ho w is s ite d evel oped? Ac4eg—, d e d lmw P k 12 j�_Se- u 141 .9 el
/ -. 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 6&feet).
Hilly: slopes present on Mte 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? Flows are seasonal? (What time of year?
10. Site is primarily: forested— meadow shrubs mixed >c�
urban landscaped (lawn,shrubs etc)
SEAA
11. Obvious wetland is present on site: W-&- Ua 7-'9 37,q rl 'PIV .5 celre )91 -Vhl��l OL
For City Staff Use Only-
1. Site is Zoned? --L--
2. SCS mapped soil type(s)? 11 4--
3. Wetland inventory or C.A. map indicates wetland present on site? hie
4. Critical Areas inventory or C.A. map indicates Critical Area on site? Y5
5. Site within designated earth subsidence landslide hazard area? t) -
6. Site designated on the Environmentally Sensitive Areas Map? �L!5
DETERNMATION
STUDY REQUIRED 4`-�CONDITIONAL WAIVER
WAIVER
Reviewed by:_
Vate
Pev OM9/93
& 9 0 . 19 9 -
City of Edmon&
Critical Areas Checklist
The Critical Areas Checklist contained on and submit it to the City. The City will
this form is to be filled out by any person review the checklist,, make a precursory site
preparing a Development Permit visit, and make a determination of the
Application for the City of Edmonds prior subsequent steps necessary to complete a
to his/her submittal of a development development permit application.
p 't to the City.
erml
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,
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 shaH 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
Applicant Representative:
Name
Street Address
City, State, ZIP
Phone.
Signature Date Signature Date
City of Edmonds
Critical Areas Determination
Applicant: I Belt Homes Determination # I
Project Name: I I Permit Number: F- -1
Site Location: 1 18216 76th Ave W. Lot 3 Prop rty Tax Acct #:
Project Description:
New SIF Residence
Waiver Criteria (all criteria must be found to apply):
XX There will be no alteration of tile 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 the Critical Areas ordinance;
XX The development proposal ineets tile minimum standards of the Critical Areas
ordinance;
XX The above findings are based on the following conditions of approval:
0
1. The subject lot is a part of a 4 lot plat. The plat was reviewed'under the
SEPA regulations and a NIDNS was issued. The SEPA mitigations took
into account the strearn 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, tile requirement for a Critical Areas Study
associated with this development perinit is hereby Waived, as authorized by Chapter
20.1513. 150 (13) of the Edmonds Coninluni y,,'velopment Code.
- 7\
IA
John Bissell
Name SigliaAiira-z Date
B. Grantee is constructing a sanitary sewer main and appurtenances on adjacent
property (the "Project") and.requires the temporary use of the Burdened Property as depicted
on Exhibit* which is attached hereto and incorporated herein as thoughfully set forth.
. 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
1 Te=orary Easement Gra . Grantor hereby grants 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 bythe 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 work days. Once said
equipment has been installed or delivered, Grantee shall expeditiously and diligently pursue the
completion of the specific portion of the Project for which the Easement Premises are required,
the period of time for which shall not exceed twenty-one (21) calendar days. In the event that
the equipment cannot 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
TEMPORARY CONSTRUCTION EASEMENT AGREEMENT - 2
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.
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 bozing 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 Grante e 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..
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 Grantors'
properties 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 completed. Grantee shall -provide an access
TEMPORARY CONSTRUCTION EASEMENT AGREEMENT - 3
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.
9. Vehicular access to Grantors' homes shall not be interrupted for longer
than thirty (30) minutes at any one time. Should Grantors' vehicular access to their homes be
interrupted or impeded for a period longer than 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' homes. 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 and shall 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 shall.
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) 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, and (2) appropriate and necessary hillside stabilization measures to stabilize the slope
where the work on the Project is performed. Any replacement plants or shrubs shall be
guaranteed by Grantee for a period of two (2) years from date of planting and replaced by
Grantee 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.
i. 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.
j . 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, asserwd
or arising directly or indirectly on account of or out of acts or omissions of Grantee and/or
Grantee's tenants, occupants, visitors, business inviteet, guests, agents, representatives, or
TEMPORARY CONSTRUCTION EASEMENT AGItEEMENT - 4
employees in the exercise of the rights. granted in this Agreement, Provided, however, that
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 Grantor and Grantee hereunder
shall inure to the benefit of and be Vindingupon 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 day of 2000.
Grantors:
E. Hillstrom
7— I.J 7,42, -
Kurtt�W�L%arson
Aza- A
Mahmoud H. Jahed
TEMMORARY CONSTRUCTION EASEMENT AGREEMENT - 5
W771f 4 AWAV6 #I
rLid'ao—A. Larson
Grantee: City of Edmonds
Printed name: Fre Je, f ck V.
Its: A cfln� C1
Q
STATE OF WASHINGTON
ss.
COUNTY OF Snohomish
I certify that I know or have satisfactory evidence that Rene Van Loveren and Diana
L. Van Loveren signed this instrument and acknowledged it to their free and voluntary act for
the uses and purposes mentioned in the instrument.
Dated this /0 1—"day of 2000.
F I
r ........
(Print Name)
INOTARY P1 JBI IC I and for the
tio in
F?
State of Washington, residing
UC * �
at
-30
My commission expires:
TEMPORARY CONSTRUCTION EASEMENT AGREEMENT - 6
STATE OF WASHINGTON
ss.
COUNTY OF Snohomish
- � I certify that I know or have satisfactory evidence that Philip E. Hillstrom and
Maryjane L. lEllstrom signed this instrument and acknowledged it to their free and voluntary
act for the uses and purposes mentioned mi the instrument.
Dated this. /9!!I-d-ay of 2000.
F I
C
7fo
o tA0TAfj),'$ 1. r- 0,
CD
PUBLIC
STATE OF WASHINGTON
ss.
COUNTY OF Snohomish
jo, Me 5 —(P,i, Name)
�-NOTARY PIJBffCin and for the
State of Washin ton, residing
at Xel �:�
My commission expires: 1-2430 10-z-
I certify that I know or have satisfactory evidence that Kurt W. Larson and Linda A.'
Larson signed this instrument and acknowledged it to their free and voluntary act for the uses
and purposes mentioned in the instrument.
Dated this. day of 2000.
FITZ,
C"Z
S. (Print Name)
�NOTARY PUBLV!�in and for the
0 Cn X
State of Washingyn, residing
PUBLI
at
My commission expires: ITI-q o7,02--
OF�v
TEM[I'ORARY CONSTRUCTION EASEMENT AGREEMENT - 7
STATE OF WASHINGTON
) ss.
COUNTY OF Snohomish
. I certify that I know or have satisfactory evidence that Mahmoud H. Jahed and Lynn
Jahed signed. this instrument and acknowledged it to their free and voluntary act for the uses
and purposes mentioned *in the instrument.
Dated this /0�� day of wfe--d�-r-L
2000.
/NV
0 OTAR�-
Pusur,
It IDS*
3 0
it
VY
\1=1
STATE OF WASHINGTON
ss.
COUNTY OF Snohomish
(Print Name)
OTARY PUBLIC in and for the
State of Washin ton, residing
at ga.
My commission expires: /zoo /Oz-
I certify that I know or have satisfactory evidence that treder(ck
Ac /�Vlj 6147 EP4 itwfr of the City of Edmonds, signed this instrument and acknowledged it to
thL-Kfree �nd 4b6luntary act of said Municipal Corporation for the uses and purposes mentioned
in the instrument.
Dated this, '16 -PA, day of hj�hj , 2000.
CONSTANCE M. CURTIS
NOTARY PUBLIC
STATE OF WASHINGTON
COMMISSION EXPIRES,
APRIL 9, 2003 1
S:\WPDOCS\VANLOVER\ESMTAGR.003\jsf
9/8/00
�ZS -j-Z&2 (Pit N..)
NOTARY PUBLIC in and for the
State of Washington, residing
at 1��d M (,\ Yt rj,5
My commission expires: 0 4 / dq 167H
TEMPORARY CONSTRUCTION EASEMENT AGREEMENT - 8
TEMPORARY
CONSTRUCTION
EASEMENT
SD
C()/VC
HOUSE CON
18
04
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ll�,VH. R� P
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EXHIBIT A
CITY OF EDMONDS - PERRINVILLE
L. 1. D. 215 & 216
SEWER EASEMENTS
1,lWr8EL-RfiVR(MD SUMEIM Scale
BEU"Ufi; WA 9800"500
—1"--50'
Easement Number CHS ENGINEERS INC. M (425; W,--3W.7J-A9(42M 07-SM4 Sheet
Temporary Easement Drawn by VLG Approved by SC zi
Checked by RCL Date 6-99
CONFORMED COPY
200011160235
11/16/2000 11:45 AM Snohomish-
P.0009 RECORDED County
FILED FOR RECORD AT THE REQUEST OF
AND WHEN RECORDED MAIL TO:
City Clerk
City of Edmonds
121 5th Ave. N.
Edmonds, WA 98020
NO E)(CiSE TAX
11FOUIRED
[ �11 0 v J. ". 6 2000
809 D11-Miffl, Co-ounly Treasurer
By BOB DANTINI
Title of Document: TEMPORARY CONSTRUCTION EASEMENT
Grantors: (1) Van Loveren, Rene (2) Van Loveren, Diana L.
(3) Hillstrom, Philip E. (4) Hillstrom, Maryjane L.
(5) Larson, Kurt W. (6) Larson, Linda A.
(7) Jahed, Mahmoud H. (8) Jahed, Lynn
Grantee: City of Edmonds
Legal Description: Tract 100, Woods Creek Place, Vol. 55 of Plats, pp. 295-295.
Additional onpages 1 and 2 below
Assessor's Tax Parcel IID#:
TEM.PORARY CONSTRUCTION EASEMENT AGREEMENT
This Temporary Construction Easement Agreement (hereinafter "Agreement") is made
by and between Rene Van Loveren and Diana L. Van Loveren, husband and wife, Philip
E. Hillstrom and Maryjane L. Hillstrom, husband and wife, Kurt W. Larson and Linda
A. Larson, husband and wife, and Malunoud H. Jahed and Lynn Jahed, husband and wife
of 18212, 1,8214, 18216 and18218 76th Ave. W., Edmonds, WA 98026 ("Grantors"), and
the City of Edmonds, a Municipal Corporation ("Grantee"), to wit:
RECITALS
A. Grantors are the owners, as tenants in common, of the property legally described
as follows (hereinafter the "Burdened Property"):
Tract 100, 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.
F" I N A L
TEMPORARY CONSTRUCTION EASEMENT AGREEMEENT - 1
<kdS*01TFF EDMON.bs
USE RMIT
ZONE PIE
- NUMBER
CONSTMOTION PERMIT APPLICATION
7
JOB s TE/APT #
ADDRESS
/
OWNER NAME /NAME OF BUSINESS
Tom
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EGAL DESCRIPTION CHECKI
SVBDIVISION NO.
LID NO
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MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 0
0
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CITY ZIP TELEPHONE
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NUMBER
7 17
EXISTING REOUIRED DEDICATION —
RW Permit Required
Street Use Permit Req'd 0
inspection Required '*S,
PROPOSED
Sidewalk Required 0
NAME
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LINE,§IZE
NO. OF FIXTURES
PRV REQUIRED
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ADDRESS
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NUMBER
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CITY ZIP TELEPHONE
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FIRE MEMO DATED REVIEWED BY
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STATE LICENSE NUMBER EXPIRATION DATE
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SIGN AREA
SEPA REVIEW
ADB NO.
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ALLOWED i,.PROPOSED
COMPLETE
EXEMPT
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SHORELINE 0
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Legal Description of Propeay - include all easements
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REMARKS
CL
Parcel No.
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NEW
RESIDENTIAL
PLUMBING
DADDITION
0
MECHANICAL
COMMERCIAL
APT. BLDG.
SIGN
REMODEL
FENCE
iEV I— CYDS. I x
CHECKED BY
Pon-
YPE OF CONSTR TION
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OCCUPWSIT
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WOODSTOVE SWIM POOL
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SPECIAL INSPECTOR JAREA
REQUIRED
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OCCUPANT
LOAD
GARAGE R ETAINING WALL/
e"IRFOR EIROCKERY El RENEWAL
YES
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0
REMARKS
(TYPE Of. USE, Bust OR AWITY) EXPLAIN:
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PROGRESS INSPECTIONS PER UBC 305
3
9
CRITICAL
b"
Co
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0
NUMBER
OF
NUMBER OF
DWELLING
AREAS
INUMBER Vkl�
to
0
STORIES UNITS _0/0'r
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
New
FINAL INSPECTION REQUIRED
-VALUATION
FEE
PLAN CHECK FEE
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L�I:2 _IWA
BUILDING
Z
HEAT SOURE:
I
GLAZING %
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-�_o . ) _
PLUMBING
/33
Plan Check No.
MECHANICAL
/0-3
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work Is Started Within 180 Days
INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG.
,n
successors in interest, agrees to indemnify, defend and hold
LOU'
harmless the City of Edmonds, Washington, its officials,
2
employees, and agents from any and all claims for damages of
Cr
whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of th Is permit'shall not be deemed to
PLAN CHECK DEPOSIT
0
modify, waive or reduce any requirement of any city ordinance
limit in an way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
nor y
provision."
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPRIGMAL
information given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
state laws regulating construction; and In doing the work authoriz-
ed thereby, no person will be employed In violation of the Labor
AUTHORIZES
ONLY THE
WORK NOTED
signed by the Building Official or his/her
Deputy� and fees are paid, and receipt is
Code of the State of Washington relating to Workmen's Compensa-
acknowledged in spa�e provided.
tion Insurance and RCW 18.27.
INSPECTION
SI LIFE (OWNER OR AGENT) DATE S NED
194
DEPARTMENT
CITY OF
OF L Sl N URE
7)
EDMONDS
iA&
i
CALL FOR
";Y DATE
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
I ec or
771-0220 6-W, GINAL — File YELLOW — ns
U
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK — Owner GOLD,— Assessor