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19501 80TH AVE W.PDF111111111111 7093 19501 80TH AVE W ADD I RESS: I q�501 IWE LJ TAX ACCOUNT/PARCEL #: 064qIP3066006,00 BUILDING PERMIT (NEW STRUCTURE) #: j&PI q-7 6-0 5 3 COVENANTS (RECORDED) FOR: CRITICAL AREAS #:0-7C) I to -3- DETERMINATION: El Conditional Waiver Study Required Waiver CRITICAL AREAS #: DETERMINATION: El Conditional Waiver E] Study Required E] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EA.SEMENT(S) RECORD FOR: PERMITS (OTHER - list permit #'s): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATEDA/ 1 1-7�0 SIDE SEWER PERMIT(S) #: 95'9 T!5 GEOTECH REPORT DATED: STREET USE/ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: OTHER: UTEMMIDST'skFormsUana's Street File Checklist 5-14-08.doc -B U ILDING 0 E MENT Applicant Fill USE RMIT P ZONE NUMBER 75 PERMIT:#? ICATION Inside' Heavy Lines JOB AODRE�S NAME JOR. NAME OF BUSINESS) /Y,c I LEGAL LOT LOT ArZEA SUOD! N NO: VISIO w mAILI.NU AUUHL�X_ ES oa-* l �7_ VARIA.NCE OR 1,A 0 . 0 NO. No 0 q I- V1. I, CITY. HONE NUI1BLR z PROPOSED VARIS �51 N FRONT SIDEC�20' REAR Z ALLOWABLE IPROPOSED. SIGN,AnEA 1, GN A 'U A I j w IS OTHER REQUIREMENTS a. CITY J4_1k PLA.NNING DATE eT A "'P A-L N A 1�11E_ STREET RIW EXISTING STREET RJW;��D/(' OFT. OE�ICIENCY A�DDRMs- 0 V COMP. PLAN-ST. R/W I ()F < -�_ . . .. . , -_ .- - - __j . . A IT, TELEPHONE NUMBEii- . RUIV!ARKS . DrivLwa,� SioDcs not to c.xceed th'OSE.' 'i Z1 z 0 zy__�-zc­ 'p. STATiC =E!NSE�"ll 'EITY LICE NSE.NUKBEN.�. U -o STREET AN D/OR UTILITY' r-j. YES Legal Description of FyrOpCrtV,'Sho%v Below Or Altach.Four Cbpi S) z WO.RK REQ'D UNDEF�GROLIND Lot #5 Lawrence . Ad d iti on z 2 :WIR'I'N'G RFO'D* NO TYPE CONNECTION V..JR F: U w YES PTI'C.5ys+I:m' NUM8ER APPVn U. . Y CITY ENG. No �RUMARK-!: w MEYER SIZE JSEHV.Icc.�12c� rLEA,RAt . 4CE� JCH -0 Ely . ECI,r - - -- -------- I1L.AR­ sf 6A-S Z EILINE 16 1 1 4�WESIDENTIAL PIRE ZONE r.YPC,OF CONSTRUCTION lcOOC c;! SPECI ^L 'N"'C PANI Y !OC UPANT - NON ltilCsiOENTIAL A, C ikr 'No is. - :' EeT1!L F C'N Cr' OR FILL CC �C RCQU'Rr. OU R UP E) YES 7 0 0 I I �TEC), -AN CH K Y T HIS,SITE § -O(� IN TH SWI'm '01ii EDMOND S' TAX < SPMOVC7 I N_ 0 POOL DLLOCALOSALES D al 4� -NUMSE9'9; ST�Rws �R OF DWELLING UNITS�� r I't A T U,)V Z. VALUATION IEC i;gWl PLA PLOT ILO­G sel A. -'N G� S TR�E T�). BUILOPNG U PL VM.IN I FFN,(29E SIG.N .4. RETAIMNG WA LL !;WIMMI'N:; POOL,-. TOTAL. AMOUNT DUE*. okll�n is orld th.t I ru the or. the duly auth-- lit,d g:,,t of the nl*m. I I�re­to ­Ipply �-�Ith CltX 1:1 d.:ng work authorized Lhtrehy. no person. ATTENTION AP�PLICATION APPROVAL bvr ,111 be '-ployed In Ole Ln Code of the State of Wm lnj�on 1,�,ttlnjf 'Ij N�.Ikfreh', q..p'­tl.n �IUTHORIZ ri" 71 not a nern',4 6ritil, 'ea r IF -t 'D MOLIT161"S. W1,10' filgritid b3� the ThIllding Officlaf' or Ili&, Dep- 'NOTE: Pdrmit LimW,0ne Y ic­ F ONLY rHE h.11 b, In nin'ty MOVIED-IN b.',orn, woR K Na-i 6. IfLN; and fee- are pald,arid rccQf,*r �i ac. kmowlct Iged, If i rpacc pr ovided. SIGNATbUrAttWNER 0. A G CN T) _IN';PrC:rION SIGNED: 0 & A:R TMrNT 1— 17 NA T U . CIT'Y OT7 7 4 r S� NOT[` Appliraill S;Ihicci 111im Clirck Pce 7,7.5-2525 Thl, i�� l, coa, bti done On privote:pfoporty 0. Any.co f. P. bUc.domain JCUrbs,,sidmwalks; 1MINK.. YELLO�V­ #*Iquees, 9,*-) WM aq.ire 'FIN44- COLD - 4J Z! N So th /v. od 4 5 Z/,/) C701VC_, WAt-L Pow-r. uipt.L k-r. Lc-ss<utje,HT. A 2` 10 �k z V? 0,00 )-8 6 z 2- -Z F 2 ? .10z "Nothing-L-ahia-per-mi*t-approval-pro mss-shall-be­ interpreted as allowing or permitting the maintenance of any currently existing illegal, nonconforming or unpermitted building, structure or site h is outside the scope of the condition whic -app i -of whether such - permit lication, regardless -building, structure or-condition-i"hown--on the site plan or drawing. Such building, structure or �J condition may be the subject of a separate enforcement action." Q) X Ir �J . 50 APPROVED AS NOTED Y ENCONEERING Date: ,�;CAIC: -It.:720 s I/ r-e ?,ON 0C)W >.- k h94--4-7L--_) Ir -it 'V/ (_Cv4PL SLOTS* 7-o AA-rCW IYCIZ7.4/ q _)'251vc 6 C-) CC A-2-� 7/� JA) / 1v PVA L L i, iO E C E I V ED ,9o' PRo J:� AIF r/ 25Y, E. P � 00_EI�1�11z-,Al NOTE.` Fa/C-E IIJ(, ro PE ,� M. 14 BUILDING DEPT.— N T I REET FILE Z, w 18703 18714 707 201 �l .7 18716 187TH SW 18717 8029 8728 18730 188TH ST SW 8302 18810 18B23 18a22 1890 I a905 18908 .9 1 09 ::, 18916 5 .9-' ;,T1189 1 1 a.926 119007 19006 ;19015 19016 119025 19024 I q191 27 9129 19120 8311: 8123 18818 18a23 1 8a24 18831 18832 -Z w c 0 18909 18910 < m co � U) co 1 8915 18925 88TH S S 7801 -1 18807 I 1 18801 18810 18807 781 18815 18811 . . . 812 7804 18836 ".1 w .00 18824 l8a22 > 18a23' 19829 11b 18832 8823 1 BM i-� > < . VA 18905 > lAQnn W 18911 83TH PL SW Co 18917 18916 8923,1>' 7812 - �p ." 1 18922 190TH ST Sw 7804 18999 189.0 1 9007 1 6 § 1 4 am 19006 0 �A#,9,9c,,,>. T 9W6 �', 1901 t2 19 % 190 17 rsl Sierra 19019 6 2 2 n- 19023 T - 19012 1901 -j 1901 9029 19024 Park -0211 9015 1 9018 CD f- 1910 19101 19107 7807 19103 19110 191 ST ST S i Ul — 191D9 > 19109 < 19117 19120 rw 19118 > ON LY 0 �N 191 5 4 8025 ST ST SW 19115 X 78M 19131 19128 V) +- 19126 a F, 19119 18807 8016! 808, iamj 881. 18623 18824 18829 18832 18919 18908 18933 18918 8103 8009 8005 18928 19127 19129 192ND ST 19129 19205 7911 7819 1BO 19204 1920 9203 7925 7915 SIERRA DR ob 19200 19214 783 7821 7805 19206 19208 19207 8222 62-A 19226 192ND PL SW 7715 19226 R4 19220 A4 7812 7732 77M24 T 19221 19305! 19304 1 03 19304 19228 19222 9308 1 9311 19305 19309 193 sso" 19305 19316 IF T! 1931 19313 19310 SIERRA DR 19321 19329 7n� 193RD PL SW 19315 8124 19327 27i 19330' 19325 19327 19325 19331 W-Z% 19332 CL 19333 19411 19405 19408 — 19407 8022 zc 1 94TH ST SW 1 7 19414 1941 8024 0 7807 19406 —1 19421 9409 1 11 19422 19421 8026 7806 194TH ST SW F— 4 Soo 19413 9415 — 19428 CL — U) 1 9427 194TH PL 7922 4 T 4 M ,ewood ap, 3: , o co 19505 19500 t2 o Presl ytenan 195W 19506 19505 9507 0 W, > 19501 7729 Church 19 z '95D9 19511 8015 8017 195TH S w 19510 .511 19517 8019 a 614 19512 19513 19514 19515 9524 19525 Ift 7627 615 G 19606 9601 19616 196TH ST SW 19614 19615 19620 L I 197T 1 8308 q�lll 22 1970 19627 19703 19620 19628 19625 19629 19703 1 9632 19631 19638\ 19702 19701 9637 196TH PL 52 L— I 0 Z: E 0 Z; 7700' 19624 19626 19630 L= In STREET FILE 0 77 CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT Routing of Building Permit Applications Proposed Property Address of Application: 19501 - 80th Avenue West DEPARTMENT COMMENTS DATE W A T E R /7 S T R E E T S E w E R N 0 T E S - - g-.f k f L---C:-) - /2-0 - -/k BUILDING DEPARTMENT COMMENTS M F. T RECEIVED I BUILDING DEPARTMENT Applicant Fill USE PE*m6t ZONE NUMBER OCT 3 1975 PERMIT APPLICATION Inside Heavy Lines -.') 0 8 -ou ADDRESS 1;�� NAME (OR NAME OF BUSINESS) rz 0 Cr , R -F 0" LEGAL LOT El YES NO LOT AREA SUBDIVISION NO. I W MAILING ADDRESS VARIANCE OR COND. USE NO. ADS NO. 1 z �: Z �� 6 - / "—/ 0 0 CITY A/ TELEPHONE NUMBER PROPOSED YARDS FRONT SIDE REAR HEIGHT K Z Z < I- NAME b c) /y, A L ALLOWABLE SIGN AREA S. OP D FPROSE GN AREA I IL w ADDRESS OTHER U REQUIREMENTS 0: CITY TELEPHONE NUMBER PLANNING DEPT. APPROVAL DATE < �7 NAME STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY ADDRESS 0 COMP. PLAN ST. R/W FT. FT. U 4 0: a z REMARKS CITY TELEPHONE NUMBER Z 0. W W Z CHECKED BY STATE LICENSE NUMBER CITY LICENSE NUMBER Legal Description of Property (Show Below or Attach Four Copies) STREET AND/OR UTILITY 0. Y E S WORK REQ'D El No UNDERGROUND DYES Lot #5 Lawrence Addition Z WIRING REQ'D El N 0 TYPE CONNECTION VERIFIED BY U th W W 3: W 0 0 YES SEPTIC SYSTEM APPVD BY CITY ENG. El N 0 I P ERMIT NUMBER REMARKS W METE77��ICE SIZE BY ICLEARANCE ICHECKED W REMARKS NEW RESID GAS ENTIAL EILINE FIRE ZONE TYPE OF CONSTRUCTION _Iaj NON-RES DENT.ALI 11 SIGN 'E EjADD RETAINING DEMOLISH DWALL ALTER EXCAVATE FENCE OR FILL (_ X_F�T) ICODE SPECIAL INSPEC TORIAREA REQUIRED El YES 0 NO ]OCCUPAN C Y —FLOAD GROUP OCC UPANT PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY PRE -MOVE swim REPAIR El INSP. POOL OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31,04. Z REMARKS NUMBER OF STORIES CIL NUMBER OF DWELLING UNITS I NATURE OCZWORK TO BE DONE Z PLAN CHECK VALUATION FEE PROPOSED USE 0 NO. PLOT PLAN (INDICATE BUILDING SETBACKS, m ABUTTING STREETS) BUILDING z�� U 0 W PLUMBING zm===:� HEAT & GAS LINE m 0 FENCE SIGN RETAINING WALL SWIMMING POOL -L;. 1 B7 !ELD10 V City. of Edmonds Development Services Department Planniing Division Phone: 425.771.0220 Fax: 425.771.0221 The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Applicationfor the City of Edmonds prior to his/her submittal of the application to the City. The purpose of the Checklist is to enable Cit y 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 (Crit.ical areas inventories, maps, 'or soil surveys). DateReceived: City Receipt#: Critical Areas File #: P-A - I/oO--q- - o i (ol Critical Areas Checklist Fee: $135.00 Date Mailed to Applicant: 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 undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, 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 inforniation furnished by the applicant, his/her/its agents or employees. By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file this applic tio n the behalf of the owner as listed below. SIGNATURE oF APPLicANT/AGENT DATE Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission forthe public officials ai��e staff of the City of Edmonds to enter the subject property for the purposes of inspection and postigg attagoan; tgWis application. SIGNATURE OF OWNER - Owner/AppUcant-. Name ;7 Street Address �2 1�42 city State Zip Telephone: 7 fle��O DATE /2-1-)-07 . Applicant Representative: / 4 � 4 �14' gfc-x- / Name Street Address City State Zip Telephone: 4-ZY- 7 � 3 -- �3 -9 70. Email address (optional): Email Address (optional): #P20 Critical Areas Checklist Site Information (soils/ topography/ hydrology/vegetation) . 1.. Site Address/ Location: -� Ab,� CA File No: &UC?a) -7 C) I (" I 2. Property Tax Account Number: 0!j q 0 -50 0 3. Approximate Site Size (acres or square feet)- 13) 8 oo 4. Is this site currently developed? Zyes; no. If yes; how is, site developed?. 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 1A (a vertical rise of 10-fe6t 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: L5 Approx. Depth: 7. Site contains areas of seasonal standing water: WD Approx. Depth: What season(s) of the year? 4k 8. Site is in the floodway ri 0 floodplain NO of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? WV_ Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow _�Jh- shrubs t6t-DQAt n-dxed urban landscaped (lawn, shrubs etc) 11. Obvious wetland is present on site: For City Staff Use Only 1. Plan Check Number, if applicable? 2. Site is Zoned? P_ M — �_ , + 3. SCS mapped soil type(s)? 1­1 - Eyw,4V 4. Critical Areas inventory or C.A. map indicates Critical Area. on site?. hlr-. S. Site within designated earth subsidence landslide hazard area? DEIrERMINATION STUDY REQUIRED WAIVER Reviewed by: Date: A) gi "A G.d C.s to,ne, is Worthy of Every Cons idera tion STREET FILE 'fWESTERN UTILITIES SUPPLY CO.'V/7 PUBLJC MRM — EMINEERING Waterworks & Sewerage Supplies P.O. BOX 3524 5409 OHIO AVE. SO. SEATTLE, WA. 98124 762-7025 SEATTLE, WA. 98134 ACTION REPORT SUSPENSE DATE: 411 /'�- 092�� Date: /c;? -71 &5' Time: I File # I I Attarhmpnt,: REQUESTOR: NAME: 4�— 11"? 7C M ADDRESS: PHONE: REQUEST RECEIVED BY: TELEPHONE CONTACT IN OFFICE OTHER: r--j RECEIVED BY: DNITr Tn. M-F T-M All Concerned Notified Action Completed/File 1-1��' X so'T-z NOTICE: No warranty of accuracy. The information on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. The City of 'Edmonds does not warrant the accuracy of anything set for ' th on these map(s�). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on th-e -map(s), including, but not limited to, the location of any sewer stub shown. Such sewer stubs may or may, not exist and may or may not exist at the location shown. Neither the City of Edmonds nor its employees or officers Shall be liable for til-Nie information given on. this map(s), nor for any one representation provided based upon said map(s), ,w P APPLICATION The City of Edmonds for SIDE SEWER PERMIT EASEMENT NO - --------------------------- ................ NEW CONSTRUCTION REPAIRS LID NO. 17259> ...... ASMT. NO - ------------------ L-A=, OWNER ----- ........................................................................................... CONTRACTOR ��%TF-=Q .... PERMIT NO. JOB ADDRESS --- -------------- LEGAL DESCRIPTION: LOT NO - ------------ --------------------- BLOCK NO . ............ ----------------------- 0 0 .................................................................................................................................................................. ------------------------- - - J ................. �r) PEWS. IT 70 st, .8. uA Irv. I 17 rum �VM i M M, SITI , W _'bEP� W WXT WS W, fbEP ir _j N, PERIMIT NP2, 5575� 6w in ec' t i o B FF 0 Ri E": c'oveit4 :any 1po�jo' the' co' r Call-- 7.75-2525,�* for �s ldb s e n V nstruction Inspection '.�wlllf 'be 1p�ovl dedi, wit hi n-�'24-, lh'ou rs,. after' riqust. No�vssai_ .,Su W."., or hol Ids y 'In spections. A'. r An&r"OY�CONSTRU GTIONL.-.". DR-E "VIOB A-1 .................................... ............ ..................................................... . ....... ................ . ................. ......... ena A :',,Lawr' e,..';! ESC RIPT-910M....., ...................... ....... t .............................................................................. ............ .... ... ................................ j.- ............... ..... ............................ . ....................... ........................ ..................... .............................................. .. . ................... ....... ......... ........... ............................. �OW 'BV 'D Sons.- WfDRAND/PEk, .1L ER ... _.'GoOa�L.' . ............................. .................................... R ................... ........ ........... .......... ............................. OR'S'­MMdE1 &JADDRE , SS Unfted':P1umbinP_,_,&- 8ewer'. ................................................................................................ ........... ...... ... ............................... ......... Aijj�u t 1 76 1�6�iW�slbndsjgran ...................... ............. r�. ........... se . Wer san -fisewer IWL.�%,, for,.repakk e�ndYorl,66iine-6ti6n,�.of'�a;.gide" to, th6�6ty% T 7 'A�',�E�T'1'0'il,�IS�6�LILEDITO)',THE!F.OLI;OWING:.- NOTE�,:No.,,,l:—T�e:�*own-erst,bf'.tbe'��propc;rfy nn�y, obtalna, peirnit fo,,,�onstruct' se��.er.,-,I�side,,propeAi,!,.,Iinei- AI . Icensd&8i . de Sewer, C ontractor must be, errip1byid"Tog�'onstiuct- ��,,,side�jsewer In,'street 4r6a,.. Do"not c6ver,any portloni,-of isewer,liefore,,if �.has, bienAni ected..�,, i' P ,"No E� ri�Tfivasiow of'�Rlght-,ofwWay,:Permtt T .-No��'2—�AIIIL.workAperfo�medl,ini'city"ri'glit-of-wiLy�requireslia obtaJna�b]6)'fivrri� the. Citj Engineer's--bffice NOTE�No.%`3' ObtalW4�1 i' A 6 forma'tion L re iarq I h g': - ordinance +I -A 6�b3i) and, Reju lations' igovernih g �side4qewersj'.when, you' get pemit . VOTEINo-,A�.`:�op)�of, M6,sewer'must1have,,at leazt,.30,lnches�'C'overa�ge alt%property lin.,�andtl2�,iiticheo:,in'side'.Ipropqrty 4ine; minimurn;,grade, oV2%., 'No . i.bendsMni,grade �sharpii�.�thiLn�..%'�*.�vill,tbe permt ttedi NQM No;;15--Trenchesikjh� street -must be� water,;settled and,,stirfiL,�6,;.of.'.str6dt',resfdredI oto.oriiinL�,6 ontrac -responsible ChLM&Y failure ldue,,to- !improper,, k wh ndltlon� 1. �C tors shalh. be I 'develop; within one, year' b4 'com 6letibn;.' - . I . . I : � I :�"NOTE',No.,(G�It',is,,unlawfi,it.,ialt,�r'-or-d�':&ny,:oth�er�,,,iv'or'k 6..: ts!'�r vided�fo�"i��;the,.ikrnijt.�,oi;�ito��'db�-aFy worl�;-owth t, e mairi sewer. or its appur enances except to. in- ­-sirt,Lthe,,pipe� Into',th% wye:, '�D I S P MM, ',F .............. BY Datez ......... .... . .. RQ ,11 1. ........ ......... _'_'Date; ....... ........... .......... By a e.� . ........... APPRO'VED',' 76' ....... ...... ........................... M ... _ZN 7 .............. .......... inar Be ks:-;' .............................. ........... ............. ..................................... .......................................... .................... ................................................. .......... ................................. . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . .. ... . . . . . . . . . .. . . .. . . . .. . ... . . . . . . .. .. .. . . ..... ............................. .......... . .............................. ........... ........ 71, .ion PR1OR,To,."L eq ;I o p i e rTM,,U ST,',,B e, i g, ed Y*iQWner 'of"Pi Per,f rmi'ln b6�ruction ucst� Forij.nsp rm o R hereby cei�tifryl�th4t-,,�-he�.�,side4sewer installation', constructedt.unde tljiSjj) 6rMit ............................... ...... '. Mill, `C S -(Owner of tra �ing,,Flrm,.,Performing-�c6riitrue'tion�)) o y kc" ",Of: k on '966or kwithu&M governirtgo dinaij�es�,ofth& t din d �stali�&�inJac&or ce r AAsr, �of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a e -this'....; .......................... ... .......... . D d Check -BEFORE':you; ate Telepholi`L6 �E31,,. Power, w. 6ther,fl! i6r.*Ifo�.�,W r er; 4. I The City of Edmonds APPLICATION, for SWIM SEMrER PERAM NEW CONSTRUCTION E] REPAIRS EASEMENT No . .......................... VNER C::V-��MRMIT No. . . .......... OV -- ------------------------------------------ CONTRACTOR . ..... ADDR&W ...... ..... ......... Fjo ------------ ...... LEGAL DESCRIPTI%W: LOT No . ............... ................... BLOCK No . ................ ..................... NAME OF ADDITION.. ...... �� ........ . .................................................. Approved: DATE------------------------------------------------ By ----- .................................... ........................... a SliEW-Y OF EDMONDS 121 5TH AVENUE NORTH - EDMONDSWA 98020 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: FINAL Perrnk Number: ENG20080044 Address of Pubfic Use/Encroachment: 19501 80TH AVE W, EDMONDS PROPERTYOWNER BUSINESS OWNER WOODRIDGE PARK LLC PO BOX 1044 EDMONDS, WA'98020 ENG20080044 CONCREFE REFAINING WALL ENCROACHING FROM SOUTHWEST PROPERTY LINE INTO RIGHTOF WAY8.5FT ON 80THAVE W. 2'6" MAX HEIGHT AT PROPERTY LINE TAPERING TO LESS THAN FHEIGHT AT END IN ROW. STREET USE: Placement o anv temporary or movable objects in anv portion of public space or Citv right-of-wav shall meet all code requirements as setforth in thefollowing chapters of the Edmonds Community Development Code. ENCROACHMENT. Permanent structures encroaching upon any portion of public space, City right-of-way or easement area shall meet all Code Requirements as setforth in thefollowing chapter of the Edmonds Community Development Code. CODE APPLICATION. Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code. All terms of the adopted ordinance are incorporated herein as if setforth in full and this permit therefore is subject to the terms of those chapters. FOR THE TERMIN WHICH THIS PUBLIC USEIENCROACHMENTIS INEFFECT, THE OWNER SIMLL COMPL Y WITH THE PERMIT COADITIONS SE T FOR TH B Y THIS PERMIT. NOTE: The issuance of this permit is understood by the owner to be of a temporary nature, shall vest no permanent right and shall be issued and ma ' v in any case be revoked at the sole discretion of the City per ECDC 18.70.040. Applicant is responsible to provide a copy of the insurance certificate to the City at the beginning of each calendar year, no later than the 21st day of January. INDEMNITY: The Applicant understands and agrees to hold the City of Edmonds harmlessfrom any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs, court cost, and attorneyfees by reason of granting this permit. In addition, the applicant understands that helshe shallprovide and continually maintain during the term of the permit a ceritificate of insurance naming the city as an additional insured, with respect to liability, andproviding that it shall be primary as to any other policy of insurance. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. Printed: ThursdaZ, Septernbei IECOPY F-1 INSPECTOR COPY [::] APPLICANT COPY STATUS: FINAL ENG20080044 • The proposal will not adversely impact public space open to vehicular or pedestrian,travel. • Architectural Design Board Approval has been granted or the process has been administratively approved. • The proposal will not unreasonably interfere with the rights of the public. • The proposal either benefits the public interest, safety or convenience (e.g., supports or protects the city street) or is an accessory structure such as fence nonnally associated with residential use of the property as flilly complies with the requirements of criteria 3 above. 0 E-Engineering Final �1� � - .1 . When recorded mail to: City Clerk City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 STREET FILE CONFORS COP� 2MR4141168 5 PGS Z411412ZZB 412 , t46AGION Aso SPACE ABOVE THE LINE FOR RECORDERS USE Assessor's Parcel No.: 004q ' OMO-90D Applicant: WCQdrid�L Ta�y-"o L-L-c- ENCROACBMENT AGREEMENT . This ENCROACENIENT AGREEMENT ("Agreement") is entered into between the CITY OF EDMONDS ("City") and WoobP-A0%e_PAaC! U-c_ ("Owner[s]'), in accordance with Chapter 1-8.70 of the Edmonds Community Development Code. ; ai AJ d5 Woe> aje�_ /04,e� 1. The Property. Owner is the owner of that certain real property located at 19501 !90-r" &f, WUT ' . within the City of Edmonds, Washington, Assessor's Parcel Number 00q0t t..,3 000mso 0 and more particularly described as follows L-6vip't.t,Xe A -Do 6L\4- o0o I)—qz)C) — LOT S or as described in Exhibit "A" attached hereto and incorporated herein by reference. 2. The Easement. The City right-of-way adjacent. to owner's property or an existing easement used for (strike those that don't apply) [�t�ree read, 0116y; tritil, Sidew tviu-qath; pedestiian eflSCMCL1f -'Rffltitftry'=".VJ. WiltUl. Stann.-Othdi 3. The Encroachment. The Owner desires to encroach upon the public easement and the City hereby covenants and agrees and grants its permispion to Owner to allow rW V\PfCAW+ Q'.6" qUIA� KYAI -GOWA O(OPe(+V 110A 'eACM60_0 I IF+ lo"d Yot� Me- W. I r\ - f !AW Ot- V�Ck_ to remain in a portion of the City riglit-of-way/easeinent. A partial ske plan, scaled'I"=20', showing the location of the encroachment is attached as Exhibit 'V' and incorporated by reference. This Agreement is subject to the following terms and conditions: - I of4- a. On behalf of themselves, their successors and assigns, the Owner promises to maintain, repair, remove and/or replace the encroachment -located in the easement at their sole expense to the standards established by the City. All maintenance, repair, removal and/or replacement shall be conducted solely at the Owners' expense. b. The Owner, on behalf of themselves and their successors and assigns, acknowledge that the City had no obligation to approve the encroachment within the easement for the sole benefit of the Owner, and the agreements contained herein, provide sufficient consideration for the Owner and their successors and assigns to maintain, repair, remove and/or replace said encroachment located in the easement at their sole expense in perpetuity. c. The Owner promises to indemnify and hold harmless the City, its officers, agents and employees from any loss, claim or liability of any kind or nature arising from or out of its promises contained within this agreement, including any damage that may be caused to the encroachment by the City's operation, maintenance, repair, replacement or other work related to construction activity within the easement This promise to hold harmless and indemnify includes defense by counsel of the City's choosing, the payment of reasonable attorney's fees and court costs. Nothing herein, however, shall be interpreted to require the Owner to indemnify the City from the negligence or intentional tortuous act of its employees, officers, or agents. d. The Owner shall at the request of the City, promptly remove, repair, reconstruct ' - and/or replace the encroachment at the Owners' sole expense. Upon receipt of notification from the City that the City requires removal of all or portions of the encroachment from within the easement, the Owner will promptly remove. those portions of the encroachment from within the easement area as required by the City at their sole expense. If the portions of the encroachment required by the City to be removed are not timely removed by the Owner, they shall be removed by the City at�.the expense of the Owner, and the Owner shall reimburse the City for the costs of removal of the encroachment and disposal of materials as well as for any increased construction costs or Consequential damages incurred by the City due to the Owners- delay. In the- event that portions of the i encroachment must be removed to facilitate utility and/or construction activity by the City within the easernent or other requirements of the City, the Owner shall be solely responsible for replacement of the encroachment at their expense, upon completion of the utility an d/or construction or other activity by the City. e. 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. -2 of 4 - f The property owner is required to provide and continually maintain during the term of the permit a certificate of insurance naming the City as an additional insured, with respect to liability, and providing that it shall be primary as to any other policy- of insurance. A copy of the insurance certificate shall be provided to the City at the beginning of each calendar year, no later than the 21" day of January. 4. Entire A&eenient. 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. This agreement may not be amended except in writing in a document filed of record with the auditor of Snohomish County, Washington. 5. Notice - s. Any notice which is required or may be given pursuant to this Agreement shall be sent in writing by United States mail, first cl I ass, postage pre -paid, registered or certified with return receipt requested, or by other comparable commercial means and addressed as follows: Yto the Qy: City Engineer City of Edmonds 121 Fifffi Avenue North Edmonds, WA 98020 kto the Owner: 00004AIDGF— PA49- To Erp. 1 uq4 _V_P� WA 98,02-0 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. Termination of Agreement. In addition to any other remedy provided for by jaw, the City reserves the right to terminate this agre . ement in the event the encroachment negatively impacts or damages the City's easement and/or underlying utility systems or violates any condition of service adopted by the City, at its sole discretion, as may be .necessary to prevent damage to the City's utility system, or any other public facility which may be impacted, by the Owners' failure to properly use the'easement. 8. 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. 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. -3 of 4 - 9. Capa�i - 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 signature(s) thereby bmid such party. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this I -Z- day of 20 07 By:t &Z By: 1/77 STATE OF WASHINGTON COUNTY OF SNOHOMISH This day, personally appeared before me, aw, - ,Ya-�ns o to me known to be the person(s) who executed the 'Within and foregoing document and that (h els h elt h ey) signed the same as (hislherltheir) free and voluntary act and deed for the uses audnumoses therein mentioned. �� - Im Notary, Public V 6c, Typed or Printed Name hum JOPW CITY OF EDMONDS . . My_ EN'rRIN(V1`V- Isi�q My Commission expires: _ 5- 19 - I C) -4of4- wo 490 PROP. I A16:, C. P. x wro/kcR mew CoUCRE7(5 7A- IN 11v & WA LL , helq4f. 7N Mzf- 2 Pot * STREET HLE '8 CITY OF EDMONDS 250 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202 COMMUNITY SERVICES October 23, 1985 Resident . 19501-80th Ave. W. FAITionds, WA 98020 Dear Resident: m:" SUBJECT: TRASH DUMPSTER IN CITY RIGHT-OF-WAY LARRY S. NAUGHTEN MAYOR The City of Admnds has received complaints regarding your dumpster located in the City right-of-way at 195th & 80th Ave W. PETER E. HAHN DIRECTOR We note that no permit has been issued to allow for the use of this dumpster on City property. I am requesting you move this on to your property. You can call Duane Bowman, Assistant Planner at 771-3202, ext. 254, regarding a permit to allow you to place this dumpster on City right-of-way and also information on the landscaping required. , Your cooperation will be greatly appreciated. N% N" BRWml Sincerely, BOBBY R. MILLS Superintendent of Public Works cc: Duane Bowman Letter also sent to 19515-80th Ave. W. Id /6/2 12- L�j STROUD ur mARCH / 44T� PUBLIC WORKS 0 PLANNING 0 PARKS AND RECREATION 0 ENGINEERING STREET FILE File No. 01.1.12 June 14, 1984 MEMO FOR RECORD SUBJECT: AVE. W;. (B&M CONTRACTORS) At 7:30 a.m. on November 8th, the Water Division was notified of a broken waterline at 19501-80th Ave. W. The City crew arrived at the site where B&M Contractors were digging out for our repair access. A 11" galvanized service line had sheared at a threaded coupling due to compaction stress at the center of the storm drain trench line. Repairs were made, however, the water which apparently ra most of the night had caused the new trench to settle &.P-? to 11 feet. Within a month, 80th Ave. W. and 194th Pl. 2 began settling under the existing road which had.to be repaired by City crews. — Z./j U. I - SCOTT HIGULAND Water/Sewer Leadperson SH/ml BRENA DT MILLS DT MARCH DT jTy *'CITY of EDMONDS ��Civic B IESS LICENSE APPLICATION Aw LICENSE NO. 0 Center Edmonds, Washington Clerk 775-2525 STREET FILE AIN, PAL FEES PENALTY AFTER FEB. 15 City Phone A 0 HOME OCCUPATION CLASS YEAR LIC. EFFEC. DATE $10.00 (A) ADDITIONAL $5.00 0* INSTRUCTIONS: 5 --) I /,I - IREAS11 5kSMALL BUSINESS • All items must be completed RECEIPT NOJ I I I P DATE PAID I A� $15.00 (B) ADDITIONAL $7.50. 0 or application will not be ac- pf�j NT X cepted. IN SPEC. E Box FOR ISSU OF 0 Business with 10 or • Sign and return application. FEE PAID d ENALTY PAID CORRECTED WITH more employees ADDITIONAL $25.00 0 with fee. Renewals received I I I r-1-1 I I -I I I LICENSE LC' ACTION. $50.00 (C) after February 15 must pay NEW APPLICATION (LA) penalty in addition to fee. 0 RENEWAL (LB) NEW BUSINESSES AFTER D CHANGE (I-C) JULY 31. 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD) NAME OF FIRM MAIVING ADD BUSINESS PHONE NATURE OF BUSINESS NO. OF EMPLOYEES /7 .,EIPSINE -ADDRESS - INDIVIDUAL PARTNERSHIP CORPORATION (S) (P) P —j �� / — 11�"6-1 AZe:') �"o EE�:] HOME ADDRESS o- HOMEIPHONE Y 17 !7 ]DATE OF BIRTH --? PLACE OF B-I�T7,, � �, ":., �,. W /, �, , ., I /.-. " SOCIAL SECURITY NUMBER - ,, ;/ I - EMERGENCY NOTIFICATION: (1) NAME & TELEPHONE.-� (PLEASE LIST TWO) (2) NAME& TELEPHONE WASHINGTON STATE TAX NO.- �l APPLICANT'S SIGNATURE DO NOT WRITE BELOW THIS LINE STAFF REVIEW: FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST. PLANNING DEPARTMENT DATE/1- LAND .�'U­SE CODE ZONING CODE 0.---APPROVE El DISAPPROVE. SIGNATURE7), lfc: M11-1 CONDITIONAL USE PERMIT COMMENTS E= BU DING DEPARTMENT DATE ;XAPPROVE z- Building El Hotel/Motel (L) El DISAPPROVE SIGNATURE 11144 k/1/4bZQ'-- permit Apt , Bldg. (A) 0 Office Bldg. (0) Occupancy F-1 Restaurant (R) COMMENTS: Group El Hosp/Nurs Home (H) CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) E=A El School (S) I R�F,�EPARTM ENT DATE 7� F U. F. 1. R. V�PPROVE YISAPPROVE SIGNATURE COMMENTS: 7 POLICE DEPARTMENT DATE ZY SIGNATURE EP"APPROVE 0 DISAPPROVE f COMMENTS: PUBLIC WORKS DEPARTMENT 0 APPROVE 0 DISAPPROVE DATE SIGNATURE COMMENTS: