23025 100TH AVE W.PDF23025 1 OOTH AVE W
ADDRESS:A=!—L tlz�
BUILDING PERMIT (NEW STRUCTURE): r" L., E . g 2 k4
COVENANTS (RECORDED)
CRITICAL AREAS: 1 7,Q DETERMINATION: [] Conditional Waiver EI Study Required Pwaiver
/" - ze/1, 9
DISCRETIONARY PERMIT #'S:- 12m --5
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
PLANNING DATA CHECKLIST DATE D:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:- SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DSrs\Fomis\Street File Checklist.doc
PERMIT NO: 9671,
City of Edmonds PERMIT EXPIRE . is N111105
SIDE SEWER PERMIT
Address of Construction:. 23 02 5 100th Ave_ht4 e., h/euf LID N
Property Tax Account Parcel No. 2 70 3 3 6 0 oil 3 700
Attach copies of all access and utility easements Verified and ApproVed b
Owner and/or Contractor: 21-1115
Contractor License#: BEL1_.SPP7Qi0TK
Agk —Building Permit #:
W
E] Single Family
E] Multi -Family (No. of Units..
Commercial (No.,of Units
Public
Invasion into City *Right -of Way: El Yes' 0 No
*RW Construction Permit #
Cross other "Private Pro perty: Yes No
"Attach legal description and copy of recorded easement.
Owner or contractor signature and acknowledgement statement:
By signing for this permit I certify that I have read the City'.s public handout entitled
Side Sewer Specifications, and shall comply.with all City requirements outlined therein.
W CALL DIAL -A -DIG (1-800-421-f-5555) BEFORE ANY EX
W FOR INSPECTION CALL 425-771-0220 extension 1.0
Permit Fee
/(A-O-L
Date
VATION 9
24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REOUESTS
pair Fee
Issued By:
Trunk Charge $ Date Issued:
Assessment Fee $_L�11A. Receipt No: e-_!qe9;67,1-
City Permit Surcharge Fee $5.00 Total Fees Paid $
-------- zC
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job. Site Ready YES NO Date: Initial:
Partial Inspection: —Date: Initial:
Partial Inspection: Date:— Initial:
FINAL INSPECTION APPROVED: Date: Initial: As -built to Street File:
il� PFPMIT MUST RE POSTED ON JOB SITE
White Copy: He Green Copy: Inspector Buff Copy* Applicant
l,t=W,bidg;fonns;ssperFnitjl-g4/00
CITY -OF EDMONDSQO--'�62-7/
Grease Interceptor Sizing Worksheet
Date: //- &-20 - 4�02—'-
4010PS7-lelcu '
u s in es s:. ew R /4 .1 -r
Side Sewer Permit # Address:
NUMEBER OF MEALS SERVED AT PEAK HOUR A=
Calculation: # seats
WASTE FLOW RATE (ADD ALL THAT APPL
• With Dishwashing Machine. 6 gaBon flow
• Without Dishwashing Machine ..... 5 gallon flow
• Single Service Kitchen* ......... 2 gaRon flow
• Food Waste Disposer ........... 1 gallon flow
TOTAL B =
RETENTION TIMES (Choose one)
• Commercial Kitchen Dishwasher ...... 2.5 hours
• Single Service Kitchen* ..... 1.5 hours
TOTAL C =
STORAGE FACTORS (Choose one)
• Full Service Kitchen 8 hour operation: ... I
• Full Service Kitchen 16 hour operation: . . . 2
• Full Service Kitchen 24 hour operation: . . . 3
• Single Service Kitchen*: . . . . . . . . . . . 1.5
TOTAL D
"Interceptor Size (liquid capacitv) AxBxCxD= 741 Y
Checked by
A single service kitchen refers to a fast food type of restaurant where all plates, cups,
knives, forks, and spoons, etc. used for serving and consuming food products are used only
one time and then discarded
AwwWv-
"Per City Ordinance 3401 the minimum size interceptor is 500 gaBons. *it-
fx'�
A separate Grease Interceptor permit is required, fee $155.00.
PLAN
LA4TREELFU. APP7 -51-5
LLOYD F. QUATIER A2VD ASSOCIATES
CONSULTING ENGINEERS
Telephone (206) 683-7790
Date:11-04-2002
TO: Jeannine L Graf
Building Official
CITY OF EDMONDS
121 5th Avenue North
.7 Edmonds,Washington 98020
SUBJECT:H20 Loading for Buried Vaults and Grease Seperators.
Dear Building Offical:
In reviewing the proposed loading of H30 for the subject
application,it appears -that H30 is rather severe for the application.
Furthermore,H40(airport runways) and H30(airport ramps) is reserved for
airport construction.
Attached is a revroduction of the State Standard for Highway and
Bridge applications.
Please call me if there are any questions.
Respectfully,
Lloyd/F. Quatier, PE
STANDARD SPECIFICATIONS
for
HIGHWAY BRIDGES
SIXTEENTH EDITION
1996
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Adopted and Published by the
American Association of State Hichway
b
and Transportation Officials, Inc.
444 North Capitol Street, N.W., Suite 249
Washington, D.C. 20001
6
Copyright 1996 by the American Association of State Highway and
Transportation Officials, Inc. All Rights Reserved. Printed in the United
C
States of America. This book, or parts thereof, may not be reproduced
in any form without permission of the publishers.
ISBN 1-56051-040-4
24 HIGHWAY BRIDGES 3.9
HS20-44 8,000 LBS. 32,000 LBS.* 32,000 LB&V
HS15-44 6,000 LBS. 24,000 LBS. 24,000 LBS.
?rl 3:1
C'J, Cot C�'
14'-0" V
0:4 W
1 W
.1W
W = COMBINED WEIGHT ON THE FIRST TWO AXLES WHICH IS THE SAME
AS FOR THE CORRESPONDING H TRUCK.
V = VARIABLE SPACING — 14 FEET TO 30 FEET INCLUSIVE. SPACING TO BE
USED IS THAT WHICH PRODUCES MAXIMUM STRESSES.
CLEARANCE AND
B
T-0- 6'-0" 2'-0"
FIGURE 3.7.7A. Standard HS Trucks
f timber floors and orthotropic steel decks (excluding transverse beams) for H 20 loading, one
*In the design 0
axle load of 24,000 pounds or two axle loads of 16,000 pounds each, spaced 4 feet apart may be used, whichever
produces the greater stress, instead of the 32,000-pound axle shown.
"For slab design, the center line of wheels shall be assumed to be I foot from face of curb. (See Article 3.24.2.)
97*
ON
19604 - 67th Ave NE Arlington, Wa. 98223 Telephone (360) 435-5531 Fax (360) 435-8575
61-00 12'- 00 6'- On
1 13'- 5*
5
6 CS7
ir No. 812-3-24R
Iht 8050 lbs.
Ion No. 81249
Iht 8130 lbs.
No. 81200
U 9000 lbs.
720
so,
jL
4� vou t,),f-I —t=>1L-:)-x
144*
CONCRETE : 28 DAY COMPRESSIVE STRENGTH
Ila w 4500 pal.
REBAR : 04 ASTM A-615 GRADE 60
MESH : ASTM A-185 GRADE 88
DESIGN : ASTM C-857 OMINIMUM STRUCTURAL
DESIGN LOADING FOR UNDERGROUND PRECAST
CONCRETE UTILITY STRUCTURES'.
SO- - LOADS : H-20 TRUCK WHEEL w/ 30% IMPACT
PER AASHTO.
* REINFORCEING PLACEMENT : #4 REBAR 121 O.C.
THROUGHOUT BASE AND TOP SECTIONS, 4*x4"/4
GAUGE MESH w/ 244 REBAR RUNNING HORIZON-
TALLY THROUGH BELL JOINTS IN MID -SECTION.
- JOINT MATERIAL : MEETS FEDERAL SPECIFICATIONS
68-6-00210, AASHTO M-198B AND ASTM C990.
* HATCHES : PER DISTRICT SPECIFICATIONS.
152*
24- 24-
77*
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PARTIAL SITE PLAN
waste water vault
P
Ref er to complete Site Plan and scope of
CHOP STICKS IN EDMONDS work by Monarch Trading Corp
NE�W VAULT— 0064"45�
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APPROVED AS NOTED
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PREP-AAEA
'biAS POVr=R
DISH WASH AREA
- -- - - - - - - - - - - - -
DINING AREA
E N-1 Ry 1.295 d
SIGN (TH X 12- L.)
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STI'RAM
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75-1
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F -- — — — — —
LOUNGE
A -- - - - - - - - - - -
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CO.NC.WALKW;,Y
ROOF AWNING
SIGN
_!�UNGE, LAUNGE ENT-FLANC: -
20'
20'-0"- 6'-0"
'IF
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ILLUSTRATION
GREASE INTERCEPTOR
26
GENERAL NOTES
The following notes apply unless noted ot.herwise on plans:
CODE: 1997 Uniform Bldg Code.
The following submittal covers the location and criteria for selecting
and installing a wastewater pretreatment vault(see address below).
A partical site plan is attached to show the location of the vault. A
vault size of 3000 gal capacity has been choosen as determined by the
seating capacity from a drawing furnished by the owners agent.
The following notes apply to the vault design and construction:
Loadings:H20 TRUCK LOAD'fNG with 301W Impact.
Concrete unit: 5000 psi at 28 days. Place vault on undisturbed soil
or 411 of 1/2 minus crushed rock be dding. If a�water table is near the
surface, it may necessite partially filling the unit with water to
during installation. The vault must be a pre-engineered
firwve- cdX1
avoid floating t
un it showing detail drawings and calulations; these to be submitted o
5
the administrative office at the City of Edmo nds. Supplier:CUZ
VVAT- 1"D
CONCRETE PRODUCTS;UTILITY VAULT or approved equal - All connections a nd
qwI)krA-'+� 11�.
ction and leak
cover must be waterproofed per manufacturers instru ides
back filling can be completed. Back -fill all s
e-Al-M
tested before
uniformly in small lifts and compact cautiously.
Installation contractor to verify location before the job is started;
Maintain a clean -out between the building and the vault. All piping
material, connections and bedding must meet the.Plumbing Code and
requirements of the City of Edmonds. Do not connect the men/women's
zest room discharge to this pretreatment vault.
For proposed vault that the installer is planning to use, discuss the
inspection access with the City of Edmonds. This initial inspection,by
the City, must be met before the job is considered complete. All work
must be properly inspected by the Owners Representative. Contractor
shall verify all pipe location,sizes and dimensions in the field, and
shall provide adequate shoring and bracing of all structural members
and piping during construttion. Notify the City and owner/engineer
before any changes are made.
MAINTENANCE INSTRUCTIONS
Owner to take pictures and record measurements of the exact location
for future access. This to be available should there be a question at
some time. Remove all built-up solid matter and effluent when a clean -
out is required. Clean and maintain the grease traps on a typical
monthly schedule. The City may have additions maintance
requirements and frequency of the cleanout period. If there are any
filters, these need to cleaned or replaced. Do not concrete over the
manhole access cover.
Name: CHOP STICKS in Edmonds
Location:23025 100th Avenue West
Edmonds,Washington
Project Designer: Monarch Trading Corp
Refer to the the drawings by the Designer for a floor plan,site
plan,legal description,parking plan and plumbing plan to verify 123
seating capacity and nature of operations.
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NOTICE*
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The-infor . mation'shown on the attached
map(s) was com - piled f(Dr use by the Oty 0'
Edmonds, its Employees and Consultants.
Th,.e City of Edm.onds does. not. warrant the
accuracy of anything set for.th on these
M a P ('s'-). A n . y person or entity -requesting a
copy should conduct an.independent
i orm . ation shown-c
Inquiry regarding the 'nf'
I I
tFe Map(s)/ including, but not hm'ted to
-er stub shown, Su(
the location of any sew
sewer stubs may or may -not exist and ma\
or may not exist at the location shown.
',ty of Edmoinrls nor its
Neit-heir the ,, 1 14 1
e m p 1- oy e e-s 0 -r 0 ff -c er s -s- h- I b e b-'Fe f o r t h
this Map(5), nor for
information g ven on
any one representation provided based
upon . said map(s).
RECEIVED
PERMIT EXPIRES 7
I
CITY OF EDMONDS
USE 'PERMIT
ZONE
NVMBER
JOB SVITEIAPT#
ADDRESS,� M,_6( ,
CONSTRUCTION PERMIT APPLICATION
OWNER NAMFJNAME OF BUSINESS
I
Wnh
PLAT NAME/SVBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
MAILING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
Ti!S_CPAPPr0vd
RW Permit Required
street Use Permit Req'd
1�02L_
.
EXISTING — PROPOSED
Inspection Required
CITY NP
rd, J�r,WA_ qpo�o I
TELEPHONE
10�-).2.?-
REQUIRED DEDICATION— FT
Sidewalk Required
UnderWound
93
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METER SIZE,
LINE SIZE
NO. OF FIXTURES
PAV REQUIRED
NAME
M_,T-bAJ1+ L 1 /J
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1-3
YE NO (3
SX
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
�ADDRESS
CITY ZIP
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SIGN AREA
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PROPERTY TAX ACCOUNI PARCEL NO.
2,7o3.3�bec>/J
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EXP
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ALLOWED PROPOSED
REQUIRED SETBACKS (Fr)
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FEE
Description
FEE
Plan Check
state surcilarge
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HEAT SOURCE GLAZING% LOT SLOPE %
Building PerMit City Surcharge
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PLAN CHECK mbing
VESTED.DATE'� I IOU
Mechanical _<jFjkFAA
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUBLIC Grading
D OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
Engr. Review
2—
PER1iITAPPU'CAT'ION: ISO DAYS
IL PERMIT UMM I YEAR - P r ROVIDEb WORKIS STARTED WITHIN ISO DAYS Engr. inspection
SEE BACK OF eINK PERMIT FOR MORE INFORMATION
*APPLICANT, ON BEHALF OF HIS OR HER SPOUSE; HEIRS. ASSIGNS AND SUCCESO ' RS Fire'Review Plan Chk. Deposit
IN NTEREST AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
IP
a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # V /.1.
ALL CLAIMS I- R DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR'IN61RECTLY
SHALL NOT. BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT
La.ndscapeinsp. Total Arrit;10.0
DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT. OF ANY CITY. ORDINANCE
0 NOR LIMIT IN ANY WAY THE crrysA]SiLrrY To ENFORCE ANY ORDINANCEPROVISION.'
--w Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT 1, HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit until signed by the
.
TION; AND IN DOING THE WORK AUTHORIZED THEREW, NO PER SON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and
J"IOLATION OF TIJE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO, FOR INSPECTION receipt Is acknowledged In space provided.
WOPKMEN-S,E?yPEPSATION INSURANCE AND RCW 18.27. O�
F F 1,"C
11!��L NAT DATE
J DATE SIGNED 1A2 ) -
tj (V %.-5 �a -
771-0220
L ABED BY /bATE
Off
TION 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION -HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL. FILE YEII0Ai4IRPE`4OR
CATE OF OCCUPANCY HAS BEEN GRANTEE). UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
04/02 PRESS HARD -YOU ARE"MAKING 5 COPIES
'AdL XDATE RECEIVED
V
.12 PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
70NE
V
NUMBER", -66, 7z,
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
AIRESS
302� ItnIV AVF W EDM PS.WA,
13:
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
LOT NO.
U6 NO.
cffcpn�� k-suuRANT
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MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 0
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Street Use Permit Req'd
CITY ZIP
HONE
EXISTING PROPOSED
Inspection Required
17
Sidewalk Required 13
REQUIRED DEDICATION— FT
Undergmund
wiring required 0
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 0
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VALUATION
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PLAN CHECK NO: VESTED DATE PLUMBING
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED.. THIS PERMIT COVERS WORK TO
B E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPAIRATE PERMISSION.
111111111111.0RECHIRGE .001-
cc PERMIT APPLICATION: 180 DAYS
ILI
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS QW-EW FEES �0000`
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ca 601 S WEION FEE .00-
01 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
LU IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
i LANDSCAPING
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE
cc
< ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT
EMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE
DE I
_j
x NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.,
01 RECEIPT
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECTAND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Offift!tor his/her Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOJX4QDE OF. THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPE,NSAT* INSUFANCE AND RCW 18.27.
0 ICIAL T E DAT
TV) DATE SIGNED (425)
NATURE (O�W
=ROA
A> -.7 771-0220
TiELE B DATE
ATTgNTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL -FILE YELLOW- INSPECTOR
FAX PINK - OWNER GOLD - ASSESSOR
5t98
MAPATE RECEIVED
I TFPERMIT
EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE
NUMBER
CON4
CONSTRUCTION PERMIT APPLICATION
PC-,CMAlLINGADqR
. -
JOB UITE/APT#
ADDRESS.),,�
a
O;qER NAMF"AME OF BUSINEIn
PLAT NAME/SUBDIVI SION NO.
LOT NO.
LID NO.
LID FEE $
L6�
W
I G2 _ESS
1 � - .
PUBLIC RIGHT bF WAY PER OFFICIAL STREET MAP
TESCIP Approved E3
6�7 m
EXISTING PROPOSED
RIN Permit Required (3
Street Use Penrilt Roq'd 13
Inspectlo Required 0
CITY ZIP
V
ELEPNNE
REQUIRED DEDICATION— FT
SidearalknRequired 0
Underground
I wiring required 0
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
14
1
1
YES C3 NO 0
3
ADDRE IS' -
REMARKS
z
C.
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
a
z
CITY ZIP
TELEPHONE
NAME
Wa- 5 V-�, <�4f y-, C_r-LQe-
.
ENGINEERING REVIEWED/ DATE
ADDRESS
I,
R
&j -)
I I
FIRE REVIEWED BY DATE
Lk
0
0
UJI
W
rL
9t I
TELEPH%E
gz� ft
STATE LICENSE NUMBER EXPIRATION DATE
CHECKED BY
VARIANCE OR CU
SHORELINE OR ADB#
INSPECTION
BOND
REO'D
POSTED
wr6it-T e�5(z—?4�3 LO L
4
0 YES C3 NO
SERA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO
LU
9-76S 3(.00 it -�)-70C)
I
,
J!
EXP
0 NEW IlIp;ig;l;Iil PLUMBING MECH
LOT COVERAGE
ALLOWED I PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (Fr.)
FRONT UR SIDE REAR
C:] ADDITION MMERCIAL o COMPLIANCE OR
CHANGE OF USE
V
z
—1
0 REMODEL 0 APARTMENT SIGN
PARKING
REQ'D I PROVIDED
I
LOT AREA
PLANNING REVIEWED BY DATE
REPAIR C:] GRADING FENCE
CYDS 0 ( x FT)
REMARKS
DEMOLISH C] TANK OTHER
GARAGE RETAIN
CARPORT 0 ROCKE; WALL RENEWAL
0
r_
CL
U �ESINE TIVIT LAIN:
(:::E C Y EXP
4—
CHECKEDBY
TYPE OF CONSTRUC
'TION
CODE OCCUPANT
r
C
O;F
1
M
W_/
/ fi//.�
GROUP
NUMBER
NUMBER OF
CRITICAL
SPECIAL INSPECTOR
AREA OCCUPANT
OF
DWELLING
AREAS
o
STORIES
UNITS
NUMBER
REQUIRED 0 YES
LOAD
DESCRIBE WOR K TO BE DON�
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
.
!$CJI c7e
0
I
I -%W LA�Y, In I A-cv- 'I n
51
W-Tre-FITMVi
Ali 1W ft,,
Fit, "R 19,71 no
�iili
vm I
PLAN CHECK FEE
SOURCE GLAZING % LOT SLOPE %
rAT
BUILDING
PLAN CHECK NQ�_� VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
GRADING/FILL
M SEPARATE PERMISSION.
-JTAT"URCHARGE
IeA� Ilia
PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
rA
;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
N INTEREST, AGREES TO INDEMNIFY� DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
9 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
RECEIPT
_j DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
x I
RECEIVr/
—
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
it
TION; AND IN DO NG THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSAT!91�LLbLSURANCE AND PICW 18.27.
,
0fiFICIALS SIGNATURE DATE
ATURE (OWNER OR / 4G DATE �IGNJD
(425)
771-01220
RtCEASED BY /DATE
ATTE9fION
EXT/333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
7711-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
5/98
CAY-ILE NO
Atical Areas Checklist
1�ct _21
--------------------------------------- -------------------------
Site Information (soil s/topography/hydrolog:Y�/vegetat.ion)
1. Site Address/Location: 2 `-3 0 �Z_S ioc) ED �Ku"JJ
2. Property Tax Account Number: —f)(pZ,.Z— —_(Y�
3. Approximate Site Size (acres or square feet): tv-
4. Is this site currently developed? no.
If yes; how is site developed? _ty Ali
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 I 0-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
I 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6.� Site contains areas of year-round standing water: 1V0 Approx. Depth:
7. Site contains areas of seasonal standin ter: Approx. Depth:
What season(s) of the year? * lv7p
8. Site is in the floodway PO floodplain of a water course.
M,
Site contains a creek or an area where water flows across the grounds surface? Flows are year-
round? - 0,/0 — Flows are seasonal?' .&0 (What time of year?
10. Site is primarily: forested : meado . shrubs mixed
th /
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
--------------------------------------------------------
For City Sta Use Only ------- ----------------------------------------
1:., S
lte:is Zoried7':.: I
.1:,: ::SCS mapped so-i
A_W1A8 VA . .....
^ca_chk.doc� Re� 10/03/97
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 sub ect property. The
information needed to complete the Checklist should
be easily available from observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent infor m-ation (e.g., site plan, topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner4�pplican
, Dt-
Tt&-br P5Pk,4tt
Name
1W.42
Street Address
WOUJI IV VAe CV A, (2
city State Zip
41'�-
Telephone
�> c 4 Lx-�
Signature
Date
cxeception\janakaddoc
Applicant Representative:
Name
Street Address
City State Zip
Telephone
Signature
Date
(over)
It 17 C. 18 9'�,
October 4, 1999
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 - FAX (425) 771-0221
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
Tiger Asphalt
14136 NE Wood inville/Duvall Road
Woodinville, WA 98072
Subject: Determination regarding Critical Areas Checklist # 99-272
Dear Applicant:
BARBARA FAHEY
MAYOR
Enclosed please find a copy of the Critical Areas Checklist you submitted. The "DETERMINATION" reached by the City
is located on the reverse side of the form (bottom of page).
It is very important for you to retain a copy of this Critical Areas Checklist "DETERMINATION" for your records.
............................. ..................... I .............
....... ... . . ......... - ....... . ............ .. .... ..........
IMPORTANT INFORMATION TO BE NOTED:
PLEASE EXAMINE THIS" DETERMINATION" FOR ADDITIONAL REQUIREMENTS. YOU MAY NEED TO SUBMIT
ADDITIONAL INFORMATION SUCH AS AN ENVIRONMENTAL CHECKLIS OR CRITICAL AREAS STUDY.
The 'DETERMINATION' for the Critical Areas Checklist you submitted is a site -specific determination not a
project -specific determination.
mo, You must submit a copy of the CRITICAL AREAS CHECKLIST and DETERMINATION WITH ALL
PERMIT APPLICATIONS or YOUR APPLICATION WILL NOT BE PROCESSED. 40
Permit applications include the following:
Building Permits
Conditional Use Permits
Subdivisions
Variances
Applications to the ADB* Land Use Applications
Any other development permit applications.
Thank you.
Sharla Graham
Planning Secretary
Enc: Critical. Areas Determination
Architectural Design Board
C:Reception\.Jana\CRLTR.doc
Incorporated August 11, 1890
Sister City - Hekinan, Japan
0 j
N E-W b0m PACJ(2-c 1,"', L,
- - LI
NAME:A
SITE ADD4RESS:Z. W DATE: -7
'-Z
ZONINGJ511--�- PLAN CHK#:
USE(S) PROPOSED. ALLOWED'71�6
'SUED (Y/N)
N IS
LEGAL NONCONFORMING LAND USE DETERMINATIO ............. 7
CUP File:
ADB FILE #: 0 DATE WAIVED:
312j67aN: L-�>
PLANS MATCH APPROVED P AN:
PARKING:
Use: No. Spaces Required:
X (floor area, # employees, etc.) =
Use: No. Spaces Requirq0:
X (floor area, # employees, etc.) =
Total Required: Actual Provided:
SETBACKS:
""J' *
e u ed Se bac
L Rear:
Frmnt: L ft Side:_Right Side:
S.
ck .
Actual Setb ks*
Ac—
Front:_Left Side: Right Side: Rear:
Street map checked for additional setback required?_ (Yes/No)
MAXIMUM FLOOR AREA: -Actual:
Maximum Allowed: —
BUILDING HEIGHT:
Maximum Allowed: Actual Height:
Modulation Allowe Modulation Height:
Datum Point: �?4—Datum Elevation:
LANDSCAPING:
Matches ADB approved:
Bond:
SUBDIVISION
CRITICAL AREAS #:
c\f11c3\perrnWPLANVAc.D0C
SEPA DETERMINATION:
SHORELINE REQUIRED?: M,
dAfllmkparmWPLANDAc,D0C
rot APPLICATION
for
-1;-he City of EdmonSlREt: i mLE SEDE SEWER PERMIT EASEMENT No . .................... .....................
NEW CONSTRUCTION E�� REPAIRS
M.q!- )CONTRACTOR ...... 0- ..... ... . MIT No.
. .. .... . . . .................... PER
OWNER .............. ..
ADDRESS .......... .............. LEGAL DESCRIPTION: LOT No . ....... ..................................... BLOCK No . ............................................
......................
.................
e,7-
2 S- 6 6,s 7- NAME OF ADDITION .......... .................... ...... ...... . 71_-!;�A'-_-'� .... rt ....................................................
CIO
_4
77
71�
10 V J
3 MIS V/
-----------
Approved:
J'�� 4 - (, 6 1
DATE................................................ By ........ (2.�nr ..... ..............
C'l
5 1 Ll- El
1p; —1 -1 —1
17'
In
.1.1' V
cl
�j NO
lid
v
v'ry\
7y-;- —�
p ,cAA�Y) -o
I �,
Ti
7j
I
1-1
November 21, 1966
Memo to: John E. Moran
Supt. of Public Works
From: Leif R. Larson
City Engineer
Subject: Sewer Connection Charges
Property Description: All that portion of the northwest quarter of the
southwest quarter of the northwest quarter of the northeast quarter of
Section 36, Township 27 North, Range 3 East, WM, described as follows:
Beginning at the Northwest corner of said northwest quarter of the
southwest quarter of the northwest quarter of the northeast quarter;
thence east 30 feet to the east line of 100th Ave. West; thence south
along the east line of 100tb Ave. West 180 feet to the True Point of
Beginning; thence east parallel with the south line of Secondary State
Highway No. 1-W (Edmonds Way) 150 feet; thence south 00191441, east
100.00 feet; thence west parallel to the south line of said Highway
150 feet to the east line of 100th Ave. West; thence north along the
east line of 100th Ave. West to the True Point of Beginning.
Commonly Known as: 2005 - 9th Avenue South Owner: Magnum T Inc
(Speedee-Mart)
105 Z,F.F. x $5.50 $577.50 Connection Fee
25.00 Trunk Charge
10.00 Permit
$612.50 TOTAL
LRL: rf
OPUBLIC WRKS DEPATM= CHECMA
BbILDING PER-1IT REVIEW
STR
U
Z
Z
Street Right -of Wa Existing. REQD
15 NIX REQD
Access Easements sting
Utility Easement Existing_ REQD
Lot per, Subdivision Plat Assessor Map X
Site Plan Checked for Accuracy
Underground Wiring Reqd.
Check Accuracy.of-Legal. Description
Envirorm-entally Sensitive Area
Environmental Checklist Reqd.
Flood Hazard Zone �j
Shoreline Management Area
Slope, Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per Code.
Arxnities Design Board Approval Reqd. ADB # Approval,
Board of Adjustment Approval Reqd.
Review By: F1 KVA;w� Date:
Existing Water Main Size
Water Main P-,,--qd.
Service Line Reqd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department CaTments
Water Meter Charge Reqd.
Review by: Date:
beptic -i-anK uesign apprc
Septic Tank Permit Reqd.
te:
Permit No.
Sanitary Sewer Availability Proi. —
Drawing No. File No.
Side Sewer Availability
Sanitary Sewex
RevieuT By:
Date
Address
6
!9Open
Ditch Existinc,
C?
Culvert Reqd.�
__�eqd.
C4
Catch Basin Reqd.
---Size
Indicate on Site Plan
0
Siioulder" drainage mainjain collection an swale op_en� runoff
co
Indicate on Site Plan
Soil Conditions and Ground Water Field
Checked
- 41
JZe1,rj0A,7 b Y,
Date
Street Pav'' g, Reqd.
-in
Curb and Gutter Reqd.
Sidewalk'Reqd.
Curb Cut for Drivewa y Reqd.
4
P4
Right -"of -Way Construction Permit Reqd.
Bond Reqd. for Public Inprovements
Street Nam, Sign Reqd.
Other Signing Req&
2K ZME JWK Mr w
Pre Permit Site Inspection made on
M
0
BY: SEUER
WATE, R
STREET
ENGD\IEERINIG
Special Requirements listed in marm to Conuunity Development Departmnt,
Building Division
> BY___LLCL__MEX_QDate
o All iten-s filled in an Building Permit Application
BY Date
P4 Drm%7ings Stamed and Notations Made
AA BY Da�te
<4 lApproved by Public 1-Jorks Departnient
Revised: 1v 10-1977
BUSIWS LICENSE APPLICATION S ]'A I- F :, C;T 10 No
OEaRSE APPL. NO
E
CITY OF EDMONDS aE DATE':' 4s7?X
250 5TH AVENUE NORrH
EDMONDS, WASH. 98020
I-ErPHONE (206) 775-21325
STREET Mr.
INSTRUCTIONS
I PRINT APPLICABLE LICENSE CLASS, FEE AND PENALTY PAID
IN ANNUAL FEE BOX AT RIGHT. PENALTY DUE ON RENEWALS
RECEIVED BY CITY CLERK AFTER FEBRUARY 15.
2. NEW BUSINESS: COMPLETE ALL LICENSE APPLICATION BOXES.
LIC. RENEWAL: REVIEW LICENSE INFORMATION BELOW. PRINT
CORRECTIONS AND ADDITIONS AT RIGHT.
3. SIGN AND RETURN APPLICATION WITH FEE (AND PENALTY)
4. LICENSE WILL BE MAILED TO YOU UNLESS YOU ARE NOTIFIE�
TO APPEAR FOR APPLICATION REVIEW.
r A N NUAL FEES
TYPE BUS. CLASS FEE PENALTY
HOME A $10.00 $ 5.00
SMALL B 15.00 7.50
*GENERAL C 50.00 25.00
*OVER 10 EMPLOYEES. OR EMPL WORK
OVER 120 MAN -MONTHS PER YEAR.
CLASS I FEE PAID I PENALT Y PAID
B 1-5bo
LICENSE RENEWAL
BELOW INFORMATION, PRINT CHANGES AT RIGHT.
@_ LLL
r2. APPLICANT
NAME SOCIAL SECURITY NO.
DATE OF BIRTH PLACE OF BIRTH
HOME ADDRESS
I
�_3. BUSINESS IDENTIFICATION
BUSINESS NAME
NATURE OF BUSINESS BUSINESS PHONE
WASH. STATE TAX NR.-.. EMPLOYEES I ORGAN. JOCCUPANCY
TYPE ORGANIZATION
IF BUSINESS IS:
TYPE
CAPACITY
HOTEL/IVIOTEL
L
NR OF ROOMS/UNITS
C CORPORATION
APT.BLDG.
A
NR OR APTS .
L LTD. PART
OFFICE BLDG:
0
NR OF OFFICES
P PARTNERSHIP
RESTAURANT
R
NR OF SEATS
3 S SOLE OWNER
HOSP./NURS. HOME
H
NR OF BEDS
-1
SCHOOL
S
NR OF STUDENTS
4. BUSINESS ADDRESSES
BUSINESS ADDRESS
LICENSE MAILING ADDRESS
5. EMERGENCY NOTIFICATION
NAME
AREA
TELEPHONE
(2)
OFFICIAL USE ONLY
CODE
BLDG
PERMIT
OCC7
C.'U. PERMIT
LAND
777
ff L I CA :T F 0 R :
N E 1, L LICENSE
B: C
U S W
:RE N :E YEAR
LA , NEW BU'_-
LB RENEWAt
LC CHANGE
LID DELETE
CLASSI
YEAR
I LIC. E,FFEC. DATE
REA' SG L71,C., NO
SPIF
1
RECEIPT NO.
DATE PAID
A
PRINT X
IN SPEC. 130�
I
,FEE PAID
/1 01
PENALTY PAID
:
FOR ISSUE OF
C 0 R R E C T E 5
LICENSE WITH
I
1 1 I
'LC' ACTION.
LICENSE APPLICATION AND CHANGES
PLEASE PRINT CLEARLY
2. APPLICANT
LAST NAME, FIRST INITIAL SOCIAL SECURITY NUMBER
CIH.11, 14TIOINI I I IGII I I I n
DATE OF BIRTH PLACE OF BIRTH
0. AY YEAR STATE
ICITY
om,911', 2,�j EAMPATAN,,, A,E,,B,E,R,T,Al
�
HOME ADDRESS
BLDG. NUMBER
APT. NO. I
ISTREET
BIAIL,L,A,NITIR,A,E, I I IT, I
I I I
CITY
STATE]
I ZIP CODE
PIOIRITI IMIOIOIDIYI I I I I I I I
I
IB IC
jQfd*WPV
3. BUSINESS IDENTIFICATION
BUSINESS NAME (FULL)
YiOiR,Ki I Fj0i0iDiSi JiNiCt., I I I I I I I I I I I I
NATURE OF BUSINESS (DRUG STORE, CPA. ETC) BUSINESS PHONE
i
�RIEISITIAlUIRIA,N,Tj I I I I , I I I I '71715114_L3,6 3
WASH. STATE TAX NR. ANTICIPATED I TYPE OF OCCUPANCY
OC
(REGISTRATION) INR. EMPLOYEESI 'E . ' ER CAPACITY
ORGAN TYPE
igq ) c 9 9!
ENTER APPLICABLE TYPES AND CAPACITY t t
ESS.ADDRESS
=Sl
BLDG. NUMBER
2,310,215
STREET
Ill 0,0�II`IIAIv,g#q,% I I Tgj)��j
APT. No.
'��-�—ENSE-M-Ai'Ll'NG-ADD-RESS--
BLDG. NUMBER IFS—TRFFT
APT. NO.
CITY
STATE
ZIP CODE
F,iQjM,0INIDISI I I I I I I I I I
W A
[m
_L2�O
L2LqLO
5. EMERGEN Y NOTIFICATION (IN EVENT OF FIRE, BURGLARY, ETC.)
LAST NAME, FIRST INITIAL AREA CODE TELEPHONE
c ,H,IILIT,O,Nl I I '1 1 6p 4 81719 4 19 1.;
I I I
LAST NAME, FIRST INITIAL AREA CODE TELEPHONE
(2)
5S OFFICIAL USE ONLY
Ul I.R. PRI U ITS BUS. BLDG. PERMIT OCCUP.GRP.
CODE IF,
COND. USE PERMIT i LAND USE ZONING
I bid
CITY CLERK'S APPLICANT'S
SIGNATURE SIGNATURE
US TIT L
APPROVED DISAPPROVED DATE BUS. TITLE
FORM CCA (10!76) RETURN TO CITY CLERK
rREETfH&S LICENSE APPLICATION
CITY OF EDMONDS
250 5TH AVENUE NORTH
EDMONDS, WASH. 98020
TELEPHONE (206) 775-2525
INSTRUCTIONS
I . PRINT APPLICABLE LICENSE CLASS, FEE AND PENALTY PAID
IN ANNUAL FEE BOX AT RIGHT. PENALTY DUE ON RENEWALS
RECEIVED BY CITY CLERK AFTER FEBRUARY 15.
2. NEW BUSINESS: COMPLETE ALL LICENSE APPLICATION BOXES.
LIC. RENEWAL: REVIEW LICENSE INFORMATION BELOW. PRINT
CORRECTIONS AND ADDITIONS AT RIGHT.
3. SIGN AND REIURN APPLICATION WilH FEE (AND PENALTY).
4. LICENSE WILL BE MAILED TO YOU UNLESS YOU ARE NOTIFIED
11 TO APPEAR FOR APPLICAIION REVIEW.
LICENSE RENEWAL
REVIEW BELOW INFORMATION, PRINT CHANGES AT RIGHT.
STAFF ACTION
[R�E V E E
APPL. NO.:
nC9- Z 9
�RS
SIDE
DATE:
rAPPLICATION FOR:
IIIES�US
EW
El
LIC.
RENEW
LICENSE
YEAR [�j
r ANNUAL FEES
TYPE BUS. CLASS
FEE
PENALTY
HOME A
$10�00
$ 5.00
SMALL B
15.00
7.50
*GENERAL C
50.00
25.00
2. APPLICANT
NAME IAL SECURITY NO.
DATE OF BIRT77OF BIRTH
HOME ADDRESS
3. BUSINESS IDENTIFICATION
BUSINESS NAME
WASH. STATE TAX NR
EMPLOYEES I ORGAN.
BUSINESS PHONE
'OVER 10 EMPLOYEES, OR EMPL WORK
OVER 120 MAN MONTHS PER YEAR.
CLASS I FEE PAID I PENALTY P
-4
1 ?-_�) )�5 i H-1) - i :1
I/-
C
TYPE ORGANIZATION
IF BUSINESS IS:
HOTEL/MOTEL
APT, BLDG.
TYPE
L
A
CAPACITY
NR OF ROOMS/UNITS
NR OR APTS
C - CORPORATION
L -LTD. PART
OFFICE BLDG.
0
NR OF OFFICES
E
P PARTNERSHIP
RESTAURANT
R
NR OF SEATS
S
S SOLE OWNER
HOSP./NURS. HOME
H
NR OF BEDS
SCHOOL
NR OF STUDENTS
4. BUSINESS ADDRESSES
BUSINESS ADDRESS
LICENSE MAILING ADDRESS
5. EMERGENCY NOTIFICATION
NAIVE AREA TELEPHONE
(1)
(2):
OFFICIAL USE ONLY
U F.I.R. CODE
BLDG.
PERMIT
%...U. PERMIT
LAND USE
I ZONING
CITY CLERK'S
I SIGNATURE
E] APPROVED F] DISAPPROVED DATE
LICENSE NUMBER ACTION LA -. NEW 'U'
L. RENEWAL
LC .CHANGE
I I I LID DELETE
CLASS
I YEA�R
LIC. EFFEC. DATE
I REASG. LIC. NO.
I SPEC
RECEIPT NO,
DATE PAID
Ai% -
�Aqi k3
Ull
PRINT X'
IN SPEC. BOX
FOR ISSUE OF
C 0 R R E C T E 0
FEE PAID
PENALTY PAID
) '31 n f')
I
LICENSE WITH
LICENSE APPLICATION AND CHANGES
PLEASE PRINT CLEARLY
7 _NU _MB E_ R_ ]
I Ole) el Ll
DATE OF BIRTH PLACE OF BIRTH
MO. I DAY I YEARI I CITY - I
I I I [MITATI
01811,214,41 jDIEISj Pl,0IIiN,F,SI I I I 1 1
HOME ADDRESS
P�BLD G. N UFM
I B 7ER
I FSTREET APT. NO.
9 3,3, 1 B E.A.C,H,VII,EIlq, IDjRj I I I
C CITY
ITY STATE ZIP CODE
T I r
\J 0 R rP T4 V.A M.0 .0.TT,V.'F,.'R. p 0 IqmwA%bi&h_
3. BUSINESS IDENTIFICATION OFIC/ ce-
BUSINESS NAME (FULL)
CIAIlAIBIRIIIDIGIFj IIINjVIr,,,SITIl111,E,NITjS, II.NICp I I-
�NATURE OF BUSINESS (DRUG STORE, CPA, ETC) BUSINESS PHONE
C 10 IN IT IR IA,C IT,O,R 8 7 9 14,1,9,1
WASH. STATE TAX NR. ANTICIPATED TYPE F OCCUPANCY
Y
(REGISTRATI DN) [NR. EMPLD�YEESS ORG N. TYPE CAPACITY
1 'r 1 1
12,415 Ill c
ENTER APPLICABLE TYPES AND CAPACITY --t-- t 2
4. BUSINESS ADDRESS----.
BLDG NUMBIR�[STREET
rl2,1,3,0,2,5
1 0-t.!I-
0, 1 IAIV,
I �,q, �_ I I
LICENSE MAILING ADDRESS
BLDG. NUMBER
5,3 1 51 1
STREET
IlWflj��FTI 11101t1h,
I 1
APT. NO.
111,0101
CITY
VIA,N,CI0,UIV,E,R, I I I I
I I
STATE
B Ic
ZIP CODE
5. EMERGEN Y NOTIFICATION (IN EVENT OF FIRE, BURGLARY, ETC.)
(2)
LAST NAME, FIRST INITIAL . .
1310,RIDIEIRI I . I I IPI. I I 1 1
AREA CODE
61014
TELEPHONE
817,914,11911
TELEPHONE'
_L�j LL_�
LAST NAME, FIRST INITIAL
1 1 1 1 1 1 1 1 1 1 1 1 1 1
AREA CODE
1 1
COND. USE PERMIT
_j_J L-L L
APPLICANT'S
SIGNATURE
P IS. TITLE
wg,&I:gojg
MIR=
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1 9
'Allillb-
7tom]
vrl
OCCUP.GRP.
PUBLIC WRKS DEPAMfn= CNEE S T
STREET Flil-, BftmiNGPmaT REVIEW
COLZ?J, '78 Date
Gf*M -
Street Right -of -Way Existing
REQD
Access Easements Existing
REQD
Utility EasemmtExisting
REQD
Lot per Subdivision Plat
Assessor Map
Site Plan Checked for Accuracy
—
Underground Wiring Reqd.
Check Accuracy of Legal Description
Environmentally Sensitive Area
Environmental Checklist Reqd-
Z
Flood Hazard Zone
Shoreline Management Area,
Z
Slope, Soil, Vegetation
Stream, Creek; Drainage Basin
Existing Zoning Per Code
Amenities Design Board Approval Reqd. YES ADB # Approval)!S5.
Board of Adjustment Approval Reqd._&)�.nh.
)ic
Review By: Date:.
co ZZ-111 79
E
KstlMn g Water Main Size
W ain Zqd
Service Reqd.
Hydrant Size E-x's m*g..---
Hydrant Reqd. Per Fire Code
Size
Detector Check Meter Re
Cross Connecti spection
Fire ent Comments
Water Meter Charge Reqd.
Review by: Date:
bepi:ic LanK Lx-esign i-�pprc
Septic Tai* t ZReqd.
L
Sanitar, 3�)ew:er Ava*l I
Drawing No.
Side Sewer Availability
Sanitary Sewer Connection Fee
Review By:
uate:
Permit No.
Proj .
. �eNo.
Date:
an
Op�cn i Existi eqd.
Culvert Reqd. Size
P4 Catch Basin Reqd. IAdi�t�
ate on Site Plan
0 Shoulder drainage niaintain colle I 'I 13i�Z,Z,t] off
(n !-1-uiliole reqd. Indicate on Si
t
0 il itions and Ground Water Field 'Mecked
2-
�Cviel.,7 by rx-Ite
Street-7n��Reqd-,
lCurb and Gutter Req
Sidewalk Reqd.
a" Cut' for Drivei,�
ay Construction Permit Reqd.
H rBond Reqd. for Public Inprovements
o
Street Nami. Sign Reqd.
0 0 r Si7
_1�
ther Si , -iing Reqd.
g 0
Pre Site Inspection made on
Pr
0
BY: S MIEE R
WATER
STREET
EN.GINEERING
Special Requireiii-ants listed in mem to Com-wnit�r Development Department,
Builcting Division
BY �) 0 Date A
o All items filled in on Building Permit Application 24-p
BY Date
Drawings Stan-ned and Notations Made
BY -Dafte
lApproved by 'Public Iv.71orks Departim.-it
Revis-ed: 1v 10-1977
e10
PLANNING DATA
Multkenant Building
Business License Information
BUILDING NAME:. (��ID 1 0"" .1 ADB FILE #: - tJ'�A
10-0 -t" A V'z co .
SITE ADDRESS:— ZONING:
BUSINESS NAME: —SUITE NO.
USE(S) PROPOSED: ALLOWED?:
Legal Nonconforming Land Use Determination Issued(Y/N) CUP File:
PARKING: Use: No. Spaces Required:
x (floor area, etcj
Gly-, 4-,e
BUSINESS NAME: SUITE NO.
USE(S) PROPOSED: ALLOWED?:
Legal Nonconforming Land Use Determination lssued(YIN) CUP File:
PARKING: Use: No. Spaces Required:
x (floor area, # employees, etc.) =
BUSINESS NAME: SUITE NO.
USE(S) PROPOSED: ALLOWED?:
Legal Nonconforming Land Use Determination Issued(Y/N) CUP File:
PARKING: Use: No. Spaces Required:
x (floor area, # employees, etc.) = _
BUSINESS NAME: SUITE NO.
USE(S) PROPOSED: ALLOWED?:
Legal Nonconforming Land Use Determination lssued(Y/N) CUP File:
PARKING: Use: No. Spaces Required:
x (floor area, # employees, etc.) =
BUSINESS NAME:
SUITE NO.
USE(S) PROPOSED:
ALLOWED?:
Legal Nonconforming Land Use Determination Issued(Y/N) CUP File:
PARKING: Use:
No. Spaces Required:
x
(floor area, # employees, etc.)
BUSINESS NAME:
SUITE NO.
USE(S) PROPOSED:
ALLOWED?:
Legal Nonconforming Land Use Determination Issued(Y/N) CUP File:
PARKING: Use:
No. Spaces Required:
x
(floor area, # employees, etc.) =
PARKING:
Total Required: _
Actual Provided:
OTHER:
Plan Review By: j, P jr�� e--
LALibrary\APLANDAC BusLic &_'� '� — --) U — C S-
0 4
T3D C,,-,�� -�
City of Edmonds PERMIT NO: 111i
PEkMI T_ EXPIRES 4&0
SIDE SEWER PERMIT
Address of Construction: Z3 QZ .5 loof,� Ave -hue, tt/e_ - T f- LID #
Property Tax Account Parcel No. 2 70 *3 3 6 0011 *3 7oo
Attach copies of all access and utility easements Verified and Approved by
Owner and/or Contractor: 5 plw"bft-� Gas boo 1;HJA
&jjk Building Permit
Contractor License #: 31 Lin S P& 010 JX
N69SVI Y,
Ej Single Family
Multi -Family (No. of Units
Commercial (No. of Units
Public
Invasion into City *Right -of Way: 0 Yes [Z No
*RW Construction Permit #
Cross other "Private Property: E] Yes V No
"Attach legal descriptioh and copy of recorded easement.
Owner or contractor signature and acknowledgement statement:
-.-,,,,By signing for this permit I certify that I have read the City's public handout entitled
ide Sewer Specifications, and shall comply with all City requirements outlined therein.
. / (, q -a-L
Date
4"5555) BEFORE ANY EXCAVATION 9
9 CALL DIAL -A -DIG (1-800-41
47F
2 FOR INSPECTION CALL 425-771-0220 extension,i]1=
24 HOUR NOTICE REOUTRED FOR ALL INSPECTION REQUESTS
... .......
. .. ... ......... .
FOR OFFICE USE ONLY
Permiffee$� _RepairFee$ Issued By: 41mlelaz
Trunk Charge $ Date Issued:
Assessment Fee Receipt No: e4?49;6Z5_
City Permit Surcharge Fee $5.00 Total Fees Paid $
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO —Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL IN SPECT'ION APPROVED: Date: W�Vt k 101— Initial: As -built to Street File: E]
1,� PERMIT MUST BE POSTED ON JOB SITE t-
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp,bldg,forms;sspertnitjlg4/00
kii
144'
72*
ilz 161"
152"
24' -1,�j �-+ 24- -r�j FX- 24- -y�
80"
• CONCRETE : 28 DAY COMPRESSIVE STRENGTH
Vc - 4500 pel.
• REBAR : #4 ASTM A-615 GRADE 80
MESH : ASTM A-185 GRADE 88
DESIGN : ASTM C-857 *MINIMUM STRUCTURAL
DESIGN LOADING FOR UNDERGROUND PRECAST
CONCRETE UTILITY STRUCTURES'.
89' LOADS : H-20 TRUCK WHEEL w/ 30% IMPACT
PER AASHTO.
REINFORCEING PLACEMENT : #4 REBAR 12" O.C.
THROUGHOUT BASE AND TOP SECTIONS, 4"x4*/4
GAUGE MESH w/ 2-04 REBAR RUNNING HORIZON-
TALLY THROUGH BELL JOINTS IN MID -SECTION.
JOINT MATERIAL : MEETS FEDERAL SPECIFICATIONS
88-6-00210, AASHTO M-196B AND ASTM C990.
HATCHES PER DISTRICT SPECIFICATIONS.
So-
77"
97*
KA
19604 - 67th Ave NE klington, Wa. 98223 Telephone (360) 435-5531 Fax (360) 435-8575
6'- On 12'- 0" 61. 9"
71- 5" 13'- 50
No. 812-3-24R
it 8050 lbs.
Dn No. 61249
ht 8130 Ibs.
No. 61200
it 9000 Ibs.
INLET
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ILLUSTRATION
GREASE INTERCEPTOR
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waste water vault
CHOPSTICKS IN EDMONDS Refer to complete Site Plan and scope of
6i work by Monarch Trading Corp
NEW VAULT, &0
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FOR:Bill Cort --- WASTE WATER VAULT
CHOP STICKS
23025-100th AVENUE WEST LLOYD F. QUATIER & ASSOCATES
EDMONDS.WASHINGTON CONSULTING ENGINEER
TELEHONE:206-683-7790
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AFTER RECORDING RETURN.TO:
CONFORMED WPY
DEAN 'P. SHEPHERD, ATT�ORNEY -5
.,2003'0121147
P.O. Box 416
(.20,03 02:47 pM Snohoniish
EDMONDS, WA 980.20-04i6 01/2t REcoRDED 'County
P. 001 B.
RECCIVED.
JAN
4� D LU;j
PERMIT COUNTER
ILEASE)
Reference numbers of related documents: N/A
Grantor(s):
1 EILERT, Jerri, a_�single woman
Grantee(s):
17 WOO'S FAMILY INVESTMENT, L.L.C., a Washington Limited -Liability
Company
Legal Description:
1. A PORTION OF..NW 1/4 OF THE SW OF THE NW %OF THE NE 1/4 OF
SECTION 36, Tow.NSHip 27 NORTH, RANGE 3 EAST, SNOHOMISH Co.,WA
2. Additional legal description is on page(s) 16 of document
Assessor's Property Tax Parcel Account Number(s): 27033600113900
E`il"REET FILE
PARKINGLOT LEASE
THIS LEASE is made in duplicate e ffective the day of 2003,
U
between JERRI EILERT, 'a single woman, hereinafter referred to as "Lessor" and WOOIS
FAMILY INVESTMENT, LLC, a Washington limited liability corporation, doing busiess as
"Cbopsficks Restaurant" hereinafier referred to as "Lessee."
RECITALS
Premises. Lessor hereby leases to Lessee, and Lessee hereby leases from'Lessor, those
certain premises (a portion of the parking lot) situated in the City of Edmonds, Snobonlish
County, Washington, legally described as follows: See attached Exhibit "A". incorporated herein
by this reference and made a pail hereof hereinafier called the "premises", upon the terms and
conditions herein set forth, mid as shown in that attached Exhibit "A-1 " map. of parking area);
Subject to,
Reduction in Size of Premises. If the Lessor or its tenant, (whomever
that may be, (currently Lessor's tenant is, J.E. Sign Design, Inc.), should enlarge
the building now occupied by Lessor's tenant then the premises and affected
parking stalls shall be reduced accordin gly, i.e., by the area covered by an
enlargement of the building. 7le Lessor shall make every reasonable effort to
relocate any displaced parking stalls within the boundaries of the Lesso?s land.
2. Business Purpose. The premises are to be used'for the purpose of providin
g parking for
patrons of the restaurant owned and operated by the Lessee, i.e., "Chopstick's Restaurant" " and
all activities related thereto.
3. Term and Extensions. The term of this lease shall be one (1) year, commencing on or
about the I st day of January, 2003, and ending on the 3 1 th day of Oecember, 2003, inclusive,
klh/real estate/Eilcri Parking -Lease/Park-ing lot lease agreement/] 1/15/02 Page I
-subject to being extended for five 45) additional one (1) year terms on the same terms and
1condifions at the option of the Lessee for monthly rental payments at the amount as agreed
between the parties, 'in w
riting. Lessee shall exercise these options, 'in writing prior to sixty (60)
days before the end of each successive lease term. Failure to exercise -this option, to renew shall -
terminate the lease at the end of the term.
Early Termination upon Sale of Land. If the Lessor completes a sale .
of Lessor's land to a bona fide purchaser for value, the purchaser may for a period
of -one (1) year afier the closing of such sale terminate. this lease. To so
terminate, the purchaser MUSty� r any time within said one (1) year period, -give
ninety (90) days' notice to Lessee. For clarification purposes, the earliest that
purchaser could terminate this'lease would be ninety-one (91) days afler the
closing of the purchase. If said purchaser fafls to give such notice within one (1)
year from this date, then said purchaser is bound -by the continuing terms of this
lease.
4. Rent. Lessee covenants and agrees to pay the Lessor as rental for said premises a
monthly rental of $600/mo payable on the I" day of each calendar month for die first three 13)
months of the lease term., then $900/mo payable on the day of each calendar month. for the
next three (3) months of the lease term, then $1200.00/mo. during the balance of the inifial lease
term (which is 6 months) commencing on or about the Ist day of.July 2003,.to the end of the
lease term. Said amounts to be payable to Lessor at 9920 Edmonds Way, Edmonds, WA 98020.
Rent shall be payable monthly by the lease which is due no later than the I st day"qf,och month.
Rent shall be paid at the address indicated below for giving notices to the Lessor. Rent shall , be
delinquent if not received by the 3rd day of each month and, after that time, shall automatically
bear interest at a rate of twelve percent (12%) per annurn, compounded monthly. A late charge of
$50.00 will automatically be due for each month that a payment is not received by the 3rd day -on
klh/real estate/Eilert Parking],ease/Parking lot lease agreement/] 1/15/02 Page 2
them.onth. Unpaid latecharges shall also automatically beat miterest at a irate of twelve (12%) per
annurn compounded montWy.
Aental Summary & Increases.for Renewal Periods. The rent shall. increase by 5% fO'T-
eachr year during any. renewal periods as follows:
January 2003 thru March 2003 $600 for first 3 months
April 2000 ffiru June 2003 $900 for 3 months
July 2003 ffiru December 2003 $1,200 for the next 6 months.
January 2004 thru December 2004 $1260.00 per month.
January 2005 thru December 2005 $1323.00 per month.
January 2006 duu December 2006 $1389.15 per montIL:
January-.2007 thru December 2007 $1458.60 per month.
January .2008 diru December 2008 $1531.53 per month
Early OccuDancv in December of 2002. In the ewnt-that Lessee opens its restaurant
(and therefore uses the parking stalls) prior' to January 1, 2002 (i.e. in December of 2002) then the
rent shall be pro -rated based on a $900 per month base rent ($29.03 per day).
5. -Exclusive Use, Hours of -Use.
(a) General Rules. The parties recognize that Lessor's tenant currently,
J.E. Sign Design, Inc. occupies adjacent land and also leases the premises for
parking of vehicles of its employees and customers during certain daytime hours.
Lessor's tenan� or its assignee, or Lessor, shall have the exclusive right to use
the premises at all times that Lessee does not have the exclusive right to use the
premises, all in accordance with and subject to the schedule and exceptions
outlined below.
(b) Schedule of E-xclusive Hours.
11:00 a.m. on Mondays to-8:00 a.m. Tuesday.
k1h/real estate/Eflert Parking Lease/Park-ing lot lease agreement/] 1/15/02 Page 3
the parking lot free fi-om unauthorized use,. and not by way of limitation of that
duty, Lessee agrees -further as follows:
(1) Noticei Warning and No Parking, and Toww*g..Sign&: -To.,.-:''
discourage unauthorized use, Lessee shall, at a minimum, pi
ace wanwfg
and towing signs at the l6cafions. as indicated on the attached diagram,
which -are marked with the letter "S"* stating parking shall be only for.
customers of J.E. Sign Design and Chopsficks Restaurant. Ile signs
shall be 'of appropriate size and shall, contain the basic infonnafion as .
indicated, herein. Such signs must be approved by Lessor (which.shall
not be unreasonably withheld), and. paid for by Lessee. Lessee shall also
be responsible for maintaining these signs, and other signs already on the-
prerruses, at Lessee's cost, which sha mean, but not be limited to,
replacing vandalized signs, repainting signs, replacing stolen signs and
the Re.'
6. The Lessee's exclusive weekday use of these spaces (marked with."J") shall conunence at die
end of Lessor's tenant's business hours, as stated above (subject to change by Lessor with
reasonable advance notice given to Lessee).
7. Lessor and it's tenant, the tenant's employees and the tenant's customers are allowed the joint
use of these and/or any four (4) spaces on a "Arst come, first served" basis, with Lessee and its
customers at any time Lessor and its tenant the tenant's customers and the tenant's employees
have a legitimate business need.
8. Delivery Trucks.. Lessee shall keep its delivery trucks, from parking in the subject area
during unauthorized times. This also pertains to any other businesses h*g to park in the area.
The area in front of J.E. Sign Design, Inc. needs to be kept clear for access at all times during
business hours, prior to the authorized times �fbr use. Lessee shall see to it that its vendors who
klh/real estate/Eileil Parking Lease/Parking lot lease 4greement/l 1/15/02 Page 5 ' 1
Aeliver' by truck -are awan of where to legally park during unauthorized hours. A'designat ed
person(s) for bessee.shall be in -charge of informing suoh..truck drivers and deliverymen; and
policing for the same, as indicated below. All delivery companies of Lessee must.be notified of
this Lease and of these provisions.
9. Policinp Parkirie.Lot andDesignation of Perion(s). Lessee must designatta person(s)
and/or employees(s) whose job is to police the parking lot for violations on a regular daily basis
during the unauthorized times, especially within the last hour before authorized times commence,
and in the morning of the next day before unauthorized times begin. Such des
gnatid person
shall remove all vehicles in violation, i.e., call for a truck to tow away the violator at violatoes
cost. Lessee shall ke . ep Lessor informed as to whornbas been so designated. TIol4gh Lessor has
no duty to do so, Lessor, may, at its option, call the authorized tow truck company, an& does not
need to give notice toL..Pssee prior to calling for the tow,
10. Lessor's Use of Parkine Lot. From time to time, Lessor or its tenant, needs to park its
customer vehicles in the parking lot for tenant's to m-pany business, and this is permitted under
this Parking Lot Lease.
11. Default. Regular and continued unauthorized use -constitutin violations of this lease,
9
shall be grounds for Lessor to declare this lease to be in default and Lessor may elect, at its
option, to terminate this lease in its entirety.
12. Maintenance of Premises: Lessee shall -generally maintain in good repair,, at its
exclusive expense, the parking lot and all associated components, including but not'limited to,
asphalt surfacing, drainage, lighting, signs, striping, curbing,, front -end tire stops, speed bumps
and all adjacent landscaping and gardens. With respect to keeping these items in -good repair, or
after being repaired or improved, Lessee, without limiting the other duties, agrees to do the
following:
klh/real estate/Eilert Parking Lease/Parkingg lot lease agreement/I 1/15/02 Page 6
(a) Lighting. With respect to the lights that eiist for the
parking lot now
(currently, the lights are located on the attached diagram marked 'T") someof
which are on the Lessee's property, and/or that are added, tessee agrees to
regularly inspect the lights and to replace bulbs immediately to keep the parking
lot safe and well fit at night,.and, if necessary, repair and/or replace light fixtures.
This maintenance shall be done within a reasonable time, which shall be deemed
.to be three (3) days after a maintenance problem with the lights an' ses.
Planter Area and HiUside Landscaping. The planter areas and shrubs
and plants need to be regularly maintained and watered throughout the year,
including but not limited to, replacing shrubs that die or are vandalized. This
includes, but is not Ifinited to, using beauty bark at least once per year. Weeds
and blackberry bushes should be sprayed no less than at least once per year. Ile
.-hillsides need to be maintained, i.e., weeded and growth �cut back. The shrubs
need to be regularly maintained.-'
(c) Drain. Basin. Lessee agrees to maintain the drain basin as needed for
repairs and/or replacement.
(d). Fence. Lessee shall maintain and repair all damaged areas and posts of
ch airdink and wood fences surrounding Lessor's property, i.e., paint, repair, etc.
Lessor shall have inspections, and the maintenance and repairs - shall be to his
personal satisfaction, which will not be unreasonably withheld.
(e) Lot Clean-up. Lessee agrees to keep parking areas, including, but not
limited to, all planter areas, hillsides area, and around dumpsters, clean -from-
debris, including but not limited to, litter cans, cigarette butts, bottles and other
trash. Lessee shall designate a qualified person to perform this task. Lessor shall
be kept reasonably informed as to whom has been so designated. This area must
klh/real estate/Eilen Parking Lease/Parkin lotleaseapeement/11/15/02 - .: 49
.9 P e7
be inspected and cleaned as indicated, prior to-8:00 -a.m. each day, to the Lessor's
personal satisfaction, which shall not be unreasonably withheld. If tMs work- is
not completed then. Lessor will hire a third party to perform the work and will
advance the costs and then add such amounts to Lesse,e?s rental amount.' My bill
so incurred and subm�itted shall be paid by Lessee with 30 days of such subtriittal.
(1) Parking Area Maintenance. Lessee shall maintain the asphalt parking
surface in a reasonable fashion at his cost, which shall, -mean, at a minimum, and.
not be of limitation, that.the surface shall be kept clean and free ofcrack-s, oil and
other material. AJI parking stall stripes shall be regularly inspected and re
painted when reasonably necessary and to Lessor's. personal satisfaction, wh.ich
shall not, be unreasonably withheld. Speed bumps shaU be maintained and
repaired when necessary. Lessee shall hire qualified professionals, where
needed, to perform maintenance functions to do so.
(g) Curbing and Tire Stops. Lessee shall maintain, at its cost, the concrete
curbing and tire stops on the premises, which will mean hiring professionals to
do so if necessary.
(h) Lessee's Building. Lessee shaU be keep the- east side of the Lessee's
building clean, painted and maintained to the personal satisfaction of Lessor,
which shall not be unreasonably withheld.
(i) Time Frame for Repairs. Except as otherwise provided herein or
otherwise agreed to between parties, once lessee has knowledge of somediing in
need of repairs as described herein, then Lessee shall have three43) days to repair
the same.
(j) Disputes Regarding Maintenance an d Repairs. Any disputes
regarding the repairs or maintenance as provided in th�is Lease shall be resolved
'klh/real estate/Eilert Parkin r
rg Lease/Paik-ing lot.lease agreement/] 1/15/02 Page 8
by AAA Arbitration, 'pursuant to its Commercial Rules, or other mutually . .
agreeable arbitration procedures, but in no event shall there be,more thaw.one
arbitrator.
13. � Utility Costs, Lessor shall pay all sewer and water charges which constitutes liens
against real estate of which the premises are a part.' Lessee shall pay all garbage, lighting and
maintenance charges associatedvith the premises.
14. Dumpster. As additional.compensation for this Lea -se, the Lessee agrees to allow the
Lessor and its tenant, J.E. Sign Design, Inc., reasonable use of any dumpster that is either own ed
or rented by the Lessee, without cost to Lessor or Lessor's tenant'.
1.5. Assienment and Sub-Lettine. Lessee shall not assigh, mortgage or pledge this Lease or
any interest therein, and shall not sublet the premises or any right or privilege appurtenant thereto
without the written consent of the Lessor first being obtained, Which consent the Lessor agrees
not to unreasonably withhold. Requests for assignment; subletting, or any type of transfer of an
interest in the Parking Lot Lease While Lessee is not in complete"c'. ompliance with the terms of the
Lease will be deemed to be unreasonable, at the option of the'Lessor, and consent need not be
given.
16. Liability Insurance. Lessee shall procure and maintain at its expense, during the term of
this Lease and any extension thereof, public liability insurance with insurers approved by LessoT
in the minimurn amount of $1,000,000 for bodily injury and death, and $25,000 for property
damage. Such policies shall name the Lessor, Lessor's tenant, J.E. Sign Design, Inc. as additional
insureds. If such insurance is not kept mi force during the terms of this- Lease and any extension
thereof, the Lessor may, but is not obligated to, procure the necessary insurance and the premium
or other cost of such insurance shall repaid by the Lessee as additional rent due in full the month
following the month in which theLessor pays for such insurance. Lessor may terminate, this
lease for lapse of insurance coverage upon giving the Lessee thirty (30) days notice of default and
k1h1real estate/Filert Parking !,ease/Parkijvg lot lease agreement/) 1/15102 Page 9
intent to terminate for this reason. Lessee shall then. have thirty ('30) days to reinstate requiFed
insurance coverages and avoid termination of this Lease. Lessee shall provideA current copy of
the insurance binder and/or declarafions pag ry
e to Lessor for review at lease once eve six (6)
months. A binder for such insurance shall also be provided.
17. flold Harmless and Non -Liability of Lessor. Lessor shill'not be liable to Lessee or
others for any damage, loss or injury to the premises being out of repair or due to any defects in
the premises or to any other cause which the Lessor Js not responsible for -under this lease.
However, the Lessor shall remain liable for affimnative negligent acts'on its part or of any of its
agents or employees. Lessee agrees to indemnify and hold harmless Lessor from any and all loss,
liability, claims, demands and actions of any kind arising from the failure of the Lessee to keep
the premises in good condition and repair resulting from a breach or the non-perfori-nances of any
covenant of this Lease by the Lessee.
18. lessee's Riaht to Make chanees in the Premises. The Lessee shall have the right to
make changes, alterations or improvements to die. pren':iises, at its expense, subject to the
following conditions:
(a) No Harmful Changes. Nodiiing shall be done which wiU weaken or impair the
structural soundness of any improvement on the premises, nor which will materially
diminish or harin its'value.
(b) Consent of Lessor. No such changes, or alterafions, can be made without the
Lessor's approval in writing.
(c) Title to Improvements. Any addifions or improvements to the premises made by
the Lessee shall become the property of the Lessor. " -
(d) Quality of the Improvements. All construction shall be of good quality and
workmanship of the first class.
klh/real. estatOlEileri Parking Lease/Parking lot lease a,;,greement/I 1/15/02 . Page 10
19. Notices. All'fiotice.s to be given by. the parties hereto. shall be 'in writing and may either
-be served personally or may be deposited in. the United State Mail, postage, prepaid, by either
registered mail orby regular mail with certificate of mailing obtained, and it to be given to
Lessor, to be addressed to the Lessor, or Lessor's agent, or, if to be given to Lessee, may be
addressed to Lessee at the ]eased premises, as_follow:
(a) To Lessor: Jerri Eflert
9920 Edmonds, Way
Edmonds, WA 98020
(b) 'To Lessee: Terry Woof Managing Member
Woo's family Investment LLC
th
23025-100 Ave. W.
f,dmonds,'WA.98020
2 0. ,Default and Re -Entry. If any rents above reserved, or any part. thereof, shall be and
remain unpaid when the same shall become due, or if Lessee shall violate. or default in any of the
covenants and agreements., herein contained,, then the Lessor may cancel this lease upon giving the
notice required by law, and re-enler said premises, but notwithstanding such re-entry but the
Lessor, the liability of the Lessee for the rent provided for herein shall not be extinguished for the
balance of the term of Us lease, and Lessee covenants and agrees to make good to the Lessor any
deficiency arising fi-om a re-entry and re -letting of the premises at a lesser rental than herein
agreed. The Lessee.shall pay such deficiency each month as the amount thereof is ascertained by
the Lessor.
21. Costs and Attorneys Fees. If by.reason of any default on the put of the Lessee it
becomes necessary for the Lessor to employan attorney, or in case Lessor shall being suit to
recover any rent due hereunder, or for breach of any provision of this lease or to recover
possession of the leased premises, or if Lessee shall bring any action for any relief against Lessor,
declaratory or otherwise, arising out of this lease, the prevailing party shall have and recover
against the other party, in addition to die cost allowed by law such sum as thecourt may adjudge
klh/realestate/EilertPark-iftgLease/P-ark-inglot,lea-se-a -eement/11/15/02 Page I I
gr
to be a reasonable attorney's fee. In the event the Lessee defiults in the payment of the rental
amounts� stated herein, the Lessee agrees to pay for the cost of any collection agency or attorney
employed by Lessor.
22. Non -Waiver of Breach. The failure of the Lessor to insist upon strict performance of
any of the covenants and agreement's 'of this lease, or to, exercise any option herein conferred in
any one or more instances, shall not be construed to be a waiver or relinquishment of any such, or
any other covenants or agreements, but the same shall be and remain *in full force and effect.
23. jl)amaee to Lessor's Vehicles or its Customer's Vehicles. Lessee agrees to notify its ' ,
insurance carrier immediately, should it appear that any of Lessoes vehicles or Lessoes-
customers' vehicles have been damaged by Lessee or its customers.
24. Heirs and Successors. Subject to the provisions hereof 'pertaining to assignment and
subletting, the covenants and agreements of this lease shall be binding upon the heirs, legal
representatives, successors and assigns of any or all of the parties hereto.
25. Ifoldover. If the Lessee shall, with the written consent 'of Lessor, hold over after the
expiration of die term of this lease, such tenancy shall be for indefinite period of time on a month-
to-moiith- tenancy, which tenancy, may be tenninated as -provided. by the laws of the State of
Washington. During such tenancy, Lessee agrees to pay to the Lessor the same rate of rental as
set forth herein, unless a different. rate is agreed upon, and to be, bound by all of the tenns,
covenants, and conditions as herein specified, so far as applicable.
26. Subordinate. This lease is subject to and is herby subordinated to all present and future
mortgages, deeds and trusts and other encumbrances affecting the dernised premises or the
property of which said premises are a pan. 37he Lessee agrees to execute, at no expense to the
Lessor,. any instrurnent which may be deemed necessary or desirable by the Lessor to fiulher
effect the subordinafion of this lease to any mortgage, deed of trust or encumbrances.
kEVr,eal estate/Eilert Parking Lease/Parking lot lease -agreement/] 1/15/02 . . Page 12
27. Mutual Release and Waiver.- Lessor and Lessee do each herewith and her�byi_
Klease
and relieve the other, and waive their entire claim of recovery for loss or damage to proper t'y
arising out of or incident to. fire, lightning and perils included in the extended coverage
endorsement, in, on or about the said premises, whet . her due-t the neglige I bee 'f
Q , . o My o: said
parties, their agents or employees or otherwise.
Lessor's Warranty ofteaseliold Interest. Lessor, in addition to any warranties implied
,-by law, expressly warrants to' Lessee that the leasehold interest being granted Lessee hereunder is
free and clear of any claims.by any priorlessee of the premises 6r'of any prior or higher int
erests
in the premises than that granted Lessee hereunder.
IN WITNESS WHEREOF, the parties hereto have. executed this. lease the day and -year
first above written.
Je�4]Eilertj Lessor.
V
Date: �0 k
TOTY 0, anag g M ber of
WJQO'S F ILY INVESTMENT, LLC, 6
Wishijigton limited liability corporation, Lessee,
and INDIWDUALLY as GUARANTOR of 'this
lease.
Date: 0
klh/real estateffilerl Parking Lease/Parking lot lease .agreement/] 1/15/02
Ppge 1 -3
STATE OF WASHINGTON
ss
COUNTY OF SNOHOMISH
I certify that, I know or have satisfactory evidence that JERRI L. EILERT signed this.
instrument and acknowled ed it to be her free: and
�g voluntary act for the uses,. and purposes
mentioned in the m"strument.
DATED tMs 'day of .2003.
PETER'ABENNETT
STATE OF WASHINCTON
NO TARY-.--- PUBLIC
My COMMISSION- EXPIRES 2-05-OG
STATE OF WASHINGTON
Notaiy Public igamdfor thei'Stfiate of hington
Residing at
My conimission expires:
ss
COUNTY OF SNOHOMISH
I ceftify that I know or have satisfactory evidence that TERRY WOO is the person who
appeared before me, and said person acknowledged that he signed this instrument on I oath stated
that he was authorized. to,,execute the instrument and acknowledged it as the Managing Member
or other authorized agent of WOO'S FAMILY INVESTMENT. LLC to be the .free and voluntary
act of such party for the use's and purposes mentioned in the instrument.
DATED this . _2 0
_L—'day of Jjg=3n-%n,9-� 2003
SHEP)y
9-
OFW
a -,AIA
Notary Public 'in anA -for tWstate of Washington
Residing at
My-rom.mission expires: Oct log
k1h/real estatAilert'Parking Lease/Parking lot lease �qgreement/l 1/15/02 Page 14
STATE OF WASHINGTON
ss
COUNTY OF SNOHOMISH
I certify that I know or have satisf6ctory evidence that TERRY WOO, individually,
signed this instrument and acknowledged it-Io be his free and voluntary act for the uses and
purposes mentioned in the instrument.
DATED*this f/_j�davof 40_teAA:�2 2003
A- -
Notary Public inand or- theSta'te ot Washington
it Residing at
C 0 My commission expires:
Z' 112 106
fa *4 olp'Fty
:0
7tOF\N
k1h./real estate/Eilert Parking Lease/Parkijqglot lease apeement/I 1115101 Page 15
I Exhibit A
Parldng Lot Lease
Premises
Ile premises described under this lease is consists of the parking stalls'and related parking areas
conmonly known at 9920 Edmonds Way, Edmonds, WA 98020, and legally described as.
follows:
A Portion of (parking stalls only, and roadway access...
The NW quarter of the SW quarter of the NW quarter of the NE quarter of Section 36,
Township 27 North, Range 3 East W.M., Except the West:-180.0' and except that portion
described as follows: commencing at the Northwest comer of the above said subdivision:
'thence South, a distance of 30.0% thence South 89050'44" East, a distance of 180.0" to
the true point of beginning of the tract of land herein described; thence continuing I south
89*50'44" East� a distance of 150.71' to the East line of the above said. subdivision;�*
thence South 0*30'24" East, along said East line, a distance of 170.0'. thence North
89*50'44" West, a distance. 151.24% thence North 0*19'44'-' West a distance 170.0' to
the true point of beginning.
TOGETHER with an easement for -egress and ingress and utilities over, under and across
the East 20.0' of the West 40.0' that portion of the Northwest quarter of the Southwest.
quarter of the Northwest quarter of the Northwest quarter of said Section 36, described as
commencing at the Northwest comer of the above said subdivision; thence South, a
distance of 30.0% thence South 8 ' 9*50'44" East, a distance of 180.0' to the true point of
beghuiing of the tract of land herein described; thence continuing South 89*50'44" East,
a distance of 150.71' to the East line of the above said 'subdivision; thence South
0*30"24" East, along said East line, a distance of 170.0' thence North 89'50'44" West a
distance of 151.24% thence North VM44" West a distance of 170.0' to the . true point of
beginning.
Situate in the County of Snohomish, State of Washington.
Ard-i T.r-. mn,i v-PAIM
FHAI 14 "Im. *1 fil."itfl-I W,
4U.1 that portion of the NIV 1/4 of- tne Siv 1/4 of the N . 111 1/4 of the
ME' 1/4 of Section 36, Township 27 N. R.. 3 , described as follollis
Beginning at the northwest corner of the said NIV 1/4 of the S111 1/4
of the NM1/4 of the NE 1/4; thence easi- 30 ffz,�(,It to the east line of
100-th Avccnue West.; thence south a1on- the east line of 100th Avenue
t 1Z80 feet to the true point of bieginning; thence east parallel with
s0uth lille of Secondary State Hi4ghway No. 1,41 (jdyaonds 'Nay) ISO- feet;
tllwnce south 00 19' 44" East l4q.,,),()' fcot to the s'outh line of 5,a'id
subdivision; thence west parallel to '110 sOUth line of said. hio-iway 150
feet to the east line of luoth J'�vOnUt' IVC'St; thcncenorth along"the' cast
of 1.00th Avenue West to the true poj,-jj: Of beginning; situate in the
COUTItY of Snohomish, State 017 1%`a s )-I i n p, t o n
0 F EDMONDS
CITY
Call PR spect 6-1107 when work
0
cl-VIC CENTER WATER -SEWER DEPARTMENT
is ready for inspection. (No nopee
tions Saturday, Sunday or hoUdays.). N2 1483
511)f,�'SEWEIZ 'PERMIT
the
1 in e
2005 - 9th Avenue South
ADDRESS.................... ............................................................................................................... ...............................................................
OWNER ... 049nUin. T ... Inc Mart CONTRACTOR... Pete Kohl Excavatina Service
.... ........ ............ .................. ................................ ............... . .. . .....................
Per - missi6n is,granted, ...... N.ove.rribe.r..�! ............... . tor ...................... days, to REPAIR or CONNECT a side sewer
. .. ....... .......
with - City Sewers in - accordance with application on. file and governing ordinances.
ATTENTIONJS CALLED TO THE FOLLOWING:
NOTE No. 1—The owners of the property may obtain a permit to constructsewer Inside property line. A licensed Side Sewer Contractor must
be employed �to-construct side sewer in street area. Do not cover any portion of sewer before It has been Inspected.
NOTE No. 2—Obtaln full Information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
N�-F, . No. 3—Top of. sid . e sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%.
-No bends Im grade sharper than % will be permitted.
1\_.� No. 4—Trenches-intstreet must be water settled and surface of street restored to original condition. Contractors shall be responsible for
'iahure due:* o improper work which may develop within one year of completion.
NOTE No. 5--It Is. unlawful to alter or do any other work than is provided for In the permit, or to do any work on the main sewer or Its ap-
. . purtemances except to insert the pipe Into the wye.
PAY
.ERI00
INDING
1H01WRS
..RATE
.�GROSS,
EA.R S.,
--,,EARNINGS:,�
-'NET
0. A
INC. TAX'
REG TIME
OVERT-[M�-
a
FIC106YEE
TFOS IS A SZ-A _E" -1� 1�
o� .0 E) XNEN
Q,�R � R I N G 5, AN 0-1) E D U CTI 0 N S FO R;�TH E P E R I I N D I CATE D.:'k E k R TH I �'"F o R',,�6 0 R -0 E Rl�l T"RIf6' RD,
WV4, - 0
-2
AFTER -RECOFHDING 'RETURN TO:
DEAN P. SHEPHERD, ATTORNEY
P.O. BOX 416
EDMONDS, WA 98020-0416
CONFOrtMED 00PY
20030121147-4
011/21/2003 .02:47 pM Snoh-Omlsb
,County
P -,0012 RfcORDED
RECEIVED
JAN '2' 2003
PERIMIT 1COUN'ThEIR
(LICENSE AG REEMENT)
Reference numbers of related documents: N/A
Granior(s):
1 . ANDERSON, Ronald R.
2. ANDERSON, Lynne M.
Graniee(s):
1. WOO'S FAMILY INVESTMENT, L.L.C.
Legal Description.: W
E SW '/,, OF THE NW 1/40F THE NE 1/4 OF SECTION
PORTION -OF NW 1/4 OF TH
36, TOWNSHIP 27 NORTH, RAW3E 3 EAST, SNOHOMISH CO., WA
2. Additional legal description is on page(s) 2 of document
Assessor's Property Tax Parcel Account Number(s): 27033fo-Ml-135-00
Legal Description: (B)
PORTION -OF NW 1/4 OF THE SW 1/4 OF THE NW 'I/. -OF THE NE '/.. OF SECTION
36, TOWNSHIP 27 NORTH, RANGE 3 EAST, SNOHOMISH CO., WA
2. Additional legal description is on -page(s) 3 of document
Assessor's Property Tax Parcel Account Number(s): 270336-.001-137-00
Legal Description: (C)
LICENSE AFFECTING THE SOUTH 20 FEET OF THE WEST 40 *FE-ET OF PARCEL A
ABOVE
2. Additional legal description is on page(s) 3 of document
Assessor's'Property Tax Parcel Account Number(s)
Page - I
270336-001-135-00
STREET FILE
...LICENSE AGREEMENT..
THIS LICENSE AGREEMENT is made and entered into,as of this day
of Dee -ember, 20U, by and between RONALD R. ANDERSON and LYNNE ..M.
ANDERSON, husband and wife, Grantors-, and WOO'S FAMILY INVESTMENT, L.L.C.,
Grantee.
-RECITALS
1 GRANTORS RONALD R. ANDERS-ON and LYNNE K ANDERSON are the
owners of that certain parcel of real property legally described as - follows, and
hereinafter referred to as PARCEL nA.":
THAT P40RTION OF THE NORTHWEST OUARTER OF THE SOUTHWEST QUARTER
OF THE NORTHWEST OUART-ER OF THE NORTHEAST QUARTER OF SECTION 36,
TOWNSHIP 27 NORTH, RANGE 3 -EAST, W.M., IN SNOHOMISH COUNTY,
WASHINGTON, -DESCRIBED AS'FOLLOWS-_
COMMENCING AT THE NORTHWEST CORNER OF THE A1DOVE SUBDIVISION;
THENCE SOUTH, A DISTANCE OF 30.00 FEET; --THENCE SOUTH 6905044"
EAST, A IDISTANCE OF 180.-00 FEET TO THE TRUE POINT OF BEGINNING OF THE
TRACT OF LAND HEREIN OESCRIBED; THENCE CONTINUING SOUTH 690-5W44"
EAST, A 01STANCE OF 150.71 FEET, TO THE EAST LINE 'OF -THE ABOVE SAID
SUBDIVISION; THENCE. SOUTH OID30'24" EAST, ALONG SAMEAST LINE', k
DISTANCE OF 170.00 FIE -ET; THENCE NORTH 89050'44" W:EST, ADISTANCE
OF 151.24 FE!ET; THENCE NORTH 0 0 19'44" W:EST, A -DISTANCE'OF 170-00
PEET TO THE TRUE POINT OF BEGINNING; EXCEPT THAT PORTION TH:E-R-r--OF
CONVEYED TO THE STATE OF WASHINGTON FOR HIGHWAY (SR104-EomoNos
WAY) BY DEED RECORDED UNDER RECORDING No. 2267M. SITUATE IN THE
COUNTY OF SNOHOMISH, STATE OF WASHINGTON.;
2. GRANTEE WOO'S FAMILY INVESTMENT, L.L.C. is the owner of that
cer-tain -parcel of real property. legally described as follows, and hereinafter -reterre.d �to
as PARCEL "B":
Page - 2
THAT PORTION OF THE NORTHWEST -QUARTER OF THE SOUTHWEST QUARTEER
OF THE NORTHWEST OUARTER OF THE NORTHEAST �OUARTIROF SrECTION 36,
TOWNSHIP 27 NORTH, RANGE 3 EAST, W.M., IN'SNOHOMISH C-OUNTY,
WASHINGTON, -DESCRIBED AS FOLLOWS:
BEGINNING AT THE NORTHWEST CORNER OF THE I S . AID NORTHWEST OUART*ER
OF . THE SOUTHWEST -OUARTER OF THE NORTHWEST OUARTER OF THE
N I ORTHEAST OUARTER; THENCE EAST 30 FEET TO THE EAST LINE OF 100TH
AVENUE WEST; THENCE SOUTH- ALONG THE EAST.LINE OF 100TH AVENUE
WEST 180 FEET TO THE . TRUE POINT'OF BEGINN.114G; THENCE EAST PARALLEL
WITH THE SOUTH LINE -OF SECONDARY STATE HIGHWAY NO. 1 -W (EOM014DS
WAY) 150 FEET; THENCE SOUTH 00 19'44- EAST 1.00.00 FEET TO A POINT.
49.86 FEET FROM THE SOUTH LINE OF SAID SUBDIVISION; THENCE WEST
PARALLEL TO THE SOUTH LINE OF SAID HIGHWAY 150 FEET TO THEEAST LINE
OF 1 OOTH AVENUE WEST; THENCE NORTH ALONG THE EAST LINE OF 1400TH
AVENUE WEST TO THE TRUE POINT OF BEGINNING; -EXCEPT THE WEST 10
f EET OF SAID PROPkRTY -CONVEYED TO THE CITY OF EDMONDS 'FOR PUBLIC
ROAD BY QUIT CLAIM -DEED RECORDED UNDER AUDITOR'S FILENO. 1680714.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON.
ngress and
3'. GRANTORS desire to grant a non-exclusive License for i
egress over a portion of PA13CEL "An in favor and for the benefit -of the ovyne.r.s.of
PAR . CE I L -B-, d/b/a CHOPSTICKS RESTAURANT, its -business customers, agents and
employees on all of the terms, covenants, conditions and restrictions hereinafter set
a
forth. The legal description of the area which is the subject of this License is S
follows (hereinafter referred to as the "LICENSE PARCEL").:
THE SOUTH 20 FEET OF THE WEST 40 PEET OF THE DESCRIBOD
PARCEL "A".
NOW, THEREFORE, in consideration of all of the covenants and agreements
hereinafter contained, the parties hereto agree as follows:.
GRANT OF LICENSE. GRANTORS do hereby gfant,lo GRANT-EE, dib/a
Page - 3
2
CHOPSTICKS RESTAURANT, owners of PARCEL its business . customers,
-employees and agents, a non-exclusive License to pass over and across -that -portion
of PARCEL "A" lying within the LICENSE PAK-EL, for ingress and egress.
2. RENT. Rent -for this License shall be -payable from GRANTEE -to
GRANTORS in the sum of One Hundred Twen.ty-Five ($125.00) Dollars per month
-pay . able on the first (1st) day of each month during the term of this '.License
commencing January 1, 2003.
NQ INTERFERENCE Neither GRANTORS nor GRANTEE shall construct or
erect any obstruction, whether temporary or -permanent in nature, which limits, the
free and unimpeded use of the LICENSE PARCEL, nor shall GRANTORS or GRANTE-E*,
or its customers in any manner block, obstruct or interfere with the other 's use of the
LICENSE PARCEL described above during the �Ierm of this License.
4. DURATION. The term of this License Agreement shall -be one 41) year
commencing January 1, 2003 and endingDecember 31, 2003, inclusive, subject to
being exiended for five (5) additional one (1) year terms on the 'same terms. and
conditions at the option of the GRANTEE -for the consideration as agreed -between the
parties in writing. GRANTEE shall exercise these.opt.ions in writing -prior lo sixty (,6())
days before the end of ea ch successive one yearterm. Failure to exercise this option
to renew shall terminate this License at the end of the term. It is agreed that in the
event GRANTEE's Parking Lot Lease with Jerry-filerl W.E. Sign Design) is terminated
this License Agreement shall terminate concurrently.
5. PARKING CONFLICTS. In order to avoid the parking of vehicles by
Page - 4
customers of -GRANTEE on the property of GRANTORS, GRAW-f-E, shall -post a
warning sign, at a location to be mutually agreed between the parties, warning.
G'RANTE-E's customers they are not authorized to park in GRANTORS' (lvar's) -parking
lot. GRANTORS or fepresentatives of lv6r's may give such custorrt6rs a written
warning, and upon. a second violation a fine of Twenty -Five ($-25.,00) Dollars -per
violation. In the event more than five (5) such parking violations occur in any
calendar year,. during. the -term of this License Agreement, this Agreement shall be
subject to termination by GRANWRS by written notice to GRANTEE.. -
6. MORIENCUMBRANcEs The License granted hereby and the rights of the
parties hereto sha . 11 be subject to all encumbrances and other matters -of record
including, without limitation, conditions, easements, covenants and restrictions of.
record.
7. NDT A PUBLIC DEDICATON. Nothing contained in this Agreement shall
be deemed to be a,gift or dedication of all or any portion of the -LICENSE.PARCEL...
granted hereunder for or to thegeneral public or.f or anypublic -purpose whatsoever,
it being the intention of iheparties hereto that this Agreement be strictly limited to
the purposes expressed herein.
8. 1 N. This Agreement may be terminated, extended, modi.fied
or amended with the consent of GRANTIDRS and GRANTEF., and any such
ective only upon the
termination, extensions, modif.ication or amendment shall be eff
execution by both parties or their successors or assigns in writing.
9. MISCELLANEOUS. This Agreement shall be governed by and interpreted
under the laws of the State of Washington. Titles and head ings of paragraphs
contained herein are for reference purposes only and shall not affect the. construction
Page - 5
or Interpr6tation of any provision of this Agreement. Whenever, Possible, each
provision of this Agreement shall be interpreted in such manner so as to be valid
under applicable law, but if any shall be ineffective to the extent of such invalidity
without affecting the vaildity or enforceability of the remainder. of this Agreement.
GRANTORS
08te;
RnhlAun R. ANDERSON
Daw.
L-MVE M. ANDERS014 . I . .. � /
GRANTEE
Wool-s-fA... L ..IN ESTMENT, L.L.C.-.
By
HOY4G WOO, Morn.bor -
Sl XIANG YAY��,ember
By:
41060YLING WOO, Member
Date:
<
Date - 14,
Date:
13y: -P A) 0 Date: 6
PUl,PlNGW0,,Mdmbe'r
Page - 6
By:
ZHUO HONG H I U, Membser
By:
-BAO LAN HU, Member
STATE OF WASHINGTON)
Date:
Date:
)ss.
County of
On this day personally appeared before me RONALD R. ANOERSON and LYNNE
M. ANDE-RSON,to me known to be the individuals described in and who executed 4he
within and foregoing instrument, and acknowledged to me that they signed the same
as their free and voluntary act and deed for the uses and purposes thefain mentioned.
S?w A
,�GIVEN under my hand 'and official seal this day of Oeseeaber,
200
(Print Name)
NOTARY PUBL�C in and for the State of Washington,
residing at
My appointment expires:
Page - 7
STATE OF WASHINGTON)
County of
On this day personally appeared beforeme CHUCK HONG WOO, to me known
to be the individual described in and who executed t-he within and,foregoing
instrument, and acknowledged to me that he signed the same as his 4ree and
voluntary act and deed for the uses and -puri)oses therein mentioned.
0
GIVEN under my hand and official seal this day ot4)eeeffiber,
SHF�p 4'41
%o1v of
0
.0 TAR
(A ip
PUBUG
NO
OFW
(Print Name)
NOTARY PUBLIC- in and for the State of Washington,
residing at
My appointme nt expires: aq
STATE OF WASHINGTON)
)ss.
County of
-On this day personally appeared before me S1 XIANG YAUN, to me known -to
be the individual described in and who executed the within and foregoing instrument,
and acknowledged to me that she signed the same as her free and voluntary act and
deed for the uses and j)urposes therein mentioned.
74
GIVEN under my hand and. official seal this day of
200�.
y
Q
CFIAq
0I �)iAAIA
IC (Print Name)
NOTA'RY PUBL in and for the State of Washington,
0
'I, residing at !�eaw&
op W-A My appointment expires:
Page - 8
STATE OF WASHINGTON)
)ss.
County of
I V
On this day -personally appeared before me BOYD LING WOOPto me known to
-be the individual described in and who executed, the within and for egoing instrument,
and acknowledged to me that he signed the same as his free and'voluntary act.and
deed for the uses andpurposes therein rnentioned.
day of
GIVEN under my hand and official seal this
2002.
13
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Al Z
0
.. .. .. ... ...
(Print Name)
NOTARY PUBLIC in and for the State of Washingtonj
% ?946 , .. . i .*, . .
residing 'at
WASO -0
My appointment expires: 1�
STATE OF WASHINGTON)
)ss.
County of
On this day personally appeared before me PUI PING WO, to me known to be
the individual described in and who executed the within and foregoing- instrument,
and acknowledged to me that jhe signed the same as hp?- free. and voluntary act
and deed for the uses and purposes therein mentioned..
2001r.
.,3
GIV-EN under my hand and official seal this day of D6
y
. 0 C
X
4L29.ob
0
61
(Print Name) .
NOTARY PUBLIC- in and for Uie State of Washington,
residing at
My appointment expires: 44— -1016
Page - 9
STATE OF WASHINGTON)
)ss.
county of
On this day personally appeared before me ZHUO HONG HU, to me known.to
in and foregoin g instrument,
be the individual described in and who executed the with
and acknowledged to me that he signed the same ashis,iree and voluntary act and
deed for the uses and purposes therein mentioned.
dayof C�=.
GIVEN'under my hand and official seal this
2001
Y. FF
V
Z-2. 1"A CZ JA A
-1/ X
I 10N 4-294b- (Print Name.)
NOTARY PUBLIC in and fouth State.of-Washirigton,
residing at
My appointment expires: Ozt 2—e3 —0
STATE OF WASHINGTON)
)ss.
County of
On this day personally appeared before me BAO LAN. HU, to me known to be
-the within and foregoing instrument,
the individual described in and who executed
and acknow . ledged to me that she signed the same as her free and voluntary act and
deed for the uses and purposes therein mentioned.
GIVEN under my hand and official seal this day of Clibembei
200%.
I. C
:ZMr.
.1 j", Z>1AAA1
(Print Name)
NOTARY PUBLIC in and for the Szr of Washington,
!S:z
residing at
4_
4-29 IJ jp - a4i - ;�- 7
My appointment expires.: - ._AL
0FVJ1
Page - 10
CONSENT
IVAR'S, INC., Lessee of the above referenced- PAiICEL "A" under that certain
Lease da led the 4-'0 day of 20-61 byandbetween.
RONALD R. ANDERSON and., LYNNE M. ANDERSON, as Lessors and IVAR'S, INC.,
as Les . see, hereby consents to the terms and conditions of the within. Licen.se
Agreement and agrees that.during.the term of its Lease, it- shall be subject. to said
Agreement.
IVAR'S C.
By: Dated: JZ &-.d
Corporate Officer_
STATE OF WASHINGTON),
ss.
County of
On this day personally appeared before. me..
to me known lo be- the
V of IVAR'S, INC., the corporation that executed the
foregoing instrument, and acknowledged that said instrument to be the ftee and
voluntary act and deed of'said corporation, -for the uses and purposes. therein
mentioned, and on oath 'stated that —he is authorized to execute the said
instrument.
.2003
GIVEN under my hand and official seal th
day ofZ4eeff4)er,_
(Print Name)
NOTARY PUBLIC in and for the State of
Washington, residing at
My appointment expires: 2tf�
r
Page - 11
'16
1!
GARBAGE
ENCLOSURE
IVAR'S
-- - - - - - - - - - - -
�AGR5F-MENT
SIGN &H x 17 Ll
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
J" j. uj
�j J%j
lE
LI I
Lu J.-=. SIGN OESIGN INC
LW
9920 EDMONDS WAY
IN
-- - - - - - - - - -
A-�C-r
T&4f-
0
89 0 C�
CITY OF EDMONDS LAURA M. HALL
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning * Parks and Recreation e Engineering
BUILDIN9,
OCT 21- 19zjf.
October 20, 1992
Bill and Nancy Foshee
Bickford's Restaurant
23025 100th Avenue West
Edmonds, WA 98020
RE: ADB 92-211
Dear Mr. and Mrs. Foshee:
On October 7, 1992, the Architectural Design Board approved your application for roof
mounted equipment. The Board did not feel that the screening was necessary, as it
may be more obtrusive than the equipment; consequently, additional screening will not
be required.
The only outstanding Code Enforcement issue associated with your property is the need
for a handicap parking stall, as required by the 1986 Barrier Free Code. Please contact
Jeannine Graf, Acting Building Official, at 771-0220 regarding the standards for the
stall.
The City appreciates your cooperation in resolving all these violations which preceded
your ow . nership of the building. Should I be of further assistance, please feel free to
contact me at 771-0220, ext. 330.
Sincerely,
Wendie Schulenburg
Associate Planner
cc: Jeannine Graf, Acting Building Official
9 Incorporated August 11, 1890 9
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS SAEET FILE
APPLICATION
to the
ARCHITECTURAL DESIGN BOARD
DATE 3/&/±�> FILE # &6-29k-Z,
I lqwv S . ITE PLAN "I/ -:
BUILDING PLANS (3): ELEVATIONS
LANDSCAPE PLAN -
ENVIRONMENTAL DATA RECEIPT #
SIGN EXHIBITS FEE RECPT #
PLAN MODIFICATIONS TO FILE NUMBER:
HEARING DATE
(Q,
01%TNER/REPRESENTATIVE PHONE 7,�;- 44-5 4.13
ADDRESS_ �)2 (� C -0
) en!�" k ZIP CODE �S
ARCHITECT/DESIGNER ROO 'k�szo�i PHONE SUO - 2 Zb6
PROPERTY ADDRESS tcc)'� A�x W ZONING
LEGAL DESCRIPTION
PLANS SUBMITTED FOR APPROVAL:
Building Plans - Preliminary Final
Site Plan Landscape Plan —Elevations
2. Sign Elevations Site Plan Landscape Plan
3. Modification of previous approval
EXISTING USE OF PROPERTY_ -SFA`J KAI�F
__ gr
DESCRIPTION OF PROPOSAL kl�ktlo� OE LGVNx0(-�-'
, '�w e.+�J'r
APPROXIMATE DATE WORK WILL BEGIN ON PROJECT —
ESTIMATED TIME FOR COMPLETION OF WORK
RELEASE/HOLD HARMLESS AGREEMENT: The undersigned applicant, his heirs and assigns, in
consideration for the City processing the application agrees to release, indemnify, defend and
hold thetity of Edmonds harmless from any and all damages and/or claims for damages,
including reasonable attorneys; fees, arising from any action or inaction of the City whenever
such action or inaction is based in whole or in part upon false, misleading or incomplete
information furnished by the applicant, his agents or employees.
PERMISSION TO ENTER SUBJECT PROPERTY: The undersigned applicant grants his, her or its per-
mission.f ' or public officials and the staff of the City of Edmonds to enter the subject
property for the purpose of inspection and posting atterlAant to this application.
�OW/4/ %0 AM4
Signature of kpp�icant)
STREET FILE
June 159 1972
Southland Corporation
1414 Dexter Avenue North
Seattle, Washington 98109
Attention: Mr. Roy Jacobson
SUBJECT: Sign at 23025 100th Avenue West
Dear Mr. Jacobsoni
Confirming our telephone conversation, and pursuant
--to the attached agreement between Southland Corporationt Epcon
Company and the City of Edmonds. you are requested to remove the
sign out of the 100th Avenue right-of-way. The sign removal
should be accomplished within two weeks so that street improve-
ments may be constructed. It will be necessary to obtain a permit
from the Building Department for relocation of the sign.
In addition, we would like to request that you prepare
a driveway entrance plan for the subject property and communicate
this plan directly with our consulting engineers for this street
project (Forest Roff, Reid, Middleton and Aasociatest 324.Main
Street, 778-1171)
If you have any questions or problems that might cause
a delay in the sign relocation, please contact us immediately.
Yours very truly,
CITY OF EDMONDS
LEIF Ro' LARSON
City Engineer
11, RHA:LRF:mjf
Enclosure
cc: Epcon Company
Taco Time
Forest Roff
W
I
TI, 'IE M E NI 71
V.'HEIREA."", E13CON., INC;., 1275 Me' er Street, Seattle,
Tle Southlai�a elorporation
Washin,P�ton 98111, and a corporation.,
also 1,:-,Iown as 7AELEVEIN STORES, have ins-talled a sign at
2005-9th Avenue South, Edmonds, Wa�3h--In�,-+V-on, which sign is
adjacent to the e-Xisting ri-ht-of-way for public streets and is
within an area ten feet wide runnin.- parallel and adjacent to
k..,
the existinZ public right-of-way, and
WITIERLAsy the area which is ten feet wide and parallel
and immediately adjacent to the exi.,tinz right-of-way for
9th Avenue South has been dedi-catoed for the purpose of widening
the right-of-way of said 9th Avenue Ssoutoh, and
LD
WHEME'AS, the City of Edmonds �.as requei;ted the above named
parties tor—amove the s-J.-'n from that area which has been
dedicated for public right-of-,.�iay, and
W�EREAS.. there are ot-Iner siznns of a similar nature which
L,
were erected wit�iin tol-iat- area, /,flnich has now been dodicatoed
to the public right-of—aay, before such dedication, and
WFLEEIREAS, the above namod -part"'"ies have requested permission
from the City of Edmonds to be allowed to let their sirpn'rema.in.
C.�
where it has been erected for a ILnited period of time, now,
therefore,
[-,I
City of' Ednond�; agrees to allow the sign to remain
where it haz been erected for the follo�%,inz period of time
and subject to the follc-.-jinz -onditions:
1. That at '�;uch. tinia tlhat- the City of Edmond-s- proceeds
uo widen 9th' Avenue S'cutln, whict-i construction would necessitate
t'ne ifiovin��, of ICII-,a a'�I,ovc ri:�f-crcnlccd SiCn-., the above named part-ic.s
,me sow-wan-j Corporalion
c oora--an, also
cr� U.L
I
known
ai.: -o
rc
-,Iocatc-
- -n
thoL:, :�,ig
to a
jg-opoi-
j)oL;J.tic)n laithin th�.Lt T)(n:-;U-ion
r)L' thoir
property
'.-Jhich
has not been dedicated to the --publiic right-of-wal
2. Tinalul- Sucl-i -,-olocation SIL-1all be in full compliance with
the t-Inen exist -inn- requirements of' the Citoy of 1].cLmonds
That the co-st- of said of the and all
C�
-dd-�'icnal cost- incide-Int -ul-i---r-eto siaall be borne solely by
a -U
'"i e o U L,
Lo I vners of 1�ie property -he ovizner- or installers
of the si,,,n., and in no (�vr�.,nt- the City of Edmonds be
0
subjected to any costs what-socvc:o ov any law suit of -any
nature;
4. That this AErecraent 2--laall be bindinr, on the heirs,
1.:�
a.2pirrn2 o:c s-,ucce---ors in of E,,.,coN, ii%Tc. and
The�gouthland Corp-o-ration
rf - ao�.T n as -(/ZLEEVEN. "STORVES;
a cc.,)oration, Llso k�,L I
S011111h"d CO2RrAtithn
5. That E-11"CON., INC. and
also known a2 VELETEN STORIES, a2,*4.1e�� to inderanify and hold the
City of Ledraonds harirale2s from any expense of any nature or
-os' o" su�'- Incurred by t�ie "Jty of Edmonds in obtaining
a relocation '-of the sion.
Accepted by:
City of Ed-mondz
Y
9.�
,J5
SrA-1.'1,TE OF WASIHINGTON
COUNTY OF K I 1H G
- by-
s'.. :
thland Corporation
, a/k/a 7
aUall
day of _L4.;�;k4r],L, beforo-me, '�I- undersi-ned,
On th, U
a Not ---� ry 'Pub I --'Lc in and IL`o� St-a'u'-e of 'V,Tashinston, duiy
co.�=,izsioned and ---viorn pe----onally anj.-,cared ,
-'Ldie -v ual
Of -',PCG%j I 1,J., C to mc, known to b7 -Th—L1.1
9
1 0
u � :, J _ Jn,-`--urrient-, and
(I in Lind v-.to exec-ut,:�d the
--ckno,,,!1ed,,-,Dd 'i;c -,--aied `U-he- same ins *L-. ---urn.enz
L -ad T)u.-O-oses
h-is Iree ana voluincary ack, and �Iced -o-l? `--�-.,e u-us a.
thera-1- rrient;ioned'.
!,-J!TN:ES'7` "ry hank' and o-,`f'icJa1 seEil �eret-o af;--Lxcd the
u
U- c above
day and ye r, in "Inis
&
p f U e'r )!2
n a n d—f`�j-T 7`— 7,
TO 441) C
(Curporalimi) @
STATE OF
SS.
COUNTY OF A 6L
A oil 1,.,forc fit,,, tlie undcniwied, a Notary Public in and for said
Slate, �e/rsonally appeared
77
known to me to be th Presidclit, aml
w known I,, nic to bc S,cn;tary of Ill.; corporation that executed the within Instrument,
I'llowil I., fill! to Ill; Ow Iwi-smis who cXcclitcd Illo: within
A hisis-ono-jit .,it behalf 4 ilm corporaii-in dici-cin ifamcd, and
acknowbdged I,, me that such corporation executed Ilw within
instrijillunt pui-Mlant Ill its by-laws or a resolution of its 1mard
C, f directors.
WITNESS my liand and official seal.
Signatur,
. JEWEL WKIGHT, Notary Kublic
IQ Atilt
-na
MY 1, 1969.
(ThIs area for ullifiIA notarial offal)
Existing Graphics
a
Proposed Graphics
Pole Sign
!4 T-8" 0
Awning
Co
�0.0
4'- 0"-
D/F Pole Sign 24 sq'. ft
Scale 1/2" = 1 "
Existing Wall Sign --
(to be removed) 'A"
Scale 1/32 " = 1'
Site Plan
T- 8"
0 M 9 9 W @ M 9
Awning Sign '26 sq. Ft.
Remove vinyl graphics and install new
vinyl graphics for:
One (1) existing D/F pole sign
One (1) existing S/F awning face.
Graphics to be Scotchcal 3630-33 Red
Remove one (1) existing S/F wall sign from
north elevation.
Chopsticks
Bldg.
Main Entrance
v—Awning
60'
A' Pole Sign
1 00th Ave W
APPROVED BY PLANNING
-!!�) �-uo ce---
L'011"
-4 North
CUSTOMER: SITE ADDRESS: Drawing Date: 9123102 BUIRLEIGH SIGN SYSTEMS
Chopsticks In Edmonds 23025 1 00th Ave IN Division of Burleigh Commercial Systems, Fnc-.
Edmonds, WA 98020 18120 Densmore Ave N Shoreline, WA 98133
206.546.0948 Fax 206.542.0791
IIH
ZONE
SETBACKS:
FRON
SIDE
REAR
OTHER
HEIGHT
^"r
REET FILE
09
GlTY Of If X
BUILDING PIPARTMENT
WORK
A D 0 R, E S S
OWNER -
APPROVED DATE:-.- -.40MM
BLDG. OFFICIAL
T
n