23719 91ST PL W.PDFiiiiii iiiiiiii
15482
23719 91 ST PL W
STREET FILE
CITY OF EDMONDS
121 5T H AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED
8/6/2007
Expiration Date: 2/6/2008
Parcel No: 00456500000500
I CARE AFH OPHELLO CANLAS OWNER EXEMPTION TAKEN
23719 91ST PL W 23719 91ST PL W
EDMONDS, WA 98026 EDMONDS, WA 98026
206-856-6177 206-856-6177
LICENSE #: EXP:
JOB DESCRIPTION
AFH COMPLIANCE PERMIT 6 CLIENT ROOMS + I CAREGIVER.
NEW 120 SF REAR DECK AND 425 SF RAMP OFF N SIDE OF HOUSE FOR E)UTING
VALUATION: $9,265
PERMIT TYPE: Residential
PERMIT GROUP: 19 - Compliance Inspection
GRADING: N CYDS: 0
T YP E OF CONST RUCT ION: VB
PLETAININGWALL ROCKERY: N
OCCUPANT GROUP: R3
OCCUPANT LOAD:
FENCE: N ( 0 X 0 Fr.)
CODE: 2003
OTHER: N ------- OTHER DESC:
IZONE: RS-9
NUM BER OF ST ORI ES: 2
VESTED DATE:
INUMBER OF DWELLING UNITS: I
I-NISTING ARbk
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
PROPOSED AREA
�E�MENT 0 1 ST FLOOR: 0 2ND FLOOR: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13 RD FLOOR: 0 GARAGE: 0 DECK: 545 OTHER: 0
FRONTsETBACK SIDEsErBACK REARSETBACK
LEQUIRED. (W) 25' PROPOSED. (W)<25' I REQUIRED. (N) 7.5' PROPOSED. (N) 87— �REQUIR�ED. (E) 15' PROPOSED: (E) 25'
IEIGHT ALLOWED-25 PROPOSED-25 IREQUIRED- (S) 7 5' PROPOSED- (S) 9'
,ETBACK NOTES: Pursuant to ECDC 17.05, a Reasonable Accommodation %as granted for the ramp to be located within the street setback (File No.
TF-2007-08).
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
HIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE BUILDING OFFICIALNR tf�
7rE� DEPUTY AND ALL FEES ARE PAID.
Signature Print Name
Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECnON HAS BEEN MADE AND APPROVAL ORA CERTIFfCATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBCI 10/ IRCI 10.
ARCHIVE APPLICANT ASSESSOR OTHER
STATUS: ISSUED BLD20061074
CONDITIONS
Any request for the modification, variance or other administrative deviation (hereinafter "variance") must be specifically called
outand identified. Approvalofany platorplan containing provisions which do not comply with Citycode and forwhich a
variance has not been specific�tly identified, request and considered by the appropriate City official in accordance with the
appropriate provision of City code or State law does not approve any items not to code specification.
Sound/Noise originating fromtemporary construction sites as a result of construction activity are emmpt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pmon weekdays and 10:00am and 6:00pmon Saturdays, exrluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activites must comply with the
noise limits ofChapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
I INSPECTIONS
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 SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6)
BUELDING (425) 771-0220 EXT. 1333 1 ENGINEERING (425) 771-0220 EXT. 1326 1 FW(425),771-0215
I PUBUC WORKS (425) 771-0235 1 PRFTRFATNIENT (425) 72-5755 1 RDCVCI-JNG (425) 27548 1 1
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
reques ted, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon.
B-Setbacks
B-Footings
B-Framing
B-Building Final
F-Fire Final
APPLICATION AND INSPECTION CHECKLIST - Adult Family Home
Code References: 2003 IBC 310 (WAC 51-50) and 2003 IRC 110 (WAC 51-51)
APPLIECATI[oN NuMBER: �Zweo PAL
Applicant must complete sections 1, 2, 3, and 4. Application must be complete to be processed.
SECTION 1 - PROPERTY INFORMATION
SITEADDRESS: 23719 91st Place W.., Edmorids, Wa 98026 ASSESSOR'STA)(/PARCEL#: 004565000-00500
PROPERTY OWNER NAME: Ophello S Canlas DAYTIME PHONE: (206) 856-6177
UCENSEE NAME (IF DIFFERENT): iCARE ADULT FMILY HCME
DAYTIME PHONE: (206) 856-6177
A complete floor plan must include all sleeping rooms, identified by number (#1, #2, #3 etc.) and all components for
exiting, i.e. stairs, ramps, platform lifts and elevators. (Attach additional sheets if necessary)
REjCE!JVeJ)
SEP 2 2 2006
"U"DiNG DEPARTMENT
CITY OF FDMONDS
SECTION 4 — DISCLAIM ER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and that I am requesting or
I am authorized by the owner of the above premises to request inspection for the operation of an Adult Family Home at this location. I further
certify that I am in the process of making an application to the Department of Social and Health Services for an adult family home license and that I
have also made application to the applicable jurisdiction for the appropriate license(s) to conduct such business at this location. I further agree to
hold harmless the jurisdiction conducting such inspections, at my request, as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation of such claim), which may be made by any person, including the undersigned, and filed against the jurisdiction, but only where
such claim arises out of the reliance of the jurisdiction, including its officers and employees, upon the accuracy of the information supplied to the
jurisdiction as a part of this application.
NAME/TITLE: OPHELLO S CANLAS — OWNER DATE: 09/20/2oo6
13 PROPERTY OWNER 11 APPUCANT 11 UCENSEE
SECTION 5 - INSPECTION CHECKLIST
Note: Checklist to be completed by building department in the jurisdiction home will be located.
YES
NO
Home licensed (or applying for license) on or after July 1, 2001
SLEEPING ROOMS
Sleeping Room #1 0 S )93 NS 1 0 NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
1
0
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide)
0
Sleeping room window has a maximum sill height of 44"
0
Sleeping Room #2 0 S NSI 0 NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
"Vd
0
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
0
Sleeping Room #3 11 S XNSI 0 NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarrn is installed in the bedroom
Sleeping room window has a minimum net openable area of 5.7 Sf. (minimum dimensions- 24" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
Sleeping Room #4 11 S qSl NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24"high; 20" wide)
Sleeping room window has a maximum sill height of 44"
0
Sleeping Room #5 Els NSI NS2
Bedroom door is openable from the outside when locked
Closet doors are readily openable from the inside
Smoke alarm is installed in the bedroom
Sleeping room window has a minimum net openable area of 5.7 Sf. (minimum dimensions- 24" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
0
Sleeping Room #6 11 S NSI NS2
Bedroom door is openable from the outside when locked
El
Closet doors are readily openable from the inside
11
Smoke alarm is installed in the bedroom
0
Sleeping room window has a minimum net openable area of 5.7 sf. (minimum dimensions- 24" high; 20" wide)
Sleeping room window has a maximum sill height of 44"
GENERAL
Bathroom doors are openable from the outside when locked
0
Smoke alarms are installed on all levels of the dwelling
All smoke alarms are audible in all parts of the dwelling upon activation of a single device
Access road and water supply approved by Fire Department
XAED CORRECTIONS REQUIRED 0 PERMIT REQUIRED
0 CORREC
INSPE - _Q DATE:
,tk
Applicatioh,_*d inspection Checklist developed by Washington Association of Building Off 1cials (WABO),
in
cooperation with Department of Social and Health Services (DSHS) for use by both departments and licensors.
ADULT FAMILY HOME LICENSE
License Number: 750063
Pursuant to the laws of the State of Washington and the Minimum Licensing Requirements
of the Department of Social and Health Services, a hoense is hereby gl`2tited to
I CARE LLC
to conduct and maintain an Adult Family Horne at 23719 91ST PL W
City of EDMONDS, 98026 Snohomish Gounty, State of Washington
for the care and supervision of adults as follows:
24-hour care for no more than 6 adults
This license shall be in force from the 21st of August, 2006 subject to suspension or revocation for due cause.
Dementia Specialty, Mental Health Specialty
Licensing Authority
U
NOTE. The departineni rcne-%val of a license does no( preclude the department from laking any action tinder WAC 388-76-705, based oil inspeclioll,
This license is not fransfer2ble, and Is valid only for uve by 1ht corporation, partnersbip or indiyidual(s) to whoni it is issued bind at 1he location aboi-c described,
Issued by Authorily of Chapter RC%V 70.128
When Recorded, Return to:
City of Edmonds
ej4
121 5 1h Avenue North
Edmonds, WA 98020
CONFORMED COPY
200709130082 5 PGS
09/1312007 9:30am 44.00
SNOHOMISH COUNTY, IPSHINGTON
REASONABLE ACCOMMODATION COVENANT
Grantor: 1) opamw 5 CANLAS
0 Additional on page
Grantee: 1) CITY OF EDMONDS 2)
0 Additional on page
Legal Description
(abbreviated):
GLEN WOOD PARK BLK 000 D-00 - LOT 5
0 Additional on:
Assessor's Tax Parcel ]D#:
2) IDA V1 CANLAS
-T'�2 -7, 5, a/, fiE! Ll
456500000500
Reference Nos. of Documents Released or Assigned: 5
RECEIVED
SEP 19 2007
PERMIT COUNTER
This covenant executed this date in favor of the City of Edmonds/Grantee (herein "City") by the
undersigned Owner(s)/Grantor of the with in/described real property (owner(s)):
WITNESSETH
WHEREAS, undersigned is (are) the owner(s) of or has (have) a substantial beneficial interest in the real
property addressed in the records of the Edmonds Development Services Department
as 23719 Wt Place West described in exhibit "A" (legal description and plot plan) attached:
and
WHEREAS, owner(s) has (have) obtained approval of land use and construction permits for the property
from the City (# BIWO06-1074
and
WHEREAS, the Edmonds Community Development Code (ECDC) Chapter 17.05 requires as a condition
of the issuance of land use and construction permits that this covenant be signed, acknowledged, and
recorded in the records of Snohomish county;
NOW, THEREFORE. Owner(s) agree(s) as follows:
1- Owner(s) will inform his/her successors and assigns of the property described in exhibit "A"
attached that a reasonable accommodation has been granted pursuant to the ECDC section
17.05.040 to allow the construction of an accessibility ramp as described in exhibit 'B" attached
for the purpose of accessible egress from the occupied portions of the residence structure. The
ramp is located at the north side of the residence, from the upper story deck at the northeast
corner of the residence to the sidewalk at grade in the front yard.
2. Owner(s) will inform his/her successors and assigns of the property described in exhibit "A"
attached that the ramp as described in exhibit "B" attached is constructed within the 25 foot
setback from the north property line, and causes the total lot coverage to exceed the maximum
allowed 35 percent.
3. Owner(s) will inform his/her successors and assigns of the property described in exhibit"A"
attached that the reasonable accommodation is personal to the Owner(s) and shall not run with
the land.
4. Owner(s) will inform the City Building Official in writing within.30 days of any change in property
ownership.
5. Owner(s) will inform his/her successors andassigns that a similar residenti . al care provider may
take over the facility; however, the new provider shall be required to reapply to the City for
reasonabI6 accommodation of the ramp within 3,months after the change in ownership.'
6. Owner(s) shall remove the ramp within three months if the ramp is no longer required for
accessible egress. In the event that.the ramp is no longer required for accessible egress,.
Owner(s) shall obtain all, required demolition permits for the removal of the ramp prior to
commencing that work.
7. Owner(s) shall obtain a complete building permit for the ramp in accordance Vith all construction
codes and ordi ' nances in effect on the date of the application for the building permit.. Any and all
deficiencies:noted during inspection of the ramp shall be corrected within 60 days of notification.
REASONABLE ACCOMMODATION COVENANT
2
Related to constructioaRermits (# Pm2oo6-1N4
DATED this \day fAl rAvLDM� 2007.
OPHELLO S CANLASW
TDA VT CANLAS —1qA J
OWNER/GRANTOR
OWNER/GRANTOR
I STATE OF WASHINGTON)
I COUNTY OF SNOHOMISH
On this day personally appeared before me
OPHELLO S CANLAS
and
IDA VI CANLAS
to me known to be
the individuals described therein and who executed the within and foregoing instrument, and
acknowledged that he(they) signed the same as his(their) free voluntary act and deed, for the use and
purposes therein mentioned.
6th SEPTEMBER
Given under my hand the day of 2007.
0�
11 T
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kNeary Ptibli6w-4ind fef lthi�State of
Washington, residing in ends. 'Mo2o0hsi
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September 04, 2007
Theresa Umbaugh
Permit Coordinator
CITY OF EDMONDS
1215 1h Avenue North
Edmonds, WA 98020
RE: Reasonable Accommodation Covenant on 23719 91s'Place W,
Edmonds, Wa 98026 BLD2006-1074
Dear Theresa:
Attached herewith please find the new, darker, and better copy of Reasonable
Accommodation Covenant on 23719 91" PI W, Edmonds, Wa. 98026 needed to be
recorded with the County.
Should you need additional information, please feel free to call me at (206) 856-6177.
Thank you very much for your usual kind attention.
ZVerytru yo s,
S Canlas
iCare Adult Family Home
23719 91s'PI W
Edmonds, Wa 98026
Att: a/s
osc/
03/31/2017 23:57 FAX
igj UUJ/UV4
PLIX
AStructural Engineering
und Code Consulting C
h loulpany
Date: April 8, 2007
To: Jen Machuga, Planner, City of Edmonds, WA
RE: Reasonable Accommodation for Ramp Construction
Plan Check # 2006-1074
I Care Adult Family Home
Dear Ms. Machuga-
Thank you for your careful review of the building permit application to legalize the existing
construction and use for the I Care Adult Family Home (I Care) located at 23719 91 st PI, W.
The building permit proposal is clearly nonconforming for two reasons; first, the ramp is
constructed within the 25 foot setback firorn the north property line, and second, the ramp, rear
deck, and main structure combine to effectively cover more than 35% of the lot. Therefore,
please accept this as the application for Reasonable Accommodation per Edmonds Community
Development Code (ECDC) section 17.05.
I Care is an entity providing care for both elderly and disabled persons, and is currently licensed
by the City of Edmonds under license number BL — 008806. 1 Care is also licensed by the State
of Washington Department of Social and Health Services as an Adult Family Home. According
to ECDC section 17.05.020, the Director is authorized to waive, modify, or vary requirements of
Title 19 for a disabled person or his/her care provider to have "full enjoyment" of a residence,
As the residence is within a split level structure, the only way to access the upper floors of the
structure is by means of the ramp to the north end of the structure, providing an exit path from
the upper floor to the discharge at the front yard. The unique features of the upper floor are the
kitchen, and dining area, and a sitting room. Without the ramp, occupants would not have full
enjoyment of the entire structure, and perhaps more importantly, would not have adequate
emergency egress.
Further, it is the clear intent of section R324 of the Washington State Building Code (as the 2003
International Residential Code as amended by the City of Edmonds) that each sleeping room of
an Adult Family Horne occupancy be'provided with at least one means of egress from that level,
to the exit discharge by ramp or to grade. This means of egress from the floor is required for
sleeping rooms with either an NS I or NS2 designation. I Care has sleeping rooms on both the
upper and lower floors, so an accessible path of travel, Le, ramp, is required. Although the IRC
does not require that the building have sleeping rooms in any particular level, it is reasonable to
have such rooms on both levels, because that allows full enjoyment of both levels of the facility.
As the kitchen is on the upper floor, providing guest rooms on both levels makes it easier for
staff to provide quality care and for more residents to have easier access to amenities that are
only located on that level. As the deck and ramp provide the only safe means of egress from the
upper level to the exit discharge, it is critical that the Tamp remain.
2300 02"" N Slk I.ymiwood, WA NOR, 425-670-8859 11 0-4-Sal 11101 I(C". Uri ZOI I.ne
03/31/2017 23:57 FAX- Q�004/004
,LWr NGINEV.�WNG, PLIX'
A Structural Fmgineering and Code Con.sulting Company
Therefore, we believe to require removal of the ramp for lot coverage reasons would be out of
accord with the Americans With Disabilities Act, the Fair Housing Act, and the Washington Law
Against Discrimination.
It may be also noted that the deck and ramp were both constructed by an owner previous to Mr.
Canlas' purchase of the property. It may also be noted that the previous owner also operated the
facility as a Washington State and City of Edmonds licensed Adult Family Home entity, called
South Edmonds Adult Family Home. That entity also provided assistance to elderly and
disabled persons. The previous owner hadconstructed the deck and ramp for that purpose. It is
not known why they did not pursue a construction permit for that- work.
As the Adult Family Home use is allowed in the R-8 zone, it seems that rejection of this building
permit application would have the effect of severely restricting the use of the facility and would
be unfair and discriminatory to the tenants and caretakers therein. We believe that is not the
intent of the ECDC or any other ordinances in effect. With an -aging population around us, we
feel owners should be encouraged to provide housing for these persons within residential
communities. Adult Family Homes provide a dignified way for many to live through their
retirement years.
If the reasonable accommodation application is approved, I Care understands that the
accommodation is not permanent, and that the ramp may be required to be removed, at the
discretion of the Director, should ownership of the entity or property change as described in
ECDC Section 17.05.
I would also like to point out that since I Care has been operating the facility in this structure, for
more than one year, there have been no formal complaints about any of our activities or our
tenants. We do not discriminate, and we strive to be good neighbors to all. The ramp structure is
hidden from view from the street, and is under cover of several very large evergreen trees from
the rear yard, so there is no apparent visual objection to the ramp being located as shown on the
plans. We have not experienced any problems with parking that adversely affect the
neighborhood,
Thank you for your careful consideration for a reasonable accommodation from the coverage and
setback requirements. Please do not hesitate to contact me at (425��
206)684-7844
L Z
_ _O�
to discuss.
Sincerely,
BURT ENGINEERrNG PLLC
Cornell Burt, P.E.
Pi
ICC Ceitified Building Plans Examiner
23 00 192."d III S W 1..ymiwood, %VA ()80.')0 425-670-8850 tu"I-14
-2-
Coy'v,,eL%A.mceC1TY OF EDMONDS
e_,9P4,6:FRWGT4Q PERMIT APPLICATION
OWNEgNAM,E./NAMEOFSUSINESS 11'�
'icr;e pise46,; Pi r4swe.13 A.r.N,
MAILING ADDREOS
Plo, e' kvik6i-
ZIP
TELEI ... ENUMSER
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NAME
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ZONE PERMIT
NUMBER
JOB P
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76
TUrurc-RIP ION CHECK16USDIVISIO"
NO,
LID NO,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP APPIoled 0
AW Pwffdi Required - 0
EXISTING —REQUIRED DEDICATION —
StreekUse Permit Rect'd 13
PROPOSED
Inspection Asquirod
Sidevialk A@q.[Md
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRY REQUIRED
I
YES 13 No 0
ADDRESS ENC31NEERING MEMO DATED REVIEWED BY
CITY ZIP TELEPHONE NUMBER FIRE MEMO DATED REVIEWED By
STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA SEPA REVIEW ADS NO.
Legal Description of Property - Include all easements
ALLOWED
OPOSED
COMPLETE
JEXEMPT
EXP
VARIANCE OR CU
PLANNING REVIEW
By
DATE
SETBACKS —FEET �IGHT LOTtCOVERAGE
at 7��,' REAR
FRONT Z->' OF.
z
Tess 1.
Pit" No..
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MECHANICAL
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RE DEL SIGN
GRADING FENCE
REPAI X
STCVE;� Swi'm POOL
DEMOLISH IWNOSEORDT NOT TUB/SPA
GARAGE RETAINING WALL/
C ARP99T ROCKERY A—".
CHECKED BY
I
TYPE OF CONSTRUC
IN
SPECIAL SPECTOR
REQUIRED
I AREA
A KS
rn%jun ac; INSPECTIONS
�;ESI 114SUSINE55 OR ACTIVITY) EXPLAIN:'
V%A
UMBER
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.T—O. :
UMB Fa
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.—T.
I CRITICAL
AREAS
NumRFR1
FINAL INSPECTION REQUIRED
VALUATION
FEE
FEE
PLAN CHECK FEE
BUILDING
GLAZING
%
kUMSIN0
Plin Check No.
MECHANICAL
-This Permit covers work to be done on private property ONLY.
GRADINGIFILL
.,.Any Construction on the public domain (curbs, sldewplks,
------
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Applicatim. 160 Days
Permit Llmilt: I Year - Provided Work Is Started Within 180 Days
8TORM DRALW48 FEE
-,'.`1AppIlcanI,:dn bihilf'of AWoi her 80ousiliefre, itialone*and
ENO. INSPECTION FEE
In Interest, agrees to Indemnity, defend and hold
h-a-cessore
rmlese the City of Edmonds, Washlngton, Its officials.
employees, and agents from any and all claims for damages of
whatever nature directly or Indirectly from the Issuance
:rIsing
x of this permit. 16 Lance of this permit shall not be daemed to
PLAN CHECK DEPOSIT
modify, waive or reduce any requirement of any city ordinance
City's
nor limit In any way the ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
4 1
1 hereby. acknowledge that I have read this application; that the
APPLICATION APPROVAL
jriforMation given is correct; and that I am the owner, or the duly
ATTENTION
authorized. agent of the owner. Lagree to tiomply with city and
state laws regulating Construction; and In doing the work authorlz.
THIS PERMIT
AUTHORIZES
This application Is not a permit until.
ad thereby, no.person will be'employed In violation of the Labor
N
0 LY THE
Igned by the Building Official or his/her
at
Code of the State of Washington relating to Workman t Compensa.
WORK NOTED
Deputy,. and fees are paid, and receipt Is
tion I neurince and RCW 18.27.
'NSPE&ION'
acknowledged in space provided.
IG.NATUR6tOWNkR,OR AGENTI DATY111 N 0
DEPARTMENT
CITY OF
OFFII[idd- 8 A URE
4i"
EDMONDS
?1746,
%,AL. LFOR
LEASED
A171ENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTIOWHAS BEEN MADE AND APPROVAL OR
771 �-0220
ORIGINAL -7 File YELLOW — inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
.CHAPTER 3.
.
If
PINK — Owner GOLD — Assessor
*
.10247
b U I LUIR U
_,,eVIY- OF EDMO
TREP MnTlf%g= ng: I IMITATION AND COVENANT
505 BELL STR 0 C T 1996
EDMONDS, WA 98020 ADULT PAMILY HOME
WHEREAS, the undersigned owners of property located at-1-33M 90f-Plate- we5N
in Edmonds, Washington legally described below or on the attached Exhibit A, have applied
for a building permit for compliance and/or to remodel a structure located on the site; and
WHEREAS, the applicant has notified the City of the applicant' s intention to utilize the
improvements and/or to convert an existing single family structure to an adult family home; and
WHEREAS, under the Uniform Building Code the number of occupants of a structure
0 trigger certain requirements relating to the fire suppression and exiting requirements; and
WHEREAS, the City has notified the applicant that the permit will be issued conditioned
0�1 on limitation of residents t�---6-or fewer residents and their caretakers; and
0 WHEREAS, the City has issued a pen -nit based upon such representations;
CD
NOW, THEREFORE, the undersigned property owners*' (hereinafter "Owner") in
consideration of the issuance of a building permit and in order to confirm the promises upon
which such issuance is based while providing notice to any future owners or mortgagors of the
property does hereby stipulate, covenant and agree as follows:
1. Covenant: -Limitation on Residence. The owner hereby stipulates and agrees
that occupancy of the structure as an adult family home shalt be limited to 6 or
fewer adults and their caretakers as allowed by applicable provisions of state law. The owner
acknowledges that in the event that the applicant seeks revision of the applicant's state license
to operate an adult family home with an occupancy of greater than /-- residents or attempts
to. rent, lease or otherwise provide residence , for . addi-fional residents - above
the_� �,permitted in the current occupancy classification, the structure shall be vacated and
all residential use ceased until such time as the property is brought into compliance with the
provisions of the State Building Code, under the edition of the Uniform Building Code then in
effect. The owner further stipulates that this covenant touches and concerns the land so long
as the present structure and use continues and shall run with the land to all future purchasers
and assigns.
2� Subiect Tract. The -above stipulation and promises shall applytjo and run with
the land with respect to a residential structure located . atD � 7 1 Ck qlt! lAa-, k/yesA-,
Edmonds, Washington and legally described as:
22M e9f-CrAklut-
I Notification to Future Purchasers and Assignees. This notification and covenant
has been recorded in the records of Snohomish County, Washington in order to provide notice
to any and all future owners of the property of the limitation at the current level of improvement
to single families and adult family home residents fewer than 4-7- in number.
1%ocll 1-14el4t /P 5-2&02
LITemplFonnsV-M�Cov.Doc
VMS
VOL. 3214PAGE1 168
4. Enforcement. In addition to any and other remedies civil or criminal which the
City may have, the property owner hereby agrees and stipulates that this grant of covenant
shall entitle the City to enforce -by injunction the provisions of this code and, in so doing, to
recover its reasonable attorney"s fees and costs.
DATED this day of 19
ACCEPTED BY:
A_� -
J nnine L. Graf
Building Official
M
>:
CC
0
CD
C1111i
Li
CL_ �2 >_
W I:
COD
kD cD'
NFTARIAFi5R OWNER SIGNATURES
State of Washington )
)ss
County of el x= .—)
APPLICANT/PROPERTY OWNER:
..o,) / /? - I
Owner
COVENANT AND NOTIFICATION
ACKNOWLEDGED: "
Mortgagor
I certify that I know or have satisfactory evidence that igned this
instrument, on oath stated that he/she was authorized to execute the instrument and.
-acknowledged it as the (title) of (namok of party* -on
0 .-atJqti
behalf on whom instrument was executed) to be the free and voluntary act' f -pa
the uses and purposes mqn this instument.Subscribed and sworli:'to Abefor'e'
bons in
this AW day of effAJ:V '19
'A do
Votari-Public in and -for the State Of Washington.
my commission expires 94Y
1. certify that I know or have satisfactory evidence that . signed this
instrument, on. oath stated that he/she was authorized to execute the instrument and.
acknowledged it as the (fide) of (name of party on
behalf on whom instrument was executed) to be the free and voluntary act of such party for
the uses and purposes mentions in this instumentSubscribed and sworn. to before me
this day of '19
Notary Public in and for the State of Washington.
My commission expires
L1TempJFonm1L.&F71_Cov.Doc
2W5
9609260005 VOL.
BUSINESS LICENSE APPLIC
CITY OF EDMONDS
CITY CLERK DEPARTMENT, BUSINESS LICERRV
890.,9q 505 BELL STREET, EDMONDS, WA 98020-3147 TELEPHONE:'7T5-2525
OFFICE USE ONLY
BL #
MAILED
YEAR
CLASS
SHD
DATE PAID
I TR #
FEE PAID
N
CHANGE
DELETE
INSTRUCTIONS: Application and required attachments must be completed in full. Middle initial or name
required ofall parties concerned. If no middle name, please indicate by writing NMN.
Sign and return application with attachments and fee. Please advise of any change
in status. New license required if business changes location or ownership. Notification
to City of Edmonds required if business closes.
UCENSE APPLICATION
BUSINESS NAME
?"e.7k
NO. OF EMPLOYEES
2_
BUISINEEdd ADDRESS r
st,eat a-3 7 1 ?koc q-
!DV 9 B C)2- 6
\A/e-s+ SVulte No. 7Jp
SO. FOO`rAGE
Af ('C;K -
BU S PHONE NO.
) 6t1V-70e1_5--
70S6
STATE TkX ID NO. (UBI NO.)
j'6o1-5_Y7-63_3.
MAILING ADDRESS
,StreetorPOBox '50'w'k- 0'-> 0
Sutte No. city State ZIP
EMERGENCY NCMFICATION (For Premise Access in Emergency)
NAME _B kA Ir %:�: S '�-, PHONE NO. 977- V6 ZZ MR
Last Rw Ev-, MI c2o6
NAME PHONE NO.
Last 18 LA FIrst A M,6 (-zo6 9�55__- '/ 53 1/ Al?_
FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED? 0 YES urNo
IF YES, PLEASE PROVIDE LIST OF MATERIA LS AND QUANTITIES.
AMUSEMENT DEVICES ON PREMISES? 0 YES 5K'NO IF YES, TOTAL NUMBER:
LIQUOR SOLD ON PREMISES? 0 YES 9'NO
GAMBLING? 0 YES CKNO
CIGAR S SOLD ON PREMISES? 0 YES (jr—NO
TYPE OF BUSINESS: PLEASE CHECK THE APPROPRIATE CATEGORY AND DESCRIBE THE NATURE OF BUSINESS IN THE SPACE PROVIDED BELOW.
0 MANUFACTURE 0 RETAIL &ISERVICES 0 WHOLESALE 0 NON-PROFIT 0 SECOND HAND DEALER 0 OTHER:
NATURE OF BUSINESS: Adm 4 F4mj�� movj-or-,ed ,'_ 4r
OWNERSHIP
S P
0 R
LAST NAME
FIRST NAME MI
L 0
E P
R
E
HOME ADDF(9SS
St --St a-3 3 1 c\ �-T pva"..'z
—
WdS-� Apt. No. city 4ed mo rj-,; state WA zip 3So 26
T
0
R
HOME PHONE NO.
(2- 0 6 ) 6 Vo - 410,75-
SOCIAL SECURITY NO.
02-
S
H
P
DATE OF BIRTH
/Z -70
CITY OF BIRTH
8,ea +0 r2,
STATE OF BIRTH
0
ve-1, tj o
ire
DUARTMENTOF
SOCIAL&HFAITI 1
79� 7 FSEKVIC�-S '
Adult family Home Licenose
In compliance with and'pursuant to the laws of the State of %Vashington and the Minimum Licensing Requirements
of the Department of Social and Health Sei-vices a license is hereby granted
city of
This license shall be in force from the 25TH
the 25TH day of OCTOBER
-Special Terms:
to W"A buxuk;bb
License Number 52 H 102595
to -conduct and maintain at 23719 91ST PL WEST
EDMONDS zip code 98026 county of SNOHOMISH
State of Washington, an Adult Family Home for the care and supen7ision of adults as follows:
24-hour family care for no more than SIX adults
numher
day of OCTOBER 19 9 5 to and including
—1
if) 96 , subject to revocation for due cause.
Lirensor
NOTE: This license is not transferable, and is valid only for use bv t hc � individual(s) to whom it is issued an(] at the location above
described. Issued by Authority of Chapter 172, Laws oi 1967, and'RCW 70.128.
a
2;�-1 I I 0�� �r ? I w "1�1�
When Recorded, Return to:
City of Edmonds FILL
e-,
th b
121 5 Avenue North
Edmonds, WA 98020
CONFORMED COPY
200709130082 5 PGS
09/13/2007 9:30am �44.00
SNOHOMISH COUNTY, ASHINGTON
REASONABLE ACCOMMODATION COVENANT
Grantor: 1) OPHEE10 :5 CANL.AS 2) IDA* VI CANIAS
0 Additional on page
Grantee: 1) CITY OF EDMONDS 2)
El Additional on page
Legal Description
(abbreviated):
GLEN WOOD PARK BLK 000 DI-00 - LOT . 5 -7, Sal, /e
0 Additional on:
Assessor's Tax Parcel ID#:
456500000500
Reference Nos. of Documents Released or Assigned: 5
RECEIVED
SEP 19 2007
PERMIT COUNTER
1
This covenant executed this date in favor of the City of Edmonds/Grantee (herein "City") by the
undersigned Owner(s)/Grantor of the with in/described real property (owner(s)):
WITNESSETH
WHEREAS, undersigned is (are) the owner(s) of or has (have) a substantial beneficial interest in the real
property addressed in the records of the Edmonds Development Services Department
as 23719 91 s' Place West described in exhibit "A" (legal description and plot plan) attached:
and
WHEREAS, owner(s) has (have) obtained approval of land use and construction permits for the property
from the City (# BIb2*0o6--1o74
and
WHEREAS, the Edmonds Community Development Code (ECDC) Chapter 17.05 requires as a condition.
of the issuance of land use and construction permits that this covenant be signed, acknowledged, and
recorded in the records of Snohomish county;
NOW, THEREFORE. Owner(s) agree(s) as follows:
1 . Owner(s) will inform his/her successors and assigns of the property described in exhibit "A"
attached that a reasonable accommodation has been granted pursuant to the ECDC section
17.05.040 to allow the construction of an accessibility ramp as described in exhibit "B" attached
for the purpose o f accessible egress from the occupied portions of the.residence- structure. The
ramp, is located at the north side of the residence, from the upper story deck at the northeast
corner of the residence to the sidewalk at grade in the front yard.
2. Owner(s) will inform his/her successors and assigns of the property described in exhibit "A"
attached that the ramp as described in exhibit "B" attached is constructed within the 2510ot
setback from the north property line, and causes the total lot coverage to exceed the maximum
allowed 35 percent.
3. Owner(s) will inform his/her successors and assigns of the property described in exhibit "A"
attached that the reasonable accommodation is personal to the Owner(s) and shall not run with
the land.
4. Owner(s) will inform the City Building Official in, writing within.30 days of any change in property
ownership.
5. Owner(s) will ' inform his/her successors andassigns that a similar residential care provider may
take over the facility; however, the new provider shall be required to reapply to the City for
reasonable accommodation of the ramp within 3.months after the change in ownership."
6. Owner(s) shall remove the ramp within three months if the ramp is no longer required for
accessible egress. I.n the event thatthe ramp is no longer. required for accessible egress,
Owner(s) shall obtain all, required demolition permits for the removal of the ramp prior to,
commencing that work.
7. Owner(s) shall obtain a complete building permit for the ramp in accordance with all construction
codes and ordinances in effect on the date of the application for the building permit.. Any and: all
deficienci.es:noted during inspection of the ramp shall be corrected within 60 day . s of . notification.
REASONABLE ACCOMMODATION COVENANT
2
Related to constructi ermits, (#
DATED this th ' IA\da,
OPHELLO S CANLASM/,,�)
OWNER/GRANTOR
TDA VI CANLAS
494itl-CIA
OWNER/GRANTOR
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH
On this day personally appeared before me
OPHELLO S CANLAS
Him
2007
and
IDA VI CANLAS
to me known to be
the individuals described therein and who executed the within and foregoing instrument, and
acknowledged that he(they) signed the same as his(their) free voluntary act and deed, for the use and
purposes therein mentioned.
6th SEPTEMBER
Given under my hand the ay of 2007.
OOTAR
CP "030c,
;A - 4o,, . '% . z
'-�ary PjbIic4w-,fnd'1�f 1116—State of
Washington, residing in &Fnemd MV9,e4-1ij,%j
3
'CbEt too' 0 i.
vw;WWD-p�-AK.sLK- abG1000, LOT 5
TG-W.-EQUAL UNDT-VINT IN, TR A
IV4
To
-Z),p p
-A)Itf)onv4-,
417tiatill
September 04, 2007
Theresa Umbaugh
Permit Coordinator
CITY OF EDMONDS
1215 1h Avenue North
Edmonds, WA 98020
RE: Reasonable Accommodation Covenant on 23719 91't Place W,
Edmonds, Wa 98026 BLD2006-1074
Dear Theresa:
Attached herewith please find the new, darker, and better copy of Reasonable
Accommodation Covenant on 23719 91" PI W, Edmonds, Wa 98026 needed to be
recorded with the County.
Should you need additional information, please feel free to call me at (206) 856-6177.
Thank you very much for your usual kind attention.
ZVerytru yo s,
S Canlaso
iCare Adult Family Home
23719 91s'PI W
Edmonds, Wa 98026
Att: a/s
osc/
N
CITY C�_ERK
c�3-7)q — q I S1_ PL BUILDING.
CITY OF EDMO S
505 , BELL STR5 NOTICE OF LIMITATION AND COVENANT
EDMONDS, WA 98020 - / ADULT PAMILY HOME 0 C T Z Z 1996
(A
WHEREAS, the undersigned owners of property located at,--�3-7 ick 91'r-Plue
in Edmonds, Washington legally described below or on the attached Exhibit A, have applied
for a building permit for compliance and/or to remodel a structure located on the site; and
WHEREAS, the applicant has notified the City of the applicant's intention to utilize the
improvements and/or to convert an existing single family structure to an adult family home; and
WHEREAS, under the Uniform Building Code the number of occupants of a structure
trigger certain requirements relating to the fire suppression and exiting requirements; and
WHEREAS, the City has notified the applicant that the permit will be issued conditiohli
on limitation of residents to or fewer residents and their caretakers; and 041# 41
WHEREAS, the City has issue d a permit based upon such representations;
M
NOW, THEREFORE, the undersigned property owners' (hereinafter "Owner") mil
consideration of the issuance of a building permit and in order to confirm the promises upiA
which such issuance is based while providing notice to any future owners or mortgagors of
property does hereby stipulate, covenant and agree as follows:
I Covenant: Limitation on Residence. The owner hereby stipulates and agrm
that occupancy of the structure as an adult family home shalt be limited to 6 or
fewer adults and their caretakers as allowed by applicable provisions of state law. The owner
acknowledges that in the event that the applicant seeks revision of the applicant's state license
to operate an adult family home with an occupancy of greater than residents or attempts
to. rent, lease or otherwise provide residence , for additional residents - above
the__j�,2_permitted in the current occupancy classification, the structure shall be vacated and
all residential use ceased until such time as the property is brought into compliance with the
provisions of the State Building Code, under the edition of the Uniform Building Code then in
effect. The owner further stipulates that this covenant touches and concerns the land so long
as the present structure and use continues and shall run with the land to all future purchasers
and assigns.
2. Subiect Tract. The -above stipulation and promises shall apply to and run with
the land with respect to a residential structure located atj�'? Ick 9/1�
Edmonds, Washington and legally described as:
5�1�k- �\vv\,Q_ NXt4tCrAlZeL #4_6_65_-000-00_5_-6W4
3. Notification to Future Purchasers and Assignees. This notification and covenant
has been recorded in the records of Snohomish County, Washington in order to provide notice
to any and all future owners of the property of the limitation at the current level of improvement
to single families and adult family home residents fewer than in number.
4'�� 5-21102
L%Temp1FormsV_MT Cov.Doc
VOL. 3 2 14 8
4. Enforcement. In addition to any and other remedies civil or criminal which the
City may have, the property owner hereby agrees and stipulates that this grant of covenant
shall entitle the City to enforce by injunction the provisions of this code and, in so doing, to
recover its reasonable attorney's fees and costs.
DATED this day of _&Jdji�
ACCEPTED BY:
/ AA W X/j *
JeWnnine L. Graf
Building Official
U-3
LM <
>:
0
U
Li
C1_
ko CL
w
N8YAR4;Fi5R OWNER SIGNATURES
State of Washington )
)ss
County of J*&, J
APPLICANT/PROPERTY OWNER:
0 1 P
FAFMOP,
VIP
Owner
COVENANT AND NOTIFICATION
ACKNOWLEDGED: "
Mortgagor
I certify that I know or have satisfactory evidence thatlq&&L z4ewint.-Signed this
instrument, on oath stated that he/she was authorized to execute the instrument and
-acknowledged it as the
_(title) of (name of party' -on
behalf on whom instrumeAt was executed) to be the free and voluntary act bf,'-&'W%hpp�4-jor
the uses and purposes ti. in this instument.Subscribed and swb-,n,�'.t80_befor—e*-rne
this day of '19
A-4
Notary Public in and for the State Of Washington.
My commission expires / 9�?F I "L. t-' .1
I certify that I know or have satisfactory evidence that
instrument, on oath stated that he/she was authorized to execute
acknowledged it as the (title) of
behalf on whom instrument was executed) to be the free and voluntary
the uses and purposes mentions in this instument. Subscribed and
this day of 119
signed this
the instrument and
_ (name of party on
act of such party for
sworn to before me
Notary Public in and for the State of Washington.
My commission expires
LITemplFormstl MT Cov.Doc
ZW5
6 voL. 14 PAGE I lot, 6.9
09260005
When Recorded, Return to,
City pf Edmonds
Development Services Ddpwtment
121 �;venue North
Edmonds, WA 98020
5T PL- �j
STREET FILE
kEASONABLE ACCOMMODATION COVENANT
Grantor, 1),OPHELLQ S GANEAS 2) IDA VI CANLAS
Additional on page
!Grantee: 1) CITV OF EDMONDS 2)
0-1 Additional on page
Legal Description
(abbreviated):
GLEN WOOD PA.RK'BLK 000 D�00 -- LOT 5
Ei Additional on�
Assessor's Tax Parcel ll)#�
456500000500
Reference Nos, of Documents Released or Assigned: 5
1
This coVenant;executed'this date in'f6vor of -the Cit 'of EdmondslGraritee, (herein 'Cit' ") by the
Y y
undersigned Owneir(s)tGrant& of the within/desalbed real property (owner(s)),,
WITNESSETH
WHEREAS, undersigned isj.are) the owner(s) of or has (Aa.ve:.) a substantial zbenelicial interest if) the real
property addressed in the records of the Edmonds Development Services Department
as 23719 gir Place Wesi descrtedin eythibir-A' (legal description and plot,plan) attached:
and
WHEREAS, owner(s) has (have) obtained, approval of land use and construction permits for the propert
fro . r I n the City t# * BLD2006-1074 y
WHEREAS, the Edmonds Community Develi:i�ment�Code (EtDC) Chapter 17.05 requires as a condition
P
of the issuance of land use and construction permits that this covenant be signed, acknowledged, and
recorded in the records of Snohomish county',
NOW, THEREFORE. Owner(s) a�ree(s) as follows:
1 Owner(s) will inforrin hisIbef successors.and assigns ofthe property described in exhibit ^A"
attached that a reasonable accommodation has �)een granted pursuant to the ECDC section
17.05.040 to allo�v the consirulction of an accessibilily ramp as described in exhibit "B' attached
for the purpose of accessible, egress from the occupied portions of the residence structure. The
ramp is located at the north side of the residence; from the upper story deck at Ahe northeast
cornet of the residence to-the!�idevvalk at grade in the front yard.
2� Owner(s) will inform hisilier successors and assigns,of the property described in exhibit 'A'
attached that the ramp as described.in exhibit "El' attached is constructed within the 25 foot
setback fromthe north property line, and causes the total lot coverage to exceedthe maximum
allowed 35 percent.
13- Owner(s) will iriform his/her successors and assigns of the property described in exhibit 'A'
attached that the reasonable accommodation is personal to the Owner(s) and shall not run with
the land.
4� Owner(s) will inform t�ie City Building Official in writing within 30 days of any change in property
ownership,
5� Owner(s) will infoin) histher successors and assiqns that a similar residential care provider may
take over thefacility: hovitever, the new provider shall be required to reapply to the City for
reasonable accommodation of the ramp within 3 months after Che change in ownership,
6. Owner(s.) shall rernove the ramp wit hin three moriths il the ramp is nojonger required for
accessible egress. In the event that the rarnp is no longer required foraccessible egress,
Owner(s) shall obtlain all, required demolition PFrmits for the rernoval of the ramp prior to
commencing that work.
T -nple, itfor the ramp in accordance with all construction
Ovjper(s) shall obtain aco! e building perin,
codes and ordinances if,, effect or, the date of the application for the building permit. Any arld all
deficiencies noted during inspection of the nanip shall be corrected within 60 days of notification.
.REASONABLE ACCOMMODATION COVENANT
Related tQ construction permits (#
DATED this 30th 7�av of\ RJLY 2007.
OWNEPJGRANTOR &I V
OWNERIGRANTOR
STATE OF WASHINGTON)
UCOUNTY OFSN(lHOw|SH
On this day personally appeared before me
to me known to;be
the individuals described therein andwxuexecuted
acknowledged that he(they)skJnod the same ashis((hek)free voluntary act,anddeed, ƒorthe use and
purposes therein mentioned.
8 2007.
� Given tinder myhand the 30tb. day of JT7I2[
Notary Oublic in and for,the t Of
Washington, residing— se"Ver W*
3
r
r]
"LEGAL DESCRIPTION'A�D PCbT PLAN
3LEN WOOD PARK BLK f�00 D.00 - LbT 5 TGW EQUAL UNDIV INT IN TR A,
VFY -73,0�
WA
ARA XWOI"
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23-7/9
STREET FILE
When Recorded, Return to:
City of Edmonds
Avenue N`=rth
Edmonds, WA 98020
200709130082 CONFORMED COPY
5 PGS
0911312007 9:30am 44.00
SNOHOMISH COUNTY, NSHINGTON
REASONABLE ACCOMMODATION COVENANT
Grantor: 1) Opfflmw 5 CANLAS 2) IDA VI CANEAS
0 Additional on page
Grantee: 1) CITYOFEDMONDS 2)
0 Additional on page
Legaf Description
(abbreviated):
GLEN WOOD PARK BLK 000 D-00 - LOT 5
11 Additional on:
Assessor's Tax Parcel ID#:
456500000500
Reference Nos. of Documents Released or Assigned: 5
This covenant executed this date in favor of the City of Edmonds/Grantee (herein "City") by the
undersigned Owner(s)/Grantor of the with in/descri bed real property (owner(s)):
WITNESSETH
WHEREAS, undersigned is (are) the owner(s) of or has (have) a substantial beneficial interest in the real
property addressed in the records of the Edmonds Development Services Department
as 23719 91st Place West described in exhibit "A" (legal description and plot plan) attached:
and
WHEREAS, owner(s) has (have) obtained approval of land use and construction permits for the property
from the City (# BID2006-1074
and
WHEREAS, the Edmonds Community Development Code (ECDC) Chapter 17.05 requires as a condition.
of the issuance of land use and construction permits that this covenant be signed, acknowledged, and
recorded in the records of Snohomish county;
NOW,TH.EREFORE. Owner(s) agree(s) as follows.-
1. Owner(s) will inform his/her successors and assigns of the property described in exhibit "A"
attached that a reasonable accommodation has been granted pursuant to the ECDC section
17.05.040 to allow the construction of an accessibility ramp as described in exhibit "B" attached
for the purpose o f accessible egress from the occupied portions of the residence structure. The
ramp. is located at the north side of the residence, from the upper story deck at the northeast
corner of the residence to the sidewalk at grade in the front yard.
Owner(s) will inform Ns/her successors and assigns of the property described in exhibit 'A"
attached that the ramp as described in exhibit "B" attached is constructed within the 25 foot
setback from the north property line, and causes the total lot coverage to exceed the maximum
allowed 35 percent.
3. Owner(s) will inform his/her successors and assigns of the property described in exhibit "A"
attached that the reasonable accommodation is personal to the Owner(s) and shall not run with
the land�
4. Owner(s) will inform the City Building Official in. writing within.30 days of any change in property
ownership.
5. Owner(s) will inform his/her successors andassigns that a similar residential care provider may
take over the facility; however, the new provider shall be required to reapply to the City for
reasonable accommodation of the ramp within 3.months after the change in ownership.
6. Owner(s) shall remove the ramp within three months if the ramp is no longer required for
accessible egress. ln the event that.the ramp is no longer requiredfor accessible egress,
Owner(s) shall obtain all. required demolition permits for the removal of the ramp prior to
commencing that work.
7. Owner(s). shall obtain a complete building permit for the ramp in accordance with all construction
codes and ordinances in effect on the date of the application for the building permit.. Any and. all
deficiencies �noted during inspection of the ramp shall be corrected within 60 day s of notification.
REASONABLE ACCOMMODATION COVENANT
2
I Related to construction-kermits (# '#11�2006-1N4
DATED this \day'NLf 2007.
OPHEELO S CANLAS�W-
OWNER/GRANTOR
IDA VI CANLAS '4
OWNER/GRANTOR
I STATE OF WASHINGTON)
I COUNTY OF SNOHOMISH
.On this day personally appeared before me
OPHELLO S CANLAS
and
IDA VI CANLAS
to me known to be
the individuals described therein and who executed the within and foregoing instrument, and
acknowledged that he(they) signed the same as his(their) free voluntary act and deed, for the use and
purposes therein mentioned.
6th SEPTEMBER
Given under my hand the day of 2007.
NAN
431* 0
cP*- 'OUBOG
4e
5. 25%. 4
kNeary PLiblic4wdind W the State of
Washington, residing in EWmeiqd M 6W-e4-1h,%j
3
PATI(
VVIX
IV4
-'o',ol'ol, l
Z),p p
4xid-tedl
%P
September 04, 2007
Theresa Umbaugh
Permit Coordinator
CITY OF EDMONDS
1215 1h Avenue North
Edmonds, WA 98020
RE: Reasonable Accommodation Covenant on 23719 91st Place W,
Edmonds, Wa 98026 BLD2006-1074
Dear Theresa:
Attached herewith please find the new, darker, and better copy of Reasonable
Accommodation Covenant on 23719 91s'PI W, Edmonds, Wa 98026 needed to be
recorded with the County.
Should you need additional information, please feel free to call me at (206) 856-6177.
Thank you very much for your usual kind attention.
ZVerytru yo s,
S Canlas
iCare Adult Family Home
23719 91s'PI W
Edmonds, Wa 98026
Att: a/s
osc/