530 9TH AVE N (2).PDF111111 lill 11
9876
530 9TH AVE N
0 &
ADDRESS: �5 aC) AVt N
TAX ACCOUNT/PARCEL#: 0057L/ ff �
BUILDING PERMIT (NEW STRUCTURE) M
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required Ywaiver
CRITICAL AREAS #: DETERMINATION: Conditional Waiver El Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED: Lp/,5/66
---
SCALED PLOT PLAN DATED -T-
SEWER LID FEE $:
LID
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
#P20
.,CAFileNo:
Critical Areas Checklist
Site Information (soils/ topography/ hydrolo vegetation)
1. Site Address/ Location: 6- 2 4 �?'
2. Property TaxAccount Number: c 9- e:,
3. Approximate Site Size (acreib or square feet)-. e-
4. Is this site currently developed? yes;
If yes; how is site developed?_
5. Describe the general site topography. 0
no.
all that apply.
Flat less than 5-feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical ris e* of 10-feet over . a horizontal
distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet
over. a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal
distance of less than, 33-feet).
Other (please describe):
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site is in the floodway floodplain of a water course.
9. Site co a creek or an area where water flows across the grounds surface? Flows are year-round?
Flows are seasonal? (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
an andsca awn, s s e
11. Obvious wetland is present on site: 4&2
- ------------- ---- For City Staff Use Only
I Plan Check Number, if applicable?
2. Site is Zoned?
3. SCS mapped soil type(s)? �"=j% S� C' ? (M"
4. Critical Areas inventory or C.A. map indicates Critical Area on site? SAy-
5. Site within designated earth. subsidence landslide hazard area? No.
DETERMINATION
REQUIRED
Reviewed
-WAIVER
'4C. 1%91
#.P20
City. of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable Cit y staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
r- I
L
DateReceived:- 05-OLf-71009
City Receipt
Critical Areas File #: C-FLA - 7-QOS� Do"
Critical Areas Checklist Fee:. $135.00
Date Mailed to Applicant:_,O -A3-,-Q0j`V
A property owner, or his/her authorized 'representative,
must* fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist,.make a
precursory site visit, and make a determination of the
subsequen t 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 fiorm. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.),,or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, inderrmify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information fiimished by the applicant, his/her/its agents or employees.
By, my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file this app,51icatloonn the behalf of the owner as listed below.
Dena , of
00-
SIGNATURE oF APPLicANT/AGENT DATE S
Property Owner's Authot6ation
By my signature, I certily that I have autho above Applicant/Agent to apply for the subject land use application,
and grant my permission forthe public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and postii�g agendant, to this apphf,*on.
Owner/AppUcant:
( �V-C)LAtJ
Narr�e�'-
S7 0 *Feq 2 e- 4-
Street Address
City Stke Zip
e--
Telephone: -7
Email address (optional):
DATE g , q -oir,
AppHeant Representative:
Name
Street Address
City e Zip
Telephone: 5-�- ZZ e-- � 6— 215::� -
Email Address (optional):
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREET FILE
Date:
Site Address:
Plan Check #: 0 -3 01
Project Description: rel,La co �a ad(
Reduced Site Plan Provided: (5/ NO)
Zoning-.
Map Page: Corner Lot: NO) Flag Lot: (YES /0
Critical Areas Determination ff: og-00 2_3
El Study Required
iver
SEPA Determination:
11 Exempt
El Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist CJ APO List with notarized form
Requited tbacks Al -
Street: VJ 25'_ Side: _S /0
Actual Setbacks
Street: Side: Side: r: 7, -S-
qO, 6 t!t___
Detached Structurrs: elt IS( (r, e-
Rocked_ �J CU M��
KFencesfTrellises:
ev4f�,
Bay Windows/Projecting Mlation: —f-'JoV4_ f,.\ 5,e ckC (<S
Stairs/Qer k_/114-
Datum Point: 48� Datum Elevation. -
'69rn-ep V\\
Maximum Height Allowed:
Actual Height: Z316 (13 4. �5 3 eX
Other Wo vicreAre_ in "qhx—
Parking Required: _Z1
Parking Provided:
Lot Area:vllj6c,)[�
Ma ximurn Lot Coverage: 35% Proposed:/ 7 7,,-
-
Lot Coverage Calculations: Hoort/ I I4d f-C 41 A C -f- �,V q � e — -Z� t L( L� .
ADU Created: (YE S 5. f r- to mr (tv��
Subdivision:
Legal Nonconforming Land Use Determination tssued: (YES
Con7nients
A lid, 5--
110. 2-s- U �'d
C //3 -'33 13-7 3-7 At4r,
.0 11 s--- qz
S6 �)
PlanReviewBy-
PWnr" Ukdta Foan 04 -11 -06.doc
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . ..........................................
116-04450
OWNER----------- My.hre,.-.R.3J ........................................................................ CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ........ 5.3.Q ... 9..t.h
.................................................... ............. LEGAL DESCRIPTION: LOT No . ......................................... .... BIAD�CK No . ............................................
NAME OF ADDITION
DYE TESTED ON SEWER, 1972
Approved:
DATE................................................ By ........... ..........................................................
CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSITE* ROM-yi �E
STATUS: ISSUED ENG20080
Permit Nwnber: ENG20080420
Job Address: 530 9TH AVE N, EDMONDS
ROBERT P GRIMM
530 9TH AVE N
EDMONDS, WA 98020
Expiration Date: 1/20/2009
STEELE HOME SERVICE INC.
23424 88TH AVE W
EDMONDS, WA 98026
425-774-3596
LICENSE #: STEELHS934BO EXP: 1/18/2009
•
•
JOB DESCRIPTION
IREPAIR P PROPOSE TO REUSE LATERAL LID NUMBER.
CRINDER PUM N I PROPOSE TO REUSE SIDE SEWER
SIDESEWERREPAIR
EAS EN'ILNT INFO R'NIATION
•
I PROJECT CROSSES OTHER PRIVATE PROPERTY
•
]VERIFICATION OF RECORDED EASEMENTS COMPLETE
1AVEMATTY- The Applicant has signed an application which states helshe holds the City ofEdmonds harmlessftom injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may he made against the City ofEdmonds or
any ofits departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorneyfees by reason ofgranting this permit.
CALL D]AL-A-DIG (1-800-424-5555) BEFOREANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICE REQUIRED FOR ALL INSPE)C-nON REQUESTS
THIS APPLICAT'ION ISNOTA PERIAITUNML SIGNED BYTHECITY ENGINEER OR HISMER DEPUTY: AND FEESARE PAID,AND RECEIPTIS ACKNOWLEDGED IN
SPACE PROVIDED.
R FILE COPY 9 INSPECTORCOPY
Printed: Monday. October 20. 2008
161Z& /40
DATE
0 APPLICANT COPY
STATUS: ISSUED
ENG20080420
• Refer to City of Edmonds Side Sewer Information handout for approved pipe materials, inspections and other requirements.
• A 6" cleanout with 12" locking cast iron larnphole cover is required at the property line.
• Maintain 10'separation between the sanitary side sewer and the water service line.
• Applicant shall repair/replace all damage to utilities or frontage improvements in City right-of-way per City standards that is
caused by or occurs during the permitted project.
* ESanitary Side Sewer Inspection
PARTIAL INSPECTION DATE: INITIAL: NOTES:.
PARTIAL INSPECTION DATE: INITIAL: NOTES:.
FINAL INSPECTION APPROVED DATE: INITIAL:
TEELE
Home Services
PesidenfW RwWerhg,& Adddons
9M11
To JoAnne Zulauf
Engineering Division
City of Edmonds
According to the plat certificate provided by Chicago Title Insurance there does not appear to be any easements or other encroach-
ments to this iDrovertv.
Regards, Dwight Steele
Cell #425 776 4242
O-A,L OvI, Car "'i
Grr�W-Kk_i .
STEELE HOME SERVICE
23424 88TH AVE W
EDMONDS WA
98026
1 :1-
JUL - U) 2908
BUILDING DEPARTMENT
CITY OF EDMONDS
Phone: 425 774-3596
Fax: 425 640-7237
Toll Free 1888 773 3696
PIMGOT INSURANCE COMPAN�-*-
_'0 T AV= EVERL-ff, WA 98201
PLAT CERTMCATE
Order No.: 5610565
Certificate for Filinj Proposed Plat:
In the matter of the plat submitted for our approval, this Company has examined the records of the
County Auditor and County Clerk of SNOHOMISH , County, Washington, and the. records of the Clerk of the
United States Courts holding terms in said County, and from such examination hereby certifies that the title to
the following described land situate in said SNOHOMISH County, to -wit:
SEE SCHEDULE A (NEXT PAGE)
VESTED IN:
ROBERT P GRIMM AND CAROLYN E MANGELSDORF, HUSBAND AND WIFE
EXCEPTIONS:
SEE SCHEDULE B ATTACHED
CHARGE: $250.00
TAX: $21.50
Records examined to JUNE 2, 2 0 0 8 at 8:00 AM
BY
/JIM CLINE
17intle Officer
(425)259-8223
PLATCRTAIPJWOM
OtHICAGO TITLE INSURANCE Comp�*
PLAT CERTIFICATE
SCHEDULE A
(Continued) Order No.: 5610565
LEGAL DESCRIPTION
PARCEL A:
THE NORTH 100 FEET OF THE SOUTH 165 FEET OF THE WEST 216.6 FEET OF TRACT 8, PUGET
SOUND MACHINERY FIVE ACRE TRACTS, ACCORDING TO THE PLAT THEREOF, RECORDED IN
VOLUME 5, OF PLATS, PAGE 47, RECORDS OF SNOHOMISH COUNTY, WASHINGTON
EXCEPT THAT PORTION THEREOF APPROPRIATED BY THE CITY OF EDMONDS BY DECREE ENTERED
IN SNOHOMISH COUNTY SUPERIOR COURT CAUSE NO. 104695.
PARCEL B-
THE-NORTH 15 FEET OF THE SOUTH 180 FEET OF THE WEST 216.6 FEET OF TRACT 8, PUGET
SOUND MACHINERY FIVE ACRE TRACTS, ACCORDING TO THE PLAT THEREOF, RECORDED IN
VOLUME 5, OF PLATS, PAGE 47, RECORDS OF SNOHOMISH COUNTY, WASHINGTON
EXCEPT THAT PORTION THEREOF APPROPRIATED BY THE CITY OF EDMONDS BY DECREE ENTERED
IN SNOHOMISH COUNTY SUPERIOR COURT CAUSE NO. 104695.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON.
PLATCRILIRDA/Mg
CHICAGO TITLE INSURANCE COMPANY
PIAT CERTMCATE
SCHMULE B
Order No.: 5610565
This certificate does not insure against loss or damage by reason of the following exceptions'.
GENERAL EXCEPTIONS:
A. Defects, liens, encumbrances, adverse claims or other matters, if any, created, first appearing in the public records
or attaching subsequent to the effective date hereof but prior to the date the proposed insured acquires for
value of record the estate or interest or mortgage thereon covered by this Commitment.
B. Rights or claims of parties in possession not shown by the public records.
C. Encroachments, overlaps, boundary line disputes, and any other matters which Would be disclosed by an
accurate survey and inspection of the premises.
D. Easements or claims of easements not shown by the public records.
E. Any lien, or right to lien, for contributionsto employee benefit funds, or for state workers' compensation, or
for services, labor, or material heretofore or hereafter furnished, all as imposed by law, and not shown by
the public records.
F. Liens under the Workmen's Compensation.Act not shown by the public records.
G. Any service, installation, connection, maintenance or construction charges for sewer, water, electricity
or garbage removal.
H. General taxes not now payable; matters relating to special assessments and special levies, if any, preceding or in
the same becoming a lien.
1. Reservations or exceptions in patents or in Acts authorizing the issuance ther eof;
Indian tribal codes or regulations, Indian treaty or aboriginal rights, including easements or equitable servitudes.
J. Water rights, claims, or title to water,
K. THIS REPORT IS ISSUED AND ACCEPTED UPON THE UNDERSTANDING THAT THE LIABILITY
. OF THE COMPANY SHALL NOT EXCEED ONE THOUSAND DOLLARS($1000.00).
W-HICAGO TITLE INSURANCE CONTA(-*
A
B
c
D
8
p
PLAT CERTIFICATE
SCHEDULE B
(Continued) Order No.: 5610565
EXCEPTIONS
1. NO SEARCH HAS BEEN MADE AS TO PROPERTY TAXES AND ASSESSMENTS. PROPERTY
TAXES'AND ASSESSMENTS WILL BE SEARCHED UPON REQUEST.
2. EASEMENT FOR INGRESS AND EGRESS OVER THE'NORTH 15 FEET OF THE REAL ESTATE
UNDER SEARCH, AS DISCLOSED BY VARIOUS DEEDS OF RECORD.
3. DEED OF TRUST TO SECURE AN INDEBTEDNESS:
GRANTOR:
TRUSTEE:
BENEFICIARY:
AMOUNT:
DATED:
RECORDED:
RECORDING NUMBER:
LOAN NUMBER:
ROBERT P GRIMM AND CAROLYN E
MANGELSDORF, HUSBAND AND WIFE
CHICAGO TITLE INSURANCE COMPANY
WASHINGTON MUTUAL BANK
$ 359,000.00
SEPTEMBER 6, 2005
SEPTEMBER 14, 2005
200509140744
01-0107-070640561-0
THE AMOUNT NOW SECURED BY SAID DEED OF TRUST AND THE TERMS UPON WHICH THE
SAME CAN BE DISCHARGED OR ASSUMED SHOULD BE ASCERTAINED FROM THE HOLDER
OF THE INDEBTEDNESS SECURED.
4. DEED OF TRUST AND THE TERMS AND CONDITIONS THEREOF:
GRANTOR:
TRUSTEE:
BENEFICIARY:
AMOUNT:
DATED:
RECORDED:
RECORDING NUMBER;
LOAN NUMBER:
ROBERT P GRIM AND CAROLYN E
MANGELSDORF, HUSBAND AND WIFE
GROUP 9 INC.
WASHINGTON MUTUAL BANK
$ 185,000.00
NOT DISCLOSED
MAY 22, 2007
200705220699
0699968632
THE AMOUNT NOW SECURED 13Y SAID DEED OF TRUST AND THE TERMS UPON WHICH THE
SAME CAN BE DISCHARGED OR ASSUMED SHOULD BE ASCERTAINED FROM THE HOLDER
OF THE INDEBTEDNESS SECURED.
5. THE COMPANY'S LIABILITY FOR THIS REPORT IS LIMITED TO $1,000.00. THIS
REPORT IS BASED ON THE COMPANY'S PROPERTY RECORDS, AND NO LIABILITY IS
ASSUMED FOR ITEMS MISIND9X9b OR.NOT INDEXED IN THE PUBLIC I RECORDS, OR FOR
MATTERS WHICH WOULD BE DISCLOSED 13Y AN INQUIRY OF THE PARTIES IN
POSSESSION OR BY AN ACCURATE SURVEY OR INSPECTION OF THE PREMISES. THIS
REPORT AND THE LEGAL DESCRIPTION.GIVEN HEREIN ARE BASED UPON INFORMATION
SUPPLIED BY THE APPLICANT AS TO THE LOCATION AND INDENTIFICATION OF THE
PREMISES IN QUESTION, AND NO LIABILITY IS ASSUMED FOR DISCREPANCIES
RESULTING THEREFROM. THIS REPORT DOES NOT REPRESENT EITHER A COMMITMENT
PlATMT8l/PMA/0M
OCHICAGO TITLE INSURANCE COMPjy-*
PLAT CERTMCATE
SCHEDULE B
(Continued) Order No.: 5610565
TO INSURE TITLE, AN EXAMINATION OF, OR OPINION AS TO THE SUFFICIENCY OR
EFFECT OF THE MATTERS SHOWN, OR AN -OPINION AS TO THE MARKETABILITY OF
TITLE TO THE SUBJECT PREMISES.'
MW OF SCHEDULE B
NOTE A;
EFFECTIVE JANUARY 1, 1997, DOCUMENT FORMAT AND CONTENT REQUIREMENTS HAVE
BEEN IMPOSED BY WASHINGTON LAW. FAILURE TO COMPLY WITH THE FOLLOWING
REQUIREMENTS MAY RESULT IN REJECTION OF THE DOCUMENT BY THE COUNTY
RECORDER OR IMPOSITION OF A $50.00 SURCHARGE.
� I
FIRST PAGE OR COVER SHEET:
3" TOP MARGIN CONTA INING NOTHING EXCEPT THE RETURN ADDRESS.
l" SIDE AND BOTTOM MARGINS CONTAINING NO MARKINGS OR SEALS.
TITLE(S) OF DOCUMENTS.
RECORDING NO. OF ANY ASSIGNED, RELEASED OR REFERENCED DOCUMENT(S).
GRANTORS NAMES (AND PAGE NO. WHERE ADDITIONAL NAMES CAN BE FOUND).
GRANTEES NAMES (AND PAGE NO. WHERE ADDITIONAL NAMES CAN BE FOUND).
ABBREVIATED LEGA L DESCRIPTION (AND PAGE NO. FOR FULL DESCRIPTION).
ASSESSOR'S TAX PARCEL NUMBER(S).
RETURN ADDRESS (IN TOP 311 MARGIN).
**A COVER.SHEET CAN BE ATTACHED CONTAINING THE ABOVE FORMAT AND DATA IF
THE FIRST PAGE DOES NOT CONTAIN ALL REQUIRED DATA.
ADDITIONAL PAGES:
I" TOP, SIDE AND -BOTTOM MARGINS CONTAINING NO MARKINGS OR SEALS.
ALL PAGES:
NO STAPLED OR TAPED ATTACHMENTS. E ACH.ATTACHMENT MUST BE A SEPARATE
PAGE.ALL NOTARY AND OTHER PRESSURE SEALS MUST BE SMUbGED FOR
VISIBILITY.FONT SIZE OF 8 POINTS OR LARGER.
THE FOLLOWING MAY BE USED AS AN ABBREVIATED LEGAL DESCRIPTION ON THE
DOCUMENTS TO BE RECORDED TO COMPLY WITH THE REQUIREMENTS OF RCW 65.04.
SAID ABBREVIATED LEGAL DESCRIPTION IS NOT A SUBSTITUTE FOR A COMPLETE
LEGAL DESCRIPTION'WHICH MUST ALSO APPEAR IN THE BODY OF THE DOCUMENT:
PORTION TRACT 8 PUGET SOUND MACHINERY 5 ACRE TRACTS
I BS/DS
PIATCRB21RDAIM9
CV)
.0
Cm
4
C\l
.5 4
7 ......
6
02 3. 3 5
I�TA 1 El
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3- 3- +
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I , 04 +
-C
06'.)_ 9 8
C -C 05 -cc 03 -cc 08 07:-' 01
3- 3- -,C -C
c -C A: 3- 3. VA VA Y.
2-161 1 : . +
-C x
3"
44. - A ....... 1 10 08 10
...... . . ....
I'S P AFN 9106030404
s -56 + 766
3
f -C
2 3 :F -C
�r 1 2- 3,
09 1 10, 11 1
14 13 12
m 2- 13 12
-C 3'.
.4,100 44%0%4% C
--- - --- E)R-'
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.......... 01 0
0 + X
01 x
+ 13
1 2 3 4 5 6 iYAYOYA-YAY,%Y,,YAYAY,-,,X
x
+ K
Yo 14" RZ, ol 06
X X < YAYAVA%V-AYAYAy,%" TER M
+ YA
3 04 5 07 2
07
03 + 02;31 08 YAYA
1 -t I YAYAYAY,%YAY.AYAYA
1 01
+ 3
05
.9,1
041 . .....
RP UN T
2-170 A 1 2 3 r
03::, 2 9
3
18
-185 Dc 05
4 CASQkB E Dfl 4 -GA &GM-
02
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2-166 6 5 06+
------ . ......... r
x 05
+ .......... ..
01 R N C 4(569 ... ... 1 -1 ... P0444..._.
2-201 1 2 + x s SE T
x +
3: 3 5 6
HI +
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3 4 5
2-202 --- -eAROL- -WAy- -
06
07
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2-198 3: 1
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01 + S� S-M_ 7
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2
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-ST
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-207 c 2 3 4
10 5 6
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----------
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PUGET
SOUND
ENERGY
Order #: / 06 0 3 1/47
Notif#: 3601160V
Addendum To: City of Edmonds
Right Of Way
Permit Application
Submitted by: Craig Simpson
New Customer Construction
Puget Sound Energy
425-356-7500 ext. 7571
A
PRO P6.5ED 5/8�' :5,5RV 1 <'6
PC
630
WI)VOOW CVT- OV6A
WATCR MAlpl
--..e /94? 3--5Z93
Ex. Z "S 71V I P I
6-10 Paving Cuts Anticipated
Cuts shown as:
Key: -W- water
-G- gas
-SS- sewer
-SD- storm drain
Puget Sound Energy 1122 - 75 ST SW Everett, WA 98203
N
54ALE, I ��
Permit N
o
City of Edmonds
RIGHT-OF-WAY CONSTRUCTION PERMIT, Issue Date:
A Address or Vicinity of Construction: 530 9 AVE N, §ffWRK1avedn10
B. Type of 'Work �(b'j specific): IUCUT OVER WATER 8' WER OFF EAST EDGE OF PAVING
SEWER 9 -EAST OF WEST EDGE PAVING 38' OWNG CUTS ANTICIPATED 1. (1060 147).
C. Co n'tracton—PUGET'SOUND ENERGY Contact: DOUG 19SITALD
Mailing Address: 14=959i AT SW, EVERETT, 98203 Phone: (425) 356-7§12-0
State License #: Liability Insurance: Bond:
ing, CIF Side 9�wer Permit # (if applicable):
# (if applicable):.'
1). Build.:, Permit''
ity Project 0 EUC (PLTD, GTE, PSE;,,',CHAMBERS, OVWD)
E. F! Commercial '§ubdivision El C
F1 Multi-Farnily E] Single Family Other
INSPECTOR-
F. PAVEMENT: x YES NO G. SIZE OF CUT 2 x 5 H. Charge:
CONCRETE CUT: (i�P F� NO
APPLICANT TO READ AND SIGN
IDEMNITY. Applicant understands by hislher signature to this application . helshe holds the City of Edmonds harmlessfrom injuries,
damages or claims of any kind or description whatsoever, for�seen or unforeseen, that may be made against the City of Edmonds or
any of kts departments or employees, including but not limited to the defense of any legal proVedings including defense costs and
attorneyfees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR APERIOD*OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS
COMPLETED BY CITY FORCES, AT WHICHTIMEA DEBITOR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Traffic control and public�` safety shall be in accordance with City regulations as required by the -City Engineer. Every
flagger must be trained -as -required -by (WAC) 1961455-305-.460; must, have certifica.t.ion..,verifying. �Ompletion, of, the
required training in their possession.
Restoration is to be in accordance with City codes. All street-cutdrench work shall. be patched with"asphalt or City -
approved material prior to the end of the workday - NO EXCEPTIONS.
Three sets of construction drawings of proposed work are r
quired with. t4e permit application.
I HA VE READ THE ABO VE STA TEMENTS AND UNDERSTAND THE PERMIT REQ UIREMENT'v AND A CKNO REED GE
THA T I MUST MAKE THE PINK COPY OF THE PERMIT AVAILABLE ON SITE A T ALL TIMES FOR INSPECTIONS
Date:. 10/8/iggg
Signature: FELMA H. LOM FUGIMAO
Wontractor or Agent)
CALL PIAL-A-DIG (1-800-424-5555) PRIOR TO BEGINNING WORK
FOR,CIT'Y
Y,%r
_J
Approved b
Time Authorii4i`joi eilJOV..
.:"y dA 1- 10 IS
7777
SpeciaI,C6n'_'diti'6hs,-`,�
IQ AYILA�A�% �15 L . . . .. .......
USE ONLY
Right-of-way Fee:
,",,isruption F�efflund 111: 2.0ec)
Restoration Fee:
*,Total Fee: -2-7 0
RepeiPt'JN_9t:. ......
7 '_ �4-
4i'd by:'
sue
UPON COMPLETION OF PERMITTED WORK, AN ENGINEERING FINAL
INSPECTION IS REQUIRED -PER CHAPTER 18.00 OF THE EDMONDS
:COMMUNITY DEVELOPMENT, CODE.
FINAL APPROVAL OF PERMITTED WORK.
INSPECTOR'S SIGNATURE DATE:
For inspection requirements see Engineering information Handout.
I NO WORK SI-IALL BEGIN PRIORTo PERMIT ISSUANCE I
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address: 4—jg!�:7 !P t4-146�
Edmonds, Washington
Legal Description: llffcl,12� P-6E!d-:5:)7-
Assessor's Parcel Number:
66re- .1y ."rAW A4,_1,6
I have read the requirements for accessory dwelling units contained in Chapter 20.21 of
the Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit as defined in ECDC Section 21.05.015 is prohibited until an Accessory
Dwelling Unit Permit is approved.
I also understand that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and all the necessary items are submitted,
including an affidavit of occupancy and a covenant to be riled with the Snohomish
County regarding the regulations im osed on Accessory Dwelling Units.
Property Owner Signature:
Property Owner Name (printed):
Date: (-,p , 19 - O'K,
STATE OF WASHINGTON
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence'that Qqyrpj�jN MQNQd,1zdoL�
signed this instrument and acknowledge it to be his/her free and voludary act for the uses and
purposes mentioned in this instrument.
Notary's pressure seals must be smudged. Dated: Sm
AL -M. MML� Signature of
- .1 1. Notary Public:
NONONVAime
Sk#o of Waddnom esiding at: L�jtN ±"' VYA 992-2032, (02
LANNOT K UJAWN.
tol I
My Appotntry4nf 60fes 06t 4. 2011 My Appointment
Expires: 0a ��011
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
ADUstatement.doc
QffY CLERK
C" OF EDMONDS
121,5TH AVENUE NO.
EDMOND$- WA 98020
ONFORMED COPY
2001"'231111 1 PG
0712312008 1
COUNRaMJ42,00
SNOHOMISH TY, SHINGTON
STATEMENT ON ACCESSORY DWELLING UNITS
Pro, erty. Address:. ye—:p /f/. 'e�otla
P
Edmonds, Washington
Assessor s Parcel Number: ej!!5> 5
-See- VY 7�AZV �ege 4/m
I h*Ave-r.ead the requirements for accessory dwelling units contained in Chapter 20.21 of
the.:Edinonds Community Development Code (ECDC) and understand that an accessory
dw'p1lipg.unit as defined"in ECDC Section 21.05.015 is prohibited until an Accessory
ow- ning, Unit Permit is approved.
1"a'als'd u':' derstand that an Accessory Dwelling Unit Permit cannot be approved unless all
r
t "C it'�� ig in Chapter 20.21 are met, and all the necessary items are submitted,
''intlUffig-4-ii affidavit o** d with th Snohomish
u f occupancy and a covenant to be rile e
:regarding the regulations Ziosed on Accessory Dwelling Units.
't r
T-11-OP01t.Y...Owner Signature:
vibpeityy0 'ner Name (printed): A
4;xa
x e, 02�
�::�:STA.Tt�O-F WASHINGTON
Y
VN ,,OF SNOHOMISH)
:1�certify. that I know or have satisfactory evidence that Cowpj�jN mofqae)QdDL�
s d * h- t a d voludary act for the uses and
.i t, is ins rument and acknowledge it to be his/her free n
purpo , ses mentioned in this instrument.
st be smudged. Dated:
N&ary'� pressure seals mu
L! -dl� '-A� AL Signature of
[Notary Public:
esiding at: L' 4 VyA...99 3(p
�! V
��ttx'mrel oit 4. 20711 My Appointment
Expires: �011
THIS:DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
ADUs,tAtement.doc
0
QffY CLERK
EDMONDS
CM OF
121—STH AVENUE NO.
EDMONDS. WA "020
STREET FILE
CONFORMED COPY
1111moam �12!, P,
SNOHOM�SH COUN Y, W SH N06N
STATEMENT ON ACCESSORY DWELLING UNITS
P-_r'd1pe.rt.y Address: /1/,
Edmonds, Washington
.Assessor's Parcel Number: ee!5> 5— Y 1?'!2 !!P z5>e5),!n :V FO
-5 04 V Al 7-,Q 7�V "e, 3 e 4//)?
1 ha-ve: read the requi*rements for accessory dwelling units contained in Chapter 20.21 of
t E. dffi onds Community Development Code (ECDC) and understand that an accessory
d#..6,111,Ag-qnit asdeffiied"in ECDC Section 21.05.015 is prohibited until an Accessory
Dw I efliji., Unit Permit is approved.
g
07e
f,ilid u4iderstand that an Accessory Dwelling Unit Permit cannot be approved unless all
ritey.ja.in Chapter 20.21 are met, and all the necessary items are submitted,
-_ a fridavit of - i to be filed with the Snohomish
h A n a occupancy and a covenan
C.6.peqty regarding the regulationZ ,ed on Accessory Dwelling Units.
t
Y.:bw-ner Signature:
Owner Name (printed): �2e
P re-z L_,� Dce__r�77
cl� .10-
1' 9 - 02"
STAT.E.�OF
C UNTY...OF SNOHOMISH)
Q
1'.certif� that'l know or have satisfactory evidence'that (2omj�jN MONWQdDL�
.signed. this instrument and acknowledge it to be his/her free and voluriYary act for the uses and
p urp.os . es mentioned in this instrument.
N . 6ta� . '.s pressure seals must be smudged. Dated: Srs, �Ouq
Signature of
c
Notary Publi
fuwc
esiding at: L,4 N VNA qgt�3,0
1A
*V'.`A (@I ftf 4. 201 jl� -MY Appointment
Expires: 0a - ��Vl
"P - 40.7 �W -7 W mop W W
THIS.R.00UMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
Al)Us,tatement,doc
O,F SuRvxy
FOR DWIGHT STEELE
LOCATED IN THE S-W- 1A. OF ME N.E. 110014.,
OF SECTION 24a TOWNSHIP 27North., RANGE 3Easts W.M...
SNOHOMISH' COUNTY..- WASBINGTON
FOUND CONCRETE MONUMENT WITH 5- BRASS
DISK ON SURFACE WITH ")C SET IN CONCRETE
AT FLOW LINE AT INTERSECTION OF CAROL WAY
AND WEST SIDE OF 9TH AVE. N.
(HEW)
CAROL WAY
sli�
-j Is
44 ov
18- DEDICATED TO CITY (104695)
T— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -- — — — — — — — — — — — — — — —
b TAX LOT 5' WOOD FENCE IS 1.2' N.
to
#54890000-0808 OF PROPffY LINE
S89 W 53"E 198.60'
N89 50 53 IN
z LJ L.J r
48.00' 1 L
0 S.
6' WOOD FENCE IS 6.3' �7
Eb OF PROPEWY LINE 6' WC -OD FENCE IS 5.0' S.
OF--PN
?EIM LINE
48'
CO%R OF 5' AND 6' WOOD FENCE IS
0.8' 14. BY 1.1' W. OF PROPERTY CORNER r
30' L
cn CURB
Q
TAX LOT
X #54890000-0809
19,860 SQ. FT.
0 1
c3 L.J
z
0
L
6' WOOD FENCE IS 0-9' S-
OF PROPERTY LINE
e-RETAINING WALL IS 0-1' S- rj
OF PROPERTY LINE
CONC. L N89 *50 53'M iffi.60'
6' INOOD FENCE RUNS:j
ALONG PROPERIY LINE
RdAINING WALL IS 0.08- N. BY
5.8' W. OF PROPERTY CORNER WWOOD FENCE IS 0.1'N. BY-j
30, 18, 1 2.0' W. OF PROPERTY LINE
NOTES:
REFERENCE SURVEYS:
(R 1) RECORD OF SURVEY, BOOK 43, PAGE 110, UNDER 1. MONUMENTS L4ST VISITED 419108.
RECORDING NO. 9408125002, RECORDS OF 2. THIS I SURVEY WAS PERFORMED WITHOUT THE BENEFIT
SNOHOMISH COUNTY. WASHINGTON OF A CORRENT TITLE REPORT AND THEREFORE DOES
(R2) CITY OF EDMONDS SHORT PLAT, UNDER RECORDING NOT PURPORT TO SHOW ALL EASEMENTS, COVENANTS.
NO. 200511105235 CONDITIONS OR PESTRICTIONS, IF ANY.
3. THE ROUNDARIES SHOWN ON THIS SURVEY REPRESENT
(R3) RILEY PARK, VOLUME 14, PAGE 78 nrc"n "MIM ONLY AC71JAL OWNERSHIP MAY OTHERWISE
FOUND CONCRETE MONUMENT IN CASE
WITH 5* BRASS DISK WITH -)C, ON W.
SIDE OF 9TH AVE. N. AND N. OF DALEY
ST. AND 6' E. OF W. FACE OF CURB.
BE DETERMINED.
q
cu
c"'D
CL
GRAPHIC SCAM 1 =20'
m MM7777777hm
BASIS OF BEARINGS:
BEARINGS SHOWN HEREON ARE BASED ON THE MONUMENTED
CENTERLINE OF SITH AVE. N., BEING NORTH 0*12'Oe WEST,
AS SHOWN ON THAT RECORD OF SURVEY FILED IN BOOK 43
OF SURVEYS AT PAGE 110 UNDER RECORD NO. 9408125002
RECORDS OF SNOHOMISH COUNTY, WASHINGTON.
LEGAL DESCRIPTION
(PER WASHINGTON MUTUAL EQUITY PLUS DEED OF TRusr UNDER
RECORDING NO. 200705220699)
LYING AND BEING LOCATED IN THE CITY OF EDMONDS, COUNTY OF
SNOHOMISH, STATE OF WASHINGTON, ALL THAr CERTAIN PARCEL
OR TRACT OF LAND KNOWN AS.
THE NORTH 100 FEET OF THE SOUTH 165 FEEr OF THE WEST 216.6
FEET OF TRACT 8, PUGET SOUND MACHINERY FIVE ACRE TRACTS;
ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 5 OF PLATS,
PAGE 47, RECORDS OF SNOHOMISH COUNTY, WASHINGTON;
EXCEPT THAT, POR77ON THEREOF APPROPRIATED BY THE CITY OF
EDMONDS BY DECREE ENTERED IN SNOHOMISH COUNTY SUPERIOR
COURT CAUSE NO. 104695.
IEGEND:
@ FOUND MONUMENT AS DESCRIBED
0 SET 11t REBAR AND CAP *CNW 40011r
N.W. CORNER OF BUILDING IS
1.2' W. OF PROPERTY CORNER
S.W. CORNER OF BUILDING IS OX N.
BY 1.2' W. OF PROPERTY CORNER
USED: GEODIUM 600
'OR IRIM&E 560JD200f
OF WAC 332-130-M
24, TMorth, RJEast WM-
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PRbJECT NAME. DWIGHT STEELEIIREMSION and.lor LASTPLOT BY. J.A.C.11CREATED: Mon Nov 29 08:44:44 2004 11PREV. PLOT: Fri Apr 18 12:53:47 2008 &PLOTTED: Fri., Apr. 25, 2008, 10:36:11 CARon Holt drafting\2008-029.pro