6921 160TH ST SW.PDFiiiiii lill
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6921 160TH ST SW
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CITY OF EDMONDS,
COMMUNITY SERVICES DEPARTSTREET FILE
RIGHT-6F_WAY CONSTRUCTION PERMIT
A. * Owner:
Permit No. 'F (� —.
Issue Date Eza I/ t / E_ Z
\ --�w C-% V6- k Q__- '-_ t1itLL�-A—_
Name Udme
rYbs ... 7?:>
86 & - �.� sn:
Mailing Addres Mailing Address
T---, 0 kj� A 01 (� 0Qn qR'fflZ
City State Zip City State Zip
3
je 11�7 State License Number 4 fI e�p hon N t "Zbe r
B. * Contractor:
C. * Address or Vicinity of Construction: (a 9 �Oc) :T\'
Type of Work to be Do
Z/ I
D. 0 Work in Connection With: p, Sd�;OrTp�lzt El Single Family 0 City Projects
El Commercial 0 Multifamily ��t�ility
E. 0 Pavement Cut: El Y [0 N F. 0 Size of Cut: — X
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its departments or employees,. including or not limited to the defense
of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD 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 which time a debit or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Engineering: 771-3202
• Work'is to be inspected during progress and at completion.
• Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand f, e above And that 1his permit mii ft be 14vailabfe at the job site for ins�pection'puirposes at all times.
Date:
Signature:
U —Owner or Contra`c�___
iS)P �rnit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: 22� -edek .2
Time Authorized: Void after 30 days.
Special Conditions: TnJ�r-Ax,(_ PnwoLltj QUA-TW 6',14
C' 0
RELEASED BY
P E R M I T F E E: JP' 39 — �6t hte
Restoration Fee:
Receipt No.: —
Fund I I I Fee:
Street Cut Dimensions: $
Date tq INSPECTED BY
Date -
NO WORK TO BEGIN, PRIOR TO PERMIT ISSUANCE
Eng. _ '' ".,
FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.r
.6
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July 1985
'401ow— j 6,09
ozo
%N.1,00A
T Eff FILE Side Sewer Drawing
The City of Edmonds;,7 IR EASEMENT NO - --------------------------------------------
-4 L%
NEW CONSTRUCTION REPAIRS F� LID NO. -ASMT. NO. - -------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. 75G5--
JOB ADDRESS G9.11 -------- --- 15T�.S-,W, ............... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------- ....... --------
PWW-0001-11/75 (REV.11/78)
------------------------------------------------------------------------------------------------- --------- -7
--) ------------- [7LY-NNW7Cf07D-7LM�]
NAMEOF ADDITION -------------------------------------------------------- .........................................................
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ApT i PAR-rA,
----------
DATE -----------------
- C-"Pv.c.
4'a'�7
21
mw "40p. CORIP.A.
CITY of EDMONDS SIDE SEWER P.E-,R-MIT
STREET FILE
For Inspection Call 771-3202 PERMIT NO. 0790 0(33
Address of Construction:
Property Legal Description (Include all easements):
Owner and/or Bu4der:
Contractor & License No
Single Family Residence
z-, 114
m?m P
Mul ti-Family (No'. of Units
F-
I LYNNWOO
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555).'before any
excavation.)
Cross other Private Property: No '1� Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
FEB I z+
I certify that I have r6-a—d-and shall comply Date
with the items listed on the back. PUBLIC WORKS
Permit Fee:
Trunk Charge:
Assessment Fee:
Issued By:
'Date Issued:
Receipt No.:
J7—
Z-10-(?91
q q1-10
Partial Inspection: NGCp ltAsp. A-r c-pN�4. -r6 14oL3se-
Comments
Ftnal Inspection Approved: <-,2--9J
Date - Initial
.:I,
00
Rejected:
CD
Ln
White Copy - File
eason
** PERMIT MUST BE POSTED ON JOB SITE **
4-24r-sq
Date
—1—ni
Date tial
Green Copy - Inspector Buff Copy - Applicant
G@
Pioneer National Title Insurance Company
WASHINGTON TITLE DIVISION
'iled for Record at Rqquest of
RF-CI41V ED
D E C 2 KI'D
[11
ro PERMIT COUNTER S
0
a). STREET FILE
IRE50 ED FOR ECORDER!S USE;
ET 0
i tiEE
Y11 LLIAKS. AU01TOR
j CouHTY, WASH.
CITY CLEAK
CIVICK9MA"Wws
FUNIOND.S. WA "020
FILE
NO EXCISE TAX
REQUIRED
0::� I 1-) 7
JAN 19 M9
KIRKVEE,�
B 2!�T
LiepuTy
FORM L56 Ft
Quit Claim Deed
THE GRANTOR GARY L. EMBREE AND DONNA F. EMBREE, husband and wife
for and in consideration of Roadway Purposes
convey and quit claim to THE CITY OF EDMONDS, a Municipal Corporation
the following described real estate, situated In the County of SNOHOMISH
State of Washington including any interest therein which grantor n-.ay hereafter acquire:
The East 10 feet of the West 30-feet; AND the South 10 feet of the following described
property:
"The South half of the Following described tract:
That portion of Tract 37, Meadowdale Beach, According to the plat recorded in Volume
5 of Plats, Page 38, records of Snohomish County, Washington, described as Follows:
Beginning at the Southwest corner of said Tract 37; Thence North 208 feet 6 inches;
Thence East 208 feet 6 inches; thence South 208 feet 6 inches; Thence West 208 feet
6 inches to the point of beginning;
EXCEPT the West 20 feet thereof conveyed to Snohomish County for Road Purposes under
Auditor's File No 723435.11
together with the right to make all necessary cut or fill slopes on
the land of grantor's adjacent to the above -described real property
in connection with the constructibri, maintenance or improvement of
the above -described real property for'purposes of a public roadway.
Dated this 29th day of November, 1988
.......... . . .......
... .....................
L. EMBRIE
... (81EAL)
ODO N � A*T.
STATE OF WASHINGTON,
County of
On this day personally appeared before me < - -Av-�� 3--
to me known.to be the individual described executed the witbl-V UftolAg Instrument, and
acknowledged that Z/k-�;r signed the same as d
" Act 'an deed, for the
uses and purposes therein mentioned.
GIVEN under my band and official seal this day of
............... . . ........ ----- ---
Not&>
residinj at
8901.19olng m. 2201 PAGE2252
Pj E r,
CITY CLERk
CIVIC CENTER
EDMONDS. WA 98020
CITY OF EDMONDS, WASHINGTON
89 JAN 19 AH10: 2.1
COVENANT TO PARTICIPATE IN/WAIVE RIGHT TO PROTEST LID
Oil
f I At
Y �Yi.AwEIREAS, the undersigned owners are the . owners of certain real
WAS11.
071- property located in Snohomish County, Washington, which is legally
described on Exhibit A attached hereto and incorporated herin by this
reference as if set forth in full, hereinafter referred to as "the
property," and
WHEREAS, the owners have applied to develop the property as
?Z/ A�v _S7-yW (insert development type), which will have an
impact on
�insert impact), (e.g., storm drainage, streets, water, sewer), and
WHEREAS, as a condition of approval of the proposed development,
cc, the City has required the owners to mitigate impacts of the development
and the owners and the City have agreed that such mitigation may take
the form of participation in a local improvement ' district (LID) for
construction of certain improvements deemed necessary to mitigate the
impact, now, therefore,
FOR AND INCONSIDERATION OF the City's approval of owners'
development of the property described on Exhibit A without requiring
owners to presently construct the improvement:s hereinafter described,
the owners covenant and agree as follows:
1. Warranty of Title. The owners warrant that they are the
owners of —the property described on Exhibit A and are authorized to
enter into this Agreement.
2. Acknowledgment of City Authority. Owners acknowledge that
State law and City ordinance provide that the City may require that the
following improvements be designed and constructed as a condition of,
and to mitigate the effects of, the development proposed by the owners
(insert description of specific improvements):
owners further acknowledge that the consideration for this
Agreement is approval of owners' development by the City without
requiring that such improvements be completed prior to --such approval.
3. Acknowledgment of Special Benefit. Owner acknowledges that
the entire property legally descFi�bed on Exhibit A, and if the proposed
development -is a subdivision or short subdivision, each and every lot
to be created as part of the development of the property legally
described on Exhibit A, would be specially benefitted by the
construction of the improvements specified in paragraph 2 above.
4. Agreement to Participate in or Waive Protest of LID.
A. Petition Method. Owners understand that the formation of
8 9 0 11 0 2. 0 0 VOL. 2201 PAGE2253
CITY CLERK
CIVIC CENTER
EDMONDS. WA 993020
local improvement district which includes the property
described on Exhibit A for the purpose of pr ' oviding the
specified improvements will result in the property being
assessed a proportionate share of the costs of those
improvements. With full understanding of this consequence,
owners agree to sign a petition for the formation of an LID
or ULID for the specified improvements at such time as a
petition is circulated or the City requests the owners to
sign such a petition and the owners hereby agree that the
Mayor of the City may sign the petition for the owners as the
ow ' ners' attorney in fact, should the owners fail, refuse or
be unable to do so.
B. Resolution Method - Waiver of Right to Protest.
owners understand that owners have the rig t to protest
formation of an LID or ULID to construct the specified
improvements pursuant to RCW 35.43.180. With full
understanding of owners' right to protest and the
consequences of formation of an LID or ULID, owners agree to
participate in any LID or ULID to'design or construct the
specified improvements and to waive the right to protest
formation of the same. Owners shall retain the right to
contest the method of calculating any assessment under such
LID or ULID and the amount thereof, and shall further retain
the right to appeal confirmation of the final assessment roll
in the manner provided by law.
5. Binding Effect - Duration.. This Agreement shall be recorded
with the Snohomish County Auditor, shall constitute a covenant running
with the land described on Exhibit A, and shall be binding upon the
owners, their heirs, successors in interest and assigns; provided, that
this Agreement shall be valid only for a period of ten (10) years from
the date it is signed by the owners, after which it shall expire and
become null and void.
6. Specific Enforcement. In addition to any other remedy
provided by law or this Agreement, the- terms of this Agreement may be
specifically enforced by the City of Edmonds.
7. Attorney's Fees. In any suit or action brought by the City
of Edmonds to enforce any provision of this Agreement or to redress any
breach, the ownerstovenant that the City shall be entitled to
reasonable attorney's fees and costs in addition to any other remedy.
<9
DATED this 6;1" day of 1981.
OWNERS
8 v
0*1011 P0200
2
vni 9.9.NPAu 2 2 �,. 4
STATE OF WASHINGTON )
)ss:
COUNTY OF SNOHOMISH )
CITY CLERK
CIVIC CENTER
KDMONDS, WA 98020
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledged it to
..be (,hi sj/�e3r) free and voluntary act for the.purposes mentioned in this
A
0 'N"i ftent.
TA C, :
-6.v
PATED this day of 198.1-
V
ot�
A NAo
NO ARY PUBLIC
My commission expires: �i
STATE OF WASHINGTON )
)ss:
COUNTY OF SNOHOMISH )
I certify that I know or have satisfactory evidence that
signed this instrument, on oath stated that
h e /(s:h�� was authorized to execute the instrument
and acknowledged it as the -L,-Ati tl e) _ -e4;-
V(name of party on behalf of whom i nt was executed) ly
to be the free and voluntary act of such party for the uses and
..pur Oses mentioned in this instrument.
.......... -6W day of 198
-�,P�EO this ZZ
'Q'T' R Y P U B L
CrT RY PUBL C
,,.fly commission expires:
4-119 "11902 00 3 VOL. 2" 2 01 PAGE2 2 r-,' 5
0 V
CITY OF EDMONDS
C'Of8!UN.ITY SERVICES DEPARTMENT
BUILDING DIVISION
-SINGLE -FAMILY RESIDENTIAL -PLAN CHEGK
DA TE 1-3— CHECKED BY
DESCRIPTION
ADDRESS Z ONING
OWNER DESIGNER
BUILDER CONTACT
VALUATION AND FEES"
DESCRIPTION,
A REA_
BASEMENT
/ 16�ev
GA RA GE 6 MAIA)
7q
FIRST FLOOR.
SECOND FLOOR
DECK
7�"
ORD.
EST. VALUE.PER SQ. FT.
/*, q6
1 0
OTHER
TOTAL VALUE
PERMIT FEE /p--m
PLAN'CHECK FEE
PLUMBING: FIXTURES @ $2 ea. $3 Basic Fee
CW, I TUB. I SHWR, I LAV� I SINK HwH Imis C*J. TOTAd
WC, I DW +I I
HEATING - PECH.
FUEL.
GAS PRESSURE TEST
MECH. NOTESt
6pect F%1 FO&L
z-6CA,7r&- F-UP-44CE-7
�2,2F )VoTe,; 57#-r 3
TOTAL FEES
-25-88.
VALUATION
6,87
SINGLE-FAMILY:, PLAN- CHECK 1.
. )tjoo - 5�-reqc:r -
Da tL--/ Owrrer/Builder- 6"16 Address-
DESs UBC UPC, UMC 1985 Sht STA�,�S RAILS (3306) Sht
X ,
WSE6, 1986 ( �� Width(36" minY
'L &a_ (10VRis,e- & run-- (811max-,-x- 9" min.--3
Pi s- & $esi 43Zo (-�)�ffeadroom (6'6" min.)'.'
--'Type " X11
Desigrrerr(�02) pace under(5/8"
Engine er (3 02 Guard rails(1711:)—
Other�-- inders-
Handrail(over 3R', 30-34"
FOU TION Att
IJO & ROOFS�*
Site- Inspectiorr oof plan Al-
�M'
(i,�So il' Bea ring(2905) Ttuss-es-
0, ra-inage(2905f)' 1.2 Joistu- &-'rafters
i. Footings-(2907) A acing13202a)'
r.2
io�KFootings- on, slopes(2907) Cvi�_ 'Cheathing(2517h, 3202)
..4
),,tbnc. Walls(2907)' C V 1, ('3201) C A
C cajess�3205)'22"
V)Damp proof irrg(1707) x 30"
Beam- S'bats-(2516c:,) L,'�drrts-(3205) 1/300, 11150
Sill Plates(2907,2516c�-)�'
hchor Bolts-(2907) )��Tlgshing(3208)
6 iers('2907)* Othe ?.Q2r-
�Slabs(2623)-3-21"min.-
r HE.4TINTG, MECH. VENTILATION'(UMC)
Concrete(26224 (')02
AJIA Plans-&-SPeq b)'
Fireplgce--Ftg.(3707b) so
Type - fuel- A10'r 5_A5��1672
).-Reirrf. Steel* Cbver(26 C' GAs:pressuretest(22o6)
Vdnts(2516c�,)'A`rea/150
(;�;x hi
Screen, C mney(3703)'
Ftg above-- grad;e-(2907a)-'6'—' D.-FireplAc.e-(Chapter 37) NO
-Reinf &:Ahchorage-(�703)
Ftg below- grade (Table- 29-k'
�t . (b h imn ey)
Other- ( er",VT6rmiiratiorr.(37030
( �"ZHbarth';0707k')'
FLOJUR FRAMING (��Vbnt fans (UBC, 1205) t,1w1w1V _S91-a
( V��GlL-aranze- under (2 516) -1 8_M� ) Dryer duct (1903-1104)
(%-'),Postsz-& Conneations(2 16al— L ) Clearance to comL(3707h
4 Beams -&-'Girders7(25170�1 P%Z_�-A lianc)-sArtgar e(508)
25
'Or 3
(-"'-),,,Floor Joists-(25-U-J-1)T`ab-1e 2.
,*4') Subfloor (2517e)* GE41RAL
Other, -),Jfouse numbers(513)
(�,�Sboke- detectors(121 0.) ve
WaL PRA MING. (2 5179) Emerg. egress(1204)-
ates-, Garage-5eparation(503d)
( 77.Studs(TAb 25-R-3) Safe-ty G-lazing(5406)' -3
(v Ifeaders 0i 4— Skylights(3402, 5207) -3,
( ;,4ire'stops(2516f) Ceiling-height(1207a-)'
( 1) Sheathing &-Bracing Brick veneer0006) 1-
( ),--*Ater- splash(2516k) ��Deck materialb(25160 41--
0-1 Ekt. wall covering (2 516g)— Othe
Otherr, NOTES 1-72_vC, IAJ CvA4466—
PLU -ING (UPC) e_4455,eo A5
jx�
Planw.reqd.(3()6) -10 -ro vmc :5ac. sne
In-spectiorr. & T6;t(318)_
)Dishwasher air ap(608)
,kShower stallsF909)
Water shutoff(1005)
Pressure-.regulator(1007)—
Other- E�dl
. 5-9-87
1986 STATE ENERGY, CODE (WSEC.)
_�ients-
Prescriptive require
i Zone 1
Single-family planreview-&-field inspection-.c7hec-k list.
Owner: Address-,
Foundations & Basements
Sheet
(a) Slab floors, R-8 perimeter insulation-x 24" wid'e
within 12" of finish grade
(b-) Grawl spacest .004 polyethylene-groundle-over
overlapped 12" at joints & carried'. up to plate�. A)IA
L/
(c) Basement frame wallss R-19
(d) Basement concrete walls.-s R-19 if finished-. If un"
finished no insulation req'd if there ---is 12" or
less of the wall, above -grade and rim joist in-
sulation -;is -installed,.
/2. Floor sectionss
(a) Overt -unheated, spaces-s R*-19
(b,,) Over-fl ors-aantilevere&to the�outffides R-19
(F) uve'ry-insuiLatedifoundat'ion walls: None required
(d) over areas7 used as plenumss Mone required
Exterior Frame walls -of heated areass
(a). 2x6 studs with R-19
(b 2_i4 studs with R-13 & R-5 sheathing,
(c) 2x4 stliBs with R-11 & H-5.4 sffe-a-fK.ing
4. Roof decks &c.eilings of heated areast
(a) Electrim resistance heats R-38
& Oil heats R-P
71
-67)-V-a-ul-te-d—si-rigYe--r-aTte-r or ioi§t_i_R_-30 regardless-
of type of heating
5. Operrin-gs--t
(a) All! windows:- & skylights. irr, heated-. areas-, must he
doub:le alazed:.
rrt- -glazing: 21%
per" age of floor area in
k(---) Glazing- alassl
(i) Electric,,.resistance-heats.60
"M therr heats 75
kd) Single-glazi-ng--Tor ornamentiil—,security or arcH;Z'—
itectural purposeso
ki) Area o e ubled
- ii) Includ in tot9_1 allowedigia2�ing area.
Rii) Max. area beFore doublingo 1�* of floor area
6. Air leakage
(a) Exterior joints of doors & windows sealed,
caulked, gasketted.or weather stripped.
air inf 11tratiory- rate 7-o-r-d-o—ors and.
windows:0-5 CFM.
5-9-87
1986 STATE ENERGY CODE (WSEC)
I Sht,.'2 of 2
Owner
jAddressl
7. Moisture-mDntrol: S the e t
(a) Required on warm side- of wall insulatiorr.
--7/
�b.j Required� om roof/ceiling: assemblies- where the vent
V
space ab.ove is less -than an averEige of 12". iJ/A
8. Loose fill insulations
(a) Max. slope, 3/12.
-ceiling
(b)� Min- 30" to� of joist to btm. roof sheathing
kcl Baffles- req,d. at eave ventw-0
9. Ventilation -
(a) Enclosedijoist or rafter spaces where -ceilings
V/
are applied directly to underside,of'joists or-
rafters- must- have-- 1" c1ear vent space-- above in- AJIA
sulation.
10. Mechanical Systemss
(a) Fireplaces -shall be provided with flue dampers
and,an outside source for combustiornair, 6 sq.
inches area, with damper.
01 (b) Pro ide heating & "oling desigm load� calasp for
V/
purpose of sizing HWAG system. HVWG equipment...size
not over 150% of desigrr load
(a,)..I)uc:E 'Insulation., per table 4-16. WSEG-_, R.!-6 mim.
kd) Temperature-Uorrtrols Frovide thermostat-equippedl.
with anntrol:.setback &-s-hutoff..
V1
11. Shower-wi L-imit flow to 3 GPM-
3
�12. Water heaters -&Pipings
Z(a)
HWH. labellIed.. AS HRAE Std. 90A-80.
in unheated spaces plac.e.. HWH on R"10 pad
(electria�HWH'only)
LI/
(c) Hot water piping per-Table-4-17 WSEG, R-6 min.;:
13. Allowable Glazings Lower floor
(Sq. ft.) Maim floor
Upper floor
Total _3 x .21 731
L/
Installed� Glazing
(Sq. ft.)
Roof x 2
Basement,
Maim
Upper,
Other/Total
J.A, 16
I o
2-
_0
10,
737
110
Pioneer National Title Insurance Company
WASHINGTON TITLE DIVISION
lled for Record at Rqquest of
RF-CEIV ED
DEC 2 K UD
PERMIT COUNTER
-AK 2-4
��li LIAMS, AU011OR
(3M1Sjj to�HTY$ WASH.
TIL
CITY CLERK
RUM CIVICUMM"Ws
ONDS- WA 00;2e)
__�_AIPUTY NO EXCISE TAX
REQUIRED
JAN 19 19
0 KIRKOEE S, jno�c i h,�Cc�u*�Sul er
E
w.. DePuty
FORM L56 ft
Quit Claim Deed
THE GRANTOR GARY L. EMBREE AND DONNA F. EMBREE, husband and wife
M
00
for.and in conside'ration' of Roadway Purposes
convey ',,and quitclaim to THE CITY OF EDMONDS, a Municipal Corporation
the following described real estate, situated In the County of SNOHOMISH
State of Washington including any interest therein which grantor =.ay hereafter acquire:
The East 10 feet of the West 30 feet; AND the South 10 feet of the following described
property:
"The South half of the Following described tract:
That portion of Tract 37, Meadowdale Beach, According to the plat recorded in Volume
5 of Plats, Page 38, records of Snohomish County, Washington, described as Follows:
Beginning at the Southwest corner of said Tract 37; Thence North 208 feet 6 inches;
Thence East 208 feet 6 inches; thence South 208 feet 6 inches; Thence West 208 feet
6 inches to the point of beginning;
EXCEPT the West 20 feet thereof conveyed to Snohomish County for Road Purposes under
Auditor's File No 723435.11
together with the right to make all necessary cut or fill slopes on
the land of grantor's adjacent to the above -described real property
in connection with the constructio'il, maintenance or improvement of
the above -described real property for'.purposes of a public roadway.
Dated this 29th
STATE 0 , 'SHINGTON,
County of
?44
On this day personally appeared before me
to m,! known to be the Individual described In and who executed the withl�q.,
-.4-w-, % 1%
acknowledged that signed the same as free,
uses and purposes therein mentioned.
4Q
GIVEN under my band and official seal this day of
890110
,)0 1 ng
V
day of November, 1988
IG,A L. EMBREFd e----
NA F. EMBREE
(SEAL)
8ftol;I; Instrument, and
M4.ActWnd deed, for the
Not&y PwUld
residMl at
VOL. 2201 PAGE: 2 2 5 2
e e- r- "a-/
011*1�21 6,0 ST�WREET
CA.-rc-H
B45%N DETENTi LIENGTH COWROL CA-rC"
(vr.t4-r) -1 SA31M
I' MIN, 2' MAX COVE&
cowrRoe
"11% 5LOPE-4- 4'
I I "Ali, 7 1 S W12 �7
To OLML-ET
(PJP;tAP OR
P'UNOFF
SPREKDEV.)
SYSTEM CROSS SECTION
SEE PAGE 3 FOR OUTLET CONTROL DETAIL
21 2, W, coa=P, 4t. f." SPA.LLS
67N� " w;,* D " -
17 x 2' 3" DEEP, V4*- CAUSWED MCK
------ ANN.
FROM 7
0 �TL�
VrLET
COWMOL
RIPRAP OUTLET
W^3HC1D &XJNJ�q r 01-rrF%-OW TP
',et4C%4, mlt4 10, I-ONC-2,
-rol- E'FLF PIPE 'TOBE WFEVIE-L
'FROM
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OLMLET I
C014-rRDL
4- PE- IRF PIP
'7 Tj
, PERF PIPE W c4kps
RUINOF SPREADER 0I-JT1
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
PAGE I OF 2
for -&MRzr AW'O&VACC
location -NE- COW&O OF 7OTMAV9. W-
-A&VD
plan by
phone 1�69 -S000
date - -49:1 ACK SS
DESIGN DATA
System Impem Pipe Pipe Orifice
Number Area Diam Length Diameter
1. k.qc)bl 24" 140' 1
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Res ponsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
jt� J'V E D
JAN R' :71
PERMIT COUNTER
CITY OF EDMONDS
L4 PPE 12 e--b IC)
(a P%l f, e-
4AMEL POWL. r
-tA LTM lo,
(A- vo,
- IV
"7j*ALAlk,
ko"50
C,
3L AREA rID
UW3
'k— PL4
PgL44
DIi +L
lo
C-P.
0
FE Pie-i 5 OF F-Y-117TINti M'FHAL,- T 20
—7E
(a C) 1H
DIMPTIOR -z7Yl2TF-H DE`016iP QATA,
IT E' PLh,,H
"70nf-/,) 11. V" jF IS 400 -SF
I I.... i. �.� ... ZONE^ /
Ul I y W- %J I I MA16
CONSTRUCTION PERMIT APPLICATION r J . OB
OWNER NAME/NAME OF BUSINESS ADDRESS 6�121 APO I,.5r1-5-W
a: —4-7*'r6'M6fZV LEGAL DESC N CHECKI SUBDIVI . SION NO. LID NO.
W MAILING ADDRESS
z
0 /0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
CITY TELEPHONE NUMBER APPROVED BY
EXI
09 PROPOSED
STING 40 - REQUIRED DEDICATION
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED.
STREET USE PERMIT REQUIRED::
wo ADDRESS
i- 0A
7 -1 -- . 0
0
REVIEW BY
SEE ENGINEERING MEMO DATED
cc
< CITY
TEL&PHONE NUMBgR
8Y47:5
REMARKS
11.
NAME
M ADD9ESS
Ila
62,66 A tip. W-
METE a SIX - r
SUPPLY SIZE
JBUILDIN�
FIXTURE UNITS
49y
CIT
z Y/
8 / Vo
TELEPHONE NUMBER
RE;X�/
44w,6
STATE LICEINSE NUMBER
le Al /2 Lz 2- bf-
SIGN AREA
ALLOWED PROPOSED
1
ENV. REVIEW
COMPLETE I EXEMPT
ADB NO.
I
1(show
Legal Description of Property - include all easements
-1 below or attach two coples)
1 SHORELINE #
&NEW
RESIDENTIAL
PLUMBING
ADD/ALTER
COMMERCIAL
MECHANICAL
REPAIR
APT. BLDG-
SIGN
DEMOLISH
REMODEL
EXCAVATE
OR FILL
CARPORT
GARAGE
FENCE
(- X -FT)
swim
POOL
WOOD STOVE I RETAINING WALL/
INS �RT ROCKERY
RENEWAL
114f (A
-
NUMBER OF STORIES
NUMBER OF
DWELLING
1UNITS
r4fA
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
AA9W 5ML6 F44. 9675.
This Permit covers work to be done on priyate property ONLY'.
Any construction on the public domain (curbs, -sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Worh is Started Within 180 Days_
"Applicant, on behalf of his or her spouse, heirs, assign's and
successors in interest, agrees to Indemnify, defend and hold
'Uni harmless the City of Edmonds, Washington, its officials,
2 employees, and agents from any and all claims for damages of
M
< whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of. this permit sha I not be deemed to
modify, waive�Q.r r9duce any requirerDent of any city Qrdinanpie.
0 1: 1 . ; . ... . .
VARIANCE OR CU PLANNING REVIEW BY .,JDATE
SETBACKS - FEET HEI HT I LOT COVERAGE
3,5 2,
FRONT SIDE /P " REAR2-5 ' I - 0
BY I TYPE OF CONSTRUCJION I CODE I HEIGHT
cr
W
z
z
5
(L
SPECIAL INSPECTOR
AREA
OCCUPANDY
OCCUPANT
REQUIRED
GROUP Z?
LOAD
n YES E NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
111AAMR,4`1-
co
2WJ411- AM- IM 4.RWXv
r N CHECK FEE
BUILDING
PLUMBING
MECHANICAL
STATE SURCHARGE
ENERGY CODE
DEPOSIT
14SA&r/zW
VALUATION I
W
740
x
nor mit in any way ine cat 011111y to a Torce d
n .,any:or inance
ro I n an
provision."
'C e,
TOIAL AMOUNT DUE
I hereby acknowledge that I have read this application; that.the
t h a t
' ' . r..,,
information given is correct; and that I am the owner, or e; U y ;A,T.TENT)O.N
r' t e U ' ly
APPLIC AT,.l � OpRbV41L
C it Y�
autkorized agent of the owner. I agree to comply With clty,�.'�6&�
r
HIS PERMIT
state laws regulating constructlor1v�.jndjR,d19jng the work authoriz-
au t h 0 ri z_
'he
AUTHORIZES
This appllcati6n� is:. not'a pe'rniit until
I
ed thereby, no person will be emOlb'y"'68 114 v16laitioA of 'the Labor
L r
0
jab
ONLY THE
signed by, the. Building .,Off i(;I.11. or his,_
Code of the State of Washington relating to Workmen's Compensa-
ompensa_
WORK NOTED
Deputy; and ibe's,ire`-p� Bi6�.and re- eLdi'pt is,--.
tion InsWance.
INSPECTION
acknowledged 0 p�qepro qe d.
SI)GNUR (OWNER07rr) DATE SIGNE D.
DEPARTMENT
j ;5 J11W
CITY OF
OFFICIAL'S SIGN TURE DATE
EDMONDS
- 'r �2- --z - 2, 9
aB;Y�:a
ATTENTION
771-!32OZ
DATE
'7�
IT IS UNLAWFUL T USE OR OCCUPY A BUILDING OR"G.TRUCTURE
N?
UNTIL A FINAL I PECTION HAS BEEIJ.:MADE AND APPROVACbR'
ORIGINA� — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK.— Owner GOLD — Assessor
102-87
M03B= REVIEW CHDMUIST
'PJ3= - NAME: prwxT AbDREss: AV IC-90
�Ppi�rcnxoN REcEipr DATE: o i mEET
FILE
C E I V ED
Reviewed by: (initial/date)p
COMMENTS
PLANNING
WrR/SWR STREET ENCVMG
FIRE
FuILDING
IT1117711
,INGLE FAMILY/MULTIPLE/Ca4MCTAL - (Circle One)
'EMIACKS CHECKED - Planning
T77777777
17TI77T
T/ bf
B
VARIANCE/SETRACK ADJ.
77T///T/7
171111117
XMITIONAL USE PERKIT
/////////
2
.7t
7-777-7777-7
OB REQUIRDMM afBCKED
.
777T7777
/77/777T77
YIM M ZONING REQUIREMENTS
IIH111111
4
—7-77777777
-NVIRONMENTAT, FEATURES
5
�C= SLOPE & VFMCLE ACCESS
17777777T
/////////
6
77777T
-77T77777
)RAINAGE PLAN (On Site)
////////
1
7
MEET FILE
1111ITrff
777777771
////////
////////
1
8
7T17T77T
MAL DESCRIPTIM VERIFICATION
////////
1
9
11T1
7777
.UIT CLAIM/DEDICATIONS
10
ASEMENT - PUBLIC/PRIVATE
7777=
77777777
7T/77T/7
'ArkMATE SEWER COMEEVION IF NO LID# �/o
12
1-7771-TT17
777717T
If,AT/SUBDIVISICti REQUIREMEMS
/////////
////////
13
JGHT-OF-WAY CONSTRUMON PERMIT. RE(j)
7TI77T
77T7=
777777777
/////////
1
IV09
14
77777777777TIMI
CND REQD FOR PUBLIC IMPROMAOM
/////////
////////
15
X)ILS CCVDITIMS & GICM
7Tf777TIT771111111
////////
INIER HEM CIMCKED
/////////
W/b/V
16
'PREE
V PAVING REQUIRED
/////If/7-7777=
-
17
7////////
777777777
IMB AND GU7-PER REQUTRED
77/-V['//77T/777
7777M 7
;T6Euw.K REouiRm
/////////
/////////
19
////7T/7
MB CLJT FOR DRrVFWAY REQD
20
77777777T
TR1111111
,111EET NAME SIGN REOD
/////////
21
IMM SIGNING REQD
777777
d
ff -D
7
22
;IDE SEWER AVAILMILITY .
....
77T=
///1//1/
23
XISTING WI'ER MATN SIZE
T/TR7
//////
7TI777771
/////////
77T/77777'
24
AM ME`M SIZE
77777T7111111111
//////
/////////
7 7 7 / TT17
////////
TTF1 7TIT17
—
25'
TITRT
TTIT1777T
Tf7Tlrl7
771111
;E11VICE LTNE SIZE
26
fYDMNT REQUIRED
777771777111111
11117FR7
—
27
ITFfTT171
fYDRwr SIZE EXISTING
28
ROSS CONNECTION INSPECTION REQD
29
fl-TI-17
'po
ITI-ITF177TFI-1-11-1-17
—
ATER MEMM CIMRGE REQD,1
30
FIRE LINE CHARGE REQD - SPRrNKLFA
31
,TREET CUT
1—Ys\
32
�PEN DITCH EXISTING
33
REQD
34
7=77777T/7
ULVErG REQD
35
777777777
SIZE
36
AMI BASIN RBQD
37
INDICATED CN SITE PLAN
777777777777777777
38
'HOULDER DRAINAGE MAINTAIN
T/7T/T/7
SHALE OPEN RUNOFF
39
IISC;
40
41989
C WuhAs
ZEVIEWED BY: gToj&g� ,e .. .,
PLANNrNG MGR. ENGINEERING MGR. PUBL1C7W0RKS MGR.
CITY OF EDMONDS
ASSET INFORMATION SHEET
E W
ADDITION
RETIREMENT
A/
STRER FILE ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEP��Q. e7l
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO
ESTIMATED LIFE
PROJECT NUMBER 1�� �7
PROJECT COMPLETION DATE
COST
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
i�np INITIAL
VERIFIED BY
PROCESSED
BATCH NO.
DATE
DEPARTMENT FILE
Plat Bearings.
36
FAW
iwu-dm
SCALE IN FEET
I PON""."
0 10 20 40
RECORDER'S CERTIFICATE
20 20
30.03
20.92
0
CD
jo
C
C
jc�
U1!0
10
IM
30
— I bo. b () — — —
S r9'71j' T411W
0
N - - - 0
'on setup 173.37
Legend
Filed for record this_____day of_____
1 98--at -----in book --- of ----on
page_ ---at the request of Tom
R e i s d o r f f .
Mgr. Supt.of records
0
N 160th S t
0 set 1/211x2411 steel rod with plastic cap
concrete monument in steel case
@ found pipe
R
'0� WAS,
0
Cn
1K 4jiho 0
ON
S 0 W a
Legal Description
------------------
Ell
N
0
C+
Q�
C-1
The south half of thePollow'ing described tract of land:
Beginning at the southwest corner of lot 37,
Meadowdale Beach, as recorded in volume 5 of plats
on page 38, records of Snohomish County, Washington;
thence North 208.50 Peet; thence East 208.50 Peet;
thence South 208.50 Peet; thence West 208.50 Peet
to the point of beginning;
EXCEPT the west 30 Peet thereof Por road.
and EXCEPT the south 10.00 Peet t�-,aroP for road.
Ri�Clr--AVED
JAN 12 R -7 C,'[ I
PERMIT COUNTER
S T
NE 1/4, SW 1/4 5-27-4
L A
SURVEYOR'S CERTIFICATE
This map correctly represents a survey
made by me or under my direction in
conformance with the requirements of
the Survey Recording Ac t.
y
certificate no. 17679
B0 U N' D A RY
SURVEY
f o r
GARY EMBREE
COLUMBIA LAND SURVEYING a ENGINEERING
6605 228th St. S.W. PH 776-3935
MOUNTLAKE TER RACE, WA. 98043
SCALE 111" = 20 9
JOB NO. 88109
DATE 11-22-88
SHEET 1 of 1
KUKKN-MANKCH. MC.
STREET FILE
bq2l'l&o 5r-5t'/
YU,��/Z7Y
S17Z:- 11,441
41