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711 ALDER ST.PDF711 ALDER ST r F 7� UF�nLOCK 0 . ... . ........ ... * ------ "', DistricQA!o 197,3 -YA City of Edmonds ---Water Dep tment � A t4 1 L Dep tm z > Ia., - ", P CARD >S4_1 Date... No. 03,0140 ... Meter ........ .......... Tap No.T Size...... .. .............. six ..... ......... .. Mfgrs. No.--2-, .......... �ty� e ..... . For ......... .............. .-Z .......... .. . ... ......... .................................. 7 ... LotNo ........................................... Blk. No .................................................. Add. .......................................... ............................................................................ ServiceLocation ................. ................................................................................ Meter Location .... S__ ......................... ............................................................................................... ........ . ....... . ...... . .............. MakeTap ....................... . ........... * ..................................... ; ...................................... .................................................. . ................ . ................ . ................ . . ..... ....................... Pressure .............................. lbs. Test ............... ..................... 50 SendBills to .......................... . ....... ................................... . .......................... . ..... Dateof Work ........................ 7 ......... ............... ......... ............................................ . ........... ................. Freman Guar. Voucher No---------------------------.........:..--- ........... ....................... . ..... Remarks: R..(!- tiatg A&4za ... ........................................................................................ ............. ........... . .. . . . . .......... . ..................................... STREET"'. ............................ . ............ .... ..F . . ....... . ............ ............................................................... ............... .............................. .............. . . -- - ------- - -------- ....... ......... ­­ -- - --------- OUTGOING Index ......... Reg ...... Aoute Bk ......... StenciL ..... Card..... — INCOMING Index .......... Reg ....... Route Bk .... . ... Stencil ...... Card._... MjWal Chargeable to Installation M�S NO. SIZE DESCRIPTION RATE AMOUNT --------••---- .......... Meter ...................................... ------ .......... . Meter Box .............................. .............. -............ .......... .......... Meter Plate ......•....................... .......... Check Valve ..._._...... ............. .............. --------- Ne, Galv. Screw .................. •--------••--- »_......... •••-- -------------- •--------- Nipples .................................... -•••---------• -.--.... _... ------- Bushings ----------------------------••---• ----•-•---•--- •--- •-....... •........ ............... ....... --- Plain. Ells' ................................ ----••--•--••• ----........ ........... .......... ...-1.......... St. Ells ..... --............................. -----••-•-•-•• ............ --•--••-•- ..........- ----•••---•..........� -------------- ............... •-••- -----•-••- •---• -• Tees ......................................... ----••••........................................ •-----•-•-----•-------•----•---------•---•••--•------- ........ •---•-•--•-----•-••---•-•-------------------• ............... --•-_-••• .......... --- .............. .... --...... ••_••••• •••-••-••-•- ........... •-•---- ---•_... .......... .......... Material Chargeable to Taps Connected NO. SIZE DESCRIPTION &ATE AMOUNT ..__....... ...... . Pipe, Black Screw .................. ............. ............. ............ ........ Pipe, Galv. Screw .................. .._...-•- ••---•-- ............. •-----•--- Lead Connections ................. •............ ............ ......... .............. ........... Curb Cocks -••--•-•---••-••-•-•--•--..........__.... ...._....... ......... --•----------- ........... Corp. Cocks ........................... ............. ............. ....-••-- ...._..--- Unions .................................... .............. .......... Saddles ................ --.............. . .............. ....._...... _...- Nipples •--•-------•--- ......... Bushings ........................ - .............. -----•••---• .......... ............... .......... Plain Ells --------••••-...-••-••--•_-_ ... .......... Street Ells ............. ••--•- Tees .......................................... ............... ... ..... .......... .............. .......... Curb Boxes ............................ .............. ............. ------------- ------•-•- S. O. Extensions .................... .............. ............ ............. .......... Gates ........................................ ............... ---......... ---•••----- .......... Plugs ........................................ •--•-•-•- ......... .......... -----------•-- .......... Couplings --------------••---•-•--_•--- • ............... ............. .............. --••-•-------- .............. .............. -----------•-- -•-=•- ---------- .......... .......... •-........ Gate Boxes ............................ ---.................................................. ..................................................... ........................................................... ........................................................... -•----•-•- -•---•-•-----• .......... --•= ......... _... .............. ••......... ....... _... •----•--•--- .--......... .:_......... .... -.._ ........... .......... .......... -....... .............. -----•-•--• --•-•-•--•---• -••••-•-----• ............... .............. .......... - ........ .......... .......... _........ -........ •..............................................••••---••--- ..................... -------- ........................................................... ..................................•-.._............._...... ........................................................... Hours Time —Day Men ---•---- .............. .... .......•_-•-•-• ............... ............... •-•-•••--•_... •-•--••-•--• ............ ....... _... ....... ..... -•-•••...... _........ _........ .......... ..... _•- ........... •--- -• ..-•--•-• Hours Time —Monthly Men.- ............. .--••-•••-•- ----•---_.. = ......... Hours Time —Auto ............ ... _................... .....:..::... .......... Superintendence ...................... _............. •---........ ---••-••-- Total CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT o'S PERMIT � a C 3 2� (Call 776-1107 for side sewer inspections BEFORE covering any portion of the construction.l `Inspection will be provided within 24 hours after request. NO Sat:, Sun., or holiday inspections./ ,yo ADDRESS LOCATION OF CONSTRUCTION.11 Alden !z :i4c,.L ...........................................................................................-......-----.........-......-...-•----........-.-. ^' S > �...-cticf 4, ;i ocl:--r�b1.r.--Ed�I1Gnds PROPERTY LEGAL DESCRIPTION------....s:... ....................................................................................... --------------------------------------------------------------------------------------------------------------------•-------- ............................ ........................ ----- ..--..... .....-..-....-..-.-...---•-----•- OWNER AND/OR BUILDER --- Ro.b r't �.o -Tarch- __ +;... f'O'NTRACTOR'S NAME & ADDRESS-----�-�'7'i'f`J'.tcor` Sapti C i !, Co. , o Oo �Ck � .".-.�L�`n,�i1 i ° uSillPli"1"rE City ..................................................... Permissionillaccordanoe with Ci I' of Edmonds - -' 19... - for repair and/or connection of a side sewer -to the city sanitary sewer tern ordinances. ENTION IS CALLED TO THE FOLLOWING: E No. 1—The owners of the property may obtain a' permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has beerf inspected. TE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit' obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulationsgoverning side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2q . No bends W grade sharper than 'A will be permitted. a '� NOTE No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. ' NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or' to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED ❑ Date .............. • .................... By------... •----- Date....... -.... --• By ............. Date .................................... By ................ APPROVED Date..-...... ! --- . By. -...... -.-... ....................................................................................... Remarks: .........................:.........................::..................... °----.........-... — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — I, ....... - - ///t///f��./l.J.--------------- ---- hereby certify that the side sewer installation constructed under this permit (Owner of Cont. aK cting Firm Perfcrming Construction) SS installed in accordance with all governing ordinances of the City of Edmonds.. Dated this.,2k .day of ................................................................. 191 V V Check BEFORE you dig for: Water ❑, 'Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ V V C4( OF EDMONDS — SI%, SEWER PERMIT WATER -SEWER DEPAAWNT PERMIT N? 4324 Call 7.76-1107 for side sewer inspections BEFORE covering any portion of the construction.1 Inspection will be provided within 24 hours after request. NO Sat., Sun., or holiday inspections./ 711 Alder Street ADDRESSLOCATION OF CONSTRUCTION... ....................................................................................................._-....-...._......................................__..-. PROPERTY LEGAL DESCRIPTION.....--.LOt.. _3 . dnd 34, Block 90, Edmonds .................................................................. . . .................................................. _................................................................................................ ............... ........................................................................................ ......................owNER AND/OR BUILDER..- Robert__ 6_...Tindal-..----.....---------........._....................................................... NTRACTOR'S NAME & ADDRESS..... Lynnwood Septic Tank Co. , P. 0. Box 18., Stl ._ Hts. ,..Washington 98063 driiiission. is granted ..........March 27 .-----. 19..73., for repair and/or connection of a side sewer to the city sanitary sewer system in accordance with City of Edmonds ordinances. ATTENTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches inside property line; minimum grade of 2%. No bends in grade sharper than % will be permitted. NOTE No. "—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to Improper work which may develop within one year of completion. NOTE No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVEDF1 Date ... _................................... By------......---. Date .................................... By ................ Date ............... -................... By........-------- APPROVEDDate ... _.......................................................... By --- -..............................---....._...............-....---..-....._-..-------..................--------------------------- Remarks: ------- ------- --------------------------- -..----------------------------------------------------------- --------------------------------------- --------------- --......----.....--......--------------------------- 0 ..................................... I ....................... . ............................................................................................................................ . ....................................................... BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — • I........................................................................................... hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firm Performing Construction) was installed in accordance with all governing ordinances of the City of Edmonds. Datedthis ............................day of ................................................................. 19......... Check BEFORE you dig for: Water E], Gas E], Telephone E], Power E], Sewer [:], Other ADDRESS: TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS P DETERMINATION: ❑ Conditional Waiver ❑ Study Required �] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS O PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED SEWER LID FEE SHORT PLAT FILE: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: 4 GEOTECH REPORT DATED: LID #: 1 5 q LOT: 5. &O BLOCK: 0,0 STREET USE / ENCROACHMENT PERMIT #: Ukt-' Z.00DV— • Oy0,3 FOR: WATER METER TAP CARD DATED: OTHER: FAP LATEMP\DSTs\Fomis\Street File Checklist.doc Critical Areas Checklist CAFileNo: © Site Infort ation (soils/topography./hydrology/vegetation) 1. Site Address/ Location: 2. 3 4. Property Tax Account Number: Approximate Site; Size (acres or s Is this site currently developed? yes; . no. If yes; how is site developed? 5. Describe the general site topography. Check.all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site, generally less than 15% ' (a vertical rise 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 w66-feet). Steep: grades of. greater than 36% 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: W2. 7. Site contains areas of seasonal standing water: ; Approx. Depth:. PCO, What season(s) of the year? . T COONTAR 8. Site is in the floodway --; ' floodplain, jL of a water course. 9. Site contairs a creek or -an area where water flows:across .the grounds surface? Flows are year-round? Q Flows are seasonal? (What time of year? ). 10. Site is. primarily:. forested ; meadow ; shrubs ; mixed urban landscaped (lawn,shrubs etc) Yes' 11. Obvious wetland is present on site: Nymf Critical Areas Checklist.doc/3.19.2001 e. Ci f.Edmogds , Development Services Department Planning Division ; Phone: 425.771.0220 Fax: 425.771-.0221- �. r 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 Citystaff 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). Date FWived:_ G-7 1 U C-, "City' Receipt M I��— C•ritical,Areas; File;#: ;Critical'Areas Checklist Fee: $45.00 Date. Mailed',ao Applicant:: t fx ..1.- t .,.. i. .• S„ f'.°r:5. r C: �I , t'rtf J.iti'F, .vi. .. ,'A property(.owner, or his/her authorized representative, must (fill out the checklist ;,sig n and date it, and submit it -to the City. The City will review the checklist, make a precursory site visit, and make 'a determination 'of the spbsegpent,.steps. necessary ,to complete a development permit application. Please submit a vicinity map, ;along with the signed copy of this form to assist City staff in finding and locating the ,specific .piece, of property described, on this form. In addition,, rthe., applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in'conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless -from any and all damages, including reasonable attomey's, fees, arising from any action or infraction based in whole or partupon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the information and exhibits -herewith submitted are true and correct to the best of my knowledge and that I am authorized to file s application on „ ebalf f the owner as listed belo'w]. SIGNATURE OF APPLICANT/AGENT DATE Property Owner's Authorization By my signature, I certify.that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the pub officials is ocials and the staff of the City of Edmonds to enter the subject property for the � purposes of inspection and po,ting�ttenda;$ to tbisopp4ation.. f J Owner/App ' ant: Applicant Representative: Name 71/ h0r58 S)�_ Street Mdress Imn /-)a ILA 2 90 d City State . Zip Name Street Address, City State Zip Telephone:-.' S7 ?'' 2..32_3 Telephone: Email address (options.* .0M%713A /r ail Address, (optional): Critical Areas Checklist.doc/3.19.2001 0 0 UPPGR CATCH B4SIN DETENTION PIPE LENGTH cONTROL CATCH ( `YE NT) ®AS IN j— I' MIN , 2' MAX COVER —� 5LOPI- . P�S SYSTEM CROSS SECTION It SEE PAGE 3 FOR OUTLET CONTROL DETAIL. OLrrLGT CON'TROC I MI : -` '7 TO OUTLET (RIP RAP OR RUNOF F 5? READ ER) 2' . Z ♦ %" DEEP, 4'- (o ' SPALLS 6 rQU..L) Z', 2' . 3" DEEP, %'- CRUSHED RUCK FROM V OLTLET RIPRAP OUTLET YVns H E D GRAVEL OUTFLOW TRENCH, MIN 10' LON6, 1 'TOP 4 4" PERF P'PE TO BE LEVEL CONYR CONTROL 4" PERF PIPE WITH CAPS RUNOFF SPREADER OUTLET I WTANDARD DRAINAGE PLAN DETENTION SYSTEM PAGE I —OrF 3 for --PLO r—R-T I IMCIt LU location_ 71 plan by J.GL1L.A.a"F.A0 t sSoy. phone- -7�' z71 i date- 4 a r F-3 DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Length Diameter ? . 49 NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility 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. `l�lmo> pe.SIc�JEp r-0C- 35od t# 1 _ 1 r CITY OF EDMONDS NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility 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. `l�lmo> pe.SIc�JEp r-0C- 35od t# 1 _ 1 r CITY OF EDMONDS APPLICATION for tFie City of Edmonds SIDE SEWER PERMIT EASEMENT No . .......................................... NEW CONSTRUCTION ■ REPAIRS M 106 - 6,30 6 OWNER CONTRACTORI�NNWQO .... 5EP -PERAHT-No.-14 94— ........................... ............ ....... - ------ - ----- --------- -- ----- ----- - or- `711 NLC)F-K- STREET ADDRESS ........................................................................................ ..... LEGAL DESCRIPTION: LOT No. ........................... BLOCK No . ............................................ NAME OF ADDITION TY 4PV= MPMPNCDqS ....................... 7 ............................................................................................ .. Approved DATE .... ... . �.?- By.. The City of Edmonds APPLICATION for SIDE SEWER PERMIT EASEMENT No ................................. NEW CONSTRUCTION E] REPAIRS 0 OWNER ..... . ...... ... ............. ...... ��; . ............. ......................... CONTRACTOR ... . PERMIT No. ........ BLOCK No....-.. ...................................... ADDRESS ....................................... LEGAL DESCRIPTION: LOT No. NAME OF ADDITION ...... 41 ..... .... ) ....... ... . • ul j U. I--- ul ILU en• i 0 Approved: DATE................................................ By ...................................................................... i S64,t '702 707 :710 r) 711 rn , 720 a 717 724 723 :712 K731 1736 741 '7SO 7.79 8,0 SO/ 811 afs rn 823 ,832 D 937 892 84f _?NO_ 17 CD AVE. M. Cl) 4' 6/3 NI �62.r5 1 I U) -4 m 1. 0 Oi -4 AVE. N. N T ki -4 z !—A 710 m 0 C, 00 PLACE tm 810 814 a/(. (n 61 IBIS L827 A N. -Ir F921 0 w 0 T-- AE MARINER 0 (D as COM"OORE CONDO. ERI TAGI IOUSE 0 w )RIVE SEASCAPE z 7 11 m U H T I U IN M A RL E WALNUT CEDAR When recorded mail to: City Clerk City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 &Jc CONFORMED COPY z002-oD 03 to EXCISE i',4X REQUERFD 200206050110 06/05/2002 10:13 AM Snohomish P.0005 RECORDED County JUN 0 5 2U2 BOB DAB P[4i, 5roh"aisa aunty Ireasuret 8y_ BOB DANTINI (SPACE ABOVE THIS LINE FOR RECORDER'S USE Assessor's Parcel No. Project No. & Name:�,'s%� ENCROACHMENT AGREEMENT This ENCROACHMENT AGREEMTNT '(" greement") is entered into between the CITY OF EDMONDS ("City") and C tea- e- S ("Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development Code. r -7 M . I. The Property. Owner is the owner of that certain real property located at % L I.) 1= R + , within the City of Edmonds, Washington, Assessor's Parcel NumberQdh'3241�ib33�� , , and more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. Business owner, is the business owner of that certain real property noted above. 2. The Easement. The City currently owns an existing easement over, under, and across Owner's property for street, alley, sidewalk, other ( &�) which is described in Exhibit "B" attached hereto and incorporated by reference. 3. The Encroachment. The City hereby covenants and agrees and grants its permission to Owner or Business Owner to allow (n' Y kav to remain in a portion of the City right-of-way/easement. A plat map showing the location of —the encroachment is attached as Exhibit "C" and incorporated by reference. This Agreement is subject to the following terms and conditions: a. The encroachment shall be installed and maintained in a safe and sanitary condition at the sole cost, risk, and responsibility of the owner and its successors in interest. b. The Owner shall agree at all times to indemnify and hold the City free and harmless from any and all claims, demands, losses, damages or expenses resulting from the -1- e construction, maintenance, use, repair or removal of the structure installed hereunder, including any loss; damage or expense arising out of (1) loss or damages to property and (2) injury to or death of persons. C. The Owner must remove or relocate any part of the encroachment within ten (10) days or such other time as specified in the notice after receipt of it from the City Engineer, or the City Engineer may cause such work to be done and the reasonable cost thereof shall constitute a lien upon the property. d. Whatever rights and obligations were acquired .by the City with respect to the easement shall remain and continue in full force and effect and shall in no way be affected by city's grant of permission to construct and maintain the encroachment structure. 4. Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes and replaces all other agreements, oral or written, between the parties with respect to the subject matter. 5. Notices. Any notice which is required or may be given pursuant to this Agreement shall be sent in writing by United States mail, first class, postage pre -paid, registered or certified with return receipt requested, or by other comparable commercial means and addressed as follows: If to the City: City Engineer City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 If to the Owner: which addresses may be changed from time to time by providing notice to the other party in the manner described above. 6. Waiver. City's consent to or approval of any act or omission by Owner shall not constitute a waiver, of any other default by Owner and shall not be deemed a waiver or render unnecessary City's consent for approval to any subsequent act by Owner. Any waiver by City of any default must be in writing and shall not be a waiver of any other default concerning the same or any other provision of the Agreement. -2- .4 7. Successors and Assigns. This Agreement shall be binding and inure to the benefit of the parties hereto and their respective legal representatives, successors, and assigns. Owner agrees to incorporate this agreement by reference in any subsequent deeds to the property, but any failure to do so does not invalidate this provision. 8. Ca aci . Each party represents that the person(s) executing this Agreement on behalf of such party has the authority to execute this Agreement and by such signature(s) thereby bind such party. IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this /s day of , 200p,. O (S i By: By: STATE OF WASHINGTON COUNTY OF SNOHOMISH This day, personally appeared before me, (/,) . 1"rez�j�E to me known to be the persono g who executed the within and foregoing document and that 9shnf h ► - Ine signed the same as hz het�W 21 free and voluntary act and deed for the us;,,,kq\purposes therein mentioned. J. • �� (P , 00 o NOTgy m•; Notary Public L 1 PUBLIC CO-.�o.4 s• doss ��'9' r s o3 •: Typed or Printed Name My Commission expires: CITY OF EDMONDS By: ENGINEERING DIVISION G:\SHARE\TEMP\BUILDMG\HANDOUMncroachAgrm.doc - 3 - 11 • • t RETURN NAME & ADDRESS ch2,rLL U,KU�z TrCr- 5, 60MODS A 919 0k6 )E-V1h51r -A- Please print neatly or type information Document Title(s) Reference-Number(s) of related documents: Grantor(s) (Last, First, and Middle Initial) Grantee(s) (Last, First, and Middle Initial) Additional Reference #'s on page _ Additional Grantors on page Additional Grantees on page — Legal Description (abbreviated form: i.e. lot, block, lat or section, township, range, Nuarter' uarter) LO S .33 '+' 3y; � DCK `�0 s GI TV OF T=bhr0NJ2s1 �"i-A j �CvRI9b IN VOL v, &F pi- Ors; rFAGr ewPPvsj� erg', wfasfa Complete legal on page Assessor's Property Tax Parcel/Account Number Additional parcel #'s on page _ The Auditor/Recorder will rely on the information provided, on this form. The responsibility for the accuracy of the indexing information is that of the document preparer. asx.= PERMIT #: DATE APPLICATION RECEIVED: 5 / ADDRESS OF PUBLIC USE: PROPERTY OWNER: A4 iZ o - Lv / 7/l V� 9-4kk ONCE YOUR REVIEW IS COMPLETE, PLEASE ROUTE TO THE NEXT DIVISIONIDEPARTMENT ON THE LIST. * * * PLEASE ROUTE IN THE ORDER SHOWN * * * v.vwsv�.►roirw:sswsnvwnwno,voww.vwswwiwwwwwowws.vwswseswwnsw wsswwwmsw.wsnswwewsnwv.o.oneorwwoo.�er.v �ls N PLANNING DIVISION PUBLIC WORKS ENGINEERING DIVISION -Q/DS ADMINISTRATION Date Stamp Received. - Date Stamp Received: Date Stamp Received: Date Stamp Received: RE�Ei�E� MAY - 2 2002 I LA � kipiU DEpy. RECEivE:o MAY 0 6 2002 PUBLIC WORKS DEPT RECEIVED MAY 9 - 2002 ENGINEERING DIVISION MAY 2 0 2002 CITY OF EDMONDS APPROVAL SIGNATURES AND REMARKS OR COMMENTS ARE TO BE MADE UNDER THE "DEPARTMENT APPROVALS" SECTION ON THE PERMIT. �M" tiv YM&48 S1ZRI bZ �' RAengrWormsTricroachment permit routing OV EDtyl O U~ c/1 St. 1 • • Z0D2-0003 ENCROACHMENT PERMIT APPLICATION PROPERTY OWNER NAME: / 1 f4 f V2.5 14Z o' i \L, Phone PROPERTY OWNER MAILING ADDRESS: 7I I l- L. D XWS t . G—U-I%7Ui1 (5. BUSINESS NAME for Commerical applications: ADDRESS OF PUBLIC *************************************************************************************** Describe the portion of public space, City right-of-way or easement area to b tilized (i.e., over ead space of sidewalk, 10 fQC�of C11'� utility easeme t along nprth pr erty li e, etg): A� Tibfiw- E +6) t ue 9e- Describe the le of long, etc.):,,ZZ e., fence 6 f�t by 150 wide 4 � feet Specify the length of tiTh for use (ire. awning for life of building, esprgfsp cart fojr st"er months, etc.), The issuance of this p(fnfit is understood by theapplicant to be of a temporaik nature and that vested right is granted. INDEMNITY: The applicant understands and by his/her signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense or any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. In addition, the application understands that the City shall be provided a Certificate of Insurance to indemnity and hold harmless the City of Edmonds from all claims and/or property damage, and naming the City of Edmonds as an additional insured. CODE APPLICATION: By signing the application below the applicant warrants that s/he has read or had the opportunity to read Chapter 18.70 of the Edmonds Community Development Code and s/he understands that all terms of the adopted ordinance are incorporated herein as if set ,Irth in full and this application eknd permits therefore are subject to the firms of1hat Chapter. Encroachho. doc j lg 10/00 CRITERIA OF PERMIT APPROVAL The applicant shall follow the noted conditions on the building permit. For applications that do not require a building permit the following criteria shall be maintained at all times. ➢ Provide safe pedestrian travel for sidewalk encroachments. Maintain a clear zone of 44 inches minimum. See definition of clear zone below. ➢ Exterior light fixtures, banners and flags must be a minimum of 7 feet above City right-of-way. ➢ Maintain clear landings on the exterior side of all required exit doors of 44 inches or no less than width of door, measured toward the street. ➢ No projections into City alleys are permitted unless the projection exceeds 15 feet above pavement surface. ➢ Do not block illumination from City light fixtures or hang objects from City light standards. ➢ Architectural projections from buildings must be approved by the Design Board and conform to Uniform Building Code requirements. A building permit shall be required for such projections. ➢ Maintain 3 feet of clearance around fire hydrants, standpipes, manholes, water meters, blowoffs, cleanouts and valves. ➢ Bistro dining tables and chairs must be placed in accordance with City Ordinance No. 3293. ➢ Merchandise racks, espresso carts, flower planters, benches must not be located within the "clear zone". ➢ Ramps require a separate building permit and must conform to UBC standards. Clear Zone Definition: Clear Zone refers to an area 7 feet in height and 44 inches in width providing a level, safe walking surface along the public sidewalk (i.e. measuring 44 inches from edge of street tree grates or newspaper stands toward place of business and from the ground up to a height of 7 feet). ------DEPARTMENT APPROVALS ---FOR CITY USE ONLY ------------------- Planning Division Approved Byt� . CL,.,,., O _ ADB# Date Remarks or Comments: ,mot-. �>_y_ep Q c1A U ` (14, - 2 m o Z Public Works Approved By rs + Date 07- Remarks or Comments: Engineering Division Approyed By, MEW& Bond Remarks or Cwments: Certificate of Insurance Verified By. I UAM, Date Easement Agreement sent to City Clerk for recording Date (� 2 ENCROACHMI RELEASED BY BUILDING PERMIT # Dr�Dv2 - �%� S�� RECORDING # Encroachho. docj lg 10/00 IPCERTIFICATE OF INSURANCE This certifies that STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois ❑ STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois ❑ STATE FARM FIRE AND CASUALTY COMPANY, Scarborough, Ontario ❑ STATE FARM FLORIDA INSURANCE COMPANY, Winter Haven, Florida ❑ STATE FARM LLOYDS, Dallas, Texas insures the following policyholder for the coverages indicated below: Name of policyholder Charles W Rezba T . T . E . E . Address of policyholder 711 Alder, Edmonds Wa 98020 Location of operations same Description of operations Homeowners Insurance RECEIVED MAY 2 2 2002 DEVELOPMENT SERVICES The policies listed below have been issued to the policyholder for the policy periods shown. The insurance described in these policies is subject to all the terms exclusions, and conditions of those policies. The limits of liability shown may have been reduced by any paid claims. POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Date (at beginning of policy period) Comprehensive Business Liability --------- ----- - ----------- BODILY INJURY AND PROPERTY DAMAGE ----------------------------- This insurance includes: ------------------- ❑ Products - Completed Operations ❑ Contractual Liability ❑ Underground Hazard Coverage Each Occurrence $ ❑ Personal Injury ❑ Advertising Injury General Aggregate $ ❑ Explosion Hazard Coverage ❑ Collapse Hazard Coverage Products - Completed $ ❑ Operations Aggregate El POLICY PERIOD BODILY INJURY AND PROPERTY DAMAGE EXCESS LIABILITY Effective Date Expiration Date (Combined Single Limit) ❑ Umbrella Each Occurrence $ ❑ Other Aggregate $ Part 1 STATUTORY Part 2 BODILY INJURY Workers' Compensation and Employers Liability Each Accident $ Disease Each Employee $ Disease - Policy Limit $ POLICY PERIOD LIMITS OF LIABILITY POLICY NUMBER TYPE OF INSURANCE Effective Date ; Expiration Data (at beginning of policy period) 47 EQ 6618-9 Homeowners 05/24/02 05/24/03 $300,000 THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. If any of the described policies are canceled before its expiration date, State Farm will try to mail a written notice to the certificate holder 45 days before Name and Address of Certificate Holder cancellation. If however, we fail to mail such notice, no obligation or liability will be imposed on State City of Edmonds Farm or its agents or representatives. Building Division, as additional insured 121 5`" Ave No. of Edmonds Wa 98020 S' n of Authorized Representative agent 05/24/02 Title Date Agent's Code Stamp Aq��23z` AFO Code 558-994 a.3 04-1999 Printed in U.S* 1 � • 0 • CITY OF EDMONDS CIVIC CENTER • EDMONDS, WASHINGTON 98020 SINGLE_FAMILY MULTIPLE COMMERCIAL ENGINEERING & PUBLIC WORKS PROJECT REVIEW CHECK ITT PROJECT NAME / //1y�/�i�G S, r� CONTACT NAME A TELEPHONE NUMBER ADDRESS ACCESS SLOPE AND VEHICLE ACCESS DRAINAGE PLAN STREET FILE LEGAL DESCRIPTION VERTCATION Lei IG d'U_ t'c QUIT CLAIM/DEDICATION S'-e Z� EASEMENT - PUBLIC/PRIVATE CALCULATE SEWER CONNECTION IF NO LID # STREET PAVING REQUIRED i CURB AND GUTTER REQUIRED SIDEWALK REQUIRED CURB CUT FOR DRIVEWAY REQUIRED RIGHT-OF-WAY CONSTRUCTION PERMIT REQUIR BOND REQUIRED FOR PUBLIC IMPROVEMENTS _ STREET NAME SIGN REQUIRED OTHER SIGNING REQUIRED I r (ADDITIONAL COMMENTS ON BACK) EXISTING WATER MAIN SIZE 'qll� D WATER MAIN REQUIRED AIIA SERVICE LINE REQUIRED fcc i W HYDRANT SIZE EXISTING ~ SIZE a HYDRANT REQUIRED PER FIRE CODE $ CROSS CONNECTION INSPECTION (J O WATER METER CHARGE REQUIRED ,SC2c REVIEW BY , 1 2. DATE (ADDITIONAL COMMENTS ON BACK) W to i co i SANITARY SE14ER DRAWING NUMBER SIDE SEWER AVAILABILITY — _ FILE NUMBER SANITARY SEWER C0114ECTIO14 FEE REQUIRED OPEN DITCH EXISTING, /%l2 A/F._ REQUIRED DATA; . /U -� / /2 -'( MEMO TO: Building; Division Community Development Department FROr Engineering Department SUBJECT : 1/3 ALUt=�, ST After review of the subject Building Permit application, we have the following comments: 1. Connection to City water systerl required. 2. Connection to Citv sanitar.v sewer system required. 3. Right-of-way Permit required for any work on City property. 4. Driveway slope not to exceed 14°0. .5. Backwater valve required if downstairs plumbing; is below elevation of upstream manhole. 6. Water and sewer lines to he separated by 10 foot minimum. 7. Builder/Owner responsible for containing all temporary run- off and erosion on site and may not impact neighboring properties in any way. 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L� txT� -bite •�� d % 7 S� x } J . . � z . f t r.' �+ z fw� y�� +$ t ti r�raua�£ tsai�r�t" T rr � n '+5 J .t't�y �t�,{r � •• • r � > -; a lv4 L w`#.a'�43�fi t Y i �. ct t 6.5 � f +. %r -t$1� �t �tti �t. •. .. : �E i b v +. , h i� p ,t Y"C�.•�, a � T; ay t4tM � a* �� ° , �k} t > �e'�" s �. � r4 1 1 � t A 1r:ElilMIT_1rirmALTA . • rm�9�iINI1-+A11: 41ley btwn Alder & Maple - East off.7th.JP !; 1 Alley btwn Alder & Meple2 - West off 8th.JPG `i' Dave Gerbert City Engineer City. of Edmonds: Dear Mr. Gerbert, � I*cetuEID APR 112001 DEVELOPMENT SERVICES Charles W. Rezba _711 Alder St Edmonds, WA 4,25=775-2323 crezba @earthlink. net I have been advised to write this letter in hopes that you will give me approval to allow an additional clean -out on my sewer line. This modification will be 1 foot outside my foundation, adjacent to my side driveway, in our garden strip. Sixty feet back from the street. This clean -out will allow me to rinse my black water and grey water tanks on my newly purchased 5th wheel. This 5th wheel trailer will be used to go south for 6 months in the winter. During our 6 month summer season in Edmonds, I estimate that we will make local trips twice a month. The large amounts of tank quantity will be dumped at the facilities of RV and State parks. It is my hope that I can simply use this approved clean -out to rinse and sanitize my tanks twice a month with a maximum of 5 gallons per tank for a total of 20 gallons of rinse water per month flowing into this clean -out. This modification will be accomplished by a licensed plumber. I thank you for your attention to my request for this sanitary convenience. Yours truly, Charles W. Rezba -� of T�I�kate� �1 �. `Re��, �Ivm� vevba qrwa (. RECEIVED APR 3 ,10 2001 DEVELOPMENT SERVICES co® April 29, 2001 �0 'L%%" P 00 Dear Mr. Gerbert, G� Please disregard my previous letter. In reviewing it I discovered that a very pertinent paragraph had inadvertantly been left out.. !)t"'x �cwn Thank you for your consideration of my request for the addition of the sanitary convenience. Yours truly, Charles W. Rezba Dave Gerbert City Engineer City of Edmonds Dear Mr. Gerbert, O RECEIVED APR 3 ;0 2001 , DEVELOPMENT SERVICES Charles W. Rezba 711 Alder St Edmonds, WA 425-775-2323 crezba@earthlink.net I have been advised to write this letter in hopes that you will give me approval to allow an additional dean -out on my sewer line. This modification will be 1 foot outside my foundation, adjacent to my side driveway, in our garden strip. Sixty feet back from the street. This clean -out will allow me to rinse my black water and grey water tanks on my newly purchased 5th wheel. This 5th wheel trailer will be used to go south for 6 months in the winter. During our 6 month summer season in Edmonds, I estimate that we will make local trips twice a month. The large amounts of tank quantity will be dumped at the facilities of RV and, State parks. It is my hope that I can simply use this approved clean -out to rinse and sanitize my tanks twice a month with a maximum of 5 gallons per tank for a total of 20 gallons of rinse water per month flowing into this clean -out. This modification will be accomplished by a licensed plumber. We have no intention, or is it possible, to use the 5th wheel as a residence. The slide out feature of the dining/living room is not possible because of insufficient width of driveway. I thank you for your attention to my request for this sanitary convenience. Yours truly, Charles W. Rezba STREET FILE February 27, 1979 MEMO FOR THE RECORD SUBJECT: TREE TOPPING FOR VIEW A Mrs. Robert Tindall of 711 Alder Street (774-5285) was at the Building and Grounds Office requesting that two fir trees on the corner of 7th and Maple be topped or removed as they were blocking her view of the sound. I investigated and found that neither of the trees on said location came within the criteria set in resolution 418. On the Friday, February 23, 1979, I phoned Mrs. Tindall and informed her of the resolution 418; and that the City could not comply with her request. Nl FdM:kjr ��fft �r r �.. APPROVED AS NOTED BY ENGINEERING Date: STREET FILE DS AENT • D, IL, PFER IT NUMBFER R E C EE i v iF o MAY 0 12002 DEVELOPMENT C7-rj. CITY OF EDMO�jos