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20000215.pdfPERMIT CITY OF EDMONDS ZONE NUMBER 2W215 CONSTRUCTION PERMIT APPLICATION 'A000DRESS DDC) rnCtl '5'�Q&ITllAlT* OWNER NAMENAME OF BUSINESS �L I- NAMEISU..111111114 NO I LOT NO. LI.N . A LID FES $ c G MAILIN pt 'U.". FIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED P., ZIP FTElelHOAIE FT REQUIRED DEDICATION— _z METER SIZE I LINE SIZE I MO.OFFIITIRIS PRV REQUIRED NAME YeS 0 No 0 REMARKS ADDRESS OWNERICON --- EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE NAME ENGIN REVIEWEDIDATE ADDRES IR REViEWEDBY DATE CITY TELEPHONE J(k _ - RIANCE OR CU — SHORELINE OR ADS# — INSPECTION OYRE ESGk.O PBOND �ST2E J�TJE STATE LIOINSI NUMBER I, - ?,/ CHECKED BY SERA REVIEW COMPLETE 1 EXEMPT P SIGN AREA A POSED EIGHT 0 ALLOWED , P POSE PROPERTY TAX ACCOUNT FARCELN0. XNEY, RESIDENTIAL 0 PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT. ) FRONT SIDE REAR PROPOSED ETSACKS (FTJ 8 FRONT USSIDE REAR C MPL ANCE OR 0 ADDITION 0 COMMERCIAL 0 COHANGIE OF USE 0 REMODEL 0 APARTMENT 0 SIGN PARKING LOT ASIA PRO ..... I NNI — FENCE C] REPAIR 0 GRADING CYOS 0 t _ X _ FT, — REMARKS )Kn DEMOLISH 0 TANK RETAINING WALL C] RENEWAL o GARAG 0 GXF CARPORT R _RY 0 (TYPE OF B S;NEr ACTI� "Y)EXPI CHECKED 'Y CCUPANf CUP JMCO TRUCT]ON 2. NU SEA NUMB r.Al NO' KI I rl I OFM VVELL'l' ­­!" m I pa, - EGUMED _ 1­­ RP'C'AL "'PECvTf OCUU; NT LOAD BE DONE PLAN CHECK FEE HEAT SO LOT SLOPE % BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC MARQUEES, erc.) WILL REQUIRE GRADlNGIFILL 91 DOMAIN (CURB$, SIDEWALKS, DRIVEWAYS, SEPARATE PERMISSION. STATE SURCHARGE 0 ; PERMITAPPLICATI N 180-AYS PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STA TEDWITHIN 1800AYS ENG. REVIEW FEES M SEE BACK OF PINK PERMIT ORE INFORMATION -APPLICANT. ON BEHALF Or HIS OR HER SPOUSC� HEIRS. ASSIGNS AND SUCCESORS TO:NDEMNIFY.LDE FEND AND HOLD THE CITY OF ENO. INSPECTION FEE LANDSCAPING G=LESS IN INTEREST, AGREES S N NTS FROM ANY AND EOMONDSSWASHNGTON 'T'O"CA , EMPLOYEES. A INSPECTION FEE DIFEC RECTLY ALLCII. 10�DA-A-E�-F"A'TEV��NATURE.AFtISING TLYORIND x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT S PLAN CHECK DEPOSIT DEEMED To MODIFYWAIVE OR REDUCEANY REQUIREMENTOF ANY CITY ORDINANCE NOR LIMIT IN ANYWAYTHE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.* TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AppTHCSATIULNY. THAT THE INFORMATION AGENT OF OWNER, OR D AUTHORIZED GIVEN IS CORRECT AND THAT I AM THE ULA No ONSTRUC- CITY AND STATE S R CALL THE OWNER. I AGREE To COMPLY WITH LAW EGN W ILL 8 ECE M I L 0 Y ' 0 TION; AND IN GOINGTH WORK AUTHORIZ 0 THER By, N PEITS A C E ATING TO CTH FOR INSPECTII IN VIOLATION OF THE LABOR E STATE OF WASHINGTON L CODE OF WORKMEN*S COMPENSATION INSURANCE AND HOW 18.21, SIGNATURE (OWNER OR AGE7 DATE SI 7Z7 7 7�7 (425) 771-0220 EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS 13EEN GRANTED. UBC SECTION 109 FAX 5.8 VALUATION I FEE I ­!, ,,,I �jp�P �l Ih� "I "I "Ty: -d F ... — P-1 -1, I 0­alpt 1, 1�k,mllodgod in p,­dod� 0FRIALS SilGNbATR:E RE in DATE -0 j �'Z� 1 /0 ORIGINAL - PILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR z 0 C.) cm M a 4 OC) 0 c -4 3 M jo co Oil 3:9 m IT! a 0 c M 0 z .q z z m FINAL PROJECT APPROVAUEORM TO: MAI 2 3'100a DATE - MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: _--------YIRE DEPARTMENT DATE— s ENGINEERING DIVISION DATE---t--� PLANNING DIVISION DATE — PLwEsm PROJECT rOk�, C M M0 -q 0 00 SITE ADDRESS- 0—� r--11 PERMIT #_aLo La_ADB#_DATE INSPECTED— M M z 0-4 F- DESCRIPTION OF WORK TO BE INSPECTED QcRv�c&r�,jrK,o(- A field inspection was conducted to determine compliance with approved plans. Final approval denotes that 0 -n n -4 there are no objections from the above signed Department to the granting of: x M In approval of the described work 0 0 _Final Bonds associated with the project may be released C: M 0 Z +1!�4GRANT FINAL PROJECT APPROVAL z —GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED Cn z M _FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. —RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvi.doc.l:temp:bldg:forMS6/98 S -1 ? TO: -�Joo DATE MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: -------YIRE DEPARTMENT DATE — DIVISION DATE- ---���LANNING DIVISION DATE, 1/. 2 �- —7V— PROJECT--LL�vv\-C) Y-\A 1-3 SITE ADDRPSS--S� PERMIT #_!2 �001 �S� B#-------DATE INSPECTED — DESCRIPTION OF WORK TO BE INSPECTED an �n, o v e d in I �.s. F i �n plimcewit, approval denotes, that A field inspection was conducted to determine compliance with approved plans. Fin there are no objections from the above signed Department to the granting of: ____!!!��Final approval ofthe described Bonds associated with the project may be released _2!t—!—GRANT FINAL PROJECT APPROVAL GRANT FINAL PROJECT APPROVAL Wrffl CONDITIONS NOTED _FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. _RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp.bldg:fonns6/98 z 9 0 74 0 C M M 0 0 0 C M M z z E: -4 :� Cn 0 -n n M M 0- 0 M W 0) M 0 Z r- z --q W z 0 :j 0 M When recorded mail to: City Clerk City ofEdmonds 121 Fifth Avenue North Edmonds, WA 98020 CONFORMED COPY 200007240606 07/24/2000 02:35 PM Snohomish P.0003 RECORDED County SPACE ABOVE TMS LINE FOR RECORDEWS USE Assessor's Parcel No. Project No. & Name: Right-,f-Way Permit No. ENCROACHMENT AGREEMENT This ENCROACHIVJENT A ENMNT ("Agreement") is entere into between the CITY OF EDMOND S CC ity") and - ?, f:r a, F FIA . ZA., A ( ( A., ks � - A ke 1� C-Owner"), in accordance with Chapter 18.70 of the Edmonds Community Development Code. 1. The Pro e . Owner is th r ofthat certain real property located at, ashington, within the City of Edmonds, W and more particularly described in Exhibit Assessor's Parcel Number -IXI attached hereto and incorporated herein by reference. 2. The Eas Ci c, e ly owns an existing easement over, under, and across owner's property for -- A— which easement is described in Exhibit -W' ittached hereto and incorporated by reference. 3. The Encroachment. City hereb covenants and agrees and grants its permission -:� ze 6 a --- to Owner to ali—o--_—�� =� win to remain in a portion of the rfcj44--4q7- jay w*efierd. A plat sho g the location of the encroachment is 4 attached as =t I C" attached hereto 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. 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 construction, maintenance, use, repair or removal of the structure installed hereunder, including M O� 0 in M, C Z� 'n m in '0 a ca, Z: Z, M 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 fall 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 Agreeme . 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. Notiggs. 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 Engineer CW—Oized 7W/10,T7 City of Edmonds Pi, fuz 47 L o c,; 121 Fifth Avenue North Edmonds, WA 98020 If to the which addresses may be changed from time to time by providing notice to the Other Party in the manner described above. 6. Waiv . 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. 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. -2- ,-[a M V)i rn C)� M: owner agrees to incorporate Us agreement by reference in any subsequent deeds to the property, but any failure to do so does not invalidate this provision. 8. CARacity- 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 WBEREOF, the parties hereto have executed this Agreement on this day of 20-- C)!� T M�l OWNER: CITY OF EDMONDS By: By: C m J*ftes-G.�, Acfn City Engineer cz STATE OF WASHNGTON COUNTY OF SNOHOMISH This day, personally appeared before me, to me known to be the person who executed the within and foregoing document and that signed Vij LIM the same as free and vo luntary act and deed for the uses and purposes therein (W mentioned. Ig 0j:, Notary Public Typed or Printed Name My Commission expires: 0! -3- v DATE RECE17 IRES 0 ML USE PERMIT CITY OF EDMONDS ZONE NUMBER ZQ0215 US E !ER Zoo 2 P MIT FEDM NDS N NUMBtE� k I �Ce,, UIT2P�T n 'VS'O' 'I. No CITY 0 0 ZO ' IT PPL, a .5k(�,41TEIAPT# CONSTRUCTION PERMIT APPLICATION 'A'DDR.SE f�w moll -NER NA.E1NA.E .1 -SINES. A PLAT NAMEISUBDIViSION NO. U NO. W LOT NO LID FEE S I MAIUjGA ESE P M -TIM( PUBLIC RIGHT OF WAY PER FFICII STREET MAP 'ST :­�­Id 00 EXISTING - PFOPOSED� 0 I y IT( ZIP TELE HONE '.�T'o FT EDGED N REQUIRED DEDICATION- F 7T� 0 C) TER SIZE L�' No OF 'C'I pFV TUR'S METER SIZE LINE SIZE NO. 01 FIXTURES PRV RE.I.JIFE. "ME I . . No . So No 0 0YEU CITY ZIP EI CITY - , A ZIP I TELEPHONE I PROPERTY TAX AEG RCEL NO. sw C] RESIDENTIAL Co] PLUMBING I M9C1 0. ADDITION 0 COMMERCIAL -MMEF LOAPAt� n COMPLIANCE OR CHANGE OF USE .0 REMODEL E' 0 APARTMENT 'TM 0 SIGN 0 REPAIR GRADING CYDS 0 FENCE X FT) n DEMOLISH n TANK GARAGE -CARPORT C] RETAINING WALL C] RENEWAL r PE OF U BUSINESS 0 ACTIV T�' EXPU, 9DO NUMBER OF N OF ING CRI SAL AR T RIES U. -PIRP WO K TO BE DONE N ... ER ENGIN RSWEWEOiDATE z 'R R DATE EVI.WEO BY 0 VARIANCE OR Cu SHOREILINE OR AO8- INSPECTION BOND 7- PEGG, YES g4O POSTED m SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HE-, ALLOWED PROPOSED ra -4 eX 3: cp m LOT COVE AGE D SETBACK$ (Fr.) PROPOSED SETS C S ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SI E REAR M 0 0 X 50 By rn c EMARKS 0 -n -n CHECKE�B T U�P IC 0 PANTJJ C'm4GIROL �y MITI INSPECTO . R OCCUPANT LOAD JAIII 4OUIRED 0 YES ENSPE.T1.]. 0 c: cma co, REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL .1E. M 0 z :0 , VALUATION FEE Z PLAN CHECK FEE HEAT SO OPE I BUILDING m PLAN CH PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. TH S PERMIT COVERS WOR TO I' BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARQUEES. ETC.) WILL REQUIRE m SEPARATE PERMISSION. STATE SURCHARGE PERM IT APPLICATIONt HIO DAYS PERMIT LIMIT, I YEAR, PROVIDED WOR S STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'A F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND UCCESORS PPLICANT, ON BEHALF 0 ENG, INSPECTION FEE DEFEND AND HOLD HARMLESS THE CITY 9F IN INTEREST. AGREES TO:NDEMN'Fy� M ANY A&ID EMPLOYEES� AND AGENTS FRO LANDSCAPING INSPECTION FEE 2 �STMONDS, WASHINGTON. TSOFFtCIALS. - AGESOFWHATEVERNATURE,AS ISING DIRECTLYOR INDIRECTLY RECEIPT A ALECLAIMS FOR D M E THIS EAMITSHALLNOTSE FROM THE ISSUANCE OF THIS PERMIT ISSUAW OFENTOP PLAN CHECK DEPOSIT F 'EEMEDTO MODIFY WAIV R DUCEANYREOUIREM ANYCITY ORDINANCE 0 NOR �t.MJT IN ANYW�y THE%Y�SEABIUTY TO ENFORCE ANY ORDINANQh --- TOTAL AMOUNT DUE RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IstpPRE AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CTi TIN, ppf,catto­ -, P�M' ��N 119"Id by IhO THEMNER, AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONS THUG I CALL 130,1,19 010-i-I Al 1101�� ,d F­ .1. ­d. nd EM, TION;ANDINDOIN THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE ILOYED G OF WASHINGTON RELAY N TO FOR INSPECTION IN VIOLATION OF THE LABOR OF THE STATE CODE WORKMEN'S COMPENSATION INSURANCE AND RCW HSL21. OFF T RE DATE SIONATURE,OWNEII OR AGINTI ATE B (425) zz- 9 77120220, RE BY DATE EXT 333 301 ATTENTION 00 IT IS UNLAWFUL Tb USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL '---'OAIGINAL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- � FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY 14AS BEEN GRANTED. UBC SECTION 109 FAX PINK � OWNER GOLD - ASSESSOR