20020629.pdfDATE IICIII:L,
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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ADDRESS (78 11, 72_�P
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STATE LICENSE NUMBER EXPIRATION Do VARIANCE OR CU SHORELINE OR A041 11EOTIO1 80NII
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PAOPERTYTAX ACCO PARCEL NO. 3 (1 (Ci) COMPLETE
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0 NEW El RESIDENTIAL PLUMBING/MECH ALLOLWor COVERAGE REQUIRED SETBACKS JET) PROPOSE SETBAG S (FT.)
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DEsc ma o 81-6 FbAXF— REMARKS
IT PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REO'D
DesIrliption FEE Description FEE
'-flitmlity- Plan6heck State Surch2rge
HEAT SOURCE I GLAZING %
LOT SLOPE %
Building Permit
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City Surcharge
PLAN CHECK NO: O'�7 _ _:4
1 VESTED DATE
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THIS PISIMITAUTHOFIZES 1Y THE WORK NOTED, THIS
PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Gadit; 9
OMAN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, FTC.) WILL EQUIRE
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lit SEPARATE PERMISSION.
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Engr. � REVIEW
HE MITAPPUCATION: ISODAYS
PERMIT UNIM I YEAR . PROVIO D WORK IS STARTED WITHIN I'Days
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLIC NT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY 01
D 0 ICIALS, EMPLOYEES, AND ALLEN Is FROM ANY AND
E MONDS, WASHINGTON. ITS FF
ALL CLAIMS ED DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIHECTLY
Fire Inspection
Receipt III
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landtcaipelnspi,
Total Amt, Due
NOR LIMIT IN ANY WAY THE CBYS ABILItY TO ENFORCE ANY ORDINANCE PROW31ONL'
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Reconfing Fee
,11 HEREBY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNERL OR THE DULY AUTHORIZE AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
Thle application IsMe a pleall lond gig ned by Me
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF jHE STATE OF WASHINGTON RELATING TO
FOR, INSPECTION
Be, Iding 01ficialor hisMod Deputy: and Fee M.P.fd,onad
noeept 1, acknowledged in 5pale Tablid,d.
WORKMEN'S COMPENSATION INSUHANCYAJD RCW 16,21
DATE
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DATE
(425)
IA11 IGNAIURE
OF c oj,
771
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RELEASEG BY DATE
ATTENTIOP f tv
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FINK -OWNER - GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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NOTICE: IF THE DOCUMENT IN THIS FRAME is LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUAUTY OF THE DOCUMENT.
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When recorded mail to:
City Clerk CONFORMED COPY
City of Edmonds 200304160293 5 PGS
121 Flfth Avenue North 04-16-2003 09:32am $23.00
Edmonds, WA 98020 SNOHOMISH COUNTY, WASHINGTON
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APPLICANT IS:
SPACE ABOVE THE LINE FOR RECORDERS USE
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Assessor's Parcel No.: c3o:Tl 3 1 oon 1 6 0 0—
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0 Business Owner
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ENCROACHMENT AGREEMENT
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This ENCROACHMENT AGREEMENT ("Agreement") is entered into between the
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CITY OF EDMONDS ("City") and 'bourLNS (-�. -<�UPLCLEC-F
C'Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development
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Code. S 9 7r.? 7 IV k #E
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1. The Property Owner is the owner of that certain real property located at
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k1elk - 17Z�jt:� Pws. W. — within the City of Edmonds,
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Washington, Assessor's Parcel Number 00 5*131 00ol (600?- and more
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particularly described in Exhibit "A!' attached hereto and incorporated herein by reference.
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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
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which is described in Exhibit "B" attached hereto and incorporated by reference.
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3. The Encroachment The City hereby covenants and agrees and grants its
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permission to Owner. or-Buein�r to allow
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 construction, maintenance, use, repair or removal of the structure installed hereunder,
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includin any loss, damage or expense arising out of (1) loss or damages to property and (2)
iiijury to or death of persons.
C. The Owner must remove or relocate any part of the encroachment
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within ten (10) days or such other time as specified in the notice after receipt of it from the
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City Engineer, or the City Engineer may cause such work to be done and the reasonable cost
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thereof shall constitute a lien upon the property.
d. Whatever rights and obligations were acquired by the City with respect
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to the easement shall remain and continue in full force and effect and shall in no way be
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affected by city's grant of permission to construct and maintain the encroachment structure.
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4. Entire Agreemen . This Agreement constitutes the entire agreement between
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the parties with respect to the subject matter hereof and supersedes and replaces all other
agreements, oral or written, between the parties with res pect 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
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means and addressed as follows:
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If to the Ci
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City Engineer
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City of Edmonds
121 Fifth Avenue North
Edmonds, WA 98020
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which addresses may be changed from time to time by providing notice to the other party in
the manner described above.
6. M�aiver. 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
concen-iing the same or any other provision of the Agreement.
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7. Successors and Asslans. This Agreement shall be binding and inure to the
benefit of the parties hereto and their respective legal representatives, successors, and ass igns.
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. Catiati . 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)
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thereby bind such party.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on this
VA day of �-�361AU 20
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COWNERO) or BU (S):
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STATE OF WASHINGTON
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COUNTY OF SNOHOMISH
This day, personally appeared before me, LIV11�19-
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to me known to be the person(s) who executed the wit1fin and foregoing docum6rit and that
(helshelthey signed the same as (kt�lherltheir) free and voluntary act
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and deed for ths,--ft-esvN
J. Vurposes therein mentioned.
NoYary/Public
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PuBur, Ross
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My Commission expires:
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CITY OF EDMONDS ENCROACHMENT PERMI
RESIDENCE ADDRESS: 17811-72ND AVE WEST
ASSESSORS PARCEL NUMBER: 005131000160(
LEGAL DESCRIPTION OF PROPERTY
NORWOOD PARK in the SW 1/4 SECTION 8, T271
CITY OF EDMONDS, SNOHOMISH COUNTY
MEADOWDALE BEACH: LOT 160, D-002
THE NORTH 75 FEET AS MEASURED ALONG'
532.49 FEET AS MEASURED ALONG THE WES
FEET AS MEASURED PARALLEL TO THE SOL
OF MEADOWDALE BEACH, ACCORDING TO'
IN VOLUME 5 OF PLATS, PAGE 38, IN SNOHO]j
EXCEPT THAT PORTION THEREOF, IF ANY Cl
COUNTY BY TAX DEED RECORDED UNDER I
SUBJECT TO; ALL EASEMENTS, RESTRICTIO3
AGREEMENTS OF RECORD IF ANY.
MEADOWDALE BEACH; LOT 160, D-004
BEGINNING AT THE NORTHWEST CORNER C
DEG 55 MIN 24 SEC WEST ALONG THE WEST
FEET TO THE TRUE POINT OF BEGINNING, TI
BEARING ALONG THE WESTERLY LINE FOR
THENCE SOUTH 89 DEG 24 MIN 44 SEC EAST
FOR 130 FEET, THENCE NORTH 4 DEG 55 MIN
MORE OR LESS TO A POINT WHICH BEARS E
POINT OF BEGINNING, THENCE WESTERLY I
FOR 131 FEET MORE OR LESS TO THE TRUE I
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TEST LINE OF THE SOUTH
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NE OF TRACT 160, PLAT
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LATTHEREOFRECORDED
COUNTY, WASHINGTON;
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YED TO SNOHOMISH
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MING NUMBER 2228920
�SERVATIONS AND
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'160 THENCE SOUTH 4
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DF SAID LOT FOR 150.51
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CONTINUE THE SAME
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FEET MOR OR LESS,
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�LY FROM THE TRUE
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OF BEGINNING.
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
mEmom PERmrr COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DAT
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
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PROJECT
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pERm ----,ADB#--------DATE INSPECTED ....... .. 0C
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DESCRIPTION OF WORK TO BE INSPECTED An '0-4
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
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grantin"f-1-- -n
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GRANT FINAL PROJECT AP�PROVAL 0 F;
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED >
a Copy of CONDITIONS given to owner/contractor by inspector z
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rD FINAL INSPECTION - OUTSTANDING ISSUES
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Copy of CORRECTION NOTICE given to owner/contractor by inspector
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3.
RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date_ Sign_
ocaprvl.doc.l:tenip:bldg:fonnsIO/OI
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
wall ...........
7.
Pier/Porch .................
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Retaining Wall ...........
Slab Insulation ..........
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PLUMBING:
Underground .............
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Rough -in ...................
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Commercial Final
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'k HEATING:
'GasTesi .................
Gas Pl,ln . ...........
Equipment .................
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Commercial Final.
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ............ ...........
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FIRST FLOOR FRAMING
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INSULATION _ .................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
Or
SPECIAL INSPECTION
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MISCELLANEOUS ..........
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FINAL APPROVAL FOR
OCCUPANCY ..................
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