Loading...
BLD1992-0531 LEGAL DOCS1February 3, 1993 William E. Derry 16107 74th P1. W. Edmonds 98026 Lyle Chrisman, Inspector City of Edmonds Edmonds, WA 98020 This letter is regarding the driveway to our residence at the above address. The, -.asphalt paving was damaged by trucks during construction of our house. It is our understanding that the driveway must be repaired within two months to the following specifications: 1. Cut around broken asphalt 2. Remove existing asphalt 3. Dig out old base 4. Replace base 5. Compact it 6. Add two inches of asphalt. William E. Derry (owner) John Gurnee, (builder) eloper) DATE SENT BOND RELEASE FORM CITY OF EDMONDS --. a TO: ENGINEERING DEPARTMENT - YLE CH SMAN PLANNING DIVISION'- JOHN BIS FROM: SHARON NOLAN, PERMIT COORDINATOR PERMIT# 47Z b,�,.J/ ADB# PLAT# PROJECT ADDRESS % 7 C/ DEVELOPER/CONTRACTOR TYPE OF BOND TO BE RELEASED ,, ��' J- $ p Q BOND DATE POSTED p ' BOND EXPIRES f:Eax�eFti a D Please field inspect for the release of the subject bond. If there are outstanding requirements, please note in the space provided. Failure to respond by the expiration date constitutes approval by your department and automatic release of the bond by the building division. 1. 2. 3. 4. BOND APPROVED FOR RELEASE BOND NOT APPROVED, SEE OUTSTANDING REQUIREMENTS DATED Atz DATED 71'017fr WORK TO BE COMPLETED WITHIN &0 DAYS. SUSPENSED TO:'7 / /S/ !� COPY TO FILE COPY TO DEVELOPER/CONTRACTOR 09/24/92 BONDREL/TXTSFN62June 16, 1994 DATE SENT' BOND RELEASE FORM CITY OF EDMONDS TO: ENGINEERING DEPARTMENT - LYLE CHRISMAN PLANNING DIVISION - WENDIE SCHULENBURG, JEFF WILSON FROM: SHARON NOLAN, PERMIT COORDINATOR PERMIT# '72-CXS3 ADB# PLAT# PROJECT ADDRESS , % DEVELOPER/CONTRACTOR TYPE OF BOND TO BE RELEASED BOND DATE POSTED Z —�'— �3 BOND EXPIRES Please field inspect for the release of the subject bond. If there are outstanding requirements, please note in the space provided. Failure to respond by the expiration date constitutes approval by your department and automatic release of the bond by the building division. 2. 3. 4. BOND APPROVED FOR RELEASE DATED BOND NOT APPROVED, SEE OUTSTANDING REQUIREMENTS DATED WORK TO BE COMPLETED WITHIN DAYS. SUSPENSED TO: / / COPY TO FILE COPY TO DEVELOPER/CONTRACTOR 09/24/92 BONDREL/TXTRECEPSeptember 24, 1992 DATE SENT ipL za(4 BOND RELEASE FORM CITY OF EDMONDS TO: ENGINEERING DEPARTMENT - LYLE CHRISMAN C PLANNING DIVISION - WENDIE SCHULENBURG, JEFF WILSON FROM: SHARON NOLAN, PERMIT COORDINATOR PERMIT# G" ) ADB# PLAT# PROJECT ADDRESS 1(v / 0 7 - 2 V 7� DEVELOPER/CONTRACTOR TYPE OF BOND TO BE RELEASED BOND DATE POSTED `/_d 3 BOND EXPIRES Please field inspect for the release of the subject bond. If there are outstanding requirements, please note in the space provided. Failure to respond by the expiration date constitutes approval by your department and automatic release of the bond by the building division. 1. :1)/kr *R D r-fit I rz eot ezru pL.&-tTE 2. 3. 4. BOND APPROVED FOR RELEASE DATED BOND NOT APPROVED, SEE OUTSTANDING REQUIREMENTS DATED WORK TO BE COMPLETED WITHIN DAYS. SUSPENSED TO: / / COPY TO FILE COPY TO DEVELOPER/CONTRACTOR 09/24/92 BONDREL/TXTRECEPSeptember 24, 1992 { DATE SENT_T� BOND RELEASE•FORM CITY OF EDMONDS TO: ENGINEERING DEPARTMENT - LYLE CHRISMAN PLANNING DIVISION - JOHN BISSELL FROM: SHARON NOLAN, PERMIT COORDINATOR PERMIT# �C?,j ADB# PLAT# PROJECT ADDRESS / /„/Q rZ % S4 DEVELOPER/CONTRACTOR TYPE OF BOND TO BE RELEASED y BOND DATE POSTED _ �S ' 9,5 BOND EXPIRES J S J Please field inspect for the release of the subject bond. If there are outstanding requirements, please note in the space provided. Failure to respond by the expiration date constitutes approval by your department and automatic release of the bond by the building division. , i 1. PLZ ��S('Y-U�_ 2. 3. 4. BOND APPROVED FOR RELEASE AC__ DATED 1111719q BOND NOT APPROVED, SEE OUTSTANDING REQUIREMENTS DATED WORK TO BE COMPLETED WITHIN DAYS. SUSPENSED TO: / / COPY TO FILE COPY TO DEVELOPER/CONTRACTOR 09/24/92 _ BONDREL/TXTSFN62June 16, 1994 Y 8 9 0 - 19 9 - CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 • FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning . Parks and Recreation • Engineering March 5, 1993 William and Barbara Derry 16107 74th Place West Edmonds, WA 98020 LAURA M. HALL MAYOR Re: MEADOWDALE ORDINANCE PUBLIC LIABILITY INSURANCE REQUIREMENTS Lot 10, Plat of Lorian Woods Dear Mr. and Mrs. Derry: Your request for a waiver from the public liability insurance - requirements of Chapter 19.05.050 of the Edmonds Community Development Code and Ordinance #2866 was brought to my attention on March 4, 1993 by Jeannine Graf, Acting Building Official. After consultation with Scott Snyder, City Attorney, and site inspections by personnel from both the Engineering and Building Departments, as Community Services Director I have exercised the authority given me under Chapter 19.05 and have determined that it would be appropriate for the City to grant your request for a waiver. Decisions such as this are based on site specific conditions and made only after review of the potential loss to both public utilities and private property which could be attributable to your development. In the case of your development it was determined that in the event of a landslide, or similar earth movement, damage would be negligible. It was fortunate that, due to the conditions of your specific site, the City was able.to arrive at a decision that has enabled you to proceed with obtaining final approval on your project. Mrs. Derry, it was a pleasure meeting you. If I can be of further assistance, please do not hesitate to call on me. Sincerely, Paul Mar Community Services Director cc: City Attorney Acting Building Official File • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan o16 Pot MAR 01 193 09!49 z� A.:'f11CAILAND V •A FAMILY MEDICINE' li BG �►vlrril�' !lit;llllrrrr! Clinic(t(11I,t?� t nt1'1tn��'' 5A1�'1 n',N K. Sr�ItI' AI.11, ft(k $ C. t AR t Ix IN. 11.11(;, AtI1F, A1,D I1,►1'llt(', Itt rNlfr,t.1<�1v, nt.l�, f:+rl+�u•.t k. I��•����, talnl(: /Icfmi�thlr,tfM VACSIMIL$ TRAN9KISSION DATE PAGE C:WANY r d ATTENTION FRO MESSAGE U- Phonet. 672-2116 FAX: 771-2661 fli�;lrfanrl r;rmlf} lllptlicin(+. Inc.. I'.S, � i.i1C.21zlit SI S��' � �+1lif(� 2f1.1� I:rlrnr+ndv. 11'.1 9t(N+rr • I21161672•211(, 016 P02 MAR 01 193 08:50 16107 79th Pl. W. Edmonds, WA 98026 February 28, 1993 Jeannine L. Graf, city of Edmonds 250 5th Ave. N. Earnands, WA 98020 Dear Ms. Grat: Acting Building official Please waive the requirement for naming the City as an "additional insured" for our new home construction and issue the occupancy permit. The ordinance for this requirement was passed after oux permit application was submitted. Never -the --less, we have attempted to obtain this coverage from three different. .insurance firms. All have refused and have stated that this type of coverage is not available on home -owners or on personal liability policies. (Apparently it is available Can commercial policies but we have no way of obtaining a commercial policy.) Pursuant to your requirements at the time we applied for cur permit, we have obtained a $1,000,000 liability policy. This, along with the hold -harmless agreement which we provided, should be adequate for the cityts interests. Delay in issuing the occupancy poxmi,t is causing us a hardship by preventing us from finalizing our construction loan. Sincerely, William F. Derry ....' 930210 04 8111i Fg1 l � COVENANT OF NOTIFICATION AND INDEMNIFICATION/HOLD HARMLESS Under the review procedures established pursuant to the State Building Code, ..incorporating amendments promulgated by.the City + of Edmonds and as a prerequisite to the issuance of a building permit for the construction 'of a residential structure and attendant facilities, the undersigned OWNERS of property do hereby covenant, stipulate and promise as follows: i 1. Description o: Subject Property. This covenant of notification and indemnification/hold harmless relates to a tract of land at the street address of IGIc77 '7 4I"' pace W. ( insert street address), Edmonds, Snohomish County, Washington and legally described as: TH a Lv2/ � WFe-�D!S OF �,•(vc Iornlc_,1 1 e Wr4sN. c�trnJS'''/ 1 -79 O L4 j 2. Notification and Covenant of Notification. The above referenced site (hereinafter "subject site") lies within an area which has been identified by the City of Edmonds as having a potential for earth subsidence or landslide hazard. The .risks i IL associated with development of the site have been evaluated by •� technical consultants and engineers engaged by the applicant as a t ' part of the process to obtain a building permit for the subject w site. The results of the consultant's reports and evaluations of WSS52079A/0006.040.034 -1- WSS/klt 02/08/90 9 =,77T the risks associated with development are contained in building permit file number '3 (insert number) on file with the City of Edmonds Building Department. Conditions, limitations, or prohibitions on .development may have been imposed in accordance Ir with the recommendations of. the consultants inthe course of permit issuance. The conditions, limitations, or prohibitions may require ongoing' maintenance on the part of any owner or lessee or may require modifications to the structures and earth stabilization matters in order to address future or anticipated changes in soil or other site conditions. The statements and conditions proposed by the OWNERS geotechnical engineer, geologist, architect and/or structural engineer are hereby incorporated by reference from the contents of the file as fully as if herein set forth. Any future purchaser, lessee, lender or any other person acquiring or seeking to acquire an interest. in the property is put on notice of the existence of the content of. ,-the file and.the City urges review of its contents. The file may be reviewed during normal business hours or copies obtained at the Planning Department, City of Edmonds, 505 Bell Street, Edmonds, Washington 98020. 3. Indemnification and gold Harmless. The undersigned OWNERS hereby waive any and all liability associated with development, stating that they have fully informed themselves of all risks associated with development of the property and do' therefore waive and relinquish any and all causes of action against the City of Edmonds, its officers, agents and employees WSS52079A/0006.040.034 -2- WSS/klt 02/08/90 1 9 3 0210 0475 arising from and out of such development. In addition, ition, the OWNERS on behalf of themselves, their successors in interest, heirs and assignees, do hereby promise to indemnify and hold I harmless the City of -Edmonds, its officers, agents and employees f.l from any loss, claim, liability or damage of any kind or nature to persons or property either on or off the site resultingfrom or out of earth subsidence or landslide hazard,- arisingfrom m or out of the issuance of any permit(s) authorizing development of the site, or occurring or arising out of any false, misleading, or inaccurate information provided by the OWNERS, their employees, or professional consultants in the course of issuance of the building permit. 4• Insurance RecruireRent. In addition to any bonding which may be required during the course of development,. the Community . Services Director has/has not (strike one) specifically required the maintenance of an insurance policy for public liability coverage in the amount and for the time set forth below in order to provide for the financial responsibilities established through the indemnification and hold harmless agreement above: �1_t-11S ��QVI 2� Kau i MuST- ' ►3E ��p� aF f7lNu4L !4+i>1Zc31./AL e-7t',rJ T1.4'e Z)l C.IC G�-fvtil �t �t2 �����-S�-r�c cc�r7l� ( insert insurance requirements and tiimmep' d • Z� • g if any --if no insurance required, so state.] Q WSS52079A/0006.04.0.034 WSS/klt 02/08/90 -3 030210 0475 L S. Cov ant to Touch and Concern the Land. This covenant of notifica ion and indemnification/hold harmless touches and �r . concerns the subject tract and shall run with the land, binding, obligating and/or inuring to the benefit of future owners, heirs, successors and interests or any other person or entity acquiring an interest in property, as their interest may appear. This provision shall not be interpreted to require a mortgagor or lender to indemnify the City except to the extent of their loss nor to obligate such persons to maintain the insurance above required. DONE this �� day of �Wv-i , 199- I RM- By: By: By: STATE OF WASHINGTON ) COUNTY OF /Yh-) ss: I certify that I know or have satisfactory evidence that signed this instrument and acknowledged WSS52079A/0006.040.034 -4- WSS/klt 02/08/90 Q 9302100475 it to be (his/her) free and voluntary act for y V` mentioned in this instrument.`" ' `9 DATED this day of NOTARY PUBLIC My commission expires: STATE OF WASHINGTON ) )ss: COUNTY OF ) I certify teat .I know or have satisfactory evidence that 0-2han E. errU signed this instrument and acknowledged it to be (his/her) free and voluntary act for the purposo,s,,�` mentioned in this instrument. DATED this day of 199,Z. Y? NOTARY UBLIC, My commission expires: STATE OF WASHINGTON ) ) ss: COUNTY OF ) I certify that I know or have satisfactory evidence that signed this instrument., on oath stated that (he/she) was authorized to execute the instrument and acknowledged it as the (title) of (name of party on behalf of whom instrument was executed) to be the free and voluntary act of such party for i the uses and purposes mentioned in this instrumin,,,,,DATED this day of 199r q C-) NOTARY PUBLIC My commission exWSS52079A/0006.040.034 -5- -WSS/klt 02/08/90 R '3021 CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) _ _7/1.7/_9.2 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS A.T.I. Agency, Inc. i NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, 1022 NE 65th EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW r-- - - Seattle, Washington 98115 COMPANIES AFFORDING COVERAGE COMPAN YA Safeco Ins. Co. LETTER CODE SUB -CODE �__.__------. .RECEtVED COMPANY B INSURED LETTER JUL 2-2 1992 The Gurnee Company Builders, Inc. i COMPANY C 4320 196th SW, Ste. 332E LETTER I PERMIT -COUNTER Lynnwood, Washington 98036 COMPANY D ) LETTER COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -POLICY CO I TYPE OF INSURANCE POLICY NUMBER LTR EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY I GENERAL AGGREGATE $ 1000 A X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OPS AGGREGATE $ 1000 CLAIMS MADE OCCUR., C P 8 4 3 7 911 C 1 0/ 7/ 9 1 10 / 7/ 9 2, PERSONAL & ADVERTISING INJURY$ 1 0 0 0 OWNER'S & CONTRACTOR'S PROT.) EACH OCCURRENCE I $ 11000 FIRE DAMAGE (Any one tire) I $ 50 ( MEDICAL EXPENSE (Any one person) $ 5 AUTOMOBILE LIABILITY jj COMBINED ANY AUTO I ! 1 SINGLE $ LIMIT ALL OWNED AUTOS BODILY — _ SCHEDULED AUTOS f (,Per,person) $ v HIRED AUTOS 1 BODILY NON -OWNED AUTOS j I INJURY (Pen $ accident GARAGE LIABILITY PROPERTY $ ;u DAMAGE j EXCESS LIABILITY 1 EACH j AGGREGATE OCCURRENCE- $ $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY AND ! $ (EACH ACCIDENT) $ (DISEASE —POLICY LIMIT) EMPLOYERS' LIABILITY - -}-- � OTHER a ? (DISEASE —EACH EMPLOYEE — $1402000 Blanket Builde A�Special Property 8437911C 110/7/91 10/7/92 I Risk ICP 1,000 Deductible Special-.For.m - subjgct__ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS policy exclusion s Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE City of Edmonds EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO 250 5 t h Ave. N . MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE Edmonds, Washington 98020 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHO ZED RESENTATIVE — ACORD 25-S (3/88) R. J n e J e n k i n ©ACORD CORPORATION 1988 Cs to AFFITDAVIT OF POSTING On April 30, 1992 a Notice of Application for permit was posted on Lot 10 of Lorian Woods in the City of Edmonds per E.C.D.C. 19.05.030C. THE SULLIVAN COMPANY INC. Step" n R. Sullivan, President STATE OF WASHINGTON 0 '. h 1 7 )SS:Q9mtW COUNTY OF2 I certify that I know. or have satisfactory evidence that signed this instrument and acknowledge it to be (his/her) free and voluntary act for the purposes mentioned in this instrument. Dated this a a y of,% 199 Z: Nota Public _ My commission expires: OWNER PUBLIC LIABILITY INSURANCE required per E.C.D.C. 19.05.050C. This reauirement will be met at the time of final inspection per conversation of April 27, 1992 with Dick Mumma, City of Edmonds, Building Official. AI1,01t1b. CERTIFICATE OF INSURANCE ISSUE DATE (MM/DD/YY) 4/27/92 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, Gallagher I n s U n d Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P.O. PDX 367 COMPANIES AFFORDING COVERAGE Bellevue, WA 98009-0367 206-454-3386 28582255 INSURED The Su l l I van Company Inc Stephen Sul I Ivan 18596 7 6 t h W Edmonds WA 98026 COMPANY LETTER A American States Insurance Co COMPANY LETTER B COMPANY LETTER C COMPANY D LETTER COMPANY LETTER E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER LTR POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS IN THOUSANDS DATE (MM/DD/YY) DATE (MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $1 , 0 0 0 , A X COMMERCIAL GENERAL LIABILITY 01 AP 04 5 7 5 8 0 9/ 2 2/ 9 1 9/ 12 / 9 2 PRODUCTS-COMP/OPS AGGREGATE $1 , 0 0 0, CLAIMS MADE X OCCUR. PERSONAL & ADVERTISING INJURY $1 , 0 0 0 , OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $1 , 0 0 0 , FIRE DAMAGE (Any one fire) $ 50, MEDICAL EXPENSE (Any one person) $ 5 , AUTOMOBILE LIABILITY COMBINED ANY AUTO SINGLE $ LIMIT ALL OWNED AUTOS BODILY SCHEDULED AUTOS INJURY $ (Per person) HIRED AUTOS BODILY NON -OWNED AUTOS INJURY $ (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH AGGREGATE OCCURRENCE OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION STATUTORY AND $ (EACH ACCIDENT) $ (DISEASE —POLICY LIMIT) EMPLOYERS' LIABILITY $ (DISEASE —EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Re: Dwelling under construction at 16107 — 74th Place West, Edmonds, WA. City of Edmonds is additional insured as respects this ,iob. CERTIF C E SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO City of Edmonds MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 250 First North LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Edmonds, WA 98020 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. 0011 AUTHO D EPRES TIVE D 100616000 ACORD 25-S (11/89) CACORD CORPORATION 1989