BLD1995-0329 LEGAL DOCSCITY OF EDMONDS
• `505 BELL STREET
EDMONDS, WA 98020
COVENANT OF NOTIFICATION AND INDEMNIFICATION/HOLD HARMLESS
Under the review procedures established pursuant to the State.
el Building Code, incorporating amendments promulgated by the City
C0 of Edmonds, and as a prerequisite to the issuance of a building
crz
permit for the construction of a residential structure and
attendant facilities, the undersigned OWNERS of property do
herebycovenant stipulate and
,shy , p promise as follows:
�nad 1 . Description of Subject Property. mi � _ c
. 1-Is ccYvenant- vl
notification and indemnification/hold harmless relates to a tract
of land at the street address of x�(p �,�(� f r%�.L a-) (insert
street address), Edmonds, Snohomish County, Washington and
legally described as:
, 4 0 TS
i
N
c.q
N43 EXCISE TAX
REQUIRED
CL-
N
j�r Y 23 �` 9S
�—
MIX
g �y
101.E SIF tl �f ERS
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
associated with development of the site have been evaluated by
technical consultants and engineers engaged by the applicant as a
part of the process to obtain a building permit for the subject
site. The results of the consultants reports and evaluations of
WSS52079A/0006.040.034 -1- BUILDING
02/08/90
a� U 3 I i 5 010 FEB 9— 1�90
the risks associated with development are contained in building
permit file number ,32 (insert number) on file with the
City of Edmonds Building Department. Conditions, limitations, or
prohibitions on development may have been imposed in accordance
with the recommendations of the consultants in the 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 9802.0.
3. Indemnification and Hold 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
� 05"2 3 3 E;3013iFG1501
arising from and out of such development. In addition, the
OWNERS on behalf of themselves, their successors in interest,
heirs and assignees, do hereby promise to indemnify and hold
harmless the City of Edmonds, its officers, agents and employees
from any loss, claim, liability or damage of any kind or nature
to persons or property either on or off the site resulting from
or out of earth subsidence or landslide hazard, arising from 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 Requirement. In addition to any bonding which
may be required during the course of development, the Community
Services Director haste (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:
[insert insurance requirements and time period,
if any --if no insurance required, so state.]
WSS52079A/0006.0.40.034 --3-
WSS/klt 02/08/90
h 6 UIX'JUJ
05 "-% id
5. Covenant to Touch and Concern the Land. This covenant
of notification and indemnification/hold harmless touches and
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 _, 199•
OWNERS)
By:
i
BY:
Y
STATE OF WASHINGTON
ss:
COUNTY OF 4ir ci ari
I certify that I know or have satisfactory evidence
that L�i:r.i c rY 4,��_, signed this instrument and acknowledged
WSS52079A/0006.040.034 -4-
WSS/k1t 02/08/90 jj �(�{
i� r•l i t' L � J V
it to be (his/her) free and voluntary act for the purposes
mentioned in this instrument.
DATED thisAlJ-{,day of 1"cy ,-�� c• , 19�,
NOTARY PUBLI _
My commission expires: - �3
STATE OF WASHINGTON )
) ss:
COUNTY OF )
I certify that I know or have satisfactory evidence
that signed this instrument and acknowledged
it to be (his/her) free and voluntary act for the purposes
mentioned in this instrument.
DATED this day of 199_.
NOTARY PUBLIC
My commission expires:
STATE OF WASHINGTON )
) ss:
COUNTY OF 1
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
the uses and purposes mentioned in this instrument.
DATED this -day of , 199_.
NOTARY PUBLIC
My commission expires:
WSS52079A/0006.040.034 -5-
WSS/klt 02/08/90
LANDSLIDE ACKNOWLEDGEMENT DECLARATION;
I, Ursula Schluter, the undersigned and property owner
of Lot 1 and 2, block 28 Medowdale Beach
15620 75th Pl. W Edmonds Wa 98026
a) Accept the risk of developing in an area with
potential unstable soils and will advise , in writing,
any prospective purchasers of the site, or any prospe—i.ve
lessees of structures or portions of a --ructure on t?,
site of the slide potential of the area,
b) That the accuracy of all permit submittal information
is warranted by me,and relieves the City and its staff
from any liability associated with reliance on such
permit application submittals.All conclusions shall be
those of [Trsula SChluter/owner and my design professionals,
Owner/Applicant:
r
Date: -
Subscribed and sworn to before me on this a3day of Dwq,44-.r
1992
Not -
in an d for the State of Washington
00 �dTAR
00 e�
00 ;
cn �UBL�G
s
\Q'
' OF WAS[ \
,\V
File No %j s-
Applicant -5. 4(Z%E,Z,
AFFIDAVIT OF MEADOWDALE LANDSLIDE PERMIT POSTING
STATE OF WASHINGTON )
) ss.
COUNTY OF SNOHOMISH )
S' 111-0TZi/2 being first duly sworn, on oath, deposes
and says:
That on
the
day
of 7,AtJ U
19 9:? the .
site located
at
E ,OA/D
S
was posted as
prescribed by Ordinance No. 2661 on the subject property. This posting
begins on the day the City accepts the permit application for review
and shall remain until building occupancy is granted.
Signed
Signed
Subscribed and sworn to before me thisda day of kv��s.
19�.
Notary Public in and for the State of
Washington.
Residing
Sy COMMISSION EXPIRES 3.1-93
CITY COP'
AfCA Ilet, f oe (, 1,4 tA-hWV
T- HAVE 1�� - ►� YHA C� OTC�GhiNlG�ir I�.�P�►2-� oN
p-j_S ( _ I r�Loc K Sb , M r r W f7A! ��I*! f-F,
E pC)Mo I?'S I DNA 01 W(Lc-100 OA-Tro
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RECEIVED
ED
JAN � 6 bb ,3
PERMIT COUNTER
f B�Z3193
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CITY Copy
LANDSLIDE ACKNOWLEDGEMENT DECLARATION:
I, Ursula Schluter, the undersigned and property owner
of Lot 1 and 2, block 28 Medowdale Beach
15620 75th P1. W Edmonds Wa 98026
a) Accept the risk of developing in an area with
potential unstable soils and will advise , in writing,
any prospective purchasers of the site, or any prospective
lessees of structures or portions of a structure on the
site of the slide potential of the area.
b) That the accuracy of all permit submittal: information
is warranted by me,and relieves the City and its staff
from any liability associated with reliance on such
permit application submittals.All conclusions shall be
those of Ursula SChluter/owner and my design professionals.
• .. /i.to., i
Date: --a?.? <
Subscribed and sworn to before me on this a3 day of p4,�-
1992
N: ��+%%R jic in an d for the State of Washington
er �C �`•'�c�S1rl1 e�'�%1��0
= �Oti�1RY
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♦ � e10
CITY C OPY
i
06/02/95 FRI 15:21 FAx 206 363 0550 JR ABBOTT
(a 002
IS'Ste DATE
(OWISJ95)
moouaER
PARKER, SMITH & FEEK, INC.
'00 First Interstate Center
„j9 3rd Avenue
Seattle, Washington 98104
INSMED.,,,,,,„........:................................................-.....................
J. R. ABBOTT CONSTRUCTION CO., INC_
P.O. Box 84048
Seattle, Washington W124
THIS CERTIFICATE 15 ISSUED AS A MATTED OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE
CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVEAABE AFFORDCD
RY THE FOLICIEe BELOW.
COMpAWV v
A UNITED STATES FIDELITY & A y
ANY
COMPANY
8
COMPANY
c
COMPANY
THIS 19 TO CCMTIFY THAT THE 1'oLIClC3 OF INSURANCI: LISTCD BE.OW MAVIS MOON I3aUHD TO TPIE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANbING ANY RVOUrREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE 114SURANCE 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,
CQ
Type QE (nayrance
Policy
Policy Effective
Policy Ezpiratian
Limits
Ltr
Number
Data (MM/DDJYV)
Data (IIALMOJYY)
A
General Liability
1 MP
04101/95
04101196
i
General Aggregate $ 2,000,000
X Commercial General Liability
30112815701)
Products/Comp Ops Agg. $ 2,000,000
Matle X Occur.
Per& & AW. Injury 41,000,000
_claims
& Dontraotore Prot,
Eaoh Occurrones $ 1,000,000
_Owners
Fire Damage (myonoliro) $ 100,000
Mad. Expense (any one person) $ SAW
A
Automobile Liability
1 MP
04101/95
04101196
G0111bIned Single Urnit $ 1,000,000
XAny Auto
$0112615700
All awned Autos
Bodily Injury (par pemon) $
Scheduled Autos
X Hired Autos
Bodily Injury (per accident) $
X Non -Owned Autos
Property Damage $
Garage Liabillty
Auto Only - iaaeh Aeaidpnt $
_,A,ny Auto
Other'rhan Auto Only:
Each Accident $
_
Aggregate $
A
Exoeee Liability
i MP
04/01/99
04/011W
6eeh Oeeurmnee $ 2,000,000
X Umbrella Form
30112815700
Aggragnto $ 2,13W,000
Qther Than Umbrella Form
workers' Compensation and
WC STATUTORY LIMITS
Employers' Llablllty
_OTHER
EL Each Aocident $
The Proprietor/PartneW Incl.
EL Disease -Policy Limit $
Executive Officers are' Excl.
EL Disease -Each Employee S
Other
Description of one rationMocationsNehloles/sp®olsl Item-
....._ . ... ....:... ..... v .Y:.•�+kiitk�t:}�s�, ksR� ;Kfi##•,`�` axxax�N�: ".s<::':1::u:fir
x( i. s: .sa °•�is:a �,'.`'�5'V41Vi4' r' f;'k 'NrK4i4 4i ,4 ''::>"'�•. ,• u: f"`s
..... ........F, .....,. .. x:'..: •. n � � � � � Y•X.i�7(�i�fi2kyY �Y,,�4�:i.:f.{:.�. Yi.S:.. i:!..�.%. t�+::�t?'3:t��.�:�. ... ........ ............... .. ..
SHOULD ANY OF THE ABOVE 0EsCAi8Fo POLICIES aE CANCELED SEPOPE THE
EXIIIAAYI
HE
COMPANY WILL ENDEAVOR TG MAIL 46
FA S tE AYPAIL S CE TO rTF nERT�OSE Na E9EVIGAT ONO T EFT, BUT
LIABILITY OFF
FAILURE ��jAIL SUCH NO
ABN30T7COICEAT95(M9) 00
IOM ROGERS AND NORMAN, INC. TO
2067710221 1996,08-28 16:46 #367 P.02/03
ORD
... . . ......
J fl
-x
THIS BINDER IS A TEMPORARY INSURANCE
coNTRAcT, SU1ajjE0T
TO THE CONDIT10113:311OWN ON TIME REVERSE SIDE OF THIS FORM.
PRODUCER
217
P&"o;"; 209-441-9152
Safe= Insurance Co.
RL7Cs�+TiS Se NOMOS, INC,
DATE TIME DATE I 'Vim
600 at;&Wart street - Ste #1919
1
SaattlQ WA 92101-1219
o.
OB 26/96 AM
6' 12:01
1 LZ 08/2619NOON
X:LzL Warren Kmnge=
H
A ]X THIS BINDER IS ISSUFM TO EXTEND COVERAGE!N r; ABOVE NAMED COMPANY
CODE!
I'y bus CODE;
r9i p
PER EXPIRING PC,-iCy;,- TEA
CUSTC'Malt 115; SCRTMR1
D1012RIFTION OF OPERAT4143NMICLESWIRWERT-Y (4joluaillff —L-Etjtlh)
INSURED
BUI'LD I N G
Ursula Schulter
15620 75th P1 w
AUG 2 9 1996
ZdMond% WA 28026
....... .
........ 777
TYPO OF INSURAN99
COVEIRAGWORMS AMOUNT I DEDUCT(OLE cows
PFkopzl%7y CAV565OF LOSS Con. Pexsanal Liability 300,000
3ASIrl BROAD SPEC
Ll
OrNERAL LlAsn.TTY
GENERALAGGR5�ATE
COMMERCIAL GENEPAL LIASILITY
PRODUCTS- COMPIOPAGG
7 CLAIMS MADE OCCUR
1$
PERSONAL & jNjuRy S
OWNER'S & CONTRACTOFM PROT
AOv
EACH 0CCU�c-
FIRE r.9 (Any one fire) $
I MSD w ZDAMA
?ARETRO DATE FOR CLAIMS DE (Any one Perron)
AIJYQMQ5[l,9 LIABLiTY
II
COM67NED SINGLE I WIT $
Alzy AUTO
BODILY lwupy (PVT memn) S
ALL 00,1,ED AUTOS
BQDILY IWVHYT&r arxi&ntl 2
Sa.fz:OULSD At-708
LPRO!ZnrY DAMAGE
HIRED AVTOa
MEDICAL PAYMENTS
NON -OWNED ATMS
p N Al U "T
PZRSONAI. JMJURY;;IROT_
UNIN� -T
UNI NSUIkEo,%tQTQRj4-.T E
R
AUTO PHYSICAL OAMA35 DEDUCTIBLE _JALLVEMCLES
- Ur.
SCHEDULED vi-micus 771AL A.;
-M VALUr.
—T-lLll7llH---R THAN CoL-
__T
' jt4.r
L
DTI
GARAGE LIASILITY
.4 Lr r 0 0 N LY - MA A; 13 9 NT
ANYAUTO
r4AN.WT0 ONLY:
EAOHAC2I10' s
EXCESS LIABILITY
AQQRr06T--- I ,
UPABRELLA FORM
- $1
IOTHER THAN UkWZLLA FORM REnRO DATEFOR kAllyl-g MA02:
$ 3.1 000
6ELF"1113URED
T.—TATLJTCTRyLNrm -7
WORI(W'r COMPEUSATION
—
AND
FACH ACVl;urr
EMPLOYER'S LIABILITY
QI=Aa= • Poucr( LIMIT
CUIP-A -3 L, EACH Em P 40YE E 6
nWideace pi=SGG: IS920 75th Pl, W., Ramoda, WA 9802
IJIT'I
M LMS1
9
X ADDIVONAL INSURED
LOCO PAY=
LOAN 0
City of Edmonds
Community Service Dept.
250 StIl Ave N
AURFPRI�$fRYA
Edmonds WA 98020
'Ka=en Eamsen
aids... .......
"Jim. It E
5-6'�39
lnc.1S9v
CITY OF EDMONDS
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221
DEVELOPMENT SERVICES DEPARTMENT
Planning • Building • Engineering
April 9, 1999
Ursula Schluter
15620 75th Place West
Edmonds, Washington 98026
RE: Homeowner Insurance Coverage for Meadowdale Development
BARBARAFAHEY
MAYOR
As you may recall, development of your home was subject to Edmonds Community
Development Code (ECDC) Chapter 19.05.050 which regulated construction and
insurance coverage requirements for all designated Meadowdale Landslide Hazard Area
development. The purpose of this letter is to inform you that the Edmonds City Council
has enacted a change which effects your homeowners policy that was required by this
ordinance. If you recall you were required to post a one million dollar homeowner policy
in order for your home to be granted final occupancy. Please be advised, the City
Council has repealed this requirement effective April 16, 1999. In lieu of this policy the
City Council will be holding future public hearings to determine alternate coverage
methods to ensure that the intent of ECDC 19.05.050 are still met. Please -contact the
City Clerk if you are interested in attending these meetings.
You may wish to consult your insurance professional to determine the proper amount of
insurance coverage necessary to meet your specific needs. Since the insurance,
requirement is repealed the City no longer requires to be informed of your coverage or be
provided with a copy of your current policy.
Please feel free to contact me if you have any questions at 771-0220.
Thank you,
�Wx��J
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
VISUAL DESIGN
15620 75TH PLACE W.
EDMONDS, WA 99026
August 8th 1996
City of Edmonds
Mrs. Sharon Nolan
Permit Coordinator
a. -Mar th
Edmonds Wa 98020
Interior Design URSULA SCHLUTER
(206)743.4184
Visual Merchandising FAX (206) 743-4184
Re: Permit # 950239
Letter dated/recieved Aug. 3rd
RurLo ,ge
AU6 0 7 1996
As of this date I am still actively pursuing insurance with
your specific requirements.
I am also still actively waiting for a reply from you made
by voicemail apr. 3 weeks ago, requesting additional copies
of insurance certificates other then the one -send to my
agent, since I have not been able to locate a company that
will fullfill the requirements and it would be extremly
helpfull to have these informations on which companies will,
comply.
I do have the 1000 000,00 liability insurance plus earth-
quake and slide insurance thru my home owners policy at
present.
I am still constantly traveling and won't be back till
August 20th.
Please send or fax the requested information to my address
Fax 206-743-4184 so I will have them when I return.
Thank you so much, sincerely
Ursula Schluter
cst. 189v
CITY OF EDMONDS
250 5TH AVENUE NORTH • EDMONDS, WA 98020 • 1206► 771-0220 • FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning • Parks and Recreation • Engineering
Ursula Schluter
15620 75th Place W
Edmonds, WA 98026
Re: Permit #950239
BARBARA FAHEY
MAYOR
As of this date, the City has still not received the required Certificate of Insurance as
called out under the Meadowdale Ordinance. I realize from past conversations that you
are having some difficulty securing the insurance; however, the City is required to
enforce adopted codes equitably and consistently. Your building permit expired 5/18/96
and the Building Offiical has determined that enforcement action shall be stayed provided
you are actively pursuing insurance and will provide such by August 31, 1996.
As you know, you are illegally occupying the residence at 15620 75th PI W. and in
violation of the Uniform Building Code, Section 109.1, which requires final approval
before a structure can be occupied.
If you have any questions you may call me at 771-0220.
Thank you,
C../ C
Sharon Nolan
Permit Coordinator
cc: Building Official
Building Inspector
SCHLUTI .DOC
• Incorporated August I1, 1890 •
Sister Cities International — Hekinan, Japan
April 4th 1993
City of Edmonds
Mr. Addison L. Chrisman IV
Engineering Inspector
250 5th Ave N
Edmonds Wa. 98020
Re: Letters dated March 26th/30th
Dear Mr. Chrisman,
Sorry I was not able to respond earlier. I am in the process
of inquiring about the bond. I understand there is a form
ich the bond company needs from the city. I would very
much appreciate if you could send several.
I am aware the engineering division might have to be last to
sign off. Changes are still beeing made at this point and I
can not purchase a bond (non-refundable) for a project that
is still not 100% sure.
In re to the sidewalk, if I should decide to construct it
with the house, what requirements would the city have?
Sincerely,
Ursula Schluter
cc Phillip Brown
oc'e,'4 S10 CITY COPY
'�' 1g93
March 16th, 1993
City of Edmonds
Mr. Addison L. Chrisman IV
Engineering Inspector
250 5th Ave N
Edmonds Wa 98020
Dear Mr. Chrisman,
Thank you for your letter of Feb. llth, recieved March 3rd.
In this letter you are requesting a site restoration bond
and funds for construction of a sidewalk in the future, plus
a 10' dedication of my land to the City.
Since the City and consultants require so many changes, my
building funds are being depleated rapidly, as such it is
not sure wether it is financially possible for me to go
ahead with the project.
Once the permit is to be issued, I will know if it is still
possible for me to go ahead. At that time I will be more
than agreeable to adhere to your requests. Hoping you under-
stand, that ,unless I am able to build, I can not afford
to make such a generous gift.
However, I fully hope to be able to build a home.
Sincerely,
, e~zw- zd-1 � �7� � �
Ursula Schluter
c: Mayor Laura Hall
,S
r
1 890 19°'v
CITY OF EDMO ,
250 - 5TH AVE. N.. EDMONDS, WA 96020 • (206) 771-0220 • FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning . Parks and Recreation . Engineering
LAURA M. HALL
MAYOR
February 11, 1993
Ursula Schluter 1 V
. Z 17d/ AJ sue¢
Edmonds, WA 980�
Re: Site restoration bond for 15620 - 75th P1. W., Edmonds
Dear Ms. Schluter,
Because of the slide potential in the subject area, a site restoration
bond will be required. This bond is -to cover the repair of damaged
utilities and pavement surfaces should a slide occur as a result of
constructing a house at the subject address. An estimate of $53-�7 3SJDvG e
has been determined to cover the total restoration of said utilities
and pavement surfaces. In addition to the above requirement,
construction of a five (5) foot sidewalk and ten (10) foot street
dedication is required. Before a permit can be issued, we must have a
recorded document dedicating ten (10) feet of 75th Pl. W. to the City
of Edmonds.
Since development is sporadic in the area, we are not requiring the
construction of a sidewalk with the construction of your house.
Instead, we will require cash set aside in the amount of $967.
If you have any questions, please call me.
Sincerely,
ADDISON L. CHRISMAN IV
Engineering Inspector
ALC/sdt
c: Sharon Nolan, Permit Coordinator
SCHLUTER/TXTST530
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
ENGINEERS COST ESTIMATE -P'`�� 2�
ITEM. DESCRIPTION OF WORK UNIT UNITISSUE QTY COST TOTAL
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