BLD1995-0458 MISC DOCSa
STREET FILE
CITY OF E D M O 1 V L J LARRY S. NAUGHTEN
250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 MAYOR
COMMUNITY SERVICES: PETER E. HAHN
I o Public Wor;;s • Planning • Parks and Recreation • Engineering DIRECTOR
890 19�i
July 24, 1991�/may/� /
Gerald Bernstein
6653 N.E. Windemere Road
Seattle, WA 98115
Re: Site restoration bond, street dedication and sidewalk cash
contribution for 15912 - 75th P1. W., Edmonds, WA
Dear Mr. Bernstein,
Due to the slide potential in your area, it will be necessary for you
to post a site restoration bond to repair damaged utilities and
pavement surfaces across your property frontage should a slide occur
during construction of your house. An estimate of $40,000 has been
tabulated to cover the total restoration. In addition to the above
requirement, construction of a five foot sidewalk and ten foot street
dedication is required. Before a permit can be issued, we must have
the recorded quit claim deed dedicating ten feet of 75th P1. W. to the
City of Edmonds and the site restoration bond.
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 a cash contribution in the amount of $1,100.
This amount goes into a special account for construction of a sidewalk
on 75th P1. W.
If you have any questions, please call me.
Sincerely,
ADDISON L. CHRISMAN IV
Engineering Inspector
ALC/sdt
c: Sharon Nolan, Permit Coordinator
BRNSTEIN/TXTST530
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• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
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FEB 13 1995
pER�vjff COUKER
GERALD & SARAH BERNSTEIN
6653 N.E. WINDERMERE RD
SEATTLE, WA 98115
February 10, 1995
TO: CITY OF EDMONDS, WASHINGTON
BUILDING DEPARTMENT, PERMITS
RE: APPLICANT/OWNER LIABILITY & LANDSLIDE ACKNOWLEDGMENT
We the applicant/owners of the site (15912 75th West) acknowledge the following:
a) That the accuracy of all permit submittal information is warranted by the applicant/owner in a
form which relieves the City and its staff from any liability associated with reliance on such
permit application submittals. While an application may reference the reports of prior public
consultants to the City, all conclusions shall be those of the applicant/owner her/his design
professionals (ECDC 19.05.030) and, b) That the applicant/owner understands and accepts the
risk of developing in an area with potential unstable soils and that they will advise, in writing, any
prospective purchasers of the site, or any prospective losses of the structures on the site, of the
slide potential of the area. (ECDC 19.05.040C)
Gerald Bernstein, February 10, 1995
Sarah Bernstein, February 10, 1995
State of Washington
County of rnr
Si ned or atte ted before me on !� /i �� by
O � L
Title
My appointment expires_ ®-2
awyfhS
File No q'5-1 �—
Applicant AERAS7'�i/�
AFFIDAVIT OF MEADOWDALE LANDSLIDE PERMIT POSTING
STATE OF WASHINGTON )
) ss.
COUNTY OF SNOHOMISH )
eing first duly sworn, on oath, deposes
and says:
That on the t5 day of J��� , 19 � the
site located at 16 l%� 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
Signed
Signed
Subscribed and sworn to before me this k
19Y .
Notary Public in. and for the State of
Washington.
Residing at
la/U/>-
Date:
To:
From:
Subject:
MEMORANDUM
August 24, 1995
Sandy Chase, City Clerk
Sharon Nolan, Permit Coordinator
RECORDING DOCUMENTS
Please take the enclosed Covenant of Notification and Hold Harmless for Bernstein to the county
for recording. Please have them note the recording number on the copy and return to the
Building Division; also, please return the original when it is received.
Thanks
r' 41e
City of Edmonds (-Q Community Services
COVENANT OF NOTIFICATION AND INDEMNIFICATION/HOLD HARMLESS
Under the reviewprocedures 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:
.p.. cram L f subject Tr. - • %%' � _ � c
1. eSv. ��.,1C'iL Ca .,a��.v y'vYC%a:x t.11S covenant o
notification and indemnification/hold harmless relatestoa tract
of land at the street address of. /J`l�/� / .WeS! (insert
street address), Edmonds, Snohomish County, Washington and
legally described as:
Lofs 9 and- ICI 131oek 2Y Pla. cf Med6todale, &dch�
Cew"Q DIAJG To The Iola f. -ior o r reed eded ;n Uo /dMe 5
C)f films fsl PAGe 3ff, in ✓)7D/70MIM Coffin
y
• kle A ,
2. Notification and Covenant of Notification. The above
referenced site (hereinafter "subject site") lies within an area
which has lieen 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 consultant's reports and evaluations of
WSS52079A/0006.040.034 -1 BUILDING
WSS/klt 02/08/90
FEB - 1QQ0
the risks associated with development are containedin building
permit file number Q`q `� (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 98020.
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, agent$ and employees
WSS.52079A/0006.040.034 -2-
WSS/klt 02/08/90
Kj
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
Pr 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 has/b (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:
( in ce-r�gtf, irements_and--t,me-per-i-ed,
WSS52079A/0006.040.034 -3-
WSS/klt 02/08/90
S. 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 oC day of , 399_.
OWNERS)
dillBy:
By:1
By:
STATE OF WASHINGTON )
) ss:
COUNTY OF 1,4/7 G )
I certify, that I know or have satisfactory evidence
that CI'!r
���4%�/� signed this instrument and acknowledged'
WSS52079A/0006.040.034 -4-
WSS/klt 02/08/90
it to be (his/her) free and voluntary act for the purposes
mentioned in this instrument.
DATED tbxis day of xllll� , 996F
NOTARY PUBLIC
My commission expires: It��7p
STATE OF WASHINGTON )
) ss:
COUNTY OF G )
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 ,,2L day of d
NOTARY PUBLIC
My commission expires:
STATE OF WASHINGTON )
) ss:
COUNTY OF �� )
I - certiify that I know or have satisfactory evidence
that as4-6�l �,5��%� O(J//, 4in signed this instrument, on oath
stated.that (he/she) was authorized to execute the
instrument and acknowledged it as the 4Z,�WI l,S (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 ZSf� day of 7/ti,/t 19,-
•
NOTARY Pit6i IC
My commission expires:
WSS52079A/0006.040.034 -5-
WSS/klt' 02/08/90
08/16/95 11:18 a 206 672 0798 GARY AVERS INS. P.01
CERTIFICATE OF INSURANCE
Thla cortlflea that ATE FARM FIRE AND CASUALTY COMPANY, Sloomington, Illinois iJ�1 L4li
�fs-TATE FARM GENERAL INSURANCE COMPANY. BloomirVon, Illinois
Insures the following policyholder for the coverages Indicated below! Jig( �ppC
Name of pollcyhoroer
KENNETH L ANDERSEN INC, W KEN ANDERSEN CONSTRUCTION
---_..., ...... __•._...— ..1^�� �
16207 Larch Way U
Address of polcyholdar _.. _..---•—•--..._—.._._.,... --.... _
Lynnwood. WA 98037
Location of operattone ' . same - ._
Description of oporallona __.....8anaral Contractor
The pollolse Acted bolow have been issued to V* polioylwtdor for tho policy periods shown. Tha Insurance described In these policies Is subicct to all the terms,
exclusions, and conditions as those policies. 1 he Ilmits of liability shown may have been redUGAd by any paid otaims.
POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIAbILITY��
E119clive Date expiration Date (at beginning of policy period)
Compreheneive i BODILY INJURY AND
98 BL 1381-5 siness LiabiUty„ 8/15/95 2/17/95 PROPERTY DAMAGE
------------------------------....................,.................
This Insurance Includes, PrO0019 - Corooted Operatons
N Contractual Liability 1 V 000 , 000.
❑ Unporground Hazard GoveraW Each Occurrence g
n Personallnjury z,coo,ryoa.
❑ Advertising Injury General Aggregate $
U Explosion I Ward Coverage P, ocivotp . Completed 2,000,000.
U Collapse Hazard Coverage Operations Aggrogate $
❑ Owwal Aggregate Limit applias to each pro)wt
❑—._....
POLICY NUMBER .
EXCESS LIABILITY
U Umbrella
Workers' Componsation
and Srnploy,orc Liability
TYPE OF INSURANCE
Name and Address of Odrtifioala Holder
City of Edmonds
250 5th Ave N.
Him. zd>a, VA 98020
66n OG. h'• .— ON 00 M.0In u A A
PGLIGY
Effective Date ; Expiration Date
BODILY INJURY AND PROPERTY DAMAGE
(CoMbined SInDW Llmlt)
Each Occurrent.-••-
Auaraaalo
Part 1 STATUTORY
Part 2 130DILY INJURY
Each Accident $ .....--
015sase Fach F.ml 6
POLICY PCRIO7 LIMITS OF LIABILITY
Effootive Data Expiration Date (at beginning of policy period)
,
N any of the described policies are canceled before 45
explrallon pate, $tate Farm will try to mall a written notlue to
tfic certlficate holder JACL days beforo cancellation. It,
however, wo fall to mall such notice, no obligation or liability
will be imposed on State farm or 44; 89OMS or representa-
. fives.
e r*R
Agent: 8/11/95
711M p,t,
,Ip'M'c f,MM Rrn,np
RARY AYERB-1
P.O. sox ass
Ed [ ril[) US, WA 98020
• : .1 CITY CLERK DOPDED
CITY OF EDMONDS \
505 BELL STREET
• EDMONDS, WA 98020 \ '95 SEP 19 p 2 -09
COVENANT OF NOTIFICATION AND INDEMNIFICATION/HOLR�iARM,LE,$S.-_, _
t
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:
1. Description c. ..u,.je.... Pzgperty. 1.11.J cc,.enant of
notification and indemnification/hold harmless relates to a tract
of land at the street address of- 1, 1%2 ZJ_*K1e6f (insert
street address), Edmonds, Snohomish County, Washington and
legally described as:
L fs 9 ana" C/ i31661< �;29 plj'f 6,1 Beach�
�'uC_��TH�e. y�i��-1 L%��fcz� ���z.,��C� •/�1G2'i��� LtL��Li�l�/Jc�c'��'1� .
2. Notification and. Covenant of Notification. The above
referenced site (hereinafter "subject site") lies within an area
which has lieen 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 consultant's reports and evaluations of
WSS52079A/0006.040.034 -1
�1SS/k1t 02/08/90 BUILDING
VOL. 30 i0PAGEZ643
FEB 9 - 1"0
the risks associated with development are contained in building
permit file number �`5c C -66 (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 98020.
3. Indemnification and HoldHarmless. The undersigned
OWNERS hereby waive any and all liability associated with -
development, stating thatthey 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
WSS.52079A/0006.040.034 -2-
WSS/klt 02/08/90
VOL..3 10" PAGE % 6 4 4
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 Recxuirement.. In addition to any bonding which
may be required during the course of development, the Community
Services Director has/Yrt (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_
, 2n u %i%ic i_,e;/Cc/�' % � y %ems
[ insert ---insurance.._requirements.and .time -period,
• if _any--if--no-i— surance---requi-red,--so state.-]
WSS52079A/0006.040.034 -3-
WSS/ klt 02/08/90
VOL. O PSG
-? .
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 o7r day of 199_.
OWNERS)
By:
By:
By:
STATE OF WASHINGTON
ss: •
COUNTY OF ,<r1 ")
I certify that I . know or have satisfactory evidence
/`� signed this instrument and acknowledged'
thatClrild sL�%'/%sS/z"
WSS.52079A/0006.040.034 -4-
WSS/klt 02/08/90
it to be (his/her) free and voluntary act for the purposes
mentioned in this instrument.
DATED this day of %llClne
99_
"5.
NOTARY PUBLIC
My commission expires:
STATE OF WASHINGTON )
) ss : `..;
COUNTY OF G )
I certify nthat /I know or have satisfactory evidence
that�/��'d:1 �Z�1i� signed this instrument and acknowledged
it to be (his/her) free and voluntary act for the purposes
mentioned in this instrument.
DATED this .2�_L day of 199=5.'-,
NOTARY PUBLIC
My commission expires: la zs/yam
STATE OF WASHINGTON
) ss:
COUNTY OF -7 )
I certify that I know or have satisfactory evidence
that a
/;1 signed this instrument, on oath
stated that A& (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 z.sl� day of-hr,�r�� 19
ra
NOTARY PLigLIC
• My commission expires: �c
WSS52079A/0006.040.034 -5-
WSS/klt 02/08/90
� PAGE
G73 �� 4
FAX
Date 01/14/97
Number of pages including cover sheet
To:
Jeanine Graff
City of Edmonds
250 5th Ave N
Edmonds, WA 98026
Phone
Fax Phone
CC:
206-771-0221
State Farm Insurance
320616th Ave West
Seattle, Wa 98119
From:
Karen Anderson @
Chuck Dagg
Phone 206-285-3003
Fax Phone 206-285-8610
❑ Urgent ❑ For your review ❑ Reply ASAP ❑ Please comment
Jeanine,
We have received a request to provide a certificate of insurance showing City of Edmonds as
additional insured and providing $1,000,000 liability, for Gerald and Sarah Bernstein. Since the
policy is a homeowner policy we have issued a binder reflecting this information. Our binder is
attached. If you have any questions please feel free to contact our office.
Thank you,
Karen Anderson
Office Manager
/X
\�
BUltblivo
HOMEOWNERSICONDOMINIUM
UNITOWNERS BINDER -RECEIPT
State Farm General Company
F'x'� State Farm Fire & Casualty Co
JA N 16 1897
New: Rew Policy :47-CJ-7211-9F Effective date :1/14/97 Term 12 mo's
NAME:
I.BERNST.EIN; GERALD t£ SARAH
MAILING ADDRESS:
PO BOX 15.357- SEATTLE WA 98115-0357'
LOCATION OF PREMISES:
15912 75 PL W - EDMONDS WA 980264523
Until a policy is issued, State Farm will provide coverage to the applicant and his or her legal representative on the property described
for up to ninety (90) days. This Binder provides only the coverage contained in the policy applied for and will be void when the policy
issued.
If a loss occurs before this Binder expires, the premium due State Farm will be the full annual premium for the amount insured.
This Binder is not valid unless signed by a State Farm agent.
Dated at: SEATTLE, WA 98119 1 this: 14 da of: JANUARY 1 1997
Agent Phone #:(206) 285-300
FAX #(206) 285-8610
3206 16TH AVENUE WEST
Agent Signature: SEATTLE, WASHINGTON 98119
Secretary �f
President
Regarding Personal, Family, or Household Insurance Transactions (applicable if a privacy law is in effect in this state)
We occasionally collect personal information from persons other than the individual or individuals applying for coverage. Such personal
information may, in certain circumstances, be disclosed to third parties without your authorization.
If you would like additional information concerning the collection and disclosure of personal information - and your right to see and
correct any Rersonal information in your files - it will be furnished u on request.
Form 3 4 5 X
Deductibles All peril $1000 Theft $ Other $
COVERAGES AND ENDORSEMENT
Dwelling or Bldg
510000
Jewelry option 2500/5000
Dwelling Extension
51000
Silverware Theft
Personal Property
382500
Replacement Cost GUARANTEED
Loss of Use
Actual loss sustained.
Firearms
Condo/HO Assoc.
Home computers
Personal Liability
1,000,000
Building Ordinance INCLUDED
Medical payments
1 5,000
1 Other
Total Premium: $811.00
Mt Loss Payee: Named Additional Insured: X
Name:
CITY OF EDMONDS
Address:
250 5 AVE N
EDMONDS, WA 98026
Loan:
2nd Mt : I Loss Payee: I Named Additional Insured:
Name:
Address:
Loan:
CHUCK DAGG , Agent
Auto - Life - Health - Home and Business
A
3206 16th Avenue West
Seattle, Washington 98119
Phone: 206-285-3003 Fax: 206-285-8610
CITY OF EDMONDS
121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771.0220 • FAX (425) 771-0221
lnc.1SO,
April 9, 1999
DEVELOPMENT SERVICES DEPARTMENT
Planning • Building • Engineering
Dr. & Mrs. Bernstein
15912 75t" Place West
Edmonds, Washington 98026
RE: Homeowner Insurance Coverage for Meadowdale Development
BARBARA FAHEY
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,
ow'�"r
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan