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15825 75TH PL W.PDF15825 75TH PL W When recorded mail to: City Clerk City of Edmonds 121 Fifth Avenue North Edmonds, WA 98620 CONFORMED COPY 200304160289 5 PGS 04-16-2003 09:32am $23.00 SNOHOMISH COUNTY, WASHINGTON APPLICANT IS: SPACE ABOVE THE LINE FOR RECORDERS USE d Proper, Owner Assessor's Parcel No.: DO 3d00yad 0 Business Owner Applicant: ------------- ENCROACHMENT AGREEMENT This ENCROACHMENT AGREEMENT ("Agreement!). is entered into between the CITY OF EDMONDS ("City") and Da0,01-b L, d62D64 4---' ("Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development Code. Sew 5, 1 -27 A(, k4 9: in/. iM , J wi 1, The PrOD'ertv. Owner is the owner of .that certain real property, located at T/tJOL within the City of Edmonds, Washington, Assessor's Parcel Number 6 o /3 /a 3 Ud 0 cyo and more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. Business owner, t✓/R is the business owner of that certain real property noted above. 2. The Easement. The City currently owns an existm' asement over, under, and across Owner's property for street, alley, sidewalk, other which is described in Exhibit `B" attached hereto and incorporated by reference. 3. The Encroachment. The City hereby covenants and agrees and grants its permission to Owner or Business Owner to allow �Eri/GE C?l�% E4EN S/pE�F 10.% 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. -I- 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, including 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 full 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 Agreement. 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. 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 means and addressed as follows: If to the City: City Engineer City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 If to the Owner: bolo, D L, H(_,vI)e&,9t. /5,?zs —7s # PL w Ic-hmori y ou- which addresses may be changed from time to time by providing notice to the other party in the manner described above. 6. Waiver. City's consent to or approval of any act or omission by Owner shall not constitutea 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. -2- 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. 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. Ca aci ..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 WHEREOF, the parties hereto have executed this Agreement on this Z—OJ day of 20 C)3-'. . OWNS 0 ) or US S R(S): By. , �� .... B y- STATE OF WASHINGTON COUNTY OF SNOHOMISH This day, personally appeared before me, tD Oroj.d Sern . to me known to be the person(s) who executed the within and foregoing document and that (he/she/they) KC signed the same as (his/her./their) free and voluntary act and deed for the uses and purposes therein mentioned. ^1 Notary Public State of Washington CHELEA M. WARINNER WAppoMtpent E*ms Feb 28, 2006 CITY OF E O S By: GINEERING DIVISION Notary Public Ghoe m &A i n ve,r" Typed or Printed Name My Commission expires: - 2- - 2R - C.p L%TMOMeuuD]NaRANnoUranouachAgrer_&c - 3 - r �T Exhibit A Legal Description of: 15825 75" Place West Edmonds, WA 98026 Lots 5 and 6, Block 30, Meadowdale Beach, according to the plat thereof recorded in volume 5 of Plats, page 38, in Snohomish County, Washington Assessor's Parcel Number 00513.103000500 2� MINIMUM U)OD =o m o Exhibit C PERMIT #: &0 -av2 DATE APPLICATION RECEIVED: �� 4, ki 4� � _ _ -# . ADDRESS OF PUBLIC USE: 15��5 75'PL �®� �o 64G;, � PROPERTY OWNER: 4�E�1,,—ZSZ)A Al -rrM ONCE YOUR REVIEW IS COMPLETE, PLEASE ROUTE TO THE NEXT DIVISIONIDEPARTMENT ON THE LIST. * * * PLEASE ROUTE IN THE ORDER SHOWN * * * .o' PLANNING DIVISION Date Stamp Received:. PLAWljOi(:•��O'W— 6tiu LEVY. PUBLIC WORKS Date Stamp eceivAsy� © P ENGINEERING DIVISION FE626203 ""h9!-6ElVt=U ;0 Date Stamp Received: MAR 4 — 2003 P ENGINEERING DIVISION a DS ADMINISTRATION Date Stamp Received: MAC 3 °, J Q T �- R� jI�I InJI1AV'G DEFT !J..Yd BF.B.OMOJY P.O.BIBIB/B/.BII.BONBI%'B.B%/.II/•B/ .O%f/I/.I.%.%%lI//O�I%I.%P:Il.%.I/%Os%'1P/9A%OTl/9%OA)'L�%%O. %l,'[�B3'? APPROVAL SIGNATURES AND REMARKS OR COMMENTS ARE TO BE MADE UNDER THE "DEPARTMENT APPROVALS" SECTION ON THE PERMIT. RAengr\forms\Encroachment permit routing When recorded mail to: City Clerk City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 APPLICANT IS: SPACE ABOVE THE LINE FOR RECORDERS USE J4 Property Owner Assessor's Parcel No.: 2QU00600 ❑ Business Owner Applicant: �OIV,AL� L �`ND�QSd ENCROACHMENT AGREEMENT This ENCROACHMENT AGREEMENT ("Agreement") is entered into between the CITY OF EDMONDS ("City") and _ 1) 1-b L, d60UD6&&V ("Owner[s]"), in accordance with Chapter 18.70 of the Edmonds Community Development Code. 1. The Pro er. Owner is the owner of that certain real property located at W ZS- 76 It PL , /A) within the City of Edmonds, Washington, Assessor's Parcel Number d o5/31,03 06 0 sell and more particularly described in Exhibit "A" attached hereto and incorporated herein by reference. Business owner, N/R I is the business owner of that certain real property noted above. 2. The Easement. The City currently owns an existin asement over, under, and across Owner's property for street, alley, sidewalk, other 1 which is described in Exhibit `B" attached hereto and incorporated by reference. 3. The Encroachment. The City hereby covenants and agrees and grants its permission to Owner or Business Owner to allow FENCE UN E AS—ICoeN S/,DE OF LD% 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. -1- 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, including 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 full 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 Agreement. 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. Notices. Any notice which is required Agreement shall be sent in writing by United States registered or certified with return receipt requested, o means and addressed as follows: If to the City: City Engineer City of Edmonds 121 Fifth Avenue North Edmonds, WA 98020 If to the Owner: nONI4L� �-� �IENUE�.SD^i T /S, ?Zs -7s pL tA) jc-amoribsO Wh f f6U-Wzz- or may be. given pursuant to this mail, first class, postage; pre -paid, by other comparable commercial which addresses may be changed from time to time by providing notice to the other party in the manner described above. 6. Waiver. 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. -2- :v 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. 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. Ca aci . 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 WHEREOF, the parties hereto have executed this Agreement on this /!Aday of 20 03- OW=)or S7 R(S): By:�� _ By: STATE OF WASHINGTON COUNTY OF SNOHOMISH This day, personally appeared before me, Q Droj C1 L 4L J—t t S to me known to be the person(s) who executed the within and foregoing document and that (he/she/they) k\k signed the same as (his/her/their) free and voluntary act and deed for the uses and purposes therein mentioned. . 1 0._.o, ..1 Notary PubLc State of Washington CNELEA M. WARINNER Yy APPOM"M Eq*" Feb 28. 2006 CITY OF E O S By. 14- / 03 GINEERING DIVISION Notary Public C*\b e p m _VCt.A + n VV, K Typed or Printed Name My Commission expires: 2 2� • p LATFMPMUIIDWGMANWUrEnworhAgrm&c -3- C Exhibit A Legal Description of: 15825 75th Place West Edmonds, WA 98028 Lots 5 and 6, Block 30, Meadowdale Beach, according to the plat thereof recorded in volume 5 of Plats, page 38, in Snohomish County, Washington u 6) 1 2-1 N _ k .y , M Assessor's Parcel Number 00513103000500 2-f MINiMkM J oo 0 ID 0 w Exhibit C #59 OF ED4 Odd (P St. 1 ENCROACHMENT PERMIT APPLICATION PROPERTY OWNER NAME: OO ,�, E�DE/�SO/`� Phone qZ' �S�y PROPERTY OWNER MAILING ADDRESS: _ _ _ I �i �'Z� 75J C—JMtWWO IN0 /Rd Zb BUSINESS NAME for Commerical applications: ADDRESS OF PUBLIC USE: S/9M E '6S . AsM& *************************************************************************************** Describe the, portion of public space, City right-of-way or easement area to be utilized (i.e., overhead space of sidewalk, 10 foot City utility easement -along north property line, etc): 7-1.1 s Nrr 0 Z- � E01- 7 V TH I)L W O/ T P OIN6 T f/AC- D� /sxz 6--7S-1 AFL W L07- Describe the type of encroachment or use desired (i.e., fence 6 feet by 150 feet, awning 3 feet wide by 7 feet long, etc.):_PDfFNCE W11-L 6NCfloeCtl f✓ T%f Gi/ OF W,&,K Zj2 Al hr /Mh/Y1 S% NCE OF 40 11V Z c- 0 A P-&A Specify the length of time for use (i.e. awning for life, of building, espresso cart for summer months, etc.), NOTE. The issuance of this permit is understood by the applicant to be of a temporary nature and that no vested right is granted. INDEMNITY.• The applicant understands and by his/her signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its departments or employees, including but not limited to the defense or any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.. In addition, the application understands that the City shall be provided a Certificate of Insurance to indemnity and hold harmless the City of. Edmonds from all claims and/or property damage, and naming the City of Edmonds as an additional insured. CODE APPLICATION: By signing the application below the applicant warrants that s/he has read or had the opportunity to read Chapter 18.70 of the Edmonds munity Developme Code and s/he understands that all terms of the adopted ordinance are incorporated herein as if se orth i full an thi ap c ti and permits therefore are subject to the terms of that Chapter. SIGNATURE %� D DATE L:Temp:Building:Handout:Encroachho.docjlg06/02 #59 CRITERIA OF PERMIT APPROVAL The applicant shall follow the noted conditions on the building permit. For applications that do not require a building permit the following criteria shall be maintained at all times. ➢ Provide safe pedestrian travel for sidewalk encroachments. Maintain a clear zone of 44 inches minimum. See definition of clear zone below. ➢ Exterior light fixtures, banners and flags must be a minimum of 7 feet above City right-of-way. ➢ Maintain clear landings on the exterior side of all required exit doors of 44 inches or no less than width of door, measured toward the street. ➢ No projections into City alleys are permitted unless the projection exceeds 15 feet above pavement surface. ➢ Do not block illumination from City light fixtures or hang objects from City light standards. ➢ Architectural projections from buildings must be approved by the Design Board and conform to Uniform Building Code requirements. A building permit shall be required for such projections. ➢ Maintain 3 feet of clearance around fire hydrants, standpipes, manholes, water meters, blowoffs, cleanouts and valves. ➢ Bistro dining tables and chairs must be placed in accordance with City Ordinance No. 3293. ➢ Merchandise racks, espresso carts, flower planters, benches must not be located within the "clear zone". ➢ Ramps require a separate building permit and must conform to UBC standards. Clear Zone Definition: Clear Zone refers to an area 7 feet in height and 44 inches in width providing a level, safe walking surface along the public sidewalk (i.e. measuring 44 inches from edge of street tree grates or newspaper stands toward place of business and from the ground up to a height of 7 feet). ---------------=--DEPARTMENT APPROVALS ---FOR CITY USE ONLY Planning Division Approved By �l/�i /,1 AADB# � ReKb Date Remarks or Comments: Public Works Approved By Remarks or Comments: Y Engineering Division Approved By Remarks or Comments:--ria*X- Certificate of Insurance Verified By 1 ✓ .Date � !1 Easement Agreement sent to City Clerk for recording 7 U Date ENCROACHMENT PERMIT# Z05'6-w2 ISSUANCE DATE WAI Aa RELEASED BY 1 BUILDING PERMIT # RECORDING # fq3rLc�2� L:Temp:Building:Handout:Encroachho.docjlg06/02 ADDITIONAL INTEREST ENDORSEMENT POLICY NUMBER: OH1392252 AGENT: ROBINSON MAURER WELTS, INC. 2601 4TH AVE STE 450 SEATTLE WA 98121 3205 AGENT TELEPHONE: (206) 269-5200 CITY OF EDMONDS BUILDING DIVISION 121 5TH AVENUE NORTH EDMONDS WA 98020 DEFINITIONS INSURED: DONALD L & LINDA K HENDERSON K MAR 2 5 2003 BUILDING DEPT. E-ADDITIONAL INTEREST TYPE OF INTEREST: CITY EASEMENT EFFECTIVE DATE: MAR. 19 2003 The definition of insured contained in this policy is amended to include the person(s) and/or organization(s) listed above, subject to the following conditions:. SECTION I — PROPERTY COVERAGES If this box is checked, this additional interest is applicable to Coverage A— Dwelling, Coverage B— Other Structures, or Coverage C— Personal Property. Loss payments shall be made as follows: 1 st — To the Mortgagee named in the Declarations or Statement of Coverage, as its interest in the damaged property may appear; 2nd — To the persons or organizations listed as mortgagees on this or other endorsement, in their order of listing, as their interest(s) in the damaged property may appear; 3rd — To all other persons or organizations listed on this or other endorsement, in their date order of listing, as their interest(s) in the damaged property may appear; 4th — The balance, if any, to the named insured. SECTION II — LIABILITY COVERAGES 0 If this box is checked, this additional interest is applicable to Coverage E —Personal Liability, but only with respect to the residence premises. This coverage does not apply to bodily injury to any employee arising out of or in the course of the employee's employment by the person(s) or organization(s) named on this or other endorsement. SECTION I and SECTION II —CONDITIONS If this policy is canceled or not renewed by us, all additional interests will be notified in writing. All provisions of this policy apply. SAFECO INSURANCE COMPANY OF AMERICA ADDITIONAL INTEREST's COPY CHO-6401/EP 2/00 DATE PREPARED: MAR. 20 2003 G1 SAFECO INSURANCE COMPANY OF AMERICA ,s Home Office: 4333 Brooklyn Ave. N.E., Seattle, Washington 98185 (A stock insurance company.) QUALITY -PLUS HOMEOWNERS POLICY DECLARATIONS INSURED: DONALD L 8 LINDA K HENDERSON 15825 75TH PL W EDMONDS WA 98026-4522 RESIDENCE PREMISES: Same IMPORTANT NOTICES POLICY NUMBER: OH1392252 POLICY PERIOD FROM: NOV. 20 2002 AT: 12:01 A.M. TO: NOV. 20 2003 AGENT: ROBINSON MAURER WELTS, INC. 2601 4TH AVE STE 450 SEATTLE WA 98121 3205 AGENT TELEPHONE: (206) 269-5200 - Your policy has changed effective March 19, 2003. - The appraisal agency used in your state is E H Boeckh Appraisal Service. THIS POLICY DOES NOT PROVIDE EARTHQUAKE COVERAGE. - This policy is continuous until cancelled. :COVERAGES. LIMIt PREMIUM SECTION I - PROPERTY COVERAGES A - Dwelling B - Other Structures C - Personal Property D - Loss of Use SECTION II - LIABILITY COVERAGES E-- Personal Liability (each -occurrence) F - Medical Payments (each person) INCLUDED COVERAGES Full Value on Personal Property 2085 - Additional Interest Extended Dwelling Coverage-25% of Cov A Limit 438-B.F.U. Building Ordinance or Law Coverage S 357,000 5 1,086.00 54,420 13.00 267,750 12 MONTHS -300,000 - 18.00 1,000 Included Included Included Included 35,700 Included CREDITS PERCENTAGE SAVINGS Account Credit Renewal Credit 5% 5% DEDUCTIBLE(S) I PERCENTAGE AMOUNT Section I INSURABLE INTERESTS SERVICING MORTGAGEE WASHINGTON MUTUAL BANK ITS SUCCESSORS 8/OR ASSIGNS PO BOX 25321 SANTA ANA CA 92799 LOAN NUMBER: 13847389 N/A 1,000 -53.00 -54.00 TOTAL ANNUAL PREMIUM ..................,... $ 1 s 010.00 ADDITIONAL INTEREST CITY OF EDMONDS BUILDING DIVISION 121 5TH AVENUE NORTH EDMONDS WA 98020 ADDITIONAL INTEREST'S COPY CHO-8000/EP 7/97 Page 1 of 1 DATE PREPARED MAR. 20 2003 G3 i FROM HENDERSON PHONE NO. 2067421039 Apr. 09 2003 04:02PM P2 RPR 09 2003 1?,:04PM HP LASFRJET 3200 P.2 �REPRIKiECF1OMTHRARCHIVE TMBORN:INALTRANSACT*NMgytNM=EA1301r,*WFORM9 �^ ADDITIONAL INTEREST ENDORSEMENT PQuCY NUMBER: n1413922 52 r � ' AGENT: INSURED: ROSINSON MAURER WELTS. INC. DONALD L & LINDA K HENDERSON 2601 4TH AVE STE 450 j SEATTLE WA 98121 3105 i AGENTTELEPHONE: (206) 269-5200 I CITY OF EDMONDS BUILDING DIVISION 121 STH AVENUE NORTH EDMONDS WA 98020 '. (-ADDITIONAL INTEREST TYPE OF INTEREST: CITY EASEMENT EFFECTIVEbATE: MAR. 19 200.E DEFINITIONS The definition of Insured cointsined in this policy is amended to Inctude the person(s) and/or orpnization(s) listed above, subject to the foilowing oonditlons: SECTION I — PROPERTY COVERAGES If this box Is checked; this additional Interest is applicable to Coverage A — l]wetling, Coverage B — Other Structures, or Coverage C — Personal Property. Loss payments shall be made as follows: 1st — To the Mortgagee named In the Dedamtions or Statement of Coverage, as its Interest in the damaged property may appear; 2nd — To the persons or organizations Ilsted as mortgagees on this or other endorsement, in thelr order of listing, as their interdat(e) in the damaged property may appear, 3rd — To all other persons or organizations listed on this or other endorsement, In their date order of listing, as their interests) in the damaged property may appear . 4th — The balance, if any, to the named insured, SECTION 11 UABIUTY'COVERAGES If this box is chsciksd, this additional interest is applicable to Coverage E =— Personal Liability, but only with respect to the r'ealdsnce gremis" This coverage does not apply to Do&Jy Injury to any employee arising out of or in the course of the rso employee's employment by the pen(s) or orpanization(sy named on this or other endorsement.. SECTION 1 and SECTION 11-CONDITIONS if this policy is canceled or not renewed by us, all additional Interests will be notified In writing. . All provisions of this policy apply, i I SAFECO INSURANCE COMPANY OF AMERICA INSURER'S COPY i © D-6401/EP 2r00 LiATE PREPARED: W. 20 200a i FROM HENDERSON PHONE NO. : 2067421039 Apr. 09 2003 04:03PM P3 APR Oft, P003 12 : 04PM 11P LASER.)F.T 3200 P. 3 - REPRINTEC FRDM THE ARCNfYE THE ORMNAL TRAMSRCTION MAY IN"GEACOITIONALFOAMS i SPECIAL PROVISIONS - WASHINGTON SECTION I ---_PROPERTY COVERAGES The blowing is added to Section I w- Building Property Losses We Do Notbover, Hem 14., intentional loss: This exclusion does riot apply to an otherwise -covered property `loss if the property loss Is caused by an act of domestic abuse by another insured under the policy, providing: a. the kwAr aaroInlrrkv a property lose files a police report and cooperates with any, law eirdorcement Investigation relating to the act of domestic abuse; and b. the insured claiming a property loss did not cooperate in or contribute W the a saition of the property loss. Payment pursuant to thisiprovlston shall be limited to the Insurable Interest in the property of the lnsunad claiming a property loss, less payments made pursuant to item 12. of Section I -Property Conditions. For purposes of this provision. "domestic abuse" means: a. physical harm, bodily injury, assault, or the infection of fear of imminent physical harm, bodily Injury, or assault between family or household members; b, sexual assault of one family or household member by another; a. stalking as defined in RCw 9A.46.1 t D of one famlly or household member by another family or household member; or d. intentionally, knowingly, or recklessly causing damage to property so as to intimidate or attempt to control the behavior of another family or household member. I SECTION 1— PROPERTY CONDITIONS Item 12. Mortgage Clause, is deleted and replaced by the following: 12. Mortgage Clause a. Loss or damage, lt any, under this policy shall be payable fust to the'llim payee or mortgagee (hereinafter called secured party)', and, second, to the Insur6d, as.-thelr:interests may appeeir; Provided, that, upon demand for separate settlement by the secured. Witt', -the amount of said Ides ahall be paid directly to the secured party to the extent -of its interest:. b. This insurance as to the Interest ofthe secured party shall not -be Invalidated by any actor neglect of the insu►ed'named in said: -policy -or his agent, d>»ploy ar;repre"i ntedw, not by any change In tha title or ownership of the insured property. Provldaq� however, that, the, conversion, embealemant or serration by the named insured or his:agent:s, employeas or,representatives is not covered under said policy -unless specifically Insured agairx3t: i nd prremium& paid therefor. e. In appWg the pro rats provisions of the policy, the amount. payable to the secured party shall be reduced only to the extent of -pro rate payments receivable bY, th-b eecr3ned party .under other policies. d. We reserve the right to canoal the policy at any time as provided by its terms, but in such terse 'we. . shall mail to the ,secured party a notice stating when such cancellation shall bepome effective as to the Interest of said secured party. The amount and form of such notice shell be not less than Mat required to tie given the named insured, by law or by the policy provisions, whichever is more: favorable to theiecured party, 9. If the insured fails to render proof of loss within the time granted in the policy conditions, Such secured party shall do so within sixty days after havl% knowledge of a loss. in form end manner as provided by the policy, and, further, shall be subject to the provisions of the policy relating to appraisal and die time of payment and bringing suit. f. Wheneverwe shall pay the secured party any sum for loss or damage under the policy and shall claim that, as to the Insured, no liability exists, we shall, to the extent ofaueh payment, be C►g6128 WASP V2 7498 i coo. r a s I I FROM HENDERSON PHONE NO. : 2067421039 Apr. 09 2003 04:03PM P4 APR 09 ?003 12: 04PM i•I!_ASERJET 32 no its. 4 I ••••REPRINT9FRCMTHE WNW T.6ORIGNAI.TRANUMONMAY INCLubEAbD79MLF~'•^ I i thereupon legally subrogetsd to all the rights of the party to whom such payment shalt be made, under all collateral held to secure the debt, or may, at our option, pay to the secured party the whole principal due or to grow due on the mortgage or other security agreement, with interest, and shag thereupon r"elve a full assignment and transfer of the mortgage or other security agreement and of all collateral held to secure it; but no subrogation shall impair the right of the secured party to recover the full amount due It. g. All terms and conditons of the policy remain unchanged except as herein specifically provided. h. All naboes sent 6 the secured party shall be sent to Its lest reporteJ address, which must be stated in the policy. The following is added to 2. Conoealmont or Fraud This exclusion does not apply to an otherwise•covered property loss if the property toss is caused, by an act of doma:tfc abuse by another Insured under the policy, providing, a. the insumalcils' Ing a propsrtyy lose tiles a polloe report and cooperates with any'law enforcement Investigation relating to the act of domestic abuse; and b. the Insured claiming a property loss did not cooperate in or contribute to the creation of •the property loss. 1, Payment pursuant to this provision shall be limited to the insurable interest in the property of the insured claiming a property loss, less payments made pursuant to item 12. of Section i Property Conditions. For purposes of this provision, "domestic abuse" means: a. physical harm, bodily injury, assault, or the Infliction of fear of imminent physical harm, bodily injury, or assault between family or household members; b. sexual assault of one family or household member by another, C. stalking as deflned in RCW 9A.46.110 of one family or household member by.another family or household member; or d. intentionally, knowingly, or recklessly causing damage to property so as to intimidate or attempt to control the behavior of another family or household -member. 4, Cancellation a. is deleted and replaced by the following: a. You may cancel this policy at any time•by returning it to us or by notifying us in writing of the date cancellation Is td take effect. 4. Cancellation b. (2),(3) and c, are deleted and replaced by the following:. ! b. We may cancel this policy only for the reasons stated below by letting you know in writing of the data cancellation; takes effect. This cancellation notice, together with our reason for cancellatlon, may be delivered to you, or mailed to you at your mailing address. shown in the Declarations_ Pm.of of mailing shell be sufficient proof of notice. (2) When this policy has been In effect for less than 80 d8jts and is not a renewal with us, we may cancel for eny reason by notifying you at least 45 days before the date cancellation takes effect. I (3) When this policy has been in effect for 60 days or more, or at any time if it is a renewal with us, we may cancei d there has been a material misrepresentation of fact which'if known to us would have caused us not to issue the policy or If the risk has changed substantially since the policy was;isaued. This can be done by notifying ycu at least 46 days before the date cancellation takes effect. c. When this policy is canceled, the premium for the perlod from the date of canoaliation to -the expiration dace ;will be refunded. When you request cancellation, the return premium w1l be computed in accordance with Washington statute RCW 48.1&300(2), The return premium may be less than a full pro rate refund, When we canoel, the return premium will be pro rafa. I , . piie.tial8 . c FROM HENDERSON PHONE NO. : 2067421039 Apr. 09 2003 04:04PM P5 APR 0-0200312:OSPM HP I RSERJET 3200 p 5 i i ""RE?RINIcUFF&CM INEWHIVE. THE ORIGINATPANBitCTlpNM4YMWOEAborTowkFaws S. Non -Renewal is deleted and replaced by the following; 5. Non -Renewal, We may elect not to renew this policy. We may do so by delivering to you, or mailing to you at your mailing address shown in the Declarations, written notice, including our reason for refusing to renew, of at least 46 days before the expiration date of this policy. Proof of mailing shall be sufficient proof of notice. i MANDATORY COVERAGE The only coverage for lows caused in any way by a volcano is provided in this section. We insure for direct loss to property described in Section I — Property coverages caused by. Volcanic Action, meaning'" direct loss to a building or property contained 'in a building resulting from the eruption of a volcano when the direct loss is caused by: 1, volcanic explosion or airborne shook waves: x. Initial fallout of ash, dust or particulate matter: or 3. lava flow. Coat of Rernoval We will pay for the removal of only the ash, dust or partloulate matter which. has caused direct loss during the initial fallout to a building or property 00htaified Ina building. One or more volcanic eruptions that occur within a 72-11our period shell be considered as one volcanic eruption. . I special Exclusion As to loss caused by volcanic Action, Building Losses We Do Not Cover, B. Earth Allovemant; is"dleleted and . . replaced by the following:: B. Earth Movement, meaning: 1 a. earthquake; landslide; mudflow; earth sinking, rising, shifting or contracting, all whether combined with water or not; or b. mudslide, sinkhole, subsidence, erosion or movement resulgng from Improper compaction, site selection or any other external forces or ftid food or al wowe, gamus emisston or acid rain: j all whether caused by, resulting from, contributed to or aggravated by Volcanic Action. If direct loss by fire or lJreakage of glass or safety glazing materiel whtch'io;pairt of a building, storm door or. storm window ensues, then we will pay only for the ensuing loss. This exclusion does riot apply to loss by theft. All other provisions of this !policy apply. - • i FROM : HENDERSON PHONE NO. 2067421039 HPKI 010 2003 .'i `c : 03VM HP I f1SERJE I" 3200 Milo& I i ROBINSON*MAURER*WELTS, INC 2 141hAve#W Seattle WA 98121-=4 phone' (206) 265-5200 * Fax: (206) 269-622.0 [� FACSTM TRANSMITTAL SHEET . Apr. 09 2003 04:02PM P1 p.I Pat Overstreet DATE: FAX NUMBER: TOTAL N0. OF PA(i INCLUDING COVER: SUB CT: I POLICY h1UblBBR: — - O Urgent Foe Review 0 AS REQUESTED © Please Reply O E%aee Recynlo la�i �L71Wo�I�eIM�1r• NOTEB/COMMENTS: j+wi Y-- caro vusuc. Yuu — w->Curmn, rrn�o�-.�rar� •; �1IIail: inf0�robiu8q)]`3IIB.WIII i CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.ci.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Ih c. 1$°Ip Planning • Building • Engineering March 13, 2003 Don Henderson 15825 751h Pl W Edmonds, WA 98026 SUBJECT: Encroachment Permit Application (2003-0002) Dear Mr. Henderson, GARY HAAKENSON MAYOR During review of your encroachment permit application it has been determined that the following corrections need to be addressed with regards to your insurance certificate. 1. The City of Edmonds is to be named as an additional insured for liability coverage on the insurance policy. Currently, the insurance form lists the City as an additional interest with regards to property coverages (Section I). Please change the insurance form so the City of Edmonds is listed as an additional interest with regards to Liability Coverages (Section II). 2. Please revise the Conditions portion of the insurance policy to state " If this policy is canceled or not renewed by us, all additional interests will be notified in writing within 45 days " Please resubmit your insurance policy with the above noted changes, referencing the Encroachment Permit Application number 2003-0002. Please contact Dave Gebert or myself 425-771-0220, with any questions you may have. Sincerely, Jeanie McConnell Engineering Technician im cc: Encroachment Permit #2003-0002 Incorporated August 11, 1890 • .CITY -OF EDMONDS aEVELOPMENT SERVICES 21489 DATE: Received of: Address: P one:+%��Z� Project Location: Check No: ir' Cash Total Received $. A Water Meter Size: Amount Water Connection Fee Sewer Permit/Repair Sewer Connection/LID Fee Street Disruption Fee (111 Fund) Storm Drainage Fee Engineering Inspection Fee (SFR) Engineering 2.2% Inspection Fee (SP, Multi. Comm) Engineering Review Fees (SP, Multi. Comm) ROW/Street Use/Encroachment Permit Street Cut / Restoration Fee (620 Fund) Traffic Mitigation Fee/Sidewalk Contribution Fire Inspection Fee Fire Plan Check Fee Building Permit Fee - Type Plan Check Fee Reimbursable Consulting Fees Critical Areas Landscape Inspection Fee (1%) SEPA Review Fee Shoreline Permit Fee Sign Installation (620 Fund) Zoning Application Fee - Type: Maps / Books Photocopies Recording Fee City Surcharge State Surcharge (622 Fund) Received by: / Permit No. CA FI LE NO. - Critical Areas Checklist �,� ✓A '�'�� Site Information (soils/top og r aphy/hydro l ogy/vegetation) ?9 I. Site Address/Location:a,e� 2. Property Tax Account Number: 5 l 3 l - Q /0 - Or-) i 00033 3. Approximate Site Size (acres or square feet): I U� X / 'Z0 � %/41, J'OD 4. Is this site currently developed? yes; no. If yes; how is site developed?.01 5. Describe the general site topography_ Check all that apply. -/44 ft "% Flat: less than 5-feet elevation change over entire site. ��9 a,`9w�ry Rolling: slopes on site .generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less. than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: .•grades of .greater .than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: ; Approx. Depth: 7. Site contains areas of seasonal standing seater: �i 0 ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway fioodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- A%o round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ;meadow _;shrubs ; mixed urban landscaped (iawn,shrubs etc) . 11. Obvious wetland is present on site: . For City Staff Use Only 1. Site is Zoned? �Sn— Z� 2. SCS mapped soil type(s)? tJ 1j s/ev4w-,4� l Y' "dI{"/ , 3. Wetland inventory or C.A. map indicates wetland present on site? A/V 4:.'•. 1-,Critical Areas inventory or C.A. map indicates Critical Area on site? 5.. Site within designated earth subsidence landslide hazard area? e, Ys 6. Site desv ignated on the Environmentally Sensitive Areas Map? es . .DETERwNATION :'STUDY REQUIRED CONDITIONAL WAIVER WAIVER Reviewed by. 4,;k Z— <{- Plan er . Date RCV oiroase g w�.ri bG �.e�esSe� City of Edmonds Critical Areas Checklist The Critical Areas Checklist contained on this form. is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or may be present on the subject property. The information needed to complete the Checklist should be .easily available from observations of the site or data available .at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the . subsequent .steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel. with enough detail that City staff can find and identify the subject parcel:(s)_ In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner ! Applicant: Applicant Representative: Name -- Name 2-,55 7c� e) Street Address lr City, State, ZIP Phone _ ign ure ate Street Address City, State, ZIP Signature Phone Date City of Edmonds Critical Areas Determination Applicant: Linda & Donald Henderson Determination #: CA-97-8 Project Name: Permit Number: Site Location: 15825 75th Pl. West Property Tax Acct #: K131 030 005 0003 Project Description: Non -Project Specific Determination: Study Required: During review and inspection of the subject site, it was found that the site appears to contain acid/or is adjacent to a Steep Slope Hazard Area pursuant to Chapter 20.15B of the Edmonds Community Development Code (ECDC). To determine if a Steep Slope Hazard Area does exist, a topographic survey prepared by a Licensed Land Surveyor delineating Steep Slope Hazard Areas must be completed.. Any slope over 40 % with more than 20 feet of rise will be classified as a Steep Slope Hazard Area. A 50 foot buffer is required from both the top and toe of the slope. A 15 foot building setback is required from the 50 foot buffer. For development of any kind which is proposed within the critical area, a 50 foot buffer or 15 foot buffer setback, it must be shown that the development will not adversely impact the Critical Area or its buffer, by doing one or possibly both of the following depending on the outcome of the study: 1. For development proposals which will occur within the 50 foot buffer, but no closer than 10 feet from the top or toe of the slope, the 50 foot buffer requirement may be reduced to 10 feet if a study is completed by a licensed geologist or geotechnical engineer which clearly demonstrates that the proposed buffer alteration will have no adverse impact upon the site, the public or any private party. All Critical Area Studies must be completed under a three party contract where the City hires the professional required, and the applicant pays for the study (pursuant to ECDC Section 20.15B.150). 2. If development must occur within the critical area, buffer, and/or buffer setback, and is not identified as an exception per ECDC Chapter 20.15B, a Reasonable Use Exception and Variance must be obtained pursuant to ECDC 20.15B.180A and 20.15B.040C). All proposed development of the subject lot must meet the requirements of Chapter 19.05 of the Edmonds Community Development Code. " 1 If the property owner wishes to apply for a specific development permit which they feel would not impact the Critical Areas located on the site, they may submit their proposal to the Planning Department for review. If the Planning Department finds that the proposed development permit will not adversely impact a Critical Areas or its buffers, a conditional waiver may be issued on a project by project basis. Kirk J. Vinish -r.`t February 4. 1997 Name S igro6re Date 0 2 --sue-. - CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.ci.edmonds.wa.us DEVELOPMENT SERVICES DEPARTMENT Jh c 1$9p Planning • Building • Engineering October 25, 2002 Mr. Don Henderson 15825 — 75th Place West Edmonds, WA 98026 RE: Fence in Right of Way on 741h Place West Dear Don: GARY HAAKENSON MAYOR This is in response to your question regarding allowable materials and height for your fence along 74th Place West that is being relocated as a result of the construction of road improvements on 74th Place West. Specifically, you asked if the fence could be totally reconstructed of wood and be six feet high instead of just relocating portions of your previously existing four foot high chain link fence. Generally, the City allows fences to be constructed of a variety of materials (including wood) and to be a maximum of six feet in height. In the agreement between the City, Rob Michel, and you dated January 23, 2002, the City agreed to grant approval of a properly completed and submitted encroachment permit for your fence to remain in the City right of way. However, the agreement only addressed relocation of that portion of the fence within 2 feet of the new asphalt pavement. The agreement did not address the material or height of the portion of fence to be relocated, but, since we were only talking about relocating the existing fence, it was our understanding that it would be of the same material and height as the previously existing fence. Therefore, the only permit requirement identified in the agreement was an encroachment permit. As you indicated in our phone conversation on October 24, 2002, the entire length of your fence along 74th Place West has been removed to accommodate construction of the road improvements, and therefore the entire length of fence will have to be reinstalled. The City will allow the fence to be. reinstalled in the location as previously agreed and as described in the January 23, 2002 agreement. However, if you chose to totally reconstruct the fence of different materials and height, rather than just relocating/reinstalling the previously existing fence, you will be required to submit an application for a fence permit in accordance with Edmonds Community Development Code Chapter 17.30 in addition to the application for an encroachment permit, and pay applicable fees. • Incorporated August 11, 1890 • Sister City - Hekinan, Japan Enclosed for your information is a copy of the City's Fence Permit Submittal Requirements handout, which explains the submittal requirements and conditions'that must be met. Please note that the requirements normally limit fences within 10 feet of a street right of way to 3 feet in height. Exceptions can be granted up to six feet high if the City Traffic Engineer finds no sight or obstruction hazard from the street or nearby property. Therefore, we will allow the fence to be made of wood and to be six feet high, as long as it does not cause any such sight or hazard obstructions. Based upon our observations of the present site conditions, it does not appear that a six foot high wood fence would cause a sight or obstruction hazard. If you have any additional questions, please don't hesitate to contact Lyle Chrisman or me at 771 0220. S VID K. GEBERT, PE City Engineer Cc: Jeannine Graf, Building Official CITY OF EDMONDS 121 Fifth Avenue North Edmonds, Washington 98020 FAX COVER SHEET To: Rob Michel Michel Construction, Inc. Phone: 7762211 Fax phone: 7789086 CC: Date: January, 28, 2003 Number of pages including cover sheet: 3 From: David K. Gebert, PE City Engineer Phone: (425) 771-0220 Fax phone: (425) 672-5750 REMARKS: ❑ Urgent ® For your review ❑ Reply ASAP ❑ Please comment Rob, Attached per our phone conversation this morning is a copy of my October 25, 2002 letter to Don Henderson regarding the fence along 741h Place West. If have any questions, give me a call. ave 1hc.189' CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: wwwxi.edmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning • Building • Engineering October 25, 2002 Mr. Don Henderson 15825 — 75th Place West Edmonds, WA 98026 RE: Fence in Right of Way on 741h Place West Dear Don: GAW HAAKENSON MAYOR This is in response to your question regarding allowable materials and height for your fence along 741h Place West that is being relocated as a result of the construction of road improvements on 74th Place West. Specifically, you asked if the fence could be totally reconstructed of wood and be six feet high instead of just relocating portions of your previously existing four foot high chain link fence. Generally, the City allows fences to be constructed of a variety of materials (including wood) and to be a maximum of six feet in height. In the agreement between the City, Rob Michel, and you dated January 23, 2002, the City agreed to grant approval of a properly completed and submitted encroachment permit for your fence to remain in the City right of way. However, the agreement only addressed relocation of that portion of the fence within 2 feet of the new asphalt pavement. The agreement did not address the material or height of the portion of fence to be relocated, but, since we were only talking about relocating the existing fence, it was our understanding that it would be of the same material and height as the previously existing fence. Therefore, the only permit requirement identified in the agreement was an encroachment permit. As you indicated in our phone conversation on October 24, 2002, the entire length of your fence along 74th Place West has been removed to accommodate construction of the road improvements, and therefore the entire length of fence will have to be reinstalled. The City will allow the fence to be reinstalled in the location as previously agreed and as described in the January 23, 2002 agreement. However, if you chose to totally reconstruct the fence of different materials and height, rather than just relocating/reinstalling the previously existing fence, you will be required to submit an application for a fence permit in accordance with Edmonds Community Development Code Chapter 17.30 in addition to the application for an encroachment permit, and pay applicable fees. • Incorporated August 11, 1890 • Sister City - Hekinan, Japan 0 Enclosed for your information is a copy of the City's Fence Permit Submittal Requirements handout, which explains the submittal requirements and conditions that must be met. Please note that the requirements normally limit fences within 10 feet of a street right of way to 3 feet in height. Exceptions can be granted up to six feet high if the City Traffic Engineer finds no sight or obstruction hazard from -the street or nearby property. Therefore, we will allow the fence to be made of wood and to be six feet high, as long as it does not cause any such sight or hazard obstructions. Based upon our observations of the present site conditions, it does not appear that a six foot high wood fence would cause a sight or obstruction hazard. If you have any additional questions, please don't hesitate to contact Lyle Chrisman or me at 771 0220. Sincerel VID K. GEBERT, PE City Engineer Cc: Jeannine Graf, Building Official . ` r;:�(".. 1��.�'/ ti.�YwF'.R`+�W'AsrT` `j ,gtfju-4f�Q .:-4r' !1*r',�o!ih'ti(rosf' t(�%'1�:W:T1Gt f'+*3:v:,�.r..v'v• r '7�i" ty. i'r A. F - t a _.. ' :N�r i - � - %� �' t Y':�^4'?%J�"Zif,aT':v't� +xt, . �cTG.f+'��i"�!':r:✓�. a Z 0 W a E- U W O w CITY OF.EDMONDS —Jo3 Permit No. — 02D COMMUNITY SERVICES DEPARTMENT UR TflEteRIGHT-'OF-WAY CONSTRUCTION PERMIT 1 — 1 7 CoA ver /� I� A. • Owner: Washington Natural Gas Company B. • Contractor: fTeMercer Street Name WXMe ddress WA 98111 Mailing. Address City State Zip City State Zip State License Number Telephone Number C. • Address or Vicinity of Construction: 15825 75 Place West Type of Work to be.Done: Install New Service D. • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ City Projects ❑ Commercial ❑ Multifamily XX Utility E. • Pavement Cut: ® Y ❑ N F. • Size of Cut: 2 X 4 (1) @ Water APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any .injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AVID MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTIONaAND ACCEPTANCE OF THE WORK. Estimated restoration fees will be held until the final street patch is completed by City forces,at which time a debit or credit will be processed for issuance to the applicant. • A 24 hour notice is required for inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion. • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must, be patched with asphalt or City approved material prior to end of working day; NO EXCEPTIONS. I understand the above and that this permit must be available at the job site for inspection purposes at all times. Signature: ma Date: January 9, `1991 Owner or Contractor This Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: !;VJ PERMIT FEE: Time Authorized: Void after MA9:N Z9 days. Restoration Fee: Special Conditions: RA,. Receipt No.:_ Fund III Fee:_ Street Cut Dimensions:. x = $ RELEASED BOA Date INSPECTED BY Date NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE . Eng. Div. March 1989 Fk. FIELD INSPECTION NOTES (Fund I I I - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng. Div. i my 1985 Addendum to: City of Edmonds Permit Application Engineering Aide : Kerry Walsh Washington Natural Gas 1;F' 2S - 7 622-6767 x 2588 H-zo tb ILTV%' WATVP- MAIN VCR-Pr4 UN K1.1O W64 CAS AAA4K rrU�� KEY: -ss- sanitary sewer 1. -s- storms -w- water 0 water valve F TY OF EDMONDS BLIC WORKS DEPARTMENT DE SEWER PERMIT FOR INSPECTION CALL 7-7.5-2'52'5 Ext. " Permit Dig0Q6 ,+ i Issue Date Ph J1X PERMIT MUST BE POST l: Address .of Construction / 5 L. , C.�> •LXNNW.O.OD. LINE 2. Property Legal Description (include all easements) Or S (, 3. Single Family Residence Multi -Family No. of Units Commercial 4. Owner and/or B.u- z1-der 17)_ 4 L A N G-L. A oj i) 5. Contractor & License No. 6. Invasion into City Right -of -Way: No Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (14219YRA) before excavation). 1-800-454-5555 7. Cross other private property: Yes No Easement required - attach legal description and county easement number. READ THE FOLLOWING AND SIGN: a. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to 1 CQ construct side sewers in the public right-of-way. The side sewer contractor assumes full reponsibility for each F' installation for one year. aC. Commercial establishment requires a minimum of a six inch (0) side sewer line. ov d. Side sewers may not be installed closer than thirty inches (30') to any structure. ' e. Side sewer lines mustobe laid at a minimum grade of 2% (1.150) and maximum grade of 100% (45 ). E4 f. No turn in side sewer greater than 450 (1/81bend) is' 0allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. 1 g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines .1 through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. '.1 j. Trenches within City right-of-way must be restored to original 1 conditions. Contractors.shall be responsible for right-of-way failure due to poor compaction of fill. k. Side sewer must be left uncovered until inspected and approved by the City. Inspection during normal working,_hours only.y,,Two (2) working {'. days notice required. �' ;� ..1 1 DATE: /d/3 If I certify that I have read and shall comply with the above H+ PERMIT FEE: 3 v DISAPPROVED By: Date: B Date: CONNECTION FEE: APPROVED By o : Date: _ -/Q- * PERMIT MUST BE POSTED ON JOB SITE co 0 3 Fz zz H d z E. z z W w a El y z H z O U S z Y i z O w zz a 0 "f z° 0 z 0 a d A a z � o a t;t 0 Z 1 OP. ec.O.w5a t i 9, •-8 -► / z H A A w O z a' NoaT�l-► -� 9 STORM t2' DECK 15825 75 p�. '� 1 (� d ^sad 1 or ento�y ,�, rr,ns"ants. atyms� Anv pe(�u sr' JOTUJ w: a,. ., �s Of '�y stt� ': ca; ? an tndependenttnn a o A ut ncr Hill to �i�e .11SC1rl�ay0iri'J6aL. ors �^r ri�u� tncP�d��sg, bn� fonds ner its cx city of it11S �:, iaaat�u�� se"Ciab4eforetheinftsm_ �' �:� derg aY�chall b Drovs�3r s F ro 'A � Z / 5� 2 b- - 7 J P (_ C,✓ E,) T �v .. � • ¢ �'se^ s+,^cur. cn tye NOTICE' NO WA�i the Ci:v of attavhed map was ccmpiled for use by 5nct�:ar;..:f;: of Edmonds doe. .. anc consultants. The City Any person or entib/ re ; •._. an,�thlnr, sa° forth oil the map sh', '.:' cendjr"t Mv independent inc�rii.v r., thG iOC�u�n Gf a..J � . inc tiding, but nog �imoted to, .,.:,s and msy or n �� rc': c:^nt th : r,rap, �,� a y or may ; si�c:,, S-10h rep stuhs rr►"� City of'=.. ,.onds nor .:4.> cr th, lo�:atton st:���;;7, {Vr'..,'.. this,gas. not for VO orJ officers sha be li,.bie for the into,matio� re�rasentaficn provide;; r :�d I COVENANT RUNNINGS THE LAND FOR AND IN CON TN of receiving approved Building Permit No..ff_ (,p) froiu the Building Depart- ment of the City of Edmonds, Washington to,construct a building at the following legally described real property; all situate in the. -City -of Edmonds, County of Snohomish, State of Washington:_ [In'sert legal description] All of lot 7 and the north _ 30 feet of Lot 8, Block 30, Meadowdale Beach, According to the plat thereof recorded in Vol. 5 of Plats, Page 38, Records of Snohomish County, Washington. the undersigned owners of the above described real property hereby covenant as follows: 1. The undersigned warrant that he, she or they are the owner (s) of the real property above -described. 2. Owners understand that the general area in which the above described real property is situated has some nnstab.le soil conditions and,guestionable sustaining power for purposes. of improving the real estate with structures. 3. Owners shall make every effort in the i7Pro ment described in Building.Permit No. I�02 to protect the structure and appurtenances against slides and soil erosion realizing that any movement,in the structure or appurtenances may damage the same as well as surrounding properties, buildings and appurtenances. 4.. Owners agree to.notify the Edmonds Building Department immediately should any movement. occur of the structure or appurtenances which ..are the subject matter of Permit, No. or any soil sliding, separation or move bh on the above described real property. 5. Owners understand and agree that the City of Edmonds has made reasonable investigation of the soil conditions and stability. of the above described property but has not taken core samples of its own and cannot,guarantee`that, there will not be earth movement or sliding. Owners hereby release and discharge the City of Edmonds from any liability of any kind whatsoever that would be incurred by the City of Edmonds by reason of soil., structure or appurtenance, sliding or movement... Dgf f CIAL RECCRu •'1 r. a� I 01 CJ w 0 0 v a 6. The undersigned owners covenant and agree that they and each of them will hold the City of Edmonds.harmless from any and all claims that they or any of their successors or assigns may have in the event. of any soil, structure or.appurtenance sliding or movement or injury or damage by reason thereof, and will further hold the City of Edmonds harmless against any and all claims. for injuries or.damages that other persons or property owners may have now or in .the future have by reason of any soil,. structure or appurtenance sliding or movement. ,7. Each of the foregoing promises, warranties, and covenants, shall be deemed ..covenants running with the above described land and .shall be binding on the undersigned owners, their agents and others who may make improvements to said above described property, and the owner's heirs, successors, assigns, vendees, tenants, lessees, business invitees, licensees, guests and all other permitees and occupants, temporary or permanent, of the above described property. DATED this %O day of 19 c .P G ko c� S- U- J •-r. OWNERS: `= i Husband �o M.{ N4.z=CYN uJ Wife STATE OF WASHINGTON) COUNTY OF ss: On this day personally a eared before me a. �Y,i:�..:���►. � .,�_�_�_-,{� and \,to;rn own to be the in ivi ual, or individuals described executed the within and foregoing covenant running o •', , r h, thy' land, and acknowledged that he (she or ie ) signed free and voluntary act and deed e.-same •us his (her or their) • ses and purposes therein mentioned. L Given under m hand and seal this _ day of. Fy Cn tar Y Pz is in and for the Sta � Washington, residing at-- H lnc.lS9v CITY OF EDMONDS 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 Website: www.dedmonds.wa.us GARY HAAKENSON . MAYOR DEVELOPMENT SERVICES DEPARTMENT Planning •Building •Engineering October 25, 2002 Mr. Don Henderson 15825 — 75`h Place West Edmonds, WA 98026 RE: Fence in Right of Way on 74`h Place West Dear Don: This is in response to your question regarding allowable materials and height for your fence along 74th Place West that is being relocated as a result of the construction of road improvements on 74th Place West. Specifically, you asked if the fence could be totally reconstructed of wood and be six feet high instead of just relocating portions of your previously existing four foot high chain link fence. Generally, the City allows fences to be constructed of a variety of materials (including wood) and to be a maximum of six feet in height. In the agreement between the City, Rob Michel, and you dated January 23, 2002, the City agreed to grant approval of a properly completed and submitted encroachment permit for your fence to remain in the City right of way. However, the agreement only addressed relocation of that portion of the fence within 2 feet of the new asphalt pavement. The agreement did not address the material or height of the portion of fence to be relocated, but, since we were only talking about relocating the existing fence, it was our understanding that it would be of the same material and height as the previously existing fence. Therefore, the only permit requirement identified in the agreement was an encroachment permit. As you indicated in our phone conversation on October 24, 2002, the entire length of your fence along 74th Place West has been removed to accommodate construction of the road improvements, and therefore the entire length of fence will have to be reinstalled. The City will allow the fence to be reinstalled in the location as previously agreed and as described in the January 23, 2002 agreement. However, if you chose to totally reconstruct the fence of different materials and height, rather than just relocating/reinstalling the previously existing fence, you will be required to submit an application for a fence permit in accordance with Edmonds Community Development Code Chapter 17.30. in addition to the application for an encroachment permit, and pay applicable fees. • Incorporated August 11, 1890 Sister City - Hekinan, Japan Enclosed for your information is a copy of the City's Fence Permit Submittal Requirements handout, which explains the submittal requirements and conditions that must be met. Please note that the requirements normally limit fences within 10 feet of a street right of way to 3 feet in height. Exceptions can be granted up to six feet high if the City Traffic Engineer finds no sight or obstruction hazard from the street or nearby property. Therefore, we will allow the fence to be made of wood and to be six feet high, as long as it does not cause any such sight or hazard obstructions. Based upon our observations of the present site conditions, it does not appear that a six foot high wood fence would cause a sight or obstruction hazard. If you have any additional questions, please don't hesitate to contact Lyle Chrisman or me at 771 0220. Sincerel VID K. GEBERT, PE City Engineer Building O Cc: `. Jeannine Giaf, Official OF E DM �y ° CITY OF EDMON 121 STH AVENUE NORTH - EDMONDS, WA 98020 / hc. ] 890 PHONE: (425) 771-0220 - FAX: (425) 771-0221 STATUS: APPROVED ENG20130218 Encroachment Permit Permit Number: ENG20130218 f Address of Public Use/Encroachment: 15825 75TH PL W, EDMONDS PROPERTYBUSINESS 15825 75th PL W Edmonds, WA 98026 fence along rear property line encroaches onto 74th PI W row. (originally permitted in 2003) STREET USE. Placement of any temporary or movable objects in anyportion ofpublic space or City right-of-way shall meet all code requirements as set forth in the following chapters of the Edmonds Community Development Code.' ENCROACHMENT. Permanent structures encroaching upon -any portion of public space, City right-of-way or easement area shall meet all Code Requirements as set forth in the following chapter of the Edmonds Community Development Code. CODE APPLICATION. • Chapter 18. 70, 17.65, and 17. 70. 040 of the Edmonds Community Development Code. All terms of the adopted ordinance are incorporated herein as if set forth in full and this permit therefore is subject to the terms of those chapters. FOR THE TERM IN WHICH THIS PUBLIC USE/ENCROACHMENT IS IN EFFECT, THE OWNER SHALL COMPL Y WITH THE PERMIT CONDITIONS SET FORTH BY THIS PERMIT. NOTE. The issuance of this permit is understood by the owner to be of a temporary nature, shall vest no permanent right and shall be issued and may in any case be revoked at the sole discretion of the City per ECDC 18.70.040. Applicant is responsible to provide a copy of the insurance certificate to the City at the beginning of each calendar year, no later than the 21st day of January. INDEMNITY.• The Applicant understands and agrees to hold the City of Edmonds harmless from any injuries, damages or claims of any kind or description'Whatsoever, foreseen or unforeseen, that may be made against the applicant or the Citv of Edmonds, or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs, court cost, and attorney fees by reason of granting this permit. In addition, the . applicant understands that he/she shall provide and continually maintain during the term of the permit a certtificate of insurance naming the city as an additional insured, with respect to liability, and providing that it shall be primary as to any other policy of insurance. THIS APPLICATION IS NOT A PERMIT UNTIL SIGNED BY THE CITY ENGINEER OR HISMER DEPUTY: AND FEES ARE PAID, AND RECEIPT IS ACKNOWLEDGED IN SPACE PROVIDED. /1 Printed: Wednesday. April 17. 2013 RELEASED DATE ❑ FILE COPY ❑ INSPECTOR COPY ❑ APPLICANT COPY STATUSrAPPROVED ENG201302 8 oNDITIONS • The proposal will not adversely impact public space open to vehicular or pedestrian travel. • Architectural Design Board Approval has been granted or the process has been administratively approved. • The proposal will not unreasonably interfere with the rights of the public. • The proposal either benefits the public interest, safety or convenience (e.g., supports or protects the ci street) or is an accessory structure such as fence normally associated with residential use of the prope as fully complies with the requirements of criteria above. • Applicant shall repair/replace all dainage to utilities or frontage improvements in City right-of-way per City standards that is caused by or occurs during the permitted project. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise -limits of ECC Chapter 5.30 only during the hours of 7:OOam to 6:OOpm on weekdays aid 10:00am and 6:OOpm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance hag been granted pursuant to ECC 5.30.120. • Applicant, 'on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemn fy defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance fo this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance not limit in any way the City's ability to enforce any ordinance provision. • None 101 _ iA 40 0 1 l.J I 12 o I 3 1 I 4 EET �� I I N I � I 1 7. Q o I I5 m o N I I TH A 11 �iO I 150 0 0 1201 30 I o 3 '3 W QI 4 I' 4 2 �I O I 7 I� �i c 01 N Z�I I 9 in 9 N zl In o: II WI i IQo n j I I 10 40 .1z r 30 85 I I�/6000 ' II: 0 4of Z I a 120 I' 1 2 XI no ET iI I NI �V °.T �� 1 7 w j 'I 9 ; 8 '' L3 f I Q 9 10 5 6 ` I 10 O I0 I I ( 1° 120 4 162ND AV W. '° 1 6 Meadowda e 2 0 6! 5 `O 1205'' 30 540.4 i ✓ `� 62 m I° o :7 ❑ ATLAS OF EVERETT Covra,cHTED PND PUBLISHED V SEATTLE KROLL. MAP COMPANY, NC SCALE: 1 IN.= 200 FT. i0 A E N TA -1 0 160TH �. 413 In �. 1 40 \ 0 W a O °E A O O /S JW Ia 68.77 166 4y 10 ID o1 5W E. I _ 0o 12 s 115 r-- ,11 DATE RECEIVED 1�D r PERMIT Q(PIRt:S / -J CITY OF EDMONQS ZONE NUMBER --��1 $' CONSTRUCTION PERMIT APPLICATION JOB ADDRESS _, SUITE/APT#' OWNER E/NAME OF BUSINESS L/ j E/v 6�' ell - h • O PLAT NAME/SUM SDSIQN NO. LOT No. LID NO. LID FEE $ MAILING ADDRESS 73T� ,OL G� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING �T PROPOSED REQUIRE4 DEDICATION_, FT T SCP t» t Rerm Street Use Perm Req'd Rtr et Use t^e�eO�5 Sidewalk Required edBf b WMng reQuhed CITY ZIP E MV I. �evfj as TELEPHONE (��) �Ls 7 s / S I NAME METER SIZE UNE SIZE NO. OF FIXTURES PRV REQUIRED YES iQ NO b z �u C O ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z CITY Z17 TELEPHONE NAME CBLs s t 2 ENGINEERING R VIEWEDD Y D E d3 ADDRESS FIRE.. REVIEWED BY ' DATE 1 to a lei a CITY ZIP TELEPHONE i VARIANCE'OR CU ` '.SHORELINEOR Ap8Y,:' t _; INSPECTION RE '0 OYES' 0 BOND STED PO.. STATE LICENSE NUMBER EXPIRATION DATE r CHECKED BY $EPA REVIEW COMPLETE EXEMPT EXP SIGN AREA; ' LLOWED PROPOSED � HEIGHT .".XLLOWED PROPOSED A f z d PROPERTY TAX ACCOUNT PARCEL NO. � J [! NEW �<RE DENTIALe-,: ❑ PLUMBING/MECH ❑ ADDITION" +❑ COMMERCIAL, COMPLIANCE OR :.., CHANGE OF USE ❑ REMODEL ❑ MULTIFAMILY ❑ SIGN RE�t�9 GRADING FENCE REPAIR ❑ CYDS Im ( X FT)... ❑ DEMOLISH ❑ TANK ❑ OTHER LOT COVERAGE ALLOWED PROPOSED REOUIRED SETBACKS (FT.) M1 FRONT SIDE REAR _PROPOSED SETBACKS (FT.) FRONT UR SIDE REAR PARKING REQ'D , PROVIDED LOT AREA PLANNING REVIEWED BY DATE dy R RK z ❑GARAGE ^^ RETAINING WALL FIRE SPRINKLER CARPORT 1-1 ROCKERY ❑ FIRE ALARM (TYPE OF USE, BUSI 8 OR ACTIVTM EXPLAIN: CHECKEp BY TYPE OF.CONSTRUCTION COME OCCUPANT GROUP NUM OF ST NUMBER OF DWELLING I. CRITICAL AREAS NUMBE SPECIAL INSPEbAON REQUIRED rT YES �d AREA OCCUPA ' LOAD DESCRIBE WORK TO BE DONE REMARKS. PROGRESS` INSPECTIONS`PER'USC 108/0INAL INSPECTION REO'D 9 VALUATION Description FEE Description FEE r ' Plan Check State Surcharge HEAT SOURCE GLAZING %. rLOT,eLOPE % iBuilding,Perr4-, City Surcharge '— PLAN CHECK NO- VESTED DATE Plumbing.. Mechanical t 7 THIS PERYR AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION Grading Engr. Review PERMIT APPLICATION: 180 DAYS Engr• Inspection d PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS_ SEE BACK OF PINK PERMIT FOR MORE INFORMATION *APPLICANT, ON BEHALF OF HIS R HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 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 Landscape Insp. Total Amt. Due = NOR LIMIT IN ANY WAY THE CIT1^S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # 1 HEREBY ON GIVEN BS CORRECT; AND THAT I AM THE OW ER, OR THE DULY CKNOWLEDGE THAT I HAVE READ THIS APPLICATION; TAUTHORIZED HAT THE FAGENTTIOF ICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL appil n Is not a perrnit until signed by the TION; AND IN DOING THE WORK A RIZED THEREBY, NO PERSON WILL BE EMPLOYED B or wher pep and Fees are paid, end IN VIOLAT OF THE LABOR C F THE STATE OF WASHINGTON RELATING TO FOR INSPECTION IIsacknowledged paceprovid . WO;Pm C MPEN ION CE A RCW 18.27. F C SIG URE ATE SIG TUR WN DATE SI NED / n114%J j."�(425) e • 1 -0220 E DATE ATTENTIOK EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL6�w 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL •FILE •YELLOW -INSPE OR CATE OF OCCUPANCY HAS BEEN GRA•NTED." UBC SECTION 109 L - FILE CAN -1W-A PINK - . G SESSOR p4/02 PRESS HARD -YOU ARE MAKINP 5 COPIES GREEN -ACCOUNTING �XISTi/�� reNc6 vi oa1 CHAIN LINKED - FENCE TO' BE REPLACED W16CEDAR FENCE mi EXI5TING RESIDENCE 82 - - - ---------- ---- l� __ - ------------------- .PLOT PLAN N1 SCALE:1" = 20"-0" APPROVED BY PLANNING � 03 ?8.0p, ca W a N z gtG ' l.�ocr� � Mus�KUM Of ASPHALT tw0b ualmz . APPROVED AS NOTED BY ENGINEERING ff W-6 t4 N%ll. Date: - 24-in [zoos J Modified Pane/ NOTTO SCALE CITY OF EDMONDS f Ut$U BUILDING DEPARTMENT WORK ,-:W Aeff ADDRESS OWNER RECEIVED APPROVED DATE:2&UL FEB 2 0 2003 NUMBER BUILDING DEPT. F- N w :3 �d �P iLo N to E~ WOi zUc STREET FILE