1026 DALEY ST.PDF1026 DALEV ST
TAX ACCOUNT/PARCEL NUMBER: V b Z±Z tW� d 000
BUILDING PERMIT (NEW STRUCTURE): l qF02.0--?; (DI ( ��
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA'
SEWER LID FEE $: LID #-
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED: 12-D
LATEMP\DSrs\Fomis\Street File Checklist.doc
The City of Edmonds Side Sewer Drawing EASEMENT NO. -------------------------- -----------------
218-03900 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO ................... ASMT. NO . ..................
OWNER------- A----Y . ..... STQCKLIN ------------------------------------------------- CONTRACTOR ----------------------------------------------------------- ........................ PERMIT NO. ..........
JOB ADDRESS ...... 1026 DALEY STREET
--------------------- - --------------------- I -------------------------------- LEGAL DESCRIPTION: LOT NO. - ----------------------------------- BLOCK NO. ------ ........................
....................................................................................
NAME OF ADDITION -----------------------------------------
DYE TESTED ON SEWER
Approved:
.........................
-------------------------
PWW-0001-11/75 (REV.11/78) DATE . ............................................ 3y ---------------------
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.oil, � � ,I •
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CITY' OF EDMONDS, WASHINGTON —DEPARTMENT OF BUILDINGS
BUILDING PERMIT 1 .
S
iipplteaat,laW,—certifies that a plot, plan, drawings,.and sufficient derails to indicate a
t ateriao 50' 1 fulfill 'all requirements of this code are attached hereto. C. Y3.
glirddon is heieb` ysje�or permit,po do the following wcrk: ® .p 3
._.. ..............�. :, . 1�.... �.......................... ........... .............................................
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a °o
77 a °y
-----_-------------------••---.._...... --.....•....._.............. c% A
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3
„ at -- / ...... ....... ............................ -- r a ❑ ?
s:t as (Erect number or lot and block umber) W ,
s G a o c
w,.� 1 Building di�2e 2 iolns are........... . - -.......... c rn
x 2 I.ot dimensions are X l...:.. ..............._.. > ~ - � „
y. }M ttt; ; 3. Building.anl1 be ..........•.....-.stories in height. c o v }
;.4.'Number of. -basements_. .. � 2 z
{� r-� { .
i. i. Occupancy of building will ,be......�.., ..... r�::........:..... i--
a 6. Building will be. .... - , ..__..-feet f m rats adjo ring lot lust
ar 1. 7. Owner. ................ ✓ _ - --- _ ........ /y�OG
/ rrt: .............. E timatcc cost $...! ......................
.. P Owners Address -_....................................................... ........... c
LBuilder ...._-...•-•..................... .............................. p o ..
Gross N...............................................
10. Buiider's Address -..._........... ._................. ...
1
i 1. Architect or ineer en ... -- -- rg� { -- .. Life of permit...........- • d ....................... i
! ,S: are
Date _....... 3 -.... ,�------- 19S ...-�
�• bras filed: Yes
Applicant's Signature- .....:....... `:...... ................ .............:.......... Plans
1 � � ( ner or his aRro)
Permission is hereby granted to do the' work described hereon,according to the approved plans and specifications pertaining herero, '
subject to, compliance with the or3inances of the City of Edmonds. This copy is your receipt for the following fees:
1. Building permit fez....... I ....................... $ /�7...
2. Sewer it fee ..............._......
perm $.. s I ,
}.. Inspectitm and supervision fee..;..-.. $ .........................3
4: Taal ........................ : :. : ........ $ ...../ ........ f,
Received�by
4
PERMIT 1'tl6361 DeBuildings �.
City of Edmonds
1. The building permit fee which applicant pays when permrt it is issued shall be based on. estimated toof the proposed structure, at the rater of SI.00 for each '
SS000.00 -u[ cost. If the actual cost of the srrraum. when finally dtterm;ned, exceedi the ertimated'cost by more than 3ry,. applicant agrees to pay an additional fee
of S2.00 for txh $1000.00 of such ta eas cost. In such Aent no use permit shall be issued until such "discrepancy fee" Is paid.
i
L Wheae•er a contract for consrrumlon Is executed for any structure coating more tban SI000.00 for which a licensed architect or engineer is am required by
~' Buildinft Code of the City of Fdmoods; the application fora building permit shall be accompanied by a ,copy of the coutract and a copy of tht detailed -
spcdfindom. .
3• pr; to employing -7 labor or rmmnsencinR work notify the Industrial Iniurnnce Divi.;— of the Department of Loh., sad Industries. RiA.g.an. estimate of -
thr 2+syroll and make monthly .repo,= of payrolls. NFull instruction should be obtained from the nearest office of the Dep—n—t of 4.aMr and Induarfes.- Before I
fn pnent.•'he owtiet c'rghld retain Y'ytleasr febT 46 in turn shu.d.7wnujn ,..se Intm r;l. suh•ronSta.um. *['he rel enesl should be'
.eta. - '
1 by t!e Department o!. Labor •,.d �rnJ•eau I.: NThe abo ; pm rdores eta n>lun cmcan of the..5tate `11U Drt rial I.—...... An.
i
t
t
4-
USE, PERMIT'
I _
CITY DMt�NDF. ZONE
S 00,314-
CONSTRUCTION PERMIT APPLICATION o, SUIT
OWNER INA.M1ieNAJ11F. OF FILMINESS 1,926 OA LC Y 5Aee-
-znt"s cjft��[> "l& 4*0'pez LEGAL DESCRIPTION L14L�1. "a LID 110
"LVIG ADORtSS
10 V, PA-L�y TESC.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI..
APPROVED BY
CITY Zip TkLEPHONE NUMBER 'EXISII.G -IEOVI"F0 DEDICATION
F_Pr40NP'5 . PROPOSED
NAME
eD E.'4 RIGHT OF WAY CONSTRUCTIO:,I PERMIT REOUIPEDX
• ti ADDRESS STREET USE PERMIT REWIRED 0
�jo I SEE ENGINEERING MEMO DATED REVIEW BY
ZIP JTILEFRO�P41111R REMARKS
S -7�F PhFV ce'c4tdl�'F U
ADOVESS
J9lze'v S;r METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
�
STAT.'LTCENSE NUMIBIER.
REMARK
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE. i EXEMPT
A a NO.
I
Legal Description of Property include all easements
(show below O.'attach two Copies)
SHORELINE.
VARIANCE OR Cy
PLANNING REVIEW BY
-0 - '2:5 /_a;
I DATEEU
0,
Tax Account Parcel No. 4311 Z-o 43 -CIO 7 Z_
SETBACKS ::ZET I
FRONTT ZO -SIDE REAR
HEIGHT 1LOT COVERAGE
REMARKS
F] .1F. RESIDENTIAL
ICJ ADDICALTER COMMERCIAL
REPAIRPT. 81 DG.
ExjAVATE. FILL
QSI DEMOLISH .11 GRADE.
EI C1. POI.T
REMODEL GARFAGE
01 PLUMEIING
MECHANICALD
SIGN
O FENCE
L_ x _r7i
IP-O01"L ...
CHECKED BY
141j;P
TV.PEOF CONSTRUCTION
CODE
08
HEIGHT
SPECIAL INSPECTOR
PEOUMED
M YES NO.
AREA
OCCUPANCY
OCCUPAN
LOAD
Ej WOOD STOVEI E] RETAININC'.',ALL,*
ROCKERY _K_ RY
❑
RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBC 305
JT.YPE OF USE. BUSINESS OR ACTIVITY) FXP'-t::::
NUMBER OF STORIES
NUMBER OF
DWELLING UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
d
FINAL INSPECTION REQUIRED.,
t�
PUN CHECK FEE
BUILDING
ov-
PLUMBING
Plan Check No.
55-
MECHANICAL
. i
This Permit covers work to be done on private property ONLY..
OF I t3,DINGIFILL
Any construction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permjssion..
STATE SURCHARGE
Permit Application: ISO Days
Permit Limit: I Year - Provided Work is Started Withim 180 Days
Applicant, on behalf at hi:; or her spouse, heirs, assigns and
V, Successors in interest. agrues to indemnify, defend and, hold
t" harmless the City of Edmonds. Wash:nglon. Its officials,
employees. and agents from any and all claims for damages0 f
PLANI CHECK DEPOSIT
whatever nature. arising directly or indirectly from the issuance h e
W
of this permit, issuance cif-1his.permit shall not be deemed to
o modify. Waive or reduce any requirement at any city erdinance
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
.Ovsion
I hereby acknowledge that I have read this appliCatiorfl that the
information given is correct; and That I am the owner, or the duly
ATTENTION
au'.horized agent of the owner. I agree to comply with city and
state laws regulaling construction; and In doing the WorkauthOIZ-
THIS PERMIT
AUT.IOMZES
ed thereby, no person will be emp yed in violation of the Labor
' the State of W3shinglon r a tIng to Workmen*s Compensa.
ON.Y THE
VIOAI, NOTED
ii ins ante.
av, P A E
jr[)ATE 13.ED
INSPECTION
OEIARTIVE :T
=-NTI
z. 2
EDCITY OF
MONDS
ATTENTION
CALL FOR
INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY'A BUILDING OR STRUCTURE771-3202
UNTIL A FINAL INSPECTION HAS.SEEN.MADE AND AI?PROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or hin
Deputy;.and fees are paid, and recespt is
acknowledged in space provided.
ELEASED ay; J
ORIGINAL — File YI:.LLOW — Insp ctof
PINK Ovner GOLD Assessor
It .
.
Material Chargeable to Installation 1)4�rs
NO. SIZE DESCRIPTION
RATE
�-,M--O--
UNT
. .... .. .. Meter ...........
- ------- - --- ---------- Meter Box ------
--------------
, I —
............... .......... Meter Plate
.............. .......... Check Valve
. ......... . - -------
......
.............. ......... Pipe, Galv. Screw ..................
...........
.......
.............. .......... Nipples ....................................
.. . ......... ..........
....... I ...... .......... Bushings ..................................
.. ----------- !
..........
............... .......... Plafil Ells
..............
...........
.............. .......... St. Ells
..............
............ ..........
.......... . .. .......... Tees
.............. ........ I . ..... ................. ...............................
........................ ..............................
............... .......... I ................ — ..................................
........................
........ .......... ................. ....................................
--------- ----
.7— ........
............
..............
..............
------------ ----------
............ ..........
............. .....
............. ..........
............. ..........
.............. 1. ........ . ..........
............... .......... ...................................................... .............. ......... . ..........
............... .......... .................... .... I ... ................ .............. ........... ...........
.............. .. ...... ................... .................................. ............. ......... . ..........
Material Chargeable to Taps Connected
NO. - SIZE DESCRIPTION
RATE AMOUNT
.............
..........
Pipe, Black Screw ............
..............
..........
Pipe, Galv. Screw ... ... * ...........
......
---------
Lead Connections ................
Curb Cocks
...
..............
...... ..
........
.......
Cor P. Cocks
....................
..............
.......... Unions
............. I
.......... Saddles
..............
.......... Nipples
—
---------
............... ......... Bushings ..................................
I
..
.........
........... I ... .......... Plain Ells. .............................
.... ........... ..........
.......... .......... Street Ells
............ ............. .
.........
......... .......... Tees
............. ..........
...................... ...........
.............. .......... Curb Boxes
............... ........ . . ..........
------- ------
............. .......... S. O. Extensions ........
---
.............. .......... Gates
-------------- ............ ........
. . ... �9/n plugs .......... ...........................
"Y
..... ..... -7. Couplings P ...........
-----------
............. ............ .........
..........
............ . .......... Boxes ............................
.............. .............
eGate
..................
...............
.......... ...........
.... . .. .. ...
.............. .......... .................... .................... .........
.............. I . . .........
.............. .......... ... 4 ......................................... . ..
...............
...........'/ ... .......... 1...........................................................
.............. ...
.............. ...
.......... .... I ...................................................... ..............
.............. .......... ........................................................... ..............
.............. .......... ....................................................
........... . . . ..
............ . ........
i
.. ... . .............. ............ ..........
..............
. ................ ............... ...... . ...... ..
.............. ....... ( ......
....... .............. .......
..............
---------- ........ ...............
-------- Hours Time —Day Men ........ ...........
Hours Time —Monthly Men.. I
....... ..... . X.. 2
....... Hours Time —Auto ............ ... ... ..
...... .... ........ .. .......
.... ... . ....
.......... Superintendence ......... ...... "
.. ... ... .......... Total ... ....
City of Edmonds --- Water Department.
- TAP CARDMeter '
Date
l�" �� ~ �--
^,`,__._______ I�[\_-'--''--------
����° ^���
`°^��--------- Size ............................
For
-----.------------_---._-------_-_----_--___-
[nt No ........................................... Blk, N^___________________
Add Service /
Location
--
Mzter Location
..........
--
��� .[�D `�
2Kl�
-r
Send Bills to ----_-------------------------'_'' �
�
Date of Work
��`",' `���^�' �``� 7��
����
Remarks: ------------------ --------------'--
.....�
/ ............................................
OUTGOING
�Index
..... Reg
'
_____-
.�
r`'"s+r�.q:,:[ ril4'IPf`9a'ir�i F"Q.`�^ �ryr3�':"6f'}=ik4iaRy}�'' Jtrr{{l1NYi'1'.ivr'.9v+NF;iyF1Cn''^^0p•"✓t%nr'Ytirv�.r+jNr,�,�e`/Kj?:'—« Vt%rfr'
M � e1TY:OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
RIGHT-OF=WAY CONSTRUCTION PERMIT.
Permit No:
Issue Date % �� y' U
A. a Owner: B. • Contractor: -- .T1._
Name / Name
1f7.2 ( ST
Mailin Address Mailing Address
City State Zip City State Zip
State License Number Telephone Number
C. • Addressor Vicinity of Construction: /® 2 z(14. f-t;
Type of Work to be Done: rn4
• i
D. • Work in Connection With: 0 Sub or Plat ')2'Single Family ❑ City Projects
❑ Commercial ❑ Multifamily ❑ Utility
E. • 'Pavement Cut: ❑ Y 50 N F. • Size of Cut: X
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 unfoneen, 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 AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND 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. STREET FILE
• 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.
1 I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature
Date: `� ZeP fo
s
1 Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
y, APPROVED BY:
Z Time Authorized: Void after days.
O
W Special Conditions:
Ln
F.
U RELEASED BY: DateQ
NO WORK TO BEGIN PRIOR TO PERMIT; ISSUANCE
PERMIT FEE:
Restoration Fee:
Receipt No.:
Fund. 1 .1.1 Fee: —
Street Cut Dimensions: X = $
INSPECTED BY �/'r� 4- Date 1&3 �O
Eng. Div: March 1989
III
FIELD INSPECTION NOTES" (Fund I'ff - Route copy to Street Deot.Y
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July M
m
f
4:
V;
4 k EXISTING
y... -SINGLE-FAMILY yi
RESIDENC E ...
C REAR YARD
TAX ACCOUNT' .,
PARCEL NUMBER r . •—. ai
C494342,043-007-00; p Q
:.4 MAIN-` I
ENTR`Ir'
(E) WALKWAY
a C
REMOVE AND REPLACE EXISTING CONCRETE } ._—�---
'� WALKWAY AND CONCRETE STAIRS.
- INSTALL NEW TRENCH DRAIN AT WALKWAY
1 4 AND FOOTING DRAIN BELOW. f '''`
A4.01 �. c, I
FILI
aTREET
Ar
= a: SIDE YARD
- (E) WALKWAY .. �.-
' /2 _ - SLOPE 1/4" 1 ", TYP
21'-0"
FRONT YARD AREA OF WORK
RECEIVE
SITE PLAN Self' 9 201
EXISTING REFERENCE DRAWINGS, DATED 02/20/1990, i _ N BUILDING DEPARTMENT
PROVIDED BY DONNEL V. BORNE, BUILDING DESIGNER
SCALE: 1/8 - 1'- 0 GTY OF EDMONDS'
ALL DIMENSIONS NOT SHOWN ARE TO BE CHECKED
ISSUE DESCRIPTION DATE SCALE: AS NOTED I PROJECT: HARPER RESIDENCE DRAWING NO.: AGAINST SITE CONDITIONS, DRAWING IS NOT TO BE 1 PERMIT SUBMITTAL 13 SEPT 2011 DATE: 13 SEPT 2011 R D H Building Sciences Inc Seattle, WA A2.O 1
SCALED TO OBTAIN DIMENSIONS.
THIS DRAWING IS THE SOLE PROPERTY OF RDH BUILDING DRAWN BY: MB DRAWING
ENGINEERING AND CANNOT BE USED OR DUPLICATED IN I 509FAIRVIEWAVEH Su1M100 TEL2063242272 SEA®80HBE.COM PROJECT NO.:
ANY WAY WITHOUT EXPRESSED WRITTEN PERMISSION.
CHECKED BY: TC SEATFLEWA98109 FAX2063246339 WWW.ROH000M TITLE: SITE PLAN 135203.00
2 v 1 Ld