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1058 DALEY ST.PDF1058 DALEV ST TAXACCOUNT/PARCELNUMBER:O4�J``'}ZbaDl /00 \ BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS :1i.41� — i 29 DETERMINATION: ❑ Conditional Waiver ❑ Study Required 4Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DA EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: W s. 0 7 Z SIDE SEWER PERMIT(S) GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED:���. .,Turn. �IAoI 4'�..rl-�n r-n�lnr.i.l ln�;tinn�� L:\TEMP\DSrs\Forms\Street File Checklist.doc • —DEPARTMENT CITY OP _-'DMO`r.13rS, 1WASHINGTON T OF BUILDINGS BUILDING PERMIT tttiPhaeby'cerrifies that a plot, plan, drawings, and sufficient details to indicate -all requirements of this code are attached hereto. is„liereb3! ma e forpermitto do the following, work: s.. ..... ... ... . .. ..... . ........ .......... ......... ............................................ . . ... ...... .................. a ............................... ................................................. ...... ... . . .. ...... ........................................................................................................ ......... . ......... . ................ . ........... ...... .......... ..... .... . ................ I .. . ........ ..... . ...................... . ............................................................................. ..................................... . .......................................... ..................... .. .. ............ ........................ . ......... ............. .. ............. ............... .... . ............. ..... ... (street number car lot a g, dimensions are ......... t�1 . ........... x ................................... it 2,,Latdtmrnsions arL ............ .......... ............ ....... 3-B,_;ildirlg will .......... stories in height. '4.. Number of basements ........ a­ buildingbe-. ."6ccupancy of --- -- ..,will ---- — ------ ining Building.will be.. %,4- _-Jeet fjo roglpnearestad* lot line- Ov;ner .... 20��* . ....... ......................... . 1...,10wner's .Address.._.._.-.:...---_ . ........................... ....... ..................... . ............................. 1KBuilder._......._._.........._.................................................................................................. 10. Builder's Address ..... ................. . ..... ........................... .... . ......... .......... ................... 11. Architect or engineer.-........__... ............................ ............ ........ ............ ................. Date............................................19......... Applfcant's Signature ......................... ........... ........... .... . .. . .. ............ I ... . ..... (owner or his..(ent) R s. 5 C 0 0- EL > 5 0 V C4 :5 W 0 r z 420 V C. CX z to — ea t X D 1,2 0 z EsOnated cost s.7... ....ate................. GroupNo..-----._......__..._..-------.._-..._...__ Life of permit. ........... .......... .... . ..... ......... . du . Plans filed: yei�No 01 Permission is hereby granted to do the work described iiereon, according to the approved plans and specifications pertaining hereto, subject to compliance with the ordinances of the City of Edmonds. This copy is your receipt for the follow.mig.feeli, 6t:> 1. Building permit fee ....................................................... $ ------ - 47 - ----- 2. Sewer permit fee ........................... ... ... .... $ ............ I .......................... 3. Inspection and supervision fee ....................................... $ _-------- - - .................... 4. Total ....................... ................... ........................................... ............. . .. . .......... . .. . . . $ ......... . // .................. Rec eived . .. .... .................. ..... ... . ... ildffigs PERMIT NO 362 City of. De eni of.BuEdm6nds I The building permit fee which applicant pays when permit is issued sbsU be baud on estimated con of the proposed i,tructerm, at the rite of ll1.ilo'foiCd6 $1000.00 of cost. if the actual cost of the structure, when finally determined, exceeds the mim2,-.d cox by more than 57., -Pplic,am mreet td>�F2-a idditi,.w fee of $2 00 for each $1000.00 of such excess cost. In such coin[ no tuu permit shill be issued until mcb "discrepancy fee- is paid. ,-.2. Whenever a contract for construction Is executed for any scruz,mm costing more chart $1000.0D for which . licensed architect or enginetr.is not• required bj1 ,. the -ppiimti= for a building permit shall be accompanied by a copy of thecontract'0 he Building Code of the City of Edmond mod copy f the detailed, :pecificattions. 3. Plic,'l-to' plyi.g_.ZIY-12birpE�boccromring ootify..c Division of the Department of Lebor and dustri v, givihs Q��imate �f ,he payroll and make monthly reports of payrolls. F.If*;rartrrctio16-'.hc;uId 4...btalned ?,hm the u6natt ogee of the l)-p.rtment b." .4,lod. V d-, payment, he � obtain �qoua owner should obtain - -I,— from the r.-eral coocqtcto7, rtn in 't.T ahoul ;� !ub�t, 17;`rhe 'Mlabes bf The shove proced— are of the State lneu­121 Insurance A,,:;1W �­d by'[he I)tep.,renent 'of Lb., and T; Critical Areas Checklist Site Information Project Name: 4 'Permit Number-� . ,:.�-� � � Z,©h�3 ►-p --moo Site Location: r h S W 19A Q y sr . Property Tax Account Number. J3 Approximate Site Size (acres or square feet): Have you filled out a Critical Areas Checklist for a project on this site before? D General Site Conditions 1. Has the site been cleared or logged? Date of most recent action —7ZLI - Soils'/ Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 6-el�Y Laa-� ,Scat 3. Describe the general site topography. Check all that apply. ---- Flat: less than 5 feet elevation change over entire site. 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 of horizontal distance.). Steep: grades of greater than 30% present on site. Comments Hydrology/Vegetation 4. Site contains areas of year-round standing water: d 5. Site contains areas of seasonal standing water. 111g, Approx. Depth: 6. Site is in the floodway&—, — floodplain_ /�o of a water course. 7. Site contains a creek or an area where water flows across the grounds surface?flows are year-round? _Flows are seasonal? 46. 8. Site is primarily: forested : meadow _;shrubs _ - ; mixed 9. Obvious wetland is present on site: 10. Wetland inventory or map indicates wetland present on site:)a 11. Critical Areas inventory or map indicates any Critical Area on site: For City Use Only • • 0,90.194- STREET FILE 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 of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant is encouraged to include any other pertinent information 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 1 Applicant: Applicant Representative: Name Name Title Title S Street Address Street Address l� 71 �/ 7 City, State P Phone City, State, ZIP Phone igna Date Signature Date APPLICATION for The City of Edmonds SIDE SEWER PERMIT EASEMENT No ........................................... NEW CONSTRUCTION ❑ REPAIRS ❑ 118-03400 OWNER5teve Vierthaler CONTRACTOR .................................------..........------............... PERMIT No....................... ADDRESS ....... 1...8...Daley ..S.t.---------------------------------------------------------------- LEGAL DESCRIPTION: LOT No. .............................................. BLOCK No............................................. NAMEOF ADDITION......................................................................................................................................... �r '10 Dye Tested On Sewer 1972 Approved: DATE................................................ By ....................... CITY.OF EDMONDS Per,o._� G �'' PUBLIe-''FORKS DEPARTMENT Issue Date RIq;-IT - OF - WAY CONSTRUCTION PERMITS TRO EE j' RE A. *Address or vicinity of Construction 1058 Dala y • Owner: tR i ch -Ic�h •i ed Name 105-:J D;-i_7,_e y Mailing Address :3dmond4 o t�'ash 9802C, City, State, Zip Code • Permit Issued To: ^I A,-. • Type of Work to be Done: asphalt • Work in Connection With: ❑ Sub or Plat ❑ Single Family ❑ Comml. % Ind. ❑ Apt. Condo. • Pavement Cut: ❑ Yes ❑ No • Contractor: Olds C9hnr i.c Inc. . Name P.O.Box 130 223-01 CTXS0- 31.7 I�fJ Mailing Address State License Number City w� State,' ­ Zip Code Tefephone Number �t * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE B. APPLICANT TO READ AND SIGN INDEMITY: 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, foreseen or unforeseen, that may be made against the City of Edmonds, or any of it's 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. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call 775-2525, extension 220. ") • I understand that this permit must be` yailable At the..job, site for inspection purposes at all times. Signature: 7 : / Date Owner or Agent" THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES tit CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By;t=........`-''"'----,'.,.i�r�"'�_ •_ Time Authorized: Void afters days Special Conditions: Ammendments: _ry Permit Fee ,Y 17! Security Deposit: Receipt No.: Fund III Fee: Street Cut Dimensions Ov A 1981 X= * * NO,, WORK TO BEGIN PRIOR ,TO PERMIT ISSUANCE yt Eng. Div. December 1978 FIELD INSPECTI0NOTES 14 (Fund 111 - 9oute cony to Street Dept. Comments: Diagram: Contractor called for inspection Yes No 14ork Disapproved By: Date: By: Date: [cork Approved By: _ Date: Inspector: Ena. Div. December 1978 0 S 0AEY i�P I C INC. • SEATTLE OFFICE LYNNWOOD OFFIP�� P.O. BOX 180 PERATING ECH'S PAVING SE STONE WAY N. SEATTLE, WA 98103 LYNC1WOCs'>1, WA 98036 •ASPHALT PAVING 632-0450 HEATING OILS 0450 778-- HEATING & AIR CONDITIONING PROPOSAL SUBMITTED TO Rick Shied PHONE 775 V69 DATE 26 May 81 STREET ADDRESS: 1058 Daley JOB LOCATION 1058 Daley CITY, STATE, ZIP Edmonds, wash, approx. 122 yds. driveway Can �C.K �/o "9�s i .r dc�14 � ,v_Nr �lA24Nrct e ALL P ES PLUS TAX PAYMENT DUE 15 DAYS FOLLOWINf TEMEN A late payment charge may be made on any past due balance, which the law calls a "FINANCE CHARGE:' and it Is computed at a monthly rate of 1% (ANNUAL AUTHORIZE / SIGNATURE Ll� WITHDRAWN THIS PROP SAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED PERCENTAGE RATE OF TWELVE PERCENT). It is agreed that in case suit is Instituted to collect amount due on this contract or any portion there of, reason- able attorneys fees and court costs maybe added to this contract. WITHIN DAYS Permits, It required, will be the owner's responsibility. Wa ahall not be liable for damage to or broakago Of eOptic Innkri, unttorpround plpns, rind or conduits not visible from the surface of the ground nor for any damage to approaches (Including sidewalks) from the street to the property line. We be responsible for sub grade failures or settling of subgrade material which was not Installed under the above agreemFztEC1E1 Ef L-:") cannot Soil sterilization (weed killer), if included in contract, will be applied at rates specified by'manufacturer. Olds Olympic Inc. will not be responsible for any subse- quent growths of horsetail weed, morning glory, deep rooted ferns, or perennials, which have not reached maturity prior to application. 1981 U�6 All material is guaranteed as specified. All work to be completed in a workmanlike manner according to standard practices. Olds Olympic Inc. accepts no responsibility for any work other than that specifically described above. Any additions to or alterations of the above work will oe executed only upon written orders and may become an additional charge. Dir. Of } -,, - - ,1 vs d I navoidable or beyond our control. All agreements are contingent on strikes, accidents, delays of carriers, and other a ays u t ACCEPTANCE —YOUR SIGNATURE ON ONE COPY, RETURNED TO US; WILL MAKE THIS A LEGAL CONTRACT PENDING ACCEPTABLE CREDIT APPROVAL.' ACCEP ANCE BY _ DAT 55372 Dir. Cj, , - - -Ali ..................._.......District ......---- - - - ---- District City of Edmonds ---Water Department TAP CARD Meter NO .................. . .......... Date... - — --------- Tap I No ......................................... MfgSize .............................. Size ....................... .............. ForStyle .............................................. ............................................................................. I ........ ............................................................................................................................................ .. ....................................................................................................................... I ................ ofNo ........... ;;............................... Blk. No Add. ................................................ .............................................. Service Location ...... ... ... ................................................ ....................................................... .......... ................................................. Meter Location .................................................... Make Tap .......................... -----S-TR-EET .... FILE .................... .................................................................................. ............................................................. I .................................................. Pressure .............................. lbs. Test % ......... ...... Send Bills to .......................... ........... . .......... ................................. / Date of Work ............. ................. ............... ....... ............. .... 74 ...... #1 .... ..... .............. Foreman*" Guar. Voucher No ................................. ; ..... Remarks: .................................................................. ............................................................................................. ........................... ......... .............. . .... . ......... ..... ... .. .. ... . ... ............... ....................................... ................ . ... . .. . . ............................ ........................................... ............... . .......... ... . ............. ... * ............................................. . I ............. ........................................ ... . . .. ............................................................................ .......................................................... ......................................................................................................................................... ................................................ . ............................................................... OUTGOING Index .......... Reg ....... Route Bk ......... Stencil ------ Card ........ INCOMING Index ---------- Reg ....... Route Bk ......... Stencil ...... Card ........ ----��--�--`---�r`,-,�`^,~ ' '--- Ma` at Chargeable to Installation Me-' � NO. SIZE DESCRIPTION RATE AMOUNT Material ----g----- to --r- ~-~�^~~~~`~ NO, SIZE, DESCRIPTION RATE AMOUNT 04