408 DALEY ST.PDF11111111111111
10733
408 DALEY ST
ADDRESS:
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:-Q7—jDZ
DETERMINATION: E] Conditional Waiver
Study Required Waiver
DISCRETIONARY PERMIT #'S:
DRA114AGE PLAN DATED:
PARK[NG AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): IfZi 0/15� (A��
lffD6W
mmozlpo�&6e,) 7,00:50(0-11(Add�
PLANNING DATED:
DATA CHECKLIST
SCALE-D PLOT PLAN DATED: jjl�q
SEWER, LID FEE
LID #:
SHORT PLAT FILE:----
LOT: BLOCK:
BUILT DATED:
SIDE SEWER AS
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR: —
WATER METER TAP CARD DA
OTHElt:
LATEMP\DSrs\Fomis\Street File Checklist.doc
018
CA46 ENO.
CAW Areas. Checklist
---------------------------------------------------------------
Sjte Information (soil s/topo graphy/hydrolQgy/vegetation)
L Site Address/Location: z-� o s- D c� ��4 ��
2, Property Tax AccountNumber:
3. Approximate Site Size (acres or square feet):
4. Is this site currently developed? \_X_ yes; no.
If yes; how is site developed?
5. 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 1 0-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 I 0-feet over a
'horizontal distance of less than 33-feet).
'be):
Other (please descri
6. Site contains areas of year-round standing water: Approx. Depth:
7. Site*contains areas of seasonal standing water: Approx. Depth:
What season(s) of the year?
8. Site, is in the floodway floodplain of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flo ws are year-
round? Flows are seasonal? (What time of year?
11). Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc)
11. Obvious wetland is present on site:
-------------
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ACS �
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City of Edmonds
Development Services Department
Planning Division
Phone: 425.771.0220
Fax: 425.771.0221
Critical Areas File
Critical Areas Checklist Fee: $45.0
Date Received by Dev. Serv. Dept: lo 0 cD
CityReceiptNo- i 15�740
Date Mailed to App licant:
CRITICAL ARX-11PEAS CHECKCALIST
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.
Please submit a vicinity map, along with the signed
copy of this form to assist City staff in finding and
locating the specific piece of property described on
this form. 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 Areas Checklist and attest that the answers providedare factual, to the
best of my knowledge (fill out the appropriate column below),
Owner/Applicant:
kL A D (L A� 1� 6-c--o K)
Name
2
Street Address
E0 (4 0- kv " U) -A 3/.1a.4
City State Zip
Telephone
Signature
Date
dseceptIoMana/CACLHandout.doc
Applicant Representative:
Name
Street Address
City State Zip
Date
ReAsed 4/10/2000
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PERMIT. COUNTFR
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PUBLIC 'WORKS DEPARD CHE
OST
BUILDING PMUT REVIEW
.. �4�14
(address37 .-Tda-te)
gh xisting
Street Ri t-of-Way E
RE QD NA-
24
Ing
Access Easements Exist*
REQD
P'4
Utility Easement Existing
REQD
-pq
Lot Per Subdivision Plat
Assessor Map
Site Plan,Checked for Accuracy_____�.���
Underground Wiring Reqd.
F-1
0
Check Accuracy of Legal Description
Z
Review by
Date
Tw4sting Water Main Size -qTi;F;FT
FILE
Water Tt!A.Required
Line
Service Line red
Se ce e
�1
ant S Ize *st
Hydrant Size Exist'
:p,l
Hydrant Reqd,Per Fire Code
Size
r
D t ct � C 14 t
etector Check 14-,,ter
:De . e he k e
c s tjo
ros s m:
Cross Connec spection:�
r c)
Fire a tment CommEmnts
Water 116-ter Charge Reqd.
Review by-
Date
T k Des
Se ic Tank Design Approved
Date
P t
Septic Permit Reqd.
Permit.No.
Sanitary r Availability
DraM-7ing No.
File No.
Side Sewer Availa f ity
Sanitary Sewer ConnnneSti Fee Reqd.
Review by.
Date
Open Ditch Existing _
Culvert Reqd.
Size
r4
Catch'Basin Reqd.,,,�
In ate on Site Plan
Shoulder d�r� maintain collection on
ff�
swale open ff
0
Indicate on Site P
;Manho�reqd.
�:-Co.nditions and Ground Water Field Checked
Review by
Date
Revised: 1vl0-1977
Page 2
SrreetPaving Reqd.
Curb and 1:;teqd.
Sid�wa,l.k Reqd.
Curb'Cut for Driveway Reqd.
Right -of -Way Construction Permit -
Bond Reqd. for Publi avements
Street gn Reqd.
er Signing Reqd-
ermit Site Inspection-, made, on
�O
14 FA BY: SEWER
E-4
WATER
STREET
ENGINEERING
04 Special Requirements listed in memo. to Conniinity Development Department,
Building Division
BK__ t\).t MgW/b Date
o All items filled in.on Building Pern-d-tApplication
P�, BY Date
Drawings StaiTped and Notations Made
P4 BY Date
Approved by Public 'Works Department
Kevised: lv 10-1977
The City of Edmonds Side Sewer Drawing EASEMENT NO . ...................................
214-05300 NEW CONSTRUCTION F] REPAIRS E] LID NO - ------------------ ASMT. NO - ------------------
OWNER------- ED-WARD--.a----.T-usTy ---- mum --------------------- CONTRACTOR - .............. .................................................................. PERMIT NO.
JOB ADDRESS ... 4.0.8 --- DALKY ---- STREET
- - --------------------------------------- LEGAL DESCRIPTION: LOT NO. -- ................................ .. BLOCK NO . ..... --------------------------
IT
................................................................... ----------------------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
DYE TESTED ON SEWER
Approved:
PWW-0001-11175 (REV.1 1/78) DATE ............................................ By ...................... .............
411
CIT�'OF EDMONDS".': - Permit- No.
0. 60
COMMUNITY SERVICES DEPARTMENT
CII
CO te c)- C)
RIGJHT-OF-WAY,CO.NSTRUCTION� PERMIT Issue Da
A AW
..... ..... .....
rN
A 'B. 0 Contr
A. 0 Owner: actor':
-PA-11C V
Njailyig Adcltess M
ting Ad
Aress
/ .
City State Zip City
pp, 9W ggI3 zip
,ou hLo — r-4,v .3 7 6.7
State, License f4umber Telephone Number.
C. 9 Address, or Vicinity of. Construction: IMACV,
Type of Work to I be Done: g�14R &A- 'AR/ .04 C-c-ess
D. 0 'Plat El, City Projects
Work in Connection With: El Sub od Single Family
El Commercial tMultifamily El Utility
E. (0 Pavement Cut: El Y M'N F.,9 Size of Cut: x
46 APPLICANT TO READ AND -SIGN
INDEMNITY: Applicant understands . and by his signatute' to this. application, agrees to.hold the City of Edmond ' s
harmless from any injuries, damages, or claims of afhy;,ki-hid or es6r, tion whatsoever, forseen-or unforseen, that may
'e�'
be made against.the City of Edmonds, or any ofy Vte&N
1sZ2 loyees, including or not limited to,the defense
au c,
of any legal proceedings including defense cc au costs, ap,,d attorney fees by reason of granting this permit.
T�iffi* 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.
9 A 24 hour notice is required for inspection; Please,qAll- triginedriii1g: 771-3202
Work is to be inspected during progress and at'completio'h.
Restoration t.o'be in'a6cordance with City Code..
0 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.
l'u'riderstand the above and that this permit m . ust be. available, at the job site.for inspection purpose.s.at all times.
Signature: Date:
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:. A -LC,
Z Time Authorized: Void after —days.
0
W Special Conditions:
V)
U RELEASED B'� 'A Date
Y
NO WORK- TO'BEGIN PRIOR TO PERMIT ISSUANCE
PERMIT FEE:.
Restoration Fee:
Receipt No.:
Fund I I I Fee'
Street Cut Dimensions, X.—
INSPECTED BY Date
Eng. Div. March 1989
Eng. Div. July 1985
Z
U
0
U
Z
0
W
V)
::D
0
Clre OF EDMONDS
PUBLIC WORKS DEPARTMENT
RIGHT - OF - WAY CONSTRUCTION
A. eAddress or vicinity of Construction
'VoX " pnd e q
6, Owner:
Name
Mailing Acld'ress
City, S ta te, Zip Code
a. Contractor:
Name
E:r Wit No.
RECEiV
Issue Date
OCT-2 9 1981
F�, WA
0 Permit Issued To:
Type of Work to be Done: _n'�
• Work in Connection With:,
El Sub or Plat Mo Single Family
El Comml. / Ind. 'vEi Apt. Condo.
• Pavement Cut: El Yes 0 No
Mailing Address State License Number
City, State, Zip Code Telephone Number
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B.APPLICANT TO READ AND SIGN
IINDEMITY: 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. Res tora ti on) tolbel_'i n"accorda nce 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. Cali
-175
, -2525, extension 220.
I understand that this permit must,be available at the -job site for inspection purposes at all times.
Signature:— ate _2
Owner or Agent
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Vold after �,_q 0—days
'Special Conditions:
/�mmendments:
Permit Fee:
Security Deposit:
Receipt No.: —
Fund I I I Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
FIE . LD INSPECT ION'qTES (Fund . 111 ot*e cony to . Street Dept.
Ot-,mme-%"* a -
Diagram:
Contractor called for inspection.- No
T
,Ajork Disapproved By: Date: Bv: Date:
Work Aporoved Bv: Date:
Inspector:
Ena. Div. December -197S
HARVE H. HARMSON
CITY OF EDMOPAI!,,:�..,
Ti
200 DAYTON ST. EDMONDS. WASHINGTON 98020 (206) 1 1!_*;)52t,
DEPARTMENT OF PUBLIC WORKS
March 16, 1981
Dear Resident:
On February 17, 1981, the Edmnnd�; City Council passed
Resolution 488 for construction, reconstruction and repair
of deteriorated sidewalks. A pUhlic hearinq will be held
in the Council Chambers at the'Civic Center on April 21,1981
at 7:30' P.M._, You are invited to attend g_ f 0
..,t h i s,.-.h e 1-1 r
diSCLISSi tepa ir., of'-p—o—tt ions
Ing of (ieter;,.
iorate..
�,Lw6lk
"'L"T e11,
abutting your --proper y. - �` , �pi-ovem,6nt o sidewaiks in
need of repair at the expense of thC ,J)LItting propertv
owner is provided by City Ordinance, Chapter' 7.20 and
Revised Code of Was�ington, Chapter "15.68.
The areas needing repair have hecn marked in paint on
the sidewalk adjoining your prOT)ertV. I�ecnnstruction and
repair of these sidewalks must he completed on or beEore
September 1, 1981. In the event linprnvements are not
completed within the above specif io(I t-Aine, the City will
perform and complete the improvet',iont.-, at the oxponse of the
abutting property owner.
This action is' in response to IIV1nY citizen requests
and pedestrian falling accidents which have been increasing
,in recent years as a result of sidewalk deterioration and
increased pedestrian traffic.
Sincerely,
F-. HERZBERG
Director of Public Works